ask for assistance. Nor did he want to disrupt his brother's hectic schedule to tell him about the surgery and cause him to be concerned, especially as he would be out of the hospital the following morning, providing there were no complications. This wasn't the peritonitis crisis or the quintuple bypass surgeryâfrom a medical point of view it was nothing extraordinary, or so he was led to believe by the agreeable surgeon, who assured him that a carotid endarterectomy was a common vascular surgical procedure and he would be back at his easel within a day or two.
So he drove off alone in the early morning to the hospital and waited in a glassed-in anteroom on the surgical floor along with another ten or twelve men in hospital gowns scheduled for the first round of operations that day. The room would probably be full like this until as late as four in the afternoon. Most of the patients would come out the other end, and, too, over the course of the weeks, a few might not; nonetheless, they passed the time reading the morning papers, and when the name of one of them was called and he got up to leave for the operating room, he gave his sections of the paper to whoever requested them. You would have thought from the calm in the room that they were going off to get their hair cut, rather than, say, to get the artery leading to the brain sliced open.
At one point, the man to his side, having handed him that day's sports section, quietly began talking to him. He was probably only in his late forties or early fifties, but his skin was pasty and his voice was not strong or assured. "First my mother died," he said, "six months later my father died, eight months after that my only sister died, a year later my marriage broke down and my wife took everything I had. And that's when I began to imagine someone coming to me and saying, 'Now we're going to cut off your right arm as well. Do you think you can take that?' And so they cut off my right arm. Then later they come around and they say, 'Now we're going to cut off your left arm.' Then, when that's done, they come back one day and they say, 'Do you want to quit now? Is that enough? Or should we go ahead and start in on your legs?' And all the time I was thinking, When, when do I quit? When do I turn on the gas and put my head in the oven? When is enough enough? That was how I lived with my grief for ten years. It took ten years. And now the grief is finally over and this shit starts up."
When his turn came, the fellow beside him reached over to take the sports section back, and he was shepherded to the operating room by a nurse. Inside, half a dozen people were moving about in the glare of the lights making preparations for his surgery. He could not locate the surgeon among them. It would have reassured him to see the surgeon's friendly face, but either the doctor hadn't entered the operating room yet or he was off in some corner where he couldn't quite be seen. Several of the younger doctors were already wearing surgical masks, and the look of them made him think of terrorists. One of them asked whether he wanted a general or a local anesthetic, the way a waiter might have asked if he preferred red or white wine. He was confusedâwhy should the decision about anesthesia be made this late? "I don't know. Which is better?" he said. "For us, the local. We can monitor the brain function better if the patient is conscious." "You're telling me that's safer? Is that what you're saying? Then I'll do it."
It was a mistake, a barely endurable mistake, because the operation lasted two hours and his head was claustrophobically draped with a cloth and the cutting and scraping took place so close to his ear, he could hear every move their instruments made as though he were inside an echo chamber. But there was nothing to be done. No fight to put up. You take it and endure it. Just give yourself over to it for as long as it lasts.
He slept well that night, by the next day felt fine, and at
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