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The ensuing inquiries found the girl to be a teenager, though she weighed only fifty-nine pounds and was only fifty-four inches tall. She was in much worse physical shape than at first suspected: she was incontinent, could not chew solid food and could hardly swallow, could not focus her eyes beyond twelve feet, and, according to some accounts, could not cry. She salivated constantly, spat indiscriminately. She had a ring of hard callus around her buttocks, and she had two nearly complete sets of teeth. Her hair was thin. She could not hop, skip, climb, or do anything requiring the full extension of her limbs. She showed no perception of hot or cold.

“Malcolm is dead,” Eddie kept hearing as he raced to the shop. As he got closer, he saw the flashing lights, and the siren that had been only an eerie, barely audible musical accompaniment to his thoughts began to register as belonging to an ambulance and not as being a regular plant alarm. He knew that he would not cry no matter how awful it was; he never cried. That was one thing he never had to worry about. If one of them had to be killed here, it was better that it was Malcolm—because if Eddie had been killed, Malcolm would have cried like a baby.

So I came home. To Pittsburgh. My parents were there, and my sister was there, married with children now, and certainly after Paris that wasn’t for me. I’ve always loved Pittsburgh, especially when it looked its worst. I’ve written about that, of course: Pittsburgh before they cleaned it up. Now it’s this immaculate city, all finance and technology, but back then you could die just from taking a breath on the street. The air was black and steaming with smog—“hell with the lid off” they used to say—and there was the clanging of trains, and the great mills, a very dramatic place, and maybe had I stayed and got lucky I might have been the Balzac of Pittsburgh. But I had to escape my family. I had to go to New York.