What she dreams of there in the center of those wires is a world of precision efficiency and tidiness like a pocket watch with a glass back, a place where the schedule is unbreakable and all the patients who aren’t Outside, obedient under her beam, are wheelchair Chronics with catheter tubes run direct from every pantleg to the sewer under the floor. Year by year she accumulates her ideal staff: doctors, all ages and types, come and rise up in front of her with ideas of their own about the way a ward should be run, some with backbone enough to stand behind their ideas, and she fixes these doctors with dry-ice eyes day in, day out, until they retreat with unnatural chills. “I tell you I don’t know what it is,” they tell the guy in charge of personnel. “Since I started on that ward with that woman I feel like my veins are running ammonia. I shiver all the time, my kids won’t sit in my lap, my wife won’t sleep with me. I insist on a transfer – neurology bin, the alky tank, pediatrics, I just don’t care!”
She keeps this up for years. The doctors last three weeks, three months. Until she finally settles for a little man with a big wide forehead and wide jewly cheeks and squeezed narrow across his tiny eyes like he once wore glasses that were way too small, wore them for so long they crimped his face in the middle, so now he has glasses on a string to his collar button; they teeter on the purple bridge of his little nose and they are always slipping one side or the other so he’ll tip his head when he talks just to keep his glasses level. That’s her doctor.
Her three daytime black boys she acquires after more years of testing and rejecting thousands. They come at her in a long black row of sulky, big-nosed masks, hating her and her chalk doll whiteness from the first look they get. She appraises them and their hate for a month or so, then lets them go because they don’t hate enough. When she finally gets the three she wants – gets them one at a time over a number of years, weaving them into her plan and her network – she’s damn positive they hate enough to be capable.
The first one she gets five years after I been on the ward, a twisted sinewy dwarf the color of cold asphalt. His mother was raped in Georgia while his papa stood by tied to the hot iron stove with plow traces, blood streaming into his shoes. The boy watched from a closet, five years old and squinting his eye to peep out the crack between the door and the jamb, and he never grew an inch after. Now his eyelids hang loose and thin from his brow like he’s got a bat perched on the bridge of his nose. Eyelids like thin gray leather, he lifts them up just a bit whenever a new white man comes on the ward, peeks out from under them and studies the man up and down and nods just once like he’s oh yes made positive certain of something he was already sure of. He wanted to carry a sock full of birdshot when he first came on the job, to work the patients into shape, but she told him they didn’t do it that way anymore, made him leave the sap at home and taught him her own technique; taught him not to show his hate and to be calm and wait, wait for a little advantage, a little slack, then twist the rope and keep the pressure steady. All the time. That’s the way you get them into shape, she taught him.
The other two black boys come two years later, coming to work only about a month apart and both looking so much alike I think she had a replica made of the one who came first. They are tall and sharp and bony and their faces are chipped into expressions that never change, like flint arrowheads. Their eyes come to points. If you brush against their hair it rasps the hide right off you.
All of them black as telephones. The blacker they are, she learned from that long dark row that came before them, the more time they are likely to devote to cleaning and scrubbing and keeping the ward in order. For instance, all three of these boys’ uniforms are always spotless as snow.
White and cold and stiff as her own.
All three wear starched snow-white pants and white shirts with metal snaps down one side and white shoes polished like ice, and the shoes have red rubber soles silent as mice up and down the hall. They never make any noise when they move. They materialize in different parts of the ward every time a patient figures to check himself in private or whisper some secret to another guy. A patient’ll be in a corner all by himself, when all of a sudden there’s a squeak and frost forms along his cheek, and he turns in that direction and there’s a cold stone mask floating above him against the wall. He just sees the black face. No body. The walls are white as the white suits, polished clean as a refrigerator door, and the black face and hands seem to float against it like a ghost.
Years of training, and all three black boys tune in closer and closer with the Big Nurse’s frequency. One by one they are able to disconnect the direct wires and operate on beams. She never gives orders out loud or leaves written instructions that might be found by a visiting wife or schoolteacher. Doesn’t need to any more. They are in contact on a high-voltage wave length of hate, and the black boys are out there performing her bidding before she even thinks it.
So after the nurse gets her staff, efficiency locks the ward like a watchman’s clock. Everything the guys think and say and do is all worked out months in advance, based on the little notes the nurse makes during the day. This is typed and fed into the machine I hear humming behind the steel door in the rear of the Nurses’ Station. A number of Order Daily Cards are returned, punched with a pattern of little square holes. At the beginning of each day the properly dated OD card is inserted in a slot in the steel door and the walls hum up: lights flash on in the dorm at six-thirty: the Acutes up out of bed quick as the black boys can prod them out, get them to work buffing the floor, emptying ash trays, polishing the scratch marks off the wall where one old fellow shorted out a day ago, went down in an awful twist of smoke and smell of burned rubber. The Wheelers swing dead log legs out on the floor and wait like seated statues for somebody to roll chairs in to them. The Vegetables piss the bed, activating an electric shock and buzzer, rolls them off on the tile where the black boys can hose them down and get them in clean greens…
Six-forty-five the shavers buzz and the Acutes line up in alphabetical order at the mirrors, A, B, C, D.… The walking Chronics like me walk in when the Acutes are done, then the Wheelers are wheeled in. The three old guys left, a film of yellow mold on the loose hide under their chins, they get shaved in their lounge chairs in the day room, a leather strap across the forehead to keep them from flopping around under the shaver.
Some mornings – Mondays especially – I hide and try to buck the schedule. Other mornings I figure it’s cagier to step right into place between A and C in the alphabet and move the route like everybody else, without lifting my feet – powerful magnets in the floor maneuver personnel through the ward like arcade puppets…
Seven o’clock the mess hall opens and the order of lineup reverses: the Wheelers first, then the Walkers, then the Acutes pick up trays, corn flakes, bacon and eggs, toast – and this morning a canned peach on a piece of green, torn lettuce. Some of the Acutes bring trays to the Wheelers. Most Wheelers are just Chronics with bad legs, they feed themselves, but there’s these three of them got no action from the neck down whatsoever, not much from the neck up. These are called Vegetables. The black boys push them in after everybody else is sat down, wheel them against a wall, and bring them identical trays of muddy-looking food with little white diet cards attached to the trays. Mechanical Soft reads the diet cards for these toothless three: eggs, ham, toast, bacon, all chewed thirty-two times apiece by the stainless-steel machine in the kitchen. I see it purse sectioned lips, like a vacuum-cleaner hose, and spurt a clot of chewed-up ham onto a plate with a barnyard sound.
The black boys stoke the sucking pink mouths of the Vegetables a shade too fast for swallowing, and the Mechanical Soft squeezes out down their little knobs of chins onto the greens. The black boys cuss the Vegetables and ream the mouths bigger with a twisting motion of the spoon, like coring a rotten apple: “This ol’ fart Blastic, he’s comin’ to pieces befo’ my very eyes. I can’t tell no more if I’m feeding him bacon puree or chunks of his own fuckin’ tongue.”…
Seven-thirty back to the day room. The Big Nurse looks out through her special glass, always polished till you can’t tell it’s there, and nods at what she sees, reaches up and tears a sheet off her calendar one day closer to the goal. She pushes a button for things to start. I hear the wharrup of a big sheet of tin being shook someplace. Everybody come to order. Acutes: sit on your side of the day room and wait for cards and Monopoly games to be brought out. Chronics: sit on your side and wait for puzzles from the Red Cross box. Ellis: go to your place at the wall, hands up to receive the nails and pee running down your leg. Pete: wag your head like a puppet. Scanlon: work your knobby hands on the table in front of you, constructing a make-believe bomb to blow up a make-believe world. Harding: begin talking, waving your dove hands in the air, then trap them under your armpits because grown men aren’t supposed to wave their pretty hands that way. Sefelt: begin moaning about your teeth hurting and your hair falling out. Everybody: breath in… and out… in perfect order; hearts all beating at the rate the OD cards have ordered. Sound of matched cylinders.
Like a cartoon world, where the figures are flat and outlined in black, jerking through some kind of goofy story that might be real funny if it weren’t for the cartoon figures being real guys…
Seven-forty-five the black boys move down the line of Chronics taping catheters on the ones that will hold still for it. Catheters are second-hand condoms the ends clipped off and rubber-banded to tubes that run down pantlegs to a plastic sack marked DISPOSABLE NOT TO BE REUSED, which it is my job to wash out at the end of each day. The black boys anchor the condom by taping it to the hairs; old Catheter Chronics are hairless as babies from tape removal…
Eight o’clock the walls whirr and hum into full swing. The speaker in the ceiling says, “Medications,” using the Big Nurse’s voice. We look in the glass case where she sits, but she’s nowhere near the microphone; in fact, she’s ten feet away from the microphone, tutoring one of the little nurses how to prepare a neat drug tray with pills arranged orderly. The Acutes line up at the glass door, A, B, C, D, then the Chronics, then the Wheelers (the Vegetables get theirs later, mixed in a spoon of applesauce). The guys file by and get a capsule in a paper cup – throw it to the back of the throat and get the cup filled with water by the little nurse and wash the capsule down. On rare occasions some fool might ask what he’s being required to swallow.
“Wait just a shake, honey; what are these two little red capsules in here with my vitamin?”
I know him. He’s a big, griping Acute, already getting the reputation of being a troublemaker.
“It’s just medication, Mr. Taber, good for you. Down it goes, now.”
“But I mean what kind of medication. Christ, I can see that they’re pills – ”
“Just swallow it all, shall we, Mr. Taber – just for me?” She takes a quick look at the Big Nurse to see how the little flirting technique she is using is accepted, then looks back at the Acute. He still isn’t ready to swallow something he don’t know what is, not even just for her.
“Miss, I don’t like to create trouble. But I don’t like to swallow something without knowing what it is, neither. How do I know this isn’t one of those funny pills that makes me something I’m not?”
“Don’t get upset, Mr. Taber – ”
“Upset? All I want to know, for the lova Jesus – ”
But the Big Nurse has come up quietly, locked her hand on his arm, paralyzes him all the way to the shoulder. “That’s all right, Miss Flinn,” she says. “If Mr. Taber chooses to act like a child, he may have to be treated as such. We’ve tried to be kind and considerate with him. Obviously, that’s not the answer. Hostility, hostility, that’s the thanks we get. You can go, Mr. Taber, if you don’t wish to take your medication orally.”
“All I wanted to know, for the – ”
“You can go.”
He goes off, grumbling, when she frees his arm, and spends the morning moping around the latrine, wondering about those capsules. I got away once holding one of those same red capsules under my tongue, played like I’d swallowed it, and crushed it open later in the broom closet. For a tick of time, before it all turned into white dust, I saw it was a miniature electronic element like the ones I helped the Radar Corps work with in the Army, microscopic wires and grids and transistors, this one designed to dissolve on contact with air…
Eight-twenty the cards and puzzles go out…
Eight-twenty-five some Acute mentions he used to watch his sister taking her bath; the three guys at the table with him fall all over each other to see who gets to write it in the log book…
Eight-thirty the ward door opens and two technicians trot in, smelling like grape wine; technicians always move at a fast walk or a trot because they’re always leaning so far forward they have to move fast to keep standing. They always lean forward and they always smell like they sterilized their instruments in wine. They pull the lab door to behind them, and I sweep up close and can snake out voices over the vicious zzzth-zzzth-zzzth of steel on whetstone.
“What we got already at this ungodly hour of the morning?”
“We got to install an Indwelling Curiosity Cutout in some nosy booger. Hurry-up job, she says, and I’m not even sure we got one of the gizmos in stock.”
“We might have to call IBM to rush one out for us; let me check back in Supply – ”
“Hey; bring out a bottle of that pure grain while you’re back there: it’s getting so I can’t install the simplest frigging component but what I need a bracer. Well, what the hell, it’s better’n garage work…”
Their voices are forced and too quick on the comeback to be real talk – more like cartoon comedy speech.
I sweep away before I’m caught eavesdropping.
The two big black boys catch Taber in the latrine and drag him to the mattress room. He gets one a good kick in the shins. He’s yelling bloody murder. I’m surprised how helpless he looks when they hold him, like he was wrapped with bands of black iron.
They push him face down on the mattress. One sits on his head, and the other rips his pants open in back and peels the cloth until Taber’s peach-colored rear is framed by the ragged lettuce-green. He’s smothering curses into the mattress and the black boy sitting on his head saying, “Tha’s right, Mistuh Taber, tha’s right.…” The nurse comes down the hall, smearing Vaseline on a long needle, pulls the door shut so they’re out of sight for a second, then comes right back out, wiping the needle on a shred of Taber’s pants. She’s left the Vaseline jar in the room. Before the black boy can close the door after her I see the one still sitting on Taber’s head, dabbing at him with a Kleenex[6]. They’re in there a long time before the door opens up again and they come out, carrying him across the hall to the lab. His greens are ripped clear off now and he’s wrapped up in a damp sheet…
Nine o’clock young residents wearing leather elbows talk to Acutes for fifty minutes about what they did when they were little boys. The Big Nurse is suspicious of the crew-cut looks of these residents, and that fifty minutes they are on the ward is a tough time for her. While they are around, the machinery goes to fumbling and she is scowling and making notes to check the records of these boys for old traffic violations and the like…