Fall or, Dodge in Hell. Neal Stephenson

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      He became aware of being looked at. A boy of perhaps twelve was walking up Cherry Street. He had recognized Richard and was approaching, to the mild consternation of his adult minder—presumably his father. On his left forearm he wore a newfangled plastic splint, the kind that made the wearer look like a bionic superwarrior instead of a damaged gimp. And indeed the music of Pompitus Bombasticus made his final approach to Richard seem like the triumphal entry of a hero into Valhalla. With his good hand the kid was fishing his phone out. He would want to take a selfie with Richard so that he could post it and achieve, at least for a few hours, the Miasma’s equivalent of Valhalla-like glory. Richard obligingly pulled the phones from his head and let them encircle his neck. He shook the boy’s hand—this was awkward because of the splint and the phone. Followed at a seemly interval by the adult, the two of them walked side by side for half a block. The boy was a heavy player of T’Rain. He was smart and appealing, with well-formed and completely reasonable ideas on how to make the game even better. They drew to a halt in front of the entrance to the clinic. The kid’s monologue continued, Richard paying attention and nodding, until the father, sensing the nature of Richard’s errand, intervened and directed the boy to wind it up. The boy had, while talking, got his phone configured to take a selfie, which he now did. He was narrating as he did so and Dodge understood that he was not taking a still photo but a snippet of video, more difficult to counterfeit and thus, when posted, more cred enhancing. He shook the kid’s hand and exchanged nods with the dad: Over to you. The kid had got a mildly stricken look on his face; it had occurred to him that Richard Forthrast might be sick.

      That’s what medicine was to kids: an acute response to disease. When you got older you understood it was more like brushing your teeth: a system of highly evolved strategies for preempting bad things that could happen to you if you took no preventive measures. Part of him wanted to explain this to the kid, to assuage his little pang of anxiety, but the conversation had gone on long enough and was over now. He went into the building musing on the weird role that his society had picked out for him as a guy who had built, or caused to be built, an imaginary world.

      No expense had been spared on the interior design front to make the building seem as little as possible like what it really was. They had even eschewed a traditional matter-based directory in favor of a touch screen. Dodge employed this to remind himself which floor his appointment was on. The thing read like an electronic compendium of maladies. To browse it was to be grateful for all of the things that had not yet gone wrong with his body and his mind. Almost as miraculous as life itself was the number of ways it could end, or at least turn into a living hell. And for each of those there was a different, exquisitely evolved medical sub-subspecialty. He almost felt that he was failing this stupendous industry by not being sick in any interesting way. For today’s procedure was utterly routine, a thing done a thousand times a day. He found his destination on the screen and walked to the correct elevator bank, casting a glance toward the entrance to the parking garage just in case C-plus might happen to show up. But this did not happen and so he had the elevator to himself at first. His clinic was on a high floor. En route, people with various impairments got on and off. Either they were lost or else they were being transferred between cooperating sub-subspecialists. For the most part they were oddly cheerful. Beyond a certain point it was all just kicking through wreckage.

      A prominent sign on the check-in counter at the clinic read, PATIENTS: DO NOT EAT OR DRINK ANYTHING BEFORE YOUR SURGERY. But it gave no instructions as to what you should do if it was already too late, and so Richard socked it away in the same round file as the cancer warning signs that were posted on every single flat surface in the state of California. The nurse who was checking him in asked whether he had anyone lined up to take him home. Richard pulled out his phone, shingled with texts from Corvallis Kawasaki complaining of traffic delays, and held it up as a sort of affidavit that his ride would be here long before he was needed. On went the inevitable plastic bracelet. They led him back and had him change into the obligatory gown. An unseemly fuss was made over his wallet, phone, and other valuables, for which they wanted it understood they could not be responsible. Dodge once again scented lawyers with too much time on their hands. He heard C-plus’s voice outside, and thought of calling out a greeting, but didn’t really want to be seen or communicated with in the bracelet and gown—these made him seem sick, which he wasn’t. The pace of preparations was accelerating almost exponentially. Dodge got a clear sense of the proceduralist doctor as a cash cow of such fiscal immensity that his time and movements had to be scheduled and accounted for as carefully as an airline did with each 737. Dodge’s slot was next. They invited him onto a gurney and wheeled him into the procedure environment. An IV was started and taped to his arm. Sensors were clamped to his fingertips and Velcroed around his bicep; machines came alive to him and began to display information about his vitals. He knew where this was going. They were about to render him unconscious with amazing pharmaceuticals. In a minute, Atropos would snip the thread of his consciousness and he would, for all practical purposes, be dead. But when the procedure was finished Clotho would resume spinning his thread and he would come back to life as if it had never happened. It was weird stuff from that deeper and older stratum of myth, pre-Greek, pre-Norse, definitely nothing he would share with Sophia later, when he showed up at her house with the books.

      A man came in, presumably the doctor since he didn’t introduce himself and seemed to expect that Richard would know who he was. He mentioned that he had a character in T’Rain and began to ask questions about a certain technicality in the rules of the game. Richard was already getting a little foggy, but he understood that this wasn’t a real conversation. The doctor just wanted to know when the patient had lost consciousness. They must have injected the drug into his IV line. New qualia: a mask over his nose, cold dry gas flooding his nostrils, a hiss. Atropos snipped his thread.