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The Serbsky Institute was a modest-sized building with curved steel balconies around the top-floor windows, more like a block of attractive apartments than a hospital. Raisa paused, as she always did at this point, fifty meters away, asking herself if she was doing the right thing. She glanced down at Elena, standing by her side, holding her hand. Her skin was supernaturally pale, as though her body were fading. She’d lost weight and was unwell with such regularity that sickness had become her usual state. Noticing Elena’s scarf had come loose, Raisa crouched down, fussing over her:
– We can go home. We can go home at any time.
Elena remained silent, her face blank, as if no longer a real girl but a replica created with tissue-paper skin and green pebble eyes, emitting no energy of her own. Or was it the other way round? Was Raisa the replica, fussing and caring in an imitation of the things a real mother would do?
Raisa kissed Elena on the cheek and, garnering no response, felt her stomach knot. She had no resilience to this indifference, indifference that had begun when she’d knelt down, her eyes filled with tears, and whispered into Elena’s ear:
Zoya is dead.
Raisa had expected an outburst of grief, but Elena hadn’t reacted. Five months later, she still hadn’t reacted, not in any ordinary, outward sense.
Raisa stood up, checking on the traffic, crossing the road and approaching the main entrance. The Serbsky Institute was a desperate measure, but she was desperate. Love wasn’t going to save them. Love simply wasn’t enough.
Inside-stone floors, bare walls-nurses in crisp uniforms pushed steel trolleys equipped with leather restraints. Doors were bolted. Windows were barred. There could be no doubt that the institute’s reputation as the city’s foremost psychiatric center was a point of notoriety rather than acclaim. A treatment center for dissidents, political opponents were admitted for insulin-induced comas and the latest in pyrogenic and shock therapy. It was an improbable place to seek assistance for a seven-year-old girl.
In their discussions Leo had repeatedly stated his opposition to psychiatric help. Many of those he’d arrested for political crimes had been sent into a psikhushka, a hospital such as this. While Leo agreed, as indeed he had to, that there might be good doctors working within a brutal system, he didn’t believe that the risk in searching for those men and women warranted the potential gain from their expertise. Declaring yourself unwell was tantamount to positioning yourself in the fringes of society, not a place any parent or guardian would want for their child. Yet his stance seemed less like caution and more like mulish stubbornness-a blind determination to be the one that fixed his family even as it crumbled in his hands. Raisa was no doctor, but she understood that Elena’s sickness was as threatening as a physical aliment. She was dying. It was primitive to hope the problem would merely pass.
The woman behind the front desk glanced up, recognizing them from previous visits.
– I’m here to see Doctor Stavsky.
Working behind Leo’s back, talking to friends, colleagues, she’d secured an introduction with Stavsky. Despite a career in treating dissidents, with all that entailed, Stavsky believed in the value of psychiatry beyond the political sphere and disapproved of the excesses of punitive treatments. He was motivated by a desire to heal and he’d agreed to examine Elena without making any official record. Raisa trusted him much as a person lost at sea would put their faith in a drifting plank of wood. She had little choice.
Upstairs, summoned in, Doctor Stavsky crouched down in front of Elena:
– Elena? How are you?
Elena didn’t reply.
– Do you remember my name?
Elena didn’t reply. Stavsky stood up, addressing Raisa in a whisper:
– This week?
– No change, not a word.
Stavsky directed Elena to the scales:
– Please take off your shoes.
Elena didn’t respond. Raisa knelt down, taking her shoes off, guiding Elena onto the scales. Stavsky peered at the display, noting her weight. He tapped his pen against his pad, running his eyes across the numbers accumulated these past weeks. He stepped back, perching on his desk. Raisa moved forward to help Elena off the scales but Stavsky stopped her, indicating that she leave Elena where she was. They waited. Elena remained on the scales, facing the wall, doing nothing. Two minutes became five minutes became ten minutes and Elena still hadn’t moved. Finally, Stavsky indicated that Raisa should help Elena off the scales.
Fighting back tears, Raisa finished tying Elena’s laces and stood up, about to ask a question, only to see Stavsky on the telephone. He hung up, placing his pad on the desk. She didn’t know how or why but she knew she’d been betrayed. Before she could react, he said:
– You came to me for help. It is my view that Elena needs professional, full-time supervision.
Two male orderlies entered the room, closing the door behind them like a trap slamming shut. Raisa wrapped her arms around Elena. Stavsky slowly approached:
– I have arranged for her to be admitted to a hospital in the city of Kazan. I know the staff at the hospital well.
Raisa shook her head, in disbelief as much to rebut his proposal:
– This is no longer up to you, Raisa. The decision has been made in the interest of this young girl. You are not her mother. The State has appointed you her guardian. The State is taking back guardianship.
– Doctor…
She spat the word out with contempt.
– You are not taking her.
Stavsky moved closer, whispering:
– I will tell Elena that she is going with these nurses to Kazan. I will tell her that she will not see you again. I am quite certain that she will not react. She will walk out of this room, with those two strangers, and she won’t even look back. If she does, will you then believe that you cannot help her?
– I refuse to accept that test.
Ignoring Raisa, Stavsky crouched down, speaking slowly and clearly:
– Elena, you are going to be taken to a special hospital. They will try and make you better. It is possible that you may never see Raisa again. However, I will make sure that you are well looked after. These men will help you. If you do not wish to go, if you wish to stay, if you wish to remain here with Raisa, all you have to do is say so. All you have to do is say no. Elena? Do you hear me? All you have to say is no.
Elena did not reply.