Thomas McGuane - Driving on the Rim

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From one of America’s most acclaimed literary figures (“an important as well as brilliant novelist”—
) a major new novel that hilariously takes the pulse of our times.
The unforgettable voyager of this dark comic journey is I. B. “Berl” Pickett, M.D., the die of whose uncharmed life was probably cast as soon as his mother got the bright idea to name him after Irving Berlin. The boyhood insults to any chance of normalcy piled on apace thereafter: the traumatizing, spasmodic spectacle of Pentecostalist Sunday worship; the socially inhibitory accompaniment of his parents on their itinerant rug-shampooing business; the undue technical advancement and emotional retardation that ensued from his erotic initiation at the hands of his aunt. What would have become of this soul had he not gone to medical school, thanks to the surrogate parenting of a local physician and solitary bird hunter?
But there is meaning to life beyond professional accreditation, even in the noblest of callings. Berl’s been on a mission to find it these past few years, though with scant equipment or basis for hope. Hard to say (for the moment anyway) whether his mission has been aided or set back by his having fallen under suspicion of negligent homicide in the death of his former lover. All the same, being ostracized by virtually all his colleagues at the clinic gives him something to chew on: the reality of small-town living as total surveillance more than any semblance of fellowship, even among folks you’ve known your whole life.
Fortunately, for Berl, it doesn’t take a village. And he will find his deliverance in continuing to practice medicine one way or another, as well as in the few human connections he has made, wittingly or not, over the years. The landscape, too, will furnish a hint in what might yet prove, if not a certifiable epiphany, a semi-spiritual awakening in I. B. Pickett, M.D., the inglorious but sole hero of Thomas McGuane’s uproarious and profound exploration of the threads by which we all are hanging.

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She said, “We’ll see,” and held the canvas back for me to enter.

The sudden new light into the interior must have been dazzling because it was a moment or two before Womack put the gun down. Or he may simply have been confused, for he was clearly in very bad shape.

Jocelyn said, “I’ve brought the doctor.”

“I didn’t know who it was.”

“Who could it have been?” Jocelyn said, I thought rather sharply, and then to me, “See what you can do. I need Womack.” She bent to sweep a little spot on the floor and sat down. Womack was covered by the sort of light blanket that might have been from the airplane’s supplies.

He said, his tone a slight wail, “My leg is broke.” His speech was impaired by a lip swollen with infection.

“How do you know?”

“I know, I just know.”

Jocelyn said, “He doesn’t know. He’s not a doctor, you’re a doctor.”

I would have to examine Womack. I have examined an infinite number of people old and young, fat and thin, with little other than appropriate objectivity, but I had a strange aversion to examining Womack. His darting and conspicuously dishonest eyes and the fleshy face that seemed at odds with his remarkably skinny body gave me the creeps. I uncovered him and found that he was quite naked under the blanket. Jocelyn burst into laughter and Womack looked over at her, lips pulled back over his crooked teeth in imploring misery. She covered her mouth in a mock attempt to conceal her mirth, then left to get some things from the plane, which turned out to consist of a very nice collection of medical supplies.

“Where did these come from?”

“The nice old doctor in White Sulphur.”

I couldn’t understand that at all, but treating Womack seemed to loom before me. I did quickly think I could see the problem — a swelling and discoloration over the upper tibia quite obviously emanating from within. Just the same, I diligently palpated my way up the dirty leg, well aware of the rising terror in Womack as I approached the injury. “I’m going to have to touch this,” I told him, “but I will be very careful.” The rest was entirely straightforward despite my inability to X-ray him. Womack had an avulsion fracture; a tendon had detached from part of the bone, though from the looks of things, I didn’t believe surgical reattachment would be necessary. I didn’t ask how the injury had occurred; I was confident that it had to do with Womack’s criminal departure from Texas. If I had known how to read the engine hours in Jocelyn’s airplane, I might have learned that she had gotten him out of there. I pulled the blanket back over Womack’s disturbingly gaunt frame, wondering at my own aversion, and explained the injury to him. I was already reflecting upon Jocelyn’s radiant frostiness in assuming that Womack’s whereabouts were safe with me. Finding this offensive was an early symptom of the possible gradual return of my mental health.

This gave rise to a rather distant explanation of what Womack should do to return to good health. First, though, I cast the leg, using the supplies in the duffel bag brought by Jocelyn. She helped as we applied plaster to the gauze and wound it over the stockinet thoughtfully included, Womack whimpering the entire time. Of course his pain was real. At one point, and with an air of annoyance, Jocelyn presented him with a syringe and an impressive array of injectable painkillers, which seemed to feed his hungry eyes with an attractive future. I thought Dr. Aldridge in White Sulphur had shown extraordinary trust in Jocelyn’s correct use of these things. I myself wondered what he thought they were for. Maybe Jocelyn could bring a cooler when she brought food, which I thought would be necessary. She said she already had a lot of food in the plane on the assumption Womack would be staying for a spell. I was enacting my physician persona with remarkable alacrity as I prescribed the range-of-motion exercises needed to avoid joint stiffness and atrophy of the unaffected muscles. I even stretched out on the ground and demonstrated the isometrics that would aid his recovery. I was weirdly excited to be practicing medicine. “Contract the muscle without moving the joint, hold the tension, and release it, again without moving the joint. Let pain and not too much pain be your guide.” I was able to apply myself to this demonstration on the dirt floor because I could foresee that Jocelyn would find ways to get me to treat Womack and I wasn’t going to be through with this duty until he got well. I honestly didn’t know if it was my enthusiasm for justice or my suspicion of Womack as a rival for Jocelyn’s affections, as if that word actually applied to her. However, I rose above all that to concentrate my attention on Womack’s physical well-being. I had a lot of responsibility in seeing that the fracture was not disturbed. If there were contradictions here, I couldn’t see them.

I asked Jocelyn, “Will I be coming here on a regular basis?”

“It looks like you should.”

But it never came up.

I asked Womack, “Does that suit you?”

“Gonna have to.”

“I never really asked — did you do this in leaving Texas?”

“Uh-huh, pretty much of a train wreck.”

I said, “You’ll get through this, and I don’t anticipate any complications. It’s going to hurt for a while. I won’t lie to you. Jocelyn has brought you something for it.”

“Yeah, good. We had some street stuff in the plane, but I’d rather have the real deal.” I didn’t ask about that. Nor did I take issue, much as I might have wanted to, when Womack suggested that keeping my mouth shut was an excellent beauty hint.

As we returned to the plane, I saw that Jocelyn was worried, and I sought to reassure her. I hadn’t seen her worried before, so I lavished attention on this new aspect of my darling. I could hardly wait to see the exhibition of skill it would require to get us airborne again. I had found that every small detail of her being that I could mix with her heedless carnality increased the cocktail’s potency. I suppose I could have seen through the whole thing if I had wanted to. But I didn’t want to. Got it?

We took a different route out of the canyon and it served my purposes very well. Instead of tracking the canyon from its source in the foothills, which must have helped orient Jocelyn to Womack’s hiding place, we climbed as rapidly as Jocelyn could manage, a very steep diagonal along the canyon wall until we topped out in uplands that were familiar to me. We might have been overtaken by dark had we gone out the way we’d come. The departure required Jocelyn’s concentration to the point that beads of perspiration stood out on her face almost as they did during our lovemaking. Pressed into my seat by the angle of ascent and fastened there by my harness, I gazed at Jocelyn and the clouds racing past the windshield, my state one of remarkably foolish transport because this was, as I sensed and she explained, all quite dangerous.

I knew exactly where we were. I could see the ridge of mountains to the southeast where we’d once hunted sheep, my dad and I; and to the north, grasslands managed by the latest husband of Cody’s mother. To the west were the four old grain elevators. We were less than twenty miles from town over some of Dr. Olsson’s favorite hunting places, and most specifically over the country I had followed when I appropriated his dog, Pie. As the yard lights came on in the dusk, I was able to count them back to the place where I had recovered her. All of these things conspired to suggest an atmosphere of divine guidance. The lights on our wingtips popped on in the growing dark.

Jocelyn said, “Womack’s got enemies just like everybody else, but they didn’t have to do that to his leg.” Because the headset obscured her face and the microphone distorted her voice, I couldn’t tell if she was joking. It was as if I had heard a radio broadcast from nowhere.

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