Chapter 12

The year after the insertion of the renal stent, he had surgery for another major obstruction¹, this one in his left carotid artery², one of the two main arteries³ that stretch from the aorta⁴ to the base of the skull⁵ and supply blood to the brain and that if left obstructed⁶ could cause a disabling stroke or even sudden death. The incision⁷ was made in the neck, then the artery feeding the brain was clamped shut to stop the blood flowing through it. Then it was slit⁸ open and the plaque⁹ that was causing the blockage¹⁰ scraped out and removed. It would have been a help not to have to face this delicate an operation alone, but Nancy was swamped by her job and the demands of caring for the children without a mate, and as yet he'd met no one at Starfish Beach whom he could ask for assistance. Nor did he want to disrupt his brother's hectic¹¹ schedule to tell him about the surgery and cause him to be concerned, especially as he would be out of the hospital the following morning, providing there were no complications. This wasn't the peritonitis crisis or the quintuple bypass surgery — from a medical point of view it was nothing extraordinary, or so he was led to believe by the agreeable surgeon, who assured him that a carotid endarterectomy was a common vascular¹³ surgical¹⁴ procedure and he would be back at his easel within a day or two.

So he drove off alone in the early morning to the hospital and waited in a glassed-in anteroom on the surgical floor along with another ten or twelve men in hospital gowns scheduled for the first round of operations that day. The room would probably be full like this until as late as four in the afternoon. Most of the patients would come out the other end, and, too, over the course of the weeks, a few might not; nonetheless, they passed the time reading the morning papers, and when the name of one of them was called and he got up to leave for the operating room, he gave his sections of the paper to whoever requested them. You would have thought from the calm in the room that they were going off to get their hair cut, rather than, say, to get the artery leading to the brain sliced open.

At one point, the man to his side, having handed him that day's sports section, quietly began talking to him. He was probably only in his late forties or early fifties, but his skin was pasty and his voice was not strong or assured. "First my mother died," he said, "six months later my father died, eight months after that my only sister died, a year later my marriage broke down and my wife took everything I had. And that's when I began to imagine someone coming to me and saying, 'Now we're going to cut off your right arm as well. Do you think you can take that?' And so they cut off my right arm. Then later they come around and they say, 'Now we're going to cut off your left arm.' Then, when that's done, they come back one day and they say, 'Do you want to quit now? Is that enough? Or should we go ahead and start in on your legs?' And all the time I was thinking, When, when do I quit? When do I turn on the gas and put my head in the oven? When is enough enough? That was how I lived with my grief for ten years. It took ten years. And now the grief is finally over and this shit starts up." When his turn came, the fellow beside him reached over to take the sports section back, and he was shepherded to the operating room by a nurse. Inside, half a dozen people were moving about in the glare of the lights making preparations for his surgery. He could not locate the surgeon among diem. It would have reassured¹⁵ him to see the surgeon's friendly face, but either the doctor hadn't entered the operating room yet or he was off in some corner where he couldn't quite be seen. Several of the younger doctors were already wearing surgical masks, and the look of them made him think of terrorists. One of them asked whether he wanted a general or a local anesthetic¹⁶, the way a waiter might have asked if he preferred red or white wine. He was confused — why should the decision about anesthesia be made this late? "I don't know. Which is better?" he said. "For us, the local. We can monitor the brain function better if the patient is conscious." "You're telling me that's safer? Is that what you're saying? Then I'll do it."

It was a mistake, a barely endurable mistake, because the operation lasted two hours and his head was claustrophobically draped with a cloth and the cutting and scraping took place so close to his ear, he could hear every move their instruments made as though he were inside an echo chamber¹⁷. But there was nothing to be done. No fight to put up. You take it and endure it. Just give yourself over to it for as long as it lasts.

He slept well that night, by the next day felt fine, and at noon, after he lied and said a friend was waiting downstairs to pick him up, he was released and went out to the parking lot and cautiously drove himself home. When he got to the condo and sat down in his studio to look at the canvas he could soon resume painting, he burst into tears, just as his father had after he'd got home from his near-fatal bout¹² of peritonitis.

1 obstruction   

n.阻塞，堵塞；障碍物

参考例句：

• She was charged with obstruction of a police officer in the execution of his duty.她被指控妨碍警察执行任务。
• The road was cleared from obstruction.那条路已被清除了障碍。

2 artery   

n.干线，要道；动脉

参考例句：

• We couldn't feel the changes in the blood pressure within the artery.我们无法感觉到动脉血管内血压的变化。
• The aorta is the largest artery in the body.主动脉是人体中的最大动脉。

3 arteries   

n.动脉( artery的名词复数 )；干线，要道

参考例句：

• Even grafting new blood vessels in place of the diseased coronary arteries has been tried. 甚至移植新血管代替不健康的冠状动脉的方法都已经试过。 来自《简明英汉词典》
• This is the place where the three main arteries of West London traffic met. 这就是伦敦西部三条主要交通干线的交汇处。 来自《简明英汉词典》

4 aorta   

n.主动脉

参考例句：

• The abdominal aorta is normally smaller than the thoracic aorta.腹主动脉一般比胸主动脉小。
• Put down that jelly doughnut and look carefully at this aorta.放下手头上的东西，认真观察这张大动脉图片。

5 skull   

n.头骨；颅骨

参考例句：

• The skull bones fuse between the ages of fifteen and twenty-five.头骨在15至25岁之间长合。
• He fell out of the window and cracked his skull.他从窗子摔了出去，跌裂了颅骨。

6 obstructed   

阻塞( obstruct的过去式和过去分词 )； 堵塞； 阻碍； 阻止

参考例句：

• Tall trees obstructed his view of the road. 有大树挡着，他看不到道路。
• The Irish and Bristol Channels were closed or grievously obstructed. 爱尔兰海峡和布里斯托尔海峡或遭受封锁，或受到了严重阻碍。

7 incision   

n．切口，切开

参考例句：

• The surgeon made a small incision in the patient's cornea.外科医生在病人的眼角膜上切开一个小口。
• The technique involves making a tiny incision in the skin.这项技术需要在皮肤上切一个小口。

8 slit   

n.狭长的切口；裂缝；vt.切开，撕裂

参考例句：

• The coat has been slit in two places.这件外衣有两处裂开了。
• He began to slit open each envelope.他开始裁开每个信封。

9 plaque   

n.饰板，匾，(医)血小板

参考例句：

• There is a commemorative plaque to the artist in the village hall.村公所里有一块纪念该艺术家的牌匾。
• Some Latin words were engraved on the plaque. 牌匾上刻着些拉丁文。

10 blockage   

n.障碍物；封锁

参考例句：

• The logical treatment is to remove this blockage.合理的治疗方法就是清除堵塞物。
• If the blockage worked,they could retreat with dignity.如果封锁发生作用，他们可以体面地撤退。

11 hectic   

adj.肺病的；消耗热的；发热的；闹哄哄的

参考例句：

• I spent a very hectic Sunday.我度过了一个忙乱的星期天。
• The two days we spent there were enjoyable but hectic.我们在那里度过的两天愉快但闹哄哄的。

12 bout   

n.侵袭，发作；一次(阵，回)；拳击等比赛

参考例句：

• I was suffering with a bout of nerves.我感到一阵紧张。
• That bout of pneumonia enfeebled her.那次肺炎的发作使她虚弱了。

13 vascular   

adj.血管的，脉管的

参考例句：

• The mechanism of this anomalous vascular response is unknown.此种不规则的血管反应的机制尚不清楚。
• The vascular changes interfere with diffusion of nutrients from plasma into adjacent perivascular tissue and cells.这些血管变化干扰了营养物质从血浆中向血管周围邻接的组织和细胞扩散。

14 surgical   

adj.外科的，外科医生的，手术上的

参考例句：

• He performs the surgical operations at the Red Cross Hospital.他在红十字会医院做外科手术。
• All surgical instruments must be sterilised before use.所有的外科手术器械在使用之前，必须消毒。

15 reassured   

adj.使消除疑虑的；使放心的v.再保证，恢复信心( reassure的过去式和过去分词)

参考例句：

• The captain's confidence during the storm reassured the passengers. 在风暴中船长的信念使旅客们恢复了信心。 来自《现代英汉综合大词典》
• The doctor reassured the old lady. 医生叫那位老妇人放心。 来自《简明英汉词典》

16 anesthetic   

n.麻醉剂，麻药；adj.麻醉的，失去知觉的

参考例句：

• He was given a general anesthetic.他被全身麻醉。
• He was still under the influence of the anesthetic.他仍处在麻醉状态。

17 chamber   

n.房间，寝室；会议厅；议院；会所

参考例句：

• For many,the dentist's surgery remains a torture chamber.对许多人来说，牙医的治疗室一直是间受刑室。
• The chamber was ablaze with light.会议厅里灯火辉煌。