his sleep debt would quickly become incompatible with life.
âThanks for going the extra mile to call me. Youâre probably getting slammed with admissions if itâs anything like my residency at City Hospital was. I mean internshipâI didnât complete residency. Anyway, please tell Larry Iâm rooting for him. Iâll definitely come to see him tomorrow.â
âAbsolutely. Oh, I forgot to ask about his medical history.â
âNot much there. No prior hospitalizations I know of, certainly no underlying lung disease. He was doing speed when I first met him but cleaned up his act years ago. He mostly saw me for gonorrhea and syphilisâhe hustles men for a living. Though now that I think of it, something was going on before the cough and night sweats started. He used to lift weights and wear boutique clothes from North Beach. All that stopped about a year ago. He came to clinic looking disheveled, stressed out, thinner. Maybe it was drugs, but he said he was clean, and heâd never lied to me before.â
Kevin sighed, disappointed by the lack of clues. The range of diagnostic possibilities in such a sick patient was way too wide for his comfort zone.
âSo, are you a second or third year resident?â Gwen asked.
âThird year. Four more months, and Iâm done.â
âThen what?â
âIâm not sure. Maybe an ID fellowship. When were you here?â
â1969, just before they built the new hospital.â
âBeen at the Haight clinic long?â
âSeven years. I only work three days a week.â
âThat sounds nice.â
âIt is. Not much money, but I can have a life⦠Well, at least my daughter can have me in her life.â
Kevin imagined a child who would yell âDaddyâ and hug him when he came homeâa pleasant fantasy.
âHow tough is residency these days?â she asked.
âCall is every fourth night, not every third like the days of the giants when you were here.â
âDays of the giants?â she laughed. âWhen I was at City Hospital, the attendings said that same bullshit about how much harder they had it than we did.â
âThe sleep deprivation is still bad. When Iâm on call here, Iâm lucky to get half an hour in bed. Itâs better on the Hill, but they give us a ton more autonomy here.â
âInteresting!â
âIs it? Why?â
âIâm thinking about coming back to finish residency.â
âAll right! Page me when you get here tomorrow. Iâll show you around.â
âThatâd be great. Thanks, Kevin.â
IV
âM R . W INTON ?â
âMr. Winton?â
The short, obese young man who had woken himâor was he a teenager, Larry wonderedâwore a white jacket two sizes too small. His pockets overflowed with tongue depressors, penlights, and cotton swabs. A mask covered his mouth and nose, drawing attention to the pimples dotting his forehead.
He introduced himself as Dr. Bartholomewâs medical student and rolled up his sleeve, revealing columns of tiny words scribbled in ink on his forearm. Reading from the list, he asked Larry about a host of symptoms, ranging from nausea and diarrhea to numbness and tremor. As Larry answered, the student made notes on a sheet of paper full of strange diagrams.
âMr. Winton, can you tell me todayâs date, day of the week, and year?â
âTodayâ¦.â
Larry searched his mind. He wasnât sure. It must be the middle of March.
Frustrated by the interminable questions, he said, âSaint Pattyâs Day, mâboy.â
The student stared at him.
âNever caught a Texas leprechaun?â Larry asked in an Irish brogue. âAsk me where my oil well is.â
The student checked his notes against the words on his arm. Dispirited by his failed attempt at humor, Larry closed his eyes. He thought of the mysterious diagrams on the
Elizabeth Ashby, T. Sue VerSteeg