“I see my suitcase,” Dad said. “I see Bee’s suitcase. Where’s your suitcase, Bernadette?”
“It’s right there,” Mom said.
Dad walked over and picked it up. It just hung there like a deflated balloon. “Why isn’t there anything in it?” he asked.
“What are you even doing here?” Mom said.
“What am I even doing here?”
“We were about to have dinner,” she said. “You didn’t sit down. You didn’t take off your coat.”
“I have an appointment back at the office. I’m not staying for dinner.”
“Let me get you some fresh clothes, at least.”
“I have clothes at the office.”
“Why did you drive all the way home?” she said. “Just to tell us about Van?”
“Sometimes it’s nice to do things in person.”
“So stay for dinner,” Mom said. “I’m not understanding this.”
“Me neither,” I said.
“I’ll do things my way,” Dad said. “You do things your way.” He walked out the front door.
Mom and I stood there, waiting for him to come back in, all embarrassed. Instead, we heard his Prius glide over the gravel and onto the street.
“I guess he really did just come home to tell us about Van,” I said.
“Weird,” said Mom.
WEDNESDAY, DECEMBER 22
Report by Dr. Kurtz
PATIENT: Bernadette Fox
BACKGROUND: Per my authorization request dated 12/21, I had arranged to meet Elgin Branch at the Microsoft campus. Since that request, in which I expressed skepticism of Mr. Branch, my opinion of him and his motives has dramatically changed. In an attempt to illuminate this about-face I will go into inordinate detail regarding our meeting.
NOTES ON MEETING: My lecture at the UW had wrapped up sooner than expected. Hoping to catch the 10:05 ferry, I arrived half an hour early. I was directed to Mr. Branch’s administrator’s office. Sitting at the desk was a woman in a raincoat with a foil-covered plate in her lap. I asked for Mr. Branch. This woman explained she was a friend of the administrator’s and had come to surprise her with dinner. She said everyone was in a meeting in the big theater downstairs.
I said I, too, had come on personal business. She noticed the Madrona Hill ID clipped to my briefcase and said something to the effect of “Madrona Hill? Hi-ho, I’ll say that’s personal business!”
The administrator arrived and practically screamed when she saw me talking to her friend with the food plate. She pretended that I was a Microsoft employee. I tried to signal the administrator that I had already identified myself otherwise, but she quickly hustled me into a conference room and pulled down the shades. The administrator handed me a classified FBI file and left. I am unable to divulge its contents other than the salient facts pertaining to Ms. Fox’s mental state:
• she ran over a mother at school
• she had a billboard erected outside this woman’s home to taunt her
• she hoards prescription medicine
• she suffers from extreme anxiety, grandiosity, and suicidal thoughts.
Mr. Branch arrived, appearing agitated, due to the fact that he was keeping everyone late downstairs and they had hit a programming bug just before he came up. I promised I would be quick and handed him a list of some wonderful psychiatrists in the area. Mr. Branch was incredulous. He strongly believed the FBI file contained adequate proof to qualify his wife for inpatient treatment.
I expressed my concern at his determination to put his wife on an involuntary hold. He assured me he merely wanted to get her the best care possible.
Mr. Branch’s administrator knocked and asked if Mr. Branch had reviewed a code fix. Mr. Branch looked at his cell phone and shuddered. Apparently, forty-five emails had come in while we were talking. He said, “If Bernadette doesn’t kill me, Reply All will.” He scrolled through the emails and barked some code talk about submitting a change list, which his administrator furiously copied down before dashing out.
After a spirited back-and-forth in which Mr. Branch accused me of dereliction of duty, I acknowledged that his wife might be suffering from adjustment disorder, which, I explained, is a psychological response brought on by a stressor, and it usually involves anxiety or depression. The stressor in his wife’s case appears to be a planned trip to Antarctica. In extreme cases, a person’s coping mechanisms can be so inadequate that the stressor causes a psychotic break.
Mr. Branch almost collapsed with relief that I had finally confirmed there was something wrong with his wife.
The administrator entered again, this time joined by two men. There was more jargon involving deploying a code fix.
After they left, I told Mr. Branch that the recommended treatment for adjustment disorder is psychotherapy, not a psychiatric hold. I bluntly stated that it is wholly unethical and completely unheard of for a psychiatrist to place a person on an ITA hold without meeting them first. Mr. Branch assured me he was not fixated on having her taken away in a straitjacket, and he asked if there was perhaps an intermediate step.
For the third time, the administrator knocked. Apparently, Mr. Branch’s fix had worked, and the meeting was over. More people entered the conference room, and Mr. Branch went through a priority list for tomorrow.
I was struck by the intensity of it all. I’ve never seen a group of people so self-motivated, working at such a high level. The pressure was palpable, but so was the camaraderie and love for the work. Most striking was the reverence paid to Mr. Branch, and his joking, egalitarian nature, even under extreme stress. At one point, I noticed Mr. Branch was in his stocking feet, and I realized: he was the man in the TEDTalk! The one where you stick a computer chip to your forehead and you never have to move a muscle for the rest of your life. It’s an extreme version of what I find an alarming trend toward reality avoidance.
After everyone left, it was just me, Mr. Branch, and the administrator. I suggested that because Ms. Fox appears to be self-medicating for anxiety, I could refer him to one of my able colleagues who specializes in drug interventions. Mr. Branch was grateful. But because nobody but me could be privy to this FBI file, he asked if I would consider conducting the intervention myself. I said yes.
I emphasized the importance of Mr. Branch getting some sleep. His administrator said she’d booked a hotel room for him, and would drive him there herself.
*
The next afternoon Dad picked me up at school and we drove to the airport.
“Are you still excited about Choate?” he asked.
“Yeah,” I said.
“I’m really, really glad to hear that,” Dad said. Then, “Do you know what a lame-duck president is?”
“Yeah.”
“That’s what it was like for me, right after I got accepted to Exeter. I felt like I was stuck treading water at middle school. I bet that’s how you feel right now.”
“Not really.”
“A lame-duck president is when a president has been voted out of office—”
“I know what it is, Dad. What does it have to do with Choate? All the other kids are leaving Galer Street and going to another school in the fall like me. So it’s like saying the day you start eighth grade, the whole year is a lame-duck year. Or when you turn fourteen, it’s a lame-duck year until you turn fifteen.”
That quieted him down for a few minutes. But he started back up. “I’m happy to hear you’re enjoying Youth Group,” he said. “If you’re drawing strength from your time there, I want you to know I fully support it.”
“Can I spend the night at Kennedy’s?”
“You’ve been spending a lot of time at Kennedy’s,” he said, all concerned.
“Can I?”
“Of course you can.”
We drove past the rail yards on Elliott Bay with the huge orange cranes that look like drinking ostriches standing sentry over thousands of stacked shipping containers. When I was little, I asked Mom what all those containers
were. She said ostrich eggs filled with Barbie dolls. Even though I don’t play with Barbies anymore, it still gets me excited to think of that many Barbies.
“I’m sorry I haven’t been around much.” It was Dad again.
“You’re around.”
“I’d like to be around more,” he said. “I am going to be around more. It’s going to start with Antarctica. The two of us are going to have such a good time there.”
“The three of us.” I got out my flute and played the rest of the way to the airport.
Uncle Van was supertan, his face craggy, and he had whitish peeling lips. He wore a Hawaiian shirt, flip-flops, an inflatable sleeping pillow around his neck, and a big straw hat with a bandanna around it that said THE HANGOVER.
“Bro!” Van gave Dad a big hug. “Where’s Bee? Where’s your little girl?”
I waved.
“You’re a big girl. My niece, Bee, is a little girl.”
“I’m Bee,” I said.
“No way!” He held up his hand. “High-five for growing.”
I limply slapped him five.
“I come bearing gifts.” He removed his straw hat and shucked off more straw hats from under it, each with a HANGOVER bandanna. “One for you.” He put one on Dad’s head. “One for you.” He put one on my head. “One for Bernadette.”
I snatched it. “I’ll give it to her.” It was so hideous, I had to give it to Kennedy.
As Van stood there smearing ChapStick across his gross lips, I thought, I hope nobody sees me at the zoo with this guy.
*
Presentation by Dr. Kurtz to her supervisor
PATIENT: Bernadette Fox
INTERVENTION PLAN: I presented my patient background to Drs. Mink and Crabtree, who specialize in drug interventions. They concurred that due to the component of substance abuse, it is appropriate to stage an intervention. While I am not formally trained in drug interventions, because of the unique circumstances described in my patient background I have decided to lead it myself.
JOHNSON MODEL VS. MOTIVATIONAL INTERVENTION: For the last decade, Madrona Hill has been moving away from the Johnson Model of “ambush-style” intervention in favor of the more inclusive Miller-and-Rollnick “motivational” approach, which studies have shown to be more effective. However, due to the secrecy dictated by the FBI, the Johnson Model was chosen.
PREPARATORY MEETING: Mr. Branch and I met at Dr. Mink’s Seattle office this afternoon. Dr. Mink conducted many Johnson-style interventions in the 1980s and ’90s, and walked us through its steps.
1. Forcefully “present reality” to the patient.
2. Family members express love for the patient in their own words.
3. Family members detail the damage the patient has caused.
4. Family members guarantee support in treatment of patient.
5. Family members and health professional explain negative consequences if patient refuses treatment.
6. Patient given opportunity to voluntarily seek treatment.
7. Immediate transfer of patient to treatment center.
All hopes are that Bernadette Fox will admit to her illness and check herself into Madrona Hill voluntarily.
*
That night, I went to the Radio City Christmas Spectacular with Youth Group. The first part, with the Rockettes, was annoying. All it was, was piped-in music while the Rockettes kicked. I thought they would have at least sung, or done some other kind of dancing. But they just kicked in a line facing one direction. They kicked in a line facing the other direction. They kicked in a line with the whole line twirling, to songs like “It’s Beginning to Look a Lot Like Christmas” and “I Saw Mommy Kissing Santa Claus.” The whole thing was junk. Kennedy and I both were like, Why?
Intermission came. There was no reason to go to the lobby because nobody had any money, which meant the best we could do was drink water out of the fountain. So me and all the Youth Group kids stayed at our seats. As the audience filed back in, the ladies in hair helmets, caked-on makeup, and blinking Christmas pins all started bubbling with excitement. Even Luke and Mae, who chaperoned us, were standing in front of their seats, staring at the red curtain.
The theater went dark. A star was projected on the curtain. The audience gasped and clapped way too enthusiastically just for a star.
“Today is the most sacred day for all mankind,” boomed a scary voice. “It is the birth of my son, Jesus, the king of kings.”
The curtain flew open. Onstage was a manger with a real-life baby Jesus, Mary, and Joseph. “God” narrated, in the most ominous way, the story of the Nativity. Shepherds came out with live sheep, goats, and donkeys. With every new animal that trotted out, there were fresh “oohs” and “aahs.”
“Haven’t any of these people ever been to a petting zoo?” Kennedy said.
Three wise men entered on a camel, elephant, and ostrich. Even I was like, OK, that’s cool, I didn’t know ostriches would let you ride them.
Then a big black woman walked out, which kind of broke the spell, because she was wearing a supertight red dress, the kind you see at Macy’s.
“O holy night,” she started.
Ecstatic gasps sprung up all around me.
“The stars are brightly shining,” she sang. “It is the night of our dear Savior’s birth. Long lay the world / In sin and error pining / Till he appeared and the spirit felt its worth.” Something about the tune made me close my eyes. The words and music filled me with a warm glow. “A thrill of hope / The weary world rejoices / For yonder breaks / A new and glorious morn.” There was a pause. I opened my eyes.
“Fall on your knees!” she sang, full of startling, loud joy. “O hear the angels’ voices!”
“O niiiiight divine,” more voices joined in. A chorus was now onstage, above baby Jesus, fifty of them, all black people, dressed in sparkly clothes. I hadn’t even seen them arrive. The glow inside me started to harden, which made it difficult to swallow.
“O night when Christ was born. O niiiiight diviiiiiine! O night! O night Divine!”
It was so weird and extreme that I got disoriented for a second, and it was almost a relief when it was over. But the music kept going. I knew I had to brace myself for the next wave. Across the top of the stage, words appeared on a digital scroll. Like the chorus, it just seemed to have materialized. Red-dot words glided across…
TRULY HE TAUGHT
US TO LOVE ONE ANOTHER…
HIS LAW IS LOVE
AND HIS GOSPEL IS PEACE.
A low rumble surrounded me. It was people in the audience rising to their feet, joining in, singing.
CHAINS SHALL HE BREAK
FOR THE SLAVE HE IS OUR BROTHER…
AND IN HIS NAME
ALL OPPRESSION SHALL CEASE.
I couldn’t see the words anymore because of the people in front of me. I stood, too.
SWEET HYMNS OF JOY
IN GRATEFUL CHORUS RAISE WE,
WITH ALL OUR HEARTS
WE PRAISE HIS HOLY NAME.
Everyone in the audience started raising their arms halfway up and wiggling their fingers like they were doing jazz hands.
Kennedy had put the HANGOVER bandanna on. “What?” she said, and crossed her eyes. I shoved her.
Then, the main black lady, who hadn’t been singing that loudly but letting the chorus do all the work, suddenly stepped forward.
“Chriiiist is the Lord!” her voice roared, as the sign flashed:
CHRIST IS THE LORD!
It was so joyful and unapologetically religious, I realized that these people, “churchy” people, as Mom called them, were actually oppressed, and only now could they open up because they were safely among other churchy people. The ladies who looked so nice with their special hairdos and Christmas sweaters, they didn’t care how bad their voices were, they were joining in, too. Some threw their heads back and even closed their eyes. I raised my hands, to see how it felt. I let my head drop back and my eyes close.
THEN EVER, EVER
PRAISE WE.
I was baby Jesus. Mom and Dad were Mary and Joseph. The straw was my hospital bed. I was surrounded by the surgeons and residents and nurses who helped me stay alive when I was born blue and if it weren’t for them I would be dead now. All those people I didn’t even know, I couldn’t pick them out of a lineup if I had to, but they had worked their whole lives to get the knowledge that ended up saving my life. It was because of them that I was in this magnificent wave of people and music.
O NIGHT DIVINE! O NIGHT! O NIGHT DIVINE!
There was a jab at my side. It was Kennedy punching me.
“Here.” She handed me her HANGOVER bandanna because tears were burning down my cheeks. “Don’t turn all Jesus on me.”
I ignored her and threw my head back. Maybe that’s what religion is, hurling yourself off a cliff and trusting that something bigger will take care of you and carry you to the right place. I don’t know if it’s possible to feel everything all at once, so much that you think you’re going to burst. I loved Dad so much. I was sorry I was so mean to him in the car. He was just trying to talk to me, and I didn’t know why I couldn’t let him. Of course I noticed he was never home. I had noticed it for years. I wanted to run home and hug Dad, and ask him to please not be away so much, to please not send me off to Choate because I loved him and Mom too much, I loved our house and Ice Cream and Kennedy and Mr. Levy too much to leave. I felt so full of love for everything. But at the same time, I felt so hung out to dry there, like nobody could ever understand. I felt so alone in this world, and so loved at the same time.
The next morning, Kennedy’s mom came in to wake us. “Shit,” she said. “You’re going to be late.” She threw a bunch of breakfast bars at us and went back to bed.
It was eight fifteen. World Celebration Day started at eight forty-five. I quickly got dressed and ran down the hill and across the overpass without stopping. Kennedy is always late to school, and her Mom doesn’t even care, so she stayed and ate cereal and watched TV.