Russell Banks - Trailerpark

Most people, when they call in a physician, deal with him as they would a priest. They say that what they want is a medical opinion, a professional medical man’s professional opinion, when what they really want is his blessing. Information is useful only insofar as it provides peace of mind, release from the horrifying visions of dead children, an end to this dream. Most physicians, like most priests, recognize the need and attempt to satisfy it. This story takes place almost twenty years ago, in the early 1960s, in a small mill town in central New Hampshire, and it was especially true then and there that the physician responded before all other needs to the patient’s need for peace of mind, and only when that need had been met would he respond to the patient’s need for bodily health. In addition, because he usually knew all the members of the family and frequently treated them for injuries and diseases, he tended to regard an injured or ill person as one part of an injured or ill family. Thus it gradually became the physician’s practice to minimize the danger or seriousness of a particular injury or illness, so that a broken bone was often called a probable sprain, until x rays proved otherwise, and a concussion was called, with a laugh, a bump on the head, until the symptoms — dizziness, nausea, sleepiness — persisted, when the bump on the head became a possible mild concussion, which eventually may have to be upgraded all the way to fractured skull. It was the same with diseases. A virus, the flu that’s going around, a low-grade intestinal infection, and so on, often came to be identified a week or two later as strep throat, bronchial pneumonia, dysentery, without necessarily stopping there. There was an obvious, if limited, use for this practice, because it soothed and calmed both the patient and the family members, which made it easier for the physician to make an accurate diagnosis and to secure the aid of the family members in providing treatment. It was worse than useless, however, when an overoptimistic diagnosis of a disease or injury led to the patient’s sudden, crazed descent into sickness, pain, paralysis, and death.

Doctor Wickshaw, a man in his middle-forties, portly but in good physical condition, with horn-rimmed glasses and a Vandyke beard, told Marcelle that her son Joel probably had the flu, it was going around, half the school was out with it. “Keep him in bed a few days and give him lots of liquids,” he instructed her after examining the boy. He made housecalls, if the call for help came during morning hours or if it was truly an emergency. Afternoons he was at his office, and evenings he made rounds at the Concord Hospital, twenty-five miles away. Marcelle asked what she should do about the fever, one hundred four degrees, and he told her to give the boy three aspirins now and two more every three or four hours. She saw the man to the door, and as he passed her in the narrow hallway he placed one hand on her rump, and he said to the tall, broad-shouldered woman, “How are things with you, Marcelle? I saw you walking home from the tannery the other day, and I said to myself, ‘Now that’s a woman who shouldn’t be alone in the world.’” He smiled into her bladelike face, the face of a large, powerful bird, and showed her his excellent teeth. His hand was still pressed against her rump and they stood face to face, for she was as tall as he. She was not alone in the world, she reminded him, mentioning her four sons. The doctor’s hand slipped to her thigh. She did not move. “But you get lonely,” he told her. She had gray eyes and her face was filled with fatigue, tiny lines that broke her smooth pale skin like the cracks in a ceramic jar that long ago had broken and had been glued back together again, as good as new, they say, and even stronger than before, but nevertheless fragile-looking now, and brittle perhaps, more likely to break a second time, it seemed, than when it had not been broken at all. “Yes,” she said, “I get lonely,” and with both hands, she reached up to her temples and pushed her dark hair back, and holding on to the sides of her own head she leaned it forward and kissed the man for several seconds, pushing at him with her mouth, until he pulled away, red-faced, his hand at his side now, and moved self-consciously sideways toward the door. “I’ll come by tomorrow,” he said in a low voice. “To see how Joel’s doing.” She smiled slightly and nodded. “If he’s better,” she said, “I’ll be at work. But the door is always open.” From the doorway, he asked if she came home for lunch. “Yes,” she said, “when one of the boys is home sick, I do. Otherwise, no.” He said that he might be here then, and she said, “Fine,” and reached forward and closed the door on him.

Sometimes you dream that you are walking across a meadow under sunshine and a cloudless blue sky, hand in hand with your favorite child, and soon you notice that the meadow is sloping uphill slightly, and so walking becomes somewhat more difficult, although it remains a pleasure, for you are with your favorite child and he is beautiful and happy and confident that you will let nothing terrible happen to him. You cross the crest, a rounded, meandering ridge, and start downhill, walking faster and more easily. The sun is shining and there are wildflowers all around you, and the grass is golden and drifting in long waves in the breeze. Soon you find that the hill is steeper than before, the slope is falling away beneath your feet, as if the earth were curving in on itself, so you dig in your heels and try to slow your descent. Your child looks up at you and there is fear in his eyes, as he realizes he is falling away from you. “My hand!” you cry. “Hold tightly to my hand!” And you grasp the child’s hand, who has started to fly away from you, as if over the edge of a crevice, while you dig your heels deeper into the ground and grab with your free hand at the long grasses behind you. The child screams and looks back at you with a pitiful gaze, and suddenly he grows so heavy that his weight is pulling you free of the ground also. You feel your feet leave the ground, and your body falls forward and down, behind your child’s body, even though with one hand you still cling to the grasses. You weep, and you let go of your child’s hand. The child flies away and you wake up, shuddering.

That night the boy’s fever went higher. To one hundred five degrees, and Marcelle moved the younger boys into her own room, so that she could sleep in the bed next to the sick boy’s. She bathed him in cool water with washcloths, coaxed him into swallowing aspirin with orange juice, and sat there on the edge of the bed next to his and watched him sleep, although she knew he was not truly sleeping, he was merely lying there on his side, his legs out straight now, silent and breathing rapidly, like an injured dog, stunned and silently healing itself. But the boy was not healing himself, he was hourly growing worse. She could tell that. She tried to move him so that she could straighten the sheets, but when she touched him, he cried out in pain, as if his back or neck were broken, and frightened, she drew back from him. She wanted to call Doctor Wickshaw, and several times she got up and walked out to the kitchen where the telephone hung on the wall like a large black insect, and each time she stood for a few seconds before the instrument, remembered the doctor in the hallway and what she had let him promise her with his eyes, remembered then what he had told her about her son’s illness, and turned and walked back to the boy and tried again to cool him with damp cloths. Her three other sons slept peacefully through the night and knew nothing of what happened until morning came.

When your child lives, he carries with him all his earlier selves, so that you cannot separate your individual memories of him from your view of him now, at this moment. When you recall a particular event in your and your child’s shared past — a day at the beach, a Christmas morning, a sad, weary night of flight from the child’s shouting father, a sweet, pathetic supper prepared by the child for your birthday — when you recall these events singly, you cannot see the child as a camera would have photographed him then. You see him simultaneously all the way from infancy to adolescence to adulthood and on, as if he has been moving through your life too rapidly for any camera to catch and still, so that the image is blurred, grayed out, a swatch of your own past pasted across the foreground of a studio photographer’s carefully arranged backdrop.