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I feel I could eat women.

Driving alone, I’m hungry,

hawking bus stops and sidewalks.

Eyeballs grinding, I harden.

My mind, a bulging ice box.

My computer, a deep freeze.

The bingeing grows out of hand –

my wastebasket coughing up

the napkins hiding the bones.

My sister was enrolled in a beauty pageant for virgins, a contest I thought she could win. She was cute enough, but also, how many teenage hymens were left in America anymore? Even the emu-faced girls had been initiated by twelve. Fewer contestants fueled better odds.

- You might actually win, I told Nabisase.

- I’m glad that this surprises you, she said.

In Lima, dying is the local sport. Those who die in phantasmagoric fashion, violently, spectacularly, are celebrated in the fifty-cent papers beneath appropriately gory headlines: DRIVER GETS MELON BURST or NARCO SHOOTOUT, BYSTANDERS EAT LEAD. I don’t work at that kind of newspaper, but if I did, I would write those headlines too. Like my father, I never refuse work. I’ve covered drug busts, double homicides, fires at discos and markets, traffic accidents, bombs in shopping centers. I’ve profiled corrupt politicians, drunken has-been soccer players, artists who hate the world. But I’ve never covered the unexpected death of a middle-aged worker in a public hospital. Mourned by his wife. His child. His other wife. Her children.

My father’s dying was not news.

Child or woman. Memory or need. Today, again, I can see you

in her eyes, today her eyes again pursue the ground, look

for some sign, some path to follow away from her route.

Her sweatshirt is zipped to the throat and I am realizing that

we are both then, somehow ashamed of what has suddenly happened

between us. And I’m slowing down a little, as if to let

the spring sun catch up to these hands on the steering wheel,

to these hands that will not ever stop needing breasts to

make them hands, as if to uncover my mouth

and yell across the lawns to her.

Long ago a fish forgot what fins were good for

And flew out of the stream

It was not dreaming

It had no ambition but confusion

In Nova Scotia it lies on ice in the sun

and its eye turns white and pops out like a pearl

when it’s broiled

The Titanic is the one that got away.

You are told when to sleep and when to wake up. If you spend too much time in your bedroom, it indicates that you’re being antisocial; if you do sit in the common areas, but don’t interact with the other patients, you’re probably depressed or overly inward or perhaps even catatonic. Humans might all be ciphers to one another, but people with mental illness are particularly opaque because of our broken brains; we cannot be trusted about anything, including our own experiences.