Alone, she took hot baths and sat exhausted in the steaming water, wondering at her perpetual exhaustion. All that winter she noticed the limp, languid weight of her arms, her veins bulging slightly with the pressure of her extreme weariness … one day in January she drew a razor blade lightly across the inside of her arm, near the elbow, to see what would happen. –Joyce Carol Oates, “The Lady with the Pet Dog”