The Thanatos Syndrome

mainly the change in Mickey LaFaye. But what physician has not had patients who don’t make any sense at all? To tell the truth, they’re our stock-in-trade. We talk and write about the ones we can make sense of.
    Here’s another mini-case, not even a case but a fifteen-second encounter with an acquaintance even as I left Mickey’s room and started down the hall, musing over the change in Mickey. How much of the change, I was wondering, comes from my two years away and the change in me?
    Here’s old Frank Macon, polishing the terrazzo floor. I saw him a week ago, just after I returned. Frank Macon is a seventy-five-year-old black janitor. I have known him for forty years. He used to train bird dogs when there were still quail around here. Then as now he was polishing the terrazzo with a heavy rotary brush. From long practice he was using the machine well, holding back on one handle to give it a centripetal swing until it caromed off the concave angle of the wall to propel itself back by the torque of the brush. I broke his rhythm. He switched off the motor and eyed me. He clapped his hands softly and gave me one of his, a large meaty warm slab, callused but inert.
    â€œLook who’s back!” he cried, casting a muddy eye around and past me. He throws up an arm. “Whoa!”
    â€œHow you doing, Frank!”
    â€œFine! But look at you now! You looking good! You looking good in the face and slim, not poorly like you used to.”
    â€œYou’re looking good too, Frank.”
    Â Â â€œYou must have been doing some yard work,” says Frank, good eye gleaming slyly.
    â€œYes,” I say, smiling. He’s guying me. It’s an old joke between us.
    â€œI knowed they couldn’t keep you! People talking about trouble. I say no way. No way Doc going to be in trouble. Ain’t no police going to hold Doc for long. People got too much respect for Doc! I mean.” Again he smote his hands together, not quite a clap but a horny brushing past, signifying polite amazement. He turned half away, but one eye still gleamed at me.
    One would have to be a Southerner, white or black, to understand the complexities of this little exchange. Seemingly pleasant, it was not quite. Seemingly a friend in the old style, Frank was not quite. The glint of eye, seemingly a smile of greeting, was not. It was actually malignant. Frank was having a bit of fun with me, I knew, and he knew that I knew, using the old forms of civility to say what he pleased. What he was pleased to say was: So you got caught, didn’t you, and you got out sooner than I would have, didn’t you? Even his pronunciation of police as pó-lice was overdone and farcical, a parody of black speech, but a parody he calculated I would recognize. Actually he’s a deacon and uses a kind of churchy English: Doctor, what we’re gerng to do is soliciting contributions for a chicken-dinner benefit the ladies of the church gerng to have Sunday, and suchlike.
    I value his honesty—even his jeering. He knew this and we parted amiably. We understand each other. He reminds me of the Russian serfs Tolstoy wrote about, who spoke bluntly to their masters, using the very infirmity of their serfdom as a warrant to scold: Stepan Stepanovitch, you’re a sinful man! Mend your ways!
    â€œHow Miss Ellen doing?” he asked, playing out the game of Southern good manners.
    â€œJust fine, and your family?” I said, watching him closely. Am I mistaken or is there not a glint of irony in his muddy eye at the mention of my wife’s name?
    That was my encounter with Frank Macon a week ago, a six-layered exchange beyond the compass of any known science of communication but plain as day to Frank and me.
    This is my encounter with Frank this morning, in the same hospital, the same corridor, the same Frank swinging the same brush. He simply stepped aside, not switching off the machine, neither servile nor sullen, not ironical, not sly, not farcical, not in any way complex, but purely and simply perfunctory.
    â€œHow you doing, Frank?”
    â€œGood morning, Doctor.”
    â€œStill featherbedding—” I begin in our old chaffing style, but he cuts me off with, of all things, “Have a nice day, Doctor”— and back to his polishing without missing the swing of the machine. I could have been any doctor, anybody.
    Here again, a small thing. Nothing startling. He might simply have decided to