Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Thursday, December 27, 2012

The Stunting of the Heart: An Agony in Three Fits


Fit the First: Colossal Cave

Right foot wedged against vertical rock, left foot on ground as solid as rock can be beneath silk coverlet of cave dust, gaping chasm ahead. Left foot takes leap of faith, falls into space, lands in crevice. Straddling space. Hands find stone. There is advice offered, light from headlamps, quickened pulse a tom-tom counting fractions of a second, but nothing, really, but the next crevice, and the next. The cave shrinks in comparison to this single crack.

The open yaw below churns up the retardant of fear, stirs the breath loud and fast. Lean to the left and push away. Trust in the cave to catch the right foot as it skitters ahead. Looking into the abyss is a mistake, hungry darkness where ground is expected. Floating above takes all the taut, tensile strength of every muscle. Flying is hard work.

Two steps taken, an eternity remain. An impossible journey

Returning to the starting point, floating backward into the dark, a more impossible journey.

Breath. Trust. Step. Fall into the reality of wall, again and again. Make impossible reaches with the legs, noting nothing but the next step and the next and the next.

The terror hovers at chin level, not high enough to drown. The knowledge pushes forward, the knowledge that fear will only dissipate when the gap is conquered. Never start, fear remains. Turn back, fear remains. Reach the end, terror will drain away.

And then, the points become apparent. The advice is unnecessary. Fear is gone and the path is clear. There, and there, and there. Just bounce over the endless gap, and there is ground again. Throw one leg over. The hip pops. Pain with an internal vertigo. Here is where control is lost and the body falls backward into endless space.

But, no. Here is where the brain overrides the body, forces it forward again. Two feet on solid ground, the cave completed. Elation.

Fit the Second: The Key to Your Dreams

I’m going to try on wedding gowns with Lisa and Heather and Jack, because I am getting married in the spring. Between the back gate and the car, something the color of a quarter glitters in the dirt, and I bend over to pluck it up between my fingers. It is a key. Or rather, it is part of a key, the less useful part. The toothy business end has snapped off. This is just the bit with the hole, the part you grasp to turn or thread into a ring to attach to a fob.

There is a word molded into the metal. “Dreams,” the key taunts. It is the key to your dreams. And it is broken.

How? Why? This is my backyard. Who dropped this thing here, this broken dream half hidden in caliche? It haunts me all day as I slip in and out of my clothes, in and out of confections of lace and satin, things I never dreamed of, but need, now, in some way that never haunted my dreams. It was in my pocket, the broken key of dreams, but by the end of the day, it’s gone. While I was trying on fifty dresses in four boutiques, it must have slipped out.

Fit the Third: The Ghost of Relationships Past

They dated in college, and it ended badly, and you wouldn’t believe half the truth if you heard it, but people grow up, keep in touch sporadically. Ten years later she stood up on the bride’s side at his wedding, thinking about how she had really dodged a bullet. You wouldn’t believe any of it, the things he did, the things he said. He called her three years after that, manic, to tell her that he’d only just realized, years later, that she had loved him.

He wasn’t stable.

Something was wrong. You could tell, because his wife was vaguebooking, and there was something about a hospital, and something about needing prayers, and a few weeks later he started texting her, over and over, “Call me, please call me,” even though they hadn’t spoken in five years, since he realized she had loved him once. She gave in. “What’s wrong?” she asked, before small talk could smooth over the reentry.

He had tried to kill himself. Again. He had opened himself. He had always cut, long before anyone had even heard of cutting, he had cut. This time, he had cut deep and gotten lucky and he was not dead.

But he was dead, he said. He had died that night, he told her, his voice flat as a Kansas prairie and far off as the horizon. She asked questions she knew the answers to. He was home again, but it would be a long walk back into the light. He was reaching, searching. He had a wife, a child. The part of him that had lived remembered reasons for living, but he was dead. He had died. He needed others to pull him up from the well.

“Listen,” she said. “I want to tell you a story. Two stories. I went spelunking.”

Sunday, January 15, 2012

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.

Friday, May 13, 2011

The Beer Girl


The blister on Jessie’s left ankle had popped, so that the strap of her black leather Calvin Klein knockoff sandal with the four-inch-heel rubbed directly against the raw flesh. The blister on her right ankle had not popped, but it would, soon. She could not decide which one hurt more. Her brain reconsidered with every step—the right one, no, the left one, no, the right one—but, to her credit, she continued to smile and say her line. What choice did she have?

“Would you like to try a free sample of Mountain Light Cerveza y Limon, this summer’s new taste sensation for beer lovers? Would you like to try a free sample of Mountain Light Cerveza y Limon, this summer’s new taste sensation for beer lovers?”

She smiled until her cheeks hurt, her mind consumed not only with the pain in her ankles, but also the way her thighs chafed, and the sweat dripping down her legs, and the possibility that she was allergic to this new foundation, even though she couldn’t scratch her face for fear of dropping the tray of Dixie cups.

There also existed that vague nausea in her abdomen, a feeling she would not acknowledge for fear that her morning Saltines and diet Pepsi might consider it an invitation to make a return performance.

Very soon, she would have that problem licked. She just needed to figure out how to negotiate another nine and a half days in these shoes. Two weeks ‘til payday.

“I’d like a free sample,” a kid said.

She smiled a little harder. “Twenty-one and over. Please drink responsibly.” She lifted the tray up higher, walked on, turning sideways to edge through the crowd. Someone’s hand brushed her ass, a deliberate touch, ending in a gentle squeeze, but she knew she would never pick out the culprit in this mob. It just pleased her not to spill anything this time.

First day of her new summer job and she’d already seen everything. She passed the last two Dixie cups to a bald, middle-age guy and his young girlfriend, whose funky sneakers Jessie suddenly envied.

“This beer tastes like piss,” the girl laughed once Jessie turned her back.

“Lemon-flavored piss,” the guy said.

Jessie limped back to her station. “Do you have some Band-aids?” she whispered to Catalina, the other beer girl on this shift. “These shoes are killing me.”

“Oh, what you’re supposed to do is you take a panty liner and cut it up and stick it on the inside of the strap before you wear them,” Catalina whispered back.

“Is that a thing?” Jessie asked. “Is that something people do?”

Catalina shrugged. “I don’t have a Band-aid.”

They refilled their trays from bottles in the cooler and pressed back into the festival. “Would you like to try a free sample of Mountain Light Cerveza y Limon, this summer’s new taste sensation for beer lovers? Would you like to try a free sample of Mountain Light Cerveza y Limon, this summer’s new taste sensation for beer lovers?”

The beer smelled sort of unnatural to Jessie, and she held the tray up, away from her nose, as she minced through the crowd. If she slid her feet forward in the sandals, curled her toes, and lifted her arches…no, that didn’t help matters. The leather straps—or perhaps they were really plastic—were cutting her. A panty liner wouldn’t help in the least. Maybe a tampon, at this point. She wouldn’t be at all surprised to look back and see a trail of blood dripping from her ankle.

Of course, she didn’t have any reason to carry either of those items right now. She wouldn’t even be here right now. “Cerveza y Limon…Cerveza y Limon,” she heard herself parroting. There were boys, cute ones and hideous ones, smiling and gawking and grabbing. She was supposed to be on an unpaid internship this summer. She was supposed to be networking in broadcast journalism, looking perky and helpful, flirting with anchormen, or even cameramen, and maybe, just maybe, getting a few minutes on air before she started her senior year. Something to put on her resume.

Back at her station, she leaned against the table, relieving the pressure on her ankles for a moment as she refilled her tray.

“Hey, hey, beer girl” said the bartender, shaking a box of Band-Aids. “Do you want this?” He looked down, not at her ass, like every other guy had today, but at her ankles. He even helped her into the little tent behind the bar, lifted her up onto a keg, and slid her shoes off himself. “First time?” he asked, and she laughed.

“I’m not cut out for this.”

“You’ve gotta wear those shoes, huh?” he said.

“That’s the uniform.” Her brow creased. “Black heels, minimum height three and a half inches. Black skirt, minimum six inches above the knee, official black tank top or baby doll tee with Mountain Light logo, and if you’re not at least a C-cup, you’ve got to wear a Wonderbra.”

She regretted her words immediately, but he didn’t ask her whether she was a C-cup, or wore a push-up, or whether she had bought her uniform at a thrift store with the money she made selling back her textbooks because she was broke and desperate and didn’t have an outfit like that in her closet and was too ashamed to ask anyone for money. He just shook his head, sympathetic eyes rolling. The last thing she needed right now was another pair of sympathetic eyes. Sympathetic eyes, she had determined, were nothing but trouble. Sympathetic eyes did not necessarily indicate a sympathetic person.

“We both better get back out there,” he said, holding out his hand to ease her off the keg. “You don’t seem like the type, you know. Most beer girls are more in their element.”

She shrugged and tried to sound casual. “I need the money.” It came out as a whisper. Her stomach lurched. Her hand felt funny in his. She never asked for help. It surprised her to be offered.

“Don’t we all?” He grinned. “Don’t we all?”

Tuesday, November 24, 2009

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.

Saturday, October 24, 2009

Deadly Sins

The day after his thirty-ninth birthday, Louis decided to give up vice, cold turkey. How long could a man go on tempting fate? His youth had ended; mortality loomed. His bad habits were many, his indulgences excessive: a pack of cigarettes a day, an eighth of marijuana a week. Liquor was his particular weakness. It made him boisterous and funny, popular with his coworkers and women he met in bars, which resulted in frequent promiscuous sexual encounters, despite the potbelly he wore as a result of his love for fried food, sweets, and that most lethal combination of the two, doughnuts.

He would die, soon, and with agony, at this rate. It snuck up on you and—bam!—you were forty. But he wasn’t forty yet. If he could wipe the slate clean, perhaps he could elude the specter of death for a while longer.

Cigarettes were out completely, as was the weed, and the occasional hit of X or bag of mushrooms. Hard liquor was out, and he would limit himself to a single glass of wine or beer a day. Fornication was out. He would not sleep with any woman until he had dated her exclusively for at least a month, and then he would wear a condom every time. He would become a health nut, and join a gym.

For two solid weeks, he remained faithful to his new regime. Mornings, he experienced a clear-headed lack of regret he had not known since before college. Seven pounds dropped from his waist and breathing came easier. With the time and energy he used to spend in bars pursuing women, he cleaned and painted the house, repaired windows and refinished woodwork, even changed the oil and sparkplugs on the car. He felt great; he would live forever.

On the fifteenth day, Jim from accounting persuaded him to take a single hit off a joint. Louis thought, one toke won’t hurt. Just on the weekends. The next weekend he smoked two joints, one each day, and went to Dunkin’ Donuts after the second time.

After a month, his exercise schedule became sporadic. He still worked out, sometimes. Sometimes he had a second drink with the guys from the office. At the same time, he discovered a bakery that specialized in vegan cakes, and enrolled in a healthy vegetarian cooking class at the recreation center. There, he met Joann, a willowy blonde who whispered to him that she still, sometimes, ate red meat. With great restraint, he managed to wait ten entire days before seducing her.

Waiting was a good idea, he thought. Things with Joann heated up. He abandoned his resolutions, sort of. He ate whatever junk food he wanted, and smoked and drank whatever anyone offered him, but only when she wasn’t around. After they got married and had a baby, he didn’t indulge around his daughter, either. Louis became a secret vector of vice. He sinned only on the occasional Sunday afternoon, or when Joann took the baby to her mother’s. He made the most of the occasions, and threw the evidence in other people’s trash.

Louis lived thirty more years. At sixty-nine, he was diagnosed with cancer, terminal. Hereditary. Genetic, the doctor said. “There’s nothing you could have done differently,” the doctor assured as Louis numbered his weak resolve and his many transgressions. “It was in your DNA.”

Sunday, October 18, 2009

For the Soul

I rough-cut the onions, because I am tired, and hurried, and I don’t eat onions anyway. It’s easier to eat around big pieces. Rough-cut it all. Carrots, celery, garlic. Lots of garlic. A small red pepper, withered in the back of the fridge. Throw the lot into a big pot of water. Plenty of salt. Dill, basil, and parsley from the garden. Add a splash of olive oil; it gives vegetable soup a little meatiness, the mouth-feel of chicken soup. Chicken soup is better for you, really, but I don’t eat meat.

A bowl of broth is all I can manage. My appetite doesn’t run to so much as a Saltine. I sleep.

When I wake up, the sun is low in the west. My head doesn’t pound quite so much, but the ringing of the phone jars it anyway. “Hello?”

“Oh, god, baby, I’m so sick.” His voice drips with pathos. “I can’t breathe. I can’t move.”

Something creaks within me. “You want some soup?”

“That’s sounds great. You have some?”

A half hour later, I’m in his kitchen, short of breath, fumbling with the stove. He leans against the door, his dark hair plastered to his face with sweat.

“Too bad it’s not chicken soup,” I say, because I don’t know what else to say. “I’d make you chicken soup if I had some chicken.”

“I have some chicken.” He pulls a takeaway carton from the fridge. It’s tandoori chicken, bright pink. Why not? I cut it up, add it to the pot. “You are so good to me, baby,” he says.

Even though I don’t eat meat, I have to check, to make sure the soup is OK, and damn him if it isn’t a thousand times better this way.