by John Sayles
“One that’s bust.”
“If you can be patient it will get strong again. Strong enough to bounce a lump of coal off this James’s noggin.”
The boy smiles. He has a beautiful face, really, and Dr. Lunceford vows to carry that smile, like a talisman, with him through the rest of the day’s adventures.
Dr. Lunceford knocks on every door in the next two buildings, then navigates through the crowd of humans and vehicles to begin on the structures across the street, the stairways unlit and coffin-like, each with its own particular odor, none pleasant. A few people answer, more just call and ask who he is, and none are in need of Brain Food. It is a wonder, given the conditions they live in, that the denizens of Hell’s Kitchen are not in a constant state of epidemic. Many people down home are poor, yes, certainly with less to their names than these urban colored, but they are not crushed into narrow, disease-breeding dwellings in such numbers, not part of an anonymous and vaguely threatening multitude. Dr. Lunceford finds himself, when on the more peopled avenues, walking in a kind of protective daze, eyes focused just beyond any approaching stranger, whereas in Wilmington each pedestrian requires a greeting tailored to their status and circumstance. Once, in their second week on 47th Street, he walked past a throng, taking only fleeting notice of a young pregnant woman, only to have Jessie call him back from his daydream. It troubled him to see her in such a context, his daughter only one more dismissable face among the millions. There is a harmony of purpose, despite its seemingly frantic activity, in a beehive or a colony of ants, but so much of the busyness here resembles nothing more than poultry overcrowded on their way to slaughter, each animal climbing over its neighbor for the last breath of air.
There are young men, and some not so young, lolling on the stoop of the next building. There are layabouts in Wilmington, most notably in the dead season between cotton crops, but there the men tend to congregate at a handful of drinking resorts and barbershops. In this city the front steps of many buildings are draped, by noon, with the unemployed, colored or white depending on the dominant population of the street.
“Bout time somebody come for that girl,” says one of the loungers as Dr. Lunceford steps carefully over his outstretched legs.
“She aint passed yet?”
“You know that she aint if you been hearin her Mama boo-hooin on the landing every night. ‘Oh my po’ daughter, Lord Jesus help my po’ daughter!’ ”
“We in the back. Don’t hear nothin but cats.”
“She enough to drive a man to bad habits.”
“Like you got none of them already.”
The men laugh.
“May I ask,” says Dr. Lunceford from the doorway, “where I can find this afflicted individual?”
The men eye him without respect or annoyance. He is a passing phenomenon, to be commented on when he is gone, a part of the meager entertainment afforded by the street that lays before them.
“Up five an in the front,” says the first young man. “And mind them steps by the second flo’.”
The steps just below the second-floor landing have fallen through on one side, Dr. Lunceford stepping carefully on the risers and supporting himself by pressing the wall rather than trusting the treacherously loose banister. He wonders how long they have been in this state, wonders that none of the men relaxing in front has access to a hammer and nails or the inclination to borrow such items. In their first apartment after the move from Philadelphia, in the tenement near the corner of 51st and Ninth, the toilet that served their floor was a swamp. After futile entreaties to the landlord’s somnolent representative, a hunchbacked Pole who dwelt in the basement, and marked indifference from the tenants who shared the level, Dr. Lunceford spent a day cleaning, scraping, painting, and doing his best to repair the rudimentary plumbing. When finished he could bear the idea of his wife and pregnant daughter employing the facilities, but within a week the room was back to its former squalid condition.
The woman who answers the door seems frightened at the sight of him.
“Who send for you?”
“No one, but I—”
“She not dead.”
“I am a medical man, not an undertaker.” He holds the bag up where she can see it. “If you’ll let me in perhaps I can be of some service.”
There are lighted candles in the first room, one placed carefully next to a tiny chromo of the Virgin Mary. The woman wears a red cloth wrapped like a turban over her hair and sports a large crucifix, carved from yellowish wood, outside of her housedress. Catholics, Dr. Lunceford guesses, up from somewhere in Louisiana. Two very small children, a boy and a girl, play on the bare, sticky floor with a stewpot and a wooden spoon, while a child not yet a year old squats half-immersed in soapy water in the stone basin that also serves for kitchen needs. A girl of perhaps eight years stands by the half-open curtain that separates their two rooms.
“You wash the baby,” the woman says to this girl. “This man gone look at Essie.”
Essie lies on the larger of the two beds crowded into the back room, a cracked window affording her a view of the grimy brick airshaft and the trio of pigeons nodding sleepily on the sill. Sound asleep, on the other bed, is a fully clothed man of about thirty.
“That Mr. Ball,” says the woman softly. “He work nights, so we rents a bed to him.”
Dr. Lunceford feels very tired, though it is only eleven in the morning. Too many stairs. “Hello, Essie,” he says.
The girl, possibly as old as twelve or thirteen but wasted with disease, does not respond, her huge, frightened eyes following as he squeezes between the beds and steps to her side. She is propped on a pair of yellowed cushions, her neck swollen, breathing noisily and with extreme difficulty. Dr. Lunceford lays his palm on the girl’s forehead.
“How long has she had this fever?”
“She been po’ly more than two weeks now,” says the woman. “Her daddy, he work loadin the boats, he been to the hospital but they won’t send nobody.”
“There are visiting physicians.”
“Suh, we just come up here. We can’t affo’d none of that.”
Dr. Lunceford nods. “Would you bring the lamp over, please?”
The woman squeezes in next to him, holding the oil lamp. “First she tired all the time, then she coughin, and then she can’t even swallow.”
“Would you open your mouth for me, Essie? Wide, like when you have to yawn—”
It clearly causes the girl some pain to open.
“And could you hold the light closer, please?”
The next time I see that thief, thinks Dr. Lunceford, I’ll have to ask him to purloin a laryngoscope. He pushes her tongue down with a depressor and inserts the little ball of a mirror as far in as he can get it. The tonsils, uvula, and pillars of the fauces are all swollen, covered by the grayish pseudo-membrane, which extends up to the posterior nares and down over the epiglottis and into the larynx. The membrane is relatively thick, adhering tightly to the mucous membrane in most places, the windpipe nearly completely occluded. It is a wonder the girl can breathe at all.
There is only one course open to him. Her pulse is weak and irregular, the exudation, though not yet gangrenous, beginning to slough off and spread the sepsis. Five years ago she would be doomed, his role limited to supplying enough opiates to allow her to leave on a cloud. But there is an anti-toxin now, manufactured by the Board of Health itself, a serum he has no access to.
Dr. Lunceford touches the girl’s cheek lightly. “You can close for a moment, Essie. Thank you.”
“That look bad, don’t it?”
He turns to the mother. “I will need some alcohol—three inches’ worth, in a glass. It doesn’t matter what sort.”
The woman leaves and Dr. Lunceford sits on the side of the bed. There is an illustration of Christ on the cross, torn from a newspaper and at some point folded many times, tacked to the wall over the headboard of the bed. The folding has left the image divided into many squares, each one featuring an isolated locus of
agony—a spiked and bleeding palm in one square, a section of thorn-pierced hairline in another. The effect makes it seem as if one of the Savior’s eyes is raised to Heaven and the other, with a glint of challenge rather than supplication, squarely fixed on Dr. Lunceford.
And what shall you do for My lamb?
“It’s hard to breathe, isn’t it?”
The girl nods weakly.
“We’ll try to do something about that.”
The smallest boy is out of the basin, being wrapped in a blanket by his sister, and the woman is pouring gin from a square bottle into a glass. A hinged wooden lid has been lowered over the washbasin and there is a huge pile of dusty field greens spread out on it.
“She gone die?”
“Your daughter is very ill, but there are things that can be done for her. The first and most vital is to make sure her breathing is unimpeded. There is a procedure I will need to perform, and I need your permission to go ahead with it.”
It is a matter for the Board of Health, of course, but by the time their representatives arrive the girl will be gone. In a race between the Klebs-Loeffler bacillus and city bureaucracy, there is no question as to which will win.
“You gone cut her?”
“No, M’am, but she will be made very uncomfortable for a short while.”
The woman holds out the glass of gin to him, which he takes as acquiescence. Dr. Lunceford stacks several bottles of the Brain Food on the table in order to gain access to his instruments. The woman stares at the bottles. Women such as these, feeding their children on pork fat and road-clippings, are the principal consumers of the Bonkers elixir, and for an instant he feels ashamed to be associated with it. He slips the metal instruments he’ll need from the pocketed canvas roll and stands them up in the alcohol. He has only one O’Dwyer tube, medium-sized, something the hospital thief threw in for free with no idea of its purpose.
“We just come up here,” the woman says again, shaking her head. “Didn’t count on nobody getting sick.”
He has performed the intubation dozens of times, often on infants, in the days before the serum. Very few of those children survived. He pushes the tongue to the side with his curved forceps, then uses them to help guide the tube past the epiglottis and into the larynx, the girl heaving and gagging despite his care not to press on the vagus nerve. Her sputa, fine and poisonous, spray upon the lenses of his spectacles. The tube is brass covered with rubber, not very flexible, and when it is in place he tugs very slightly on the thread to be certain that the retaining swell is anchored below the vocal chords. When he leans away with the device in place the girl is soaked with sweat, but her dyspnea has been vanquished, her chest expanding and contracting heroically.
“Just breathe normally,” he tells her, tying the thread around the stub of a pencil. “There’s plenty of air for you now. And if you should begin to swallow the tube, which can happen sometimes, you can pull on this and cough and it will come out.” He hands her the pencil, then touches her face again. “You’re going to feel better now.”
In the kitchen he scrubs his hands with carbolic soap, gargles with Condy’s fluid and carefully cleans his spectacles. He explains to the woman that her daughter should be fed in a supine position with nothing more solid than rice with milk, that she will likely fall asleep immediately, her body sensing that strangulation has been circumvented. He does not tell her the rest. If you warn them the authorities are coming they are likely to hide things, and the bacillus continues to travel. She makes the sign of the cross in the Catholic manner, thanking God several times and Dr. Lunceford once.
“Antoine come back near seven,” she tells him, “but he don’t get paid till Sa’day.”
As he leaves the young men stare at the bundle of greens under his arm.
“Doctor got him some groceries,” calls one of them as he heads east. “Maybe he got a ham in that bag.”
It is a long walk to the apothecary on Broadway. There is only a young white man in a white apron inside, dusting bottles on one of the half-dozen shelves. Dr. Lunceford lays his bag heavily on top of the pharmaceutical counter. A gaudily painted sign on the wall proclaims that the establishment sells his celebrated Brain Food.
“May I use your telephone?”
The young man frowns. “Telephone is a nickel.”
Dr. Lunceford digs a coin from his pocket and lets it spin on the counter. The greens will not be especially filling, but excellent nutrition for a woman in Jessie’s state.
“The City Board of Health, please,” he says when a female voice comes over the wire. “Pathology, Bacteriology, and Disinfection.”
Everyone in the apartment will be quarantined, most likely, the poor dockworker and the snoozing boarder likely to lose their employment. Clothing will be destroyed, the rooms fumigated, but there is no other course if epidemics are to be controlled. They will ask, even before they administer the anti-toxin, who performed the intubation, and the mother will pass on the name he gave to her. The official who informed him of the licensing difficulties clearly did not believe he was a physician, even with the references from fellow McGill alumni, and went into detail outlining the punishments that would ensue if he were caught impersonating one.
“I’d like to report a case of diphtheria,” he says when a male voice asks why he has called. “This is Dr. Bonkers, Dr. Jeremiah Bonkers—”
THE WILL OF THE PEOPLE
Diosdado tries to read their smiles. The people, old men and women and children, have come out to greet their army, standing in clusters in front of sawali-grass huts, a few pulling the salakots off their heads in respect. A dozen of the more prosperous-looking citizens flank the capitán municipal in front of the little church.
“This is a great day,” beams the capitán, who is wearing his best camisa of Canton cloth, shoes shined and hair slicked back with brilliantine. He is missing several teeth. “We have been expecting your arrival.”
Diosdado nods toward the northern calzada, down which Sargento Bayani and his squad herd eight or nine young runaways at rifle point. “It appears that some of you couldn’t wait.”
The capitán’s face darkens. “Those men are not really from our town.” He speaks Spanish with some difficulty, eager to impress.
“Don’t worry,” says Diosdado as the rest of his men spread through the village to flush out the chickens that have run under the houses and search for hidden stores of food. “Nobody will be forced to fight. But everybody has to help dig.”
General Luna’s latest directive is to present to the enemy a series of trenches, one behind the other, making it less likely that they’ll be overrun and forcing the Americans to bleed for each foot of ground. Strategic withdrawal.
“Nine captured, one escaped,” calls Sargento Bayani in Zambal, grinning as he approaches with the conscripts. “I shot over his head but he didn’t stop running.”
“Waste of ammunition. Get them started.” Diosdado frowns as he recognizes one of the young men, a barefoot tao in kundiman trousers with a face cratered by smallpox.
“I’ve seen you before.”
“Yes sir.” The young man dips his eyes to the dirt. He is missing two toes on his left foot. “At San Francisco del Monte and at Novaliches and at Malabon.”
“You should enlist,” says Bayani. “Save us the trouble of catching you every time.”
The capitán, who has not stopped smiling, supervises two boys trying to hang the banner of the Republic from the flagpole by the convento, which seems to also serve as the municipal building. Diosdado steps over and helps untangle the lines.
“Do you know what this flag means?” he asks.
“That Padre Wenceslao is gone,” says the older boy, “and he won’t be coming back.”
“It sticks on the wheel,” says the other, pointing to the pulley above them.
“As long as you can get it down fast,” says Diosdado, pulling the line and tying it off. There is a ragged, scattered cheer from those in his company who see
the flag hanging limply above.
“Papi has a place to hide it if the Spanish come back,” says the younger boy. “Under Auntie Dalisay’s house.”
Diosdado has forty-eight men left, twenty of them with rifles that still work, and more importantly, two dozen shovels saved from the equipment shack at Malinta. Private Ontoy, who can sew up a spur-shredded gamecock so it is almost new, is the company médico. Sargento Bayani controls the ammunition, issuing each man fifteen rounds and no more before an engagement, making sure the caliber fits the rifle, reminding them to aim before they fire. It is Bayani who hurries along the lines during the fighting, awarding more bullets, five at a time, to those who need or deserve them, bolstering their courage with his deranged smile and disdain for the yanqui sharpshooters.
“The Spanish tried to kill me since the day I was born,” he explains to the men, tapping the place on his chest where his charm is embedded. “What hope do the americanos have?”
Kalaw and a few of the others bring out small sacks of rice and some potatoes and squash hidden in the huts. Three chickens have been cornered and bayoneted, General Luna’s order against wasting ammunition on livestock observed whenever possible, though the general himself is fond of demonstrating his pistolwork by shooting live birds off the heads of junior officers. The cooks, two brothers from Pampanga whose military skills begin and end with scrounging firewood and boiling water, have set up a tunco over a fire and are already tearing handfuls of feathers off the chickens. It has been a week since they’ve eaten anything but cold rice supplemented by the few minnows and frogs Kalaw has been able to scoop from the paddies with a dip net.
“We thank you for your generous contributions to the Republic,” Dios-dado announces in Tagalog to the gathering crowd. Anything his men have not found the yanquis will not find either. “We will fight the enemy here, and defeat him. However, once the battle has begun it will be best for you to carry what you value most and seek shelter somewhere to the north.”