James Smythe: The Machine

(On the internet she’s seen videos of patients who reacted to the initial Machine treatments in other ways entirely. She tells herself that it could have been worse: those patients who, in the early stages of treatment, killed themselves and their families: holding them at gunpoint until they ended it, casually, one by one; or slashing their throats while they slept, disbelieving of the stories told to them to fill in their gaps. Or, when they’re vacant – such a cruel word, so suggestive that somebody else will be along in a minute to take their place – they’ve managed to somehow end it all afterwards. Reduced to something so primal and vague that they’re barely even quantifiable as human any more, let alone the men and women that they once were. And they end it, by either just giving up and stopping being any more; or, in worse cases, finding ways to put themselves out of what must be an indefinable misery.)

Today Vic has his back to Beth. She can see the line of his spine, the weight of his skin on it. How it looks almost curved where it follows the too thin mattress, the weak bed frame. His back has spots on it that it never used to have. They never get past red smears, but still. She knows that he’s not being bathed enough. The only times she’s complained they’ve told her to be here more, to do it herself. They are understaffed. They aren’t, they tell her, paid enough.

They say, Why don’t you move closer? They just say it to her, as if they’ve known her all her life, and who are they to pass judgement?

Because of my job, Beth replies, weakly. She doesn’t tell them that it’s shame-based: that she doesn’t want her colleagues’ pity. She tells everybody that Vic’s away at war, and she has a photo of him in her classroom. To her classes and workmates, Beth wants Vic to be a hero. Still away and fighting the good fight, even after all this time, even after any war he could be fighting has long ended.

He doesn’t stir as she approaches. She has to say his name four times before he even flinches, and then it’s not recognition. It’s awareness. When this happened they didn’t know why, any more than they had when Beth had rushed him to the hospital, telling them that something had gone terribly wrong, Vic’s body on the back seat in constant convulsion. He was one of the first to fall apart, because he’d been one of the first to start the treatments, and erase what needed to be erased. He was to be a test case, proudly paraded in front of crowds. But when they let her see him finally without any sedation he was a void. Nothing inside him.

They said, We don’t know why this has happened. This is an anomaly, it can’t be right. They apologized to her straight away, so she knew. You don’t apologize if you haven’t done anything wrong, and they said sorry so many times.

Vic? Beth says again. He moans: low and timorous, from somewhere other than his throat. From below. It’s me, she says.

She puts her hand onto his back and rubs it. Sometimes she’s done this and he’s reacted to her touch as if she was fire. Throwing her off, writhing around, lashing out with his arms and legs. Today he’s more placid. Her hand placed against his shoulder blades, she listens to and feels him breathe.

Some of the other users of the Machine, the doctors said to her when they delivered their final diagnosis, forget the basics, even. They forget the stuff that’s innately written into us, deep within us. Breathing, eating. They forget how their bodies work. They told this to Beth as if this should have made her feel better: your husband isn’t on a respirator, and we don’t have to tell his heart how to work for him. You don’t have to make that hardest of decisions yet. He’s still alive. And Beth, through her guilt, was even grateful.

Will he ever get better? she asked them. They didn’t know. What they did know was that he was ruined.

Sit up, she says to Vic. She moves around to his front, where she can see his face. It’s hardly changed over the past few years. He’s still handsome, she thinks. He’s still an army man, even where he’s lost the definition in his muscles. Jowls more than muscle, there, around his face. His hair has grown out, but she can still see the bruises, burned into his skin. They remind her of being a schoolgirl: of Ash Wednesday. All the children lining up to have a cross drawn on their foreheads, big fingers leaving smears that they were all too scared to immediately rub off, even with the slight smell and the stigma of having to wear it. That’s what the pad-marks look like to her: ash.

Vic moans again, so she moves her arm underneath him and tries to heave him into a sitting position. Come on, she says.

He says something that sounds like No, but she knows it’s not that. He hasn’t said a word in years. It’s like when parents think that their child says its first word, something random, off the curve. Really, it’s just a collection of noises that approximates speech. It’s fantasy and hope. She links her arms together, under his armpits and around his back, and she strains to drag him up the bed. He doesn’t help her at all. He doesn’t fight against it, but there’s no compliance.

Come on, she says. When he’s nearly sitting – a slight angle to his whole body, like he’s on a boat, slanted against the waves – she stands back. Better, she says. She wipes his mouth and then the rest of his face, and she brushes his hair with her hands because his comb seems to be missing. It’s usually kept on the shelf at the side of the bed but there’s nothing on it today, which makes her think that the cleaners have had off with it. It wasn’t a cheap one: part of a set that she gave him for Christmas once. That set went through the war with him, and it was part of the stuff that they shipped back with him after his emergency surgery, that she had to sort through, that she had to choose to keep. The scar – the real scar, not the Machine’s burn scars – sits to the left of his forehead. When she stares at it she traces a line to the bullet’s exit point, and she wonders how close it really came to ending everything. A fraction of a millimetre, the doctors at the time said. Beth has always wondered if that was an exaggeration.

I don’t suppose you’ve managed to remember who I am, Beth says. She stands back and looks at his face, and tries to make eye contact. You’re Vic, she says. Do you remember that? She’s not expecting anything. This isn’t the point where she gives up: that happened a long time ago.

(She remembers the exact day, because it still sits there as a dream that she has when she’s drunk or lonely: Vic bucking as she held on to him, as she tried to console him, and she realized that he didn’t know who she was, and he didn’t care. She was the only one who cared, and she had the guilt on top of that, and she carried that with her every single day, every single time that she thought about him.)

She changes him. She can’t remember what it’s like to undress him normally, not like they used to. This is different, a shift in their relationship. The act of pulling down his underwear and replacing it. Wiping him if he’s had an accident. The nurses here change him every few hours to prevent them, now. Rubber-lined underwear; rubber sheets on the bed. She pulls the underwear down his legs and past his ankles, and then she takes a bath-wipe and rubs it over him. She doesn’t know how often the nurses actually do it.

I hope you’re all right in here, she says to him. She sits on the edge of the bed after putting his new pants on, and she turns on the television. It doesn’t hold his attention – she isn’t sure that he’s even capable of paying attention any more – but she watches a daytime cookery show for a few minutes. Sitting next to him is reassuring. She thinks that it won’t be that long until she’ll have him back with her, back as he was. Sitting with him now makes that prospect feel somehow more real. She can feel his warmth, which hasn’t changed at all. His blood still pumps the same way. His skin still smells the same, after she’s cleaned him.