But it wasn’t until that night that he registered what Willem had said, and the word he had used: injury, not accident. Was it deliberate, he wondered? What did Willem know? He was so addled that he might have actually asked him, had Willem been around, but he wasn’t—he was at his girlfriend’s.

No one was there, he realized. The room was his. He felt the creature inside him—which he pictured as slight and raggedy and lemurlike, quick-reflexed and ready to sprint, its dark wet eyes forever scanning the landscape for future dangers—relax and sag to the ground. It was at these moments that he found college most enjoyable: he was in a warm room, and the next day he would have three meals and eat as much as he wanted, and in between he would go to classes, and no one would try to hurt him or make him do anything he didn’t want to do. Somewhere nearby were his roommates—his friends—and he had survived another day without divulging any of his secrets, and placed another day between the person he once was and the person he was now. It seemed, always, an accomplishment worthy of sleep, and so he did, closing his eyes and readying himself for another day in the world.

It had been Ana, his first and only social worker, and the first person who had never betrayed him, who had talked to him seriously about college—the college he ended up attending—and who was convinced that he would get in. She hadn’t been the first person to suggest this, but she had been the most insistent.

“I don’t see why not,” she said. It was a favorite phrase of hers. The two of them were sitting on Ana’s porch, in Ana’s backyard, eating banana bread that Ana’s girlfriend had made. Ana didn’t care for nature (too buggy, too squirmy, she always said), but when he made the suggestion that they go outdoors—tentatively, because at the time he was still unsure where the boundaries of her tolerance for him lay—she’d slapped the edges of her armchair and heaved herself up. “I don’t see why not. Leslie!” she called into the kitchen, where Leslie was making lemonade. “You can bring it outside!”

Hers was the first face he saw when he had at last opened his eyes in the hospital. For a long moment, he couldn’t remember where he was, or who he was, or what had happened, and then, suddenly, her face was above his, looking at him. “Well, well,” she said. “He awakes.”

She was always there, it seemed, no matter what time he woke. Sometimes it was day, and he heard the sounds of the hospital—the mouse squeak of the nurses’ shoes, and the clatter of a cart, and the drone of the intercom announcements—in the hazy, half-formed moments he had before shifting into full consciousness. But sometimes it was night, when everything was silent around him, and it took him longer to figure out where he was, and why he was there, although it came back to him, it always did, and unlike some realizations, it never grew easier or fuzzier with each remembrance. And sometimes it was neither day nor night but somewhere in between, and there would be something strange and dusty about the light that made him imagine for a moment that there might after all be such a thing as heaven, and that he might after all have made it there. And then he would hear Ana’s voice, and remember again why he was there, and want to close his eyes all over again.

They talked of nothing in those moments. She would ask him if he was hungry, and no matter his answer, she would have a sandwich for him to eat. She would ask him if he was in pain, and if he was, how intense it was. It was in her presence that he’d had the first of his episodes, and the pain had been so awful—unbearable, almost, as if someone had reached in and grabbed his spine like a snake and was trying to loose it from its bundles of nerves by shaking it—that later, when the surgeon told him that an injury like his was an “insult” to the body, and one the body would never recover from completely, he had understood what the word meant and realized how correct and well-chosen it was.

“You mean he’s going to have these all his life?” Ana had asked, and he had been grateful for her outrage, especially because he was too tired and frightened to summon forth any of his own.

“I wish I could say no,” said the surgeon. And then, to him, “But they may not be this severe in the future. You’re young now. The spine has wonderful reparative qualities.”

“Jude,” she’d said to him when the next one came, two days after the first. He could hear her voice, but as if from far away, and then, suddenly, awfully close, filling his mind like explosions. “Hold on to my hand,” she’d said, and again, her voice swelled and receded, but she seized his hand and he held it so tightly he could feel her index finger slide oddly over her ring finger, could almost feel every small bone in her palm reposition themselves in his grip, which had the effect of making her seem like something delicate and intricate, although there was nothing delicate about her in either appearance or manner. “Count,” she commanded him the third time it happened, and he did, counting up to a hundred again and again, parsing the pain into negotiable increments. In those days, before he learned it was better to be still, he would flop on his bed like a fish on a boat deck, his free hand scrabbling for a halyard line to cling to for safety, the hospital mattress unyielding and uncaring, searching for a position in which the discomfort might lessen. He tried to be quiet, but he could hear himself making strange animal noises, so that at times a forest appeared beneath his eyelids, populated with screech owls and deer and bears, and he would imagine he was one of them, and that the sounds he was making were normal, part of the woods’ unceasing soundtrack.

When it had ended, she would give him some water, a straw in the glass so he wouldn’t have to raise his head. Beneath him, the floor tilted and bucked, and he was often sick. He had never been in the ocean, but he imagined this was what it might feel like, imagined the swells of water forcing the linoleum floor into quavering hillocks. “Good boy,” she’d say as he drank. “Have a little more.”

“It’ll get better,” she’d say, and he’d nod, because he couldn’t begin to imagine his life if it didn’t get better. His days now were hours: hours without pain and hours with it, and the unpredictability of this schedule—and his body, although it was his in name only, for he could control nothing of it—exhausted him, and he slept and slept, the days slipping away from him uninhabited.

Later, it would be easier to simply tell people that it was his legs that hurt him, but that wasn’t really true: it was his back. Sometimes he could predict what would trigger the spasming, that pain that would extend down his spine into one leg or the other, like a wooden stake set aflame and thrust into him: a certain movement, lifting something too heavy or too high, simple tiredness. But sometimes he couldn’t. And sometimes the pain would be preceded by an interlude of numbness, or a twinging that was almost pleasurable, it was so light and zingy, just a sensation of electric prickles moving up and down his spine, and he would know to lie down and wait for it to finish its cycle, a penance he could never escape or avoid. But sometimes it barged in, and those were the worst: he grew fearful that it would arrive at some terribly inopportune time, and before each big meeting, each big interview, each court appearance, he would beg his own back to still itself, to carry him through the next few hours without incident. But all of this was in the future, and each lesson he learned he did so over hours and hours of these episodes, stretched out over days and months and years.

As the weeks passed, she brought him books, and told him to write down titles he was interested in and she would go to the library and get them—but he was too shy to do so. He knew she was his social worker, and that she had been assigned to him, but it wasn’t until more than a month had passed, and the doctors had begun to talk about his casts being removed in a matter of weeks, that she first asked him about what had happened.