An office a mere block away by carpool from their home, in which they’ve lived ever since a disproportionately protracted birth resulting in the death of their mother and, aggrieved, as if in response, in the eventual feminization of their father, beginning with a regimen of hormonal therapy and then, ultimately, a surgical procedure necessitating a second mortgage — a vaginoplasty in which his testes had been severed to form a labia with the remnant, the shaft of his penis, inverted to manifest the hollow of a shallow vagina. Their office, it’s situated across a meridian from a takeout, drivethru concrete box, at the far end of an icy asphalt lot rented at a nominal monthly fee from that once promiment, national fastfoood purveyor just beginning bankruptcy proceedings, its paving recently annexed into adjacency with the mediating island homeopathically weeded, untended, disused — a tar openness providing ample space for the parking of their modest twin sedans, with the smaller, otherwise zoned expanse just past the island made unofficially available to their patients, too, and to any other visitor to this facility of which their practice, or practices, are at present the only two tenants. Here there used to be seven lawyers, six accountants, five actuaries, four insurance firms, three dentists, two dermatologists, and that lone funeralhome, groundfloor fronting the one pear tree, now barren, stripped by wind of partridges and bark. All of whose space is theirs as of last moon, an expansion from their previously tiny office that had been approximately one street, one address, one suite number too far to the west, which is already Queens. This ever since their official retention, an agreement to diagnose exclusively for Garden, Inc., from the aborted bris on to remain oncall; though they still, if guiltily and with a semblance of quiet, are willing do a number of things, grudging favors, for friends and friends of friends, too, for hard money on the side: accepting diamonds, gold, and other precious gems and metals, free meals, drinks, and High Holiday tickets in return, you didn’t hear it from me, for circumcisions and the mental health counseling their effect would subsequently require, both procedures always ritually performed. If with a handful of weird personal touches: as Doctor Tweiss the plasticsurgeon never uses anesthesia, whereas his twin the psychoanalyst always does, explain that; both having practiced for performance upon Ben, they’re thinking, why not put their work to abuse on a person truly grateful and willing — the general paying public. All at the Garden tolerate it, they have to, it’s too lucrative for them not to, and so they take their cuts both sharp and blunt, and look the other way — at their shoes, on the advice of their counsel.
The doctors, they’re booked for moons.
Through the door to the office that’s wide enough for a gurney, a prehumous coffin and its two medically fit pallbearers — this to facilitate the twins’ coming and going, the two of them at once through the lobby — there’s a sign:
