‘The rib’s OK – just badly bruised. But do you see this?’
The emergency room doctor looked at me with a mixture of concern and professional excitement. He had clipped the X-ray to a light box on the wall, giving me a monochrome view of my own rib cage and cloudy interior.
‘This whiter spot here . . .’ Pointing between two spectral ribs. ‘I can’t say for sure, but I think we may be looking at an early stage of pulmonary tuberculosis.’
I followed the finger to what did seem a solider brightness in the blurred milky webbing to the right of my spine.
‘The bacillus leaves calcium in the tissue, which shows up harder than other kinds of scarring. This is hard, though it’s small still. My guess would be that you haven’t felt any symptoms yet. Any blood in your spit?’
‘No.’
‘Sore throat? Persistent cough? Weight loss?’
‘No.’
‘I didn’t think so. Well, I can’t say for sure till we do a sputum culture, but I must tell you this looks like classic TB shadowing here.’
‘I thought TB had been wiped out.’
‘Well . . .’ A young man with the wispy beard and palely burning eyes of a Wandervogel in photos from the twenties, except that a shifty movement in them now suggested someone after all not so unfallen: ‘You’re right, of course, it has been wiped out here in the GDR, but we do occasionally see a case of, well, foreign infection.’ A man in whom, like me, the cord had been prematurely cut. ‘Have you travelled abroad? I mean, to the West?’
‘No.’
‘Other members of your family?’
I shrugged – or rather, animated the shrug that by now resided permanently in my shoulders.
‘My father used to travel to New York.’
‘New York? I think we need look no further.’
‘That was several years ago.’
‘Yes, well, this could easily be an old infection, recently activated, assuming it is TB, which I don’t want to say for certain at this stage . . .’ He eyed me intently – trying, I sensed, to rouse me to a more appropriate level of anxiety, or at least curiosity, about my possible plight, than I was showing.
‘What happened, by the way? The nurse said you’d had some sort of accident? A fall or something?’
‘I was running down some stairs,’ I told him. ‘I tripped on a loose stone and just – went flying.’
He gave me a look that may or may not have had the Brandtian sneer of scepticism I projected into it.
‘That’s all?’ His eyes seemed to flicker briefly over my throat.
‘Yes.’
His interest in the circumstances of my arrival at the hospital, where I had taken myself after two days of privately endured pain, thinking I had broken my rib, was probably without ulterior motive. But by that point in my life – I was seventeen – concealment had become second nature to me.
A nurse took a sputum sample. Two weeks later I was informed that tubercule bacilli had been cultured from the sample, and that I should report directly to the hospital, to commence treatment.
So. I had become sick. Quite possibly, I had been sick for some time; sick with something to my ear unequivocally fatal-sounding. It was curable, of course, and the doctor who took charge of my case had no doubt that I would make a full recovery, but this fact seemed to me a minor detail in the overall picture the diagnosis presented to my imagination. This was one of the great annihilating instruments by which nature periodically winnowed out certain forms of weakness from the human species. In identifying me as a bearer of this weakness, she had confirmed a sense that had been growing in me over several years: the sense that I was, to all intents and purposes, already dead.
I went for my examination every week at first, then every month. My temperature was taken. I was weighed. A nurse stuck a clean cardboard tube into a spirometer. I blew into it while the stylus recorded my lung capacity on the revolving drum of graph paper. From the nurse’s room I drifted somnambulistically on towards the deeper and denser space of the X-ray room. In a cubicle with a poster of Erich and Margot Honecker greeting the Ceausescus outside the Kremlin, I removed my school shirt and jacket, then stepped into the chamber itself, where the radiologist fastened a lead girdle about my waist to protect my seed, my orange seed, then positioned me against the backing plate, angling my shoulders forward to touch the cold metal. ‘Now take a deep breath,’ she would say, at which, with a soft buzzing sound like the perpetual buzzing in my own ear, the rays would probe into me.
I felt as if I had gone back underground, back to the place of obligatory yet never fully explicable rituals that I had submerged myself in during my storage room phase, repetition once again endowing each stage with a gloomy ceremoniousness. After the X-ray, the forty-minute wait in the passage outside the changing cubicles. Waste bins overflowing with phlegm-sodden tissues. Metal chairs attached to the linoleum –bolted to it, as though a weakness in the lungs had been found to predispose a person towards chair theft. Then a summons down a further set of corridors to a small waiting room, the antechamber to the offices of the physicians themselves. Quieter here; silent, in fact; the silence of thought finally undistracted from mortality – the contemplation of an emphysema here, a pleurisy there, there a lung cancer. My name was called and I walked to the numbered room where my physician awaited me – not the young emergency room doctor but an older man, Dr Serkin, an enigmatic person whom I lacked both the means and the will to understand at the time, and whom even now I find difficult to bring into clear focus.
He was about sixty. Sixty during the seventies, which meant already twenty and thirty during the thirties and forties. A survivor, then; veteran of the nazification, the denazification, the Marxist-Leninisation of his profession. At first his manner was distant, with the remote, deliberate calm of someone practised in the art of inward emigration. I associated him with the machines – the ancient, cumbrous, beige-enamelled machines – that stood about in the various rooms I passed through on my way to his. He seemed to aspire to their condition of imperturbability, and he projected something of their contained, humming power.
‘Come in. Sit down.’
I sat beside him at a table under the mounted light box. My case notes lay open on the table. Beside each entry was a small pictogram of my lung, which Dr Serkin drew meticulously each week in turquoise ink, with arrows pointing to a mark that represented the infected patch.
‘How do you feel today?’
‘All right.’
‘Still orange?’
‘Yes.’
‘How many of me do you hear at the moment?’
‘Just one.’
‘Any buzzing?’
‘All the time.’
He glanced at the notes.
‘Here – do you see something?’ Pulling out a blank sheet of paper, he thrust it towards me. A bluish radiance quivered briefly across the white surface.
‘Yes.’
Having felt no symptoms of the illness itself, I was now suffering in numerous ways from its cure. The dense orange capsules of isoniazid I took every morning dissolved in my system like blocks of indelible dye, staining all my bodily fluids an unnatural sunset colour that made me feel like a creature from another planet whenever I sweated or ejaculated. Overstressed by the toxicity of the pills, my liver sent thick drifts of floaters up across my visual field. Sometimes when I looked at a blank sheet of paper I saw palpitations of blue light flicker off the whiteness. My hearing too had been afflicted: a sound like the roll of a soft, insistent snare drum played continuously in my left ear. Occasionally a single voice addressing me would refract into a whole chorus of voices, all declaiming the same words like a massed, menacing choir. Strange as they were, these phenomena seemed to me entirely natural: it was fitting, somehow, that a dead person should see the world of the living through a veil of swarming small print, hear it through a perpetual buzzing or rustling in one ear. Even now, when I learn of a death, the image that comes into my mind is of the deceased person suddenly thrust into a realm where the inhabitants all suffer from acute tinnitus and weep fluorescent orange tears.
In his remote fashion, Dr Serkin seemed to find these side effects amusing, or at least intriguing, and by association I myself seemed to grow fractionally more interesting in his eyes. As the weeks passed, I sensed a distinct desire on his part to communicate. His habit of mind was apparently such that anything he wished to say had to negotiate its way through a labyrinth of defensive caution, and consequently tended to come out in the form of odd little non sequiturs or else remarks too elliptical or ironic for me to fathom. Not that I was interested in doing so, any more than I was in his more direct attempts to make me open up about myself; an attitude that in retrospect I regret, as I suspect now that he was trying to help me.
After the questions about my side effects, he would exchange his look of private amusement for a more businesslike expression, gesturing at me to remove my shirt so that he could begin the painstaking auscultations that preceded the examination of the X-ray. I sat there passively while he tapped and thumped me, listening through his stethoscope to the secret, involuntary confessions of my body. Once, while he was doing this, he began to question me quite insistently:
‘So you thought you’d broken a rib? That’s what brought you to the hospital?’
‘Yes.’
‘Fell down some stairs or something?’ Tap-tap-tapping my sternum.
‘Yes.’
‘How?’ Inching the cold stethoscope across my chest.
‘I was running. I tripped.’
‘That’s all?’
‘There was a loose stone.’
‘It’s interesting that your heart starts pounding like a jack-hammer when you tell me this.’
He glances at me. His eyes are large and distantly kind. Unillusioned, but without cynicism. Cord intact. Taking my X-ray from its folder, he clips it to the light box and puts the previous week’s X-ray up beside it for comparison, switching on the light.
‘The duty doctor who admitted you mentioned he’d noticed abrasions around your throat. What would that have been from?’
‘I don’t know.’
‘Was somebody trying to strangle you?’
The choral effect kicks in.
‘No.’
‘None of my business, eh?’ Fifty voices interrogating me in unison. Commas and colons raining in thick squalls across my eyes . . . I dispense a shrug, saying nothing.
‘By the way, you have an unusually large lung capacity. Did you know this?’
‘No.’
‘In the old days that would have been seen as the sign of a tremendous élan vital.’
Sullen monosyllable from the patient.
‘Which was not unreasonable, given that the oxidation of tissue is the basis of life, and that the lungs provide the means for that oxidation. Would you say that describes you, an unusual vitality? Stefan?’
‘I don’t know.’ Withdrawing into the tightest corner of myself.
‘It’s true, you seem more a Werther type than a Mynheer Peeperkorn . . . But on the other hand . . . well . . . under certain circumstances certain qualities take the form of their opposite. Like a tarot card upside down. Only sometimes it’s the context that’s upside down, not the card, if you take my meaning. I assume they teach you the tarot at school?’ A sudden sardonic glimmer; it and the words themselves vectoring on a point too remote from my frame of reference for me to locate.
‘No.’
‘What are your plans in life, Stefan?’
‘I don’t know.’
‘I had a son a few years older than you. An engineer. He wanted to design a car. A fast car. A beautiful fast machine for travelling on the open road. By which he did not mean a new-model Trabant on the Allied Transit Route.’ He gives a dry, violent laugh. ‘And by the tarot, I mean of course the socialist tarot. The Theoretician. The Party Chairman. The Enemy of the People. The Hanged Comrade. That’s one for you, perhaps, Stefan?’
I see myself beside him at the table, my guard too firmly up against further questioning to take in anything he might be trying to convey to me, let alone anything instructive in the sight of my own rib cage hanging luminously before me on the light box. And I see Dr Serkin peering at the two images, into them, rather, as if he were staring into deep space. The ethereal skeins of tissue, the ghostly vein branches outlining the lungs’ lobules of infundibula, look like maps of the heavens, full of star clusters, strange nebulae, hazy auroras. Closing one eye, the doctor holds his pen up to each X-ray in turn. With his air of powerful, suppressed disquiet, he seems less like a doctor than a tutelary spirit, trying to lead a reluctant initiate to the brink of some new realm of knowledge. A Fluchthelfer.
‘What happened? Did you try to hang yourself?’
‘No!’
From a tree in an old quarry in Friedrichshain, Dr Serkin. Overlooking the Spree River. A birch tree with its own diseased core; a rotten branch that broke when I jumped. I didn’t know then that a birch among taller trees was more than likely to be dead; light-starved, decaying from within. I fell onto my back, then the heavy branch, still roped to my neck, came crashing down onto my rib. Not so much a Werther type as a circus clown.
‘Well, anyway,’ says the doctor, ‘Felix culpa. Isn’t that what they say? Lucky fall? I mean, if you hadn’t fallen, you wouldn’t have found out about the TB – perhaps until it was too late.’
You mean if I hadn’t tried to kill myself, I might have died? Is that what you were telling me, Dr Serkin?
He never mentioned his son again, and I never asked what had happened. One has to feel vaguely human oneself before one can start caring about other humans. Sorgen: to care; so much more absorptive, somehow, of the world’s sorrows than the English word, but not a part of my active vocabulary before I met Inge.