Next morning when I got to my office, a patient was waiting, a quiet little woman in her forties who sat in the leather chair in front of my desk, hands folded in her lap over her purse, and told me she was perfectly sure her husband wasn't her husband at all. Her voice calm, she said he looked, talked, and acted exactly the way her husband always had – and they'd been married eighteen years – but that it simply wasn't him. It was Wilma's story all over again, except for the actual details, and when she left I phoned Mannie Kaufman, and made two appointments.
I'll cut this short; by Tuesday of the following week, the night of the County Medical Association meeting, I'd sent five more patients to Mannie. One was a bright, level-headed young lawyer I knew fairly well, who was convinced that the married sister he lived with wasn't really his sister, though the woman's own husband obviously still thought so. There were the mothers of three high school girls, who arrived at my office in a body to tell me, tearfully, that the girls were being laughed at because they insisted their English teacher was actually an impostor who resembled the real teacher exactly. A nine-year-old boy came in with his grandmother, with whom he was now living, because he became hysterical at the sight of his mother who, he said, wasn't his mother at all.
Mannie Kaufman was waiting for me when I arrived, a little early for a change, at the Medical meeting. I parked beside the Legion Hall just outside town – we use it for our meetings – and as I set the hand brake somebody called to me from a parked car down the line. I got out and walked toward it, figuring it was just another instalment of razzing about my green convertible.
Then I saw it was Mannie and Doc Carmichael, another Valley Springs psychiatrist, in the front seat. Ed Pursey, my Santa Mira competition, was in the back seat. Mannie had the door on his side open, and was sitting sideways on the front seat, his feet out of the car, heels hooked on what would have been the running board if there'd been one. Elbows on his knees, he was leaning forward smoking a cigarette. He's a dark, nervous, good-looking man; looks like an intelligent football player. Carmichael and Pursey are older, and look more like doctors.
"What the hell's going on in Santa Mira?" Mannie said as I walked up. He glanced at Ed Pursey in the back seat to show he was included in the question, so I knew Ed must have been having some cases too.
"It's a new hobby over our way," I said, leaning an arm on the open door. "A cinch to replace weaving and ceramics."
"Well, it's the first contagious neurosis I ever ran into," Mannie said; he was half laughing, half mad. "But, by God, you've got a real epidemic. And if it keeps up you'll kill our racket; we don't know what to do with these people. Right, Charley?" He glanced over his shoulder at Carmichael, at the wheel of the car, who frowned a little. Carmichael upholds the dignity of Valley Springs psychiatry, while Mannie has the brains.
"Most unusual series of cases," Carmichael said judiciously.
"Well" – I shrugged – "psychiatry is in its infancy, of course. The backward stepchild of medicine, and naturally you two can't – "
"No fooling, Miles; these cases have got me stopped." Mannie looked up at me speculatively, drawing on his cigarette, one eye narrowed against the smoke. "You know what I'd say about any one of these cases, if it weren't absolutely impossible? The Lentz woman, for example? I'd say there was no delusion at all. From every indication I know anything about, I'd say she's not particularly neurotic, at least not in that respect. I'd say she doesn't belong in my office, that her worry is external and real. I'd say – just judging from the patient, of course – that she's right and that her uncle actually is not her uncle. Except that that's impossible." Mannie drew on his cigarette, then tossed it to the dirt, and ground it out with the toe of one shoe. Then he looked up at me curiously, and added, "But it's equally impossible for a total of nine people in Santa Mira to suddenly and simultaneously acquire a virtually identical delusion; right, Charley? Yet that's exactly what seems to have happened."
Charley Carmichael didn't answer, and no one else said anything for a moment. Then Ed Pursey sighed, and said, "I had another this afternoon. Man about fifty. Been a patient of mine for years. Has a daughter, twenty-five. Now she isn't his daughter, he says. Same kind of case." He shrugged and spoke to the front seat. "Shall I send him over to one of you guys?"
Neither of them answered for a moment, then Mannie said, "I don't know. Do what you want. I know I can't help him if he's like the others. Maybe Charley doesn't feel so hopeless."
Carmichael said, "You might send him over; I'll do what I can. But Mannie is right; these are certainly not typical cases of delusion."
"Or anything else," said Mannie.
"Maybe we should try a little blood-letting," I said.
"By God, you might as well," said Mannie.
It was time to go in, and they got out of the car, and we all went into the hall. The meeting was as fascinating as usual; we heard a speaker, a university professor who was rambling and dull, and I wished I were with Becky, or at home, or even at a movie. After the meeting, Mannie and I talked a little more, standing in the dark beside my car, but there really wasn't anything more to say, and finally Mannie said, "Well, keep in touch, will you, Miles? We've got to work this out." I said I would, got into my car, and drove on home.
I'd seen Becky at least every other night all the past week, but not because there was any romance building up between us. It was just better than hanging around the pool hall, playing solitaire, or collecting stamps. She was a pleasant, comfortable way of spending some evenings, nothing more, and that suited me fine. Wednesday night, when I called for her, we decided on the movies. I called telephone-answering, told Maud Crites, who was on that night, that I was heading for the Sequoia, that I was giving up my practice to join an abortion ring, invited her around as my first patient; and she giggled happily. Then we went on out to the car.
"You look swell," I said to Becky, as we walked toward my car, parked at the curb. She did, too; she had on a grey suit with a sort of spray of flowers worked into the material in silver, and running up onto one shoulder.
"Thanks." Becky got into the car, then grinned at me, sort of lazily and happily. "I feel good when I'm with you, Miles," she said. "More at ease than with anyone else. I think it's because we've each been divorced."
I nodded and started the car; I knew what she meant. It was wonderful to be free, but just the same, the break-up of something that wasn't intended to turn out that way leaves you a little shaken, and not too sure of yourself, and I knew I was lucky to have run into Becky. Because we'd each been through the same mill, and it meant I had a girl to go out with on a nice even keel, with none of the unspoken pressures and demands that gradually accumulate between a man and a woman, ordinarily. With anyone else, I knew we'd have been building toward some sort of inevitable climax: marriage, or an affair, or a bust-up. But Becky was just what the doctor ordered, and driving along now through the summer evening, the top down, I felt fine.
We got the very last parking space in the block, and at the box office I bought two tickets. "Thanks, Doc," the girl in the booth said. "Just check in with Gerry," meaning she'd relay any call that came in for me if I'd tell the manager where we were sitting. We bought popcorn in the lobby, walked in, and sat down.
We were lucky; we saw half the picture. Sometimes I think I've seen half of more movies than anyone else alive, and my mind is cluttered with vague, never-to-be-answered wonderings about how certain movies turned out, and how others began. Gerry Montrose, the manager, was leaning into our aisle, beckoning to me, and I muttered a blasphemy to Becky – it was a good picture – then we pushed our way out past fifty people, each of them equipped with three knees.
As we came out into the lobby, Jack Belicec stepped forward from the popcorn stand and came toward us, smiling apologetically. "Sorry, Miles," he said, glancing at Becky to include her in the apology. "Hate to spoil your movie."
"That's okay What's the trouble, Jack?"
He didn't answer, but walked forward to hold the outer doors open for us, and I knew he didn't want to talk in the lobby, so we walked on out to the sidewalk, and he followed. But outside as we stopped just past the overhead lights from the marquee, he still wouldn't get to the point. "No one's sick, Miles; it isn't that. Don't know if you could even call it an emergency, exactly. But – I'd certainly like you to come out tonight."
I like Jack. He's a writer, and a good one, I think; I've read one of his books. But I was a little annoyed; this kind of thing happened so often. All day people will wait around, thinking about calling the doctor, but deciding not to, deciding to wait, hoping it won't be necessary. But then it gets dark, and there's something about night that makes them decide that maybe they'd better have the doctor after all. "Well, Jack," I said, "if it's not an emergency, if it's anything that can wait till morning, then why not do that?" I nodded toward Becky. "It's not just my evening, but – You two know each other, by the way?"
Becky smiled, and said, "Yes," and Jack said, "Sure, I know Becky; her dad, too." He frowned, and stood there on the walk thinking for a moment. Then he glanced from me to Becky, including us both in what he was saying. "Look; bring Becky along, if she'd like to come. Might be a good idea; might help my wife." He smiled wryly. "I don't say she'll like what she'll see, but it'll be a lot more interesting than any movie, I'll promise you that."
I glanced at Becky, she nodded, and since Jack is no fool, I didn't ask any more questions. "All right," I said, "let's go in my car. I'll drive you back to pick up yours when we're through."
We sat three in the front seat, and on the way out – Jack lives in the country just outside town – he didn't offer any more information, and I assumed he had a reason. Jack's a thin-faced intense sort of man, with prematurely white hair. He's about forty years old, I'd say, an intelligent man of good sense and judgment. I knew that, because a year ago his wife was sick and he'd called me in. She had a sudden high fever, extreme lassitude, and I diagnosed it, finally, as Rocky Mountain spotted fever. I wasn't happy about that. You could practice medicine in California for a long time and never run across Rocky Mountain spotted fever, and it was hard to see how she could have caught it. But I didn't see what else it could be, and that's what I advised treatment for, starting at once. I had to tell Jack, though, that I'd never seen a case before, and that if he wanted other opinions he must feel free to get them. But I added that I was as sure of my diagnosis as I thought anyone else around could be of his, and that a conflicting opinion just then – uncertainness on anyone's part – wouldn't be so good. Jack listened, asked some questions, thought about it, then told me to go ahead and treat his wife, which I did. A month later she was well, and baking cookies; Jack brought me a batch at the office. So I respected him; he knew how to make a decision; and I waited, now, till he was ready to talk.
We passed the black-and-white city limits sign, and Jack pointed ahead. "Turn left on the dirt road, if you remember, Miles. It's the green house on the hill."
I nodded, and swung onto the road, shifting into second for the climb.
He said, "Stop a minute, will you, Miles? I want to ask you something."
I pulled to the edge of the road, set the hand brake, and turned to him, leaving the motor running.
He took a deep breath, and said, "Miles, there are certain things a doctor has to report when he runs into them, aren't there?"
It was as much a statement as a question, and I just nodded.
"A contagious disease, for example," he went on, as though thinking out loud, "or a gunshot wound, or a dead body. Well, Miles" – he turned to stare out the window on his side – "do you always have to report them? Is there ever a case, I mean, when a doctor might feel justified in overlooking the rules?"
I shrugged. "Depends," I said; I didn't know how to answer him.
"On what?"
"On the doctor, I suppose. And the particular case. What's up, Jack?"
"I can't tell you yet; I've got to know the answer to this first." Staring out his window, he thought for a moment, then he turned to look at me. "Maybe you can answer this. Can you imagine a case, any kind of case, a gunshot wound, for example, where the rules or the law or whatever it was, required you to report it? And where you'd get into real trouble if you didn't report it and were found out – maybe even lose your licence? Can you imagine any set of circumstances where you might gamble your reputation, ethics, and licence, and not turn in a report, just the same?"
I shrugged again. "I don't know, Jack; I guess so. I guess I could dream up some sort of situation where I'd forget the rules, if it were important enough and I felt I ought to." I was suddenly irritated at all the mystery. "I don't know, Jack; what are you getting at? This is all too vague, and I don't want you to get the idea that I'm promising a thing. If you've got something up at your house that I ought to report, I'll probably report it; that's all I can tell you."
Jack smiled. "All right; that's good enough. I think maybe you'll decide not to report this one." He nodded toward his house – "Let's go on up."
I pulled out into the road again, and the headlights caught a figure, maybe a hundred yards ahead, walking toward us. It was a woman, in housedress and apron, arms huddled across her chest, hands cupping her elbows; it gets cool here, in the evenings. Then I saw it was Theodora, Jack's wife.
I pulled toward her in low gear, then stopped beside her. She said, "Hello, Miles," then spoke to Jack, looking into the car through my open window. "I couldn't stay up there alone, Jack. I just couldn't; I'm sorry."
He nodded. "I should have brought you along; it was stupid of me not to."
Opening the car door, I leaned forward to let Theodora into the back seat, then Jack introduced her to Becky, and we drove on up to the house.