Melissa Silverstein is 24, witty, cynical, unemployed — and in a coma since she combined Percodan with vodka. But even if not sound of body, she is remarkably sound of mind, and that mind can depart her comatose
body at will. She doesn’t like what she sees: her mother, an elegant but manipulative woman, is not only sleeping with Melissa’s doctor, but has gone to court to plead that the plug be pulled on her daughter. Her father is fighting for Melissa’s vegetative existence, and mother’s sister
sees the family conflict as a chance to win Melissa’s wealthy father for herself. Then there are Melissa’s two teenaged sisters, who communicate in a nearly incomprehensible slang, and Melissa’s brother, desperately trying to please both his feuding parents. It’s a humorous look at the most dysfunctional of dysfunctional families, and unexpected proof that it’s never too late to grow up.
Irreversible coma. Elaina – my mother – will tell you, I’ve never been anything but trouble.
I can see my body, and it wouldn’t make the cover of Vogue: What you can see of my face (there’s the tube taped to my nose) is sunken. My cheekbones stick out like little doorknobs. My arms and legs are bent up to my torso like chicken wings. My hair is lank and oily; they’ve cut it short just to get it out of the way. Underneath my drooping eyelids, two milky irises peer out.
Behind and around the bed is equipment that looks like it belongs in an auto assembly plant. And it my throat there’s a wide blue plastic tube that leads to a large console with a clear plastic cylinder on top. Within the cylinder is a bellows that swells and then retracts with a faint whoosh-click. This is the respirator, without the miracle of which I would no longer be with them.
But where am I? Hovering above the bed? That’s my perspective but I have no sense of occupying space. It’s been about two months since the accident, judging from the bits of conversation I’ve picked up. At first I felt groggy, like I’d been kicked in the head with two
weeks’ worth of jet lag, but gradually my memory and my ability to perceive
returned. I fought that; it was as if someone were trying to wake
me up too early and I were clinging to the cottonballs of sleep, willing
the intruder to go away. Then, you know how it is, being awake didn’t
seem so bad. I started to put things together. I’m not dead,
unless someone’s wasting a lot of money on a heart monitor, but I’m not
about to go anywhere for lunch, either.
Now I hear it, mingling with but still separate from the other hospital
sounds (whoosh of respirator; squeak of the gurneys; arcane, incessant
ding and pings)—the clack. My mother’s heels on the waxed hospital
floor. And I feel lighter, queasy, as if I were floating closer to
The clacking stops in front of the nurses’ station. With my new-and-improved
hearing, I can follow her low-pitched, hoarse voice; now melodious, now
teasing, now uncertain. She’s trying to get a compliment from Nurse
Pinafore, the blonde, whose pug nose my mother praises to her face but
whose close-set eyes she maligns behind her back.
Then my mother swirls in, her black crepe dress rustling (she’s in mourning
for me already; and besides, black makes her look thinner), the double
choker of pearls and the high collar emphasizing her jawline and high cheekbones.
Her milk skin shows a few wrinkles but they’re hardly visible in
dim light, and her thick auburn hair is swept up and lacquered in a Gibson
girl that went out of style a hundred years ago—along with mothers like
her who take to their beds three days a month with the curse!
She gasps as if she’s never seen me like this before. She slaps
her hand across her breasts, the enormous breasts that she passed on to
all her daughters; her egg-shaped eyes (blue-gray, the color of the Pacific
before the rain) widen even larger as she digs the tips of her sculptured
nails into her cheekbones and drags them slowly down the side of her face,
leaving marks like red snails’ tracks. “I can’t bear it!” she shrieks.
“My precious child!”
Give me a break!
She’s here every afternoon. Mostly she sits by my bed, sometimes
reading from the prayer book that belonged to her father, but occasionally
wandering out into the hall for an interval of cheerful conversation. She
knows the names of all the patients on the floor; she is the queen bee
of 6-West, buzzing from room to room delivering messages and M&Ms.
She swells with the illnesses of others; her concern proliferates
like the blossoms of a bridal bouquet.
“Mickey Mouse would like some coffee,” Daniel tells Becky and Leah, when
all three are there with Elaina. Daniel is my brother, twenty-two,
two years younger than I. It’s my fault that we never got along.
An early example: When he was in kindergarten I told the other
kids that he had a second penis growing out of his behind, just like our
cat Choppo’s short tail. Daniel never had the wit to fight me verbally
and they wouldn’t let him hit me—besides, I was bigger than he was until
we were teenagers.
“Guy,” Beck laughs, drawing out the expletive, are you suddenly a double
“I’ll get it.” Leah stands. She is the youngest, the blonde
teddy bear of the family: fifteen, her worried, babyish face splattered
“I wish your father were here,” Elaina sniffs, dabbing at her eyes under
“Guy, Mouse,” Becky says, blowing a bubble of sugarless grape gum while
she examines the moussed quills of her chestnut hair in a pocket mirror,
“you make it sound like he’s dead.”
“With his personality, it’s hard to tell sometimes. You know I’m
But dad did come to visit yesterday. He usually comes about once
a week, and then he stands in the corner, far away from the tubes and screens
and consoles, tugging at his collar and clearing his throat and generally
looking as though wants to throw up. This time, though, it had only been
four days since his last visit. I don’t think my family knows what
it is, but I’m sure something big is about to happen. My intuition
approaches telepathy these days. Without a body, I’m not limited
to the information my senses can gather; I’m aware of nuances that were
too subtle for me before. Their thoughts are part of the atmosphere,
like particles of light or radio waves; I feel as though I could reach
out and pluck those thoughts out of the air like ripe plums, greedy and
hungry girl that I am.
Meanwhile, no more headaches, menstrual cramps, constipation, eyestrain,
indigestion, insomnia, sinusitis. I’m a newly popped kernel of popcorn,
floating on a warm current of air.
“I’ll be right back,” Leah says.
“Lots of cream, please,” Elaina tells her.
“Beam me down a Snickers,” Becky says, removing her gum from her mouth
and wrapping it in a shred of binder paper.
“Nothing for me, thanks,” Daniel says.
Becky and Leah both go to Alta Vista High. I’m still remembered
there, by some of the teachers that have been there forever. A couple
of them even taught—or tried to teach—Elaina. They always remember
the troubled ones. Aren’t the troubled ones, the dark ones sulking
outside the circle, more memorable in the end than the light and cheerful
ones dancing along its edge? Try to distinguish among the angelic
voices in a children’s choir: The one you will hear is the one singing
It’s about eight o’clock in the evening. I feel lulled by the warm
antiseptic air, the rhythmic whoosh-click of the respirator, and the purr
from within its depths. In the distance I hear urgent, muffled voices.
Usually about now I sort of drowse a little. I have the feeling
that as time goes by I won’t do that so much; it’s as if I haven’t forgotten
what it’s like to be in a body, the way an infant thinks he’s still part
of his mother. This is the state that Dr. Gorgeous, the resident
assigned to my case, had probably not read about in any medical books.
My EEG is not flat, but I’m without cognitive functions—I’ve heard
the doctors explain that to my parents thirty times at last count. The
thinking part of my brain is gone, they say. True—that body below
me feels nothing. But I’ll give them cognitive functions! I
never liked doctors, anyway.
I can’t rest tonight. I want to see what my family is doing. They
must be talking about me; I must be, at last, the center f their attentions,
as the gravity of my illness pulls their thoughts toward me. I need
to know. I need to be with them. Maybe I’m not stuck here.
Maybe if I really try…
I picture them all in the large, sunken living room of our house, where
a wobbly-looking chandelier throws patches of dim light across the beamed
ceiling. The room reminds me of a dusty old cathedral, except that
it’s kept carefully dusted by Lee Emma. Paddy O’Flanagan, our current
cat, is sleeping on the piano that no one knows how to play. I can
even see the vertical slits in the fabric of the couch, and the pieces
of exposed stuffing, where Paddy has sharpened his claws.
My father is in the wing chair, one shoe propped up on the opposite knee.
Daddy: a.k.a. Jonathan Silverstein, President of Silverstein, Inc.
At the hospital, the ambulatory patients ask him for investment advice
in the hall. But having a daughter in a coma hasn’t kept him home
from the office much; in fact, I’ve heard my mother complains that he spends
more time there than before. He wishes there were more than twenty-four
hours in a day and that the excess fell between nine and five.
Becky is at his feet, her knees pressed up to her chin. Since this
afternoon, she has “made up,” which includes three black lines like cat’s
whiskers extending from each eye.
Leah perches on the arms of the chair. She wears a fuzzy blue sweater
and her wispy hair is pulled back into a short ponytail, emphasizing the
roundness of her face.
It’s so detailed. So real. I feel as though it’s happening
now, as though by an act of imagination and will—both are much stronger
in me now that my spirit isn’t dividing its time between self-actualization
and wondering where the ladies’ room is—I managed to travel to our house
on Magnolia Street, materialized there. … A pleasant enough trip, no speed
bumps or tacky billboards on this road. …
Elaina is standing in front of the fireplace. “This can’t go on,”
she says. “Melissa wouldn’t want to be kept alive this way.”
Yes, I would. Sure I would.
Daniel, sitting on the couch, looks up at Elaina adoringly. He has
brown eyes that resemble Jonathan’s and tight dark blond curls. He
dresses foppishly; the red silk handkerchief is an affectation typical
of his crowed of friends, a bunch of rich, overgrown partiers. I
sometimes wonder if he’s gay. “You’re right, Mouse,” he says.
“What’s this?” Jonathan rouses himself from an in-depth study of the hemline
of his pants. He looks around as if aware for the first time that
there are other people in the room.
Elaina takes a deep breath. Once she’s gotten Jonathan’s attention,
she’s not about to throw it away too quickly. So she sucks in her
cheeks and rolls her big eyes, but doesn’t say anything.
“Mom,” Becky groans, on Jonathan’s behalf.
“I just mean we have to make some decision,” Elaina says. “It’s
been two months now.”
“I think I know what Mouse is talking about,” Daniel says.
“Oh?” Jonathan asks. The puzzlement in his voice is a sign of irritation.
“I think” –Elaina rolls her eyes again, breathing so hard that it sounds
like she’s going to hyperventilate or have an orgasm—“that we should tell
Dr. Harding to disconnect the respirator.”
Disconnect the respirator? But if they do that, what will happen
And now I know that I am here. Up until now, all this has been something
I could have imagined. But I recognize this moment: the one you never
quite reach in dreams, that wakes you just as it begins; the moment when
control slips away and the possibility occurs to you that the universe
is run by sinister forces. I can feel the texture of external reality,
and how I am woven into the nap. I’m really here. And my family
is talking about murdering me. …