"Yes."
"Will I be awake enough to recognize you?"
"I imagine so."
"And when will I come out of it?"
"Tomorrow afternoon or evening."
"That soon?"
"It's really a minor procedure," she said again. He nodded. She asked him if she could get him anything, and he said some ginger ale, and she replied that he was NPO, nothing per ora, for twelve hours before the operation. She said he'd be getting shots to help him sleep, and shots in the morning before he went to surgery. She said she hoped he'd sleep well.
As she left, she heard a hum as the television went back on, and a metallic voice said, "Look, Lieutenant, I've got a murderer out there, somewhere in a city of three million people…"
She closed the door.
Before leaving the floor, she put a brief note in the chart. She drew a red line around it, so that the nurses would be sure to see it:
ADMITTING PSYCHIATRIC SUMMARY:
This 34-year-old man has documented psychomotor epilepsy of 2 years' duration. The etiology is presumably traumatic, following an automobile accident. This patient has already tried to kill two people, and has been involved in fights with several others. Any statement by him to hospital staff that he "feels funny" or "smells something bad" should be respected as indicating the start of a seizure. Under such circumstances, notify the NPS and Hospital Security at once.
The patient has an accompanying personality disorder which is part of his disease. He is convinced that machines are conspiring to take over the world. These beliefs are strongly held and attempts to dissuade him from them will only draw his enmity and suspicion. One should also remember that he is a highly intelligent and sensitive man. The patient can be quite demanding at times, but he should be treated with firmness and respect.
His intelligent and articulate manner may lead one to forget that his attitudes are not willful. He suffers an organic disease which has affected his mental state. Beneath it all he is frightened and concerned about what is happening to him.
Janet Ross, M.D. NPS
"I don't understand," the PR man said.
Ellis sighed. McPherson smiled patiently. "This is an organic cause of violent behavior," he said. "That's the way to look at it."
The three of them were sitting in the Four Kings Restaurant, adjacent to the hospital. The early dinner had been McPherson's idea; McPherson said he wanted Ellis present, so Ellis was present. That was how Ellis thought about it.
Ellis raised his hand, beckoning the waiter for more coffee. As he did so, he thought it might keep him awake. But it didn't matter: he wouldn't sleep much tonight anyway. Not on the eve of his first stage three on a human subject. He knew he would toss and turn in bed, going over the operative procedure. Over and over again, reviewing the pattern he already knew so well. He'd done a lot of monkeys as stage-three procedures. One hundred and fifty-four monkeys, to be exact. Monkeys were difficult. They pulled out their stitches, they tugged at the wires, they screeched and fought you and bit you-
"Cognac?" McPherson asked.
"Fine," the PR man said.
McPherson glanced questioningly at Ellis. Ellis shook his head. He put cream in his coffee, and sat back suppressing a yawn. Actually, the PR man looked a little like a monkey. A juvenile rhesus: he had the same blocky lower jaw and thesame bright-eyed alertness.
The PR man's name was Ralph. Ellis didn't know the last name. No PR man ever gave his last name. Of course, at the hospital he wasn't referred to as a PR man; he was the Hospital Information Officer or News Officer or some damned thing.
He did look like a monkey. Ellis found himself staring at the area of the skull behind the ear, where the electrodes would be implanted.
"We don't know much about the causes of violence," McPherson said. "And there's a lot of crap theory floating around, written by sociologists and paid for by perfectly good taxpayer money. But we do know that one particular illness, psychomotor epilepsy, may lead to violence."
"Psychomotor epilepsy," Ralph repeated.
"Yes. Now, psychomotor epilepsy is as common as any other kind of epilepsy. There are some famous people. who have had it, like Dostoevski. At the NPS, we think that psychomotor epilepsy may be extremely common among those people who engage in repetitive violent acts - like certain policemen, gangsters, rioters, Hell's Angels. Nobody ever thinks of these people as physically ill. We just accept the idea that there are a lot of men in the world with bad tempers. We think that's normal. Perhaps it isn't."
"I see," Ralph said. And he did, indeed, seem to be seeing. McPherson should have been a grade-school teacher, Ellis thought. His great gift was teaching. Certainly he'd never been much of a researcher.
"And so," McPherson said, brushing his hand through his white hair, "we have no idea exactly how common psychomotor epilepsy is. But our guess is that as much as one or two percent of the population may suffer from it. That's two to four million Americans."
"Gosh," Ralph said.
Ellis sipped his coffee. Gosh, he thought. Good Christ. Gosh…
"For some reason," McPherson said, nodding to the waiter as the cognacs were brought, "psychomotor epileptics are predisposed to violent, aggressive behavior during their attacks. We don't know why, but it's true. The other things that go along with the syndrome are hypersexuality and pathological intoxication."
Ralph began to look unusually interested.
"We had the case of one woman with this disease," McPherson said, "who during a seizure state would have intercourse with twelve men a night and still be unsatisfied."
Ralph swallowed his cognac. Ellis noticed that Ralph wore a wide tie in a fashionable psychedelic pattern. A hip forty-year-old public-relations man gulping cognac at the thought of this woman.
"Pathological intoxication refers to the phenomenon of excessive, violent drunkenness brought on by minuscule amounts of liquor - just a sip or two. That much liquor will unleash a seizure."
Ellis thought of his first stage three. Benson: pudgy little Benson, the mild-mannered computer programmer who got drunk and beat up people - men, women, whoever happened to be present. The very idea of curing that with wires stuck in the brain seemed absurd.
Ralph seemed to think so, too. "And this operation will cure the violence?"
"Yes," McPherson said. "We believe so. But the operation has never been done before on a human subject. It will be done at the hospital tomorrow morning."
"I see," Ralph said, as if he suddenly understood the reason for the dinner.
"It's very sensitive, in terms of the press," McPherson said.
"Oh, yes, I can see that…"
There was a short pause. Finally, Ralph said, "Who's going to do the operation?"
"I am," Ellis said.
"Well," Ralph said, "I'll have to check our files. I want to make sure I have a recent picture of you, and a good bio for the releases." He frowned, thinking of the work ahead of him.
Ellis was astonished at the man's reaction. Was that all he thought? That he might need a recent photo? But McPherson took it smoothly in stride. "We'll get you whatever you need," he said, and the meeting broke up.
Robert Morris was sitting in the hospital cafeteria finishing some stale apple pie when his pagemaster went off. It produced a high electronic squeal, which persisted until he reached down to his belt and turned it off. He returned to his pie. After a few moments, the squeal came again. He swore, put down his fork, and went to the wall phone to answer his page.
There had been a time when he regarded the little gray box clipped to his belt as a wonderful thing. He relished those moments when he would be having lunch or dinner with a girl and his pagemaster would go off, requiring him to call in. That sound demonstrated that he was a busy, responsible person involved in life-and-death matters. When the pagemaster went off, he would excuse himself abruptly and answer the call, radiating a sense of duty before pleasure. The girls loved it.