Behind the far door came the thud of Trench's knife practice

Behind the far door came the thud of Trench's knife practice. Rachel sat with her legs crossed tightly.
"Inside," she said, "what does it do to them there. You alter them there, too. What kind of Jewish mother do they make, they are the kind who make a girl get a nose job even she doesn't want one. How many generations have you worked on so far, how many have you played the dear old family doctor for."
"You are a nasty girl," said Schoenmaker, "and so pretty,too. Why yell at me, all I am is one plastic surgeon. Not a psychoanalyst. Maybe someday there will be special plastic surgeons who can do brain jobs too, make some young kid an Einstein, some girl an Eleanor Roosevelt. Or even make people act less nasty. Till then, how do I know what goes on inside. Inside has nothing to do with the chain."
"You set up another chain." She was trying not to yell. "Changing them inside sets up another chain which has nothing to do with germ plasm. You can transmit characteristics outside, too. You can pass along an attitude . . ."
"Inside, outside," he said, "you're being inconsistent, you lose me."
"I'd like to," she said, rising. "I have bad dreams about people like you."
"Have your analyst tell you what they mean," he said.
"I hope you keep dreaming." She was at the door, half-turned to him.
"My bank balance is big enough so I don't get disillusioned." he said.
Being the kind of girl who can't resist an exit line: "I heard about a disillusioned plastic surgeon," she said, "who hung himself." She was gone, stomping out past the mirrored clock, out into the same wind that moved the pine tree leaving behind the soft chins, warped noses and facial scars of what she feared was a sort of drawing-together or communion.
Now having left the grating behind she walked over the dead grass of Riverside Park under leafless trees and even more substantial skeletons of apartment houses on the Drive, wondering about Esther Harvitz, her long-time roommate, whom she had helped out of more financial crises than either could remember. An old rusty beer can lay in her path; she kicked it viciously. What is it, she thought, is this the way Nueva York is set up, then, freeloaders and victims? Schoenmaker freeloads off my roommate, she freeloads off me. Is there this long daisy chain of victimizers and victims, screwers and screwees? And if so, who is it I am screwing. She thought first of Slab, Slab of the Raoul-Slab-Melvin triumvirate, between whom and a lack of charity toward all men she'd alternated ever since coming to this city.
"What do you let her take for," he had said, "always take." It was in his studio, she remembered, back during one of those Slab-and-Rachel idylls that usually preceded a Slab-and-Esther Affair. Con Edison had just shut off the electricity so all they had to look at each other by was one gas burner on the stove, which bloomed in a blue and yellow minaret, making the faces masks, their eyes expressionless sheets of light.
"Baby," she said, "Slab, it is only that the kid is broke, and if I can afford it why not."