had been damaged pretty irreparably, so the physiotherapist had to do something called “rerouting”.
Rerouting is exactly what it sounds like: finding a new route through the brain for commands to run along. It’s sort of like a government compulsorily purchasing land from farmers to run train tracks over after the terrain the old tracks ran through has been flooded or landslid away. The physiotherapist had to route the circuit that transmits commands to limbs and muscles through another patch of brain—an unused, fallow patch, the part that makes you able to play tiddlywinks, listen to chart music, whatever.
To cut and lay the new circuits, what they do is make you visualize things. Simple things, like lifting a carrot to your mouth. For the first week or so they don’t give you a carrot, or even make you try to move your hand at all: they just ask you to visualize taking a carrot in your right hand, wrapping your fingers round it and then levering your whole forearm upwards from the elbow until the carrot reaches your mouth. They make you understand how it all works: which tendon does what, how each joint rotates, how angles, upward force and gravity contend with and counterbalance one another. Understanding this, and picturing yourself lifting the carrot to your mouth, again and again and again, cuts circuits through your brain that will eventually allow you to perform the act itself. That’s the idea.
But the act itself, when you actually come to try it, turns out to be more complicated than you thought. There are twenty-seven separate manoeuvres involved. You’ve learnt them, one by one, in the right order, understood how they all work, run through them in your mind, again and again and again, for a whole week—lifted more than a thousand imaginary carrots to your mouth, or one imaginary carrot more than a thousand times, which amounts to the same thing. But then you take a carrot—they bring you a fucking carrot, gnarled, dirty and irregular in ways your imaginary carrot never was, and they stick it in your hands—and you know, you just know as soon as you see the bastard thing that it’s not going to work.
“Go for it,” said the physiotherapist. He laid the carrot on my lap, then moved back from me slowly, as though I were a house of cards, and sat down facing me.
Before I could lift it I had to get my hand to it. I swung my palm and fingers upwards from the wrist, but then to bring the whole hand towards where the carrot was I’d have to slide the elbow forwards, pushing from the shoulder, something I hadn’t learnt or practised yet. I had no idea how to do it. In the end I grabbed my forearm with my left hand and just yanked it forwards.
“That’s cheating,” said the physio, “but okay. Try to lift the carrot now.”
I closed my fingers round the carrot. It felt—well, it felt: that was enough to start short-circuiting the operation. It had texture; it had mass. The whole week I’d been gearing up to lift it, I’d thought of my hand, my fingers, my rerouted brain as active agents, and the carrot as a no-thing—a hollow, a carved space for me to grasp and move. This carrot, though, was more active than me: the way it bumped and wrinkled, how it crawled with grit. It was cold. I grasped it and went into Phase Two, the hoist, but even as I did I felt the surge of active carrot input scrambling the communication between brain and arm, firing off false contractions, locking muscles at the very moment it was vital they relax and expand, twisting fulcral joints the wrong directions. As the carrot rolled, slipped and plummeted away I understood how air traffic controllers must feel in the instant when they know a plane is just about to crash, and that they can do nothing to prevent it.
“First try,” said my physio.
“At least it didn’t fall on anyone,” I said.
“Let’s go for it again.”
It took another week to get it right. We went back to the blackboard, factoring in the
Irene Garcia, Lissa Halls Johnson