PERMAFROST

Terrible is terrible, Frances thought. There’s no comparing one bad thing to another. Whatever it is — hands blown off in Angolan minefields, children in Chernobyl with tumors like softballs, a car accident right around the corner — there’s no measuring suffering. Mrs. Shenker disagreed. At night, while her daughter, Beth, was knocked out by morphine, Mrs. Shenker sat in the solarium, the waiting room for the adolescent-medicine unit. She sat back in a recliner and read aloud from her stack of printouts about the flesh-eating bacteria that had attacked Beth nine days ago.

“Listen to this one,” she said to Frances. “And hold on to your hat. ‘I was diagnosed with necrotizing fasciitis after a vacation in the Bahamas. We still don’t know what caused it. Even though I’ve had approximately thirty-four operations and three skin grafts on my legs and groin and continue to have some trouble with my lungs and kidneys, I consider myself lucky. My wife and I have run into some financial difficulties and I am unable to drive but we count our blessings every day.’ Can you fucking believe this? Well, you probably can — you’re a social worker.”

Frances could believe it. Frances’s father raised Frances and her sister, Sherri, on stories of polar expeditions that began with terrible errors in judgment and ended with men weeping over frozen corpses, with people suffering horribly and still thanking God for not having killed them outright when they got on the ship. When Sherri was eighteen and Frances was eleven, Sherri said, “I want to experience Jesus’ love and I want to help other young people know that they are not doomed.” “Doomed to what?” Mr. Cairn had said, but he said it to the front hall because Sherri had already run out the door, and it was no different, really, than a girl going off to be a Deadhead or driving to Los Angeles with some badass to become a porn star. When people in the neighborhood asked where Sherri was, Mr. Cairn said, “We lost her,” and nobody pressed him and they certainly didn’t know he meant she’d gone to join the Exodus Ministry in Indianapolis. Sherri sent a Christmas card every year, and other than that, it was just Frances and her father, the storyteller.


S.S. TERRA NOVA

“This one’s a day brightener,” Mrs. Shenker said. “This guy’s an amputee himself, and a world-class athlete …” Mrs. Shenker skimmed ahead a few lines. “Well, not a world-class athlete, clearly. But athletic, and he’s invented these special responsive feet that give energy back to the leg, so you don’t just walk around, clump, clump, clump, and there’s a special suction cup so the whole leg just goes on—” She makes a sharp, sucking sound.

Mr. Shenker stood up. “I’m going to take a little walk,” he said. Mrs. Shenker and Frances saw him through the glass block wall of the solarium, chatting with Theresa the charge nurse and, like magic, two more nurses showed up and they passed a box of doughnuts around and Theresa disappeared for a moment and then reappeared, carrying real coffee cups and giving one to Mr. Shenker. Mrs. Shenker had the solarium and the doctors and Mr. Shenker had the nurses. Frances had bumped into him a couple of times when he was walking out of an empty exam room, straightening his tie, and when she looked over her shoulder, she saw a nurse come out and lock the door behind her. The nurses looked transformed; they looked as if they had been handed something immensely valuable and fragile, whose care could not be entrusted to ordinary women. Mr. Shenker looked as he always did, handsome and doomed.

Frances said to Mrs. Shenker, “I have a few patients to check on. Do you want to sit with Beth?”

“Isn’t she napping?”

Frances admitted that Beth probably was napping. (Although napping was not the right word; Beth Shenker was on enough methadone to anesthetize a three-hundred-pound man and the only thing that woke her for the first eight days was a gnawing pain of the kind you get with pancreatic cancer. On the bright side, while almost no one survives pancreatic cancer, Frances thought that Beth Shenker, like most necrotizing-fasciitis victims, would survive into old age.)

Mrs. Shenker said, “All right, it’s almost time for Judge Judy. I’ll go watch that with Beth. Tell Mr. Shenker where I am, when you see him.”


Beth was dreaming. She was five, jumping up and down on her new big-girl bed in the middle of the night, clean sheets under her soft, pretty feet, the cool air tickling her soles as she jumped higher and higher, and in the dream, her little feet lit up the dark room like fireflies.

Lorraine Shenker smoothed Beth’s sheet over the metal hoop that protected her legs and straightened out Beth’s IV line and kept her eyes on Judge Judy, who was looking over her bifocals to tell a fat nineteen-year-old African American mother of twins that she deserved to lose custody of her children. The way Judge Judy waved her hand dismissively and then slipped off the bifocals to award damages to the girl’s attractive, well-dressed brother, whose car the young mother had totaled while he looked after those twins, was wonderful. It would be nice if there were a Dr. Judy, handing down diagnoses and reversing the decisions of other, dumber doctors. Dr. Judy would have taken one look at Beth and said, firmly, This young lady is not going to have a gross and permanent disability. Case dismissed.

Frances walked past Beth’s room, reading over Beth’s chart, and by the time she got to the nurses’ desk, Nathan Silverman was taking the cruller she wanted. Nathan Silverman was Beth’s surgeon, and he’d done a great job and he told everyone he’d done a great job, and Frances thought, Narcissistic grandiosity with excellent fine-motor skills, and thinking that made her smile warmly whenever she ran into him.

Dr. Silverman smiled back, yellow pieces of cruller flying everywhere, and Frances said, “Hey, Dr. Silverman,” and put her hand on her second choice, a chocolate doughnut. Her fingers sank deep into the chocolate icing. Dr. Silverman brushed the crumbs from his tie and stretched his arms over his head. Finally, he said, “Is Maria Lopez around?”

Frances said, “I’m not sure. Maybe it’s her break,” and she picked up a napkin with her free hand.

She didn’t say, If you get a move on, you can probably catch up with Maria Lopez when she comes out of Exam Room #2, right after Mr. Shenker.

“I just thought Maria might be chatting with Beth,” Dr. Silver-man said. “You know, cheering her up.”

“Could be,” Frances said.

Maria Lopez was the pinup girl of the adolescent-medicine unit. She liked to slip off her white clogs and massage her lovely calves at the end of her shift and give everyone a good look at her rhinestone-studded toe ring.

What kind of grown woman wears a toe ring? Frances thought.

Dr. Silverman said only, “Let’s get Beth thinking about recovery. She’s just a kid, Frances.”

Frances thought about Beth’s recovery all the time. Beth was thirteen, and although she could wear long sleeves to hide the river of scars that would always run up her right forearm and she could wear turtlenecks to hide the thick red web spread across her collarbone, she would always have a stump at the end of her left leg, and if Frances Cairn had had to contemplate all that at thirteen, she’s pretty sure she would have flipped open her laptop as soon as she was conscious and Googled the most effective form of suicide.


S.S. ENDURANCE

Dear Beth,

I hope your recovery is continuing to progress. As I hope you know, everyone at the hospital was impressed with your fortitude.


Frances crossed out “fortitude” and wrote “strength of character” and went back to “fortitude,” which sounded sort of magnificent, even if Beth was unlikely to know what fortitude meant. Frances had never seen Beth read anything. Frances was with her every day for almost a month, holding her hands while Beth screamed as her arms and legs were debrided and bringing endless cups of juice and endless bags of ice chips. Frances watched Beth come out of two comas, and each time, she was the person who comforted Beth after Mrs. Shenker and Dr. Silverman had to tell Beth what day it was and how long her coma had lasted and then finally told Beth that she had only one foot. Frances did everything she could to bond with Beth and the Shenker family; at Beth’s discharge, she walked the Shenkers to the lobby, she gave Beth a care package from the staff (lip balm and Lifesavers, a photo of Beth and the floor staff, a pink T-shirt that said NO LIMITS! and a little stuffed penguin with a red-and-white Red Cross scarf around its neck). Between the multiple surgeries and the painkillers and the life ahead, Beth was hardly speaking when she left, and when Frances promised to visit Beth at home, Beth nodded, with her eyes closed, and the Shenkers drove off.


Dear Beth,

I’ve been meaning to visit for the past three weeks but things have been really hectic at the hospital. Remember your old room 13a, the nicest private room? A new patient is in there. T— has two broken legs — nothing compared to you, I know — and sadly, his father is facing charges for having thrown him off the roof of their apartment building. T — s mother doesn’t speak English and we have not yet found an Eritrean interpreter but Dr. Silverman — I know you remember him — seems to think that if I act out each of his phrases carefully, T — s mother will understand what’s going on….


Frances’s handwriting hadn’t changed since the sixth grade. It was the round, hopeful handwriting of girls who wrote things like: So glad we sat together in Econ! You rock. Let’s B BFF. You are so awesome. Don’t ever stop being who U R! over the pictures of CLASS CUT-UPS and the YOUTH EFFECTIVENESS SEMINAR; things that she, Frances, had never actually written to anyone. Frances’s friends were the disfigured and the disabled, one way or another, and Beth Shenker would have been one of the pretty, giggling girls who looked right through them as they limped and staggered down the hall.


Dear Beth,

I’ve spoken to your parents several times and told them of my plan to visit you. They couldn’t care less, so I am coming this Saturday morning, with cider and doughnuts. Just like old times …


Kentucky Fried Chicken. (“Terrible stuff,” Mr. Cairn said. “Awful,” Frances said, and she passed the cole slaw and the biscuits they loved, a triple order every time, and the creamed spinach. It was a relief to eat hot food that neither of them had to cook, and they had done this every Friday night since Frances moved out to go to social-work school.)

“I’m raking tomorrow,” Mr. Cairn said. “Want to help out your old man?”

“I can’t. I’m following up with a patient. The girl who contracted necrotizing fasciitis.”

Mr. Cairn loved to hear about the dreadful things that befell Frances’s people and to hear about the things that she did to help them bear their various crosses. He might have gone into social work himself, instead of hardware, if anyone had encouraged him. Mr. Cairn shook his head sympathetically. “I can’t imagine.” He finished his second biscuit. “The one with one foot and the father who’s a ladies’ man?” and Frances nodded. One night, instead of going back to her apartment after work, she’d driven over to watch Law & Order with her father, and she told him all about flesh-eating bacteria and the Shenkers.

“Is this an all-day visit?” Mr. Cairn said. “Because I don’t like the sound of this household.”

“I won’t be there for more than an hour.”

Mr. Cairn pushed his chicken around on his plate.

“I could drive you,” he said.

“Daddy, you have to get a life.” Frances smiled when she said it.

Mr. Cairn put his fork and knife on his plate and he took Frances’s hand.

“There’s someone special I’d like you to meet,” he said.

When Frances’s mother died, her father staggered from room to room, crying. Frances and Sherri would walk into the garage for their bikes and find their father sprawled on the hood of the car, face buried in his chamois cloths. One Sunday morning, Sherri dumped a basket of wet clothes in the middle of the living room. “I can’t do it,” she said. “I mean, I actually cannot do laundry. Daddy’s crying in front of the dryer.”

The first day of first grade, Frances had to walk next door and ask Mrs. Cohen to fix her hair because her father was crying so hard, he couldn’t do her braids. Mrs. Cohen did them and did them again the next day, and on the third day Mr. Cairn took Frances to the barber and said, Please give her a haircut. Something short. And pretty.

If he had married Mrs. Cohen he would not now be sitting in front of her with a crumb of fried chicken on his face, telling her to get ready to meet someone special.

“Sure,” Frances said.

“Maybe she’ll take me off your hands,” Mr. Cairn said.


S.S. ENDEAVOR

A short, wide woman with Mrs. Shenker’s sharp chin and thick eyebrows opened the door.

“I am—” Frances said, trying to hold on to her muffler and her purse and the bag of doughnuts and the jug of cider and the brochure about a camp for teenagers with physical limitations, and Mr. Shenker came into the front hall and opened the door wider.

“Hey. This is Miss … Frances,” he said. “Sylvia, this is Frances. Frances, my mother-in-law, Sylvia Winik. Frances spent time with Beth at the hospital. Jesus, Frances, you look like Shackleton on his way to the North Pole.”

“I doubt it,” Frances said. Frances was raised on Ernest Shackleton and brave Robert Edwin Peary and that moron Robert Scott and the tragedy of his ponies, eaten by the explorers, because Captain Scott was too stupid to use a dog team. (“Too much an admirer of dogs, the way Englishmen sometimes are,” her father had said, as if they both knew people like that, people who loved their dogs so much they would try to go to the South Pole with horses, to spare the dogs discomfort.) Frances knew the beginnings and ends of every polar expedition and nothing she ever did was going to be like Ernest Shackleton, who was a hero in her household, like Kennedy or King, and Mr. Shenker could just keep his big, fat, condescending, adulterous mouth closed.

“You might be thinking of Lawrence Oates,” Frances said, and Mr. Shenker looked at his mother-in-law and smiled. Lawrence Oates was one of the youngest men to accompany Scott and also the smartest, and when he understood he was dying of starvation and frostbite, he stopped eating entirely, gave away his compass, and lifted the flap of his tent to walk into the snow. “I am going outside now,” he said, “and I may be some time.” In their game of Great Expedition, this had been Frances’s favorite part, and she would say those lines and run onto the porch, in her pajamas, and her father would wait just the right amount of time and then carry her back in, as if there were icicles hanging all over her and she had just hours to live.

“Lorraine,” Mr. Shenker called out. “Frances is here. From the hospital.”

Mrs. Shenker came down the hall in sweatpants and a T-shirt, her hair in a ponytail.

“Frances, aren’t you sweet,” she said. “I didn’t know you were … Well, how nice. I was just doing some laundry. I thought it was going to rain, so we gave up on golf.” She put her hand on Mr. Shenker’s chest and he put an arm around her waist. “You were right, I was wrong,” she said.

“We’ll golf tomorrow,” he said. “Sylvia can spoil Beth and we’ll steal away.” The Shenkers and Mrs. Shenker’s mother all smiled at one another and finally Mrs. Shenker said, “Well, thank you for bringing a treat for Beth. Although, my God, we all ate enough doughnuts at that hospital …”

Mr. Shenker said, “Always room for a few more.”

Mrs. Shenker said, “Let’s just take a peek at Miss Beth and see how she’s doing.”

“Hey, Frances,” Beth said. Beth was smiling and she wore a silky green T-shirt over her bandages and a green headband. There was a pull-up bar above her head and her bedroom was decorated like a tropical paradise. She sat in the middle of her big green-and-blue bed, surrounded by her laptop, her iPhone, and her remote control. A flat-screen TV was mounted on the opposite wall, with white-capped waves painted to unfurl around it. The doorway was as wide as a hospital room’s. Pale-green mermaids raised their arms on either side of it, and there was an old-fashioned map of the world’s oceans painted on the wood floor, and a wheelchair was folded up in one corner.

Mrs. Shenker saw Frances looking. “I know — we went all out. We had an architect in here and Beth drove him crazy until everything was just the way she wanted.”

Beth grinned and looked down to text someone.

“Pretty cool, right? I might become an architect. The disabled Americans thing, plus I love design. Did you see my dresser?” Her dresser was painted to look like a treasure chest, with gold coins and jewels glued all the way down the front, as if the treasure were spilling out. “That was my idea.”

Frances sat in the small, comfortable armchair and Beth chatted a little, and answered e-mail. (Oh, my God, she said. No way. No way.) She texted friends and smiled at Frances to show that she didn’t mean to be rude and went back to her laptop. Mrs. Shenker’s mother came in with a plate of peanut-butter-and-fluff sandwiches, each half topped with a strawberry slice and two glasses of milk.

“Nana, thank you,” Beth said, and her grandmother kissed her and said, “Physical therapy in an hour, young lady,” and Beth struck a strongman pose and then offered Frances a sandwich and a napkin. Beth played some music on her computer and Frances and Beth ate their sandwiches, as if they were two girls in seventh grade, taking a homework break.

Frances ate her sandwich halves and thanked Mrs. Shenker’s mother, who handed her a couple of warm cookies for the road. The Shenkers emerged arm in arm to thank Frances for coming. They told her that Beth was starting school in three weeks, and Mr. Shenker said, She’s nervous about it, but you know Beth — she always gets back on the horse.

Frances got in her car and drove around the corner and pulled over, to just sit for a while.


S.S. DISCOVERY

Dear Beth,

I saw your picture today. Everyone in America must have seen it, plastered on the cover of People magazine. You look wonderful. Everything that was just on the cusp in you, when I knew you ten years ago, has absolutely flowered. I was sorry to read that your grandmother had passed but your parents look very well and, of course, very proud. I’m sure you are an inspiration to everyone around you, just as they said in the magazine. To have done what you’ve done — the Paralympics and now the triathlon and your work with teenagers — is very impressive.

Things have been quieter, here. I’m actually still at the hospital. I’m the Assistant Director of Social Work, which sounds like more than it is. I handle the scheduling and the outpatient programs but I don’t do any hiring or firing.

My father — I think you met him the time my car broke down at your house — passed away about five years ago. I miss him. It’s weird, at least it’s weird to me, but I now spend most Friday nights with his widow, Carol Skolnick. I don’t know if I ever mentioned it (probably not — we didn’t really talk about me, which was appropriate, since my home visits were for you and to help with your post-traumatic recovery), but my father remarried during the time you and I were in contact. Anyway, Carol and I weren’t exactly close when my father was alive but since he died, she’s reached out to me, and now on Friday nights she lights a Yarsight candle (I don’t know if I’ve spelled this correctly) for my father and for all of the other people we know who have died (I don’t include patients; we just mourn the people we’ve known in our personal lives) and then we have dinner, which is usually Kentucky Fried Chicken. It’s sort of a tradition.

The other big change is that I am in touch with my sister, Sherri, who was not part of my life when you and I knew each other. Sherri lives in Indianapolis and she and her husband run a cleaning service. They clean up after storms and other natural disasters in people’s offices and homes and also just regular cleaning. They have two girls, who are almost as old as you were when I met you, and they are wonderful girls. I only wish I had known them sooner. Sherri called me after our father died and she said to me, Your only family is me, and I remember saying that it didn’t seem like she wanted me in her life and she said that that wasn’t true, that our father had just abandoned her after her religious experience (my sister is, I guess, a born-again Christian and my father and I were the kind of Congregationalists who didn’t bother anyone, and I guess that was an insurmountable difference between them, plus my father and I thought Sherri was gay, which bothered her more than us but she stopped being gay, apparently, when she became born again and married Paul and had the girls). It’s a little odd being in their house sometimes, with Jesus on every wall and pillow and Sherri censors the girls’ reading, like no Harry Potter because of the magic. (I have to say this doesn’t make any sense to me. What makes magic particularly anti-Christian? I understand that calling up Satan is definitely not good but I can’t see how Tinkerbell or flying carpets threaten anyone.) But it is their house and their rules, and my nieces are happy and loving girls, and Paul has been very welcoming in his quiet way, and I am really grateful to spend their birthdays and Christmas with Sherri and her family.

I’ve continued my interest in polar exploration and the great expeditions, although I think it’s safe to say this is not a subject of general interest. They were just so phenomenally brave. They lived on dog meat and willow tea. They boiled old boots and ate them. They ate the deerskin ties off their tents and then they cut up their tents to make footgear, so they could go out and look for the rescue ships. Lieutenant George DeLong of the U.S. Navy spent two winters frozen in place 750 miles from the North Pole, which is not that far — others had traveled farther — and then his ship sank on June 12, 1881. There were fourteen of them left, and still he wrote in his journal, “All hands weak and feeble, but cheerful.”

All my life, those men were my heroes. I think I would have been better off with the astronauts or even the Argonauts or with the saints, if we had been that kind of family, or with the people who marched on Selma for their rights. But my father loved these men and he didn’t seem to notice that they were all, really, pretty crazy and most of them failures (Roald Amundsen was often the villain of these stories and I think now it was because he knew what he was doing; he accomplished his goal and he went on to other successes, and all of that was despicable to my father). These people made terrible mistakes and the best and worst of them just shrugged and said that it was no one’s fault at all, just the nature of life, just the inevitable outcome of what they had undertaken, but it wasn’t true. They had something missing. They left things behind that other, more reasonable men would have known to bring. They brought the wrong food, and the wrong transportation. They held the fucking maps upside down half the time and one boat fell to pieces in the Arctic Ocean because, when the ship had sailed in sunnier climes, the crew had pulled nails out of it to trade for sex with the Polynesian women, since iron was so valuable. They could have been saved by vitamins, which were easy to buy and carry. They could have been saved by a wireless transmitter, which was not uncommon.

On one of Peary’s expeditions, their boat was struck by moving ice, pressed between two icebergs by the current, and as the ship was sinking, water coming in through the port side, the crew and the scientists gathered a few things and scrambled onto the icy bluff. Finn Hamilton went below three times, because he couldn’t decide what to take. He brought a compass and threw it to a crewmate already on land. He went down for his pipe, and halfway up the stairs, he went back down again for his Bible and he slipped and drowned, tangled up with a footstool.

Some of us are Finn Hamilton and some of us are Beth Shenker, I guess. I have somehow not had the right things for this journey and I have packed and repacked a hundred times as if somehow the right thing will be found in some small pocket, put in by someone with more sense or gift than me, but I’m always scrambling for the last-minute thing and I am always, always watching the boat pull away without me.

Your family was one of my early boats and you were the bright and amazing sail, and I am, as I said at the beginning, very, very proud of you.

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