Instinct, treasured dangerous thing, survival-sharp 
and folded in the breast pocket of a loaned wool suit, 
held behind his back, kept like a card in the sleeve, 
worn around the neck on a string, 
forest-honed into a thin talon of rigid bone 
for ripping the meat of words into smaller pieces. 

But now a limb withered against his chest, 
curled lamb asleep before Lent, attendant 
but only decorative, just there in case he needed it 
as he stood up from his chair, and the fine point of his tongue 
searched the cavity of his mouth and bits of heavy, 
fragrant meat fell out. 

And then the mouth began to make sounds, 
choked howls groping for a vowel or a consonant, 
at which point the other diners, guests of the doctor, 
promptly put napkins in front of their faces 
like what they’d witnessed was not only sacred but contagious, 
as if they too might forget their own names.