it could be so beautiful, and I can’t understand why I was so scornful before. The pain, the terror, the misery . . . they all disappear, leaving only a calm euphoria.
It was in this state that I operated.
There was, indeed, a great deal of pain, most of it in the early part of the operation. But the pain seemed disconnected from me, like somebody else’s pain. It bothered me, but it was also quite interesting. Can you understand that? If you’ve used a strong morphine-based drug yourself, perhaps you can. It does more than dull pain. It induces a state of mind. A serenity. I can understand why people get hooked on it, although “hooked” seems an awfully strong word, used most commonly, of course, by those who have never tried it.
About halfway through, the pain started to become a more personal thing. Waves of faintness washed over me. I looked longingly at the open bag of white powder, but forced myself to look away. If I went on the nod again, I’d bleed to death as surely as if I’d fainted. I counted backward from a hundred instead.
Loss of blood was the most critical factor. As a surgeon, I was vitally aware of that. Not a drop could be spilled unnecessarily. If a patient hemorrhages during an operation in a hospital, you can give him blood. I had no such supplies. What was lost—and by the time I had finished, the sand beneath my leg was dark with it—was lost until my own internal factory could resupply. I had no clamps, no hemostats, no surgical thread.
I began the operation at exactly 12:45. I finished at 1:50, and immediately dosed myself with heroin, a bigger dose than before. I nodded into a gray, painless world and remained there until nearly five o’clock. When I came out of it, the sun was nearing the western horizon, beating a track of gold across the blue Pacific toward me. I’ve never seen anything so beautiful ... all the pain was paid for in that one instant. An hour later I snorted a bit more, so as to fully enjoy and appreciate the sunset.
Shortly after dark I—
I—
Wait. Haven’t I told you I’d had nothing to eat for four days? And that the only help I could look to in the matter of replenishing my sapped vitality was my own body? Above all, haven’t I told you, over and over, that survival is a business of the mind? The superior mind? I won’t justify myself by saying you would have done the same thing. First of all, you’re probably not a surgeon. Even if you knew the mechanics of amputation, you might have botched the job so badly you would have bled to death anyway. And even if you had lived through the operation and the shock-trauma, the thought might never have entered your preconditioned head. Never mind. No one has to know. My last act before leaving the island will be to destroy this book.
I was very careful.
I washed it thoroughly before I ate it.
February 7
Pain from the stump has been bad-excruciating from time to time. But I think the deep-seated itch as the healing process begins has been worse. I’ve been thinking this afternoon of all the patients that have babbled to me that they couldn’t stand the horrible, unscratchable itch of mending flesh. And I would smile and tell them they would feel better tomorrow, privately thinking what whiners they were, what jellyfish, what ungrateful babies. Now I understand. Several times I’ve come close to ripping the shirt bandage off the stump and scratching at it, digging my fingers into the soft raw flesh, pulling out the rough stitches, letting the blood gout onto the sand, anything, anything, to be rid of that maddening horrible itch.
At those times I count backward from one hundred. And snort heroin.
I have no idea how much I’ve taken into my system, but I do know I’ve been “stoned” almost continually since the operation. It depresses hunger, you know. I’m hardly aware of being hungry- at all. There is a faint, faraway gnawing in my belly, and that’s all. It could easily be ignored. I can’t do that, though. Heroin has no measurable caloric value. I’ve been testing myself, crawling from place to place, measuring my energy. It’s ebbing.
Dear God, I hope not, but... another operation may be necessary.
(later)
Another plane flew over. Too high to do me any good; all I could see was the contrail