Chronic City by Jonathan Lethem

was he’d gotten himself into. He found the building on Twenty-fifth Street and pushed a button at the intercom, gave his name, was buzzed into the lobby. These were the offices of Strabo Blandiana, the celebrated master of Eastern medicine, who catered almost exclusively to stars—Chase Insteadman had been in his care since that time, ten years past, when he’d qualified as something of a star himself. Chase had induced Strabo to make an exception to his long waiting list for Perkus, then pleaded with Perkus to keep the appointment. Incredibly, Perkus had agreed. Now, at the threshold, he fought every impulse to flee.
    Neither Strabo’s candle-scenty reception area nor the gentle, fair-haired, dippily smiling young man who welcomed Perkus to a seat there inspired any hope that Perkus’s prejudices against Eastern medicine might be disappointed. But the vibe, so to speak, was mellow, palliative in itself, and Perkus really didn’t want to be out on the street again too soon. Couldn’t hurt to fill out the clipboard’s two pages of questions on health history and “Present Areas of Complaint”—Perkus laughed to himself that he had plenty of those. He specified “cluster headache, a subvariant of migraine,” not wanting to be mistaken for having fantasized his symptom, and preemptively disdaining any curative gesture that veered too much into fantasy itself. Then defiantly listed caffeine and THC under “Medicines.” Perkus had brewed himself a pot of coffee (Peet’s Colombian roast)and smoked a joint (Watt’s Ice) this morning before walking to the subway, and could feel both medicines still buzzing pleasantly in his bloodstream. He sat alone in the waiting room, apart from the blond kid, who each time Perkus looked up from the clipboard grinned welcome as if for the first time. No sign of other patients, no clue to what was expected of Perkus or what he should expect. Perkus reminded himself he wasn’t into astrological symbols or archetypes of any kind. He had a fucking headache. Actually, it was gone, though this had been one of the cruelest, lasting a week and a half, with barely any oases of relief. In its wake he was enfeebled, that was all, and needed an infusion or two of what he liked to call, only half jokingly, “replacement lipids”—a Jackson Hole vanilla malted and an extra slice of Swiss on his burger deluxe.
    When Strabo opened a door Perkus was disarmed utterly. The Romanian was so much younger than Perkus had imagined, and devastating in his calm. Strabo’s personal style was minimalist, hair cropped in a close Caesar, the sleeves of his black turtleneck, some superfine knit, pushed to mid-forearm, revealing on his left a tremendous gold Rolex. No ascetic renunciation of worldly treasure here. Strabo’s gaze penetrated quickly, satisfied itself, and moved on, declining to make a show of hypnotic spookiness. Despite himself, Perkus felt disappointed. Did he rate just a glance? Strabo hadn’t even hesitated over Perkus’s morbid eye.
    Strabo Blandiana’s examination room was neither encouragingly medical nor New Agey enough to justify Perkus’s balking. Just a couple of Danish Modern chairs, in which the two now sat as equals, a brushed-steel cabinet on wheels, and beyond it a long, flat daybed covered with a neatly folded sheet. One silver-framed photograph, of an enigmatic orange-glowing ceramic vase against a blank white backdrop. From the moment Strabo opened his mouth no question of negotiation remained. He spoke decisively, each wordacute. The tone suggested they’d agreed beforehand never to waste an instant of the other’s time. Perkus’s clipboard results were in evidence nowhere, and the word headache was never spoken.
    Strabo explained quickly that Perkus was—surprise!—“out of balance.” He could see that Perkus worked with his mind, and that he did so with the urgency of one who knew that if he faltered in his chosen task no one could possibly carry on in his