Excerpt from Imagine Me Gone by Adam Haslett, plus links to reviews, author biography & more

Three weeks later I sailed back to New York for Christmas. I stayed just under a month. We wrote several times a week. Daily bits and pieces but lots of fond things, too. There were some particularly ardent ones from him—as strong about how he loved me as he'd ever said or written before.

I didn't understand what his flatmate was saying when I called the day I got back to London and he told me that John had been admitted to the hospital.

"Has he had an accident?" I said.

"No," he said. "But perhaps you should call his parents."

I phoned right away. His mother handed the receiver to her husband with barely a word. "Yes," he said. "We were rather hoping all this business was done with. His mother finds it most unpleasant."

I had nothing to prepare me. John sat in what looked like an enormous waiting room with clusters of chairs and coffee tables, all those waiting being men, most of them reading newspapers or playing cards or just gazing through the filmy windows. His face was so drained of spirit I barely recognized him. If he hadn't moved his eyes I would have thought he was dead.

The room got only northern light and the shades were half pulled. It just made no sense to stay in that tepid, dingy atmosphere so I said, "Why don't we go for a walk?" I had to leave there to plant my feet back in reality, and to bring him with me.

Of course it wasn't that simple. It turned out this wasn't the first time he'd been hospitalized. His second year at Oxford he'd had to leave for a term. Since then—almost ten years—he'd been generally fine. He'd been the man I'd met. Now, utterly unlike that person, he barely spoke. He just held my hand as we walked through Hyde Park, the ghost of John in John's frame.

He had to rest, he said. He was tired. That was all. But I knew that couldn't be it, or was only half true. Being the pushy American, I made an appointment to see his doctor. This was most surprising to the staff, "But all right then," he would speak with me.

I remember the man's blue checked cardigan and square glasses, and his thick black hair brushed back with Brylcreem. I couldn't tell if the room where we met was his office or just a space for meetings off the ward. The books on the shelves were arranged in desultory fashion and there were no diplomas on the walls. But he seemed comfortable and settled there and offered me a smoke before showing me to the couch. He sat opposite and attended mostly to the tip of his cigarette, which he flicked frequently against the rim of the sea-green ashtray nestled in its tarnished brass stand.

"He's doing reasonably well," he said, glancing upward with a slight nod of the head, hoping perhaps that would settle it.

"But why is he here? Can you tell me that?"

"How long have the two of you been together?"

"A year and a half."

He thought about this for a moment, as if deciding how to proceed.

"There's an imbalance," he said, crossing his legs and resting the hand that held the cigarette on his knee. He wore cuffed wool pants and brown leather brogues. He must have been twice my age. Between the absence of any white lab coat and the slow, considered pace of his conversation he struck me as a professor more than a doctor.

"You could say his mind closes down. It goes into a sort of hibernation. He needs rest and sometimes a bit of waking up, which may not be necessary right now, but which we can do if it becomes so."

"And it's happened before."

"Yes, it would have done."

"And that means it'll happen again?"

"Hard to say. It could well do. But these things aren't predictable. Stability, family—those things help."

I think that's when I was closest to crying. I hadn't spoken to anyone about what was happening. Not more than to mention and excuse it in the same breath, to say that all was well. But in that room with that man whose English kindliness undid something in me, I suddenly felt afraid and homesick, and probably I did cry for a moment. "We're supposed to get married this spring," I said.

Excerpted from Imagine Me Gone by Adam Haslett. Copyright © 2016 by Adam Haslett. Excerpted by permission of Little Brown & Company. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.