Counting to Thirty
T-minus three minutes. The room is ready; the positions are assumed; the monitors are set. We stare at the clock as the seconds slowly pass, standing in silence to conjure up the stillness before the storm.
T-minus three minutes. The room is ready; the positions are assumed; the monitors are set. We stare at the clock as the seconds slowly pass, standing in silence to conjure up the stillness before the storm.
I knew Amy wasn’t doing well; when I had seen her on Friday, she just laid in bed, breathing heavily. She didn’t even turn to look at me, much less talk. I had sat with her for a while, sang Amazing Grace almost inaudibly, and left the small bag of bananas and salt prunes she had requested on the small table beside her bed.
I had left strict instructions with the nurses that night—Please, call me if anything happens. Call me if she passes. I want to know. I didn’t know if they’d be able to reach any family for Amy, as family contact had been spotty at best the entire time she’d been in the hospital. I wanted there to be someone who could bear witness to her last moments.
I’m sitting at my desk when the phone rings. A blue jay is feeding her baby in the coral tree outside my window. She is determined and direct, pecking her catch in gentle spurts into the little bird’s gaping beak. The fledgling squawks hoarsely for more. I pick up the phone.
It’s my son’s oncologist. My heart no longer jumps into my throat when I hear his voice; we speak frequently now, comanaging my son’s leukemia–a case that is proving anything but ordinary. I have no idea why he is calling today.
My 72-year-old dad is in neurologic intensive care in a strange hospital in a strange city far from his home and from mine. In the midst of my fully-booked morning of seeing patients, I am trying to reach my diminutive stepmother on the cell phone that she does not know how to program to hear her layperson’s interpretation of what the strange doctors are telling her.
Unable to get through to my step-mother, I step into the next exam room to see Mr. P, a 72-year-old man with stable coronary disease and gastroesophageal reflux disease (GERD). He has difficulty hearing and is here with his protective wife for a routine checkup.
Her name was Sara. She wore an oversized blue jacket, black rain boots and a scarf over her head. With my bright blue Health Leads patient advocate polo shirt, I greeted Sara as she sat down in the chair next to me.
“I need some childcare vouchers. They’ve stopped giving me money and I can’t seem to make ends meet any more,” she told me quietly.
The rescue squad was heading, fast, for the hospital with a patient on board. Needing help, they picked me up at my office en route.
It was a pleasant, warming spring day in the North Country. There was still plenty of snow in the mountains, but hikers were up there already. Some, from what we called “the flatlands,” wore sneakers. She shouldn’t have. She slipped. She fell.
The phone call came just as Dad and I had finished lunch and were about to enjoy some window-shopping at the mall. It was the nursing home informing us that Ma had again fallen out of bed and was again being taken by ambulance to a nearby emergency room.
But when you say it about a baby, a twin, it’s enough to silence any sympathizer.
It is 1959; it’s my first night on duty as a medical resident at a VA hospital. I am called to the ER.
I enter the ER where the nurse, appearing frightened and perplexed, is talking on the phone. She places her tremulous hand over the receiver and says to me, “It’s a Korean war veteran. He thinks he’s in action and is speaking to his command installation and is screaming for more back-up, more shelling. We are trying to trace the call.”
She hands me the phone.
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