at his phone. There was something almost sinister about its symmetry, which was far from perfect and yet obvious and undeniable. Dark veins forked away from its spine. On its back surface, they stood out, like girders under a roof. On the front, each vein was a channel grooved into the red flesh, draining it like a system of rills and creeks and rivers, or feeding it like capillaries in an organ. It was a little triumph of spatial organization, like the state of Iowa, replicated millions of times along the length of Cherry Street and about to become mulch in the gutter. He decided to spare this one such an ignominious fate and slipped it into his bag. Later he would show it to Sophia.
He became aware of being looked at. A boy of perhaps twelve was walking up Cherry Street. He had recognized Richard and was approaching, to the mild consternation of his adult minder—presumably his father. On his left forearm he wore a newfangled plastic splint, the kind that made the wearer look like a bionic superwarrior instead of a damaged gimp. And indeed the music of Pompitus Bombasticus made his final approach to Richard seem like the triumphal entry of a hero into Valhalla. With his good hand the kid was fishing his phone out. He would want to take a selfie with Richard so that he could post it and achieve, at least for a few hours, the Miasma’s equivalent of Valhalla-like glory. Richard obligingly pulled the phones from his head and let them encircle his neck. He shook the boy’s hand—this was awkward because of the splint and the phone. Followed at a seemly interval by the adult, the two of them walked side by side for half a block. The boy was a heavy player of T’Rain. He was smart and appealing, with well-formed and completely reasonable ideas on how to make the game even better. They drew to a halt in front of the entrance to the clinic. The kid’s monologue continued, Richard paying attention and nodding, until the father, sensing the nature of Richard’s errand, intervened and directed the boy to wind it up. The boy had, while talking, got his phone configured to take a selfie, which he now did. He was narrating as he did so and Dodge understood that he was not taking a still photo but a snippet of video, more difficult to counterfeit and thus, when posted, more cred enhancing. He shook the kid’s hand and exchanged nods with the dad: Over to you. The kid had got a mildly stricken look on his face; it had occurred to him that Richard Forthrast might be sick.
That’s what medicine was to kids: an acute response to disease. When you got older you understood it was more like brushing your teeth: a system of highly evolved strategies for preempting bad things that could happen to you if you took no preventive measures. Part of him wanted to explain this to the kid, to assuage his little pang of anxiety, but the conversation had gone on long enough and was over now. He went into the building musing on the weird role that his society had picked out for him as a guy who had built, or caused to be built, an imaginary world.
No expense had been spared on the interior design front to make the building seem as little as possible like what it really was. They had even eschewed a traditional matter-based directory in favor of a touch screen. Dodge employed this to remind himself which floor his appointment was on. The thing read like an electronic compendium of maladies. To browse it was to be grateful for all of the things that had not yet gone wrong with his body and his mind. Almost as miraculous as life itself was the number of ways it could end, or at least turn into a living hell. And for each of those there was a different, exquisitely evolved medical sub-subspecialty. He almost felt that he was failing this stupendous industry by not being sick in any interesting way. For today’s procedure was utterly routine, a thing done a thousand times a day. He found his destination on the screen and walked to the correct elevator bank, casting a glance toward the entrance to the parking garage just in case C-plus might happen to show up. But this did not happen and so he had the elevator to himself at first. His clinic was on a high floor. En route, people with various impairments got on and off. Either they were lost or else they were being transferred between cooperating sub-subspecialists. For the most part they were oddly cheerful. Beyond a certain point it was all just kicking through wreckage.
A prominent sign on the check-in counter at the clinic read, PATIENTS: DO NOT EAT OR DRINK ANYTHING BEFORE YOUR SURGERY. But it gave no instructions as to what you should do if it was already too late, and so Richard socked it away in the same round file as the cancer warning signs that were posted on every single flat surface in the state of California. The nurse who was checking him in asked whether he had anyone lined up to take him home. Richard pulled out his phone, shingled with texts from Corvallis Kawasaki complaining of traffic delays, and held it up as a sort of affidavit that his ride would be here long before he was needed. On went the inevitable plastic bracelet. They led him back and had him change into the obligatory gown. An unseemly fuss was made over his wallet, phone, and other valuables, for which they wanted it understood they could not be responsible. Dodge once again scented lawyers with too much time on their hands. He heard C-plus’s voice outside, and thought of calling out a greeting, but didn’t really want to be seen or communicated with in the bracelet and gown—these made him seem sick, which he wasn’t. The pace of preparations was accelerating almost exponentially. Dodge got a clear sense of the proceduralist doctor as a cash cow of such fiscal immensity that his time and movements had to be scheduled and accounted for as carefully as an airline did with each 737. Dodge’s slot was next. They invited him onto a gurney and wheeled him into the procedure environment. An IV was started and taped to his arm. Sensors were clamped to his fingertips and Velcroed around his bicep; machines came alive to him and began to display information about his vitals. He knew where this was going. They were about to render him unconscious with amazing pharmaceuticals. In a minute, Atropos would snip the thread of his consciousness and he would, for all practical purposes, be dead. But when the procedure was finished Clotho would resume spinning his thread and he would come back to life as if it had never happened. It was weird stuff from that deeper and older stratum of myth, pre-Greek, pre-Norse, definitely nothing he would share with Sophia later, when he showed up at her house with the books.
A man came in, presumably the doctor since he didn’t introduce himself and seemed to expect that Richard would know who he was. He mentioned that he had a character in T’Rain and began to ask questions about a certain technicality in the rules of the game. Richard was already getting a little foggy, but he understood that this wasn’t a real conversation. The doctor just wanted to know when the patient had lost consciousness. They must have injected the drug into his IV line. New qualia: a mask over his nose, cold dry gas flooding his nostrils, a hiss. Atropos snipped his thread.
Corvallis Kawasaki had, in a funny way, been looking forward to the day’s activities, or lack thereof. His job was to show up in the waiting room of a certain medical specialist, wait for Dodge to come out all groggy, get him into a car, and then take him to some combination of movie and lunch. Compared to what he normally did for a living, it was simple. It was also physical. Not as physical as skiing or welding, but much more physical than his job, which consisted of moving pixels around on screens in certain ways that were projected to be highly lucrative.
There was some professional guilt entailed in taking the day off. He assuaged it in the waiting room by opening up his laptop, connecting to the building’s guest network, establishing a secure link to his company’s network, and writing a number of emails. These were all more or less calculated to hurl tasks into colleagues’ laps, which he reckoned might keep them off balance long enough that they wouldn’t miss him while he was taking in some kind of stupid action movie with Dodge. As he always did while working, he went into a sort of flow state that must have lasted for about half an hour. At the beginning of it he was conscious of his surroundings: patients biding their time, receptionists checking people in, medical personnel in scrubs striding to and fro on their sensible shoes. And, just for a moment, Dodge’s voice heard dimly from the back, making a crack as he was wheeled to the procedure room. Nothing that needed concern him at the moment. Into the universe of email he went, and abided for a time.
He was vaguely aware that people were, all of a sudden, distressed about something. This almost pulled him out of his reverie. But he knew that, whatever was going on, there was nothing he could do about it. People got stressed out at work all the time. It was not his problem.
He did raise his head