Power outages were particularly hard on the few feral exotics still out in this second winter. The heated shelters in Rock Creek Park were still operating, and they all had generators for long blackouts, but the generators made noise, and belched out their noxious exhaust, and none of the animals liked them, even the humans. On the other hand, the deep cold of these early spring nights could kill, so many animals hunkered down in the shelters when the worst cold hit, but they were not happy. It would have been better simply to be enclosed, Frank sometimes felt; or rather it was much the same thing, as they were chained to the shelters by the cold. So many different animals together in one space—it was so beautiful and unnatural, it never failed to strike Frank.
Such gatherings gave the zoo’s zoologists a chance to do all kinds of things with the ferals, so the FOG volunteers who were cold-certified were welcomed to help. With Frank’s help, Nick was now the youngest cold-certified member of FOG, which seemed to please him in his quiet way. Certainly Frank was pleased—though he also tried to be there whenever Nick was out on FOG business in extreme cold, to make sure nothing went wrong. Hard cold was dangerous, as everyone had learned by now. The tabloids were rife with stories of people freezing in their cars at traffic lights, or on their front doorsteps trying to find the right key, or even in their own beds at night when an electric blanket failed. There were also regular Darwin Award winners out there, feeding the tabloids’ insatiable hunger for stupid disaster. Frank wondered if a time would come when people got enough disaster in their own lives that they would no longer feel a need to vampire onto others’ disasters. But it did not seem to have happened yet.
Frank and Nick got back into a pattern in which Frank dropped by on Saturday mornings and off they would go, sipping from the steaming travel cups of coffee and hot chocolate Anna had provided. They started at the shelter at Fort de Russey, slipping in from the north. On this morning they spotted, among the usual crowd of deer and beaver, a tapir that was on the zoo’s wanted list.
They called it in and waited uneasily for the zoo staff to arrive with the dart guns and nets and slings. They had a bad history together on this front, having lost a gibbon that fell to its death after Frank hit it with a trank dart. Neither mentioned this now, but they spoke little until the staffers arrived and one of them shot the tapir. At that the other animals bolted, and the humans approached. The big RFID chip was inserted under the tapir’s thick skin. The animal’s vital signs seemed good. Then they decided to take it in anyway. Too many tapirs had died. Nick and Frank helped hoist the animal onto a gurney big enough for all of them to get a hand on. They carried the unconscious beast through the snow like its pallbearers. From a distant ridge, the aurochs looked down on the procession.
After that, the two of them hiked down the streambed to the zoo itself. Rock Creek had frozen solid, and was slippery underfoot wherever it was flat. Often the ice was stacked in piles, or whipped into a frothy frozen meringue. The raw walls of the flood-ripped gorge were in a freeze-thaw cycle that left frozen spills of yellow mud splayed over the ribbon of creek ice.
Then it was up and into the zoo parking lot. The zoo itself was just waking up in the magnesium light of morning, steam frost rising from the nostrils of animals and the exhaust vents of heating systems; it looked like a hot springs in winter. There were more animals than people. Compared to Rock Creek it was crowded, however, and a good place to relax in the sun, and down another hot chocolate.
The tigers were just out, lying under one of their powerful space heaters. They wouldn’t leave it until the sun struck them, so it was better now to visit the snow leopards, who loved this sort of weather, and indeed were creatures who could go feral in this biome and climate. There were people in FOG advocating this release, along with that of some of the other winterized predator species, as a way of getting a handle on the city’s deer infestation. But others at the zoo objected on grounds of human (and pet) safety, and it didn’t look like it would happen anytime soon. The zoo got enough grief already for its support of the feral idea; advocating predators would make things crazy.
After lunch they would hitch a ride from a staffer back up to Frank’s van, or snowshoe back to it. If the day got over the freezing mark, the forest would become a dripping rainbow world, tiny spots of color prisming everywhere.
Then back to the Quiblers, where Nick would have homework, or tennis with Charlie. On some days Frank would stay for lunch. Then Charlie would see him off: “So—what are you going to do now?”
“Well, I don’t know. I could…”
Long pause as he thought it over.
“Not good enough, Frank. Let’s hear you choose.”
“Okay then! I’m going to help the Khembalis move stuff out to their farm!” Right off the top of his head. “So there.”
“That’s more like it. When are you going to see the doctor again?”
Glumly: “Monday.”
“That’s good. You need to find out what you’ve got going on there.”
“Yes.” Unenthusiastically.
“Let us know what you find out, and if there’s anything we can do to help out. If you have to like have your sinuses rotorootered, or your nose broken again to get it right or whatever.”
“I will.”
It still felt strange to Frank to have his health issues known to the Quiblers. But he had been trying to pursue a course of open exchange of (some) information with Anna, and apparently whatever she learned, Charlie would too, and even Nick to an extent. Frank hadn’t known it would be like that, but did not want to complain, or even to change. He was getting used to it. And it was good Charlie had asked, because otherwise he might not have been able to figure out what to do. The pressure was becoming like a kind of wall.
So: off to Khembali House, to fill his van with a load of stuff for the farm. Out there in the snowy countryside the construction of the new compound was coming along. Enough Khembalis had gotten licensed in the various trades that they could do almost all the work legally on their own. The whole operation ran like some big family or baseball team, everyone pitching in and getting things done, the labor therefore outside the money economy. It was impressive what could be done that way.
Frank still had his eye on the big knot of trees that stood on the high point of the farm. These were mostly chestnut oaks. They were like his treehouse tree but much bigger, forming a canopy together that covered most of an acre. It seemed to him that the interlaced heavy inner branches formed a perfect foundation or framework for a full Swiss Family extravaganza, and Padma and Sucandra liked the idea. So there was that to be considered and planned for too. Spring was about to spring, and there were materials and helpers on hand. No time like the present! Leap before you look!—but maybe peek first.
All the various scans that Frank’s doctors had ordered had been taken, at an increasing pace as they seemed to find things calling for some speed; and now it was time to meet with the brain guy.
This was an M.D. who did neurology, also brain and face surgery. So just in ordinary terms a very imposing figure, and in paleolithic terms, a shaman healer of the rarest kind, being one who actually accomplished cures. Awesome: scarier than any witch doctor. Whenever the technological sublime was obvious, the fear in it came to the fore.
The doctor’s office was ordinary enough, and him too. He was about Frank’s age, balding, scrubbed very clean, ultra-close-shaven, hands perfectly manicured. Used to the sight of the bros’ hands, and Rudra’s hands, Frank could scarcely believe how perfect this man’s hands were. Very important tools. They gave him a faintly wax-figurish look.
“Have a seat,” he said, gesturing at the chair across his desk from him.
When Frank was seated, he described what he had found in Frank’s data. “We’re seeing a chronic subdural hematoma,” he said, pointing to a light spot in an array of spots that roughly made the shape of a brain section—Frank’s brain. The CT scan and the MRI both showed evidence of this hematoma, the doctor went on, and pretty clearly it was a result of the trauma Frank had suffered. “Lots of blood vessels were broken. Most were outside the dura. That’s the sack that holds your brain.”
Frank nodded.
“But there are veins called bridging veins, between the dura and the surface of the brain. Some of them broke, and appear to be leaking blood.”
“But when I taste it?”
“That must be from encapsulated blood in scar tissue on the outside of the dura, here.” He pointed at the MRI. “Your immune system is trying to chip away at that over time, and sometimes when you swing your head hard, or raise your pulse, there might be leaking from that encapsulation into the sinus, and then down the back of your throat. That’s what you’re tasting. But the subdural hematoma is inside the dura, here. It may be putting a bit of pressure on your frontal cortex, on the right side. Have you been noticing any differences in what you think or feel?”
“Well, yes,” Frank said, thankful and fearful all at once. “That’s really what brought me in. I can’t make decisions.”
“Ah. That’s interesting. How bad is it?”
“It varies. Sometimes any decision seems really hard, even trivial ones. Occasionally they seem impossible. Other times it’s no big deal.”
“Any depression about that? Are you depressed?”
“No. I mean, I have a lot going on right now. But I often feel pretty great. But—confused. And concerned. Worried about being indecisive. And—afraid I’ll do something—I don’t know. Stupid, or—dangerous. Wrong, or dangerous. I don’t trust my judgment.” And I have reasons not to.
“Uh huh,” the doctor was writing all this down on Frank’s chart. Oh great. Confessing to his health insurance company. Not a good idea. Perhaps a bad decision right here and now, in this room. A sample of what he was capable of.
“Any changes in your sense of taste?”
“No. I can’t say I’ve noticed any.”
“And when you taste that blood taste, does it correlate with periods of decisiveness or indecisiveness?”
“I don’t know. That’s an interesting thought, though.”
“You should keep a symptom calendar. Dedicate a calendar to just that, put it by your bed and rate your day for decisiveness. From one to ten is the typical scale. Then also, mark any unusual tastes or other phenomena—dizziness, headaches, strange thoughts or moods, that kind of thing. Moods can be typified and scaled too.”
Frank was beginning to like this guy. Now he would become his own experiment, an experiment in consciousness. He would observe his own thoughts, in a quantified meditation. Rudra would get a kick out of that; Frank could hear his deep laugh already. “Good idea,” he said to the doctor, hearing the way Rudra would say it. “I’ll try that. Oh, I’ve forgotten to mention this—I still can’t feel anything right under my nose, and kind of behind it. It’s numb. It feels like a nerve must have been, I don’t know.”
“Oh yeah? Well—” Looking at the scans. “Maybe something off the nine nerve. The glossopharyngeal nerve is back there where we’re seeing the encapsulation.”
“Will I get the feeling back?”
“You either will or you won’t,” the doctor said. All of them had said that; it must be the standard line on nerve damage, like the line about the president having so much on his plate. People liked to say the same things.
“And the hematoma?”
“Well, it’s been a while since your injury, so it’s probably pretty stable. It’s hypodense. We could follow it with serial scans, and it’s possible it could resolve itself.”
“And if it doesn’t?”
“We could drain it. It’s not a big operation, because of the location. I can go in through the nose. It looks like it would be straightforward,” checking out the images again. “Of course, there’s always some risk with neurosurgery. We’d have to go into that in detail, if you wanted to move forward with it.”
“Sure. But do you think I should?”
He shrugged. “It’s up to you. The cognitive problems you’re reporting are fairly common for pressure on that part of the brain. It seems that some components of decision making are located in those sulci. They have to do with the emotional components of risk assessment and the like.”
“I’ve read some of the literature,” Frank said.
“Oh yes? Well, then, you know what can happen. There are some pretty unusual cases. It can be debilitating, as you know. Some cases of very bad decision making, accompanied by little or no affect. But your hematoma is not so big. It would be pretty straightforward to drain it, and get rid of the encapsulated clot too.”
“And would I then experience changes in my thinking?”
“Yes, it’s possible. Usually that’s the point, so patients like it, or are relieved. Some get agitated by the perception of difference.”
“Does it go away, or do they get used to it?”
“Well, either, or both. Or neither. I don’t really know about that part of it. We focus on draining the hematoma and removing that pressure.”
It will or it won’t. “So if I’m not in too much distress, maybe I ought not to mess with it?” Frank said. He did not want to be looking forward to brain surgery; even clearing out his sinuses sounded pretty dire to him.
The doctor smiled ever so slightly, understanding him perfectly. “You certainly don’t want to take it lightly. However, there is a mass of blood in there, and often the first sign of it swelling more is a change in thinking or feeling, or a bad headache. Some people don’t want to risk that. And problems in decision making can be pretty debilitating. So, some people preempt any problems and choose to have the surgery.”
“Jeez,” Frank said, “this is just the kind of decision I can’t make anymore!”
The doctor laughed briefly, but his look was sympathetic. “It would be a hard call no matter what. Why don’t you give it a set period of time and see how you feel about it? Make some lists of pros and cons, mark on your symptom calendar how you feel about it for ten days running, stuff like that. See if one course of action is consistently supported over time.”