The minutes swirled away. Henry didn't feel sleepy or hungry. He read his book at a regular pace. You tell yourself when bad things happen you will be this way or you'll do that -- you don't know. His boys were staying with one of Emily's co-workers. They were fine. He was fine. Everything was taken care of. He checked the iPad, his father-in-law had seen the update about Emily going into the OR. He had done all he was supposed to do. It wasn't like that one time when he waited too long to call people. Emily's dad hadn't liked that. He'd gotten on the phone and yelled or whimpered at Emily's sister, who also knew nothing.
Listen, jack -- you sit here watching the pulse monitor and the blood-ox monitor and you wait quietly while she tries to swim up from the Propofol, telling yourself that just as soon as you know she's close enough to the surface to know how she's doing, when you've let her face be the clock, and her open eyes the hour hands, then you can tell me I waited too long. No news is good news. For a while anyway. . .
But he couldn't be angry with them.
He couldn't be angry because the type of cancer she had was a "good" one to get, if you had to get it. And the universe said they did. They had gotten it together and thank God it wasn't a bad kind. Another teacher that Emily had worked with was fighting against metastatic melanoma at that very minute. That was all over but the dying. Emily was going to survive.
He couldn't be angry with his father-in-law because Emily's mother had dropped dead. Sixty-five years old. She had made it through Emily's first operation to take out the breast tumor. Then a week later she had collapsed. The EMTs came but it took them too long to get her heart going again. The next morning she was pronounced dead.
Death is always pronounced. And profound.
"Have you heard good news about your loved one?" The man in the big waiting room asked Henry. He was sitting across from him. Where had the woman with the ass-improving shoes gone? Sometime while his head was in Uzbekistan she had left. This man was quite tall, a bit overweight for his height, probably in his mid to late fifties.
"Sorry?" Henry didn't understand the question.
"Have you gotten good news about your loved one?"
"Oh." Henry wasn't sure what to say. "Yes," he decided. He had gotten good news after that first surgery. The tumor was a fast-growing type that responded very well to chemotherapy. The cancer had not spread to the lymph nodes. That was very good news. And it was the one time when tears readily rose in Henry's eyes -- when he told Emily that he let the tears come. Was he holding them back the rest of the time? No. He had moved through a dreamy maze, somewhat numb. You have to bear up when you are the bystander. The mortar round has missed you but the guy next to you in the foxhole is hit. You have no time, no right to bemoan your fate.
"That's good," the man said, running his hands through his graying hair. "I got good news to. It's not cancer. Thank God. Not cancer."
But was cancer the worst thing?
Henry mumbled some vague positive phrases about that being very good news.
He hoped the big man didn't want to hug him.
Clearly, there are times when people need to spill their guts to any decent person. Polite meaningless phrases sometimes mean everything, Henry thought. Or not everything. But they may be the best thing a body's got at that moment. A little charity. A little fellow feeling. A grimace made from sympathy.
About an hour after she went into the OR the beeper went off. Henry had been eyeing if for about five minutes. He didn't want to jump when someone else's beeper went off. Why should he care if he looked like a fool.
He turned the beeper off and the surgeon walked up to him. For a vascular surgeon the guy sure was portly. He still had on his scrubs and the OR beanie.
"Mr. Parker. I just came from recovery with your wife."
"How did it go?" You ask some questions because you've heard them asked. You do a lot of stuff on auto-pilot because making it all up as you go would take to much energy and energy is strictly rationed to the spouse of the patient. Your own body is a costume and this some kind of crazy masquerade you've been compelled to participate in. The labyrinth is always overly elaborate. The fact that its form exceeds the needs of its function is its essence. You know it's a dream. You sleepwalk through it anyway. Jamais vu. You've seen all of this before, strange as that may seem. You were fully aware that death had undone all of the absent ones. You know it will be your turn at some point. You just act like it's all a big secret and that you will be quite stunned when you are old and too weak to lift your head off the pillow. You've seen all this before, worked out the implications for yourself, but no one lets you talk about it. That's what makes it so strange, makes it take on such an eerie quality. Everything you see is perfectly familiar, and not utterly unreal, but tinged with an aura of unreality.
"I couldn't do anything."
"Oh?"
"I got the port to work just fine. I could find nothing wrong with it."
"But that other surgeon ran that test. She said it was blocked."
"I can't answer that," he seemed sorry.
"But she used a dye. And there was some sort of resonance machine or what not."
"I know. She could have missed the port and that may have been why it looked like the port was leaking."
"She said it was clearly leaking. How could she be wrong about that when she's look right at the monitor? Is that even possible?"
"I can't answer that but I was able to get saline into the port and I was able to draw blood out of it. In order to draw blood you have to have a good connection to the artery."
"So that means it doesn't leak?"
By Jove, Holmes!
"Yes."
I believe you have it, Watson.
"But the nurses at the infusion center?"
"If they have trouble with it try to get an experienced nurse."
No shit. The nurse that poked her six times said she had over fifteen years of experience. Henry wanted to see her practice on an orange first. Or maybe guide him in. To her own vein. Or maybe he should have just throttled her.
Do you know what it's like to watch people take a great big needle and go at your wife? Six times they stabbed her with that thing. Then they went to an IV. Three weeks later it was the same song and dance. They had thought maybe it was from all the initial swelling. Or maybe the port was turned sideways. Or maybe it was a double port and they were missing it. Is this a double? Just how the fuck were you supposed to know that? Henry got on the phone and called the surgeons office that first time they had trouble with it. Is it a double, he asked? No. Nope, not a double, you fucking idiots. Of course, what he wanted to do was pass out because he was having a panic attack but he told himself he couldn't do that now. He was the one that had recline whenever he got a flu shot because needles made him faint every since he was nineteen and passed out when the took some blood. It was practically classical conditioning. He felt a needle go in his arm and out went the lights. He was Pavlov's fainter.
"Yeah OK."
"The surgery itself went just fine but when I left her she was pretty upset since we didn't need to swap out the port. And I can understand that."
"Oh, yes. That's understandable." No, that was autospeech again. He would have to process all of those words later.
"Give her some time for the anesthetic to wear off. They'll take you over to her in about forty-five minutes."
More infernal waiting. More sitzfleisch. More patience. Doctors want a lot of patients.
Those forty-five minutes took forever and took no time at all. He put another update on the iPad, saying that she was out and fine, in recovery. Then he read a chapter of the Russian novel with full comprehension then forgot every word of it, even forgot that he'd forgotten it. Rachel Ray was perky on a large TV next to him until one of the volunteers of an undetermined age came for him, leading him down the same clean halls he'd walked down a month before having the port put in place initially. But we've all walked these same halls a thousand times before. This could be a passageway beneath a pharaoh's tomb. Phlebas walked through these halls, just as tall as you, carrying his wife's purse and clothes. You tread through these oneiric structures trying not to feel too much horror. Be here now, do not fear the future, for it will consume you in due time.
When he got into the recovery area he found Emily sitting up on her bed. She looked pissed. She had half a dozen kleenex wadded up on her tray. They all had blood on them.
"Did they tell you and didn't even need this damn surgery?"
"Well,"
"How could that surgeon fuck up that test when she was looking at the monitor in front of her?"
"I --"
"And that stupid anesthesiologist. Jerk. I will not let him touch me again."
"What happened?"
"Oh, he said that that might burn a little. It felt like a wasp stung me. It hurt like hell. I told him it hurt and he just put me under. That was the last thing I remember. Ass."
"Sorry,"
"And now I can't breathe."
"What do you mean you can't breathe?"
"I don't feel like I'm getting enough air."
"What's your blood-ox level?" He looked at the monitors. They were different from the ones at the hospital in their hometown.
"Well, your numbers do seem a little low. You are supposed to be near a hundred."
"And I keep coughing up blood." She hacked into another kleenex and showed it to Henry. Coughing up blood seemed less than ideal.
"Where's the nurse?"
"She went to get me some ice water."
She appeared to be out of kleenex. Henry got her some more. Surely the bleeding would stop. The nurse came back. She was a dumpy old thing and looked half awake. The nurse took the bloodied kleenex and tossed them into a nearby waste can. They got Emily more comfortable and tried to convince her that a bit of rest and sips of ice water would likely be just the thing. Henry watched the blood saturation numbers. The started to drop. At first he was alright. But then Emily had another coughing fit and her spittle was just as rosy. The numbers were up and down but when they got below 90 he felt a chill of real terror. What if this wasn't some annoyance but the sign of something seriously wrong with her long? What if this was some kind of pulmonary embolism? That was just stupid. He was scaring himself, he reasoned. But those numbers. Why did they fluctuate? Why did they keep dipping below 90? He asked the nurse to check her numbers.
"Maybe we should call the doctor," he suggested. Her oxygen seems kind of low.
The nurse got an oxygen mask and hooked up the hose to the faucet of air on the wall.
"How is your breathing? Any better?" she asked Emily.
"Not really."
Henry had his eye on the numbers. They were not at all improved. Sometimes they went up but then they dropped down again.
"I'll call up to the surgeon and see what he says," the nurse told them.
Henry tried to get Emily to drink some Gatorade. She didn't want it. He could pour into a cup with ice. No. Was she sure? Yes!
After about ten minutes the nurse came back and told them the surgeon was sending someone down to do a chest x-ray.
Everything would be fine. This was more like it.
Henry expected a tech to come wheel Emily off to x-ray like they did him that time he had pneumonia. But when a tech did come he brought an x-ray machine on wheels. The thing was slick. You roll the thing up to the bed. The plate swings up and out. Stand back. Zap. You're done. Very Star Wars. In an instant they knew that Emily had no pneumonia. The lungs were clear. A doctor showed up. He said he had been in the surgery. Henry had never seen him before. A tall strapping guy straight out of the frat house. He still had his gown on. He listened to Emily breathe through a stethoscope. Everything seemed hunky-dory.
"But she did cough up a lot of blood and that hadn't happened before."
"A lot of blood?" the doctor asked.
"Well, yeah. She coughed into several kleenex."
"These kleenex?" The doctor was looking at what was left. These were just the most recent samples and they didn't have nearly as much blood as the ones the nurse had tossed.
"Oh. Well, had they been bright red, that would be more concerning," he told Henry. Emily was sighting there mostly stunned.
"The other ones were a lot brighter. They're over in that wastebasket," Henry said.
A bit to Henry's surprise the doctor went over to the waste can and fished out two or three tissues. Henry wasn't sure if these were the darkest, bloodiest specimens. I would like to present the court with exhibit A., being a very bloody kleenex.
"Oh, that's quite light. Not bright red."
"It looks pretty bright to me. Usually --"
"I guess we have different definitions of bright red -- and that's fine. The important thing is that her lungs are clear in the x-ray and they sound good. Her blood-ox is up where it should be..."
It is? It hadn't been. Henry looked at the monitor. It dawned on him that for those numbers to be good he had been reading it wrong. He had been reading the display for her pulse rate as oxygen -- because that was what the display looked like on the monitors at their hospital.
But she hadn't been able to catch her breath . . .
"Sometimes when they put the tube in, they can nick the throat, and that will bleed a little."
Henry bet they would have different definitions about what constitutes a little.
It would take him months before he would be himself enough to wish he'd had a Crayola crayon with him. A bright red one. That way he and the surgeon could compare drawings. In medical school they tell you the real names of the colors. They also hypnotize you and convince you that coughing up blood is standard procedure. Apparently, you go into medical school and forget that most people breathe all day long without every coughing up any blood. And all blood coughed up is bright red. It would take Henry many months to think of that, and even longer to see it for the hilarious joke it was. Six years of medical school and the kid gets philosophical about the color red.
Saturday, September 7, 2013
Friday, September 6, 2013
Procedure part one
Henry knew where to go. Less than a month had passed since he'd been there before. It was a large room. It looked a bit like an airport terminal but no one was in a hurry and nobody was pulling luggage on wheels, but they had that same exhausted look of the air-traveler. Terminal was not a word anyone would want to hear now. Behind a long counter sat volunteers. He knew they were volunteers because a badge said so. That meant they were doing this for no pay, no stipend. Henry wanted to feel good about such generosity but his mind slid down to economics and politics -- if they had to pay these people this place probably wouldn't function. They'd have to cut something out. Cutting things out is what the surgeon is a past-master of. Cutting is their forte. What would they cut if they had to pay these people to hand him a beeper? Maybe they'd have to send back the marble floors or that huge waterfall at the entrance. Something would have to give. Some price would have to be paid. Propitiation of the gods always has its cost.
About a third of the room had tables and chairs. The rest was taken up with uncomfortable couches. They didn't want anyone to lie down. This wasn't a flop house. Can you imagine the bums that would take over if the lights were dimmed and if there were someplace to recline? There's no rest for the wicked.
Hanging from the ceilings were large flat screen TVs. Henry tried to get as far from these as he could. He sat down with his backpack. He had Emily's clothes and her purse in there, along with the iPad, a Gatorade and a book for himself. There was nothing for it but to wait it out. Too bad he couldn't whistle some, but he figured that would get as many stares as breaking into song.
A woman nearby had an mp3 player on her phone and was bopping along to the sound which seemed not to be coming only from the earbuds. A man was with her and he told he could hear the music.
"That's OK," she said.
He shook his head. "No, I can hear it."
"I'm alright," she said. She frowned like she was about to become very angry.
The man -- was he her husband or brother? -- Henry couldn't deduce that much -- walked over to her and shoved the cord into the phone better and the sound cut out so only she could hear it.
"There." He said.
Problem solved, Henry thought.
There was a large monitor on the back wall. This had a list of patient names abbreviated to just the initials along with dates of birth. Henry found Emily's status. There were so many names that the list had to roll. The screen was more than five feet high. Henry did not tot up the number of surgeries. He just saw that next to Emily's alphanumeric it said, PROCEDURE STARTING.
This is the waiting. We know about this. This is the sitting. We have the sitzfleisch. You get out the iPad, you post to FB that she has gone into the OR. Then you get out your copy of Cancer Ward and you read. You thank God you aren't in the Soviet Union in the 1950's. You more or less ignore the people around you, the ones who are on the verge of crying, the ones who are in the middle of crying. You tell yourself they are weakling bastards trying to get into Denver at Thanksgiving and the idea of a canceled flight is just too damn much for them. You pay no attention to the idiot teen mother telling her baby of six months to stop it, as if the kid can understand English. Would you try to reason with your cat, lady? Some people shouldn't be allowed to have children.
Wondering the exact age of various people is acceptable. Those volunteers at the desk for instance. Those women had to older than they looked. The one woman clearly colored her hair. She had to be near sixty. Her figure didn't look it. There was very little loose flesh at her throat, but who under the age of fifty would take such a position? Those people were working. Maybe not as hard as kids at McDonald's -- Henry had done that job, flipping burgers -- but these people were working.
The woman a little behind where he sat now was dressed in the sort of clothes girls the age of Henry's older son wore. Her hair fell down over her eyes so he couldn't see the corners of her eyes. She could have been fifteen, she could have been thirty-five. Directly across from him a woman was wearing those shoes that are supposed to give you a nice butt. Literally. That was what the ads said. Wear these shoes and tone your butt muscles. Isn't that like telling everyone you think your ass is saggy? Or is it fishing for a compliment. Hey, your ass looks fine to me. Hubba-hubba.
A number of people seemed to have the latest smartphones. They were gazing at them as if they held some great mystery. Then they tapped at them with their thumbs. That could have been a call, a text, or long division.
The one with the ass-improving shoes was reading her phone to a younger woman beside her. Henry hadn't known they were together. "I can't believe her. I really need to delete her from my friends on facebook. Listen to what she posts: "Don't worry, Baby, we are in this together. We are doing this together. When you go in Monday it will be like I'm going in with you. And when you get out we will raise this baby together.' She posted that on his wall."
"What did he say?"
"Nothing. She's got like fifteen posts and he never answers her."
"He doesn't use Facebook?"
"No. He does. He's commented on other people's stuff. Mutual friends of mine. He was just on fifteen minutes ago, it says here. He doesn't want anything to do with her."
"So why doesn't he block her or whatever?"
The other woman just made a face like she was as mystified as the next person.
"I can't believe she's throwing herself at him like that."
"It's so pathetic that she strikes out with a guy going to jail."
They both laughed at that but with what seemed like embarrassment.
"Do we have some kind of family or what?"
Then it was back to sitzfleisch and Solzhenitsyn. He read slowly, somnambulating through the Soviet hospital. He could almost feel the dust on the wooden floor, see the grime on the windows. Had the narrator said where they were? It was some backwater. Lansing, Michigan would be a Mecca by comparison. Maybe. You wouldn't want to get cancer anywhere in the 1950's. Elvis couldn't heal you. Ike neither. Rock and roll and rockets and then the Pill.
Sex and high tech poison. DDT. PCB. Saccharine. Mix it all together and whaddya got?
I'm all shook up.
Then all we have to do is blast that with gamma rays.
People leave the waiting room and new ones come in. This is the belly of the beast. It's a digestive system through which you move. The operation takes place upstairs and then you come down stairs to wait. You're beeper goes off and it tells you SEE DESK. That's when they tell you that your loved one is out of surgery. You have to wait some more. The surgeon will come to talk to you. Henry checks the display on the wall. It has gone from ENDING PROCEDURE to IN RECOVERY. That almost sounds optimistic.
He hasn't given much thought to how things went in pre-op. There was a really long wait because the surgeon is a vascular specialist. They had to seek one of those out because the idiot surgeon in their small town couldn't put a portacath in for Emily. Vascular surgeons are great but busy guys. Emily's procedure to change her portacath -- the damn thing didn't work -- got pushed back because someone had a coronary procedure. Damn people dying in line right in front of you. Henry was trying his best to get the staff to be gentle with his wife.
"Did you see her wrist?" he asked the nurse.
"I saw it but I didn't get a good look at it. What's going on there?"
"That's why we're here. That's why we have to get this taken care of. She had chemo just put into an IV. Well, that vein didn't much like the chemo."
"Oh, yes. It went subcu. We see a lot of that," she said.
Subcu. Subcutaneous. Leaking out of the vein and into the surrounding tissue. It might not sound like much but that chemo shit is toxic. That's how it works. It's like Dran-o on the cancer. Except you need to get it to the cancer through your liver. Not through the flesh on your wrist. This would be obvious to anyone looking at the bruise wrapping around Emily's hand and up her wrist.
"That's three weeks old. We don't know if it will ever heal."
The nurse didn't say anything.
Strangely, Henry felt little emotion. He wasn't angry at this woman hiding behind jargon. She didn't know that he was word nerd with a master's degree. She figured her medical terminology kept Henry and all the other les canaille out of the sanctus sanctorum of the biological sciences.
Subcu.
The sleepwalking thoughts were threading through the hospital of his mind. There can be bad medicine. He didn't want to think about that. The surgeon had been apologetic about how much Emily had been through. He had a sweet look of sympathy on his face. It was so human and touching that Henry nearly burst into tears. He promised to get the port working. He would open the same incision and swap out the main part of the port without having to tap into the artery again, so long as that was alright.
Maybe the port hadn't worked because the nurses at the infusion center had nicked the tubing. Anything was possible.
Many things are possible. Far fewer are probable. The nurses hadn't known how to use Emily's port from the get-go. Henry had looked at pictures of ports online. Many times they looked like a bubble just under the skin. This was especially true on a man with no breast tissue. It sat on top of the muscle like a bad mosquito bite. Emily's was harder to see. There was some swelling just from putting the thing in. Her body had been through a lot. This was going to be her fourth surgery in less than two months.
About a third of the room had tables and chairs. The rest was taken up with uncomfortable couches. They didn't want anyone to lie down. This wasn't a flop house. Can you imagine the bums that would take over if the lights were dimmed and if there were someplace to recline? There's no rest for the wicked.
Hanging from the ceilings were large flat screen TVs. Henry tried to get as far from these as he could. He sat down with his backpack. He had Emily's clothes and her purse in there, along with the iPad, a Gatorade and a book for himself. There was nothing for it but to wait it out. Too bad he couldn't whistle some, but he figured that would get as many stares as breaking into song.
A woman nearby had an mp3 player on her phone and was bopping along to the sound which seemed not to be coming only from the earbuds. A man was with her and he told he could hear the music.
"That's OK," she said.
He shook his head. "No, I can hear it."
"I'm alright," she said. She frowned like she was about to become very angry.
The man -- was he her husband or brother? -- Henry couldn't deduce that much -- walked over to her and shoved the cord into the phone better and the sound cut out so only she could hear it.
"There." He said.
Problem solved, Henry thought.
There was a large monitor on the back wall. This had a list of patient names abbreviated to just the initials along with dates of birth. Henry found Emily's status. There were so many names that the list had to roll. The screen was more than five feet high. Henry did not tot up the number of surgeries. He just saw that next to Emily's alphanumeric it said, PROCEDURE STARTING.
This is the waiting. We know about this. This is the sitting. We have the sitzfleisch. You get out the iPad, you post to FB that she has gone into the OR. Then you get out your copy of Cancer Ward and you read. You thank God you aren't in the Soviet Union in the 1950's. You more or less ignore the people around you, the ones who are on the verge of crying, the ones who are in the middle of crying. You tell yourself they are weakling bastards trying to get into Denver at Thanksgiving and the idea of a canceled flight is just too damn much for them. You pay no attention to the idiot teen mother telling her baby of six months to stop it, as if the kid can understand English. Would you try to reason with your cat, lady? Some people shouldn't be allowed to have children.
Wondering the exact age of various people is acceptable. Those volunteers at the desk for instance. Those women had to older than they looked. The one woman clearly colored her hair. She had to be near sixty. Her figure didn't look it. There was very little loose flesh at her throat, but who under the age of fifty would take such a position? Those people were working. Maybe not as hard as kids at McDonald's -- Henry had done that job, flipping burgers -- but these people were working.
The woman a little behind where he sat now was dressed in the sort of clothes girls the age of Henry's older son wore. Her hair fell down over her eyes so he couldn't see the corners of her eyes. She could have been fifteen, she could have been thirty-five. Directly across from him a woman was wearing those shoes that are supposed to give you a nice butt. Literally. That was what the ads said. Wear these shoes and tone your butt muscles. Isn't that like telling everyone you think your ass is saggy? Or is it fishing for a compliment. Hey, your ass looks fine to me. Hubba-hubba.
A number of people seemed to have the latest smartphones. They were gazing at them as if they held some great mystery. Then they tapped at them with their thumbs. That could have been a call, a text, or long division.
The one with the ass-improving shoes was reading her phone to a younger woman beside her. Henry hadn't known they were together. "I can't believe her. I really need to delete her from my friends on facebook. Listen to what she posts: "Don't worry, Baby, we are in this together. We are doing this together. When you go in Monday it will be like I'm going in with you. And when you get out we will raise this baby together.' She posted that on his wall."
"What did he say?"
"Nothing. She's got like fifteen posts and he never answers her."
"He doesn't use Facebook?"
"No. He does. He's commented on other people's stuff. Mutual friends of mine. He was just on fifteen minutes ago, it says here. He doesn't want anything to do with her."
"So why doesn't he block her or whatever?"
The other woman just made a face like she was as mystified as the next person.
"I can't believe she's throwing herself at him like that."
"It's so pathetic that she strikes out with a guy going to jail."
They both laughed at that but with what seemed like embarrassment.
"Do we have some kind of family or what?"
Then it was back to sitzfleisch and Solzhenitsyn. He read slowly, somnambulating through the Soviet hospital. He could almost feel the dust on the wooden floor, see the grime on the windows. Had the narrator said where they were? It was some backwater. Lansing, Michigan would be a Mecca by comparison. Maybe. You wouldn't want to get cancer anywhere in the 1950's. Elvis couldn't heal you. Ike neither. Rock and roll and rockets and then the Pill.
Sex and high tech poison. DDT. PCB. Saccharine. Mix it all together and whaddya got?
I'm all shook up.
Then all we have to do is blast that with gamma rays.
People leave the waiting room and new ones come in. This is the belly of the beast. It's a digestive system through which you move. The operation takes place upstairs and then you come down stairs to wait. You're beeper goes off and it tells you SEE DESK. That's when they tell you that your loved one is out of surgery. You have to wait some more. The surgeon will come to talk to you. Henry checks the display on the wall. It has gone from ENDING PROCEDURE to IN RECOVERY. That almost sounds optimistic.
He hasn't given much thought to how things went in pre-op. There was a really long wait because the surgeon is a vascular specialist. They had to seek one of those out because the idiot surgeon in their small town couldn't put a portacath in for Emily. Vascular surgeons are great but busy guys. Emily's procedure to change her portacath -- the damn thing didn't work -- got pushed back because someone had a coronary procedure. Damn people dying in line right in front of you. Henry was trying his best to get the staff to be gentle with his wife.
"Did you see her wrist?" he asked the nurse.
"I saw it but I didn't get a good look at it. What's going on there?"
"That's why we're here. That's why we have to get this taken care of. She had chemo just put into an IV. Well, that vein didn't much like the chemo."
"Oh, yes. It went subcu. We see a lot of that," she said.
Subcu. Subcutaneous. Leaking out of the vein and into the surrounding tissue. It might not sound like much but that chemo shit is toxic. That's how it works. It's like Dran-o on the cancer. Except you need to get it to the cancer through your liver. Not through the flesh on your wrist. This would be obvious to anyone looking at the bruise wrapping around Emily's hand and up her wrist.
"That's three weeks old. We don't know if it will ever heal."
The nurse didn't say anything.
Strangely, Henry felt little emotion. He wasn't angry at this woman hiding behind jargon. She didn't know that he was word nerd with a master's degree. She figured her medical terminology kept Henry and all the other les canaille out of the sanctus sanctorum of the biological sciences.
Subcu.
The sleepwalking thoughts were threading through the hospital of his mind. There can be bad medicine. He didn't want to think about that. The surgeon had been apologetic about how much Emily had been through. He had a sweet look of sympathy on his face. It was so human and touching that Henry nearly burst into tears. He promised to get the port working. He would open the same incision and swap out the main part of the port without having to tap into the artery again, so long as that was alright.
Maybe the port hadn't worked because the nurses at the infusion center had nicked the tubing. Anything was possible.
Many things are possible. Far fewer are probable. The nurses hadn't known how to use Emily's port from the get-go. Henry had looked at pictures of ports online. Many times they looked like a bubble just under the skin. This was especially true on a man with no breast tissue. It sat on top of the muscle like a bad mosquito bite. Emily's was harder to see. There was some swelling just from putting the thing in. Her body had been through a lot. This was going to be her fourth surgery in less than two months.
Wednesday, September 4, 2013
FIFTH chunk of Yeshua Play
SCENE FOUR.
Mary’s House the Next Morning.
MARY
MAGDALENE:
Rabbi
Yeshua, are the Pharisees possessed by Satan?
You
have taught us to love our enemies.
What
love can we give Satan?
YESHUA:
How
can we judge another’s hidden heart?
Some
call the sick and poor the seed of Satan.
[Reads]
Heaven’s Lord alone knows all.
Father
and God of all, he chose to not
Disclose
his mind. He’s not your neighbor, so
Near
at hand to ask your questions. And he
Is
perfect. You are clearly not. Would you
Be
pure in everything? Cut out your jealous heart.
It
can’t be done. Haven’t I said to love
Your
neighbor as yourself? To pluck out your
Lustful
eye? Amputate a thieving hand?
Don’t
sin at all. Doesn’t the Law instruct
Thou
shalt not? And the Pharisees will orate
Be
ye pure! They don’t do it, can’t! So only
Succeed
in making sick and miserable
Ones
more wretched with fears of punishments
And
pains in the prison house of the grave. Satan is served
In
this. But shall we hate the Pharisees?
No.
No. Oppose their words but not their bodies.
Civil
war is children killing. Fight
The
Pharisees with life but not with death.
MOTHER MARY:
What
of the zealots then who fight with Rome?
YESHUA:
Oppose
the sea and drown. Drawing blood will
drown us all in blood.
MARY
MAGDALENE: Love is greatest.
YESHUA:
There was a king who thought the
only way to finally end the conflict between
his land and his enemy’s was to send his son to marry his enemy’s daughter. So, with the prince the king
sent his ablest minister, an Egyptian who
ate only vegetables and had sworn to do no harm to living things. Once they were in the country of their
enemy they met with the ruler and his daughter,
who was surpassingly beautiful and by all accounts wise and generous of spirit. Her desire was first
for peace and second to marry a worthy
man. The offer of marriage greatly appealed to her as a good union of great houses. But her father would
by no means allow it. He sent the minister and
prince away rudely. And he told his chamber henchmen to go out disguised as common thieves and kill the
prince before he returned to his own
land. While the Egyptian minister and prince slept near the road leading home, the henchmen came wearing rags
and beat the prince with rocks and fists,
for they didn’t want to appear as agents of a wealthy ruler armed with kingly weapons. But the Egyptian had
with him a strong arm and the sword from
his lord the king. He awoke while they beat the prince but did nothing because of his oath. Later he came
to the king and told him his son was dead. Hearing
this, the king took the minister’s sword and struck him down where he stood.
MARY
MAGDALENE: What does the parable mean?
BARTHOLOMEW:
Never
trust no vegetarians. A good man’s hard to find. Oh, I woulda sawed ’im in half myself!
YESHUA: [Clears throat]
What is love? Preserving life or
taking it?
MARY
MAGDALENE: It seems the minister loved an
idea more than he loved the prince.
YESHUA:
Are ideas
embodied, are bodies ideas? What’s an idea without a body or a body without an
idea?
BOY: [He enters] I have another message for Yeshua of
Nazareth.
YESHUA: Give it
then. Another?
BARTHOLOMEW: [Slaps his own head] Oh!!
BOY: Are you Yeshua?
YESHUA: I am.
BOY: Of Nazareth?
YESHUA: The same.
BARTHOLOMEW:
[To
Yeshua] That kid’s a picky one. I
wouldn’t trust him, Yeshua.
BOY:
I have very pointed instructions to
tell you from Judas Iscariot that he is on his
way to Jerusalem where he will be for the Passover. He sends for you to meet him there.
ALL: What? [And similar reactions.]
BOY:
Judas intends to pose as you before
the Temple and all of Jerusalem, telling them
that he is the Christ from Nazareth sent by God to clean the altar.
MOTHER MARY: Bastard!
MARY MAGDALENE: Betrayer!
YESHUA: The winds
are fickle.
MOTHER MARY: God hides
behind a will inscrutable. We always knew that.
BARTHOLOMEW: But what?
But how?
MOTHER MARY: Or another
sign, my son!
BARTHOLOMEW: Won’t the Sana-head-urn—
BOTH MARYS: Sanhedrin!
BOY: Sanhedrin. [Nodding his head confidently.]
BARTHOLOMEW: Won’t the Sanhedrin
jail Judas right off?
YESHUA:
You can count on it. Judas is dead
before he passes through the gates if he calls
himself the Christ. Dead and the gospel with him. The word Messiah means but one thing to the Roman
Prefect: a revolutionary bandit.
MOTHER MARY:
We go and show up his lie. The Son
of God must be revealed! With you in front
of the Temple the earth will tremble, the skies will peel—
YESHUA:
Don’t you ever have some doubts, Mary? [He
exits. Others except Mother Mary exit
after him.]
MOTHER MARY:
What is this mannish thing, this
Magdalene?
SCENE FIVE.
That Night. Still Mary’s House. [“Nighttime” lighting is used. Mother Mary
hasn’t left the stage. She has been the focus of the spotlight as the mood is
changed around her through lighting effects. There is no full black out, no
closed curtain.]
MOTHER MARY:
[Somewhat
absently to Magdalene.] “God
willing,” yes. It’s always “God willing.”
Yeshua’s work is good. God rewards the good at heart.
MARY MAGDALENE: What reward
found John the Baptist?
MOTHER MARY:
[In
an access of sudden rage.] What have I
told you about saying that name?
MARY MAGDALENE:
Finding it upsetting makes no
difference. Worry changes nothing. Worry can’t
blow out candles, the master says. I just wondered what reward John found. I can’t remember what his last
days were like. I wasn’t there, of course.
It was a long time ago, anyway.
MOTHER MARY:
I think Judas has boiled his brain
fasting on a dune.
MARY MAGDALENE:
Dunes, pure dunes. Harmful, poisoned
gales called harmattan rush over crystal crests, and with blistering force
hit a wadi where one prays to Ahriman,
or Asmodeus, Semihazah, Beliar. [Mary
Magdalene lists names of various demons.] Hurricane prayers and demonic heat can curdle
every last sinew and nerve.
MOTHER MARY:
Stop-it!-Stop-it!-Stop-it! [She stops, panting. There is a pause.]
MARY MAGDALENE: Someone’s
coming.
YESHUA: [Enters] Mother.
MOTHER MARY: Yes. [The other Mary starts to go.]
YESHUA: Mother.
MARY MAGDALENE: Yeshua.
YESHUA:
[He
turns to Mary Magdalene. She looks like she is about to say something but then turns and exits.]
MOTHER MARY:
[Without
waiting to see if Yeshua and Mary Magdalene will speak to one another.] Wouldn’t it be good, a great blessing, to
spend Passover in Jerusalem? We
could find a Succoth hut like when I was a girl. I haven’t been to Temple in so long. The Seder –
YESHUA:
Mother. [Reads] Some say in sleep our spirits stray
Free, exploring things we awake
can’t see.
Death, sleep’s brother, they say, is
freer still.
Freely released, the soul goes home
to liberation.
“Many of the sleepers who slumber in
the dust of the earth shall awake, some to
life everlasting, and some to shame, unending punishment. The wise shall shine just as the brightness of the
heavens. And those who turn many to righteousness
as the stars for ever and ever. But you, Daniel, shut up the words, and seal the scroll, even to
the end of time: many shall run to and fro, and
evil shall increase.”
MOTHER MARY:
Daniel is the Bible and that’s good.
The other sounds like more Greek foolishness.
You should pay no attention to that. We might as well take advice from those hairy Gauls that are always
pestering the Romans. If they’re even real.
They say their skin is made of snow and their hair is fire. [After a long pause.] Jerusalem. To make an offering there.
Your father took us once. Remember?
YESHUA:
Caesar’s thousand thousand eyes
await
The shadow of sedition’s first half
gesture, an aspect around the eyes of one being
about to speak out against their power. They are jealous gods.
MOTHER MARY:
Yeshu, you are good. You teach no
war, no harm.
You preach a marriage feast
For God and man. You’ve shown the
hardness of
A husband’s heart, the harshness of
the master with his slave,
The wealthy well oblivious to the
sick impoverished,
Heaven’s indifference toward
prosperity.
What fault could Rome find with such
sermons?
YESHUA:
Much. And Herod too. My crime is
being no Caesar. They are not gods but they
will prove we aren’t either by crushing us. But I will go to Jerusalem.
MOTHER MARY: Good, son.
Good. [She exits.]
YESHUA:
How can I leave Judas hanging. If we
fail, Israel fails. And all the hope is strangled.
MARY MAGDALENE:
[Enters.]
Yeshua, I have bad . . .
premonitions, Yeshua, about Jerusalem.
YESHUA:
It’s a pit of tangled pythons for
me.
MARY MAGDALENE:
“Blessed are the pure in heart, for
they will see God.” You taught us that. I’ve become
confused lately. It used to seem as clear as a bank of lilies or a hillside of almond blooms. [Laughs nervously; then, after a pause, in a
reverie] I digress into nectar.
Into jacinth and rose scent I
digress. [Suddenly frightened] But now… I’m not sure of
anything, Yeshua. I’m scared. I’m—
YESHUA:
Hush. [He embraces her silently for a moment.] God is pure. Who else can
be pure enough to see God and have no
doubts, no fears? “Truly, you are a hidden
God.” How many times did the psalmists sing out to a silent God? Listen to me, Mary. We do not see the dark end
of our path. So we must strive for
the light. We must act in faith through unbelieving darkness.
MARY MAGDALENE:
I could do it if…. Oh, if things
were otherwise. [Looks him in the eye.]
YESHUA:
[They
break apart] I have to go to Jerusalem.
They’ll kill Judas otherwise.
MARY MAGDALENE:
[Flatly]
They will kill you both. [Suddenly with more emotion] I don’t
think there’s enough world to hold all I want to say!
YESHUA:
You have found it on your own.
MARY MAGDALENE:
Why, why then can’t you let the rest find it on their own? You’ve done so much—
YESHUA:
I’ve done so little. It’s too late
now to say it, but, I’ve done so little.
MARY MAGDALENE:
But enough to be murdered for it? [Accusing him now] Or is it murder if
you walk knowingly into a
trap? That doesn’t sound like martyrdom, it sounds like suicide!
YESHUA: If there is
any means of escape I will take it.
MARY MAGDALENE:
[Very
sane] None. There is none! There is Herod
and there is Rome. One is stone, one is
steel. Herod. Rome: choose your executioner, Yeshua. Or maybe you won’t even get to choose that.
YESHUA:
The gospel suffers, is compromised,
if I turn away.
MARY MAGDALENE:
[Becoming
tired] What good news does a martyr
bring? Or is martyrdom for everyone
the only good news there is? [Suddenly resigned]
It’s settled then. You will go to
the Temple.
YESHUA: I have
decided. [He hears a noise] Who’s
there?
MESSENGER:
A tired
traveler. I am looking for Yeshua of Nazareth.
YESHUA: Then praise
God.
MESSENGER: Why?
YESHUA: You’ve
found him. I’m Yeshua.
MESSENGER:
Praise God, indeed. I have come from
John and Peter. They send their greetings
and would like to know where they can rejoin you.
YESHUA:
Plans have changed. Tell them we are
going ahead to Jerusalem. They should stay
where they are and do as they have been doing. Tell them to continue and flourish.
MESSENGER: They won’t
like that.
YESHUA: That’s the
message.
MESSENGER:
I’ll convey it. But could I ask why
you are going into the lion’s pride – into Jerusalem?
Herod has made it very dangerous and Pilate is the Emperor’s pirate. His chief amusement is torture
and maiming of his enemies. Nothing delights
him more than extending the death of those he hates. You would be like a lone antelope on the plain
there. Those are the rumors, anyway.
YESHUA:
I don’t really have a choice! My
father is prompting me, it seems. This is not your
area of expertise, is it? Or are you a wise man? Are you a messiah? Are you the spirit of Elijah raised from the
dead?
MESSENGER:
Forgive me, I . . . I only wanted to
convey what – I only want to know what to tell
Peter and John. They will wonder why you are going into Satan’s stronghold.
YESHUA:
I go for a word. Tell them that. The
word is life. Or perhaps the word is Yeshua,
since Judas Iscariot has decided to steal my name and take his own life with it. I’m going to murderous
Jerusalem to save one single man’s little life.
MARY MAGDALENE:
[Sad
but practical] Rabbi, it’s
late. You should get some sleep now. [The
messenger exits.]
YESHUA: I’ll sleep
outside tonight.
MARY MAGDALENE: Then, I will
join—
YESHUA:
[Petulantly.]
No! [Recovering himself.] No. I need
to be alone. [She exits .] How do we see at all being so blind? [He takes his jacket and uses it as a
pillow, lies down.] Father, let my
spirit rest in your hands. [He tosses and
turns, unable to get comfortable.]
GHOST of JOHN THE BAPTIST: [Enters.] Where,
where am I?
YESHUA: What? Who’s
that?
GHOST: Yeshua?
YESHUA: John! John!
GHOST: Yeshua, what
are you doing here?
YESHUA: John, what
should I do? Should I confront the High Priest face to face?
GHOST:
Jerusalem
will ruin you and douse
Your gospel’s
flame. Darkness returns, Yeshua.
Dark. Dark.
YESHUA: But the
truth burns bright!
GHOST:
Jerusalem is death to fools. The city belongs
to Rome and Rome will bury you. A
wave of steel will drown you and will thrust out your pupils in confusion.
YESHUA: But you
resist Herod’s power.
GHOST:
And drank my own life. What gospel did that
serve? I baptized myself in death
but left no message, no comfort for my followers. [He sets a chalice and a
bottle on the stage.] Don’t drink this elixir if you need to stay safe.
There is danger in this infusion. The
blood. The blood. [Exits.]
YESHUA:
John! John! Do I hallucinate? [He picks
up the bottle and the chalice and examines
them, then hides them in his pack.] What can I know if my eyes and ears and hands cannot be trusted?
MOTHER MARY:
[Enters
with other Mary.] Yeshua!
Yeshua! What’s wrong? What’s wrong?
YESHUA:
Cluck-cluck!
Cluck-cluck! I’m not your brood! Fool hens! Clutch
at someone else.
MARY MAGDALENE: [Terrified] What’s that sound?
Something’s coming!
BARTHOLOMEW:
[Enters
drunk.] Woo! Woo-hoo! Whom!
Hoomah goes thar? Stand and fold yourself
out or uh, or uh, origami – what is origami? Or I’ll a-grammar ye!
MOTHER MARY: He picks a
great time to get shit-faced.
BARTHOLOMEW:
I’m sack-sackree, religiously,
pressimented: Good ole No-ee took consolation in
the fruit of the vine. An’ I’ll survive this flood too! I won’t grow old all unconsoled. [Others help him exit.] Unhand me, ya crazy bitch! [To Mary Magdalene.
She does and he falls.]
MOTHER: What should
we— ?[unsaid word is “do,” obviously]
YESHUA:
Wait for the dawn like grinding
death,
Devour the road between here and
Jerusalem,
See if our movement prospers or
declines.
Between ambition and detachment lies
This zaftig land, its seminal
people.
MARY MAGDALENE:
How I hate their chutzpah fits of
faith and crave a balmy
Island dwelling, where there’s
jonquil girls with
Palm-frond, oil hands, warmed up,
becalmed.
YESHUA: Go get some
rest.
MOTHER MARY: Go, as the
lord commands.
MARY MAGDALENE:
Renounce your dreams, sweet Mary
Magdalene. [All exit. Lights go down.]
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