It is touching, too—(though this might be attributable to the man’s neurological deficit and not his gentlemanly nature)—that, in his attitude toward his visitors, E.H. makes no distinction between the least consequential person in the room (Margot Sharpe) and the most consequential (Milton Ferris); he has lost his instinctive capacity for ranking. It isn’t clear what he makes of Ferris’s other assistants, or rather “associates” (as Ferris would call them: de facto they are “assistants”) whom he has met before: another, older female graduate student, several postdoctoral fellows, and an allegedly brilliant young assistant professor who is Ferris’s protégé at the Institute and has published several important papers with him in neuroscience journals.
E.H. is slow to surrender Margot Sharpe’s hand. He continues to stand close beside Margot as if surreptitiously sniffing her hair, her body. Margot is uneasy, for she doesn’t want to annoy Milton Ferris; she knows that her supervisor is waiting for an opportunity to initiate the morning’s testing, which will require several hours in the Institute testing-room, even as E.H. in his concentration upon the young, black-haired, attractive woman seems to have forgotten the reason for his guests’ visit.
(It occurs to Margot to wonder if a brain-damaged person might be likely to compensate for memory loss with a heightened olfactory sense? A plausible and exciting possibility which she might one day explore, Margot thinks.)
(The amnesiac subject is clearly far more interested in Margot than in the others—she hopes that his interest isn’t just frankly sexual. It occurs to her to wonder if the subject’s sexuality has been affected by his amnesia, and in what way …)
But E.H. speaks to her in a kindly manner, as if she were a young girl.
“‘Mar-go.’ I think you were in my grade school class at Gladwyne Day—‘Mar-go Madden’—unless it was ‘Margaret Madden’ …”
“I’m afraid not, Mr. Hoopes.”
“No? Really? Are you sure? This would have been in the late 1930s. In Mrs. Scharlatt’s sixth-grade class you sat at the front, far left by the window. You had silver barrettes in your hair. Margie Madden.”
Margot feels her face heat. It is just not the flirtation that makes her uneasy but a kind of complicity of hers, as of the others who are listening, in their reluctance to tell E.H. frankly of his condition.
It would be Dr. Ferris’s obligation to tell him this; or rather, to tell him again. (For E.H. has been told many times.)
“I—I’m afraid not …”
“Well! Will you call me ‘Eli’? Please.”
“‘Eli.’”
“Thank you! That’s very kind.”
E.H. consults a little notebook he keeps in a pocket of his khakis, and jots down a note. He holds the notebook at a slight, subtle angle so that no one can see what he is writing; yet not so emphatically an angle that the gesture is insulting to Margot.
Margot has been told that the amnesiac has been keeping notebooks since he’d recovered from his illness and was strong enough to hold a pen in his hand. So far he has accumulated many dozens of these small notebooks as well as sketchbooks measuring forty-eight inches by thirty-six inches; he never arrives at the Institute without both of these. Apparently the notebook and the sketchbook serve different functions. In the notebooks E.H. jots down stray facts, names, times and dates; he inserts columns torn from magazines and newspapers from the fourth-floor lounge. (Male staffers who use the fourth-floor men’s restroom report finding such detritus there each day that E.H. is on the premises—that is how they know, they say, that “your fancy amnesiac” has been there.) The sketchbooks are for drawings.
The complex neurological skills needed for reading, writing, and mathematical calculation seem not to have been much affected by E.H.’s illness, as they were acquired before the infection. So E.H. reads brightly from the notebook: “‘Elihu Hoopes attended Amherst College and graduated summa cum laude with a double major in economics and mathematics … Elihu Hoopes has attended Union Theological Seminary and has a degree from the Wharton School of Business.’” E.H. reads this statement as if he has been asked to identify himself. Seeing his visitors’ carefully neutral expressions he regards them with a little tic of a smile as if, for just this moment, he understands the folly and pathos of his predicament, and is begging their indulgence. Forgive me! The amnesiac has learned to gauge the mood of his visitors, eager to engage and entertain them: “I know this. I know who I am. But it seems reasonable to check one’s identity frequently, to see if it is still there.” E.H. laughs as he snaps the little notebook shut and slips it back into his pocket, and the others laugh with him.
Only Margot can barely bring herself to laugh. It seems to her cruel somehow.
There is laughter, and there is laughter. Not all laughter is equal.
Laughter too depends upon memory—a memory of previous laughter.
Dr. Ferris has told his young associates that their subject “E.H.” will possibly be one of the most famous amnesiacs in the history of neuroscience; potentially he is another Phineas Gage, but in an era of advanced neuropsychological experimentation. In fact E.H. is far more interesting neurologically than Gage whose memory had not been severely affected by his famous head injury—the penetration of his left frontal lobe by an iron rod.
Dr. Ferris has cautioned them against too freely discussing E.H. outside their laboratory, at least initially; they should be aware of their “enormous good fortune” in being part of this research team.
Though she is only a first-year graduate student Margot Sharpe doesn’t have to be told that she is fortunate. Nor does Margot Sharpe need to be told not to discuss this remarkable amnesiac case with anyone. She does not intend to disappoint Milton Ferris.
Ferris and his assistants are preparing batteries of tests for E.H., of a kind that have never before been administered. The subject is to remain pseudonymous—“E.H.” will be his identity both inside and outside the Institute; and all who work with him at the Institute and care for him are pledged to confidentiality. The Hoopes family, which has donated millions of dollars to the University of Pennsylvania’s School of Medicine, has given permission exclusively to the University Neurological Institute at Darven Park for such testing so long as E.H. is willing and cooperative—as indeed, he appears to be. Margot doesn’t like to think that a kicked dog, yearning for human approval and love, desperate for a connection with the “normal,” could not be more eagerly cooperative than the dignified Elihu Hoopes, son of a wealthy and socially prominent Philadelphia family.
Elihu Hoopes is trapped in a perpetual present, Margot thinks. Like a man wandering in circles in a twilit woods—a man without a shadow.
And so he is thrilled to be saved from such a twilight and made the center of attention even if he doesn’t know quite why. How otherwise does the amnesiac know that he exists? Alone, without the stimulation of attentive strangers asking him questions, even the twilight would fade, and he would be utterly lost.
“‘MARGO NOT-MADDEN’?—THAT is your name?”
At first Margot can’t comprehend this. Then, she sees that E.H. is attempting a sort of joke. He has taken out his little notebook again, and has painstakingly inscribed in it what appears to be a diagram in logic. One category, represented by a circle, is M M and a second category, also represented by a circle, is M Not-M. Between the two circles, which might also be balloons, since strings dangle from them, is a broken line.
“My days of mastering symbolic logic seem to have abandoned me,” E.H. says pleasantly, “but I think the situation is something like this.”
“Oh—yes …”
How readily one humors the impaired. Margot will come to see how, within the amnesiac’s orbit, as within the orbit of the blind or the deaf, there is a powerful sort of pull, depending upon the strength of will of the afflicted.
Still, Margot is uncertain how to respond. It is a feeble and somehow gallant attempt at humor but she doesn’t want to encourage the amnesiac subject in prevarication—she knows, without needing to be told, that her older colleagues, and Milton Ferris, will disapprove.
Also, an awkward social situation has evolved which involves caste: the (subordinate) Margot Sharpe has supplanted, in E.H.’s limited field of attention, the (predominant) Milton Ferris. It is even possible that the brain-damaged man (deliberately, craftily) has contrived to “neglect” Dr. Ferris who stands just at his elbow waiting to interrupt—(“neglect” is a neurological term referring to a pathological blindness caused by brain damage); and so it is imperative that Margot ease away from E.H. so that Ferris can reassert himself as the (obvious) person in authority. Margot hopes to execute this maneuver as inconspicuously as possible without either the impaired man or the distinguished neuropsychologist seeing what she is doing.
Margot doesn’t want to hurt E.H.’s feelings, even if his feelings are fleeting, and Margot doesn’t want to offend Milton Ferris, the most distinguished neuroscientist of his generation, for her scientific career depends upon this fiercely white-bearded individual in his late fifties about whom she has heard “conflicting” things. (Milton Ferris is the most brilliant of brilliant scientists at the Institute but Milton Ferris is also an individual whom “you don’t want to cross in any way, even inadvertently. Especially inadvertently.”) As a young woman scientist, one of very few in the Psychology Department at the University, Margot knows instinctively to efface herself in such circumstances; as an undergraduate at the University of Michigan with a particular interest in experimental cognitive psychology, she absorbed such wisdom through her pores.
Also, it was abundantly clear: there were virtually no women professors in the Psychology Department, and none at all in Neuroscience at U-M.
Margot is not a beautiful young woman, she is sure. She has a distrust of conventional “beauty”—her more attractive girl-classmates in school were distracted by the attention of boys, in several cases their lives altered (young love, early pregnancies, hasty marriages). But Margot considers herself a canny young woman, and she is determined not to make mistakes out of naïveté. If E.H. is a kind of dog in his eagerness to please, Margot is not unlike a dog rescued from a shelter by a magnanimous master—one who must be assured, at all times, in the most subtle ways possible, that he is indeed master.
In his steely jovial way Milton Ferris is explaining to E.H. that Margot is “too young” to have been a classmate of his in the late 1930s—“This young woman from Michigan is new to the university and new to our team at the Institute where she will be assisting us in our ‘memory project.’”
E.H. frowns thoughtfully as if he is absorbing the information packed into this sentence. Affably he concurs: “‘Michigan.’ Yes—that makes it unlikely that we were classmates at Gladwyne.”
In the same way E.H. is trying to behave as if the term “memory project” is familiar to him. (Margot wonders if this persuasive and congenial persona has been a nonconscious acquisition in the amnesiac. She wonders whether testing has been done in the acquisition of such “memory” by individuals as brain-damaged as E.H.)
As Milton Ferris speaks expansively of “testing,” E.H. exhibits eagerness and enthusiasm. Over the course of the past eighteen months he has been tested countless times by neurologists and psychologists but it isn’t likely that he can remember individual sessions or tests. From before his injury he retains a general knowledge of what a “test” is—he knows what an “I.Q. test” is. From before his injury he might know that his I.Q. was once tested at 153, when he was eighteen years old; but he can’t know that, after his injury, his I.Q. has been tested several times, and has been measured in the range of 149 to 157. Still of superior intelligence, at least theoretically.
This is fascinating to Margot: E.H.’s pre-injury vocabulary, language skills, and mathematical abilities have survived more or less intact but (it is said) he can’t retain new words, concepts, or facts even if they are embedded in familiar information. He has been observed taking notes on the financial section of his favorite newspapers but when asked about what he has been inscribing a few minutes later he shrugs disdainfully—“Homo sapiens is the species that ‘makes’ and ‘loses’ money. What else is new?” He has forgotten what had so engrossed him but he can readily invent a substitute with which to disguise his memory loss.
At times E.H. seems to know that John F. Kennedy was assassinated recently—(two years ago)—while at other times E.H. speaks of “President Kennedy” as if the man were still alive—“Kennedy will need to revise his position on Cuba. He will need to lead the country out of the quagmire of Vietnam.”
And, grandiloquently: “Some of us are hoping to get to Washington, to meet with the president. The situation is getting more and more urgent.”
It would seem delusional except, as Ferris has noted, the Hoopes family of Philadelphia has long had ties with state and federal politicians.
Like many brain-afflicted individuals E.H. carries with him dictionaries and other word-books; he keeps long lists of words in his notebooks alphabetically arranged—that is, there are pages of A’s, B’s, C’s, and so forth. (E.H. takes pleasure in consulting these when he does the Times crossword puzzle as, his family has attested, he’d never consulted a dictionary when doing the puzzle before his illness.) His proficiency in math is impressive. His knowledge of world geography is impressive. He can discuss rival economic theories—Keynesian, classical, Marxist; he likes to expound upon von Neumann’s Theory of Games and Economic Behavior, key lines of which he has memorized. But if questioned he can only repeat more or less what he has already said; his ideas are fixed, like his vocabulary. No new ideas or revisions of the past can penetrate. And if he is challenged his affable nature vanishes and he becomes irritable, ironic. He is adept at board games and puzzles of a kind he’d mastered when he was a boy but he can’t easily learn new games.
Margot supposes that if E.H. could reason more clearly he would assume that the repeated tests he undergoes constitute a kind of treatment or therapy that might allay his condition; but he can’t know his “condition” though it has been explained to him repeatedly; and he can’t know that the tests are in fact “repeated” or that they are for the sake of experimental research—that’s to say for the sake of neuroscience and not for the sake of the subject.
Ferris is speaking carefully to E.H.: “Mr. Hoopes—Eli—let me explain again that I am a neuropsychologist who teaches at the University of Pennsylvania and these are members of my lab. We’ve been working with you for the past fifteen weeks here at the Institute at Darven Park, each Wednesday, and we have made some exciting preliminary discoveries. You have met me before, and we have gotten along splendidly! I am ‘Milton Ferris’—”
E.H. nods vehemently, even a little impatiently, as if he knows all this: “‘Mil-ton Fer-ris’—yes. ‘Dr. Ferris.’”
“I am not a ‘doctor’—I am a professor. I have a Ph.D. of course but that is not essential! Please just call me—”
“‘Professor Fer-ris.’ Yes.”
“And I have explained—I am not a clinician.”
This is a way of telling the subject I am not a medical doctor. You are not my patient.
But E.H. seems to purposefully misunderstand, awkwardly joking: “Well, Professor—that makes two of us. I am not a clinician, either.”
E.H. has spoken a little too loudly. Is this a way of signaling irritation with Professor Ferris? Since his attention has been forcibly removed from black-haired Margot Sharpe?
(Margot wonders too if E.H. is speaking quickly as if to signal, subliminally, that he isn’t much interested in the information that Milton Ferris is providing him; despite his severe amnesia E.H. “remembers” enough from previous exchanges to know that he won’t remember this information, either, thus resents being given it.)
While his visitors look on E.H. leafs through his little notebook until he comes to a crucial page. He smiles, showing the page to Margot rather than to Ferris—a drawing of two tennis players, one of them wildly flailing with his racket as a ball sails over his head. (Is this player meant to be E.H.? The player’s hair and features suggest that this is so. And the other player, with a blurred face and exaggerated grin, is meant to be—Death?)
“This—‘tennis’—I used to play. Pretty damned good on the Amherst team. Are we going to play ‘tennis’ now?”
“Eli, you’re an excellent tennis player. You can play tennis another day. But right now, if you’d like to take a seat, and …”
“‘Excellent’? Is that so? But I have not played tennis in a long time, I think.”
“In fact, Eli, you played tennis just last week.”
Eli stares at Ferris. This is not what Eli has expected to hear and he seems incapable of absorbing it but without missing a beat Ferris says in a warm and uplifting voice, “Now, Eli, you’ve always trounced me. And it has been reported to me not only that you’d played with one of the best players on the staff but you’d won each game.”
“‘Reported’—really!”
E.H. laughs, faintly incredulous.
Margot sees: the poor man is feeling the unease of one being made to understand that the most complete knowledge of himself can come only from the outside—from strangers.
A melancholy conviction, Margot thinks, to realize that you can’t know yourself as reliably as strangers can know you!
Patiently Milton Ferris explains to E.H. why he has been brought to the Institute that morning, and why Ferris and his laboratory are going to be “testing” him—as they’d done in the past; E.H. listens politely at first, then becomes bemused and beguiled by Margot whom he has rediscovered: she is wearing a black wraparound skirt with black tights beneath, a black jersey pullover that fits her petite frame tightly, and black ballerina flats—the clothes of a schoolgirl dancer and not the crisp white lab coats of the medical staff or the dull-green uniforms of the nursing staff. There is no laminated ID on her lapel to inform him of her name.
Annoyed, Ferris says: “Whenever you’d like to begin, Mr. Hoopes—Eli. That’s why we’re here.”
“Why you are here, Doctor. But why am I here?”
“You’ve enjoyed our tests in the past, Eli, and I think you will again.”
“That’s why I am here—to ‘enjoy’ myself?”
“We are hoping to establish some facts concerning memory. We are hoping to explore the question of whether memory is ‘global’ in the brain—not localized; or whether it is localized. And you have been helping us, Eli.”
“Have they kicked me out of the office?—has someone taken my place? My brother Averill, and my uncle—” E.H. pauses as if, for a vexed moment, he can’t recall the name of one of his Hoopes relatives, an executive at Hoopes & Associates, Inc.; then he rallies, with one of his enigmatic remarks: “Where else would I be, if I could be somewhere else?”
Milton Ferris assures E.H. that he is in “just the right place, at just the right time to make history.”
“Did I tell you? I’ve heard Reverend King speak. Several times. That is ‘history.’”
“Yes. An extraordinary man, Reverend King …”
“He spoke in Philadelphia on the steps of the Free Library, and he spoke in Birmingham, Alabama, at a Negro church that was subsequently burnt to the ground by white racists. He is a very brave man, a saint. He is a saint of courage. I intend to march with him again when my condition improves—as I’ve been promised.”
“Of course, Eli. Maybe we can help arrange that.”
“It’s because I was clubbed on the head—billy clubbed—in Alabama. Did I show you? The scar, where my hair doesn’t grow …”
E.H. lowers his head, flattens his thick dark hair to show them a faint zigzag line in his scalp. Margot feels an impulse to reach out and touch it—to stroke the poor man’s head.
She understands—It’s loneliness he feels most.
“Yes, you did show us your scar, Eli. You’re a very lucky man to have escaped with your life.”
“Am I! You think that’s what I managed, Doctor—to ‘escape with my life.’” E.H. laughs sadly.
Milton Ferris continues to speak with E.H., humoring him even as he soothes him. Margot can imagine Ferris calming an excited laboratory animal, a monkey for instance, as it is about to be “sacrificed.”
For such is the euphemism in experimental science. The lab animals are not killed, certainly not murdered: they are sacrificed.
Shortly, in E.H.’s presence, you come to see that the amnesiac’s smiling is less childlike and eager than desperate, and piteous. His is the eagerness of a drowning person hoping to be rescued by someone, anyone, with no idea what rescue might be, or from what.
In me he sees—something. A hope of rescue.
In profound neural impairments there may yet be isolated islands of memory that emerge unpredictably; Margot wonders if her face, her voice, her very scent might trigger dim memories in E.H.’s ruin of a brain, so that he feels an emotion for her that is as inexplicable to him as it might be to anyone else. Even as he tries to listen to Dr. Ferris’s crisp speech he is looking longingly at Margot.
Margot has seen laboratory animals rendered helpless, though still living and sensate, after the surgical removal of parts of their brains. And she has read everything she could get her hands on, about amnesia in human beings. Still it is unnerving for her to witness such a condition firsthand, in a man who might pass, at a little distance, as normal-seeming—indeed, charismatic.
“Very good, Eli! Would you like to sit down at this table?”
E.H. smiles wryly. Clearly, he doesn’t want to sit down; he is most at ease on his feet, so that he can move freely about the room. Margot can imagine this able-bodied man on the tennis court, fluid in motion, not wanting to be fixed in place and so at a disadvantage.
“Here. At this table, please. Just take a seat …”
“‘Take a seat’—where take it?” E.H. smiles and winks. He makes a gesture as if about to lift a chair; his fingers flutter and flex. Ferris laughs extravagantly.
“I’d meant to suggest that you might sit in a chair. This chair.”
E.H. sighs. He has hoped to humor this stranger with the fiercely white short-trimmed beard and winking eyeglasses who speaks to him so familiarly.
“Heil yes—I mean, hell yes—Doctor!”
E.H.’s smile is so affable, he can’t have meant any insult.
As they prepare to begin the morning’s initial test E.H.’s attention is drawn away from Margot who plays no role at all except as observer. And Margot has eased into the periphery of the subject’s vision where probably he can’t see her except as a wraith. She assumes that he has forgotten the names of others in the room to whom he’d been introduced—Kaplan, Meltzer, Rubin, Schultz. It is a relief to her not to be competing with Milton Ferris for the amnesiac’s precarious attention.
After his illness E.H.’s performance on memory tests showed severe short-term loss. Asked by his testers to remember strings of digits, he wavered between five and seven. Now, months later, he can recall and recite nine numbers in succession, when required; sometimes, ten or eleven. Such a performance is within the normal range and one would think that E.H. is “normal”—his manner is calm, methodical, even rather robotic; then as complications are introduced, as lists become longer, and there are interruptions, E.H. becomes quickly confused.
The experiment becomes excruciating when lists of digits are interrupted by increasing intervals of silence, during which the subject is required to “remember”—not to allow the digits to slip out of consciousness. Margot imagines that she can feel the poor man straining not to lose hold—the effort of “rehearsing.” She would like to clasp his hand, to comfort and encourage him. I will help you. You will improve. This will not be your entire life!