to ten, with ten being unbearable pain, where would you place this pain?â
âEight and a half.â
âHave you been letting the staff change your position?â
âUnfortunately I canât lie any other way but this way,â he says. âBecause of my neck.â
She flips pensively through the papers on her clipboard and says, âIâm going to be open with you. There are some notes in your file that make me concerned you might be a drug seeker.â
âIâm a seeker, all right, but I never took a recreational drug in my life!â
âWhat Iâm hearing now is a drug seekerâs request for opiates.â
âWhereâd you get that? I donât even believe in opiates.â
âThere has been concern on the staff, I donât know how to say thisââshe shakes her head, as though doubting the notes on her clipboard in her own handwritingââabout a Satanic drug cult of some kind that you were involved with in Brazil?â
âWhat did they do, Google me? I thought this was a hospice, not the NSA!â
âPalliative care means treating the whole person,â she parries smoothly. âWith all his quirks.â
âSo give me some palliative care! I donât know whatâs wrong with my neck, but that massage your volunteer gave me sure didnât help. I remember some of my clients used to be on something called Dilaudid. Supposed to have euphoria as a side effect. You guys have that?â
She shakes her head. âWe rely exclusively on modern therapies to keep our patients comfortable.â
âWell, Iâm not âcomfortable.â Iâm in hell. Of course I feel right at home, as the founder of a Satanic drug cult.â
âMr. Baker, if you would prefer not to receive care in a Christian institutionââ
He rolls his eyes. âCanât you tell Iâm joking?â
The doctor folds her arms. âBeing comfortable means not being in agony. It means not dying the way people used to die. Screaming. It means being able to function mentally.â
âWell, thanks so much for the timely definition, now that Iâm stuck here on my ass until I die.â
âMr. Baker, I would ask you to remain civil.â
âAll right. Civilize me. Youâre the renowned specialist in palliative medicine. Do something about my fucking neck.â
For a moment, the director twirls her pen. She wriggles pensively, as though thinking with her intestines. Finally she says, âIt could be muscle cramping. Some patients respond to a muscle relaxant.â
âThen why doesnât somebody try it already?â Norm begs.
PENNY SPENDS AN UNPRODUCTIVE DAY with Norm, not working on his memoirs.
That evening, she returns to Morristown in a state of agitation and restlessness. The gate opens when it senses the carâs transponder.
The house is H-shaped, very large; the exterior, white stucco with high, black-shuttered windows. The black perimeter fence encompasses one and three-quarter acres.
When she comes into the kitchen through the side door, Amalia is drinking beer and soliloquizing to Norm on the phone. She says, eyes on Penny, âGot to go, cariño . Your babyâs home. Love you. Bye.â She hugs her daughter and says, âI know, honey.â
âYou should come see him,â Penny says. âHeâs not getting the right painkillers.â
Amalia shakes her head. âOn Sunday I will definitely come,â she says. âWork is so crazy. Weâre up to our necks in a merger. It would be so much easier. I could see him every day, if he would be here at home.â
âBut what about the bleed-out? And taking care of him? I donât know, Mom.â
âIf he says he will do it, I will find a way. I will help you. Can you talk to him? Make him come home?â
THE NEXT MORNING, NORM HAS a new symptom. âIh er eenh,â he tells Penny. âAh