You Are Not a Stranger Here - Adam Haslett [9]
Frank got this all the time: old ladies asking when the doctor would be in—a useful icebreaker, but he wasn’t in the mood today.
“I’m here to see Mrs. Buckholdt,” he said. “I assume she’s home.”
The man looked out across the fields, the horizon molten in air heated thick as the fumes of gasoline. The expression on his face changed from scrutiny to the more absent look of recollection, as though he had suddenly lost interest in their conversation.
“Yeah,” he said, almost to himself. “She’s in there.”
Then he crossed the porch, past Frank, and wandered out into the yard.
“MRS. BUCKHOLDT?” FRANK called out, blinded momentarily by the darkness of the front hall.
“Down in a minute,” she said, her voice coming from somewhere up beyond the stairwell.
Ahead in the kitchen, a cheetah chased a gazelle over the screen of a muted television. Frank could see the back of a boy’s head silhouetted against the screen’s lower half, the rest of him obscured by the counter. The house smelled of stale candy and the chemical salts of cheese-flavored snacks.
A bookcase stood on one side of the living room and a picture he couldn’t make out in the poor light hung on the wall opposite. Two large Oriental carpets covered the floor. He put his briefcase down on a torn leather armchair and took out Mrs. Buckholdt’s chart, which he would have read by now if he hadn’t been in such poor shape this morning.
After getting thoroughly drunk, he’d done the really smart thing of calling his ex-girlfriend, a woman in his program he’d dated toward the end of their residency. They had gone out for six months, which, at the age of thirty-two, was the longest Frank had ever been with a woman. If he hadn’t seen so many patients with romantic lives more desperate than his own, he might have considered himself abnormal. Anne had flown out from Boston a few times when he first got out here; he’d convinced himself that one day he would ask her to marry him.
“Glad to hear you’re still out there saving the world,” she said, after he made a few comments he regretted now. She knew he’d come out here with the idea that he’d be given the freedom to practice the way he wanted to, which meant more time to talk with his patients. Wanting such a thing seemed almost renegade at this point in his profession, given the dominance of the biological psychiatry they’d been trained in, a regime Anne had never seriously questioned. They’d argued about it plenty, always ending with her calling Frank a romantic clinging to an old myth about the value of talk. But no words of hers could change the fact that Frank had instincts about what it meant to spend time with the people he cared for, and they involved more than picking a drug. He knew his patients sought someone to acknowledge what they were experiencing, and he knew he was good at it, better than most of his colleagues.
At medical school, they all joked about the numbing: from four months spent dissecting the body of a dead man, cutting into his face and eyes, to seven hours clamping open a woman’s chest, only to watch her expire on the table—whatever the particulars, it didn’t take most people long. And then in residency, schizophrenics trembling in psychosis, addicts, manics, beaten children. Frank joked too. But he always felt odd doing it, as if it were a show to prove he was adapting like his peers. The fact was he still felt like a sponge, absorbing the pain of the people he listened to. Privately, he considered it the act of a certain kind of faith. Never having been a religious person, empathy had taken up the place in him belief might have in others.
Trying to ignore his headache, he skipped over the internist’s report in Mrs. Buckholdt’s chart and went straight to the psych note: forty-four-year-old woman with no history of major mental illness in the family; first presented with depression following death of her eldest son, four years ago; two younger children, boy and a girl. When he scanned the margin indicating course of treatment, he saw how shoddily her case had been managed.