Wednesday, September 30, 2020

Tales of the ‘Rona, Episode 7, pt. 3: The Healing

“Sunshine, won’t you be my mother 
Sunshine, come and help me sing 
My heart is darker than these oceans,
My heart is frozen underneath...
I’m a crooked soul trying to stay up straight,
Dry eyes in the pouring rain
The shadow proves the sunshine,
The shadow proves the sunshine...”
- Switchfoot, “The Shadow Proves the Sunshine”

Healing.
Healing isn’t glamorous.
Healing isn’t a star-studded gala, rife with “smiles everyone, smiles!”, adrenaline-rushed, deliverance junkies.
Healing isn’t a breathtakingly panoramic trek with immediate before and after views and vistas.
Healing isn’t celebrity-reality-God-TV rostered with greedy, shaman-grifters who if they were all legit would
immediately cut the lights, camera, action and take up anonymous residency’s at inner-city hospitals and traffic in bona-fide righteous remedies.

Healing.
It’s been said that time heals all wounds; the truth is that time doesn’t heal anything, it merely passes...it’s what we do during the passing of time that helps or hinders the healing process...”
I read that the other day.
I read it and I’ve re-read it while time passed.
I read it until I understood it.
I read it and I believe it’s true.
Time has passed - 8 months - since this coronavirus scrambled the frequency of my life.
Time has passed - 8 months - and I’ve done things, things that I hope have helped my healing process.
Time has passed - 8 months - and I don’t know if I’ve done anything to hinder my healing process, but I really don’t know because I’ve never had to heal like this before.
I have no healing baseline experience for ravaged lungs, half a face still numb and tingly, disheveled vocal chords, a tribe of scars (crows gather in a murder, rhinos travel in a crash, my scars are arrayed in a “tribe” - and why not? - a tribe is a “distinctive, close-knit group, inhabiting a place”), severely diminished strength, and a tentative, dominant right arm and hand.
Oh.
And a little bit of “brain funk-esque” weirdness: forgetfulness, reading comprehension slowdown, physical coordination ineptness, and some in general loss of a step or two.
Could be the creeping up of age.
The inevitable passing of time.
Nah.
I’ll stick with covid19-related for now.

Healing.
“Let’s check your blood pressure...”
Lauren lovingly calls it “gym class”.
As in, “Have fun at gym class” she texts as I walk into one of my 3 days a week, cardiac rehab sessions.
Me and half a dozen or so other old-timers with varying degrees of far away looks in our eyes, dutifully walking on treadmills, pedaling ergo bikes, and lifting weights, the little 4 or 5 pound dumbbells that might otherwise pass for paperweights.
I wire up my heart monitor, slip on my head phones, tune in some old Stones or Miles Davis, take a sip of water, and begin the dance.

Healing.
“How are you feeling?
Let’s see how your oxygen level is...”
In cardiac rehab world, normal gym-rat, cross-training, motivational, bumper-sticker jargon doesn’t apply.
“No pain no gain” is anathema.
If you’re in pain, you’ve done something or you’re doing something very wrong.
“Nobody should be hurting in here” they say.
A little sweat’s okay, a little more-tired-than-usual-tomorrow-is-fine-but-we’re-not-shooting-for-ripped-abs-and-calves-in-here, so take it down a notch or two, Arnold.

Healing.
“Did you take your meds this morning?
Did you move around over the weekend?
Have you been drinking enough water?”
Bruce graduated from gym class (I mean cardiac rehab) today.
We stopped tread-milling, ergo-biking, and paperweight dumbbell lifting long enough to join in giving him a round of applause while one of the nurses turned on a scratchy version of the graduation march song for all of about one minute.
It was a moment of surreal nostalgia mixed in with sad-but-oddly-kind-of-cool overtones.
Bruce and I talked on our way out to our cars in the parking lot.
“What are you in for?” he asked.
I smiled.
What.
Are.
You.
In.
For.
“It’s a long story” I said, and gave him the increasingly truncated version of my In The Year of Our ‘Rona, 2020 saga as we walked.
He stopped and stared at me.
“Well, wow” he said.
“Wow, that’s a lot, that’s an awful lot...”
Bruce is 74, did the double bypass around 20 years ago, this current gym class go round was kind of a tuneup for him, he encouraged me not to miss any classes, to keep it up and to keep at it, and especially to take care of myself.
Three times.
“You take care of yourself now, okay?”
“Take care of yourself, alright?”
“You uh, you take care, okay?”

The third and last time he said it he gave me a longer, deliberate, squinty-eyed look and nodded as if he wanted to say something more, something profound and wise, something religious, but he decided that telling me to take care of myself three times was the best, let-me-take-you-under-my-wings advice he could possibly give me.

I read this the other day while time passed.
I read this not long after I talked with Bruce.
I read it and realized the essence of it happens to me all the time now in my current life.
Sometimes you don’t actually know how traumatic something you went through is until you talk about it like it’s some random anecdote, and then you realize the table’s gone silent, and your friends are all staring at you like, what the actual fuck...”

Healing.
Healing isn’t glamorous.
Healing is doing and not doing, questioning, doing and not doing again and again, and questioning some more.
Healing is demanding, sighing, waiting, sighing, waiting, demanding and damning, waiting patiently and impatiently, waiting mostly in the dark about what all the waiting is for.
Healing is treadmill-paced monotony, graced by rare invitations into holy, parking lot spirit-liftings from 74 year old, in recovery, heart-diseased angels unaware.
Healing is painstakingly slow, grinding, arduous, deeply-souled labor while simultaneously being divinely swift, delicate, effortless, deeply-souled artistry.

“and here you are living, despite it all”, writes the poet Rupi Kaur.
I take comfort in those words, words I would slightly alter:
“and here you are healing, despite it all...”









Sunday, September 20, 2020

Tales of the ‘Rona, Episode 7, pt. 2: Principles of 3

“It’s a long, hard road...
What a change has come, hard change has come...
Flat on my back, out at sea,
Hoping these waves, don’t cover me...
I’m turned and tossed, upon the waves,
When the darkness comes, I feel the grave...
But I still believe, I still believe 
Through the cold, and through the heat,
Through the rain, and through the tears,
Through the crowds, and through the cheers...
I still believe, you can’t take that away from me
I believe...”
- The Call, “I Still Believe” *

3.
3 candles.
3 “Oh my God, look! How pretty! Chuck, did you see this? Who would do this?”, mysteriously placed, peacefully shimmering at 5:15am candles.
3 warm, breezy, August, this is the morning, this is the long-anticipated-I’m-scared-as-hell-but-it’s-happening open-heart surgery, front porch step, quietly flickering, pristine, white prayer candles.
3.
3 arteries.
3 severely damaged, widow-maker, 90, 90, and 100% respectively, blocked, “you’ll have a life threatening incident if you don’t have this surgery” fragile, torn and frayed arteries.
3 bypasses made possible by 3 vein segments harvested from my left leg, leaving 3 scars to
match the 3 inches times 3 (or 9 inch) freshly minted chest scar that by-passer comrades jokingly, knowingly, and self-consciously refer to as “The Zipper”.
As in “Welcome to the Zipper Club”.
3.
3 trips.
3 semi-surreal, quasi, out-of-body as in “how did this happen to me”, 1 unexpected and unwelcome, 2 expected, scheduled, necessary but nevertheless all unwelcome, this-is-your-new-normal-even-if-temporary hospital trip overnights, overnights, overnights and then some, overnights.
3.
3 months.
3 months, 3 cardiac rehab days a week, 3 treadmill and treadmill-esque machines waiting for me at my at-least-I-have-a-window-and-a-view station for the rebuilding, restructuring and re-envisioning of...me.
3 months and when it’s finally Thanksgiving, it’ll have been a long, hard road, what a hard change has come, and these 3 months will have been the cherries on top of this little shop of horrors of a year.

3.
Bad luck, they say, “comes in threes”.
“Third times a charm”, they say.
3 strikes and you’re out.
Hat-tricks, three-peats, Triple Crowns, trifectas - the brass rings of sports.
3.
Three Jewels - Buddhism’s refuge.
Bhagavad Gita - Hinduism’s three paths to salvation.
Passover, Shavuot, Sukkot - Judaism’s Three Pilgrimage Festivals.
Father, Son, Holy Ghost - Christianity’s Trinity.
3.
mysteriously placed, peacefully shimmering, quietly flickering, pristine, white prayer at 5:15am 
candles.
Candles that were a way too early morning, wondrous, calmingly Zen-like gift.
Candles that were a no fanfare, no “here’s a receipt if you don’t like it you can return it for something else”,     captivatingly serene, gaze-at-me gift.

I’m learning to appreciate these unexpected, candle-like gifts.
The simplicity of breath-taking moment gifts.
Quiet strength gifts.
Fragile, hypnotic, spirit gifts.
Transformative, tranquil, beauty gifts.
Especially when these gifts appear alternately between the jarring, tone-deaf salvos of politically weaponized comments from Covid unbelievers.
And they do come.
Enough that I’m aware that for the first time in my life I find myself in the bizarre position of having to defend a disease.
Defend.
A.
Disease.
Think about that concept.
“I don’t believe Covid’s real”, says a woman to my wife after Lauren briefly mentioned my year so far.
“You really think it was Covid? Who knows, really, everything’s so manipulated and fake”, say several acquaintances.
“I had it, it’s no big deal, it’s just a flu, the media blows it out of proportion”, text a few more presumably well-meaning friends.
You’re fine now, right? What did this have to do with Covid?”, comment a few more who’ve read about my, well, apparently just another flu experience.
“Your doctors any good? You should probably check around”, say a few more Old Testament, Job-like naysayers.
Which, just as a side note, I wouldn’t trade my physician/surgical/nursing care team for any other crew anywhere.
In the world.
Period.
Full stop.

But see?
There it is.
The defensive posture many Covid-struck, long-hauling, symptoms loaded, no-we’re-not-all-ancient-aged-weighted-down-with-pre-conditions-duped-by-politicians dreamers.
It’s sad.
It’s really sad.
It’s more than sad, it’s as of this writing nearly 200,000 dead sad.
With each new day of God’s grace I get to live in, I also get to look back and see the peril I danced with.
The proximity to the end I unknowingly tip-toed toward.
The statistic I very nearly was.
I could stop writing about it and chalk it off to a “hey, it is what it is”, time to move on chapter in my life.
I’m moving on, for sure, detractors and Covid-critics be damned.

But I won’t stop though.
I won’t stop telling and re-telling my saga while it matters, and I think it matters as a warning and as an encouragement.
Simultaneously foreteller and soothsayer.
There are too many peacefully shimmering, quietly flickering, pristine, white prayer at 5:15am candles to mysteriously place.
3 to be exact.
I still believe...
I still believe...

* Russ Taff’s version is still my favorite...




Sunday, September 6, 2020

Tales of the ‘Rona, Episode 7, pt. 1: Morpheus, Distressed Voices, and a Frog

“I have pockets full of golden,
A little more with everyday...
Inside my coat a silver lining,
Who knows the price I have to pay...”
- Robert Plant, “Pocketful of Golden”

“Help me!
Please, oh God!
Somebody help me!
Get away!
Help me!
Oh God!”

The warmth and weightlessness of the morphine is kicking in.
A drowsy, dreamy buzz envelopes me, not a minute too soon.
Euphoric.
Cloud-like.
Dreams.
More dreams.
There’s a reason why “Dreamer” and “God’s Drug” are morphine’s street names.
The German pharmacist who first isolated it from the opium poppy plant christened it “morphium”, after the Greek god of dreams, Morpheus.
“What is real? How do you define real?”
Perfect.
I’m in The Matrix.
Floating, but tethered.
Tethered by tubes, lots of tubes.
And wires, lots of wires.
And a catheter.
Oh, the catheter.
But no matter, dam the catheter.
Right now, I’m floating and dreaming with Morpheus.
My Matrix is post-op ICU, following a 5 hour, open heart, triple bypass surgery.
Not to romanticize or glamorize morphine, but it does seem like a necessary, beautiful reward for what my body has just endured.

“Help me!
Please, oh God!
Somebody help me!
Get away!
Help me, please help me!
Oh God!”

Out of the warmth and weightlessness of my Dreamer haze, I hear a voice.
A distressed voice.
A very distressed, loud, and growing louder voice.
Maybe it’s mine.
Maybe the morphine euphoria has a dark side, drawing out some ancient, suppressed, nightmarish cries for help.
Maybe there were complications during my 5 hour, open heart, triple bypass fun-fest no one told me about.
Maybe I’ve been tucked away in a windowless, experimental-purposes-only basement wing of the hospital.
Maybe it’s just my imagination running away with me.
Or not.
It’s real.
It’s coming from across the hall.
The distressed voice takes on a heartbreaking cadence all its own.

“Help me!
Please, oh God!
Somebody help me!”

“Ribbit! Ribbit!”
Wait, what?

“Oh God, help!”
“Ribbit! Ribbit! Ribbit!”
“Please somebody help me!”
“Ribbit!”

A very distressed voice and now a very real frog are disturbing my well-earned and much needed purple haze.
This is so not right.
This is so not fair.
This is so whacked, is what it is.
Where the hell am I?
Richard, the evening shift nurse in charge of me, and presumably in charge of my please-don’t-allow-me-to-feel-whatever-was-just-done-to-me-pain-eliminating bag of tricks silently slips in.
The room is dark and I’m supposed to be in la-la land, so Richard is quiet.
Morpheus“, I whisper, “I mean Richard”.
Did I really say that?
I don’t remember.
“Richard, please tell me there’s someone out there crying out for help...and a frog...a frog Richard? Really?”
If Richard says “I don’t know what you’re talking about, now you need to try and relax”, I’m screwed.
He paused.
Tilted his head a little to listen.
Oh God, help!”
“Ribbit! Ribbit!”
There it is.
Richard laughed.
A dark-ish laugh, one that comes out of essential workers who’ve seen and heard way too much, especially during the Age of ‘Rona.
“Oh that...the lady across the hall...she’s had surgery and she has dementia, but she’s fine, really, she’s fine...”
But the frog Richard, there’s a frog.
“Oh that...the nurse at the desk...that’s her phone’s text-tone...crazy, right?”
Richard smiled, shook his head, finished checking my vitals, told me to let him know if I needed anything, anything at all, then ghosted out of my room.

I laid back, stared at the ceiling, and prayed a little unconventional prayer in my dark, quiet room.
“God, you really, really need to fill me in a little better on, you know, all of this shit...”
My eyes closed, the distressed voice trailed off, the frog found a lily pad to chill out on, and I drifted into weightlessness before I heard an answer.

My Operative Report details my 5 hour, open chest (a more accurate expression), triple bypass surgical journey, and certain expressions stand out to me in bold relief.
“Consent was obtained...”
Well, obviously.
“Greater saphenous vein was harvested from the left leg...”
Harvested.
From my leg.
3 incisions, 3 new I’ve-never-felt-that-kind-of-pain-on-my-body spots before.
“Midline sternotomy was performed with sternal saw...”
This still hurts just writing the words.
“Pericardium was opened and tacked up...”
Look it up.
And my personal favorite:
“The heart promptly arrested...”
For like, 90 minutes.
I use that line now from one of the Hangover movies whenever I can: “Oh are you having a bad day? But did you die?”
Maybe I didn’t die, but my heart was promptly arrested.
The Operative Report concludes with these words:
“The patient tolerated the procedure well...”
Dreamer anyone?

One nurse explained what I’m experiencing this way:
The scar that you see on your chest? That’ll heal first and fastest...next will be the chest, sternum bones coming together, that takes a bit longer to heal...last, and longest to heal, what nobody sees, all the nerves and tissue inside...that takes time...be patient with yourself, it takes time...”

It’s September now, and it’s been a long 8 months.
A long, long 8 months for my family and for my wife, who deserves an equally long 8-month escape to an island paradise.
Sometimes I get tired, but it’s a different tired than beat-up body tired.
It’s a weary from the fight tired, a longing for who I was before this Covid-induced tornado touched down inside of me tired.
There are scars inside now, physical and otherwise that nobody sees, and they’re going to take the longest time to heal.
You don’t flirt with death and the ‘Rona and not have it rewire your insides a bit.
But everyday is a step closer to what’s next, and a few steps further away from morphine dreams, distressed voices, and frogs.

Inside my coat a silver lining,
Who knows the price I have to pay...”



The PK Diaries, Pt. 4: Deconstruction Dreams

“If you are the dealer, I’m out of the game, If you are the healer, it means I’m broken and lame, If Thine is the glory, then mine must be t...