side, I’m going to ask you to follow me, okay?” he insisted. “Let me check out first, and then we’ll go.”
He took the cough drops to the counter. While he was paying for them, she called the office and explained that she would be late returning to work that afternoon: “A medical emergency. I’m not sure really. Hopefully by three o’clock.” She hung up and put the phone in her purse, listened to the cashier clearing his lungs. Glancing at him, she saw two dim blossoms of what must have been cancer showing through his polyester shirt. Cancer or maybe emphysema.
A mid-afternoon gloom had settled over the city, making the trees darker than the sky. A light rain was falling. As she followed Dr. Alstadt to the hospital, she thought about all the times she had sat in the backseat of the car when she was small and her parents were young and they were driving her to church or to school, watching windblown fleets of raindrops chasing one another across the glass.
——
The hospital’s main doors opened onto an atrium with a gently sloping ceiling of metal trimmers and polished glass. She kept looking up at the rain on the roof and then down at its reflection on the floor, hundreds of semitransparent shadows that flowed across the tiles like snakes. A bird had built its nest into one of the ceiling’s upper struts, and she wondered what it did on days like this: Did it tuck its head beneath its wings or just stand there stolidly and wait for the weather to turn?
She followed Dr. Alstadt down a chain of hallways and through the emergency ward, where a nurse was sorting patients into admission groups, saying, “Green group, green group, yellow group, green.” In the last few weeks, it seemed, the hospital had established a system of treating patients based on the strength of the light emanating from their bodies. The Illumination had ushered in a new age of critical care. Doctors no longer had to rely on their patients to tell them how badly they were suffering. “Head light and heart light take priority, of course,” Dr. Alstadt told her, “along with any obvious major traumas. Then we take all the other lights and make a visual determination of their severity.”
The walls were tilting toward Carol Ann suddenly. She became aware that he had paused between sentences, and she made the noise she seemed to recall normal people making when they wanted to show an interest in something. The doctor steadied her with his hand. “Good Lord. You’re really not feeling well, are you? Let’s get you a bed.”
He showed her into an examination room.
“You rest here a minute, and I’ll go find the vascular specialist.”
The curtains ballooned outward as he left, then settled back against the window. She saw that the pain assessment chart, with its six faces transforming from glee to agony, had been taken down from the wall. It was no longer necessary, she supposed, now that the Illumination had taken hold. She felt a pulse of blood traveling through her thumb, too much of it for so small a space, and she closed her eyes and waited for the twinge to pass, and before long Dr. Alstadt had returned with a young Indian man he introduced as Dr. Kimberley, his neck starlit with a fresh shaving rash.
Dr. Kimberley said, “I understand your injury has been misbehaving on you, Miss Ann-Page. Let’s see what we can do about that. May I?” He removed her glove and took the base of her thumb between his fingers, pressing against the two indentations the splint’s metal stays had left there, compacted to a smooth pale sheen. He was like a carpenter using a wood clamp, and as he tightened his grip, she watched her thumb change colors, instantly reddening below the line of the cut and gradually pinkening above it.
Dr. Alstadt made a grimacing noise with the corners of his mouth. Dr. Kimberley shook his head. “You see,” he said. “This is what happens when you skip your follow-up appointments.”
“But I didn’t