As more of our friends contracted the virus, Elaine and I would imagine ourselves with one or another of the AIDS-associated, opportunistic illnesses. Elaine developed night sweats. I woke up imagining I could feel the white plaques of Candida encroaching on my teeth. (I admitted to Elaine that I often woke up at night and peered into my mouth in a mirror--with a flashlight!) And there was that seborrheic dermatitis; it was flaky and greasy-looking--it cropped up mostly on your eyebrows and scalp, and on the sides of your nose. Herpes could run wild on your lips; the ulcers simply wouldn't heal. There were also those clusters of molluscum; they lo
oked like smallpox--they could completely cover your face.
And there's a certain smell your hair has when it is matted by your sweat and flattened by your pillow. It's not just how translucent-looking and funny-smelling your hair is. It's the salt that dries and hardens on your forehead, from the unremitting fever and the incessant sweating; it's your mucous membranes, too--they get chock-full of yeast. It's a yeasty but, at the same time, fruity smell--the way curd smells, or mildew, or a dog's ears when they're wet.
I wasn't afraid of dying; I was afraid of feeling guilty, forever, because I wasn't dying. I couldn't accept that I would or might escape the AIDS virus for as accidental a reason as being told to wear a condom by a doctor who disliked me, or that the random luck of my being a top would or might save me. I was not ashamed of my sex life; I was ashamed of myself for not wanting to be there for the people who were dying.
"I'm not good at this. You are," I told Larry; I meant more than the hand-holding and the pep talks.
Cryptococcal meningitis was caused by a fungus; it affected your brain, and was diagnosed by a lumbar puncture--it presented with fever and headache and confusion. There was a separate spinal-cord disease, a myelopathy that caused progressive weakness--loss of function in your legs, incontinence. There was little one could do about it--vacuolar myelopathy, it was called.
I was watching Larry empty the bedpan of our friend who had this awful myelopathy; I was truly marveling at Larry--he'd become a saint--when I suddenly realized that I had no difficulty pronouncing the myelopathy word, or any of the other AIDS-associated words. (That Pneumocystis pneumonia, for example--I could actually say it. Kaposi's sarcoma, those terrible lesions, gave me no pronunciation problem; I could say "cryptococcal meningitis" as if it meant no more to me than the common cold. I didn't even hesitate to pronounce "cytomegalovirus"--a major cause of blindness in AIDS.)
"I should call your mother," I told Elaine. "I seem to be having a pronunciation breakthrough."
"It's just because you're distancing yourself from this disease, Billy," Elaine said. "You're like me--you're imagining yourself as standing on the outside, looking in."
"I should call your mother," I repeated, but I knew Elaine was right.
"Let's hear you say 'penis,' Billy."
"That's not fair, Elaine--that's different."
"Say it," Elaine said.
But I knew how it would sound. It was, is, and will always be penith to me; some things never change. I didn't try to say the penis word for Elaine. "Cock," I said to her.
I didn't call Mrs. Hadley about my pronunciation breakthrough, either. I was trying to distance myself from the disease--even as the epidemic was only beginning. I was already feeling guilty that I didn't have it.
THE 1981 ATKINS CHRISTMAS card came on time that year. No generic "Season's Greetings," more than a month late, but an unapologetic "Merry Christmas" in December.
"Uh-oh," Elaine said, when I showed her the Atkins family photo. "Where's Tom?"
Atkins wasn't in the picture. The names of the family were printed on the Christmas card in small capitals: TOM, SUE, PETER, EMILY & JACQUES ATKINS. (Jacques was the Labrador; Atkins had named the dog after Kittredge!) But Tom had missed the family photograph.
"Maybe he wasn't feeling very photogenic," I said to Elaine.
"His color wasn't so hot last Christmas, was it? And he'd lost all that weight," Elaine said.
"The ski hat was hiding his hair and his eyebrows," I added. (There'd been no Tom Atkins review of my fourth novel, I'd noticed. I doubted that Atkins had changed his mind about Madame Bovary.)
"Shit, Billy," Elaine said. "What do you make of the message?"
The message, which was written by hand on the back of the Christmas photo, was from the wife. There was not a lot of information in it, and it wasn't very Christmasy.
Tom has mentioned you. He would like to see you.
Sue Atkins
"I think he's dying--that's what I think," I told Elaine.
"I'll go with you, Billy--Tom always liked me," Elaine said.
Elaine was right--poor Tom had always adored her (and Mrs. Hadley)--and, not unlike old times, I felt braver in Elaine's company. If Atkins was dying of AIDS, I was pretty sure his wife would already know everything about that summer twenty years ago, when Tom and I were in Europe together.
That night, I called Sue Atkins. It turned out that Tom had been placed in hospice care at his home in Short Hills, New Jersey. I'd never known what Atkins did, but his wife told me that Tom had been a CEO at a life-insurance company; he'd worked in New York City, five days a week, for more than a decade. I guessed that he'd never felt like seeing me for lunch or dinner, but I was surprised when Sue Atkins said that she'd thought her husband had been seeing me; apparently, there were nights when Tom hadn't made it back to New Jersey in time for dinner.
"It wasn't me he was seeing," I told Mrs. Atkins. I mentioned that Elaine wanted to visit Tom, too--if we weren't "intruding," was how I'd put it.