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eBook Category: Science Fiction Locus Poll Award Nominee
eBook Description: A 12-year-old boy develops a deadly brain tumor that inadvertently floods his system with Leu-enkephalin, the neuropeptide that triggers happiness. Unwaveringly optimistic at his chance of survival, the risky surgery that saves his life also ends the euphoric bliss, leaving his brain with a cavernous hole where the pleasure centers used to be. The 18 years of sadness that follow are a downward spiral of despair, and as a last resort he agrees to another treatment that gives him conscious control over what makes him happy. As he attempts to re-enter the world beyond the hospitals and his gloomy apartment, he faces the ultimate dilemma of self-control ... how happy would you be if you could make yourself as happy as you want?

eBook Publisher: Fictionwise.com, Published: Interzone #118, 1997
Fictionwise Release Date: October 2001

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Available eBook Formats [MultiFormat - What's this?]: eReader (PDB) [58 KB] , ePub (EPUB) [47 KB] , Rocket/REB1100 (RB) [43 KB] , Adobe Acrobat (PDF) [155 KB] , Palm Doc (PDB) [47 KB] , Microsoft Reader (LIT) [57 KB] , Franklin eBookMan (FUB) [117 KB] , hiebook (KML) [123 KB] , Sony Reader (LRF) [80 KB] , iSilo (PDB) [39 KB] , Mobipocket (PRC) [49 KB] , Kindle Compatible (MOBI) [77 KB] , OEBFF Format (IMP) [66 KB]
Words: 13552
Reading time: 38-54 min.
Microsoft Reader (LIT) Format: Printing DISABLED, Read-Aloud ENABLED
Adobe Acrobat (PDF) Format:  Printing DISABLED, Read-Aloud DISABLED
All Other formats: Printing DISABLED, Read-aloud DISABLED

In September 2004, not long after my twelfth birthday, I entered a state of almost constant happiness. It never occurred to me to ask why. Though school included the usual quota of tedious lessons, I was doing well enough academically to be able to escape into daydreams whenever it suited me. At home, I was free to read books and web pages about molecular biology and particle physics, quaternions and galactic evolution, and to write my own Byzantine computer games and convoluted abstract animations. And though I was a skinny, uncoordinated child, and every elaborate, pointless organized sport left me comatose with boredom, I was comfortable enough with my body on my own terms. Whenever I ran--and I ran everywhere--it felt good.

I had food, shelter, safety, loving parents, encouragement, stimulation. Why shouldn't I have been happy? And though I can't have entirely forgotten how oppressive and monotonous classwork and schoolyard politics could be, or how easily my usual bouts of enthusiasm were derailed by the most trivial problems, when things were actually going well for me I wasn't in the habit of counting down the days until it all turned sour. Happiness always brought with it the belief that it would last, and though I must have seen this optimistic forecast disproved a thousand times before, I wasn't old and cynical enough to be surprised when it finally showed signs of coming true.

When I started vomiting repeatedly, Dr Ash, our GP, gave me a course of antibiotics and a week off school. I doubt it was a great shock to my parents when this unscheduled holiday seemed to cheer me up rather more than any mere bacterium could bring me down, and if they were puzzled that I didn't even bother feigning misery, it would have been redundant for me to moan constantly about my aching stomach when I was throwing up authentically three or four times a day.

The antibiotics made no difference. I began losing my balance, stumbling when I walked. Back in Dr Ash's surgery, I squinted at the eye chart. She sent me to a neurologist at Westmead Hospital, who ordered an immediate MRI scan. Later the same day, I was admitted as an in-patient. My parents learned the diagnosis straight away, but it took me three more days to make them spit out the whole truth.

I had a tumor, a medulloblastoma, blocking one of the fluid-filled ventricles in my brain, raising the pressure in my skull. Medulloblastomas were potentially fatal, though with surgery followed by aggressive radiation treatment and chemotherapy, two out of three patients diagnosed at this stage lived five more years.

I pictured myself on a railway bridge riddled with rotten sleepers, with no choice but to keep moving, trusting my weight to each suspect plank in turn. I understood the danger ahead, very clearly ... and yet I felt no real panic, no real fear. The closest thing to terror I could summon up was an almost exhilarating rush of vertigo, as if I was facing nothing more than an audaciously harrowing fairground ride.

There was a reason for this.

The pressure in my skull explained most of my symptoms, but tests on my cerebrospinal fluid had also revealed a greatly elevated level of a substance called Leu-enkephalin--an endorphin, a neuropeptide which bound to some of the same receptors as opiates like morphine and heroin. Somewhere along the road to malignancy, the same mutant transcription factor that had switched on the genes enabling the tumor cells to divide unchecked had apparently also switched on the genes needed to produce Leu-enkephalin.

This was a freakish accident, not a routine side-effect. I didn't know much about endorphins then, but my parents repeated what the neurologist had told them, and later I looked it all up. Leu-enkephalin wasn't an analgesic, to be secreted in emergencies when pain threatened survival, and it had no stupefying narcotic effects to immobilize a creature while injuries healed. Rather, it was the primary means of signaling happiness, released whenever behavior or circumstances warranted pleasure. Countless other brain activities modulated that simple message, creating an almost limitless palette of positive emotions, and the binding of Leu-enkephalin to its target neurons was just the first link in a long chain of events mediated by other neurotransmitters. But for all these subtleties, I could attest to one simple, unambiguous fact: Leu-enkephalin made you feel good.

My parents broke down as they told me the news, and I was the one who comforted them, beaming placidly like a beatific little child martyr from some tear-jerking oncological mini-series. It wasn't a matter of hidden reserves of strength or maturity; I was physically incapable of feeling bad about my fate. And because the effects of the Leu-enkephalin were so specific, I could gaze unflinchingly at the truth in a way that would not have been possible if I'd been doped up to the eyeballs with crude pharmaceutical opiates. I was clear-headed but emotionally indomitable, positively radiant with courage.