But when he got to the hospital on the outskirts of Springfield, he found his mother was worse than he’d hoped. She was always robust, but the accident had turned her into a colorless old lady under white hospital bedding, although she’d colored and permed her hair in preparation for his Christmas visit. “Ah, Billy.” She sighed. “You came.”

“Of course I came, Mother. What made you think I wouldn’t?”

“She’s on morphine,” the nurse said. “She’s going to be confused for a few days, aren’t you, dear?”

His mother began to cry. “I don’t want to be a burden to you and your sister. Maybe they should put me to sleep.”

“Don’t be ridiculous, Mother,” Billy said. “You’re going to be fine.”

When visiting hours were over, the doctor pulled him aside. The operation had gone fine, but they wouldn’t know when or if his mother would be able to walk. In the meantime, she’d have to be in the wheelchair. Billy nodded and picked up his Gaultier bag, thinking how incongruous the expensive French luggage looked in this sad local hospital, then waited outside in the cold for thirty minutes for a taxi that took him the twenty miles to his mother’s house. The taxi cost a hundred and thirty dollars, and Billy winced at the price. With his mother injured, he would need to start saving money. In the snow next to the driveway, he saw the imprint of his mother’s body where she had fallen.

The back door was unlocked, and entering the kitchen, Billy found two bags of groceries on the counter, obviously placed there by a kind para-medic. Although he’d always considered himself a cynic, recently Billy had noticed that random acts of human kindness now caused him to become sentimental. Feeling heavy of heart, he began unpacking the groceries. In one bag was a warm container of light cream. This was what would have caused his mother’s unfortunate trip to the store. Billy still insisted on using light cream in his coffee.

He arrived at the hospital the next morning at nine. His sister came shortly thereafter, accompanied by her younger child, Dominique, a scrawny girl with thin blond hair and a nose like a beak; she looked just like her father, a local carpenter who had grown marijuana in the summers and eventually gotten arrested.

Billy tried to talk to the girl, but she was either not interested or not educated. She admitted that she hated reading books and hadn’t read Harry Potter. What did she do, then? Billy asked. She talked to her friends on the Internet. Billy raised his eyebrows at his sister, but she shrugged.

“I can’t keep her off it. No one can keep their kids off it, and frankly, no one has time to monitor their kids every minute. Especially me.”

Billy had some feeling for the girl — after all, she was a blood relative —

but was saddened by her as well. The little girl was on the border of becoming white trash, he decided, and he was struck by the irony of how hard his own parents had worked to be upper-middle-class, to make sure their children were educated, to expose them to culture (his father had played Beethoven in his office), only to produce a granddaughter who would not even read. The Dark Ages, Billy thought, were just around the corner.

He spent a long day with his mother. She was in a cast from her knee to her waist. He held her hand. “Billy,” she said. “What’s going to happen to me?” “You’re going to be fine, Ma, you’ll see.” “What if I can’t drive?”

“We’ll figure it out.” “What if I have to go into a nursing home? I don’t want to go to a nursing home. I’ll die there.” “I won’t let it happen, Ma.”

His stomach churned with fear. If it came to that, how could he prevent it? He had no means to do otherwise.

His sister asked him to dinner at her house — nothing fancy, macaroni and cheese. Laura lived a short distance away from their mother in a large ranch house that their father had bought her after her first divorce. It was a mystery to the family why Laura, who was a lawyer, could never manage to make ends meet, but since she was a writer of legal briefs, Billy suspected she didn’t make as much money as her law degree would imply.

And she was a spender. Her house had wall-to-wall carpeting, a dinette set, display cases of porcelain figurines, a collection of teddy bears, four TVs, and in the living room, a modular sofa in which each piece had cupholders and retractable footrests. The thought of spending the evening in such an environment filled Billy with dread — he knew it would leave him unbearably depressed — and so he invited Laura and her daughter to their mother’s house instead.

He made an herb-roasted chicken, roasted potatoes with rosemary, hari-cots verts, and an arugula salad. He had learned to cook from the private chefs of his wealthy friends, for he always made it a point to mix with the staff in the kitchen. His niece, Dominique, was fascinated — apparently, she’d never seen anyone cook before. Studying the girl, Billy decided she might have potential. Her eyes were wide-set, and she had a pretty smile, although her incisors were as pointy as a dog’s. “What will Dominique do when she grows up?” he asked his sister when they were in the kitchen, cleaning up after the meal.

“How should I know? She’s twelve,” Laura said.

“Does she have any interests? Special talents?”

“Besides pissing me off? She says she wants to be a vet when she grows up. I said the same thing when I was twelve. It’s something all little girls say.”

“Do you wish you were a vet now?” Billy asked.

“I wish I was married to Donald Trump and lived in Palm Beach,”

Laura said. She smacked herself on the forehead. “I knew I forgot something. I should have married a rich guy.”

“You might think about sending Dominique to Miss Porter’s in Connecticut.”

“Right,” Laura said. “So she can marry a rich guy. Of course. There’s only one problem. It takes money to get money, remember? Unless one of your rich-lady friends wants to give her a scholarship.”

“I have connections,” Billy said. “I might be able to make it happen.”

His sister turned on him. “Connections?” she said. “What planet do you live on, Billy? Mom is in the hospital, and all you can think about is sending my daughter to a private school to learn how to sip tea?”

“You might find life more tolerable if you learned to speak to people in a civilized manner,” Billy responded.

“Are you saying I’m not civilized?” Laura threw a dish towel on the counter. “I’m sick of it. All you do is come back here with your snotty New York attitude and act like everyone is below you. Like you’re something special. And what have you done with your life? You don’t even have a job. Unless you call escorting old ladies a job.” She was standing in the middle of the kitchen, straddling the slate-tiled floor like a prize-fighter. “And don’t you even think about going back to New York,” she hissed. “You’re not going to leave me here to clean up the mess. I’ve been taking care of Ma for the last fifteen years. I’m done. It’s your turn.”

They stared at each other with hatred.

“Excuse me, Laura,” Billy said, pushing past her. “I’m going to retire for the evening.” And he went up to his room.

It was his old room, unchanged, although their mother had turned Laura’s room into a guest bedroom. He lay on the bed, a four-poster with Ralph Lauren bedding from the early eighties, when Ralph had just ventured into home furnishings. The bedding was vintage, as, Billy realized, was he. He took a Xanax to soothe his anxiety and, at random, picked out a book from the shelves encasing one window. He turned it over and looked at the title: Death in Venice by Thomas Mann.

This was all too apt, and he put the book aside, wishing he’d bought the tabloid magazines at the supermarket. He took an Ambien, turned off the light, and prepared for the obscurity of sleep, but it wouldn’t come. Instead, the reality of his troubles grew, and he imagined them like boulders being placed, one after another, on top of his body, slowly crush-ing him until eventually, his chest caved into his spinal cord and he was painfully suffocated to death.

But then an idea caused him to sit up and turn on the light. He got out of bed and began pacing in front of the fireplace. He could fix his problems, his mother’s problems, even his sister’s problems with one simple transaction. He could sell the Cross of Bloody Mary. It might easily fetch three million dollars or more. He could pay for private nurses to care for his mother, send Dominique to private school, even buy his apartment. If he owned his apartment outright, he could live out his days on lower Fifth Avenue in a pleasant cocoon of civilized behavior. But in the next moment, reality intruded. He could never sell the cross. It was a purloined antiquity, as dangerous as a loaded gun. There were people who dealt with such items, smuggling them around the world to the highest bidders, who would salivate at the possibility of getting their hands on it. But selling antiquities was an international crime, and people did get caught. Just last month, a smuggler had been arrested in Rome and sentenced to jail for fifty years.

The next morning, his mother was worse; an infection had set in. She might be in the hospital another week or more. Her insurance would run out, and she’d have to go on Medicaid, which meant she’d be moved to a less expensive hospital in the center of Springfield. “I’m sorry, Billy,” she said, squeezing his hand. She was exhausted, and her eyes were full of fear.

“Who would have thought our lives would come to this?” she whispered.

When she fell asleep, Billy went out for some fresh air. He bought a pack of cigarettes at a newsstand, although he’d given up smoking years ago, when hostesses stopped allowing it in their apartments. He sat down on a bench. It was another cold, gray New England day, threatening snow that would not come. He inhaled deeply. The sharp smoke hit his lungs, and immediately he felt dizzy and a little nauseated. He took a breath and kept smoking.