Allen, Allen. Do you hear me? You and your people must not kneel at the front of the gallery. On your feet. Come. Come. Now. On your feet.

  Behind the last row of pews. There ye may fall down on your knees and give praise.

  And so we built our African house of worship. But its walls could not imprison the Lord's word. Go forth. Go forth. And he did so. To this sinful quarter. Tunnels, cellars, and caves. Where no sunlight penetrates. Where wind off the river cuts like a knife. Chill of icy spray channeled here from the ocean's wintry depths. Where each summer the brackish sea that is mouth and maw and bowel deposits its waste in puddles stinking to high heaven.

  Water Street becomes what it's named, rises round his ankles, soaks his boots, threatens to drag him down. Patrolling these murky depths he's predator, scavenger, the prey of some dagger-toothed creature whose shadow closes over him like a net.

  When the first settlers arrived here they'd scratched caves into the soft earth of the riverbank. Like ants. Bats. Gradually they'd pushed inland, laying out a geometrical grid of streets, perpendicular, true angled and straight edged, the mirror of their rectitude. Black Quaker coats and dour visages were remembrances of mud, darkness, the place of their lying in, cocooned like worms, propagating dreams of a holy city. The latest comers must always start here, on this dotted line, in this riot of alleys, lanes, tunnels. Wave after wave of immigrants unloaded here, winnowed here, dying in these shanties, grieving in strange languages. But white faces move on, bury their dead, bear their children, negotiate the invisible reef between this broken place and the foursquare town. Learn enough of their new tongue to say to the blacks they've left behind, thou shalt not pass.

  I watched him bring the scalding liquid to his lips and thought to myself that's where his color comes from. The black brew he drinks every morning. Coloring him, changing him. A hue I had not considered until that instant as other than absence, something non-white and therefore its opposite, what light would be if extinguished, sky or sea drained of the color blue when the sun disappears, the blackness of cinders. As he sips, steam rises. I peer into the cup that's become mine, at the moon in its center, waxing, waning. A light burning in another part of the room caught there, as my face would be if I leaned over the cup's hot mouth. But I have no wish to see my face. His is what I study as I stare into my cup and see not absence, but the presence of wood darkly stained, wet plowed earth, a boulder rising from a lake, blackly glistening as it sheds crowns and beards and necklaces of water. His color neither neglect nor abstention, nor mystery, but a swelling tide in his skin of this bitter morning beverage it is my habit to imbibe.

  We were losing, clearly losing the fight. One day in mid-September fifty-seven were buried before noon.

  He'd begun with no preamble. Our conversation taken up again directly as if the months since our last meeting were no more than a cobweb his first words lightly brush away. I say conversation but a better word would be soliloquy because I was only a listener, a witness learning his story, a story buried so deeply he couldn't recall it, but dreamed pieces, a conversation with himself, a reverie with the power to sink us both into its unreality. So his first words did not begin the story where I remembered him ending it in our last session, but picked up midstream the ceaseless play of voices only he heard, always, summoning him, possessing him, enabling him to speak, to be.

  Despair was in my heart. The fiction of our immunity had been exposed for the vicious lie it was, a not so subtle device for wresting us from our homes, our loved ones, the afflicted among us, and sending us to aid strangers. First they blamed us, called the sickness Barbados fever, a contagion from those blood-soaked islands, brought to these shores by refugees from the fighting in Santo Domingo. We were not welcome anywhere. A dark skin was seen not only as a badge of shame for its wearer. Now we were evil incarnate, the mask of long agony and violent death. Black servants were discharged. The draymen, carters, barbers, caterers, oyster sellers, street vendors could find no custom. It mattered not that some of us were born here and spoke no language but the English language, second-, even third-generation African Americans who knew no other country, who laughed at the antics of newly landed immigrants, Dutchmen, Welshmen, Scots, Irish, Frenchmen who had turned our marketplaces into Babel, stomping along in their clodhopper shoes, strange costumes, haughty airs, Lowlander gibberish that sounded like men coughing or dogs barking. My fellow countrymen searching everywhere but in their own hearts, the foulness upon which this city is erected, to lay blame on others for the killing fever, pointed their fingers at foreigners and called it Palatine fever, a pestilence imported from those low countries in Europe where, I have been told, war for control of the sea-lanes, the human cargoes transported thereupon, has raged for a hundred years.

  But I am losing the thread, the ironical knot I wished to untangle for you. How the knife was plunged in our hearts, then cruelly twisted. We were proclaimed carriers of the fever and treated as pariahs, but when it became expedient to command our services to nurse the sick and bury the dead, the previous allegations were no longer mentioned. Urged on by desperate counselors, the mayor granted us a blessed immunity. We were ordered to save the city.

  I swear to you, and the bills of mortality, published by the otherwise unreliable Mr. Carey, support my contention, that the fever dealt with us severely. Among the city's poor and destitute the fever's ravages were most deadly and we are always the poorest of the poor. If an ordinance forbidding ringing of bells to mourn the dead had not been passed, that awful tolling would have marked our days, the watches of the night in our African-American community, as it did in those environs of the city we were forbidden to inhabit. Every morning before I commenced my labors for the sick and dying, I would hear moaning, screams of pain, fearful cries and supplications, a chorus of lamentations scarring daybreak, my people awakening to a nightmare that was devouring their will to live.

  The small strength I was able to muster each morning was sorely tried the moment my eyes and ears opened upon the sufferings of my people, the reality that gave the lie to the fiction of our immunity. When my duties among the whites were concluded, how many nights did I return and struggle till dawn with victims here, my friends, parishioners, wandering sons of Africa whose faces I could not look upon without seeing my own. I was commandeered to rise and go forth to the general task of saving the city, forced to leave this neighborhood where my skills were sorely needed. I nursed those who hated me, deserted the ones I loved, who loved me.

  I recite the story many, many times to myself, let many voices speak to me till one begins to sound like the sea or rain or my feet those mornings shuffling through thick dust.

  We arrived at Bush Hill early. To spare ourselves a long trek in the oppressive heat of day. Yellow haze hung over the city. Plumes of smoke from blazes in Potter's Field, from fires on street corners curled above the rooftops, lending fhe dismal aspect of a town sacked and burned. I've listened to the Santo Domingans tell of the burning of Cap François. How the capital city was engulfed by fires set in cane fields by the rebelling slaves. Horizon in flames all night as they huddled offshore in ships, terrified, wondering where next they'd go, if any port would permit them to land, empty-handed slaves, masters whose only wealth now was naked black bodies locked in the hold, wide-eyed witnesses of an empire's downfall, chanting, moaning, uncertain as the sea rocked them, whether or not anything on earth could survive the fearful conflagration consuming the great city of Cap François.

  Dawn breaking on a smoldering landscape, writhing columns of smoke, a general cloud of haze the color of a fever victim's eyes. I turn and stare at it a moment, then fall in again with my brother's footsteps trudging through untended fields girding Bush Hill.

  From a prisoner-of-war ship in New York harbor where the British had interned him he'd seen that city shed its graveclothes of fog. Morning after morning it would paint itself damp and gray, a flat sketch on the canvas of sky, a tentative, shivering screen of house-fronts, sheds
, sprawling warehouses floating above the river. Then shadows and hollows darkened. A jumble of masts, spars, sails began to sway, little boats plied lanes between ships, tiny figures inched along wharves and docks, doors opened, windows slid up or down, lending an illusion of depth and animation to the portrait. This city infinitely beyond his reach, this charade other men staged to mock him, to mark the distance he could not travel, the shore he'd never reach, the city, so to speak, came to life and with its birth each morning dropped the palpable weight of his despair. His loneliness and exile. Moored in pewter water, on an island that never stopped moving but never arrived anywhere. The city a mirage of light and air, chimera of paint, brush, and paper, mattered naught except that it was denied him. It shimmered. Tolled. Unsettled the watery place where he was sentenced to dwell. Conveyed to him each morning the same doleful tidings: The dead are legion, the living a froth on dark, layered depths. But you are neither, and less than both. Each night he dreamed it burning, razed the city till nothing remained but a dry, black crust, crackling, crunching under his boots as he strides, king of the nothing he surveys.

  We passed holes dug into the earth where the sick are interred. Some died in these shallow pits, awash in their own vomited and voided filth, before a bed in the hospital could be made ready for them. Others believed they were being buried alive, and unable to crawl out, howled till reason or strength deserted them. A few, past caring, slept soundly in these ditches, resisted the attendants sent to rouse them and transport them inside, once they realized they were being resurrected to do battle again with the fever. I'd watched the red-bearded French doctor from Santo Domingo with his charts and assistants inspecting this zone, his salle d'attente he called it, greeting and reassuring new arrivals, interrogating them, nodding and bowing, hurrying from pit to pit, peering down at his invisible patients like a gardener tending seeds.

  An introduction to the grave, a way into the hospital that prefigured the way most would leave it. That's what this bizarre rite of admission had seemed at first. But through this and other peculiar stratagems, Deveze, with his French practice, had transformed Bush Hill from lazarium to a clinic where victims of the fever, if not too weak upon arrival, stood a chance of surviving.

  The cartman employed by Bush Hill had suddenly fallen sick. Faithful Wilcox had never missed a day, ferrying back and forth from town to hospital, hospital to Potter's Field. Bush Hill had its own cemetery now. Daily rations of dead could be disposed of less conspicuously in a plot on the grounds of the estate, screened from the horror-struck eyes of the city. No one had trusted the hospital. Tales of bloody chaos reigning there had filtered back to the city. Citizens believed it was a place where the doomed were stored until they died. Fever victims would have to be dragged from their beds into Bush Hill's cart. They'd struggle and scream, pitch themselves from the rolling cart, beg for help when the cart passed a rare pedestrian daring or foolish enough to be abroad in the deadly streets.

  I wondered for the thousandth time why some were stricken, some not. Dr. Rush and this Deveze dipped their hands into the entrails of corpses, stirred the black, corrupted blood, breathed infected vapors exhaled from mortified remains. I'd observed both men steeped in noxious fluids expelled by their patients, yet neither had fallen prey to the fever. Stolid, dim Wilcox maintained daily concourse with the sick and buried the dead for two months before he was infected. They say a woman, undiscovered until boiling stench drove her neighbors into the street crying for aid, was the cause of Wilcox's downfall. A large woman, bloated into an even more cumbersome package by gases and liquids seething inside her body, had slipped from his grasp as he and another had hoisted her up into the cart. Catching against a rail, her body had slammed down and burst, spraying Wilcox like a fountain. Wilcox did not pride himself on being the tidiest of men, nor did his job demand one who was overfastidious, but the reeking stench from that accident was too much even for him and he departed in a huff to change his polluted garments. He never returned. So there I was at Bush Hill, where Rush had assigned me with my brother, to bury the flow of dead that did not ebb just because the Charon who was their familiar could no longer attend them.

  The doctors believe they can find the secret of the fever in the victims' dead bodies. They cut, saw, extract, weigh, measure. The dead are carved into smaller and smaller bits and the butchered parts studied but they do not speak. What I know of the fever I've learned from the words of those I've treated, from stories of the living that are ignored by the good doctors. When lancet and fleam bleed the victims, they offer up stories like prayers.

  It was a jaunty day. We served our white guests and after they'd eaten, they served us at the long, linen-draped tables. A sumptuous feast in the oak grove prepared by many and willing hands. All the world's eyes seemed to be watching us. The city's leading men, black and white, were in attendance to celebrate laying the cornerstone of St. Thomas Episcopal African Church. In spite of the heat and clouds of mettlesome insects, spirits were high. A gathering of whites and blacks in good Christian fellowship to commemorate the fruit of shared labor. Perhaps a new day was dawning. The picnic occurred in July. In less than a month the fever burst upon us.

  When you open the dead, black or white, you find: the dura matter covering the brain is white and fibrous in appearance. The leptomeninges covering the brain are clear and without opacifications. The brain weighs 1450 grams and is formed symmetrically. Cut sections of the cerebral hemispheres reveal normal-appearing gray matter throughout. The white matter of the corpus callosum is intact and bears no lesions. The basal ganglia are in their normal locations and grossly appear to be without lesions. The ventricles are symmetrical and filled with crystal-clear cerebrospinal fluid.

  The cerebellum is formed symmetrically. The nuclei of the cerebellum are unremarkable. Multiple sections through the pons, medulla oblongata and upper brain stem reveal normal gross anatomy. The cranial nerves are in their normal locations and unremarkable.

  The muscles of the neck are in their normal locations. The cartilages of the larynx and the hyoid bone are intact. The thyroid and parathyroid glands are normal on their external surface. The mucosa of the larynx is shiny, smooth, and without lesions. The vocal cords are unremarkable. A small amount of bloody material is present in the upper trachea.

  The heart weighs 380 grams. The epicardial surface is smooth, glistening, and without lesions. The myocardium of the left ventricle and septum are of a uniform meaty-red, firm appearance. The endocardial surfaces are smooth, glistening, and without lesions. The auricular appendages are free from thrombi. The valve leaflets are thin and delicate, and show no evidence of vegetation.

  The right lung weighs 400 grams. The left lung 510 grams. The pleural surfaces of the lungs are smooth and glistening.

  The esophageal mucosa is glistening, white, and folded. The stomach contains a large amount of black, noxious bile. A veriform appendix is present. The ascending, transverse, and descending colon reveal hemorrhaging, striations, disturbance of normal mucosa patterns throughout. A small amount of bloody, liquid feces is present in the ano-rectal canal.

  The liver weighs 1720 grams. The spleen weighs 150 grams. The right kidney weighs 190 grams. The left kidney weighs 180 grams. The testes show a glistening white tunica albuginea. Sections are unremarkable.

  Dr. Rush and his assistants examined as many corpses as possible in spite of the hurry and tumult of never-ending attendance on the sick. Rush hoped to prove his remedy, his analysis of the cause and course of the fever correct. Attacked on all sides by his medical brethren for purging and bleeding patients already in a drastically weakened state, Rush lashed back at his detractors, wrote pamphlets, broadsides, brandished the stinking evidence of his postmortems to demonstrate conclusively how the sick drowned in their own poisoned fluids. The putrefaction, the black excess, he proclaimed, must be drained away, else the victim inevitably succumbs.

  Dearest:

  I shall not return home again until this business of t
he fever is terminated. I fear bringing the dread contagion into our home. My life is in the hands of God and as long as He sees fit to spare me I will persist in my labors on behalf of the sick, dying, and dead. We are losing the battle. Eighty-eight were buried this past Thursday. I tremble for your safety. Wish the lie of immunity were true. Please let me know by way of a note sent to the residence of Dr. Rush that you and our dear Martha are well. I pray every hour that God will preserve you both. As difficult as it is to rise each morning and go with Thomas to perform our duties, the task would be unbearable if I did not hold in my heart a vision of these horrors ending, a blessed shining day when I return to you and drop this weary head upon your sweet bosom.

  Allen, Allen, he called to me. Observe how even after death, the body rejects this bloody matter from nose and bowel and mouth. Verily, the patient who had expired at least an hour before continued to stain the cloth I'd wrapped round him. We'd searched the rooms of a regal mansion, discovering six members of a family, patriarch, son, son's wife, and three children, either dead or in the last frightful stages of the disease. Upon the advice of one of Dr. Rush's most outspoken critics, they had refused mercury purges and bleeding until now, when it was too late for any earthly remedy to preserve them. In the rich furnishings of this opulent mansion, attended by one remaining servant whom fear had not driven away, three generations had withered simultaneously, this proud family's link to past and future cut off absolutely, the great circle broken. In the first bedroom we'd entered we'd found William Spurgeon, merchant, son, and father, present manager of the family fortune, so weak he could not speak, except with pained blinks of his terrible golden eyes. Did he welcome us? Was he apologizing to good Dr. Rush for doubting his cure? Did he fear the dark faces of my brother and myself? Quick, too quickly, he was gone. Answering no questions. Revealing nothing of his state of mind. A savaged face frozen above the blanket. Ancient beyond years. Jaundiced eyes not fooled by our busy ministrations, but staring through us, fixed on the eternal stillness soon to come. And I believe I learned in that yellow cast of his eyes, the exact hue of the sky, if sky it should be called, hanging over the next world where we abide.