“I could have done that,” he said.

“I don’t have any trouble with lightbulbs,” said Enid. “Or fuses or knocking in nails. My mother and I have done without a man around the house for a long time now.” She meant to tease a little, to be friendly, but it didn’t work.

Finally Rupert would ask about his wife, and Enid would say that her blood pressure was down slightly, or that she had eaten and kept down part of an omelette for supper, or that the ice packs seemed to ease her itchy skin and she was sleeping better. And Rupert would say that if she was sleeping he’d better not go in.

Enid said, “Nonsense.” To see her husband would do a woman more good than to have a little doze. She took the children up to bed then, to give man and wife a time of privacy. But Rupert never stayed more than a few minutes. And when Enid came back downstairs and went into the front room-now the sickroom-to ready the patient for the night, Mrs. Quinn would be lying back against the pillows, looking agitated but not dissatisfied.

“Doesn’t hang around here very long, does he?” Mrs. Quinn would say. “Makes me laugh. Ha-ha-ha, how-are-you? Ha-ha-ha, off-we-go. Why don’t we take her out and throw her on the manure pile? Why don’t we just dump her out like a dead cat? That’s what he’s thinking. Isn’t he?”

“I doubt it,” said Enid, bringing the basin and towels, the rubbing alcohol and the baby powder.

“I doubt it,” said Mrs. Quinn quite viciously, but she submitted readily enough to having her nightgown removed, her hair smoothed back from her face, a towel slid under her hips. Enid was used to people making a fuss about being naked, even when they were very old or very ill. Sometimes she would have to tease them or badger them into common sense. “Do you think I haven’t seen any bottom parts before?” she would say. “Bottom parts, top parts, it’s pretty boring after a while. You know, there’s just the two ways we’re made.” But Mrs. Quinn was without shame, opening her legs and raising herself a bit to make the job easier. She was a little bird-boned woman, queerly shaped now, with her swollen abdomen and limbs and her breasts shrunk to tiny pouches with dried-currant nipples.

“Swole up like some kind of pig,” Mrs. Quinn said. “Except for my tits, and they always were kind of useless. I never had no big udders on me, like you. Don’t you get sick of the sight of me? Won’t you be glad when I’m dead?”

“If I felt like that I wouldn’t be here,” said Enid.

“Good riddance to bad rubbish,” said Mrs. Quinn. “That’s what you’ll all say. Good riddance to bad rubbish. I’m no use to him anymore, am I? I’m no use to any man. He goes out of here every night and he goes to pick up women, doesn’t he?”

“As far as I know, he goes to his sister’s house.”

“As far as you know. But you don’t know much.”

Enid thought she knew what this meant, this spite and venom, the energy saved for ranting. Mrs. Quinn was flailing about for an enemy. Sick people grew to resent well people, and sometimes that was true of husbands and wives, or even of mothers and their children. Both husband and children in Mrs. Quinn’s case. On a Saturday morning, Enid called Lois and Sylvie from their games under the porch, to come and see their mother looking pretty. Mrs. Quinn had just had her morning wash, and was in a clean nightgown, with her fine, sparse, fair hair brushed and held back by a blue ribbon. (Enid took a supply of these ribbons with her when she went to nurse a female patient-also a bottle of cologne and a cake of scented soap.) She did look pretty-or you could see at least that she had once been pretty, with her wide forehead and cheekbones (they almost punched the skin now, like china doorknobs) and her large greenish eyes and childish translucent teeth and small stubborn chin.

The children came into the room obediently if unenthusiastically.

Mrs. Quinn said, “Keep them off of my bed, they’re filthy.”

“They just want to see you,” said Enid.

“Well, now they’ve seen me,” said Mrs. Quinn. “Now they can go.”

This behavior didn’t seem to surprise or disappoint the children. They looked at Enid, and Enid said, “All right, now, your mother better have a rest,” and they ran out and slammed the kitchen door.

“Can’t you get them to quit doing that?” Mrs. Quinn said. “Every time they do it, it’s like a brick hits me in my chest.”

You would think these two daughters of hers were a pair of rowdy orphans, wished on her for an indefinite visit. But that was the way some people were, before they settled down to their dying and sometimes even up to the event itself. People of a gentler nature-it would seem-than Mrs. Quinn might say that they knew how much their brothers, sisters, husbands, wives, and children had always hated them, how much of a disappointment they had been to others and others had been to them, and how glad they knew everybody would be to see them gone. They might say this at the end of peaceful, useful lives in the midst of loving families, where there was no explanation at all for such fits. And usually the fits passed. But often, too, in the last weeks or even days of life there was mulling over of old feuds and slights or whimpering about some unjust punishment suffered seventy years earlier. Once a woman had asked Enid to bring her a willow platter from the cupboard and Enid had thought that she wanted the comfort of looking at this one pretty possession for the last time. But it turned out that she wanted to use her last, surprising strength to smash it against the bedpost.

“Now I know my sister’s never going to get her hands on that,” she said.

And often people remarked that their visitors were only coming to gloat and that the doctor was responsible for their sufferings. They detested the sight of Enid herself, for her sleepless strength and patient hands and the way the juices of life were so admirably balanced and flowing in her. Enid was used to that, and she was able to understand the trouble they were in, the trouble of dying and also the trouble of their lives that sometimes overshadowed that.

But with Mrs. Quinn she was at a loss.

It was not just that she couldn’t supply comfort here. It was that she couldn’t want to. She could not conquer her dislike of this doomed, miserable young woman. She disliked this body that she had to wash and powder and placate with ice and alcohol rubs. She understood now what people meant when they said that they hated sickness and sick bodies; she understood the women who had said to her, I don’t know how you do it, I could never be a nurse, that’s the one thing I could never be. She disliked this particular body, all the particular signs of its disease. The smell of it and the discoloration, the malignant-looking little nipples and the pathetic ferretlike teeth. She saw all this as the sign of a willed corruption. She was as bad as Mrs. Green, sniffing out rampant impurity. In spite of being a nurse who knew better, and in spite of its being her job-and surely her nature-to be compassionate. She didn’t know why this was happening. Mrs. Quinn reminded her somewhat of girls she had known in high school-cheaply dressed, sickly looking girls with dreary futures, who still displayed a hard-faced satisfaction with themselves. They lasted only a year or two-they got pregnant, most of them got married. Enid had nursed some of them in later years, in home childbirth, and found their confidence exhausted and their bold streak turned into meekness, or even piety. She was sorry for them, even when she remembered how determined they had been to get what they had got.

Mrs. Quinn was a harder case. Mrs. Quinn might crack and crack, but there would be nothing but sullen mischief, nothing but rot inside her.

Worse even than the fact that Enid should feel this revulsion was the fact that Mrs. Quinn knew it. No patience or gentleness or cheerfulness that Enid could summon would keep Mrs. Quinn from knowing. And Mrs. Quinn made knowing it her triumph.