A. Yehoshua - Open Heart

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Open Heart is a psychological tour de fource about love and the nature of man's soul. From the opening lines of this first-person narrative, the reader is propelled into the mind of Dr. Benjamin Rubin, an ambitious young internist, who is jockeying for position with the hospital's top surgeons. But it isn't until Benjy learns that his position has been terminated, and that he has been selected to accompany the hospital administrator and his wife to India to retrieve their ailing daughter, that Yehoshua sets his hero on a journey of self-discovery.

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I couldn’t go back to sleep after this conversation, and I had to be at the hospital very early in the morning anyway, since all the operations had been moved up to the first half of the day because of the farewell party for Dr. Nakash, which was to take place at lunchtime. Nakash himself appeared in the operating room as usual on this, his last day of work, to stand with his famous serenity next to the anesthesia machine, his smooth bald head gleaming darkly through the plastic of his cap. No wonder the speakers at the farewell party in the little auditorium next to the administrative wing were full of sincere praise for the devoted loyalty of this man, who in forty years of work had never missed a day. Hishin also made a speech in honor of his faithful anesthetist, but ever since Lazar’s death he had lost his confidence and humor, and his speech soon became boring. The ceremony was conducted by a young man of about thirty, who was introduced as one of the two directors who were taking over Lazar’s job. “I see,” I said with some emotion to Miss Kolby — who came to the party not because she knew Nakash but because she was still at loose ends after having been removed from her position in the administrative director’s office—“that one man isn’t enough to fill the void left by Lazar.” Indeed, it needed more than one man to overturn some of the decisions taken by the former director, such as bestowing a permanent a half-time position on a young doctor. My job was canceled that very day, right after the party, when I spoke with the new man, who was my age and who apologized profusely and tried to appease my obvious depression, which was caused not by the cancellation, which I had expected, but by the youth of the man now rocking in the chair of the previous director, whose soul had rapidly departed from my body.

Until a new post was found for me as a regular resident in the anesthesiology department, I could only be grateful to Dr. Nakash, who invited me the next day to act as an assistant anesthetist in a private operation at the hospital in Herzliah. During the entire course of the lengthy operation, removing malignancies and metastases from the patient’s abdomen and chest, Hishin was unusually quiet and sad, and when I saw that he was deliberately avoiding my eye, it occurred to me that he had heard either directly or indirectly about my affair with Dori. But after the operation was over, when we were getting dressed in the changing room, I discovered the real reason for his hostility. Professor Adler had told Hishin about my visit to his father. “What exactly are you up to, Dr. Rubin?” He pushed me into a corner. “Are you really only interested in discovering the truth?”

“Yes,” I replied immediately and unhesitatingly, trying to hide my naked legs from his eyes, “that’s all. Nothing else. And I would keep it to myself as well. What did you think? That I would go and tell Dori?” His little eyes scrutinized me in silence, believing and not believing. Then he continued sternly, “I hope so. I certainly hope so…. I hope you won’t get it into your head to go to her and involve her in your truth. It’s time you grew up, Dr. Rubin, and realized that there are mysteries in medicine too. That’s its fascination. We deal with living human beings, not inanimate objects.” I couldn’t resist asking, “But how is she? How is Dori? Is she getting over it?” Now Hishin couldn’t help smiling a faint smile of satisfaction. “Can you ever really tell?” He spread his hands out in a questioning gesture. “But at least we’ve succeeded in persuading her to go on a trip to Europe. We’ve already made a date to meet her in Paris next week.” Because of his obscure marital status, there was no knowing whether there was another woman behind his use of the first-person plural or he was referring only to himself. In any case I couldn’t restrain myself. “She’s going to Europe already?” I burst out in a cry of pain. The old ironic gleam returned to Hishin’s eyes. “I trust you don’t have any objections?” He leaned over and gave my shoulder a friendly pat. My heart beat painfully. Was she already capable of taking a trip on her own, whereas I found it more difficult from minute to minute to stay by myself?

When I recognized Dr. Nakash standing quietly at the bus stop, I braked and offered him my crash helmet if he would agree to let me take him home. Nakash had had his driving license suspended for three months for speeding. “You, speeding?” I marveled as he put the helmet, still warm from my head, onto his own bald head. “And I always see you as the most stable person in the world.”

“Is that what you see?” Nakash grinned and got onto the pillion. He confessed that he had never been on a motorcycle before, but I felt no current of fear behind my back; instead, his hand, which sometimes seemed to put patients to sleep and wake them up by its touch alone, lay lightly on my shoulder, somewhat calming my anxiety about the lonely night ahead. I took him home and gladly accepted his invitation to go up and have something to drink in his small apartment, which in contrast to my expectations was rather chaotic; the living room was filled with scientific journals, and the equipment of a small, improvised laboratory dominated half the room. Nakash and his wife were testing the possibilities of combining anesthetics, analgesics, and muscle relaxants used in the operating room into tranquilizers for everyday use. “Only tranquilizers?” I asked, willingly giving Mrs. Nakash my cup for another round of coffee, which had a good but unfamiliar taste. “Or more than that?” They exchanged looks, as if wondering how far they could trust me. They were both very dark and skinny, as alike in their ugliness as identical twins.

They naturally avoided giving me a full and unequivocal answer, but it was evident that they wanted to give me a hint, mentioning that their own end would be quick and gentle, and above all free of the arbitrary decisions of self-righteous doctors, sanctifying the suffering of life. In order to show me concrete proof of their success, they gave me a little bottle containing a few sleeping tablets, the product of their home laboratory, which differed from the usual sleeping pills prescribed by family doctors not in the heaviness or duration of the sleep they induced but in the speed with which it descended, and perhaps also in the ease and pleasantness of waking from this sleep. Even though I felt more prepared to face the night with the little bottle in my pocket, I decided not to hurry home, and in spite of the gale-force winds blowing, it occurred to me to keep an old promise and go to visit Amnon at his place of work. He was so surprised and pleased to see me that he could hardly bring himself to let me out of his bearlike embrace. “And I was beginning to think that you were getting fed up with me because of that damn thesis,” he blurted out — a strange but accurate complaint, which gave me a guilty pang. “But I’ll finish it, Benjy, you’ll see. If I’m a little stuck, it’s only because I don’t want to chew over the same old stuff as everybody else, I want to say at least one thing that will be absolutely original.” And this original idea he sought not only by day, at home or in the library, but also by night at his watchman’s post, especially now that he had been promoted and no longer had to walk around the perimeter of the factory, but sat with a walkie-talkie and telephone in the little hut, which was full of his books and papers. But before talking about himself and his plans, he wanted to hear about all the women I had sent to India. Had they already reached their destination in Calcutta? Michaela had promised to phone him from there, directly to this hut. If Michaela had revealed to him what she had hidden from me, I said to myself, perhaps he knew other things about her too. And to my astonishment I discovered that Amnon did indeed know things about her, and about me, that nobody had told him but that he had grasped through his own intelligence and intuition, and especially through his immense curiosity, dating from our high school days, about his friends and acquaintances.

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