Exit Ghost

Cover Exit Ghost
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Other than for surgery in Boston to remove a cancerous prostate, I'd hardly been off my rural mountain road in the Berkshires in those eleven years and, what's more, had rarely looked at a newspaper or listened to the news since 9/11, three years back; with no sense of loss—merely, at the outset, a kind of drought within me—I had ceased to inhabit not just the great world but the present moment. The impulse to be in it and of it I had long since killed.
But now I'd driven the hundred and thirty
...miles south to Manhattan to see a urologist at Mount Sinai Hospital who specialized in performing a procedure to help the thousands of men like me left incontinent by prostate surgery. By going in through a catheter inserted in the urethra to inject a gelatinous form of collagen where the neck of the bladder meets the urethra, he was getting significant improvement in about fifty percent of his patients. These weren't great odds, especially as "significant improvement" meant only a partial alleviation of the symptoms—reducing "severe incontinence" to "moderate incontinence" or "moderate" to "light." Still, because his results were better than those that other urologists had achieved using roughly the same technique (there was nothing to be done about the other hazard of radical prostatectomy that I, like tens of thousands of others, had not been lucky enough to escape—nerve damage resulting in impotence), I went to New York for a consultation, long after I imagined myself as having adapted to the practical inconveniences of the condition.

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