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He would never, never know what he had done wrong that weekend at the Learys’. He would never know if it had been something he could control, or something he couldn’t. And of all the things from the monastery, from the home, that he worked to scrub over, he worked hardest at forgetting that weekend, at forgetting the special shame of allowing himself to believe that he might be someone he knew he wasn’t.

But now, of course, with the court date six weeks, five weeks, four weeks away, he thought of it constantly. With Willem gone, and no one to monitor his hours and activities, he stayed up until the sun began lightening the sky, cleaning, scrubbing with a toothbrush the space beneath the refrigerator, bleaching each skinny grout-canal between the bathtub wall tiles. He cleaned so he wouldn’t cut himself, because he was cutting himself so much that even he knew how crazy, how destructive he was being; even he was scared of himself, as much by what he was doing as by his inability to control it. He had begun a new method of balancing the edge of the blade on his skin and then pressing down, as deep as he could, so that when he withdrew the razor—stuck like an ax head into a tree stump—there was half a second in which he could pull apart the two sides of flesh and see only a clean white gouge, like a side of fatted bacon, before the blood began rushing in to pool within the cut. He felt dizzy, as if his body was pumped with helium; food tasted like rot to him, and he stopped eating unless he had to. He stayed at the office until the night shift of cleaners began moving through the hallways, noisy as mice, and then stayed awake at home; he woke with his heart thudding so fast that he had to gulp air to calm himself. It was only work, and Willem’s calls, that forced him into normalcy, or he’d have never left the house, would have cut himself until he could have loosed whole pyramids of flesh from his arms and flushed them down the drain. He had a vision in which he carved away at himself—first arms, then legs, then chest and neck and face—until he was only bones, a skeleton who moved and sighed and breathed and tottered through life on its porous, brittle stalks.

He was back to seeing Andy every six weeks, and had delayed his most recent visit twice, because he dreaded what Andy might say. But finally, a little less than four weeks before the court date, he went uptown and sat in one of the examining rooms until Andy peered in to say he was running late.

“Take your time,” he said.

Andy studied him, squinting a bit. “I won’t be long,” he said, finally, and then was gone.

A few minutes later, his nurse Callie came in. “Hi, Jude,” she said. “Doctor wants me to get your weight; do you mind stepping on the scale?”

He didn’t want to, but he knew it wasn’t Callie’s fault or decision, and so he dragged himself off the table, and onto the scale, and didn’t look at the number as Callie wrote it down in his chart, and thanked him, and left the room.

“So,” Andy said after he’d come in, studying his chart. “What should we talk about first, your extreme weight loss or your excessive cutting?”

He didn’t know what to say to that. “Why do you think I’ve been cutting myself excessively?”

“I can always tell,” Andy said. “You get sort of—sort of bluish under the eyes. You’re probably not even conscious of it. And you’re wearing your sweater over the gown. Whenever it’s bad, you do that.”

“Oh,” he said. He hadn’t been aware.

They were quiet, and Andy pulled his stool close to the table and asked, “When’s the date?”

“February fifteenth.”

“Ah,” said Andy. “Soon.”

“Yes.”

“What’re you worried about?”

“I’m worried—” he began, and then stopped, and tried again. “I’m worried that if Harold finds out what I really am, he won’t want to—” He stopped. “And I don’t know which is worse: him finding out before, which means this definitely won’t happen, or him finding out after, and realizing I’ve deceived him.” He sighed; he hadn’t been able to articulate this until now, but having done so, he knew that this was his fear.

“Jude,” Andy said, carefully, “what do you think is so bad about yourself that he wouldn’t want to adopt you?”

“Andy,” he pled, “don’t make me say it.”

“But I honestly don’t know!”

“The things I’ve done,” he said, “the diseases I have from them.” He stumbled on, hating himself. “It’s disgusting; I’m disgusting.”

“Jude,” Andy began, and as he spoke, he paused between every few words, and he could feel Andy picking his way across a mine-pocked lawn, so deliberately and slowly was he going. “You were a kid, a baby. Those things were done to you. You have nothing, nothing to blame yourself for, not ever, not in any universe.”

Andy looked at him. “And even if you hadn’t been a kid, even if you had just been some horny guy who wanted to fuck everything in sight and had ended up with a bunch of STDs, it still wouldn’t be anything to be ashamed of.” He sighed. “Can you try to believe me?”

He shook his head. “I don’t know.”

“I know,” Andy said. They were quiet. “I wish you’d see a therapist, Jude,” he added, and his voice was sad. He couldn’t respond, and after a few minutes, Andy stood up. “Well,” he said, sounding determined, “let’s see them,” and he took off his sweater and held out his arms.

He could tell by Andy’s expression that it was worse than he had anticipated, and when he looked down and tried to view himself as something unfamiliar, he could see in flashes what Andy did: the gobs of bandages applied at intervals to the fresh cuts, the half-healed cuts, with their fragile stitchings of still-forming scar tissue, the one infected cut, which had developed a chunky cap of dried pus.

“So,” Andy said after a long silence, after he’d almost finished his right arm, cleaning out the infected cut and painting antibiotic cream on the others, “what about your extreme weight loss?”

“I don’t think it’s extreme.”

“Jude,” said Andy, “twelve pounds in not quite eight weeks is extreme, and you didn’t exactly have twelve pounds to spare to begin with.”

“I’m just not hungry,” he said, finally.

Andy didn’t say anything else until he finished both his arms, and then sighed and sat down again and started scribbling on his pad. “I want you to eat three full meals a day, Jude,” he said, “plus one of the things on this list. Every day. That’s in addition to standard meals, do you understand me? Or I’m going to call your crew and make them sit with you every mealtime and watch you eat, and you don’t want that, believe me.” He ripped the page off the pad and handed it to him. “And then I want you back here next week. No excuses.”

He looked at the list—PEANUT BUTTER SANDWICH. CHEESE SANDWICH. AVOCADO SANDWICH. 3 EGGS (WITH YOLKS!!!!). BANANA SMOOTHIE—and tucked it into his pants pocket.

“And the other thing I want you to do is this,” said Andy. “When you wake up in the middle of the night and want to cut yourself, I want you to call me instead. I don’t care what time it is, you call me, okay?” He nodded. “I mean it, Jude.”

“I’m sorry, Andy,” he said.

“I know you are,” said Andy. “But you don’t need to be sorry—not to me, anyway.”

“To Harold,” he said.

“No,” Andy corrected. “Not to Harold, either. Just to yourself.”

He went home and ate away at a banana until it turned to dirt in his mouth and then changed and continued washing the living-room windows, which he had begun the night before. He rubbed at them, inching the sofa closer so he could stand atop one of its arms, ignoring the twinges in his back as he climbed up and down, lugging the bucket of dirtied gray water slowly to the tub. After he’d finished the living room and Willem’s room, he was in so much pain that he had to crawl to the bathroom, and after cutting himself, he rested, holding his arm above his head and wrapping the mat about him. When his phone rang, he sat up, disoriented, before groaningly moving to his bedroom—where the clock read three a.m.—and listening to a very cranky (but alert) Andy.