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Room for a view

The salmon

Ian A. Cameron
CMAJ November 14, 2000 163 (10) 1319-1320;
Ian A. Cameron
Department of Family Medicine Dalhousie University, Halifax.
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There was a spasm, a prolonged quiver, and the salmon lay still on the grassy intervale beside the river. A tall figure in chestwaders bent over the great fish and removed the small hook from the side of its mouth. Earlier in the afternoon he had seen it jump in the rapids below, a shower of glistening droplets, silver in the sun. He knew the salmon would rest in the pool; methodically, he began assembling his rod, attaching the leaders, choosing the fly. At the top of the pool he waded in a short distance and started to strip out line, in short casts at first, the dry fly swinging in small arcs with the current. Gradually the casts became great sweeping parabolas, the fly deftly touching down, catching the current, moving over the next grid of water he wanted to fish. Patiently he worked the water, shifting his position, repeating the process, changing his fly: muddler, brown dorf, hen island special, crimson renown. From deer hair, partridge wing, pheasant feather, multicoloured thread, silver wire he had meticulously tied these flies. They were old patterns his father had taught him and variations he had designed from years of experience.

He rested the water and then, in the early evening, began again. The third fly was a goat-hair butterfly. Halfway through his casting cycle it reached the end of its swing and straightened out beside a rock. The fish rose. There was a swirl; the leader tightened and the reel sang as the line spun out. The salmon ran the length of the pool, jumped, danced on its tail, dove, stayed deep, catapulted to the surface, jumped again. As the battle continued, the angler allowed the fish to run, keeping the line tight, the tip of the rod up, reeling in when the fish rested. When the fish charged toward the shore he reeled in fast, then raised the rod tip as the fish ran to the far end of the pool and down into the rapids. The angler scrambled along the rocky fringe, splashed into the pool past the pine tree arching out from the bank, lost his balance on the slippery rocks in the shallows, kept the rod up and regained his feet. Slowly he manoeuvred the fish back up into the pool. There were more runs, brief dashes, and then the fish stopped resisting the reel. It came in close, then turned on its side; for a moment, their eyes met. The salmon straightened, gathered its strength and headed for the centre of the pool. The angler turned it gently, tipping his rod to the salmon, reeling the fish into the grasp of his large, calloused hand. He looked down at the salmon, transfixed. In the gathering darkness he saw the end of a life, his own impending death. Slowly he headed to his truck and poured himself a tumbler of rum.

AN EXTRA LINE SPACE HERE.

I didn't know Archibald MacSorley; he had been a retired partner's patient. One weekend his wife called. “Archie's been on a bender and I've moved in with my sister. For two days he hasn't answered the phone. Would you go over to the house and see if he's all right?” Before going on the house call I pulled MacSorley's chart. It was slim, with only one entry on the problem list: alcohol abuse. The MacSorleys lived in a neighbourhood of bungalows built for enlisted men returning home from the war. The curtains were drawn and the mailbox was overflowing. I rang the doorbell and waited. No answer. I knocked on the door several times and was turning to go when I heard someone fumbling with the lock. I turned; there stood a gaunt figure in a flannel shirt. His gray hair fell forward, framing his lined face as he looked down on me.

“Who are you?”

“I'm the doctor. Mrs. MacSorley wanted me to drop by.”

He stood there, unshaven, his gray eyes averted, studying his hand on the doorknob. Then he ushered me into the tiny, dark, front room and motioned for me to sit in a large comfortable chair with a lace doily on the headrest. He sat on a wooden chair by the door. There was an awkward silence.

“Been eating regularly?” I offered.

“Appetite's not so good.”

“When was your last drink?”

“Just before you came.”

“Any way I can help?”

MacSorley looked at the ceiling. After a while he said, “No, it's got to run its course.”

I asked him if he wouldn't mind showing me how much grub he had on hand. He took me to the little kitchen at the back of the house. It was spotless. There was an empty glass and a half-empty bottle of Captain Morgan on the table. The fridge was well stocked and he had plenty of canned goods.

“Sometimes a shot of vitamin B1 helps in these situations,” I said.

“If you think it will help,” he replied.

I checked him over before giving the injection and told him I would like to see him in the office on Monday. He looked me over and gave a faint smile and a noncommittal nod. On my way out I noticed just off the kitchen a large desk neatly compartmentalized with fly-tying equipment.

MacSorley did not come to the office on Monday. A short time later the nurse found out that his wife had moved back home.

Two years later Mrs. MacSorley had a stroke. Her recovery in hospital was gradual, and by the time she returned home she could compensate for most of her residual left-sided weakness. During this time I got to know the MacSorleys. Helen was stoical, observing the world sternly through a very active left eye and a large immobile prosthetic right eye, a legacy of the Halifax explosion. On rare occasions she would let her guard down, revealing a youthful mirth. Archie, as I came to know him, had been born in the city, the second son of James MacSorley, a veteran of the First World War who had been gassed by his own inept Allied commanders. James, with his failing lungs, struggled to support his family as a night watchman. Seasonally he would escape with his family to the ancestral farm, where he taught his boys to hunt and shared the secrets of his passion for fishing. When he died in 1925 the boys helped support their mother. Archie took night courses in bookkeeping. The MacSorleys were well versed in marginal survival and thrived during the lean years of the Depression. Then in 1939 Archie, too, served his country overseas. He returned home six years later with an unseen scar, a wound that was never mentioned. He began to drink heavily. When he was 40 he married Helen. They had no children, and the pattern of their married life began: bouts of drinking, uneasy truces. Helen ordered her life with an endless round of small tasks. Archie precariously clung to his job and escaped to the woods when he could.

As Helen continued her recovery Archie cooked and looked after the garden and the house. He shopped for her, then with her, took her to appointments, never drank. During this time I fished with Archie and watched his mastery. One day in the office Archie told me about his battle with the salmon, his glimpse of death. I asked him if he was afraid. He didn't answer.

A short time later Helen phoned to say she had moved in with her sister. Archie was on another bender. I phoned their home. There was no answer. The next day there was a message from the hospital that Archie had been admitted the previous night. He had hit a telephone pole with his truck, crushing his sternum and collapsing a lung.

I went to see him. The nurse had just given him an injection and he was resting with his eyes closed. His face had not been injured in the accident, and in the shaded light he looked peaceful. His weathered skin with its furrows and fine lines was the map of an unknown country. I leaned over his ear and asked him what had happened. He pulled at the oxygen nasal prongs, opened his eyes, glanced anxiously at me and clutched for my hand.

“Doc, I saw the fish.”

Figure

Figure. Photo by: Art Explosion

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CMAJ
Vol. 163, Issue 10
14 Nov 2000
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Ian A. Cameron
CMAJ Nov 2000, 163 (10) 1319-1320;

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Ian A. Cameron
CMAJ Nov 2000, 163 (10) 1319-1320;
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