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My wife Margaret, who is sitting in the armchair facing me, raises her hand in some kind of confused warning, and then lets it fall limply on to the stained damask arm-rest. Distorted by her smudged lipstick, the brief smile she gives me might seem to the casual spectator of this film to be ironic or even threatening, but I am merely struck once again by her remarkable beauty. Watching her, and relieved that she will probably never rise from her armchair again, I think of our first meeting ten years ago, then as now within the benevolent gaze of the television camera.

The unusual, not to say illicit, notion of actually meeting my wife and children in the flesh had occurred to me some three months earlier, during one of our extended family breakfasts. Since the earliest days of our marriage Sunday mornings had always been especially enjoyable. There were the pleasures of breakfast in bed, of talking over the papers and whatever else had taken place during the week. Switching to our private channel, Margaret and I would make love, celebrating the deep peace of our marriage beds. Later, we would call in the children and watch them playing in their nurseries, and perhaps surprise them with the promise of a visit to the park or circus.

All these activities, of course, like our family life itself, were made possible by television. At that time neither I nor anyone else had ever dreamed that we might actually meet in person. In fact, age-old though rarely invoked ordinances still existed to prevent this — to meet another human being was an indictable offence (especially, for reasons I then failed to understand, a member of one’s own family, presumably part of some ancient system of incest taboos). My own upbringing, my education and medical practice, my courtship of Margaret and our happy marriage, all occurred within the generous rectangle of the television screen. Margaret’s insemination was of course by AID, and like all children David’s and Karen’s only contact with their mother was during their brief uterine life.

In every sense, needless to say, this brought about an immense increase in the richness of human experience. As a child I had been brought up in the hospital crche, and thus spared all the psychological dangers of a physically intimate family life (not to mention the hazards, aesthetic and otherwise, of a shared domestic hygiene). But far from being isolated I was surrounded by companions. On television I was never alone. In my nursery I played hours of happy games with my parents, who watched me from the comfort of their homes, feeding on to my screen a host of video-games, animated cartoons, wildlife films and family serials which together opened the world to me.

My five years as a medical student passed without my ever needing to see a patient in the flesh. My skills in anatomy and physiology were learned at the computer display terminal. Advanced techniques of diagnosis and surgery eliminated any need for direct contact with an organic illness. The probing camera, with its infra-red and X-ray scanners, its computerized diagnostic aids, revealed far more than any unaided human eye.

Perhaps I was especially adept at handling these complex keyboards and retrieval systems — a finger-tip sensitivity that was the modern equivalent of the classical surgeon’s operative skills — but by the age of thirty I had already established a thriving general practice. Freed from the need to visit my surgery in person, my patients would merely dial themselves on to my television screen. The selection of these incoming calls — how tactfully to fade out a menopausal housewife and cut to a dysenteric child, while remembering to cue in separately the anxious parents — required a considerable degree of skill, particularly as the patients themselves shared these talents. The more neurotic patients usually far exceeded them, presenting themselves with the disjointed cutting, aggressive zooms and split-screen techniques that went far beyond the worst excesses of experimental cinema.

My first meeting with Margaret took place when she called me during a busy morning surgery. As I glanced into what was still known nostalgically as ‘the waiting room’ — the visual display projecting brief filmic profiles of the day’s patients — I would customarily have postponed to the next day any patient calling without an appointment. But I was immediately struck, first by her age — she seemed to be in her late twenties — and then by the remarkable pallor of this young woman. Below close-cropped blonde hair her underlit eyes and slim mouth were set in a face that was almost ashen. I realized that, unlike myself and everyone else, she was wearing no make-up for the cameras. This accounted both for her arctic skin-tones and for her youthless appearance — on television, thanks to make-up, everyone of whatever age was 22, the cruel divisions of chronology banished for good.

It must have been this absence of make-up that first seeded the idea, to flower with such devastating consequences ten years later, of actually meeting Margaret in person. Intrigued by her unclassifiable appearance, I shelved my other patients and began our interview. She told me that she was a masseuse, and after a polite preamble came to the point. For some months she had been concerned that a small lump in her left breast might be cancerous.

I made some reassuring reply, and told her that I would examine her. At this point, without warning, she leaned forward, unbuttoned her shirt and exposed her breast.

Startled, I stared at this huge organ, some two feet in diameter, which filled my television screen. An almost Victorian code of visual ethics governed the doctor/patient relationship, as it did all social intercourse. No physician ever saw his patients undressed, and the location of any intimate ailments was always indicated by the patient by means of diagram slides. Even among married couples the partial exposure of their bodies was a comparative rarity, and the sexual organs usually remained veiled behind the most misty filters, or were coyly alluded to by the exchange of cartoon drawings. Of course, a clandestine pornographic channel operated, and prostitutes of both sexes plied their wares, but even the most expensive of these would never appear live, instead substituting a pre-recorded film-strip of themselves at the moment of climax.

These admirable conventions eliminated all the dangers of personal involvement, and this liberating affectlessness allowed those who so wished to explore the fullest range of sexual possibility and paved the way for the day when a truly guilt-free sexual perversity and, even, psychopathology might be enjoyed by all.

Staring at the vast breast and nipple, with their uncompromising geometries, I decided that my best way of dealing with this eccentrically frank young woman was to ignore any lapse from convention. After the infra-red examination confirmed that the suspected cancer nodule was in fact a benign cyst she buttoned her shirt and said: ‘That’s a relief. Do call me, doctor, if you ever need a course of massage. I’ll be delighted to repay you.’

Though still intrigued by her, I was about to roll the credits at the conclusion of this bizarre consultation when her casual offer lodged in my mind. Curious to see her again, I arranged an appointment for the following week.

Without realizing it, I had already begun my courtship of this unusual young woman. On the evening of my appointment, I half-suspected that she was some kind of novice prostitute. However, as I lay discreetly robed on the recreation couch in my sauna, manipulating my body in response to Margaret’s instructions, there was not the slightest hint of salaciousness. During the evenings that followed I never once detected a glimmer of sexual awareness, though at times, as we moved through our exercises together, we revealed far more of our bodies to each other than many married couples. Margaret, I realized, was a sport, one of those rare people with no sense of self-consciousness, and little awareness of the prurient emotions she might arouse in others.