University Medical Center, Diamond Building, Intensive Care Unit

Image courtesy of Norbert Kaiser, Wikimedia Commons

There is no place to look. Every time you avert your eyes, they fall on a crying stranger: a fat middle age man bawling into his cell phone, two willowy prepubescent girls weeping into each other’s arms as they tumble out of a conference room full of sobbing adults.

So, for decency’s sake, you look back at your own well of sorrow, but it’s hard to stay there. If anyone so much as murmurs, you whip your head toward them, grabbing at respite, or else your eyes drift from a long maze of tubes to the quiet monitors with their hypnotic waves and meaningless numbers. Something always beeps, pings, or clicks.

“Essentially,” the doctor explains, “his liver is shot. And his kidneys. And his lungs.” Perhaps these are not the words the doctor uses, but this is what she means.

Last week, they said that if he stabilized, if he found a nursing home able to care for a man with not insurance, and if he stopped drinking for six months, then he could go on the transplant list.

This week they’re talking about infections, calling his daughter in the Midwest. “Do you want us to intubate your father? Do you want us to let him go?”

She is young, twenty-two. She says, “intubate,” but when she gets to the ICU they tell her intubation is only prolonging his suffering. He has, perhaps two weeks, with the machines. She asks everyone she knows, and then she tells them, “extubate.” It’s Tuesday, and her tickets are to go home Friday.

His ex-wife, his ex-girlfriends, the people who were his friends and colleagues before this disease became lover, companion, reference, all file through to say goodbye. At first he can focus his eyes and choke out a few words, but after a while, he is no longer there. It is only the machines, and the solemn watchers.

It takes five hours, once they disconnect him, five hours of sinking lower, struggling to breathe, and sinking lower again, until at last the numbers run down to nothing.

After the Memorial

We are all grandmothers now, our children grown, married, pregnant, so that we make each other aunts over and over, reap all the benefits of a house full of children, suffer none of the drawbacks. There is laughing, screaming, racing, joy. We change diapers, kiss boo-boos, and cuddle at will. We turn them back to their parents when we’re through, sit around the table in deep conversation long after meals conclude, with no interruptions.

Dad is a child again, snot dripping from his nose. He messes his pants, like a child, and we have nothing to fear from him anymore. His anger has burned to embers, the embers burnt out. When we tire of his presence, we return him to his home. The Home. We are diligent daughters, if not loving. We do our duty.

Mom is gone.

She did not know us, at the end, but she knew Jesus. We will return to her arms, one day, in heaven, so our tears are sporadic. She suffers no more.

The pastor tells us not to be surprised; when we file into the sanctuary, the church will be packed, every pew filled. When we file into the sanctuary, the church is packed, every pew filled. We sing, we laugh, we cry, we pray. We file out, into the basement where there will be best wishes from those we haven’t seen in decades, along with iced tea and cookie fellowship.

They flock around dad, “Preach,” they call him, the old pastor beloved by his flock. The offer their condolences, ask after his health. We bring him a plate, offer him a napkin, turn back to our own families.

“Just tell them you’re sorry.” The words are overheard.

“I don’t know how. I don’t know how to tell my daughters I’m sorry.”

“Just tell them. Ask for their forgiveness.”

But these are words only overheard. Dad does not say he is sorry. Dad does not ask for our forgiveness. We do not bring Dad back to the house for supper.

After supper, our children, now adults, slyly produce bottles and cans: beer, wine, vodka. The daughters of Baptist preachers do not drink. Our children, now adults, mix liquor with strawberries, sugar, ice; they ply us with mixed drinks and sweet wine.

We accept.

This is new.

By ten p.m. our husbands and children cannonball off the low sloping roof into the inflatable above ground swimming pool. We don’t want to look, but we must. They land, splashing and laughing. No one gets hurt. No one puts an eye out. It is all fun and games.

“We should have done this before,” they say. “Imagine what our reunions could have been,” they say. “I never felt like this around family,” they say.

By midnight, the grandchildren have fallen asleep on couches and cots, in cribs and corners. The men, still soaking in the pool, soak in the last of the beer. We sisters sit on the deck, our eyes to the sky.

A shooting star draws a thick, golden arc overhead.

“That’s mom,” one of us says, “riding all the way home to Jesus.”

We cry for gratitude.

Positively

Michael looked more like a beach bum than a professor, handsome with rugged, surfer flair. Sandy blond hair in a disarray of spikes. Hemp necklace strung with wooden beads. Worn Baja hoodie that looked as if it had been to Baja and back. His eyes crinkled in that smiling way that happens to men with the good luck or good genes to reach middle age while maintaining a youthful complexion.

So: easy to look at.

About halfway through class, the crowded room heated up, and he pulled that old Baja hoodie over his head to reveal a most gorgeous, sculpted, muscular torso, framed by a tight white undershirt. This was unfair. How was I supposed to concentrate when the professor looked like a beefcake pin-up? His pecs! His biceps! His deltoids! So vibrant! So healthy! So delicious!

Ignoring the devastating beauty, his teaching methods intrigued. Once he killed the lights, lit a candle, and asked us to meditate. Once he asked us to write about a body part, and didn’t flinch when I chose my vagina. In fact, he submitted the essay to an academic symposium, and stuck up for me when some older professors expressed horror at my subject matter.

As the semester drew to a close, Michael announced that he would be selling his worldly possessions and flying to Africa, where he would empower HIV-positive women by teaching them how to start small businesses.

Did such a perfect guy ever exist?

Somehow, I ended up helping him move out of his apartment. I couldn’t say no to him. After we had packed everything up and he gifted me with a pair of old bookcases, he offered to buy us some pizza. My head was already spinning from an afternoon of proximity to Adonis. I couldn’t take it. I couldn’t sit casually with him, discussing his ambitious plans, knowing how the musculature of his chest impressed the thin cotton of his T-shirt. He hugged me goodbye and I almost cried. Oh, Michael, you were too perfect. Too handsome. Too vital.

Years later, his name jumped out at me from the byline of an article in the Trib. He must be back in the States! Expecting an account of his years in Africa, I delved into the piece.

Africa was only tangential to the essay. Rather, it was a poignant, revealing discussion of the change in his own life, over a decade earlier, when he learned that he, himself, was HIV-positive.

I read, stunned, of the miserable, shame-filled, dying man, who, through the power of modern medicine and positive thinking, had transformed himself into the strongest, loveliest, most vibrant human being to ever stand in front of a classroom. He had not always been thus. He had been, according to the writing, very sick, weak and underweight, embarrassed about his sexual orientation.

But he was so alive! How could the Michael I knew have sprung from the man described here, hiding beneath a baseball cap, wasting away in a free clinic?

It shames me, sometimes, still. My own little problems discourage me. It’s hard not to give up. I think of Michael, suffering from one of the most dreaded diseases of our age, transforming himself from a pitiful, sickly weakling to a golden god only after learning of his diagnosis, then taking his new lease on life across the ocean, to give what he could to those who had less. And then there’s me, with more advantages than most people, even in America, crying into my pillow because my carpal tunnel has taken a turn for the worse, and I can’t do push-ups anymore.