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Tom saw Dr. Milton frown at their joined hands as he approached the bed. Nancy gently took her hand from his, and then stood up.

Dr. Milton tucked in his ample chin and frowned at her a moment before turning to Tom.

“Nurse Vetiver, isn’t it?” he asked.

Nancy was wearing a name tag, and Tom knew that the doctor must have encountered her many times before.

“It is,” she said.

“Aren’t there some essential aspects of your job that you ought to be seeing to?”

“This is an essential aspect of my job, Dr. Milton,” Nancy said.

“You feel—let me be sure I state this correctly—it medically beneficial to complain to this boy, who is of a good family, in fact a very good family”—here he glanced over at Tom with what was supposed to be a look of reassurance—“about the mutton served in the nurses’ residence?”

“That’s exactly what I feel, Doctor.”

For a moment the nurse and the doctor merely stared at each other. Tom saw Dr. Milton decide that it was not worth his while to debate hospital etiquette with this underling. He sighed. “I’ll want you to think about what you owe to this institution,” he said in a weary voice that suggested that he had said similar things many times before. “But we do have a patient, and an important one”—another curdled smile for Tom—“to deal with at the moment, Nurse Vetiver. This young man’s grandfather, my good friend Glen Upshaw, is still on the board of this hospital. Perhaps you might be good enough to let me conduct an examination?”

Nancy stepped back, and Dr. Milton leaned down to peer at Tom’s face.

“Feeling better, are we?”

“I guess,” Tom said.

“How’s the pain?”

“Pretty bad at times.”

“You’ll be back on your feet in no time,” the doctor said. “Nature is a great healer. I suppose we could increase your medication …?” He straightened up and turned his head to glance at Nancy. “Suppose we think about increasing his medication, shall we?”

“We’ll think about it,” she said. “Yes, sir.”

“Very good, then.” He vaguely patted Tom’s cast. “I thought it might be useful for me to pop in and have a chat with the boy, and now I see that it was. Yes, very useful. Everything going all right, nurse?”

Nancy smiled at the doctor with a face subtly changed, older, tougher, more cynical. She looked less beautiful to Tom, but more impressive. “Of course,” she said. She glanced at Tom, and when Tom met her eyes he understood: nothing said by Dr. Milton was of any importance at all.

“I’ll just add a note on his chart, then,” the doctor said, and busied himself with his pen for a moment.

He hooked the chart back on the bottom of his bed, gave Nancy a glance full of meaning Tom did not know how to interpret, and said, “I’ll tell your grandfather you’re doing splendidly, good mental attitude, all that sort of thing. He’ll be pleased.” He looked at his watch. “Well. You’re eating well, I assume? No mutton here, is there, Nurse? You must eat, you know—that’s nature’s way. Sometimes good solid food is the best medicine you can have.” Another glance at his watch. “Important appointment, I’m afraid. Glad we could get that little matter straightened out, Nurse Vetiver.”

“It’s a great relief to us all,” Nancy said.

Dr. Bonaventure Milton cast Nancy a lazy glance, nearly smiled with the same indifferent laziness, and after nodding to Tom, wandered out of the room. “Yes, sir,” Nancy said, as if to herself. So Tom understood everything he would ever have to understand about his doctor.

Later there was a “complication” with his leg, which had begun to feel as if helium were being pumped into it, making it so light that it threatened to shatter its cast and sail away into the air. Tom had ignored this feeling for as long as he could, but within a week it became a part of the pain that threatened to devour the whole of the world, and he had to confess it to someone. Nancy Vetiver said to tell Dr. Milton, really tell him; Hattie Bascombe, speaking from the darkness in the middle of the night, said, “You save up your knife from your supper, and when old Boney starts pattin’ your cast and tellin’ you that you just imaginin’ that feeling, you take that knife and stick it in his old fat fish-colored hand.” Tom thought that Hattie Bascombe was the other side of Nancy Vetiver, and then thought that every object and person must have its other, opposite side—the side that belonged to night.

As Hattie predicted, Dr. Milton scoffed at his story of a “light” pain, an “airy” pain, and even his parents did not believe in it. They did not want to believe that their doctor, the distinguished Bonaventure Milton, could be in error (nor did the surgeon, a Dr. Bostwick, an otherwise blameless man), and above all they did not want to believe that Tom would need yet another operation. Nor did Tom—he just wanted them to cut open the cast and let the air out. Of course that was no solution, the doctors would not do that. And so the abscess within his leg grew and grew, and by the time Nancy and Hattie got Dr. Bostwick to examine this “imaginary” complaint, Tom was found to need a new operation, which would not only remove the abscess but reset his leg. Which meant that first they would have to break it again—it was precisely as though he were to be propped up on Calle Burleigh and run over again.

Hattie Bascombe leaned toward him out of the night and said, “You’re a scholar, and this here is your school. Your lessons are hard—hard—but you gotta learn ’em. Most people don’t learn what you bein’ taught until they a lot older. Nothing is safe, that’s what you been learnin’. Nothing is whole, not for too damned long. The world is half night. Don’t matter who your granddaddy is.”

The world is half night—that was what he knew.

Tom spent the entire summer in Shady Mount Hospital. His parents visited him with the irregularity he came to expect of them, for he knew that they saw their visits as disruptive and upsetting, in some way harmful to his recovery: they sent books and toys, and while most of the toys came to pieces in his hands or were useless to one confined to bed, the books were always perfect, every one. When his parents appeared in his room, they seemed quieter and older than he remembered them, survivors of another life, and what they spoke of was the saga of what they had endured on the day of his accident.

The one time his grandfather came to the hospital, he stood beside the bed leaning on the umbrella he used as a cane, with something tight and hard in his face that doubted Tom, wondered about him. This, Tom suddenly remembered, was overwhelmingly familiar—the sensation that his grandfather disliked him.

Had he been running away?

No, of course not, why would he run away?

He didn’t have any friends out there, did he? Had he maybe been going to Elm Cove? Two boys in his old class at Brooks-Lowood lived in Elm Cove, maybe he had taken it into his head to go all the way out there and see them?

His class was now his old class because he would miss a year of school.

Maybe, he said. I don’t remember. I just don’t remember. He could vaguely remember the day of his accident, could remember the milk cart and the NO PASSENGERS ALLOWED sign and the driver asking him about girlfriends.

Well, which one had he been going to see?

His memory turned to sludge, to pure resistance. His grandfather’s insistent questions felt like blows.

Why had his accident happened on Calle Burleigh, eight miles east of Elm Cove? Had he been hitchhiking?