Cat Hospital

sickness-2.jpg

Our bathroom is now a hospice ward in what is turning out to be a cat hospital. The patients outside of the hospice ward are low acuity; they are working through issues of obesity and anxiety, an over production of hairballs and general sense of neediness.  Patient X is not working through, over, or around any issues.  She exists between life and death, stuck in the moment right after the sun sets and pulls the light from the sky, slowly wasting away in a state of limbo. 

I want Patient X to be comfortable and the environment is important in this goal.  The window is covered; the room stays cool and dark, even during the day.  Patient X no longer needs to keep her days and nights separated.  

Each day, I give her a fresh dish of water and crunchy kibble.  Last week, she moved the bits around with her paw to make it look like she had some interest in it.  Now, it’s all she can do to turn her pink nose up at it and lay back down in her box. 

I then sweep up the loose litter and scoop out the clumps and wet spots, but today, there is nothing to clean out.  There is only a dying cat hiding under a soft towel in a cardboard box, neither eating nor eliminating.  She watches me with dull eyes that sparkled green with curiosity and trouble not long ago; they are much like the changed eyes of my grandfather since the cancer spread through his body.  He, too, is lounging about in limbo, losing time and strength as his body winds down from eighty years of constant life.      

Sickness takes up space, a lot of it, especially where every nook and cranny is already filled with a knickknack or stack of books.  It’s hard to prioritize and harder to understand other than that it happens.  Sickness leads to a sadness that fills up rooms and houses, spills out windows and forces open doors.  When the sadness has no place else to go, it shimmies and shakes its way down the road to the neighbor’s house and lets itself in through the backdoor for a season.   Until then, I guess it’s here to stay.

Tentative

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Good Old Boys

Flavorful

I sit across from a crooked, old man in a wheelchair.  He is dressed in a wrinkled suit of tan linen with leather shoes and a deep brown felt derby hat.  As I put the hard questions to him, he remains as calm and cool as the earth tones he wears.  He explains away the rough patches of his life in stories with movement and flair, dancing around everything but a simple answer. 

“You know about the Good Old Boys?”

He smirks when I shake my head.  

“They ran this town in the 80’s. They had all of the drugs and you didn’t mess with them.”

I picture the “good, old boys” from my hometown with their pick-ups and lips full of chew, wearing flannel shirts and scuffed boots.  Sure, they had guns, but they kept the safety on and used them for hunting or to run off trespassers and the occasional out-of-towner. 

“I needed money, so I got mixed up with them and ended up in little bit of trouble.” 

He refers to a hefty prison sentence for an armed robbery which involved cocaine, and an unregistered handgun. 

“A little trouble, huh?”

Just like how the Good Old Boys of his past weren’t really “good”, this wasn’t what would be considered a little trouble.  A speeding ticket or a warning for loud music was more like a little trouble than ten years in prison, but who was I to judge?

How easily could our backgrounds have been switched by being born to different families in different environments? In a parallel universe, maybe I sit across from him with a fly looking hat, a monochromatic suit and endless tales of adventure and danger.  And in that world, I hope he can withhold judgement just long enough to listen and learn a thing or two about life on the streets.   

hat

Eggs for Dinner

Penchant

eggs

I am on a week-long husband holiday.  I get to sleep in the middle of the bed, use up all of the hot water in the shower, and eat whatever I want for dinner.  It’s like being back in college but with a house, a full-time job and responsibilities and without the drinking or late night pizza.  So not quite as fun.   

After work, I head out for a jog around the neighborhood.  Flashing lights draw my attention towards a work crew of sunburned men.  They look tired and dirty as they take down a power line with an end of the day carelessness that motivates me to run a little faster. Somehow getting electrocuted and spending the rest of my husband holiday in the hospital is not how I plan to spend this time.

Once home, I peel off my sweaty running shirt and drape it over the back of the couch.  I can be a slob during my holiday week, but it doesn’t suit me.  The thought of a perspiration soaked shirt on the furniture makes my skin crawl.  Some people can’t stand spiders and beg for their death or removal, others get queasy at the sight of blood. Me, its dirty socks and laundry where it doesn’t belong. I can’t handle it regardless of if I’m on a husband vacation or not.  I retrieve the shirt and carry it back to the bedroom to dry and makes its way to the laundry basket.   

Now the cats need feeding and so do I.  The thought of sampling their expensive kibble briefly crosses my mind.  Its nutritionally balanced and even boasts of nutra-bits; whatever those might be, the whole shebang would be nourishing and so easy to prepare.  However, the smell is too disgusting and the greasy, crummy residue left on my fingers after scooping out a serving is too gross to give more time to this as a possibility for dinner. 

Instead of cat food, I go in for my old stand-by.  Eggs.  It’s been a long time since eggs were a main staple for dinner and the poor nutrition years comes rushing back.  Scrambled, hard boiled, sunny side up, fried, burned, omletted, more often with a piece of shell than not, eggs got me through the lean, mean years and taste almost as good now as they did then.  Survival food, it’s much better when eaten out of preference than necessity.

Counting down the days until my “vacation” is over because I’m sick of eating eggs, taking long luxurious showers, and sleeping alone in the middle of our big bed.   

A Day in the Life

Notorious

Two men stood outside of the brick building, smoking cigarettes. The taller of the two kicked at a clump of weeds and inhaled at his Marlboro, while the other worked an orange, plastic lighter through his nicotine stained fingers.

“Did they install your A/C yet?” the taller man asked.

“Nah, they told me there was something going on with maintenance. You think we’ll have them by August?” the man said with a laugh and continued to practice with the lighter like an unlikely baton twirler before a high school football game.

“I put a fan in my window, but it’s just blowing the hot air around. It’s like the desert in there.”

Beads of perspiration popped out on the taller man’s forehead, he wiped it with the back of his hand.

“Whew, it’s hot,” he declared. “But its cooler out here than it is up there,” he gestured with his eyes in the direction of his apartment, too drained from the heat to lift his arm to point.

A woman emerged from the door of the house next to the apartment building. She wore a neon swimsuit top with white washed, cut-off jean shorts that were pulled up over her belly button. Perhaps most noticeable was the mean looking, black and purple bruise around her left eye.

“Hey boys,” she rasped to the men with a grimace that was as close to a smile as possible.

She fished out a lighter from her high-waisted pocket and uncurled her fingers from around a Pall Mall.

“How’s your old lady?” she asked the taller man.

Sensing a follow up question, the man answered with a reserved, “She’s ok,” and waited.

His companion interrupted the pause with a snort, “She’s been cooking again. I smelled the burned food all the way over in my place,” he chortled.

The woman lit her cigarette and took a deep drag with no small amount of pleasure.

Exhaling a dragon-like stream of smoke through her mouth and nose, she continued, “Does she smoke? You tell her to come over and visit anytime she gets sick of you. We can garden and smoke a little herb.”

A shadow darkened the doorway from which the woman had previously emerged and a man with strands of long gray hair appeared.

“Theresa,” he barked with a tone that threatened of another bruise, this time to her right eye.

The men outside stopped smoking and looked at each other; the reputation of this neighbor preceded him via the frequent bruises of his partner.

“That’s just my ol’ man, you know how he gets.”

Theresa took another long drag of her cigarette before dropping it onto the grass and walking away with a wave. Smoke curled from the end of the abandoned cigarette, briefly burning before it extinguished itself.

c

The Cost of Healthcare

blood pressure

“Why don’t you just go to the doctor?” my husband asks after hearing my chest crack and pop.

“It’s complicated,” I moan in pain.

Maybe he doesn’t know about the extent of my white coat syndrome and that merely making an appointment makes my heart race and my palms get sweaty. Or that as a kid, I never went to the doctor outside of ingesting a battery or being covered with purple lesions.  And if we did go, it always resulted in the occurrence of something uncomfortable or more painful than the original issue.

As an adult, there is little difference except that now the pain comes from the initial cost of the copay and then later the portion of the bill not covered through insurance.

“It’s all explained in your insurance policy,” the customer service rep explains. “You know, in the really fine print. You agreed to pay for anything not covered when you signed in to see Dr. Gulash.”

Trickery and crooks! I scream in my mind, and then passively settle on a monthly payment of six months to pay off the balance.  It’s easier than taking a stand and getting sent to collections.   The bitter sting of that bill is still on my mind as I refuse to get the cracking and popping evaluated, not just yet anyway.

Let’s follow the journey of Papa Puney who decided not to wait until there were no other options and his proactive approach to his healthcare.

Papa Puney is fit man in his fifties; he sits in a hard plastic chair at the doctor’s office, off to the side and away from the sick people. There are stacks of germ covered magazines next to a pump bottle of hand sanitizer.  It’s a nice gesture but too little too late for most.

He calmly waits and peruses through emails and Facebook on his phone.   He has been working to lower his blood pressure through diet, exercise and limiting his views on the Donald’s latest tweets.   He moves his upper lip unconsciously and the mustache above it bristles out, not unlike a well groomed porcupine, as he flips through the online posts.

A young woman with dry, dyed black hair pops her head out of the door next to the receptionist’s desk.

“Mr. Papa Puney?”

She holds the door open with shiny, red nails. The man looks up in acknowledgement of his name.

“We’re ready for you now.”

Opening the door wider, she waits for the proactive patient to follow her down a tile hallway that smells of antiseptic cleaner.

The woman chews gum as she leads the man into his own room.   PP feels a seed of irritation begin to grow with each snap and pop of the gum.

“Sit right here and the nurse practitioner will be right in,” she gestured with her hand to another hard backed chair.

“Wait a minute, what about the doctor?”

“Oh, he is too busy to see you today. The NP will be right in,” the woman explains cheerfully and leaves before PP can say anything else.

PP waits and feels his heart rate increasing and the blood pulsing through his veins. PP waits and waits, keeping busy by cruising the internet until he reaches the end of the interwebs and still he waits.

Finally, the door opens and a chubby blonde woman in her early thirties with purple Crocs enters the room.

“Hey there, Bub, what’s going on with this blood pressure of yours?”

“Bub?” PP asks.

He feels a pounding in his head as his blood pressure rises like a tribal drum urging him on to stand and leave. No, this is not going to work.  There are other ways to lower blood pressure.   PP excuses himself from the clinic and takes a trip to Burger King to reassess his health goals and the price of proactivity.

Bub out.

Timely

What Spring Brings

Pleased

There are no leaves on the trees, but the grass already needs to be cut. Daffodils that survived a surprise freeze of early Spring are popping up and joined by red and pink tulips and green hostas.

A barefoot woman stands on the front porch shaking a plastic bag of trail mix. She takes a few steps forward and begins to yell towards a tree in a high pitched voice, usually reserved for things that are small and furry.

“Sneaky, come down here, Sneaky.”

On the street, a man slowly rides by on a bike with a wicker basket. He cranes his neck but only sees tiny green buds beginning to develop on the branches.  There is nothing to match the description of what he imagines to be a Sneaky.

You just never know, he thinks, and holds down the contents of the basket on the front of his bike. It is overflowing with a shrubbery that he acquired from the yard of his out of town neighbors.

“Sneaky, its snack time.”

The woman shakes the bag again and this time a man watches from inside of the house. With one finger, he lifts the blind up a little higher and peers out with a pair of blue eyes.   As much as he wants to look away, he cannot bring himself to do it.  He is running through his options on which family member would sign the involuntary commitment paperwork.

“Trust us, it’s for your own good.”

He envisions the woman being lifted up and carried out by men in matching white scrubs.  He sees her little legs kicking as she squirms to escape and feels a sense of guilt in the pit of his stomach for letting his imagination take his wife away in a straight jacket.

Laughter from the sidewalk brings the man’s focus back.

The woman’s hand is extended with a pile of almonds on her palm from which a little brown squirrel is selecting the best nut.

“Only the best for you, Sneaky.”

She looks back, intuiting that she had an audience of one, and raises one eyebrow.

“Told you so,” she says with a shrug and a smile.

She is most pleased; Sneaky returned as did her creditability, all in few, short minutes.

sg

Bells and Whistles

Instinct

b

The man is tall, towering and mostly toothless. He wears blue sweats and a plain black t-shirt.  Like the man, the clothes are clean but worn out.  Grey stubble grows on his chin and head.  It is a low maintenance style that he picked up in the Big House and decided never to change.

He steps inside the office and looks quickly to his left and right. Under a broad forehead, his eyes are deep set with a slight bulge from an untreated health condition; they pick up who, what, and where of those present.

He is a mangy wolf sniffing out an easy dinner. There is an unnatural shine to his eyes as a small woman greets the visitor with a barely hidden disdain usually reserved for car and life insurance salesmen.  He is not scheduled to meet until later in the week.

Just Puney, the man accurately surmises. Excellent, he thinks as he shuts the door behind him; it closes with a definite click of the latch.

“Keep it open.”

He experiences a physical shock and takes a half-step back. Puney’s voice sounds different, clear and strong.  She stands back from the doorway, out of arm’s reach from the man.

“Oh, I thought you wanted it closed.” He laughs in a forced and creepy series of “Heh, hehs.”

“The door was open when you walked in. Why would you think that?”

Puney stares at the man, very hard. She looks him in the face, gathering information as quickly as he did seconds earlier.  Fine hairs on her neck prickle and stand at attention.  There is a physical connection to her animal ancestors, a leftover gift of evolution that is needed now as much as in the past.

“Open. The. Door.”

She speaks slowly to ensure that he understands. Her feet are firmly planted and her knees are slightly bent, ready to spring out of harm’s way.  In her hand, she holds a pen, no longer twirling it between her fingers.  Rather, it is repositioned in her palm, grasped by all fingers as a weapon, ready to stab and poke as needed.

Taking another step back, the man opens the door and a gust of fresh air gusts into the room. Puney exhales a sigh of relief, not realizing until that moment she was holding her breath.  In a cross between a smile and a snarl, she shows her teeth.

“Now, what can I do for you?” she asks and wonders with an internal sense of exhaustion, what can I do for me?

When everyone and everything is a potential threat, Puney startles at the drop of pin. Her instincts are shadowed by anxiety and exaggerated by the constant clanging of bells and whistles sounding their warning. It’s a hyper-vigilance that cannot be maintained. She knows something has got to give and sincerely hopes that it’s not her.

There he goes again.

spring-bird

There he goes again.

I watch from my office window as a man in faded blue jeans limps across the street using a crooked stick for a cane. He wears a straw hat over a mess of grey hair.  From this distance, it is hard to tell if he is wearing his teeth, but it seems unlikely.  In his free hand, he carries a plastic bag from the gas station.  The bag contains his sickness and the cure.

I am surprised to see the man return so soon after the bitter cold of winter, certain that he resettled in the south, retired and resigned from a life of struggle on the street. Then like a bird of spring, he suddenly returned and resumed his daily activities as though there was never any interruption.

Most mornings, the man leaves his nest of dirty blankets and plastic bags and travels across the street to fuel up on cigarettes, cheap booze, and a pack of peanuts or crackers.   He returns to doze in the comfort of his makeshift home until he runs out of supplies and is forced to make the trek once again.  Sometimes he is gone for long stretches of time.  I like to think he made it to the mission for a hot meal and a few days off the street or is visiting with an old friend rather than the more likely truth that he was arrested for public intoxication or hospitalized for seizures.

Time and time again, he returns. Unchanged and uncompromised.  Always limping and always with the hat.

He is surviving off of the elements, earth, wind, air and fire, and asks for nothing more. Yet, the people around him refuse to accept his decision to live and die in the alley behind an abandoned building. He remains at odds with these concerned neighbors.  They want him housed and sober, in treatment, at the least.  They want him to sleep in a bed and eat nutritious meals, to be warm and safe.

Meanwhile, he is determined to drink himself to death, programmed to self-destruct by a wicked and powerful hand. He is centered and focused on a course that is difficult to change; it is one that he is not interested in diverting from and next to impossible for his concerned neighbors to understand.   While they scheme to bring him in, coordinating agencies and professionals in the effort, they forget to look up at my spring bird.

He needs freedom, dignity and is one of the rare few who has not forgotten how to fly.

There he goes again.

 
Center

Dancers and Fighters

fire

“The guy was here and you blew him off.”

“No, I didn’t. The guy never showed.”

“Yes, he was here; his name was on the sign-in sheet.”

The two spar back and forth, dodging shots to the head and heart.

As luck would have it, they are seated next to each other. It’s easier to engage this way. Red spreads across the man’s eyes and brain; he flares his nostrils as he passes the blame to the blameless.

“He was here, he told me you forgot about the appointment,” the woman continues.

Others sat on either side of the pair, secretly hopeful for a Jerry Springer type of escalation in which no less than one chair was thrown by the end.

They are close to yelling now but neither are listening, both firm in their righteous indignation. Still the others watch as curious spectators and cautious observers, complacent with the new status quo of alternative facts and disenfranchised minorities.

The rhythm is off as they dance around the growing fire, unaware of the flames, or of the short and temporary separation from savagery that they have traversed only so very recently.

Rhythmic

Water under the bridge

Christmas dinner: a month late, at sushi restaurant. It is fitting for the small, dysfunctional family.  There is a member who is missing; the void left by his absence is palpable.  It is almost tangible, like a forgotten thought, half remembered.

He’s lucky. The tension is high and tight, making it hard to breath. There is so much water under the bridge, the tresses are about to be wiped out.  The women speak through filters, carefully straining out anything of substance, while the man studies the menu and wishes his brother-in-law was there.

“Sake,” he requests from the waitress and quietly prepares to wait out the flood.

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