Lydia Davis - The Collected Stories of Lydia Davis

I first noticed this a few years ago with my oral surgeon. I liked him and respected him, but I noticed after a while that I would not deal in a straightforward, courteous way with him, but had to make some kind of a joke. That shocked me, because all my life I have been so respectful of health-care professionals, or have at least behaved with respect, whatever I thought of them privately. The jokes just popped out as though someone else had taken over for a moment. Once, for instance, I saw a skull in his office and made what was no doubt the obvious joke — that it must be a former patient. He was startled, but did not seem to mind. Another time, when he had just hurt me badly by giving me a long injection in my gum, I bit down hard on his index finger. That was not a joke, and I did not do it on purpose. His two female assistants were amazed but also delighted. Although he frowned in pain and shook his finger in the air, the doctor took it very well and said it happened from time to time, that it was actually a reflex. I slightly antagonized my present doctor, or physician’s assistant, by saying that I did not like taking medicine because I did not like being dependent on any drug. What if I were lost in a jungle without my thyroid medicine? I asked her, and it is true that I always believe that someday I may be lost in a jungle, even though we do not call them jungles anymore, and we are losing them anyway, so that the word jungle is becoming just an idea. She said I would get along well enough without it until I could find my way out of the jungle.

There was a small emergency situation quite recently, though, in which I was not tempted to make fun of the doctor. He was a young doctor, I admired his decisiveness and his technical skill, and I was also quiet because of my pain. I had bruised my finger badly, and what he had to do was to release some of the pressure under the nail. He did this in what he said was the best way, but also the old-fashioned way, using nothing but a candle and a large paper clip.

The receptionist or nurse this morning thought I wasn’t “up” yet because I didn’t know the exact dose or the full name of my thyroid medicine. But I was careless about that information because of my skeptical attitude toward the health-care profession and because I do not try to conceal that attitude. I did not mean to be disrespectful to her in particular. But after she said this, I noticed two other possible signs of poor functioning: a real estate dealer I called on the phone later in the morning thought at first that I was another real estate dealer. I asked her why she thought this. She had trouble answering, but I guessed that it might have been my lack of enthusiasm, or a coldness in my tone of voice. Then, still later, when I was talking to my husband on the telephone, I was so confusing, contradictory, and long-winded that he compared me to a legal brief he was reading. This document is fifty pages long and concerns a possible class action against an insurance company for misrepresentation.

After wondering for some weeks what to do about the tomato plants, my husband told me he was going to explain to the dentist that none of the plants was good enough to give him, though that is not strictly true. Then, just hours later, he told me that he had changed his mind. He was going to patch the soaker hose and give the plants a little more time.

But on the other hand, it occurs to me that maybe my brain is working well enough but simply more slowly than usual. Maybe the quality of my work will be good but I will take longer than usual to make it good. Or maybe the dose of thyroid supplement I’m taking, which has been increased once without much effect, will be increased to the proper level soon enough so that by the time I reach the final draft of this translation I will be thinking sharply and quickly again. Then I wonder if I will think even better than before this whole condition began, because my brain will have been trying so hard in the meantime, without adequate support from my thyroid, that maybe it will have developed new cells. But I don’t know enough about the brain’s anatomy to know if that is possible.

Or maybe some of the time I go ahead quickly enough but without producing very high-quality work, while some of the time I go ahead slowly and produce better-quality work, so that it is a choice: either go slowly and do good work, or go quickly and do poor work. But then, those have always been the two options in translation, I see, so I should say that now the choice is: go even more slowly than before and do adequately good work, or go more quickly and do really poor work.

But with any luck, the dosage will gradually be raised high enough so that in a couple of months I will be able to do work that is both quick and adequately good or quite good. The dosage can’t be raised too abruptly or my heart will suffer.

I had thought at first, If my brain is working this well with inadequate amounts of thyroid hormone, how well my brain will work with the proper amounts of thyroid hormone! But then I began to distrust the thought, because what seemed like good working of the brain seemed good to that very same brain that was lacking the proper dose of hormone, and that brain could be quite mistaken.

Another question I had recently was this: Is the rather pessimistic turn that my thoughts have taken these days due to the state of the world, which is bad and which gets worse more quickly than one can hope to save it, so that I become quite scared? Or is it due simply to the low level of my thyroid hormone, which would mean that maybe the world is not really in such a frightening state and seems that way only to me? So that I could say to myself: Remember your low thyroid hormone level and have faith that the world will be all right?

What an insult to the mind, I think then, that the chemicals of the body and nothing else are causing my thoughts, which I take so seriously, to move in a certain direction. What an insult to the amazing brain that such a simple thing as a level of chemicals should point it in a certain direction. Then I think, No, it’s not an insult, I can think of it not as an insult, but as part of another fascinating system. I can say, I would prefer to see it as part of a single, interesting system. Then I think, And, after all, it is this amazing brain that, in thinking this, is being so magnanimous to the dumb body. Though of course maybe it is the chemicals of the dumb body that are permitting the amazing brain to be magnanimous.

Now I have been to the dentist again for a cleaning and checkup, and he has found a large cracked filling in a tooth that he said should really have a crown or a cap. He said he had predicted this years ago. But when I objected to more major work, and asked for a postponement, he consented to treat it with a bonded filling that might or might not last for a long time. I was a little surprised that he agreed to this. I wondered if he was losing his enthusiasm, or losing the conviction — which all my dentists seem to have had — that all work on my teeth should be as extreme and as complete as possible. I also noticed that he was curiously silent about tomatoes, saying nothing, either, about the other vegetables in his garden, or about his harvests. We talked instead about crowded holiday spots and the westward expansion of the United States during the nineteenth century. His grandfather had actually lived in the days of the westward expansion and used to talk to him about it. He said it was surprising how recent that time was.

Our talk extended out into the reception area while I paid my bill and took a pencil from the box of gift pencils. Considering the rapid population growth, he said, he did not want to come back after he died. I agreed that I would not want to come back either, at least not as a person, adding the qualification, which I believe, that if we have to come back we may be safer coming back as cockroaches. The receptionist and dental hygienist, who were listening, looked surprised at this.