Sudoku

Usually it’s still dark when I wake. And it’s cold – I turn the heat down at night, and crack the window because when you share a bedroom with two large dogs you have to. I burrow under my nest of blankets and ignore my bladder for as long as I can, then I jump out of bed, stumble to the loo, put Argos out (he and his bladder are also getting old), scurry to the kitchen to turn the heat up from 65 to 67 F, let Argos back in and dive back into bed. I promise myself that as soon as I hear the heat exchanger fans stop running I’ll get up, get dressed, do all the morning things, tackle my to do list. I will have a good, productive day. I will write.

Then, while I wait for the house to warm, I play games on my phone. Fishdom is the most addictive. Wordle, of course – does anyone not play Wordle? And the other free games offered by the New York Times – Spelling Bee (I win if I find the bingos) … Letter Boxed (three moves max) … Tiles … the crosswords … Sudoku. I like games because you can solve them. There are no grey areas – either you win, or you lose. Take Sudoku – there’s only one right answer, but you go through the process and the solution emerges and then it’s done. There’s no fallout, no leftover parts, no mess.

Sometimes I use up my lives on Fishdom, then switch to the NYT games, and by the time I’ve done those I have more lives on Fishdom … It’s remarkable how long one can put off getting out of bed just switching back and forth between games. And of course there’s the news, and the advice columnists, and Reddit, and all of YouTube.

So many hungry, jostling people, yawping for attention, love, justification. Relevance. Meaning. Isn’t that what we all want?

Which brings me to the point of this blog post – which I started in October. In fact I pretty much finished it in October … but then I set it aside, as I usually do, because I wanted to add some pictures, and also I like to wait a day before publishing and give one last read – only I every time I tried to do that I pretty much fell apart all over again. I’ll try to do better this time because it needs to be done and posted so I can move forward.

As I was saying regarding the point of this post: I need to yawp. I’ve been needing to yawp for a long time. The problem is, this is not a depression blog, and I don’t want to write misery porn. But this year has sucked so much, just one swipe of the cosmic vacuum cleaner after another. It has sucked the skin right off my body, leaving me flayed. Defenseless. When I leave my bed, my soft nest of blankets, there is no protective barrier between me and … everything else.

But this blog is where I come to figure things out. I take a snapshot of my life that, for some or other reason, feels significant, and I put it into a frame, and I hang it up on a wall and point to it and say, “See? Look at that! What do you think?” Sometimes I indulge in a spot of mindfuckery – I hang it upside down, say, or I point at a different wall and wait to see if you notice the picture. Because you are a crucial part of the process. I don’t journal – I’ve tried; everything I’ve ever read about writing preaches that journaling is a crucial part of Being A Writer, but I cannot commit to writing without at least the hope of a reader. There has to be a dialog, even if it’s imaginary, or there’s no point.

Everything I’ve tried to write this year – both here and in the maddeningly almost-but-still-not-quite-finished book – has been pointless. It’s been coins dropped into an empty well – instead of a splash and a glint if the light is angled just right, there’s a faint, sad thud and a sinking into mud.

It’s been that kind of year.

So. Anyway. Here I am. Yawp.

Just call me Kilroy. (Photo by David Clode on Unsplash)

I am here to draw a line under 2022. It’s nearly over anyway, but I need the line now. Sometimes a line is necessary – you draw it, and then you total up whatever’s above it, and then a kind of magic happens. Everything above the line is captured, encapsulated, contextualized in the solution. It may still not make sense. It may still have the power to make you cry. But still it’s a solution, boxed up, and you can set it aside and it looks tidier than having everything just all over and anyhow.

2022 actually started last December, after I wrecked the pickup and Patchee died. I was discombobulated and needed to take a few days out to take stock, to think, to plan. To pray and prepare my heart for the new year. So I kissed the (only slightly resentful) Hubbit goodbye and checked myself and Argos into a nearby hotel.

I guess I got some praying done, but wifely habits die hard; I checked in with the Hubbit by phone to remind him to feed the chickens, and found him in a snit because he’d stumbled upon an amazing bargain while poking around the internet, and had bought me a laptop, and then – minutes after paying for it – realized he’d been scammed. And no matter how much I reminded, begged and nagged he could not and would not step away long enough to feed and water my feathery ladies. It was bitterly cold – same as the weather we’re having now, actually: weeks at a stretch below freezing, so their water froze and there wasn’t anything growing and the bugs and worms had burrowed deep. They needed care, but the Hubbit was too busy being furious with the bank (which was refusing to stop his online payment) to pay attention.

So I left the hotel and met him at the bank, where a young man was rude and unhelpful, and then I followed him home and found Mr. Roo collapsed and dying, so I dealt with that and went back to the hotel and tried to pray some more.

Meanwhile, although I didn’t know about it until a week or two later, on the other side of the planet my heart-sister Twiglet was fighting for her life in an ICU. She must have told me she was having hip surgery a month or so previously, but we’re so blasé about that kind of thing these days – a joint wears out and we pop into the hospital for a couple days and come out with a new one and it’s just a no-never-mind. Only, she developed an infection that roared through her body and sent her mind spiraling through bizarre landscapes. For months and months we lurched between “Praise God! Her infection markers are way down!” and “Oh no … a new bug has taken hold…”. It was a rollercoaster ride from Hell that went on and on, and on … and through it all I got to speak with her only once, in February. (I managed to make her laugh!) The rest of the time I was told she was too sick to speak. Or too tired. Or not lucid enough. Even when the news (I did get regular updates) seemed good, I was told she didn’t have her phone.

It tore my heart out not to be there – but even if it had made sense to go (it didn’t; she was rarely allowed visitors) how could I leave the Hubbit? In the savage, grey cold of winter he shrank and huddled into himself. I was afraid of what else might die if I left to go even further from home. I was afraid he would sit and eat nothing but junk food and get himself lost somewhere in the interwebs. I was afraid he might fall. His best friend, formerly known as the Cool Dude, lived on the property … but he’s a drunk and unreliable.

January, February, March I distracted myself by picking away at the bank, trying to get them first to cancel, then to reverse the Hubbit’s payment to the scammers. It was stupid to fight so hard for a mere hundred dollars, but rage drove me. The first customer service rep was so disdainful in the way he spoke to the Hubbit, treating him like a foolish old man; the others were ineffectual; the system was designed to be as difficult to navigate as possible. I wrote to the Attorney General, I blasted them on social media and sites like Yelp!, I pleaded and berated and threatened for months – such an appalling waste of time and energy! (And I got nowhere – there was too much else going on and I eventually let it go.)

Meanwhile, in March it was the Hubbit’s turn for had a quick little routine surgery – a simple removal of his gall bladder. It was no big deal – he was in and out in one day. Easy peasy.

They warn you that the gas pains afterwards are dreadful. The procedure involves pumping gas into the abdomen, and it floats around in there, getting stuck in awkward nooks and crannies, until it’s absorbed through the intestinal tissues and ejected in the usual fashion. The best way to get rid of the gas is to get up and move – which hurts, of course, but we were told that you have to tough it out and then it gets better.

The Hubbit wouldn’t move. He said it hurt, and also he felt sick. I summoned the Bitch Wife, who lashed him with her tongue, and he hated me almost as much as I did. And he did not get better. So I called various doctors and he went back to the hospital, where he failed to poop for a record-breaking number of days. When his bowels finally woke themselves up and performed, his nurses and doctor sang the Halleluiah chorus and packed him back home … where he continued to huddle, and shrink, and on the rare occasion that he spoke his speech was slurred and he forgot what he was saying – and usually what he was saying didn’t make a whole lot of sense anyway.

I called doctors again, and they patted me on the head and explained that he was old, until in desperation I summoned my Inner Karen, and she uttered the L word.

If there’s one thing doctors take seriously in this country, it’s lawsuits.

What I actually said was, “You know, I’m starting to wonder just who I’m going to sue when we find out his death was preventable. Should it be the hospital? Or your boss?” (I was speaking to the surgeon’s assistant. He was busy with another patient.) So she trotted off and returned a few minutes later with the surgeon in tow. He looked at the Hubbit, who was slumped in his chair and staring into space, and said, “You’re really worried?”

“Look,” I said. “He’s old. And he’s annoying and cantankerous. But outside of his political opinions there is nothing wrong with his brain!”

“Hmm,” he said. “Well, he doesn’t have any of the usual symptoms of an abscess, but let’s just check it out to set your mind at rest.” So they did, and he had an abscess the size of a fair-sized zucchini, all swollen up with glop from his bowel and less than a day away from erupting. He spent a couple more weeks in the hospital, and then they were about to send him home and he was well enough by then to tell me he wasn’t happy about that, so Karen popped her head out again. Once again they did a “probably unnecessary test” to “set everyone’s mind at rest” and found leakage where no leakage should be. At last in April he came home, fully restored to his annoying, cantankerous self, to my profound relief.

Meanwhile I’d developed a pain in my knee so severe some days I could barely walk. None of my remedies worked – neither ice nor heat, not an anti-inflammatory diet or fasting, not exercises or stretching or rest or powering through. But there was a huge bag of grain that the Hubbit and the Formerly Cool Dude had dumped in a random location, where cattle and horses kept breaking into it every time they bust out of their pasture (which tends to happen a lot when steers get to a certain age. I think it’s Mother Nature’s way of ensuring that we won’t be too sad when we kill and eat them.) So because I was hurting too much to lift it unaided, and the Hubbit was too feeble and floppy to help, I asked the FCD to move it to where they couldn’t get at it, because gorging on grain is a pretty sure way for grass-eaters to kill themselves. Well, somehow that request for help went sideways and the FCD launched into a vicious tirade that comprehensively covered everything he disliked about me – which turned out to be pretty much everything.

In the overall context of the general shittitude of the year, the booze-fueled ravings of a depressed, self-loathing misogynist is a relatively small matter. But … this was someone I’d known for a quarter of a century – since I arrived in this country. Back in the day, if he and the Hubbit went hunting together I never worried about potential accidents. I liked him, respected him, and trusted him. Even as I’d watched him deteriorate during the eight or so years he lived in his motorhome on our property, I’d wished him well and hoped he’d manage to turn himself around. So the implosion of that relationship, the Hubbit’s ambivalent response to his behavior, the FCD’s continued presence for months before he suddenly just up and left without saying goodbye or even leaving a forwarding address, all combined to taint what little peace and happiness the year had to offer. And now I’m sorry the Hubbit has lost his friend and git-her-done partner. But for myself I’m relieved that he’s gone. And that’s all I have to say about that.

My heart sister … I gave her such a hard time for joining the Red Hat Society!

I continued recording messages to send to Twiglet. They weren’t profound … Her husband said she enjoyed news from the Outside World, so mainly I bitched about my sore knee and yattered on about fence-smashing cows and too many dogs and gardenly frustrations. My prayers were also neither profound nor articulate. When you’ve been praying for a long time for something you really desperately want, after a while you run out of words, and all that’s left is an agonized, wordless “Please!” But when the infection flared up for the umpteenth time in June, her doctors were ready to quit fighting it. The only way to save her, they said, was to amputate her leg. “She’s strong enough,” they said, “But she might not be for much longer.”

Of course the people who loved her immediately rallied with intense prayer – not to save the leg, but for the doctors to have wisdom, and for this terrible journey at last to be done. I made up my mind that, come what may, I would go to be with her after she got back home, just for a week or two to help her recover. I imagined the koeksisters we would eat, and the conversations we would have, and how raucously we would laugh, sitting on her stoep overlooking their beautiful garden. I may have sent her a message mocking her for taking such extreme measures to lose weight … Or maybe I saved that joke for when I would see her. I don’t remember.

A few days later the doctors opened up the wound site just to check on the status of the infection. (This was something they had done often. The infection was deep in her bone, so blood tests weren’t reliable.) And in light of all our prayers – because I’ve had experience of miracles, and she had she – it wasn’t all that surprising to learn that the infection was clear. The surgeon who had proposed amputation told her husband, “I can’t justify removing a healthy limb.” At last it was over!

But…

That little surgery was one cut too many. Over the next few days, system by system, her body shut down.

On the Fourth of July I was out – I forget why – and en route home I connected briefly with her husband. He was at the hospital with her, and she wasn’t doing well. I asked if I could talk to her on his phone, since he was right there, but he said she couldn’t speak. He told me to record a message that he could play for her. I wanted to argue, to ask him please just to let me talk to her, even if she couldn’t respond – same as I did with my Marmeee … but he was so tired, and you don’t argue with someone who is sitting at his wife’s deathbed – not even when you both are convinced that she’ll be fine. When I got home I sat on my veranda, and as the fireworks started going off all around me I recorded a series of messages just to tell her I loved her, and that she had done well with her life, and that everything was going to be okay.

The next morning I woke to the news that she was gone. And then I took my knee to the doctor, who diagnosed bursitis and injected a steroid and made it better. Easy peasy.

While I was with the doctor I asked him if I could stop taking the blood thinners I’d been on since my pulmonary embolism last August. He approved, and a few weeks later (it was Twiglet’s birthday – her family gathered on a beach she loved and sent her ashes out to sea) I was back in ER, once again unable to breathe, followed by several days in the hospital, and so now I’m on blood thinners for the rest of my life.

Around about then Cujo moved to Idaho, depriving me of my rescue partner and most reliable venting buddy. We’d already decided – way back in January or February – that it was time to get out of rescue … and I’m almost there. But after she left I contacted the shelter and offered to take an old dog, because they tend not to do well in shelters and Cujo’s and my rescue has always done a pretty good job of finding wonderful homes for seniors. So Chief, a sweet old guy, moved in. After a few days I took him for a vet check, as we always do with seniors, and learned that he had advanced lymphoma, so the Hubbit and I decided he would just spend his last few months here on our little farm. Only not long after, for no clear reason (it’s possible the cancer had metastasized to his brain), he walked under the moving tractor, so he didn’t even get that.

I think that’s the last horrible thing that’s happened this year – except that I’ve been getting slower and sadder and more and more useless, and eventually a few days ago I paid my doctor another visit and it turns out I’m severely anemic. I kind of think that’s good news, though … I mean, it isn’t, of course. But at least this enemy has a face and it’s not the Black Dog, and I have a strategy for getting better. So that’s good, right?

But.

I am so, so tired. I’m sad. I feel old, fat, itchy and achy. Despite my best (currently feeble) efforts to be Holly Homemaker the house won’t stop throwing up all over itself, and – just to help that process along – we have two more dogs that needed somewhere to be and somehow this was the only spot available, and the cold hit before I could finish my end-of-growing-season chores, and there’s frozen snow everywhere just waiting to turn mucky and then freeze again. The pickup is still wrecked. The book is still not written. I’m still breathless.

The best friend I ever had and ever will have is still gone and always will be.

Sometimes I think how much easier it would be if I just stopped. Don’t get me wrong – I don’t actually want to die. In fact, when the doc got a bit vehement because he felt I wasn’t taking the whole anemia thing seriously enough (he wants more tests to figure it out, and that’s fine) I did feel a twinge of ehhh … I hope it’s nothing bad. (I don’t think it is. For quite a long time I’ve been pretty much living on cheese and tomato sandwiches, which aren’t generally a great source of iron.) But my body kind of has a use-by date now, and it would be so easy just to stop taking the dang blood thinners and let my blood do whatever it wants to do. It would be so easy peasy.

It’s time to draw that line – but how to do it?

Life is nothing at all like a game of Sudoku. There is no one perfect solution. There is no single sure way to make the squares in a row line up and act orderly.

It’s nothing like a column of numbers – there’s no way to calculate the sum because the answer keeps changing.

You can’t even draw a line in the sand and say, “Okay, Life, I dare ya – step over that and see what I do to you!” Because sometimes life laughs and runs away, and sometimes it plants you square in the nose, and sometimes a wave billows in from the side and washes the line away.

Sometimes the line isn’t even yours to draw, and the best you can do is take note, and move on.

Photo by Daryl Han on Unsplash

Errands

I didn’t get a whole lot done today. I’d planned to spend the day working on a project – I’m designing a website for a friend. This is a new challenge for me, and I’m loving the way it stretches my brain, even though I feel useless and pitiful and old for finding it so dang hard!

But first I had to bitch at my doctor’s office over a prescription snafu, and that led – by a convoluted trail – to a fight over who in the practice was actually my doctor, and then I had to write an impassioned email to the practice manager insisting that they assign me to the doctor I actually like and trust instead of the one who, on the one occasion I saw her, clearly considered me an imbecile who doesn’t know my own body. I wrote it on my phone, held two inches from my nose with one eye screwed shut because all this erupted while I was still in bed and before I’d put my contact lenses in, and then for some reason it was necessary to read the email, compulsively, over and over again, until they called me back and said it was okay, I could have the doctor I wanted.

So then I got up and got dressed and fed the dogs / horses / chickens / and while I was fixing toast and eggs for myself and the Hubbit I had a call from a snotty young asshole at our mortgage company demanding a payment that we’d been told we didn’t need to make, so we’d spent the money on other stuff, like Equine Senior pellets and chemotherapy. He and I circled the conversational drain a few times before he went away and I flung myself (and my eggs and toast) at my computer and wrote my second impassioned email of the day, this time to the person at the mortgage company who had told me we were skipping the payment. (Synopsis: we refinanced. Shit happened.) There followed more obsessive/compulsive rereading, but this time at least I was dressed and able to see.

Roary. I want so much to give this dog a safe place for Christmas.

At last I yanked myself out of that vortex, determined to focus on the website, but first I detoured through my pet rescue’s email inbox, and was emotionally bludgeoned by a desperate appeal for help from someone who has a dog – a middle-aged male pit / mastiff mix – that her daughter rescued after he was left to starve in an abandoned house and then passed along to her when she (the daughter) landed in jail. This woman rescues cats – ferals, which she rehabilitates and rehomes. So far the dog has killed two of them, so the dog is now also in jail. Right now, cats are not being rescued, the dog has lost 15 pounds and has developed an array of stress-related health problems, and the woman is on the verge of a breakdown. She’s tried everyone she knows, she tells me, and no one will help. This is not a surprise; rescues are all in overload. Christmas is when people get a new puppy (and dump the old dog) or go skiing or to Hawaii (and dump the inconvenient dog), and of course this year there are all the covid-companions that are also being dumped because people are going back to work and “don’t have time to give him the attention he deserves.”

Side note: For fuck’s sake, people. If your name isn’t Musk or Bezos, never mind your dog, you’re probably not getting what you “deserve”. You’re quite possibly not even getting what you need. Suck it up, and if you have a dog, figure out how to suck that up too! The single most important thing a dog – or anyone – needs is a place to be, and if you don’t provide that, and the rescues can’t, he has to stop being. It’s that simple.

To stop being – to absorb a few CCs of blue magic and fall asleep: this might be all Roary gets, in the end. I can’t take him; I told her that a week ago, the first time she emailed me. I would if I could, but I have a kitty in my bedroom, and feral cats in the workshop, and chickens. I’m also getting too old and gimpy to cope with an unsocialized, out-of-control 100 lb dog, no matter how sweet he is deep down. And Argos is making it increasingly clear that he is over this rescue schtick of mine.

I called Cujo, who is my rescue partner, to ask if she had any ideas, and she said she couldn’t deal with it, couldn’t think of it – and of course she couldn’t. She’s grieving her sweet, bouncy, wilful, neurotic, beloved pit bull Jilly Bean. Little Bean came to us several years ago when the Animal Control director called to ask for help. She was just a baby – maybe six months old – and already broken and scary. Cujo took her home to rehabilitate her, and when that wasn’t possible she simply loved her and gave her a place to be for as long as possible. But the legacy of bad breeding, apart from behavioral problems, is bad health. She itched, all over and all the time, and after a while medication, special food and baths stopped working. And then her joints began to crumble. She was young and wanted to run and play but her body just couldn’t do it. She was stoical and joyous but life wasn’t good, and the pain began to make her dangerous. Cujo took her to the vet for the last time just a little while ago. I was there, and it was loving and peaceful and terrible, and now Cujo needs time to heal. She cannot be thinking about other people’s dogs.

So I wrote the kindest, most empathetic email I could to the woman, explaining for the second time – but in more detail – why we couldn’t help. I offered to pay for the euthanasia, since even her vet thinks that’s the route she should take if he isn’t placed in a new home soon. I offered to go with her to have him put to sleep, because I know – how well I know! – that it’s a terrible thing to face alone. It’s one thing to euthanize an animal that’s sick and suffering. It’s entirely another when the creature is eager to love and still greedy for life. And then I thought some more about it, and I wrote to our vet just in case she knew of someone who might take him, and I posted the appeal on Facebook with his picture … but I don’t expect anything to come of any of that. People will wring their hands and say how sad it is, but actually do anything? No, not too likely.

After that, I cried for a while, and by the time that was done it was too late to be thinking about websites. It was getting dark. I had errands to run, some of them urgent. I called Argos, and we took off together.

We went to the post office, where I picked up boxes to mail Christmas cakes – two to friends, and one to the guy who rescued me a few weeks ago. Dropped off a Christmas cake, newly baptized in brandy, with friends who foster a litter or two of puppies for us every year, thereby keeping our little rescue solvent. Went to the feed store, where I picked up several bags of the special old-horse-pellets we give Vos and Garcia, because Vos is now 30 years old and can’t chew enough hay to keep nourished, and Garcia is getting to the age where he needs a bit of nutritional support come winter.

From there we headed across town to Petco. I went into autopilot and turned right, to the dog toy section, and stopped for a while and stared at all the toys. Rubber ones, and fabric ones. Ones that you can tug and shake. Bouncy ones. Fluffy ones. The kind she loved best – squeaky ones.

I realized I could buy any I wanted and be confident that they’d last. Because the small, bright-eyed, prick-eared, black-and-white person who used to dismantle every fluffy or squeaky toy I ever brought home, no matter how careful I was to keep them out of her reach, isn’t here any more.

I didn’t want to cry in Petco.

Boudicca. In winter, my personal nighttime neckwarmer. In summer, the terror of small wild furry things.

I backed away from the toys. Took Argos to his favorite area – where the animals are. It wasn’t too interesting; the chinchilla was hiding and the ferrets were asleep, and he was kinda meh about the mice and birds, although he clacked his teeth at the parrot and the parrot snapped its beak back at him, so I guess there was some sort of inter-species communication there. Anyway, we went and got the cat litter we were there for – the clumping kind for the barn cats, and the pellets made of recycled newsprint for Boudicca.

I loaded it onto the front passenger seat, on top of the soft, bright blanket that’s been there since her last ride to the vet. I ignored the blanket, and also the box of canned dog food in the footwell in front of the seat, as I have every time I’ve used the car in the past week. We went to Yokes, a grocery store, where I picked up veggies, and a random assortment of suppery things from the deli counter, and chocolate chips so I can make a batch of brownies as a thank you for the neighbor who is coming over tomorrow with his backhoe.

I so very badly do not want to think about this! Forgive me, please, for sneaking it in under a to-do list of errands and other nonsense. I needed to bury it somehow.

But … she deserves better. So here it is: a short In Memoriam for a small dog who has left the most enormous hole.

Patchee

Patchee came to us about ten years ago. She was only a year old, if that, when the local animal control director called and asked the Hubbit and me to take her in, because the dog rescue we’d started was becoming known as a place to take dogs with behavioral issues. “There really isn’t anything wrong with this dog,” the director told us, “But legally I can’t rehome her. I have to euthanize her unless a rescue agrees to rehabilitate her. And it wouldn’t be right to put her down. She’s a perfectly normal dog, and she’s too young!”

She’d been adopted from the pound by someone who wanted a cute puppy, and who thought a heeler mix would do just fine cooped up in an apartment while the woman – a lawyer – was at work twelve hours a day. The woman was most put out when her sweet little puppy took to dismantling cushions, the couch, and anything else she could get her teeth into. Then the woman invited her friends over, and – so disconcerting – the Heeler nipped at their heels, herding them around and then out of the apartment. So the woman took her back to the pound, and in an effort to excuse herself she said the words that amounted to a death warrant: “She tries to bite my friends. I think she’s potentially dangerous.”

Well, of course we took her in, and she was with us for quite a while – at least a year. People applied to adopt her, but while other dogs came and went she stayed. She had attached herself to the Hubbit, and she disdained anyone else’s overtures. Eventually a family came to meet her – an older couple and the four teenage grandsons they were raising. To our great surprise, Patchee welcomed them. The grandsons threw balls, and she loved fetching balls, and that was really all it took. So they took her away, and as they rolled down the driveway Jim broke down and said, “I think I’ve just made a huge mistake.”

Mistake or not, we had to live with it, and so he did – but he set her picture as the wallpaper on his cell phone and carried her next to his heart, and a couple times when we were near the town she had moved to he drove past the house, hoping to see her. We never did.

Eighteen months later they called us. They told us they’d adopted another dog, from a shelter in a different town. They’d chosen that dog because it looked like Patchee and they’d thought it would be cute to have a matching pair, but they weren’t working out. Patchee had started having accidents in the house, and was scared to go outside. Frankly, it all sounded a little weird. So we told them to bring her back.

“No, no!” they said. “We love Patchee – we want to keep her. But we don’t want to take the other dog back to the shelter. We were hoping you’d take her and find her a home.”

“Nope,” I said. “Sounds like Patchee has a problem. We’re responsible for fixing it. Please bring her back.” So, reluctantly, they did. They completed paperwork to transfer her to us. Just before they signed they started to pull back and I thrust it at them. “This is the right decision,” I said, and stared them down. I was implacable. Looking back, I can’t remember why … I just knew something wasn’t okay and we needed to take our girl back. I don’t know what had really happened to her while she was with them. I don’t know what happened to the other dog. Maybe they kept her, maybe not. Maybe she was okay. They’d said she was fine.

Patchee was not fine. For several days she was utterly shut down – barely eating, barely sleeping, just curled in a tight ball, refusing to make eye contact. Then one day the Hubbit and I were sitting quietly near her and chatting, and he … I don’t know what he did. Maybe he laughed, or maybe he used a phrase that triggered a memory. I just remember that suddenly she raised her head and looked at him. Stood up, went to him, and “Oh!” she said, with her whole body. “There you are!” And she began to heal.

She started following him around the farm. Curling up close by in his study. Playing fetch. Dismantling toys to find the squeak. Sleeping between us on the bed. She changed toward me too – decided I was maybe a little more than the person who fed her and threw the ball; I began to get my small allotment of snuggles and “Good morning” rrroooo-rrahhhs. She even decided she liked a few of our friends.

And that was pretty much the sum total of her life until a few months ago. She didn’t do anything extraordinary … She rolled in cow manure in spring and turned green. She chased the ball. She went down to the river a few times, and sometimes rode along when the Hubbit went out on errands. She found the squeaker in every squeaky toy, and pulled stuffing out of anything stuffed. She hung out with the Hubbit. She was happy.

A few months ago I took her to the vet for her senior wellness exam, and after a couple of tests they diagnosed early stage kidney failure and an inoperable tumor in her bladder. This was our second case of kidney failure this year … the Hubbit’s other little princess, Ntombi, died last April barely two months after her diagnosis. And when she got sick we were sad and worried, and I turned myself inside-out trying to feed her home-cooked meals suitable for failing kidneys, and when we had to let her go because she was simply fading away we were sad – of course we were.

Ntombi – our first death row rescue. She was just a puppy in 2007, scheduled to die because there was no room at the pound.

But she was an old dog, and old dogs die. It’s what you expect. One of the things that may carry them off is kidney failure. So when we got Patchee’s diagnosis I was sad, but she was eleven – not old old, but old enough. The tumor worried me, but I figured we’d just keep things going as long as we could and help her go when we had to.

The Hubbit didn’t react that way. “We need to fight this. I’m not ready to lose her,” he said. So we went back to the vet to discuss our options, and the vet suggested we take her to the oncology department at Washington State University vet school.

The thing about refinancing a mortgage is, you get a month, or occasionally two months, of grace during which you don’t have to make a payment. There’s the final payment to your original mortgage holder, and then you get whatever is left in your escrow account, and a month (or two) of no mortgage payment before payments to the new mortgage holder kick in.

The vet at WSU said a course of chemo might help her. It wouldn’t cure the cancer, she warned, but it might give her some time – quality time, with just a few tough days after each treatment. We would have to take her in every three weeks, and she’d need to have a blood test done at our local vet a week after each treatment, and sometimes other tests. She’d have to stay on the special kidney diet as well, and she’d be on daily medications. All this added up to a wild number of dollars. But … we could do it. So we did.

The first treatment was amazing. She could pee again! She’d squat and pee would come out – a bit reddish, but they told us that was a normal side-effect of the chemo – and in no time she’d be done and bouncing off to do something more interesting. Her appetite recovered a few days after the treatment, her tail went up, her rrroooo-rrahhhs came at full volume. She fetched the ball and hung out with the Hubbit and life was good.

By the time the second treatment rolled around, peeing was difficult again. It was slow, and she sometimes had to walk around a while to get herself into exactly the right position to make anything come out. We looked forward to another improvement after that treatment, but there was none, and there was no improvement after the third treatment either, and by then it was difficult to get her to eat even after she’d had time to recover from the chemo. We abandoned the special kidney diet – it was becoming clear that she wouldn’t be around long enough to die of kidney failure – and I spent hours picking at chicken breast, breaking the flesh into fragments, mashing them into rice that had been cooked in chicken broth. I bought canned dog food that smelled so yummy it drove the rest of the pack crazy with envy, and the Hubbit tempted her with bits and pieces off his plate. She developed a bladder infection and was on an antibiotic, so I loaded up a large syringe with Greek yogurt twice a day and forced her to take it. She developed diarrhea, so I made her eat canned pumpkin, pushing it far back into her mouth with my thumb and holding her muzzle so she couldn’t spit it out. The rest of the time – when she wasn’t peeing one tiny drip at a time, or grimacing at the thought of food, she was as she always had been – watching over the Hubbit out in the pasture, in his workshop, while he was at his computer. She loved him, and she loved her life.

Three weeks ago I took her for her fourth treatment. It’s a two-and-a-half hour drive to WSU, and I welcomed the respite from everyday life. I left around dawn to be there in time for her 9.00AM appointment, listening to Stephen King’s “It” on an audiobook, on time for once, no need to rush, loving the easy highway through the unfurling hills of the Palouse. I was in our new pickup, Argos on the back seat and Patchee, snug in the colorful fleece jacket Cujo made her, curled up on her blanket on the passenger seat beside me. The sun had been up for a while as I rounded a curve, loving the sparkle of the thin layer of ice on the roadway, taking it slow.

The quiet beauty of the Palouse

And then I was spinning and time shifted into slow-motion. I checked the dogs, and they were fine. I remembered not to slam the brakes because that would make the skid harder to control. I checked the road and was relieved to see no traffic. I steered into the spin. My foot hovering over the brake, I waited to regain control, but that didn’t happen. I looked at the barricade as I was carried inexorably toward it – it looked just so flimsy, and I studied the way the hillside sloped down into the valley below the road, and I wondered whether I’d be able to keep the pickup upright when we smashed through the barricade and slammed downward. I figured the truck was probably going to roll, and I thought, “Okay, so maybe this is how death happens for me. I hope it doesn’t hurt too much.” I hoped the dogs would be okay, and not run off and be lost and starve in those lonely hills. I felt the pickup slam into the barricade – a solid thump, and the barricade held and we were sliding and spinning back across into the left lane, still no oncoming traffic, and I think it was around about then that I started carefully pumping the brake, still steering into the spin as best I could, and the wheels bit into gravel at the edge of the road, and at last. We. Stopped.

I guess the whole thing took less than a minute, but it lasted half a lifetime. I guess I must have hit a puddle of black ice, not yet melted although the sun had been up for at least an hour along that stretch of roadway. I’ve since learned that because the cruise control was on, when the wheels hit ice and lost friction they automatically accelerated, and of course until I tapped the brake the cruise control kept the pickup moving. So obvious … I was waiting for it to slow down, and it couldn’t – not until I deactivated the cruise control by braking. And I hesitated to brake, because I didn’t want to make the skid worse. So … a lesson for any who don’t know: don’t use cruise control in potentially icy conditions.

It wasn’t long before a car came along and pulled over, and a young man asked if I needed help. He loaned me his cell phone to call the Hubbit (mine wasn’t picking up a signal), and then he took me and the dogs to WSU. There was another accident a little further along the highway but he said he’d grown up in the area and preferred using the more scenic back routes anyway, and took off along a dirt road that wound through the hills. It was very pretty, but I spent most of the drive thinking how ironic it would be to have survived the accident only to be done in by a serial killer, and wondering whether the Hubbit would be able to find the dogs. (Spoiler alert: I’m still here.)

And then … we were at the vet school, and back inside the painful reality of regular life. A vet student came and took Patchee to have an ultrasound. Argos and I made camp in the lobby with the pile of blankets and my Kindle and other random crap that I’d thought I needed to pull from the pickup. After a while the Cool Dude, the Hubbit’s friend who lives in a motorhome parked next to our house, arrived to take us home. He’d left the Hubbit to figure out how to get the pickup back to the farm. We hung around and waited, and eventually the vet emerged and told me that Patchee’s tumor was still growing, and she wanted to try a different chemotherapy drug, and a course of radiation therapy to start in a few weeks. I said okay to the chemo, and agreed to discuss radiation with the Hubbit. At last the day was over and we loaded up in the Cool Dude’s car and drove home.

She loved when I snuggled her up into one of the jackets Cujo made her. She didn’t like being cold! But then after a few days she’d go out and scrape it off wriggling through a pasture fence, and the Hubbit would have to go looking.

We hoped, so very much, that this new chemo drug would work – that she’d at least be able to pee easy again. But … no. Mostly she leaked. She was scheduled for her fifth chemo treatment this week.

Last week, on Wednesday morning, I noticed she was passing blood – not just bloody urine, which was somewhat normal, but actual blood. I called the vet, and they said to take her in and they’d check her out in between appointments and call when they knew something. A couple hours later they called me, and I told the Hubbit he needed to go and be with her. It was time to let her go.

We don’t know for sure without a necropsy, but we think the tumor blocked her urethra, or maybe it just got too big, and her bladder ruptured. The extraordinary thing is that she still sang a song of joy to the Hubbit that morning, and she glommed down half her breakfast a few hours later, and she was … just … happy to be alive, hanging out with the Hubbit, doing her thing. She wasn’t afraid, and she didn’t complain that she was hurting.

The Hubbit brought her home in a little cardboard coffin the vet provided, still wearing the bright jacket that can no longer warm her. He put her in the big chest freezer we keep in the workshop. He insisted that he and the Cool Dude would dig her grave, but they’re both gimped up and I need her not to be in the freezer any more, so a couple days ago he agreed to ask our neighbor for help.

Tomorrow morning I’ll get up early and make him a batch of brownies. He’s coming with his backhoe at 10:00AM, and it won’t take long.

At 11.00AM a woman is arriving with a little freaked-out Mini-Aussie who needs a place to be and someone to teach her how to stop biting and be happy.

On Sunday I’m meeting with someone who needs me to do write something for her.

On Monday I’m working on that website.

Sometimes life spins out of control, and sometimes it’s in slow-mo, and sometimes both happen at once. You have to drive into the spin, tap the brake lightly, and hope the barricade will hold. Usually it does.

Breathless

I bitched so much that they hung this on my door, and after that people tiptoed in and apologized for turning on lights even at midday. And, yes, keratoconus does mean sudden bright light hurts my eyes … but actually the spirit of my bitching was more along the lines of Proverbs 27:14 – “He that blesseth his friend with a loud voice, rising early in the morning, it shall be counted a curse to him.”

Today didn’t start well.

There was a thump at the door, the rattle of a trolley full of sharp implements, a hurting blaze of lights. I yelped and clamped a pillow over my face. With a trill of merry laughter my tormentor took my hand, stuck a needle into it, and plundered my blood, then made her galumphing departure.

I wanted to go back to sleep, but – of course – I needed to pee. I disentangled my legs from clutching sheets, hit the call button, disconnected the wires attached to my chest, and tottered all the way to the bathroom without tripping over my IV drip. I assumed the position. Released the flow into a little plastic stetson-shaped thingummy positioned at the top of the bowl, because they measure my bladderly essence. And woke abruptly to the wet and horrible realization that it hadn’t been emptied after my last visit.

The toilet hat – can you see it? When you’re being pumped full of fluids, they have to make sure what’s going in is finding its way out. But if you have a capacious bladder, you don’t want to use it twice in a row without someone emptying it out first.

By the time I’d swabbed myself down and had been tucked back into a freshly made bed by a sympathetic nurse who managed to control her laughter until after she’d left my room, I was wide awake. And I was irritable and feeling sorry for myself – in short, completely over the sense of euphoria I had been feeling for the previous few days.

I should probably tell you about those days.

They started last Tuesday, when I visited Wonder Woman and caused both of us some perturbation by almost collapsing when I reached the top of the flight of stairs leading from her garden to her living room. “Dang I’m unfit!” I wheezed, mopping my sweaty face. “I have got to quit talking about getting more exercise, and start walking! Just as soon as I buy a Fitbit!” Well, it turned out she had a Fitbit that she’d bought for herself before she realized that setting it up would take at least half an hour of technological tinkering. Wonder Woman is nearly 90; she figured she didn’t want to spend one of her last remaining half hours that way, so she gave it to me. And although that’s somewhat peripheral to this story, if I were writing actual Literature it would count as Dramatic Irony, which proves that sometimes life does indeed imitate art.

Anyway. To get back to my point.

Wednesday I was draggy. I spent it trudging through the bare minimum of chores, yawning over my news feed, and wishing the black dog would just damn well let go and let me breathe. I didn’t feel especially depressed – just so, so tired, and when I thought of all the things I wanted to do -happy things, like gardening and writing and giving the horses a bath and taking Argos to the river for some training time and baking bread and even shining my little house – I felt overwhelmed and weary. I’d felt that way for a while … but on Wednesday just breathing felt hard. And late in the afternoon, when I went outside to feed my chickens, I had to lean quite heavily on my cane, and when I came back inside I was staggering and I had to sit down and just quietly pant for a while.

While I was sitting I consulted Dr. Google about Reasons To Be Short Of Breath. His insights were disturbing.

I told myself to quit being stupid. When you’re lazy and obese, of course you’re gonna be short of breath, I said to me. This isn’t rocket science! No further research is required! I got myself up on my hind legs and moved laundry around and was going to swab down the kitchen counters, but … first I needed to take another little rest. I chatted a bit more with Dr. Google. I decided that if I didn’t feel better by Thursday morning, I should probably call my doctor.

This isn’t something I do lightly. This is America, the Land of Hell-no-it-ain’t-free, and I don’t have health insurance, because the Hubbit and I inhabit that awkward gap between people who qualify for subsidized (and therefore affordable) insurance, and those who can sniff judgmentally at the Affordable Care Act. That is, the Hubbit has Medicare and supplemental insurance, which is just as well given his penchant for dancing with heavy machinery, but I pretty much just keep chugging along and trusting God to keep me going as long as he wants me around. It’s worked for me.

I’d been looking forward to Wednesday night, because we’d been promised a spectacular show by the Perseids – no moon, clearish sky. In 20 years of trying I’ve never actually seen the Perseid shower, and it’s become a bit of an obsession – so this year was definitely going to be The One. I planned to go out into the backyard with a blanket at around 11.00PM and just lie and watch them.

Only, between an increasingly insistent Dr. Google and sheer lack of oxygen to the brain, by 11.00PM it was dawning on me that maybe this shit was real. So I texted the Hubbit from the bedroom (he was in his study) to tell him I was worried … and waited for him to come busting through, brimming over with husbandly concern (and maybe a hug or two), to insist that it was only money and drag me off to the hospital. Only he didn’t, so I sent a couple more texts phrased to make him feel like a heel, and then I went to get dressed so I could drive my own damn self to the hospital, and found his phone lying on the floor of the closet.

He does this. He scatters his phone in his wake like one-at-a-time confetti. It drives me completely insane.

Turns out you can’t stomp and shout very effectively without breathing, but I did my best, and after delivering his phone to him I went and got dressed, stopping as needed to inhale. Then the Hubbit wandered into the bedroom and said that of course he would take me to the hospital because that was his responsibility as my husband. So I came a bit unglued and broke my phone, because it doesn’t take that much breath to thump things.

On the way to the hospital we stopped so I could hang my head out of the car window and look for meteors, but I didn’t see any.

I don’t remember much about the ensuing 20-or-so hours, which is a pity, because the whole time I was blogging about it in my head, and it was hilarious. But I couldn’t write it down because I had to keep my arms straight on account of the IV drips inside my elbows, plus the persistent interruptions by people with machines that needed to interact with me, and other people who kept sticking me with needles and taking more and still more of my sluggish, unwilling blood. I remember snapshots…

Did you know that getting an MRI is almost exactly like going through a wormhole in space? You lie down and someone injects you with a magical substance that uncoils a delicious heat in unmentionable places, and the world moves and you’re inside a giant halo, and lights flicker and the voice of God tells you “Stop breathing” and then, just at the moment you absolutely have to, “You can breathe”.

I asked for water and they told me I was “nothing by mouth” while the doctors decided whether or not to do a procedure to blast the blood clots out of my lung, and I thought that was strange because I’d thought my heart was failing, but it turned out my heart was fine but one of my lungs (I’m not sure which one) was all clotted up and icky, and this was sort of a good thing, relatively speaking, because if caught in time it will heal, whereas a failing heart can only be helped, not healed. And then after a while someone brought me a menu and told me to order lunch, and that’s how I found out that they’d decided the procedure wasn’t necessary, which was also good news, especially as I was hungry enough to eat a doctor by then.

They asked me questions about my family medical history and I did sums in my head and realized that my father was about the age I am now when he had the heart attack that turned his life around, so I decided I could turn my life around too.

The tech who did the echocardiogram helped me look at the screen so I could see inside my own heart, and it was working so, so hard! It didn’t flop helplessly like the sad, sick heart of the transplant patient I told you about, and nor did it rat-a-tat like the young, new heart that patient received. My heart is like the little engine that could, and the sight of it working with such steady determination to take a too-heavy load up a too-steep hill made me weep with gratitude and shame.

Eventually – it was Thursday evening by then – they brought me up to the room where I’m writing this. It’s a spacious private room, and even has a small sitting area with a recliner and a view of the hills. They tucked me into a real bed and fussed around asking what they could do to make me comfortable, and all I could think to ask for was hospital socks.

Hospital socks – conceivably the greatest achievement of medical technology.

At some point during the ensuing days I learned the name of what had happened to me. I had a pulmonary embolism, and it probably happened because I spend too much time sitting and feeling sad instead of getting up on my hind legs and living my life. I let the black dog harry me into the Valley … but I skirted the Shadow, and I’m coming back out into the light, and as God is my witness that dog is going to learn to walk to heel.

I haven’t had much experience of hospitals. Prior to this adventure, the only times I’ve stayed overnight in a hospital were after I was born, and when I was 10 years old and had my tonsils out, and when the Girl Child was born. But I’ve heard enough about hospitals from other people to have learned that they’re dehumanizing places, where one becomes a patient rather than a person, where the food is awful, where a good night’s rest is less important than the staff routines. So my own experience has been surprising.

The fact is, I have felt cherished. Protected. Provided with a refuge where I had one job and one job only: to heal – first my body, but it’s also given me a quiet place to begin healing my soul. Little by little my breath has come easier. On Saturday I had an actual shower. Yesterday – Sunday – they said I could go home, and disconnected the IV and taught me how to inject myself.

Now I’m just waiting for my final visit with the doctor, and then I can peel off the sticky pads that keep me connected to the heart monitor, and they’ll remove my last IV port, and I can take off the hospital gown and put on my real clothes. They’ll wheel me down to the main entrance and the Hubbit will come, and we’ll go buy me a phone and swing by Yokes for a supply of fresh vegetables – because mealtimes in the Took household are getting a radical makeover. And then we’ll pick up Argos from boarding and we’ll go home.

*****

A little over a week has passed since I wrote this post. It took a while to get my computer hooked up again and download the pictures, and I’ve once again been spending way too much time just sitting. I think about getting up and moving … I think about how I’ll die if I don’t – not right away, because I’m on drugs that keep my blood safe and runny, but I’ll come off them in a two or three months, and then if I haven’t changed my habits … Well, I have to change my habits. That is all. I’m putting it in writing. And I have a Fitbit. Surely that will make a difference!

Between one beat and the next

Photo by Patricia Tser on Unsplash

My friend Bridie and I used to ride our bikes to school together. Every morning I rode the half mile or so to the corner near her house, and then we rode the remaining two or three miles side by side, giggling, ignoring her bossy older sister Jan who pedaled and puffed behind us. One morning Bridie wasn’t there so I rode to her house, leaned my bike against the wall, started to walk through the back door.

Someone – her mother? – grabbed my arms and stopped me. Told me Bridie wouldn’t be coming to school that day because her father had died. He and her mom had gone to bed the night before, but only her mom had woken up. His heart just stopped beating.

Some time later I stormed into her house, raging over the latest fight I’d had with my father. “You should be grateful you still have him,” Jan told me – so pompous! I snarled at her, “You have no idea how lucky you are!” and her face went white as her heart missed a beat. After that we didn’t speak for a long time.

By the time my father had his first heart attack, I think in 1997, which was the year before I married the Hubbit and moved to the US, he and I had achieved a truce of sorts. I was on my way to an interview when someone – my mother? – called me on my cell phone and I changed direction and sped to the hospital. The Egg and her husband were already there, huddled together on one of the long benches in the large, empty waiting area. They directed me to another waiting area next door, where I found Marmeee standing beside him, clutching his hand and looking scared. He was on one of those narrow, wheeled metal hospital beds, gasping for breath, his face the dull yellow of old fat that’s been exposed to air.

Not far from them was a counter, and behind it an empty reception area, and beyond that a room full of nurses engaged in loud conversation while they drank their tea. There was a bell, which I rang furiously with one hand while slapping the wood of the counter with my other hand. A nurse emerged and looked me up and down. “Yes?” she asked.

“My father needs attention!” I demanded.

She glanced dismissively at him. “We are waiting for his file,” she said.

“Where is his file?”

She flipped a languid finger back toward the room where the Egg and her husband were waiting. “The messenger will get it. But now he is on his break,” she said. I stormed through the door, rang a different bell, slapped a different counter. Demanded the file, which I carried back and slammed down in front of the nurse. She rolled her eyes, flicked the file open, froze. Called more nurses. Moments later they wheeled him away, Marmeee scurrying alongside as he clung to her hand.

There was nothing left for me to do, except … I could call for favors. I called Cass, a cardiologist I’d interviewed a few weeks previously. He was a hot shot, associated with a private hospital. My father, who didn’t have medical insurance, was in a state hospital. Cass had liked the story I wrote about him, and had asked me to write another story about organ transplants and the need for donors. I’d told him I would, but that it would be a better story if I could actually witness and write about a heart transplant. So at that point – the point I was at, sitting in the waiting room while my father clung to my mother’s hand in a different room full of machines beeping and nurses scurrying and doctors barking instructions – at that point, we were waiting for one of Cass’s patients to be matched with a donor heart.

Well, if your father has a heart attack and you happen to know the top cardiologist in town, maybe happen to have impressed him enough that he wants a favor, obviously you call him. And even if he can’t personally get involved in the case, he makes a few calls, lets it be known that he has an interest, and the awed cardiac team responsible for your father’s care snaps to attention and gets the job done. The Olde Buzzard had surgery and it went well and he got medical insurance and started seeing Cass regularly, and his heart kept up a steady thump for nearly twenty more years, until Marmeee’s stopped and his no longer had a reason to keep on beating.

It was late Friday afternoon, a hot day at the end of a too-long week. The voice on the phone was warm. Sexy. “Hey there – would you like to spend the night with me?”

My pulse quickened … but … I was in Johannesburg, and the only man at that time likely to make me such an offer was on the other side of the planet. “Who is this?” I squeaked.

He chuckled. “It’s Cass,” he said. We had a heart!

I met him at the hospital a couple hours later, and he took me to meet the patient’s wife. I had forgotten the wife until I read my notes today. At the time she was merely background, barely relevant to the story. It’s interesting how life has a way of teaching one empathy.

I had my laptop with me, and I made my notes in the form of a letter to the Hubbit. He wasn’t my Hubbit yet, of course; we were still at the internet romance stage of our relationship, he in the US and I in South Africa. We didn’t yet expect to meet, but we’d got into the habit of sharing the events of our lives.

Hiya, honeybun!

I’m sitting on the floor of a large passage in the hospital. Nothing much is happening … I need to write down what I’m experiencing, and – hope you don’t mind – it’ll be a lot easier just to tell it all to you. I guess it’s one way to spend the night with you … <smial>

Oh yeah – we got pretty steamy back then. Even with the full bulk of the planet between us he could make my heart flutter!

I told him about the family – Hindu, a large crowd, the women all dressed in saris. The mother, who sat lotus-legged and praying on a plastic chair, one eye covered by an eye patch held in place by masking tape – she’d had cataract surgery a few days previously. Three sons, the youngest 13. A brother who was a cardiologist, who later showed up in the operating theater.

The patient is only 47. He has had heart disease for about six years and they had been keeping it under control with medication, but early this year he went into heart arrest and Cass said it was time to plan for a transplant. He’s been incredibly lucky – he’s had to wait only five weeks. Some people wait years.

An orderly brought him his pre-med while I was there – a tiny plastic tot glass of water and a handful of pills. The orderly told him not to drink more of the water than he absolutely had to, but he must have been thirsty – he downed the whole lot almost compulsively. Then they had to give him an injection; wanted to give it into his shoulder, but he’s so thin there’s not enough flesh there. They had to inject him in the buttock.

Suddenly it was time to take him away. Orderlies pushed his hospital bed speedily toward the operating theater, and his family streamed behind, keeping pace with his bed until a nurse stopped them, gently told them to say goodbye, that they’d see him the next day. They stood in a small cluster, waving and smiling with determination, and kept waving even after he was out of sight, their fear surrounding them like a fog.

Then a nurse brought me a hideous green overall to wear. Needless to say the one-size-fits-all trousers didn’t, but she found me some bigger ones. I had the MOST frustrating time trying to persuade my hair to stay tucked inside a silly little cap. I’m wearing nothing but thin plastic overshoes on my feet, because I didn’t think to change into sneakers and the overshoes won’t work with the heels I was wearing. My feet are freezing! Now I’m sitting in a little room outside the theater, drinking tea and waiting for something to happen. In TV hospital programs hospital life looks like one adrenaline rush after another. Not so. This evening has been mainly waiting.

And now I’m in the theater! I rushed in and was promptly chased out – I’d forgotten my face mask! Put it on – how do doctors wear these things? After less than a minute I felt as though I was suffocating.

The operating theater was a small room crammed with equipment and crowded with people – several nurses, an anesthetist, two cardiologists, all chatting and joking as though they were at a party. The perfusionist – the person responsible for the heart-lung machine – sat next to the patient reading a Playboy magazine. The two cardiac surgeons had their own extra-high-sterility area, separated from everyone else by a low divider covered with hanging towels.

At the center of it all is the patient. He is very still, and is almost completely covered by green sheets; even his face is covered, except for a little slit where a tube goes in. On the cardiac monitor his heartbeat is erratic, frantic… They’ve started cutting and his heart is going crazy… They’ve sawed open his sternum. It looks like meat, but the smell is strange, nasty.

Okay … I went to stand above the patient’s head, and watched the surgeon cut open the pericardium. I saw inside his body. I saw his heart, laboring sluggishly to keep going. And now … we wait. The new heart is on its way. They are ready.

Time is of the essence in a heart transplant. The donor heart must be in and beating within four hours or tissues start to break down. In this case, the donor heart was flown up to Johannesburg from a town on the coast. To save time they opened up the patient and were ready to go, but they didn’t disconnect his old heart until the new one had actually arrived.

The heart is packed in ice, inside a plastic bag, the whole kaboodle inside the kind of polystyrene cooler box one uses for picnics. They’ve put it next to an identical box that’s full of ice and soft drinks. The packaged heart looks like someone’s groceries.

They have taken out the old heart. It fibrillated for about 15 minutes while they were connecting the heart-lung machine, before they removed it and the monitor finally fell silent. Now it’s lying off to one side in a kidney dish, still trying its best to beat. Cass says it wouldn’t have lasted longer than a few more weeks. It makes me sad to think of it being thrown away now, though, when it’s tried so hard.

The new heart looks more solid, meatier, than the old one. The surgeons agree that it’s a nice heart. It used to belong to a 43-year-old woman who lived in a small coastal town. Today she had a cerebral aneurysm – she had a massive bleed and died – just like that. Well, technically, she didn’t die until they took her heart out about two-and-a-half hours ago. I wonder what she’d planned to do today.

And right now, technically, this patient is also dead. A machine is doing his breathing and moving his blood, and his temperature’s right down at 28 Celsius. Every now and then a nurse takes some ice out of the picnic box and puts it into his heart cavity to keep it cold. I touched his head. It felt … horrible. Icy. Not alive.

The surgery I watched was something of a milestone. I’d forgotten that too, until reading my notes. It was the first time of using surgical superglue in a heart transplant in South Africa. They spent an hour stitching the heart and supplemented the stitches with glue. I’m sure by now surgeons use glue alone to connect the blood vessels to the heart tissue. According to my notes that was the goal, anyway.

They’re trying to start the heart by pumping blood into it, massaging it gently by hand, and shocking it. It doesn’t want to start. They massage, shock, look at the monitor. It fibrillates, then stops. They try again and again. They look like Sunday afternoon mechanics huddled around a car engine, coaxing it to life.

Ten minutes in the beat is strong and steady. There are a few little leaks, which the surgeons are stitching and gluing. There’s gore everywhere, and the surgeons are spattered with blood.

Everyone is tired, coming down off a high. The final stage of the process is mechanical. They disconnect the heart-lung machine and the perfusionist packs it and his magazines away. Release the clamps that have been holding his rib cage open, remove the swabs, finish cauterizing the wound – that disgusting smell again. Insert drains and sew him up.

I thanked the hot cardiologist for giving me one of the best nights of my life. “I learned a lot!” I told him, and went home.

The Hubbit’s new cardiologist isn’t especially hot. He’s a large, blustery man, a kind man, I believe a good doctor, but as hard to pin down as a picnic blanket on a windy day. I’m learning from him that the language of the heart is imprecise. Love … fear … loss … failure … What do these words actually mean? I tried to ask him: in the context of this husband, in this consulting room, at this moment, what exactly is heart failure?

I asked him question after question, and his words were like bits of dry grass swept up by a dust devil. They had no shape or pattern. He tried to answer. He opened a folder and showed me printouts – the results of many tests over the past few weeks. He used words like “ventricle”, “left”, “right”, “congestion”. I think he may have showed me a diagram. At last he gave up, ordered another test. It’s scheduled for the day after tomorrow.

Perhaps it’s not his answers that are imprecise, but my questions. I will rephrase them.

Will his heart keep going, or will it just stop between one beat and the next?

Will I wake up one night, hear the soft snores of the dogs snuggled between us, raise my head and strain my failing ears, hear silence from his side of the bed, reach out and touch him and find him cold as ice?

Can you fix it?

In the context of right here, right now, how best should I cherish him?

Usually I end with questions for you, dear reader. An invitation to engage. This time, my questions are all directed elsewhere … but please engage anyway.

Start with a gasp

I’m a shower-before-bed person. I’ve never been able to understand how a person can get between the sheets all dusty and sticky from the day, and actually sleep. Even if I haven’t done much to raise a sweat and I feel cleanish and I’m tired so I don’t bother, as I lie there I can feel the gross stickiness of skin ooze and air crud. Ugh! Gotta get up, shower it off, rub dry, and then I can sleep.

Well, sometimes. Insomnia is a thing. But that’s a topic for another post.

Returning to the topic of this post, there’s this blogger that I sort of follow, by which I mean that I receive her posts in one of my many extra email accounts – the one dedicated to efforts at self-improvement. I believe in having lots of separate accounts because I wear different mindsets when I’m trying to be a better person, or farming and gardening, or dealing with our finances, or writing, or blogging. If all my emails go into a single account the result is a mess worse than the top of my desk, and I can’t find anything and nothing gets done.

On the other hand, I don’t check all those accounts every day, and as for the self-improvement one … well, I read the email topics as they come up as notifications on my phone, but usually that’s about it. Self-improvement is something I aspire to wanting to do, but most of the time it’s hard enough just to be as good as I already am.

Anyway, this blogger – she calls herself “Dr. Stephanie” and she writes mainly about keto and fasting, and she offers various courses, none of which I’ve actually done – wrote a post about how effective humans kick-start their day. It happened to land in my inbox on a day when I was lying in bed, hating myself for lacking the energy to get the hell up and do something with whatever was left of my pathetic life … and I read it.

Most of her suggestions I’ve forgotten. They were things like “feel gratitude” and “journal”, which are lovely feel-good ideas, but in the moment didn’t feel sufficiently like the kick in the butt I was craving. The cold shower, however … Now that sounded like a punishment worthy of the name! That I deserved.

cold-showerSo I dragged my bloated, sweaty (this was back when nights were hot) almost-corpse from between the sheets and into the shower. And I turned the faucet on to cold. And wailed.

It was so horrible!

Oh. My. Word. It was so horrible.

But then a strange thing happened. First, my eyes – clenched shut against the bright light of the bathroom – popped open. Then my skin stopped cringing from the rush of icy water, and I found myself intentionally exposing places like my armpits and the back of my neck and the crack of my butt – not exactly enjoying the rush of cold, but welcoming it anyway.

She recommended five minutes. I didn’t time myself but I doubt I lasted that long. I simply rinsed all over, rotating and bending to let the water get at all my less accessible spots. I didn’t use soap or a cloth, just cold water. Then I stepped out, found a fresh towel, and scrubbed myself dry.

I felt … Amazing. Invigorated. Energized.

Fun fact: this insanity is actually good for you. This morning when I went poking through Google in search of funny free images of cold showers, I found any number of articles touting cold showers as a solution to obesity, depression, low sex drive, bad skin, low energy – in short, pretty much all the ills that might beset your fleshly self.

Plus it was kinda magical, actually, how it made me feel.

img_20190614_133157394_hdr
Irrelevant photo of a happy memory. That’s another kind of magic. And being able to enjoy a happy memory … That’s the magic I really want to flow through me.

So I did it again the next day. And the day after that. And again a few more times. Then came a day when I had to rush for an early appointment and didn’t have time, and I felt icky all day, so the next day I made sure to shower again. Every now and then I skip for a day or two … but I keep going back to it.

It is always horrible. The only way to do it is to drag myself out of bed and get under the shower before I do anything else, because giving myself time to think about it – for instance while I put in contact lenses or brush teeth – just makes it worse. And now, as the nights get cold and the early mornings are chilly and I’m waking up before dawn as often as not, it’s really, really hard. Frankly, given my record for doing really hard things, I’m not that optimistic that I’ll keep going when winter really sinks its teeth into us. But … I hope I will. I intend to try.

Because that moment when my eyes pop open? When suddenly and with no effort of will going back to sleep is not only impossible, but also not remotely desirable? Holy cow, it’s a rush like no other!

Hey there – talk to me! What’s your favorite way to mortify your flesh? Does it make you feel as good as a cold shower?

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