Authors: Bernard Beckett
âOf course.'
I knew there were protesters, I'd seen a group outside when I drove into the hospital.
They were calling it the Immortality Project, accusing the researchers of crossing
the line, of seeking to deny nature and turn themselves into little godsâthe same
accusations medical research had faced for hundreds of years.
âWhy Theo?' I asked. âWhy not start with a
patient showing early signs of dementia?'
Doctor Huxley looked at me, as if trying to assess how much I could be expected to
comprehend.
âThere is a saying in the brain sciences, that the easy problems turn out to be difficult,
and the difficult problems turn out to be easy. Before the breakthrough with compression
matrixes, it was always assumed that the transfer of brain data would prove impossible,
while the physical transplant of brains seemed to be just around the corner. Now
we are in the curious position of having managed the impossible task, while being
stumped by the easy one. Animal trials continue to provide hurdles to the task of
successful acceptance and interaction. So in the case of a dementia patient, even
if the reading and transfer of information were successful, we would be left with
a brain without a body, which would make it extremely difficult to verify the fidelity
of the transfer. To get to the point where transplant is feasible, a great deal of
funding is required, but funders are reluctant to back projects that remain so uncertain.
You and Theo provide a unique opportunity for us to demonstrate a proof of concept.'
âWe could unlock the money you need.'
âQuite so.'
âAnd the second problem?' I asked. âYou said there was a second problem.'
âExperiments on animals also suggest a risk, to the brain being read.'
âWhat sort of risk?' I asked.
I heard the tremor in my voice.
âWith animals, it is almost impossible to measure minor damage, specific memory loss,
subtle alterations in personality. But in some cases, there were more extreme reactions.'
âDid any of them die?'
âTwo, from a hundred trials. One of those was almost certainly attributable to an
error with the anaesthetic.'
âSo there's a one per cent chance this could kill me.'
âNo,' the doctor answered. âWith humans the procedure is markedly different.'
âMore complicated?' I asked.
âOf course.'
âSo more risky.'
âYes.'
The doctor's hands were mottled, veins and
ligaments clearly visible beneath the
thinning skin. I wondered if this was the thing that kept him up at night, the fear
of losing his mind.
âI don't expect the procedure will harm you in any way, but that is not something
I can guarantee. Does that answer your question?'
âSure.'
More risky than one per cent, but not so risky that it wasn't just a number, waiting
for a story to be wrapped around it. The story I told myself was this: I would be
all right. I could trust these people. If I decided to go through with it, no harm
would come to me. I wanted it to be true, and I had no good reason to think it wasn't.
Sufficient for belief.
âWhich brings us,' the doctor said, âto the details of the procedure. Tell me what
you understand of this.'
âI don't know any more than what you told me earlier,' I said.
âThat will do.' He leaned slightly forward in his chair. âWe need to assess your
understanding.'
âYou will take a scan of my brain.'
I tried to mimic his cool detachment, but I've always been squeamish about brains.
I only have to think about my own, squeezed beneath
my skull, to experience an intense
coolness at the base of my neck. If I visualise a particular spot, top centre, near
the back, the simple thought of it being touched brings on a gag reflex. There was
a time, when I was younger, when I would imagine my own death, and it always happened
the same way: sudden and unexpected, a great focussed force on the top of my skull,
pulverising everything I am. In a science class, the teacher told us the brain has
the consistency of a firm custard, that you could scoop at it with a spoon. I felt
so ill I had to leave the room. Later I tried to convince people Theo was the one
who'd fled.
âYou will use the scan to reconstruct my connectome.'
âAnd what is a connectome?'
I felt foolish. He was the world expert, alert to my every error. âImagine you're
explaining it to a friend,' he said.
I tried to be accurate and analytical, so that Maggie would consider me sane. Now
I can see how easy it would have been for her to see through me.
âThe scan takes visual slices of the brain, each one no thicker than the width of
an individual
cell. The connectome is the pattern of connections between those cells.
It defines the way the brain functions, the memories that are held, the dispositions
of thought, the personality, the beliefs. It isâ¦' I struggled for the right expression.
âThe connectome is us, we are our connectome.'
He didn't contradict me. âAnd then?'
âIn the case of Theo, his brain has been scrambled, vital connections have been
lost. His connectome isâ¦'
The fit of words was hopelessly loose, absurd even.
âHis connectome is dead. What you are hoping to do is equivalent to the first stage
of the dementia experiment. Theo's brain is the laboratory recipient. You have developed
a method for reprogramming the brain, for taking my connectome, and re-establishing
it in his head. Because his brain is intact, there's no need for a transplant, only
the information has to be transferred. If the connectome embeds, then he will function
normally. You will have the evidence you need, that this is a viable research path
to cure dementia.'
âVery impressive.'
That pleased me. I won't pretend it didn't.
âSo, I'm capable of giving informed consent?' I asked.
âIt's not for me to make that judgment. It is important that judging your competence
and performing the operation remain separate functions.'
âRene.' Maggie's face gave nothing away. âYour description of the procedure isn't
complete yet, is it?'
âI was hoping you wouldn't notice.'
âIf the operation is a success,' she chose her words carefully, ânothing will have
changed for you.'
âNo.'
âBut forâ¦'
âTheo,' I said. âFor Theo, a successful procedure means he wakes up with my memories
in place of his own. It means he wakes up from the operation thinking he's me.'
âAnd who will he think you are?' Maggie asked, leading me towards the conclusion
just as a nurse had led me to Theo's body: gently, but insistent.
âHe'll think he gave me his memories, to keep me alive.'
âAnd is that why you'd be doing it?' Maggie asked. âTo keep him alive?'
She'd tricked me into saying it, and I couldn't take it back. How could anyone think
me sane, when my plan was so senseless? He, his connectome, was gone forever. My
throat constricted. Two me's. My head hurt.
âNo,' I said, denial my only option. But they had noticed, surely, seen the truth
break free.
âThat's not why I would be doing it.'
And yet they didn't challenge me. Perhaps Doctor Huxley's allotted time with us had
simply expired. Perhaps my lie was so clumsy there was nothing more for them to ask.
Whatever his reason, the doctor stood and shook my hand.
I looked into his eyes. He had about him the measured calm of a man certain of his
own importance, the sort that makes a handshake seem an act of generosity. I felt
inexplicably lucky to have met him.
âRene, I wish you all the best.'
âThank you.'
It wasn't until I was sitting again that I noticed the way Maggie was looking at
me: as if she was expecting me to start crying.
âAre you all right?' she asked.
âI already knew all that,' I answered.
âIt can take a while, to sink in.'
âIt's in,' I said, but I had to look away.
âYou understand the risk this procedure poses to you?'
I nodded.
âAnd the benefits are largely for the hospital.'
âAnd for the people who might one day be cured.'
âDo you feel you have a duty to do this?'
Now I looked at her. âNo, it's not like that. I want to help.'
I'm sure she knew I was lying. Still, I had no choice, I had to try.
âTell me how you came to be at drama school,' she said.
âI already told you.'
âI didn't believe you. Are you all right?'
My foot was pulsing, and my knee danced to an unreliable tune. My hands began to
shake and then, weirdly, my jaw too. I clamped my mouth shut, pushed my foot into
the floor, heard a noise something like gargling take hold of my throat. I looked
down, embarrassed and frightened.
âIf you need to take a shortâ'
âSorry,' I said. âIt's just, with the doctor, Iâ¦'
âWhat?'
âIt doesn't matter.'
âYou don't get to decide that.'
She put her hand on mine, over my knee, and the trembling subsided.
âDo you think I should do it?' I asked her.
âWhat I think isn't important.'
âYou might help me understand.'
âUnderstand what?' Maggie asked.
âEverything.'
âThe doctor asked if you had any more questions.'
âIt's not a doctor question.'
I could feel myself on the edge of letting go: forgetting what the interview was
for and allowing the words to take over. I suppose that was what she was counting
on, fear getting the better of me. I could feel the sweat building up, between her
hand and mine. She pulled back gently. Her gaze didn't falter.
âWhat do you need to know?'
âTwo people wake up, after an operation, and both of them think they're me. Does
thatâ¦does it make any sense to you?'
Safe territory, in a way. If I hadn't asked her eventually, she would have wondered
why not. No, she would have decided I was hiding it from her.
A long pause, as if she was trying to find me an answer. âThat's the question, isn't
it.'
âI would say it is,' I admitted.
Another pause. She watched me, the way a cat watches a bird. Only the bird flies
away, when it realises.
âI don't think I can help you with that,' she said.
âYou're a psychologist, aren't you?'
âIt's not that sort of a question.'
âWhat sort of a question is it?'
âA question for philosophers, I would say.'
âSo how would a philosopher answer it?' I asked her.
âThey'd ask you what you meant by making sense.'
That was a joke, I suppose, and an attempt to sidestep the question. But I had started
now.
âIs it going to do my head in?'
âThat's closer to my area of expertise.'
âAnd?'
âI don't know. There are no precedents.'
âYour guess then.'
âI don't know enough about you,' she said.
But the way she looked right through me, it felt like there was nothing she didn't
know. She was playing me, and she was so much better at the game than I could ever
be. But Theo needed me. I had to try.
âWe have a little more time. Tell me about drama school.'
âWhat would you do?' I insisted. âIf it was you. What would you do, to help you understand?'
I watched the slight inflation of her nostrils, and the slow flattening of her chest
as she let the air go.
âI suppose I would try to accept that it's beyond understanding. I think I would
try to make peace with my ignorance.'
âIs that possible?' I asked her.
âWe live with many mysteries.'
âBut this?'
She shrugged.
Tears stung my eyes.
âTake me to Theo, please. I need to see him.'
Three people were in the room when we got thereâdoctors, researchers, scientists,
I don't know what to call them. We watched through the window. They were preparing
him for the operation, getting ready in case.
âGet them out of there.'
Maggie nodded and moved into the room. They listened quietly, made a few last adjustments
and filed past me without making eye contact.
It was a great relief to cry the way I did: deep from the stomach, the sheet on his
bed clumped in my fist, wet with my tears. I felt awful, but also, for the first
time since I'd arrived in the hospital, human. I no longer saw an accident, a patient,
a problem to be solved. Now I saw Theo. My brother. My other half.
I don't know how long I stayed that way. At some stage I stood, stroked his hair,
and kissed himâon the bridge of his nose, so its tip pressed against my chin.
Lips, chin, nose. Rare, medium, well done. Theo taught me that. I backed into the
middle of the room, intending to leave, but unable to look away. As if that would
be the final betrayal. I have never felt more hopeless.
Maggie stood three steps behind me. Giving me space, I suppose.
âWould it fucking kill you?' I asked.
âWould what kill me?'
My shoulders were hunched, cramped into the crying position, as if they might never
straighten. âTo hold me. To help me.'
âI'm not here toâ¦There are people, ifâ¦'
For the first time I sensed discomfort in her voice.
âWhy aren't you here to help me?' Now I turned. Blazing and unguarded. âWhat's wrong
with you?'
âI have job to do. I can't do it ifâ¦'
âHow do you know you can't?'