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After a sleepless sexless night, Henrik asked Lucretia over muesli where the nearest pharmacy was. She made her worst face and asked why. He said he needed prescriptions filled—at this, she became a flurry of snorts and book recommendations, declaring that Western medical institutions profited by aggravating illness; Big Pharma was a cartel, doctors were pushers, patients were junkies. She asked to see what he was taking, and when she laid eyes on his briefcase-size pill case, she looked like he’d just told her he was born without a heart. She made him lie down, and sent up gasps researching his prescriptions on her naturopathic reference sites. He wasn’t disordered, she assured him; society was. Manic conservatives, depressive liberals. Mood-swinging markets and a demented climate. Rich against poor, white against unwhite. Henrik was just American.

I

What a lucky beast I am,

when he cleans up nice

and nicks his perfect face.

I get to lick that face,

when he lets me.

In the cut’s opening

I get a taste of him

from the inside

out, which is all I have

ever wanted,

to be cell-close

to him. Praise the razor’s

overzealous arm;

the ease

with which it finds tenderness

in this man.

“I want to go where it’s cold,” Lourdes told her husband. They began to drive. “Colder,” she said as they passed the low salt marshes of Georgia, as if the word were a whip driving them north. “Colder,” she said through the withered fields of a Carolina winter. “Colder,” she said again in Washington, D.C., despite the cherry-blossom promises, despite the white stone monuments hoarding winter light. “This is cold enough,” she finally said when they reached New York.

I told him about the nucleotides, the genetic test, the prognosis. I told him that atrophying of basal ganglia starts years before symptoms present, and that right now—in this car, in this moment—parts of my brain were dying, parts that I didn’t know I needed, but parts that I would never, never be able to get back. I told him that there wasn’t an emotion or an impulse or a stumble that I could completely trust; I told him that one day—if I let it—everything I did and said and thought would be nothing more than the entropic implosion of a condemned building or a dying star.