7. The man who pondered his death at Christmas lived alone with a roommate deep in one of America's nameless suburban cities. He was alone when we came to him, sitting on the edge of his bed: it would be several hours until he went for Friday night sushi with a couple of friends. He hammered away at a laptop that sat open on his knees, typing up some kind of email or forum posting. He was not in the least fazed when we simply appeared in the room.
"Have a seat," he waved at us. "More visitors in my own mind, I guess? Figured I'd be getting worse around this time of year. I'll be with you in just a moment."
"We have budgeted a small amount of time for this," said the Undertaker. "Waiting is not an option."
"So impatient, every time I see you," the man shook his head. "I don't see the need to hurry if we're just going to have the same argument we have every year. Why don't you go and help some of my friends, instead?"
He pointed to the laptop, which contained his friends only in an indirect sense.
"Your friends' survival is not at issue every single year," the Undertaker admonished.
The man on the bed was squarely in the middle of middle age, a bit bearlike and flabby, though I would hesitate to call him fat. I was confused. I would not want to be this man, but I would not consider being him any great disaster either. I would be much taller, and surely the weight could be brought under control? Yet here we were, and apparently we had twelve minutes, or something, to persuade him that life was better than death.
His face looked kind, and his demeanour, until we angered him, was pleasant and self-effacing. With the right outfit, glasses, and a long white beard, he might creditably have been employed as a mall Santa. His eyes were perhaps just a bit too wild to be a good fit for the role, and his manner a shade too fidgety. He twitched his knee as he continued to type on the laptop, which did not seem comfortable, and when he paused from typing he would clench and unclench his hands, stretching out the fingers as far as they would go and looking at the fronts and backs of them. This was done repetitively, as though on autopilot.
Shaking his head, the man finally slammed his laptop lid shut.
"Everyone is so far away and there is nothing I can do… well. I'm ready to listen to whatever spiel or sales-pitch you've got this year. You brought these two characters, I see. Hello. I appreciate your taking the time to drop by, but my head is already very crowded and I don't see what new insight you could bring to my problems. Would you like some tea, by any chance?"
"Perhaps you could tell them about your problems," said the Undertaker, "before you make assumptions about their insight."
The man gave a disgusted scoff.
"My problems? Well, I can give you a basic overview about my problems. My job is soulless, the doctors can't help with that. The people I care about aren't in this city, and the people in this city I don't care about as much. It's an effort to get through the day without an anxiety attack or tearing someone to pieces with rage. The only thing that keeps me in one piece is the writing and the people I write for are somewhere in the Internet. And even there we're constantly arguing and letting each other down these days. Nothing complicated.
"Since you've barged into my life, I can ask you directly: why are you here? What reason are you offering for me to stick around that I haven't already tried, worked hard and suffered for, only to find that reason failing me?"
Unconsciously, he began again to clench and unclench his hands.
"You realize," he continued, "this isn't the first year I've found myself having this conversation with fragments of my own mind. Every year I've done this and every year I've brought pain to more people and finished with fewer and fewer reasons to do the few things I keep trying to do. My personality seems to be bad enough – with the number of people I'm causing to suffer, you can't make the argument that I'm doing this to help anyone else. Then again, it's not as though they haven't hurt me either. But that doesn't change the fact that what I'm doing is wrong. Whether other people are angels or devils, I should be able to get along or to let go, and I haven't been doing either.
"And you know what gets to me? On paper, this shouldn't be happening. I know full well how many others have life worse than me, and how much worse. I have a roof over my head. I have a job. I have some friends. I don't worry about making ends meet next year. I know what kinds of things make me feel a little better and what makes me feel worse. I should be able to find a way to make this work. But the despair doesn't care! It doesn't care that I have what I need, or if I treat other people better or worse, or if they treat me better or worse, or how many doctors I see. It's not a punishment or an illness I could fight. It just slowly eats away at my life until everything is worthless.
"So, do you have any clever solution for such a problem?"
He fell silent, and I wasn't sure I could answer anything. I wasn't sure what I'd been expecting, but this was too much of a conundrum to be dropped into so abruptly. I looked to the Undertaker.
But the Undertaker was looking at Forbis sternly, like an examiner watching to see if the student will pass or fail. Forbis bit her lip.
"Ok… let me try to understand from the top. The thing that's happening, that you can't deal with," she began, "is anxiety attacks?"
"That's like calling a hurricane a 'moderate rainstorm'," the man replied mildly. "A rainstorm starts and stops. This is agitation that builds slowly and goes on and on until it blows everything over. Ever heard the phrase 'no rest for the wicked'? I suspect that it could apply to my condition."
"You mean 'those people' you say you've been guilty about hurting? If it relates to that, could you maybe explain to us a little less vaguely?" Forbis pressed. "You know, maybe the fact that you keep skipping around the issue means there's something you don't want to admit to yourself."
The man on the bed remained silent, his eyes fixing Forbis with a calm, stubborn, unyielding stare.
The Undertaker nodded with sudden insight.
"A valiant first attempt, Mu Forbis," he said. "But I do not think that is the case. This man holds those he talks to in high esteem. He will not tell their stories because they are not his to tell, even to people he believes to be imaginary. I suspect that we cannot find the source of his problem with this line of inquiry. Everyone sins, and everyone brings pain to others, Internet or no Internet. The man is not unique in this regard. And the suffering we see in him is not the ordinary sin-consciousness meant to cause the wicked to repent and live. It should not reach such an unbearable pitch over any Internet-forum matter.
"Even should this man's acquaintances cause him to perish, they may not feel the guilt of it as strongly as this man feels over far simpler matters. We are perceiving here a tentacle of the Great Despair."
He turned to the despairing man.
"Finally I begin to perceive what has been happening to you, though I do not yet understand why. In previous years, we talked often about sin, forgiveness, and restitution. But you did not know the right words to describe your difficulties because you were trying to use fair-weather language to describe a curse fit for ancient and forgotten myth. To name it, we need poetry and scripture and, perhaps, a pretentious name out of my old language that will make the essence of the thing properly manifest to others."
I was paying careful attention now. Naming was very old magic and did not always work out exactly as the Namer intended.
"'
AKATHISIA,'" proclaimed the Undertaker. "'And it came to pass that, after Job had been restored to his wealth and his estates, Satan came again before the LORD and asked for one last temptation. And Job was cursèd with a desolate wind throughout his soul. And the wind was within Job when he slept and when he ate, when he sorrowed and when he was happy, when he stood still and when he wandered. And though not one hair fell from his head and his limbs remained hale, Job wept within himself, and went to the desert places and sought to dash himself against the rocks, because he was robbed of the very peace by which he had been able to accept from the LORD all things both good and evil.
"'And he prayed to the LORD, saying, Take this temptation far from me; let me perish by thy hand, or else I will perish by my own hand and so defile thy creation.
"'And the LORD questioned Satan most sternly, how he had worked this abomination; but Satan replied How indeed? Have you not given your servant power to choose Good and Evil? How strangely you have formed your servant, that he resisted the loss of all his wealth, the sorrow of the deaths of all his children, the torture of the festering sores on his body, the weather of the desolate waste and the calumnies of his comforters, but I make the wind blow in his soul just a little and look! he falls over like a rotted tree. I have only made the wind blow a little in his soul, but he has chosen Despair because of this. As far as you have framed the rules, it seems your servant is beyond salvation.'"
"Sounds about right," the man on the bed agreed, his mouth set in a thin line, "but the doctors say 'bipolar' and leave it at that."
"That wasn't in any Bible I studied," Forbis objected.
Being a somewhat-Churched Elf, she did not care for people to add things to the Bible even for rhetorical purpose.
"No, I should certainly hope not," the Undertaker said. "And that goes to show there are evils in our time that were not known in the time of Job. The question before us now is to find the source of this new evil, and the proper way of confronting it."
"Ah, I'm not convinced," Forbis objected again. "The times and problems may be different, but the solutions given to us are the same in all ages. I've been hearing plenty about doctors, but I've heard nothing about real medicine for this kind of situation: prayer and fasting."
Well, Forbis certainly knew how to go for the neck. No attempt to gradually ease this man into the idea of completely changing his worldview.
Now, I cannot be considered a religious person by any means – my parents' lackluster Presbyterian churchgoing never interested me, and as for the philosophical content of religious belief, well – I mean, I didn't see any particular reason why God should exist, but I didn't see any particular reason why God shouldn't exist either. But the notion that I couldn't make sense of, that I certainly couldn't see happening, and that even made me a little bit angry – there is plenty more vitriol I could unleash on this subject – was the idea that an intelligent and compassionate God would subject His intelligent creations to the kind of petty, all-or-nothing 'believe or burn' head-games that so many monotheisms sooner-or-later accused Him of, while thinking their accusations to be flattery.
But, all that said….
If I looked at the idea of prayer and fasting from a detached and anthropological perspective, there was a certain logic to the suggestion. Particularly coming from a person like Forbis, an elf of ancient lineage, as opposed to a representative of the more Wonderbread type of Christianity that most people in America have heard things about. Let me try to explain. As far as I knew, Forbis was raised in some kind of ultra-Byzantine descendant of the ancient Church that was, in essence, too medieval to even be Roman Catholic. Strange and brutal as their worldview might be, it was forged in a world where strange, brutal things happened to good people for unclear reasons and everyone just lived with it. The book of Job in the Bible, come to think of it, was a good-enough illustration of that world.
And what they had as a result was a wealth of knowledge and practice regarding the proper way to live with suffering. The ancient Church cultivated the attitude that illness, disaster, misfortune, even possession by demons
1 were to be considered not as misfortunes to avoid, nor even as divine punishments to fear – the exact type of hackneyed reasoning that the book of Job had been put into the Bible to denounce – but as learning experiences that, when granted, should be humbly and gratefully endured for the preservation and growth of one's immortal soul.
(*1)
Unfortunately, the existence of demons does not serve as a sufficient proof of the existence of God, contrary to the fevered claims of apologists.
Now, I don't know if I would agree with that theory. But for a man who was beyond all optimism or positive thinking, such a bleak life-purpose might actually be the correct one. By no means do I want to minimize the immense suffering of a person with bipolar disorder, but it would not seem to be quite as bad as prolonged demon-possession
2. Certainly if I were told I could become either a fundamentalist or a suicidal person, I would, with a weary sigh, opt to become a fundamentalist. That may well work where all the knowledge of doctors and psychiatrists had apparently failed.
(*2)
Note from the scribe: I would expect that Simon got his knowledge by borrowing from Forbis' collection of moralizing and hagiographic literature. By way of example, not necessarily taken from the books in Forbis' possession but very similar to them in spirit, I can remember a story in which an Elder refused to cast out a demon from a possessed woman on the grounds that enduring the possession would be better for her in the long run. When I went to look for that story, I was unable to find it, but it did not take long to come across an even more intense example of the same worldview:
Another holy text of the 4th century relates how a certain Egyptian Sage, on account of his holy and undefiled manner of living, was granted remarkable gifts in the art of Thaumaturgy. The fame of him spread far and wide. Discerning in himself the beginnings of Pride, the Sage began to pray to God that he be sent demonic possession. And this request was granted by the Lord.
The elder spent an entire eight months in a hideous state, even eating for food his own —. His worldly admirers, seeing him in such a state, changed his good repute into a bad one, as was intended, while the Sage, having rid himself of the demon in due time, was now able to do the Lord's work in obscurity and peace, thereby receiving a far greater spiritual profit.
So you see that a possession is so much less of a weighty matter when compared with the danger of accepting some thought from the Enemy that is capable of damning the soul for ages.
– from 'Selected Letters of St. Ignatius Brianchaninov', #126 'Regarding temptations and demonic fears; proper behaviour during a time of temptation'
From which I may conclude that to become a celebrity is worse than being possessed by demons.
Of course, it was one thing to convince myself of the grim sense of Forbis' idea, while knowing her background, and another thing to communicate the same background to the man himself. There was also the small problem that a church of sufficiently ancient wisdom was unlikely to be found in this man's city.
The silence that ensued was certainly awkward. The man on the bed looked at Forbis with an expression that wasn't so much hostile, but it was quite odd. It was the Undertaker who finally spoke, and to my surprise it was he who sounded exasperated at Forbis' suggestion:
"Do you mean to mock this man's suffering? Needless to say that when you are desperate, but not yet despairing, you will try everything that comes to mind! So how are you to know he has not already tried prayer – with all the sincerity of someone with nothing to lose, and nothing to gain if his doubts be proved right? And the answer to that prayer is, perhaps, that we have been sent – or people much like us, with even more modest power to help."
"You don't know anything at all about me if you think that kind of thing will solve it," the man on the bed said slowly and with building anger. "Do you know what I was doing when you guys appeared? I was talking to friends out there. Both here in my town and out there on the Internet there are people I care about. I have talked with some of them for years. I don't know if I can draw any more strength from this connection. Maybe it's all a delusion and a lie, to say that any of us are really important to each other, but I don't think so. Maybe all we've done is hurt and betray each other. But it still matters to me that some of my people are out there.
"Even if I feel so sick I can no longer live, I still want them to be there. Even if the universe is hopeless for me, I don't want it to be hopeless for them. You're not the first people to tell me this, and my answer is still the same. What you're offering is not even an option. 'Fasting and prayer', however well they work, come from a world where people just think of themselves and whether they'll be 'saved' or not. Caring about other people, whether they'll live or go to Hell, is an impossible luxury in that world. I can't go there. I would rather be in a world where other people matter, even if that's a world that gives no way or reason or me to live."
So that was the reason, on top of the man's illness… Internet friendships. They certainly felt real enough to matter, and somewhere on the other end of them were real, actual people. But none of these friendships were real in the most important way, the way in which real friendships might have pulled this man back from the abyss. That was my guess, at least. But again, where would I tell him to find in-real-life friendships of the necessary depth? People in real life had plenty of reasons to fear and avoid speaking their true minds.
"If I'm not able to be happy, then I am going to look at whether my existence benefits people or not objectively," the man said. "I said that to a therapist and was told 'You don't have a good appreciation for the difference you make' and 'Everyone needs to take care of themselves first and foremost; if there's even a chance you could be happy, shouldn't you be selfish and fight for it?' But how selfish should I really be? Am I going to continue making other people miserable? Is there any way to avoid it at this point?"
"The pursuit of happiness is a falsehood no less than judging your own life by the benefit of others," the Undertaker replied. "You were not put on this Earth to be happy or to make a difference. A thing worth doing is worth doing badly. Even if you were the blackest villain and your every breath poisoned the world, your Creator has found meaning enough in your life to support it."
"Well," the man replied, clenching and unclenching his hands again and again, "support it in all possible ways but one, it seems."
"Aargh!" Forbis threw up her hands in defeat. "I can't take much more of this. You can argue with him about the Creator – I'm going to clean this room."
The room looked clean enough to me, but a Christmas Elf's definition of 'clean' was completely different from mine. So I could trust that this wasn't merely displacement to avoid the conversation. Our argument had thrashed all over the place like a recalcitrant alligator and taken us precisely nowhere. Maybe we had a better chance of success if we simply used our time here to fix some subliminal reservoir of neglect in the man's surroundings.
The Undertaker looked at me expectantly while the man continued to fidget.
… Really?
What was I going to do? Talk to him? I was not an expert in the feelings of bipolar middle-aged men and even if I was, I was hardly a speechifier. As an intellectual exercise this would be very interesting, but the man in front of me was not some intellectual exercise, and the reality was that I would not be useful or safe in the role of a therapist. What had the Undertaker even been thinking to bring us along on this fool's errand?
Of course. I had been thinking like a boy, not a magician. The Undertaker knew exactly who we were, and you wouldn't bring along Drake Powell's semi-mute apprentice on a job that depended only on talk-therapy. Powell emphasized that the way of a magician was to find the most efficient and out-of-the-box way of solving every problem with the fullest means available, including options not considered by more ordinary people. Or, in other words, to cheat, cheat, and cheat. It was because most people's goals and problem definitions were questionable that so many magicians came to grief when they pursued those goals with too much efficiency.
Or so Powell alleged. For me, there were so many thorny 'do these ends justify these means' questions wrapped up in the idea, and Powell answered such questions merely by laughing and saying 'well, Molloy, if you're only able to cheat using
unworthy means, you don't have good
style as a magician, do you?' As though that was the most obvious rebuttal in the world.
I could not get the man's life-story from him in under twelve minutes, but I could get the gist of it from the contents of his room. Even before I became Powell's apprentice I had shown significant aptitude for the art of psychometry, or object-memory as I preferred to call it following the example of the genie from whom I'd picked up the basics. Of course, I had to touch the man's possessions to be able to read their memories but Forbis' cleaning-effort gave me the perfect cover for this.
So, while Forbis busied herself with actual cleaning tasks, I made a beeline for the man's desk. Papers – work and financial stuff, boring and none of my business. A printout of a fictional story – brushing my finger over it produced a jumbled flood of imagery concerning the fictional world, which seemed a lot more upbeat and optimistic than the man's reality. Perhaps some of the characters and situations were associated, in part, with real people and situations in the man's life, but there was no time to sort out any of the implications of this, apart from… no, that felt like too much of a personal detail. Moving on to the sentimental items, I felt grateful for how small knickknacks on a desk tended to accumulate not just emotional resonance, but also dust that I could brush away to cover what I was doing. A family photo – although he kept it around, it seemed that many of the man's family members were ill, mad, or estranged from him. Not a lot of family support, then. A couple of toys carried childhood memories, very indistinct, seen as if through a shattered glass window with jagged shards sticking everywhere. Nothing too revealing.
Bedside table, then. The smartphone in a cradle did not divulge much – psychometry does not work well on electronic data – but the surface casing did tell the usual story of a struggle to get to sleep in the evening and to wake up in the morning absent a conclusive motivation to begin the day. The facts all fit with the depression, but were not terribly revealing otherwise. Bedside lamp, nothing out of the ordinary – this was futile. The experience of someone who wanted to kill himself was opaque to me, and who's to say it shouldn't stay that way? Many robust cultures seemed to frown upon taking too great an interest in the thinking of the despairing and insane. But then, I could argue the other way around – anyone who feared being persuaded by the thoughts of a suicidal man was someone who already accepted the validity of those thoughts, who had already accepted the existence of convincing arguments that life was futile and all efforts to prolong it merely a pleasant distraction from the main event. That thought seemed ridiculous, yet somehow frightening. No, I had to try and dig deeper into this.
Almost by accident my fingers brushed against an item that unleashed such a powerful and contradictory torrent of object-memories that I was nearly knocked flat. Have you ever electrocuted your hand at 120V? (Embarrassing story, obviously.) There was the same unpleasant vibrating buzz and the same disconcerting numbness in the affected area once I'd jerked my hand back. Well, then, I'd surely hit the jackpot, because as far as I could guess the only thing that screamed its object-memories this way would have to be a powerful artefact of eldritch evil that had no business sitting on an ordinary man's bedside table! Then the problem before us was a magical and not a psychiatric one. Here I felt far more confident because my experience in magical matters, though less than a full year, was nonetheless greater than zero.
But when I saw what the thing was, I was rather bewildered. It appeared to be a perfectly mundane plastic prescription-bottle with a label along the lines of:
HATROXIPAM, 75 MG |
TAKE ONE CAPSULE / BY MOUTH EVERY DAY |
QTY: 30 |
MAY REFILL 6x BY 2013-06-01 |
It was very unusual for this kind of mass-manufactured item to retain any object-memories from before it was purchased. I brushed a finger against it (carefully!) to peel away the outer layer of memory rather than trying to probe straight through to end up getting the full blast again. I could sense at least three separate lines of thought wound up inside the bottle, going around and around in circles and contradicting each other. One at a time would have been tolerable but the combination of the three formed a symphony whose dominant theme was raving madness. Against that backdrop, the complaints of the man on the bed now struck me as sane and even relatively optimistic.
The first thread of thought was calm and bland and resembled a tape-recorder loop in the way that it came circling around to the same set of kaleidoscopic platitudes, clearly worded in a reassuring tone but without any sense of conceptual weight behind them:
'
Ask your doctor for information about our product today. The safety of Belham-Klein pharmaceuticals is guaranteed by extensive studies subjected to rigorous peer-review and recommended by most up-to-date guidelines. Ask your doctor about the guidelines today. Guidelines suggest that serious side-effects occur with a one-in-a-million rarity and are entirely your fault. Negative symptoms are not your fault – the reality of your brain is defined by chemical substrates and imbalances in your brain, which can be altered by a qualified professional following the latest guidelines. Rigorous studies suggest that one in two people experiencing a traumatic life event that could be improved through mental health provision are at a risk of severely damaging their mental health by failing to seek mental health advice from a qualified professional. The government has set targets to improve mental health outcomes in the 12-95 age range by 52% by the year 2033 in accordance with rigorous consultation and peer review. Ask a qualified professional about their mental health outcomes today….'
And so on and so forth. Over and against this nonstop litany the second thread of thought rose like the wordless scream of a rabid animal imitating a steam-whistle, too painful to contemplate directly. I was forced to put my own words to it:
'
worthless absolutely I am where did it all go I can't stop shaking no rest for the wicked? what do they put in this no I'll calm down I can't calm down to get some air everyone thinks I'm garbage don't want to get better probably do this out of spite can't stop if I had to help why the pills they don't do anything if it's all me why didn't anyone if it's all me why didn't anyone tell me about CAN'T STOP CAN'T….'
That was about as much as I could stand of that thread of thought. The third thread was strange and alien, all concepts and no words, so when I finally separated it out I ended up with a purely visual image, observed from a lofty height and with no emotional content behind it aside from a quiet and rather inappropriate satisfied-smugness.
A vast space, subdivided by concrete walls into cells of exact length, width, and depth. I could see straight through it, as though I had a fourth-dimensional vantage point. Each of the cells was a furnished room with blank white walls and a bed. Each room held a human being, hooked up to a monitor displaying life-signs and an IV drip dispensing a trickle of drugs. Each human being had a clicker that could be used to adjust the mixture of drugs in the IV drip. I understood this to be a type of hospital. Windows, corridors, and doors had been omitted from the blueprints presumably as a cost-saving measure. Instead, patients were sealed into their rooms as new floors were built on top of the facility. The inmates seemed unconcerned by their inability to check out. They slept and ate, exercised listlessly and exchanged electronic messages through the hospital's intranet. They spent hours staring at screens that displayed patterns of slowly moving abstract coloured blobs. Some fiddled with their clickers, chasing a chemical equilibrium of happiness and serenity that remained permanently out of reach.
The observing entity's feeling of smugness intensified as an electronic signal was sent out to each glowing screen in the facility. In obedience to the signal, each of the patients adjusted the mix of drugs on their clicker. In unison, life-signs winked out and the entirety of that vast and absurd hospital became a tomb.
The vantage point turned inward on myself and I became the subject of an intense attention. What are you struggling for? the entity asked dispassionately. There is nowhere to escape to and no way to survive outside this facility.
Much as in certain nightmares where merely being observed by a monstrous presence is enough to shock the dreamer awake, I came to. I was sitting on the floor, holding the medicine-bottle, and everyone was looking at me with concern. The Undertaker moved in and took the medicine from my hands.
"What is it you have found?" he asked. "It seems that I was right after all to bring a magician. Someone has gone to great lengths to conceal this item from visitors such as myself. Why?"
I just sat there cursing myself internally. There were precautions to determine whether something was psychometrically inert, I had learned these quite recently, and indeed when working at the Lost Property Office one used such precautions, or one did not dare to bother with object-memory at all. Of course, setting up a containment-circle in the middle of the man's bedroom would have given away what I was doing, so of course I had let my guard down and taken the risk. Even though I'd just determined intellectually that something was off, some part of me still found it hard to imagine something truly dangerous in a mundane man's room filled with mundane items. That is, my imagination was clearly in need of further education. Well, the end result was embarrassing but no real harm was done. I really hoped so.
Meanwhile the Undertaker had taken out a single pill and was scrutinizing it, as though he could determine its composition and effects from sight alone.
"A psychotropic medication, similar in action to St. John's Wort. Can be used to numb strong, unmanageable emotion. Must be administered with caution – all dosage changes must be managed and monitored to limit numbing, restlessness, and withdrawal effects. How long have you been taking this substance?"
"About twelve years."
"And have you made any attempts to discontinue this medication?"
"Every time I tried it got worse. If it takes all this to make me halfway normal, then…" the man shrugged.
"Unlikely," the Undertaker said, furrowing his brow in thought.
"You should know," the man added, "I've tried everything. Believing, not believing, taking advice from doctors, ignoring it, the misery changes but nothing makes it easier. Just going from one dark tunnel to another. So if all you have is trite suggestions…."
"It is difficult to be certain," the Undertaker said after a careful pause, "but I would certainly make the 'trite suggestion' that you consider this state of yours as a potential side effect. The human psyche is not a static entity. Over twelve years the underlying conditions may have evened out – unless the medicine is continuing to make things worse. Then again, I can only assume you have already considered that."
"Of course," the man twitched sarcastically, "do you think I haven't? The doctors say that kind of thing is one in a million."
"And what does that number have to do with anything?" the Undertaker snapped. "If the condition for making this medication work were to drag one patient in a million to the top of an Aztec pyramid and to take his heart out with an obsidian knife, don't you think that sacrifice should be treated with more respect than the doctors have treated yours?
"Again, Statistics. Here I discover it to have devoured the corpse of Medicine and to sit wearing its furs. According to Medicine, I must study and heal the man before me and I must use whatever means I have available to me, whether orthodox or unorthodox. If there is no certain means, I may ask you to take a risk. But according to Statistics, the risks and benefits of this drug have been weighed and measured and an acceptable number of people are found to be cured against an acceptable number of people who will be ruined and discarded. The drug can be handed out as a matter of policy and your suffering becomes the balancing-term in an equation that was calculated by people who sit in a room and view patients as numbers on a piece of paper."
"I don't know," replied the man. "In the end, I'm who I am and I have to deal with that. Blaming these tremendous problems on the pills feels like a cop-out that comes from looking for a quick solution."
"I do not claim understand completely the mechanism of action," the Undertaker insisted, "but it is no 'cop-out' or 'quick solution' to blame your problems on this drug, because it is not a drug that you will be able to stop easily. And there is one terrible danger that comes from ruling out the possibility that it is at the root of your suffering and insisting on your own responsibility for everything that is happening to you.
"To demand impossible feats of yourself, fail, and bemoan the result while refusing to contemplate the weakness of your own flesh – that is a form of Pride. Ignorant Pride, perhaps forgivable in some unknown eternity, but Pride, I can assure you, is utterly deadly even in the ignorant, and it can certainly lead to Despair of the magnitude that you have been experiencing."
"Did you come here to help me, or to torture me?" the man moaned. "What is the point of settling on an explanation that tells me I am doomed and doesn't give me any constructive way to get better? As an insane figment of my mind, what can you offer that I can't tell myself on my own?"
Briefly, I wanted to grab the bottle of pills and throw it at him. I might have shouted something like '
You think we're imaginary people? Then if you went to so much trouble – to make us up and have us argue against you – doesn't that mean you want to live?' But of course I did not think we could get far by entertaining his false premise.
The Undertaker approached the question more calmly:
"To ask is to receive. If, and I cannot be certain of this, the drug contributes to your problems and causes the deadly restlessness and wind within your soul
3, then at least two choices come into my mind.
(*3)
Note from the scribe: The problem of akathisia and withdrawal-effects due to prescription drugs is an ongoing thorn in the side of modern medicine. The official line tends to be that severe side-effects from commonly-prescribed substances are extremely rare, whereas a body of 'drug wreck' patients and concerned physicians such as Dr. David Healy provide a growing witness to the contrary. The Undertaker's views on the subject somewhat side-step the debate over how many patients are affected, and his main accusation in this chapter concerns how well these patients are being treated by the system of medicine – or, rather, how badly.
"The first choice, you may choose to bear this suffering with humility for the redemption of your sins, and accept your role as the balancing-sacrifice in the statisticians' equation, one of the people who suffer so that others taking this substance may benefit. It may or may not be true, but I pray that such an attitude would keep you from the deadliest temptations. At the very least, I hope that you would stop considering everything you do wrong as a fault in who you are meant to be.
"The second choice, you may choose to bear this suffering with rightful wrath against those who treat you merely as a statistic in a medical system. The Aztec priests beheld their victims in the flesh, but the people who used you to balance their risk-benefit equation do not know whom they have chosen as their sacrifice. Help God ensure that they have chosen wrong. Do not pursue any evil fantasy of revenge. But live. The statisticians hope, perhaps, that if you suffer like this, you will suffer quietly and give up early, so as to cause the least embarrassment to their system. Rebuke them with your existence. You may not be able to live well, but live as long and loud as you can manage."
"That all sounds horrible," the man replied.
"Only you can decide which choice is truest to your eternal nature," the Undertaker admitted. "I know I would not have the humility to bear the first choice, in your position. There is an awful majesty to the profession of Medicine, and to find that majesty profaned shakes me to the core of my being. Because someone must do it, from time immemorial physicians have taken on their fallible selves the mantle of the God who heals. But they are not God. For every miracle they work, there is a victim. If they ever lose sight of the tragedy of their role, if they reduce the vulnerability of their task to a dance of numbers, their victims multiply and they become nothing more than a gang of disreputable poisoners.
"We are, unfortunately, out of time, and will need to get going now. There are other people and other situations in need of our help. But think about my words. Have a thoughtful Christmas, and as Merry a one as you can manage, and enjoy your dinner tonight. But do not think of your plight as reasonless or disconnected. The real observer and judge of your life is Christ, not doctors or statisticians or Internet-correspondents."
Between Forbis' attempts at proselytism and the Undertaker's final veer into invoking the C-word, I considered myself on notice that I was going to be outnumbered as the token skeptic of this strange team. With the probable majority of our audience areligious, I certainly suspected that the Undertaker's batting average was being dragged down by a severe gap in worldviews.
"Well, you've been very 'shock and awe' this year," the man on the bed concluded grimly, "I guess I'll have to give your suggestion some careful thought, but it seems even more horrible than the world I already live in. I apologize that I lost my temper dealing with you again. It's really your loss that you never have the time to stay and talk about these things unhurriedly over tea…."
"Wait, we're leaving?" Forbis yelped. "I'm still in the middle of…."