Piecework

I was learning that doctors are reporters, too; some operations are diagnostic, explorations of the unknown; they are done in order to discover the facts. I took a few more tests, and while waiting for results, went away for ten days to stop smoking (that is another story). But because of the location of the Thing (behind a rib, high in the lung), nothing was clear; only a surgeon, opening my right lung with his knife, could give me that clarity. I had to choose: undergo the chest operation immediately or wait and see what happens in the uncertain future. If the Thing was indeed a tumorous cancer, it could be removed in this same operation, along with a larger section of my lung that might be cancerous. I would lose about 20 percent of my lung capacity, but there was a good chance, given the size of the Thing and the fact that we’d found it at an early stage, that I could live a reasonably long life. On the other hand, if I waited, we might discover that the Thing wasn’t cancer. It might remain at its present size; it could even vanish. So I was also learning that much of medicine, like so much of life, is best described in the subjunctive.

In the end, I couldn’t bear the possibility of months of uncertainty, waiting to see whether the Thing got larger. I talked it over with my wife. I took a few walks around the block. Finally, I called the doctor.

“Okay,” I said. “Let’s do it.”

A few days later, I was in the hospital, with more demands for payment, more papers to sign. They even took money for the telephone and use of a TV. God bless America. From one side of the room I could see the Chrysler Building, still the most elegant in the city, from the other, the East River. I stacked books beside the bed, along with a folder full of letters to be answered. “This might even be fun,” I said to my wife, who looked dubious. “I haven’t had any time off for almost twenty years. …”

“Why don’t you get some sleep?” she said.

Late that night, alone in a drowsy fog, I began to think for the first time about death. Hell, this goddamned thing probably was cancer. Maybe it was worse than they were saying. Maybe something would go wrong on the operating table, some stupid failure of my body or their skill; it had happened to men I knew (such as John D. MacDonald); it could happen to me. But I didn’t begin to summarize my life, searching for its meaning or drafting some imaginary farewell. Instead, I began to think about the people I would miss if my life ended: my wife and daughters, my brothers and sister and my friends. Their faces moved in and out of my consciousness; I spoke to some and hugged others. Then I saw and heard some of those other people, places, and things that made my life a life: Ben Webster and Cuco Sanchez, Hank Williams, Max Roach and Ray Charles; tabloid headlines, the poems of Yeats, and the faces of gangsters in the paintings of Jack Levine. I saw light spilling down the valleys of Mexico. I was reading Carlos Fuentes and Octavio Paz, Elmore Leonard and Garcia Marquez. I sat in the Lion’s Head and the Plaza Athénée and John’s Pizzeria on Bleecker Street. It seemed absurd, even outrageous, to think that I’d never again see Casablanca, read Hemingway or Rebecca West or V. S. Pritchett, never again look upon the paintings of Tamayo, never, goddammit, finish Proust. If I died now I’d never know whether Tyson could really fight. I’d never see another World Series. And what about the books I hadn’t written? The places I hadn’t visited out there in the scary world? What would happen to my library? And the cabinets full of files? And what about all the words I hadn’t written (or said) to the people I truly cared about, people I often didn’t see much because I was so busy working? As soon as this was over, I had to call Fred Exley. I had to write to my friends Sam Pilch and Tim Lee. I had to track down … I was thinking such things, and certain I could hear Billie Holiday singing “Miss Brown to You,” when I fell into a dreamless sleep.

Early in the morning, a nurse gave me some pills; another injected me with some nameless drug; a man who looked like John Coltrane shaved my chest and pubic hair. My wife looked concerned. I made some bad jokes as they moved me onto a gurney. I made a few more on the way down the hall. Then I thought this was a kind of dumb Ronald Reagan act and shut up. I kissed my wife’s hand. They wheeled me into the operating room. They placed something over my face and I was gone.