My immune system goes on holiday sometimes. When it comes back, it ramps into overdrive, attacking my body and the βinvadersβ indiscriminately. Iβm never sure whether Iβm sick or sick, whether I should say I have a cold or a chronic illness, whether my body is underreacting or overreacting. Immune, autoimmune. Fight back, self-destruct. Maybe Iβm being taken overβor maybe the call is coming from inside the house. My body, the haunted mansion.
I have plenty of data. The tests come back weird but inconclusive. Too little of this, too much of that. I have no name for the Disease. Just a haywire, unpredictable system and no way to cast blame.
If you donβt have a diagnosis, what do you have? If youβre sporadically sick are you really sick? Are you exaggerating? Are you lying? Whereβs the subreddit? (Donβt worry, thereβs a subreddit for the undiagnosable.) Doctors will tell you what you have: a psychosomatic issue, which they mean in the all-in-your-head crazy woman way, not in the sense of what the word really means, which is of the mind and the body, where thought and experience and cellular performance are connected and mutually causal.
Anyway. I wrote a novel about all that called A DIAGNOSIS that you can read next year.
By now Iβve come out the other side of the diagnostic machine and my treatment is Pragmatism. I have meds and routines. I go to doctors in dire situations. I read research studies. I do sporadic off-label experiments. When Iβm feeling fine, I gaslight myself into thinking that I made it all up (crazy woman), so that when the inevitable relapse hits Iβm surprised and indignant and I insist that itβs not happening.
Last week I arrived at that predictable point in the cycle where brute force is no longer working to get through Normal Life, and instead you just have to just Lie Down and wait.
The Lying Down period is the cul-de-sac of chronic illness. You pull in, let the engine idle, then reluctantly shift the gear into park. You wonder whether you will ever pull out this time, or whether this is now a dead end. You may have arrived at the cul-de-sac because you didnβt do a LITTLE Lie Down soon enough and you have been stealing energy from yourself for too long, and you now have no choice but to do a BIG Lie Down. (You know all about pacing and you didnβt pace yourself, so itβs a little bit your fault. But how can you commit to pacing if you donβt have a diagnosis?)
You were not pacing yourself because you believed that all those things you were doing (job, friends, art) were the things that constituted real lifeβbut REAL life, you now remember, is what has been waiting for you all along: your bed. You did not escape it. This is the real you. The active person pretending to be the real you is now revealed to be the fake person. You hate her. You ate her! And now you have to Lie Down.
Luckily while you are Lying Down you donβt have to write the canonical text on your experience of an unreliable body because Johanna Hedva has already written Sick Woman Theory about why your body is attacking itself rather than producing masterpieces or revolutions, and you quote Hedva back to yourself as you let your head drop onto the pillow: You cannot throw a brick through the window of a bank if you canβt get out of bed. You reproach your former un-sick self for not throwing bricks through bank windows while she had the energy, but now itβs too late.
You roll onto your side. Maybe you pick up a book, but more likely, you turn on the home renovation show The Flip Off, about two divorced house flippers who are now competing against each other to profit from the highest ROI on a house flip in Southern California. Marble backsplash, you hear. Two-and-a-half baths. Here there is no critique. Here there is no art. Here there is only passive consumption. You close your eyes halfway. You enter the cul-de-sac.
The April Lie Down
Itβs a waste of time to see a doctor if I have the energy to do anything else. But last Wednesday I gave up, and in a subdued rage, gasping for air like a fish halfway evolved for life on land, I busted through the doors of CityMD and asked for a chest X-ray.
The CityMD doctor and I made some jokes about how bad radiation is for us, and then he said the X-ray showed that βinfiltratesβ had βinfiltratedβ my lungs. Are they really called INFILTRATES? Yes, Sontagβs military metaphor is going strong. The infiltrates, he said, meant that I had pneumonia and needed a triple course of antibiotics and steroids.
But later in the afternoon, before the Rx arrived, CityMD DMed my patient portal and said Woopsy! A mixup. There were no infiltrates after all. X-ray clear. I was fine.
Okay. The next day I went to the expensive doctor who I resort to sometimes when edging desperation. He said that it wasnβt pneumonia, but that my lungs were fucked up enough to resemble βsmokerβs lungsβ (smoking is the only thing I donβt do) and he would try to find out why I couldnβt breathe. (He hasnβt found out.) He asked his nurse to take several tubes and bottles of blood to test for all kinds of pathogens ($300 appointment; $75 tests).
Then he asked, as he does every session, whether I had listened to the latest episode of his βviralβ podcast. Viral. Heh. I went from his office to take a nap in a movie theater and then to an opening and got home at midnight, fever still 101. No diagnosis, no problem.
The next morning, Quest Diagnostics DMed my patient portal and said that all the blood the podcast doctor had sent them was not viable because the blood had arrived in contaminated and expired containers. Okay. I walked to the Quest Diagnostics nearest my house with a printout of the test requisition, where they took another $75 worth of blood that also cost me a vein. (What futile dogged belief spurs one to do these things out of obligation or duty to an imagined ideal of science? No lab, no doctor, has ever stopped the cycle of Lie Downs. Also, breaking news: Quest Diagnostics just sent 5,000 people to jail due to false positive testing.)
Thing was, I still couldnβt breathe. I decided to try a new person, a pulmonologist, because pulmonologist name comes from the Greek for βlung specialist.β Big mistake! The pulmonologist said that my illness was βtoo acuteβ for her to address. She only deals with βreal chronic conditions,β not people who just have a cold. Bye bye. Co-pay please.
The fake diagnostic cycle was over. Infiltrated or not, I was on my own. Saturday, I accepted that the curtains had come down on the Theater of Healthy and that the only choice was a real Lie Down. (Maybe they had taken TOO much of my blood and drained me of my last life force??) Instead of going to the teach-in, the memorial gathering, the book launch, the opening, andβIβm forgetting somethingβI puffed an inhaler four times, then lay down and read a Gothic novel. I didnβt get up for eight hours until I had finished the book.
Manderley
I thought Iβd already read Daphne du Maurierβs 1938 Rebecca because I knew the first line by heart: βLast night I dreamt I went to Manderley again.β But I guess just knew the line because itβs very famous, and maybe I knew the story because Iβve seen the Hitchcock adaptation and because Iβve read Jane Eyre and Wuthering Heights and any number of Gothic novels that itβs sort of like.
The experience of reading Rebecca is so intensely pleasurable exactly because itβs sort of like so many other books. It fits neatly into the grooves of the familiar, but, like all good genre fiction, itβs genuinely stranger than the clichΓ©s it trades in.
A poor, naive, 21-year old orphan marries a dashing, rich, middle-aged man whom she meets in a hotel in Monte Carlo. When he brings her back to his enormous Cornwall seaside mansion she discovers that itβs haunted by the memory of his first wife, Rebecca: gorgeous, lascivious, outwardly magnetic and kind but secretly evil and psychopathic. The timid young bride walks in her predecessorβs footsteps, unable to compete with the servantsβ and townspeopleβs memories of the ravishing Rebecca, whose devoted elderly servant, Mrs. Danvers, will do anything to sabotage who she sees as the new impostor.
A haunted English manor. An evil doppelgΓ€nger. A beautiful psychopath. A sinister servant. A crime of passion. Some kind of sexually inflected shame. The book is archetypically Gothic and probably feels familiar to everyone who picks it up. Du Maurier was accused TWICE by TWO different authors of plagiarism. I doubt she actually ripped it; she probably snatched the readymade archetypes out of the air and indulged them, and when you indulge an archetype fully you allow it to get fully idiosyncratic and weird.
Itβs like BDM recently wrote about people claiming to be βthe firstβ in any genre:
βArguments about somebodyβs critical or historical positionβwho is first, who is forgotten, who is overrated, who is underrated, who is influential, who is a curiosityβsimilarly feel like ways to try to make things into an objective question of numbers instead of embracing the ways in which works of art are both singular and interrelated.β
That doesnβt cover actual plagiarism, but when it comes to writing a genre book, the recognizable tropes are exactly what youβre trading in and playing with. Genre fiction is variations on a theme. Genre fiction is recombinant. Youβve read it but you havenβt. Youβve already dreamt of Manderley.
Malevolent plants
One special freakiness of Rebecca is that itβs dominated by tremendous, terrifyingly fragrant and lifelike plants. The βviolent,β βblood-redβ rhododendrons are βluscious and fantastic,β the βgreat branchesβ of pungent lilac freak her out, the towering lupins overtake the living room, the five-foot delphiniums are too big to cut for vases.


Before he even takes her Manderley, the narratorβs new husband tells her all about the rhododendrons there, as if theyβre family members that he wants her to meet. When she gets to Cornwall, in scene after scene sheβs diminished, cowed, by the scary splendor of the forest leading to the ocean, the abundant rose garden, the raging blossoms flanking the driveway. Rebeccaβs lingering perfume mingles with the fragrance of crushed petalsβbut as much as the other woman is haunting the scene, the plants are stalking this girl. Just look at these pernicious, lusty, violent, uncivilized creatures:
The rhododendrons stood fifty feet high, twisted and entwined with bracken, and they had entered into alien marriage with a host of nameless shrubs, poor, bastard things that clung about their roots as though conscious of their spurious origin. A lilac had mated with a copper beech, and to bind them yet more closely to one another the malevolent ivy, always an enemy to grace, had thrown her tendrils about the pair and made them prisoners. Ivy held prior place in this lost garden, the long strands crept across the lawns, and soon would encroach upon the house itself. There was another plant too, some half-breed from the woods, whose seed had been scattered long ago beneath the trees and then forgotten, and now, marching in unison with the ivy, thrust its ugly form like a giant rhubarb towards the soft grass where the daffodils had blown.
Alien marriage! Malevolent ivy! Prisoners! Half-breed! The whole dark family drama is embodied by whateverβs happening in the gardens. A good portion of the book is tangled up in this sort of exciting description. (I would have written about Rebecca in Death by Landscape if I had read it before. Itβs perfect plant/woman horror.)
Gothic woman theory
In terms of human action, Rebecca has a lot of dead time. For whole chapters, the narrator is nervously lying around on a divan, paranoiacally observing the garden, sneaking around the house hiding from the spooky maid, or standing in the forest fixating on those infernal rhododendrons. Almost like sheβsβ¦ having a Lie Down. Dozens of tense pages pass full of foreboding hints. Then, suddenly the action happens in dense scenes, which usually include long monologues by one of the main characters in which they reveal a lot of shocking backstory all at once.
So the experience of reading is: lying around in a pool of dread, totally helpless, and then suddenly thereβs a torrential downpour of salacious info. At Manderley, you tell yourself that nothing is happening, but dastardly plots, cunning tricks, and deadly revenges are going on behind the curtains. The whole time the narrator is completely passive, aghast, queasy, and frail, letting calamities befall her. At Manderley, you are definitely a crazy woman, but the woman who lived there before you was even crazier. Even the house is psychosomatically ill.
Rebecca is the femme fatale⦠the narrator is just the femme malade.
Rebecca is perfect sick lit. It is the right book for a Lie Down in the cul-de-sac. You haunt yourself when youβre sick. The half-dead but somehow more-alive doppelgΓ€ngerβ¦ The real person, the living person, is shadowed by the other personβ¦ the half-alive person youβre married to in bodyβ¦ the real wife, the false wife, the dead wifeβ¦ your active self, your passive selfβ¦ which is the real one? When you resurrect yourself after your Lie Down, who will you return as? Life is still happening while youβre half-asleep on the fainting couch. There will be intrigues when you return.
At the end of my Lie Down I immediately fell asleep for twelve hours. That night I dreamt of Manderley.
"sick lit" J'adore.