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Once again he sat in the brown kitchen, and the man brought him his pill, and a plate with brown meat loaf, and a slop of mashed potatoes, and broccoli, and another plate for himself, and they began to eat in silence. Silence didn’t make him nervous—usually, he was grateful for it—but this man’s silence was closer to inwardness, the way a cat will be silent and watching, watching, watching so fixedly that you don’t know what it sees, and then suddenly it will jump, and trap something beneath its paw.

“What kind of doctor are you?” he asked, tentatively, and the man looked at him.

“A psychiatrist,” the doctor said. “Do you know what that is?”

“Yes,” he said.

The man made his noise again. “Do you like being a prostitute?” he asked, and he felt, unaccountably, tears in his eyes, but then he blinked and they were gone.

“No,” he said.

“Then why do you do it?” the man asked, and he shook his head. “Speak,” the man said.

“I don’t know,” he said, and the man made a huffing noise. “It’s what I know how to do,” he said at last.

“Are you good at it?” the man asked, and once again, he felt that sting, and he was quiet for a long time.

“Yes,” he said, and it was the worst admission he had ever made, the hardest word for him to say.

After they were done, the doctor escorted him once again to the door, and gave him the same little shove inside. “Wait,” he said to the man, as he was closing the door. “My name’s Joey,” and when the man said nothing, only stared at him, “what’s yours?”

The man kept looking at him, but now he was, he thought, almost smiling, or at least he was about to make some sort of expression. But then he didn’t. “Dr. Traylor,” the man said, and then pulled the door quickly shut behind him, as if that very information was a bird that might fly away if it too were not trapped inside with him.

The next day he felt less sore, less febrile. When he stood, though, he realized he was still weak, and he swayed and grabbed at the air and in the end, he didn’t fall. He moved toward the bookshelves, examining the books, which were paperbacks, swollen and buckling from heat and moisture and smelling sweetly of mildew. He found a copy of Emma, which he had been reading in class at the college before he ran away, and carried the book slowly up the stairs with him, where he found the place he’d left off and read as he ate his breakfast and took his pill. This time there was a sandwich as well, wrapped in a paper towel, with the word “Lunch” written on the towel in small letters. After he had eaten, he went downstairs with the book and sandwich and lay in bed, and he was reminded of how much he had missed reading, of how grateful he was for this opportunity to leave behind his life.

He slept again; woke again. By evening, he was very tired, and some of the pain had returned, and when Dr. Traylor held open the door for him, it took him a long time to mount the stairs. At dinner, he didn’t say anything, and neither did Dr. Traylor, but when he offered to help Dr. Traylor with the dishes or the cooking, Dr. Traylor had looked at him. “You’re sick,” he said.

“I’m better,” he said. “I can help you in the kitchen if you want.”

“No, I mean—you’re sick,” Dr. Traylor said. “You’re diseased. I can’t have a diseased person touching my food,” and he had looked down, humiliated.

There was a silence. “Where are your parents?” Dr. Traylor asked, and he shook his head again. “Speak,” Dr. Traylor said, and this time he was impatient, although he still hadn’t raised his voice.

“I don’t know,” he stammered, “I never had any.”

“How did you become a prostitute?” Dr. Traylor asked. “Did you start yourself, or did someone help you do it?”

He swallowed, feeling the food in his stomach turning to paste. “Someone helped me,” he whispered.

There was a silence. “You don’t like it when I call you a prostitute,” the man said, and he managed, this time, to raise his head and look at him. “No,” he said. “I understand,” the man said. “But that is what you are, isn’t it? Although I could call you something else, if you like: a whore, maybe.” He was quiet again. “Is that better?”

“No,” he whispered again.

“So,” the man said, “a prostitute it is, then, right?” and looked at him, and finally, he nodded.

That night in the bedroom, he looked for something to cut himself with, but there was nothing sharp in the room, nothing at all; even the books had only soft bloated pages. So he pressed his fingernails into his calves as hard as he could, bent over and wincing from the effort and discomfort, and finally he was able to puncture the skin, and then work his nail back and forth in the cut to make it wider. He was only able to make three incisions in his right leg, and then he was too tired, and he fell asleep again.

The third morning he felt demonstrably better: stronger, more alert. He ate his breakfast and read his book, and then he moved the tray aside and stuck his head through the flapped cutout and tried and tried to fit his shoulders through it. But no matter what angle he tried, he was simply too large and the opening too small and at last he had to stop.

After he had rested, he poked his head through the hole again. He had a direct view of the living room to his left, and the kitchen area to his right, and he looked and looked as if for clues. The house was very tidy; he could tell from how tidy it was that Dr. Traylor lived alone. If he craned his neck, he could see, on the far left, a staircase leading to a second story, and just beyond that, the front door, but he couldn’t see how many locks it had. Mainly, though, the house was defined by its silence: there was no ticking of clocks, no sound of cars or people outside. It could have been a house zooming through space, so quiet was it. The only noise was the refrigerator, purring its intermittent whir, but when it stopped, the silence was absolute.

But as featureless as the house was, he was also fascinated by it: it was only the third house he had ever been in. The second had been the Learys’. The first house had been a client’s, a very important client, Brother Luke had told him, outside Salt Lake City, who had paid extra because he didn’t want to come to the motel room. That house had been enormous, all sandstone and glass, and Brother Luke had come with him, and had secreted himself in the bathroom—a bathroom as big as one of their motel rooms—off the bedroom where he and the client had had sex. Later, as an adult, he would fetishize houses, especially his own house, although even before he had Greene Street, or Lantern House, or the flat in London, he would treat himself every few months to a magazine about homes, about people who spent their lives making pretty places even prettier, and he would turn the pages slowly, studying every picture. His friends laughed at him for this, but he didn’t care: he dreamed of the day he’d have someplace of his own, with things that were absolutely his.

That night Dr. Traylor let him out again, and again it was the kitchen, and the meal, and the two of them eating in silence. “I feel better now,” he ventured, and then, when Dr. Traylor didn’t say anything, “if you want to do something.” He was realistic enough to know that he wasn’t going to be allowed to leave without repaying Dr. Traylor in some way; he was hopeful enough to think that he might be allowed to leave at all.

But Dr. Traylor shook his head. “You may feel better, but you’re still diseased,” he said. “The antibiotics take ten days to eliminate the infection.” He took a fish bone, so fine it was transluscent, out of his mouth, placed it on the edge of his plate. “Don’t tell me this is the first venereal disease you’ve ever had,” he said, looking up at him, and he flushed again.

That night he thought about what to do. He was almost strong enough to run, he thought. At the next dinner, he would follow Dr. Traylor, and then when his back was turned, he would run to the door and outside and look for help. There were some problems with this plan—he still didn’t have his clothes; he didn’t have any shoes—but he knew that there was something wrong with this house, that there was something wrong with Dr. Traylor, that he had to get out.