The Pain Artist

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Summary

Pain is the only honest thing." In the industrial shadows of Vienna, Dr. Elias Voss a disgraced surgeon turned "Pain Artist" is composing his final masterpiece. He doesn't use ink or paint. He uses nerves, tendons, and the screams of those the world has forgotten.

Status
Ongoing
Chapters
5
Rating
n/a
Age Rating
18+

Prologue

I.

The sparrow was still warm when Elias found it.

It had struck the window of his mother’s practice room during Chopin’s Nocturne in C-sharp minor—the moment when the left hand descends into darkness, just before the melody breaks. He’d watched it happen from the hallway: a brown blur, then a soft thump against glass, then silence folded back into music.

His mother didn’t stop playing.

She never did.

Elias was seven years old. He stood in the hallway in his pajamas, one hand pressed to the wall, listening to the nocturne continue as if nothing had happened. The bird lay on the cobblestones below the window. He could see it through the glass: a small heap of feathers, one wing bent wrong, its chest not moving.

He went outside.

The frost stung his bare feet. He picked up the sparrow. It weighed nothing. Its eyes were open, black and blank, and he found himself waiting for them to blink. They didn’t.

He carried it inside and up the stairs to his father’s study.

His father was a coroner. This meant, to a seven-year-old, that he knew things about bodies that other fathers didn’t. He sat at his desk now, cataloguing slides of human liver tissue under a brass microscope. The room smelled of formaldehyde and old paper. On the walls hung photographs of incisions Elias was not supposed to study but did, late at night, when his father was downstairs drinking.

“Fix it,” Elias said.

His father glanced at the bird, then returned to his lenses.

“Open it first,” he said. “Then you’ll know what fixing means.”

Elias waited. His father did not look up again.


II.

That night, Elias borrowed his father’s spare scalpel.

He laid the sparrow on a towel in his bedroom, beneath a poster of Mozart’s Requiem that his mother had given him. He didn’t understand the music yet—the Latin, the drama, the pleas for mercy—but he liked the way the notes looked on the page, like black birds against white sky. Sometimes he traced them with his finger, imagining the sounds they represented, though he could never quite hear them in his head.

He made his first incision from sternum to cloaca, the way he’d watched his father do to a hundred bodies in the photographs he wasn’t supposed to see.

The skin parted easily. Beneath it, everything was small and orderly and surprisingly wet. The ribs were white threads. The lungs were pink sponges. The heart was the size of a fingernail clipping, still faintly warm.

He put it in his mouth.

Not to eat. To feel. To know if death had a temperature, a texture, a taste. It was cold and rubbery and tasted of iron and the grain he’d fed it three days earlier when it visited his windowsill. He held it on his tongue, waiting for something to happen.

Nothing did.

No lightning bolt. No divine revelation. Just a boy, a bird, and the faint sound of his mother’s piano drifting up the stairs.

Is this all death is? he wondered. A thing you can hold in your mouth and forget by morning?

He swallowed.

He wrapped the sparrow’s remains in the towel and hid them under his bed. He didn’t know why he kept them. He only knew that throwing them away felt like forgetting, and forgetting felt like the bird had never existed at all.

Upstairs, his mother played on.


III.

At twelve, Elias was dissecting roadkill with the precision of a microsurgeon and the patience of a concert pianist warming up for a recital.

He kept a notebook: Mus musculus, Rattus norvegicus, Felis catus, Canis familiaris. He rated each specimen on three criteria:

Architectural beauty — 1 to 10.Resistance to incision — 1 to 10.Existential residue — Did the body feel like it once held something more than organs? Yes. No. Uncertain.

The cat—a tabby hit by a tram on Mariahilfer Strasse—scored a 9 on beauty, a 7 on resistance, and YES on residue. He kept its whiskers in an envelope labeled Tremolo, because they reminded him of the way his mother’s hands vibrated during the fast passages.

He never told her about the whiskers.

He never told her about any of it.

But sometimes, late at night, he would take out the envelope and run his thumb across the whiskers. They were stiff and delicate and made a faint sound when he brushed them—a whisper so quiet he might have imagined it. He liked to imagine that the cat was still there, in some way, in the whiskers. That a part of it had survived the tram, the incision, the careful cataloguing of its organs.

He knew this was not rational.

He did not care.


IV.

At fourteen, Elias watched his mother die.

Not from afar. Up close. In the hospital room where she’d been admitted for what the doctors called “a routine procedure.” A hysterectomy. Fibroids, benign. Three days recovery, then back to the Steinway.

But the surgeon—a man named Dr. Alois Steiner, fifty-three years old, winner of the Vienna Medical Society’s Excellence in Gynecology Award, 1979—nicked something he shouldn’t have. The bowel, maybe. Or the bladder. The exact organ didn’t matter. What mattered was the sepsis that bloomed three days later, blackening her veins like rot in a cello’s wood.

Elias sat in the corner of her room for sixteen hours, watching.

Watching the morphine drip.

Watching her pupils dilate.

Watching Dr. Steiner visit twice, for exactly four minutes each time, to note her vitals with the same bored expression Elias’s father used when cataloguing liver slides.

The first visit, Steiner spent three minutes and forty-seven seconds in the room. He checked the chart. He adjusted the drip. He asked the nurse a question Elias couldn’t hear. He did not look at Anna Voss. He did not touch her hand. He did not speak to her.

The second visit, four minutes and twelve seconds. This time, he glanced at her face. His expression did not change. He wrote something on the chart. He left.

Elias counted.

He would count for the rest of his life.

Boredom, he thought. That’s worse than cruelty. Cruelty at least means you’re paying attention.

His mother’s last sound wasn’t a word.

It was a note.

A single, sustained hum in the key of G, escaping through her tracheostomy like air from a punctured balloon. It lasted seven seconds. Then nothing.

Elias wrote it down in his notebook: G4, diminuendo to silence, duration 7.3 seconds. Performer: Anna Voss. Cause of death: medical disinterest.

He was fourteen years old.

He never cried.

Not then. Not ever.

But sometimes, alone in his room, he would hum that note. G4. He would hold it as long as his breath allowed, trying to feel what she felt, trying to understand what it meant to fade out of the world with a sound instead of a word.

He never could.


V.

At nineteen, Elias was expelled from the University of Vienna Medical School for “gross ethical violations.”

The official report cited “unauthorized modification of cadaveric specimens.”

The unofficial truth was worse.

During a third-year anatomy seminar, Elias had been assigned a female cadaver—a seventy-two-year-old former seamstress who’d died of congestive heart failure. While his classmates practiced basic incisions, Elias spent three nights in the lab, alone, with a jeweler’s toolkit he’d purchased on the black market.

The first night, he studied her hands.

They were small and twisted with arthritis, the fingers curled slightly inward as if still holding a needle. The nails were yellowed but clean. Someone had clipped them before she arrived. Elias wondered who. A daughter? A nurse? The woman herself, before she became too weak?

He traced the bones beneath the skin. He could feel where the tendons had shortened, where the joints had calcified. These hands had worked for decades. They had pulled thread through fabric thousands, millions of times. They had made things that outlasted them.

By morning of the second night, he had removed the skin from her hands and begun work on the bone.

By morning of the third night, the ribs were inlaid with gold filigree—thin wires he’d shaped into vine patterns, winding between the bones like something growing. The sternum was engraved with the opening bars of Chopin’s Funeral March. The fingers had been refitted with silver thimbles soldered directly to the bone, so they gleamed under the lab lights like a bride’s jewelry.

By morning of the fourth day, she was no longer a seamstress who had died of heart failure.

She was art.

“She was too plain,” Elias told the review board. “I improved her.”

The board chairman—a pale, trembling man named Dr. Heinrich Weber—asked if Elias understood why this was wrong.

“I understand that you think it’s wrong,” Elias replied. “I don’t understand why you think it’s wrong. The body was donated to science. I advanced science. I also advanced her. She was a seamstress. Now she’s art. What exactly is the problem?”

The problem, as it turned out, was that Dr. Weber’s wife had been a seamstress. And that she’d died the previous year. And that the engraved sternum—Lento e languido, the score read, ma sempre con passione—resembled her handwriting.

Elias didn’t know this.

He also didn’t care.

But he remembered the look on Weber’s face. The way the man’s hands shook as he delivered the verdict. The way his voice cracked on the word expelled.

That, Elias thought, is what it looks like when someone matters to you.

He had never felt it himself. But he recognized it now. And he filed it away for later.


VI.

At thirty-four, Elias stopped pretending.

The slaughterhouse cold room cost him seventeen thousand euros, cash. The Steinway—a 1912 concert grand, once owned by a student of Gustav Mahler—cost another forty-three thousand and the remains of his mother’s estate. The teeth came from a dentist in Bratislava who asked no questions and charged by the kilogram.

He called it his atelier.

The first subject was a homeless man named Gregor who smelled of schnapps and resignation. Elias found him sleeping behind the Staatsoper, bundled in newspapers, dreaming of nothing.

“Would you like to be part of something beautiful?” Elias asked.

Gregor blinked up at him, rheumy-eyed. “Do I get paid?”

“You get to matter.”

Gregor laughed, coughed, and followed him for a bottle of vodka and the promise of a warm bed.

He never left the atelier.

His vocal cords now live in a mason jar on Elias’s workbench, labeled Tenor, Untrained, Surprisingly Pure. When vibrated at the correct frequency, they still hum—a faint, ghostly note that Elias plays sometimes, late at night, when the loneliness gets interesting.

The second subject was a banker named Franz who had embezzled from a children’s hospital. Elias found this fact in the newspapers, clipped it, saved it. Franz thought he was meeting a woman when he followed Elias to the slaughterhouse. He was still wearing his wedding ring when Elias removed his eyelids and mounted him on the wall, facing the piano, so he could watch the performances.

The ring is still there. Elias has never removed it. It seemed wrong to separate a man from his commitments.


VII.

Which brings us to now.

Tonight, Elias Voss sits in his atelier, reviewing the program notes for Opus 3. The subject is a Hungarian jazz pianist named Eliás Kovacs—blind, gifted, unaware that his final performance has already been booked.

Elias has been watching Eliás for six months. He has attended seventeen concerts, always in the back, always silent. He has recorded every performance, studying the way Eliás’s hands move, the slight tension in his left wrist, the way his head tilts when he listens for the audience’s response. He has read every interview, every review, every passing mention in the Budapest papers.

He knows Eliás better than Eliás knows himself.

The teeth-keys gleam under surgical lights. Elias runs a finger across them. They are smooth and slightly warm from the lamps above. Each one came from a different mouth, a different life. He has memorized their stories: the banker’s molar with its gold filling, the homeless man’s incisors with their nicotine stains, the others whose names he has already forgotten.

The metronome ticks. Blood-time, he calls it. He filled it himself, drawing from his own arm with a syringe, because blood is the only fluid that remembers it was once alive.

And somewhere in Vienna, a janitor named Petr is trying to decide whether to call the police about the fingers he keeps finding in the trash.

He found the first one two years ago. A pinky, severed cleanly at the second knuckle. He told himself it was from a medical student, that the slaughterhouse rented space to all kinds of people, that it was none of his business.

He found the second one six months later. A ring finger, still wearing a gold band. He put the ring in his pocket and sold it to a pawn shop on Mariahilfer Strasse. He got forty euros. He spent it on wine for him and his wife, Magda, and told himself the finger meant nothing.

He found the third one last week. A thumb, larger than the others, with a carpenter’s callus on the pad. He kept it. He doesn’t know why. He wrapped it in cloth and hid it in a drawer and tried not to think about it.

Tonight, he found a tooth.

He hasn’t decided yet what to do.

He will.

But not tonight.

Tonight, there is music.

From somewhere deep in the slaughterhouse, through walls thick with old blood and newer screams, piano notes drift up through the ventilation shafts. They are wrong notes. Sour notes. Notes that sound like they are being played by someone who is learning to play again after a long absence.

Petr does not recognize the tune.

But he recognizes the rhythm.

It is the rhythm of something being broken, slowly, in time.

He goes home. He does not call the police. He pours himself a glass of wine and sits at his kitchen table, alone, while Magda sleeps in the next room.

He will decide tomorrow.

He has been deciding tomorrow for two years.


END OF PROLOGUE