The Alienist
umbrella as I dashed out the front door, I made for Sixth Avenue at a brisk pace. The rain was coming down much harder now, and a particularly stiff wind had begun to blow. When I reached the avenue the force of air suddenly changed directions as it swept under the tracks of the New York Elevated Railroad line, which ran above either side of the street just inside the sidewalks. The shift blasted my umbrella inside out, along with those of several other members of the throng that was hustling under the tracks; and the combined effect of the heightening wind, the rain, and the cold was to make the usually bustling rush hour seem absolute pandemonium. Making for a cab as I struggled with my cumbersome, useless umbrella, I was cut off by a merry young couple who maneuvered me out of their way with no great finesse and clambered quickly into my hansom. I swore loudly against their progeny and shook the dead umbrella at them, prompting the woman to scream in fright and the man to fix an anxious eye on me and tell me I was mad—all of which, considering my destination, gave me a good chuckle and made the wet wait for another hansom much easier. When one came around the corner of Washington Place I did not wait for it to stop, but leapt in, shut the doors around my legs, and hollered to the driver to get me to the Insane Pavilion at Bellevue: not the kind of order any cabbie wants to hear. The look of dismay on his face as we drove off gave me another little laugh, so that by the time we hit Fourteenth Street I didn’t even mind the feel of wet tweed against my legs.
    With the perversity of the typical New York City cabman, my driver—the collar of his raincoat turned up and his top hat encased in a thin rubber sheath—decided to battle his way through the shopping district along Sixth Avenue above Fourteenth Street before turning east. We had slowly passed most of the big department stores—O’Neill’s, Adams & Company, Simpson-Crawford—before I rapped on the roof of the cab with my first and assured my man that I did need to get to Bellevue
this
morning. With a rude jerk we spun right at Twenty-third, and then plowed through the thoroughly unregulated intersection of that street with Fifth Avenue and Broadway. Passing the squat bulk of the Fifth Avenue Hotel, where Boss Platt made his headquarters and was probably putting the finishing touches to the Greater New York scheme at that very moment, we turned up along the eastern edge of Madison Square Park to Twenty-sixth, then changed directions in front of the Italianate arcades and towers of Madison Square Garden to head east once more. The square, solemn, red-brick buildings of Bellevue appeared on the horizon, and in just a few more minutes we crossed First Avenue and pulled up behind a large black ambulance on the Twenty-sixth Street side of the hospital grounds, near the entrance to the Insane Pavilion. I paid my cabbie off and headed in.
    The Pavilion was a simple building, long and rectangular. A small, uninviting vestibule greeted visitors and internees, and beyond this, through the first of many iron doors, was a wide corridor running down the center of the building. Twenty-four “rooms”—really cells—opened off of the corridor, and separating these cells into two wards, female and male, were two more sliding, studded iron doors at the corridor’s midway point. The Pavilion was used for observation and evaluation, primarily of persons who had committed violent acts. Once their sanity (or lack of it) had been determined and official reports were received, the internees were shipped out to other, even less inviting institutions.
    As soon as I was inside the vestibule I heard the usual shouts and howls—some coherent protests, some simply wails of madness and despair—coming from the cells beyond. At the same instant I spotted Kreizler; odd, how strongly the sight of him has always been associated, in my mind, with such sounds. As usual, his suit and coat were

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