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“Why are you asking me all these questions?” Tom blurted, and burst into tears.

There came a muted shocked exhalation from the door, and Tom knew that some of the hospital staff were lingering there to get a look at his grandfather.

“You’d better stick to your own part of town,” his grandfather said, and the young doctors and lounging orderlies gave almost inaudible noises of approval.

At the end of August, during the last thirty minutes of visiting hours, a girl named Sarah Spence walked into his room. Tom put down his book and looked at her in astonishment. Sarah, too, seemed astonished to find herself in a hospital room, and looked around at everything in a wondering, wide-eyed way before she came across the room to his bed. For a moment Tom thought that yes, it was astonishing that he should be here, and that she should see him like this. In that moment he was the old Tom Pasmore, and when he saw how Sarah shyly inspected his massive cast with a smile of dismay, it seemed to him ridiculous that he should have been so unhappy.

Sarah Spence had been a friend of his since their earliest days at school, and when she met his eyes he felt restored to his life. He saw at once that her shyness had left her, and that unlike the boys from their class who had come to visit his room, she was not intimidated by the evidences of his injuries. By now his head wound had healed, and his right arm was out of its bandages and cast, so he looked far more like his old self than he had during most of July.

As they took each other in for a moment before speaking, Tom realized that Sarah’s face was no longer that of a little girl, but almost a woman’s, and her taller body was beginning to be a woman’s too. He saw that Sarah was very much aware of the difference in her face and body.

“Oh, my God,” she said. “Would you look at that cast?”

“I look at it a lot, actually,” he said.

She smiled, and raised her eyes to meet his. “Oh, Tom,” she said, and for a moment there hovered between them the possibility that Sarah Spence would hold his hand, or touch his cheek, or kiss him, or burst into tears and do all three—Tom almost went dizzy with his desire for her touch, and Sarah herself scarcely knew what she wished to do, or how to express the wave of tenderness and grief that had passed through her with his joke. She took a step nearer to him, and was on the verge of reaching out to touch him when she saw how pale his skin was, ashy just beneath the golden surface, and that his hair looked lank and matted. For just a moment her fifth-grade friend Tom Pasmore looked like a stranger. He seemed shrunken, and his bones were prominent, and even though this familiar stranger before her was a little boy—a little boy—he had ugly dark smudges under his eyes like an old man. Then Tom’s face seemed to settle into well-known lines, and he was not a little boy with an old man’s eyes but on the verge of adolescence again, the boy she liked best in her class, the friend who had spent hours every day talking and playing with her in summers and weekends past—but by then she had unconsciously taken a half-step backwards, and was folding her hands together at her waist.

They were suddenly awkward with each other.

To say something, anything at all, lest she run out of the room, Tom said, “Do you know how long I’ve been here?” And immediately regretted it, for it sounded to him as if he was accusing her of having ignored him.

And then it seemed to him that he was trying to tell Sarah Spence in one sentence about all the changes that had taken place in him. So he said, “I’ve been here forever.”

“I heard yesterday,” Sarah said. “We just got back from up north.”

“Up north,” a phrase Tom understood as well as Sarah, did not refer to the northern end of the island, but to the northern tier of states in continental North America. Sarah’s parents, like many far east end residents (though not the Pasmores), owned property in northern Wisconsin, and spent much of June, July, and August in a pine lodge beside a freshwater lake. At the end of June the Redwing clan, Mill Walk’s most important family, moved virtually as a single organism to a separate compound on Eagle Lake. “Mom found out from Mrs. Jacobs, when she was talking to her at Ostend’s Market.” She paused. “You got hit by a car?”

Tom nodded. She, too, he could see, had questions she could not ask: How did it feel? Can you remember it? Did it hurt a lot?

“How did that happen?” she asked. “You just walked in front of a car?”

“I guess I was way out on Calle Burleigh, and it was rush hour, and …” Unable to say any more, because all he could remember now of that day was how the car had looked just before it struck him, he shrugged.

“How dumb can you get?” she said. “What are you going to do next? Dive into an empty pool?”

“I think my next death-defying act is going to be trying to get out of this bed.”

“And when do you do that? When do you get to go home?”

“I don’t know.”

Unsettlingly adult exasperation showed on her face. “Well, how are you going to go to school if you don’t go home?” When he did not answer, the exasperation was replaced by a moment of pure confusion, and then by something like disbelief. “You’re not coming back to school?”

“I can’t,” he said. “I’m going to be out a whole year. It’s true,” he added in the face of her growing incredulity. His depression had begun to return. “I can’t even get out of bed for another eight weeks—that’s what they told me anyhow. When I finally do get home, they’re putting me in a hospital bed in the living room. How can I go to school, Sarah? I can’t even get out of bed!” He was appalled to hear himself making terrible ragged noises as his pains began to announce themselves again. Tom thought that Sarah Spence looked as if she were sorry to have come to the hospital—and she was right, she did not belong here. In some way he had never quite realized, she had been his best and most important friend, and now a vast abyss lay between them.

Sarah did not run out of the room, but for Tom it was almost worse that she watched him dry his face and blow his nose as she uttered meaningless phrases about how everything would be all right. He saw her retreat into the world of ignorant daylight, backing away in polite horror from his fear and pain and anger. In any case, she did not know the worst thing—that he had been castrated and had nothing between his legs but a tube, a fact so terrible that Tom himself could not hold it clearly in his mind for more than a few seconds at a time. Now, without being aware of what he was doing, his left hand crept to the smooth groin of his body cast.

“You must itch a lot,” Sarah said.

He pulled his hand away as if the cast were red hot. She remained until visiting hours were over, talking to him about a new puppy named Bingo and what she had done “up north,” and how Fritz Redwing’s cousin Buddy had taken one of his family’s motorboats out into the middle of Eagle Lake and tried to dynamite the fish, and her voice went on and on, full of kindness and restraint and sympathy, as well as other feelings he could not or would not identify, until Nancy Vetiver came in to tell her that she had to leave.

“I didn’t know you had such a pretty girlfriend,” Nancy said. “I think I’m jealous.”

Sarah’s entire face turned pink, and she reached for her bag, promising to be back soon. When she left she sent no more than a glancing smile toward Tom, and did not speak or look at Nancy. She never came to the hospital again.

Two days later his door opened just before the end of visiting hours, and Tom looked up with his heart beating, expecting to see Sarah Spence. Lamont von Heilitz smiled flickeringly from the doorway, and somehow appeared to understand everything at once. “Ah, you’ve been waiting for someone else. But it’s just your cranky old neighbor, I’m afraid. Shall I leave you alone?”