passive, pliant, asexual. An individual prone to outbursts of temper andobstinacy becomes childlike, docile. âBeneficialâ for family and for society is not always so for the individual.
In the case of Elihu Hoopes it seems likely that a personality change of a radical sort had been precipitated by his illness, for no adult male of E.H.âs achievement and stature would be so trusting and childlike, so touchingly and naively hopeful . You have the uneasy feeling, in E.H.âs presence, that here is a man desperate to sell himself âto be liked. The change in E.H. is allegedly so extreme that his fiancée broke off their engagement within a few months of his illness, and E.H.âs family, relatives, friends visit him ever less frequently. He lives in the affluent Philadelphia suburb Gladwyne with an aunt, the younger sister of his (deceased) father, herself a ârichâ widow.
From personal experience Margot knows that it is far easier to accept a person ravaged by physical illness than one ravaged by memory loss. Far easier to continue to love the one than the other.
Even Margot whoâd loved her âgreat-grannieâ so much as a little girl had balked at being taken to visit the elderly woman in a nursing home. This is not something of which Margot is particularly proud, and so she has begun a process of forgetting.
But E.H. is very different from her elderly relative suffering from (it would be diagnosed after her death) Alzheimerâs. If you didnât know the condition of E.H. you would not immediately guess the severity of his neural deficit.
Margot wonders: Was E.H.âs encephalitis caused by a mosquito bite? Was it a particular species of mosquito? Orâis it a common mosquito, itself infected? In what other ways is herpes simplex encephalitis transmitted? Have there been other instances of such infections in the Lake George, New York, region? In the Adirondacks? She supposes that research scientists in the Albany area are investigating the case.
âHow horrible! The poor man . . .â
It is the first thing you say, regarding E.H. When you are safely out of his earshot.
Or rather, it is the first thing Margot Sharpe says. Her lab colleagues are more adjusted to E.H. for they have been working with him for some time.
Nervously Margot smiles at the stricken man, who does not behave as if he understands that he is stricken . She smiles at him, which inspires him to smile at her, with a flash of something like familiarity. (She thinks: He isnât sure if he should know me. He is looking for cues from me. I must not send him misleading cues.)
Margot is new to such a situation. She has never been in the presence of a living âsubject.â She canât help but feel pity for E.H., and horror at his predicament: how abruptly Elihu Hoopes was transformed from being an attractive, vigorous, healthy man in the prime of life to a man near death, losing more than twenty pounds, white blood count plummeting, extreme anemia, delirium. A herpes simplex infection resulting in encephalitis is so rare, E.H. might more readily have been struck by lightning.
Yet E.H.âs manner isnât at all guarded, wary, or stiff; he might be a host welcoming guests to his home, whose names he doesnât quite recall. Indeed he seems at home in the Institute settingâat least, he doesnât seem disoriented. For these sessions at the Institute E.H. is brought from his auntâs suburban home near Philadelphia by an attendant, in a private car; originally E.H. was a patient at the Institute, and then an outpatient; he is still under the medical care of Institute staff. Though E.H. recognizes no one, yet it is flattering to him, how so many people recognize him.
He seems to have little capacity for brooding, as he has lost his capacity for self-reflection. Margot is touched by the way he pronounces her nameââMar- go ââas if it were a beautiful