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He awakens to discover himself an old man who lies pinching the slack flesh on the back of his left wrist with the fingers of his right hand, fingers that prickle with arthritis. He awakens to the pity of it all, for I was up only . . he struggles on to his other side so he can check the clock radio on the bedside table. . three quarters of an hour ago, when he stood in the musty toilet, his sweaty forehead pressed against the mildewed wall, dropsical — late-onset hydrocephalus? and stared stupidly at the splutters unceasing, a plip here, a plash there . . then at the ecclesiastical window with its opacity of wormy smears — out there breaks the blank day — then at a toilet roll once dampened, now dried, its lumpy multi-ply reminiscent of epidermal corruption not seen since student days — keratitis, rhagades, the stigmata of congenital syphilis — and then only as plates in textbooks. On the lino, by the El Greco of his old feet, there was a pile of old proceedings, peedewed, to be read at stool, and so the memory’s overlay peels back to reveal the exact same vignettes — wall, toilet roll, medical journals — and Busner realises that I have returned! A triumphalism he acknowledges to be inappropriate for a sleepy walk even as he looks to the window and vermiculated quoins comes from somewhere — but where? Then, as he turns, not bothering to flush, and shuffles back towards bed, it occurs to him that he troubled to ask someone he knew then, someone who had specialist knowledge, because they were so ugly, those worm-riddled blocks set into the gateposts of the hospital — but which hospital? There had been so many — Twenty? Thirty? — up until his retirement the year before, after hanging on at Heath far longer than I should’ve. . and why? Almost certainly to postpone this present mode of life, one his children viewed as pathological, a senile depression — possibly the forerunner of dementia — that had been kept at bay by his pottering, his peculiar job-reductivism, consulted as he had been mostly by other consultants. Busner knows better: this is the re-emergence of an essential self, long since buried and worm-eaten . .The passage from the toilet to his bedroom is narrow and angles around a portion of the adjoining and more modern office building, an insurance company which, in the process of construction, somehow managed to exact a few cubic feet from this end-terrace Victorian property of no distinction, a brick and masonry cell like all the rest — A burst of clickety-clack from the keyboards of the brokers who factor risk within inches of his sloped shoulder almost derails him. John! he hears one call, quite distinctly: John! Female, fifty-three, ten years no-claims — one for John at Aviva?

They’re all called John, while here am I, a prophet in the wilderness . .There is no soft Persian runner beneath his feet, as there would be at Redington Road, only coarse and colourless carpet offcuts that he himself had pulled from a wheelie-bin in back of the discount furniture store in Cricklewood, Slumberland!, where he had picked up the few sticks needed to prop up this domestic scene, this granddad flat. Granddad! Granddad! You’re lov-ley, Granddad! Granddad! We lo-ove you! It’s a curse and a blessing, this, as he shuffles through the doorway and spies, clasped by April morning sunshine, the bars of his bedstead, with clumps of his damp straitjacket wadded between them. To incontinently recall these, the lyrical leftovers and junked jingles of seven decades, would be an affliction. . timeitus, he smirks. . had Busner not come to appreciate, since his retreat here to the first-floor flat on Fortess Road, that within the patterns made by their effervescing in the pool of his consciousness are encoded wider meanings — he balks at truths — ones not surveyed or even guessed at by the mental mapmakers with whom he has spent his working life, notwithstanding the elegance of their modelling — theoretical, neurological — or the crassness of their professionalism. The unyielding mattress calls forth only this: a tired acknowledgement of his own flabbiness. Walks have been resolved upon and not taken, meals are spooned from tins and forked from plastic containers, or else spread on bread — lots of it. This particular Busner kneads soft stuff into a pillow-shape and puts his swollen head on to it while cavorting with all the svelte fugitive selves that have spun away from him in this. . dizzy dance, Granddad, Granddad, we love you! And he loves them too, but after he and Caroline parted it seemed superfluous to do it all again, acquire a fourth wife who would demand the application of yet another decorative scheme to the walls that had contained him, on and off, since he was. . what, ten or eleven? He remembers his uncle, Maurice, leading him by the hand through the wintry chambers of the house on Redington Road, his tight-fitting overcoat so long and black that when he stooped he. . was a drainpipe. . stiffness. . rigidity. . hypertonia —. It would be superfluous and besides the point — if he wished to go that way. . Well, he had considered getting back together with Miriam — whom he viewed with genuine affection when they met at grandchildren-centred events, and with whom, of course, he still had to deal when it came to Mark. If not with her — and, after all, he had no idea of how Miriam felt about him — there might be the possibility of tying up the loose ends of relationships still more unravelled . .But no: the real point being that in some place or other one of me and one of them are already united in the bicker of minor ailments, cemented by the mucus of passion spent . .So, whatever the anxieties of his children — two of whom are mental health professionals with all that this implies — Busner had thought it better to simply walk away, will the house to them while he was living and walk away, not quite a sannyasin . .gingerly he rasps the underside of a jowl — although at long last committed, after decades of dependency, to once more caring for myself. 09.01. — When he had stopped wearing ties that was when I stopped fidgeting with them, obviously. . the pill-rolling tremor we called it: tremor at rest, the patient’s gaze forced upwards, the hands held out in front, the index fingers rubbing the pads of the thumbs — and the shrink? He sat there watching them, rolling the end of his tie up and down: tremor at rest. Nothing, Busner thinks, comes of nothing — although, LCD digits come of pinching. He had been dreaming of a hospital and got up to pee, then gone back to bed and returned to another hospital — or was it the first again, only in a different era? The plaster strings around the cornices torn away, and the plaster laurels dressing the windows and doors pulverised, the gaps concreted in, then pebble-dashed. Was this the same hospital — or a smaller one? One equipped with a few acute wards, some offices, and a workshop for occupational therapy — which he had liked . .Busner had visited them all as he careered through his professional life — Hanwell, Napsbury, Claybury, Shenfield, the ’Bec. Visited them all while organising trials or conducting studies or working as a clinician. He thought now, wistfully, of the long minutes spent watching the cutlass shadows slashed by a pot plant on geometrically patterned wallpaper during an interminable group therapy session. . No! It had been a visit — it was a visit that he dreamed of. A visit — and the smell was on him . .the smell of sweat, Largactil sweat. There were greeny linctus beads on his spotty forehead and a filthy mark on the inside of his lumberjack-shirt collar. He liked to look at the redwood, he said, which he could see from the window of his ward. Surely, Busner had thought, it isn’t beyond their ability simply to keep him clean — although he, far better than most, knew that it was. Surely, he had almost screamed into the mustiness of the day-room, they can stop his legs from kicking! For if this wasn’t pathetic enough, Henry Busner — my brother — had whimpered: I–I can’t con-con-control them, I can’t. .