established order, way over to the edge of the left. He didn’t attend his own university graduation, because the ceremony involved wearing academic dress. For ten years the only trousers he wore were jeans. He doesn’t own a necktie and doesn’t intend to, not ever—the usual liberal tokens. His instincts are bourgeois, but he fights his instincts. That is, he lives the life of a married man but balks at the idea of a marriage ceremony. Mostly, he is a different kind of doctor than his crusty, sentimental father. Tom is a saint, some people in Orangetown think, so patient, so humane, so quietly authoritative. He works at the Orangetown Clinic with three other doctors, one of whom is an obstetrician who looks after most of the births in the region. Tom misses that, attending births. He sees a lot of sick people and a lot of lonely people. It’s through Tom that I’ve found out about the ubiquity of loneliness. I wouldn’t have believed it otherwise.