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The next day, he did not rise until suppertime. His mother told him to move slowly. She helped him down the stairs. He entered the dining room leaning on her, as his father and his aunt moved the chairs out of the way so that he could pass easily. They helped him to sit down and watched him carefully, encouraging him to eat and drink to build up his strength. Later, his mother helped him back to bed and for a few days he took all his meals in his room and had the sympathy of the entire household.

Slowly, in the months that followed, as Henry started to work on translations from the French, Henry senior gradually changed his mind about the war. He began to see it not just as a cause worth supporting in theory but as a cause worth volunteering for. And as he propounded his opinions at the family table, much to the delight of Bob, too young to join but old enough to be fired with enthusiasm, his wife became increasingly solicitous of Henry.

Neither before the war broke out, nor during its early months, did Henry or his mother ever discuss his illness or its symptoms at any length, nor did Henry ever allow himself any clear reflection on whatever malady was affecting him. He began to live with it, managing his disability as neither a game nor an act but a strange, secret thing. By not insisting on its being defined, by allowing the conspiracy with his mother to run its guilty course, never having contemplated any other possibility, he lived his illness, even when he was alone, with sincerity.

As news came in, however, in this first year of the war, of cousins who had joined up, including Gus Barker and William Temple, Minny’s brother, who had been, much to his pride, made a captain on his first day in honour of his dead father, the fact that the James boys were remaining civilians, and Henry in idleness, could not but be noted by all those who paid even scant attention to the matter.

Henry’s mother understood that Henry’s nameless abstract ailment, his obscure hurt, could not continue indefinitely without a name, that a professional diagnosis would have to be arrived at. His father therefore accompanied him to Boston to see Dr Richardson, an eminent surgeon made even more eminent, in Aunt Kate’s opinion, by his dead wife’s large fortune. He was a known expert on injuries to the back.

Much time had elapsed since Henry had been alone with his father. On the journey to Boston, Henry senior seemed deeply uneasy with him, unsure, it appeared, whether he could share with his second son his views on the change which would come to America as a result of the war, this currently being the only topic that interested him. He was mostly silent, but not withdrawn. He looked like someone whose mind was working, whose brain was on the point of reaching some grand conclusion. When they arrived, Henry senior seemed to have greater difficulty walking in Boston than he did in Newport, as though his confidence or the power of his wooden leg had diminished as they reached the metropolis.

Dr Richardson’s face was illuminated with a sharp little smile, and with this smile playing in his clear eyes and on his neatly shaved lips he looked at his patient. He then became silent as Henry senior began to talk, explaining the length of their journey, the number of his offspring, their situation and his hopes for a new America. The doctor, as he contemplated Henry senior, replaced his smile with a scowl. His eyes became cold as he waited for him to finish. And when it was clear that his father had no real intention of finishing, the doctor simply sprang up and moved towards his patient. With his two hands he motioned him to remove the upper parts of his clothing. As Henry began to undress, his father faltered for a moment until the doctor fetched him a chair and motioned him to sit on it. By the time Henry had stripped to the waist, the doctor still had not spoken. He made Henry raise his arms above his head and then slowly, painstakingly, he began to study his frame, the bones in his arms, his shoulders, his rib cage. He then began meticulously to finger his spine. Eventually, he made him lie facedown on the couch as he repeated each exercise. Then, having indicated to Henry that he should remove all his clothing save his undershorts, he ran his hand clinically along his hip bones and pelvis, repeating the earlier exercise on his spine and arms and shoulders, pressing hard until Henry winced.

Henry had presumed that he would be asked where the pain centred and what sort of pain it was, and he was ready to answer this, but Dr Richardson asked him nothing, merely probed and studied, his hands hard, his examination slow and thorough and methodical, his silence dry. Finally, he went to the basin and poured some water over his hands and washed them with soap and then dried them with a towel. He handed Henry his clothes and nodded as Henry began to dress. He stood up to his full height and stretched.

‘There’s nothing the matter a good day’s work wouldn’t cure,’ he said. ‘Plenty of exercise. Up early, out early, that’s not the best cure for most things but it’s the best cure for this young man. He is in perfect condition, his whole life ahead of him. I’ll have to charge you, sir, for telling you this good news. There’s nothing at all wrong with your son. And I don’t make up my mind easily. What I tell you is the result of thirty years of observation.’

As Henry leaned over to pick up his jacket, Dr Richardson gripped his neck with his thumb and forefinger, pressing hard until Henry, his face contorted with pain, tried to wrench his hand away, but the doctor merely tightened his grip. His hand was strong.

‘Up early, out early,’ he said. ‘You won’t get better advice in many a long day. Home with you now.’

Even still, all these years later, he thought, he hated doctors, and had drawn a portrait of a most unpleasant member of the profession with much relish in Washington Square, using some of Dr Richardson’s more obnoxious mannerisms in his description of his Dr Sloper’s professional habits. He wondered indeed if the visit itself, in all its humiliation and roughness, had not in fact caused a genuine, serious backache that was with him to this day. He had suffered a great deal from constipation as well, and often blamed it on Dr Richardson, and made sure to keep away from others of his profession lest they should cause some new malady.

SEVERAL TIMES a day Henry looked at the photographs which William had sent him, having left them on a table in one of the downstairs rooms at Lamb House, and noted with more and more interest the place of honour which the monument had on Boston Common. His own name could have easily been among the dead, or the maimed, and he would have been a proud memory now to his brother and those who had survived.

As he explored the area around Rye, delighting in his new life, working on a new novel, feeling at home as though for the first time, he wondered at how easily it could have been otherwise. He was not cut out to be a soldier, he thought, but neither were most of the young men of his class and acquaintance who went to fight. It was not wisdom which kept him away, he believed, but something closer to cowardice, and as he walked the cobbled streets of his new town, he almost thanked God for it. He wished this gladness had been simple, but it came back to him, as much else, with guilt at its core and regret and memories of what had happened to his brother Wilky which these photographs made sharp and clear.

He remembered that he put on his jacket that day in Boston, and having watched his father pay the doctor, accompanied him to the street. Their silence on the return journey had a different tone. Now his father was deep in melancholy contemplation. Neither of them, Henry thought, would know what to say to his mother.

When they met her at the door of their house in Newport, he recalled that they both remained so solemn and their expressions were so worried that she believed, she told them later, that the news could not be worse. She suspected, she said, that Henry had a terminal illness. And now she was relieved to hear that the prognosis had been good, the injury to his back was not dangerous, not part of some wider ailment.