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So we both can hear what you have to say?”

      My head is doing the weird pill dance, swinging back and forth like a dying flower in a strong wind, the petals about to fall to earth, to be trampled and turned into crap that sticks, with other crap, to the bottoms of soles. Amidst all the head-bobbing, I say, “Here’s my offer. You find the relevant parts and read them out loud, or I shut this down. I don’t want to hear all of it again, not from start to finish. I’ve lived it once, would rather not return for another visit.”

      “Which would you prefer?”

      “I don’t know Swann, you’re the doctor. I’m fairly certain that in my real life I own a lovely apartment and have two cats who adore me, and once, not even that long ago, I used to have friends, and a serious profession, and I went to movies, and thought about going to the ballet and the opera, and I took hot baths, and never worried about offing myself, and I had a man who loved me and knew how to make me yell out in delight. So, what will it take to get me out of here and back home? What’s going to have the most ameliorative effect?”

      “Ameliorative effect,” Owl Man says. “I like that.”

      “Me too,” I say, in a calm voice that surprises us both.

      Owl Man begins to read and I am convinced, first, that I am a wizard with words, how I make them arch like green leaves over tiny beauteous flowers, and send them soaring like silvered planes that leave behind fairy dust in the blue firmament, that I am a remarkable talent. Second, that I am shocked by the person I have become. I do not recall writing, just this morning, about my desire to kill everyone I have ever known. All the throat-slitting, the fish-gutting, the stranglings I intend to inflict on the people I thought I still loved.

      Swann’s harmonious tone stays even, but I feel a million insects shivering up through my insides, taking up residence in the thin layer of skin that no longer protects me well from the world. When he comes to a stop and looks at me, I pretend I am lamb-calm, whistling through the wind.

      “So the gist is, you would like a clean slate, live in a world where you can start fresh, become someone else, have no ties to the past, eliminate everyone currently entwined in your life.”

      I don’t answer, just study his hanging diplomas in their fake wooden frames, think about the havoc I would wreak in a second on the supposedly innocent, how I would demonstrate to every one of them, in slow and painful ways, the taint lodged so deep in their hearts—

       BETTINA’S CHILDREN

      When Bettina was twelve years old and already half an orphan, her great-aunt—the aunt of her still-living father—gave her a series of books that told the story of Nurse Claire Peters. These books were not picture books; nonetheless Bettina could picture Claire, bright in her white uniform, beautiful despite the small white cap atop her lush blond hair, walking hushed hospital corridors, entering room after room, moving from bed to bed, her cool hands bringing relief, her changeling voice flowing from blue to violet to purple to the prettiest of greens, different colors for different maladies, the right ones always returning her sick and sometimes crotchety patients to vibrant life.

      In Bettina’s mind, Claire’s lips were always shimmering in Claire’s favorite pink lipstick, and Claire’s eyes, observant and alert, the color of purified honey, were opened so wide that she always saw the truth of it all: what people were like when death was upon them. She held their hands then, to bring them forward to the light.

      It took Bettina nearly that entire year to read the twenty-book series straight through, wishing with juvenile hope that her curly brown hair would turn as golden and straight as Claire’s, that one day her own lips, thinner than she would have wished, but prettily bowed, would look nice in some similar shimmering pink shade, and when Bettina stacked all the books in her closet, she had decided she would become a nurse.

      In nursing school, Bettina found peace with her own uninteresting looks, turning herself outward, focusing quietly, privately, on her natural healing talents; she was often several diagnostic steps ahead of the doctors to whom she was to defer. In the books, Claire never aged or thought about romance, despite being surrounded by handsome doctors, but in her own daily chores as a nurse, Bettina found true love.

      At odd times in the staff’s cafeteria, she would see one of the emergency room doctors, the tall ascetic one, but otherwise their paths did not cross: Bettina worked up on a general floor, and he down below, where the world washed ashore its human traumas.

      One day, that emergency room doctor bought her a tea, a few days later a lunch. Standing in the cafeteria line next to Bettina, he looked down upon her from his great height and said, “I’m Jeffrey Caslon,” and Bettina nodded and slid her tray up to the cashier, and he said, “Oh, no, I’m paying. After all, this is our first date.” She had not realized it was any such thing.

      Some weeks later, on a crisp and starry night, Dr. Caslon led Bettina outside, kissed her with a fervency she returned, and, at his request, Bettina transferred to the emergency room, aligning their shifts. She had not thought she would like her new assignment, but she relished its feral nature, the way the maimed, the shot, the stabbed, and those mysteriously sick arrived in the impure hours past midnight. Six months later, they had a small wedding in the chapel on the hospital grounds. A few months after that, their life then combined into Jeffrey’s spartan bachelor flat, he inherited a substantial sum from an old great-aunt of his own.

      When Jeffrey said to Bettina, “Would you consider moving to Africa? Do our part to make the world a bit better?” they were in the emergency room, facing each other across the body of a middle-aged man who, in death, exhibited the true dourness that had infected his soul.

      Bettina needed no time to consider. She would be Claire Peters on a grander stage, with money in her pocket, love in her heart, her portable nursing skills freely available to those whose locus of birth created lives rife with disease, with too little to eat, with water that was unclean.

      Soon, the Caslons were in a remote part of Nigeria. Jeffrey spread his inheritance around, hiring locals to build them a house, and the clinic they named the Caslon Clinic. They received the first shipments of medical equipment brought, on its last leg, in a rickety plane that landed on a dusty strip beyond the village, used as a playground by the native children for their made-up games.

      The Caslons were a great draw; their pale skin, their small features, the certainty they exuded, the smiles they bestowed, all of it warmed the villagers.

      When the clinic was upright, secured by a front and back door, a roof that could withstand heat and wind, the freshly married couple got to work. The equipment intrigued the villagers, but intermittent electricity made the plugged-in machines of little use to doctor and nurse. At least the village streets were designated by names, unpronounceable at first, but which gave Jeffrey and especially Bettina the feeling that life, despite how it seemed, was not completely freeform. Neither imagined returning home after the locals befriended them, passed their days hanging out on the clinic’s stairs, on its porch that the Caslons furnished with abandoned chairs.

      The Caslons received care packages of food from home which they shared; serious about abandoning all they had once known, their own prior creature comforts, to prove that people could band together and make something better and finer, although impossible to refine. A year into their life in the Nigerian village, Bettina got pregnant the first time, and then again the next year, and the year after that. She was heeding the Nigerian way.

      In the right time, each time, Bettina gave birth to three bouncing babies, two boys and a girl. Children who laughed a lot and smiled early and seemed very intelligent and were healthy, so healthy, until they gained their footing and ran with their friends, mingling in the sweetness of childhood with the ebony-bright village children who laughed without knowing the desperate futures only they faced, or so the Caslons believed with a kind purity in their hearts.

      Then once, twice, three times, Bettina and Jeffrey peered into dug-out holes, innards tossed up into mounds just beyond, laying each small wrapped body Bettina had birthed, deep down,

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