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She talked about the subject with an urgency and an excitement the rest of us didn’t seem to share.

I continued to follow Previlus, Belony, Régis, and a few others. Previlus was doing reasonably well. His skin continued to itch, despite a host of nostrums prescribed by the dermatologists, and his diarrhea flared sporadically. He missed many of his scheduled appointments and then would show up unexpectedly, explaining how difficult it was to get down from Belle Glade. However, he continued to work, his weight was stable, and he developed no new infections. He was grateful that I was caring for him.

Belony was slowly declining, and I could not put my finger on why. Each visit he required more assistance from his mother to get up on the examining table. He said very little. His mother reported that he spent his days lying in bed.

Régis was doing the best of the patients I followed. He felt well, his appetite was good, and he was gaining back the weight he had lost during his bout with pneumonia. He would come to the office in a suit and tie looking like a foreign ambassador. He made light, pleasant conversation with the office staff. For a while he was doing so well that I thought he might be the first spontaneous recovery. But his lymphocyte count remained low, and tests showed that he was still immunodeficient despite his outwardly robust appearance. One bothersome problem was the development on both ankles of the same type of itchy bumps that plagued Previlus. I did not even attempt to offer the dermatologist’s explanation of “insect bites” to Régis. Fortunately, since he was so concerned about his appearance, the bumps were hidden beneath his trousers.

Margaret asked me if I knew anyone who had B+ blood type. I answered that I was B+, knowing full well that in answering I was also volunteering for something. I wondered if she had somehow checked in advance. She wanted to mix the lymphocytes and sera from our Haitian patients with “normals” and inject them into marmosets. Régis was B+, and that being a relatively rare blood type, she



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