I’m lying in bed, naked beneath a thin sheet in a small room with a yellow curtain pulled across the doorway. The curtain gets pushed aside and Dr. Taggert enters, lithe and pretty in a white slip. “Let me tell you what I’m angry about,” she says, and I am instantly filled with anxiety, even though I feel like I’ve been taking good care of my foot. She leans in close and whispers, “I don’t have a decent stock percentage here,” then kisses me, slipping her small, soft tongue into my mouth. I kiss her back enthusiastically then bolt awake.
I immediate try to claw my way back but I need to get up and get ready for my morning appointment with the endocrinologist. It’s hard to believe five months have passed since that first visit.
I catch my first bus with no problem and as I wait for my transfer, the streetcar glides by with its distinctive locust whine. An enormous ad for the hospital is plastered across its side. Why should a hospital need to advertise? And in a way that obstructs the view of the riders inside, no less? Why have we all decided that health is a luxury, rather than a human right? Why is the outrage so limited, so muted?
I get on the bus and a few stops later a well-dressed woman with wavy blond hair gets on. It’s the same woman with the warm smile from the hospital bus stop, only here she is, nearly thirty blocks away from where she always gets off. I try to make eye contact but she never looks up, and when we both get off at the hospital, she walks ahead of me, disappearing into the employee entrance. She carries herself with a kind of charming gawkiness.
The endocrinology office is decorated with paper snowflakes and snowman heads dangling from a garland of white pom poms. The previously empty display case now holds three candy-colored houses and a blue and white chain made from construction paper.
An assistant comes for me almost immediately. She has me step on the scale and I’m dismayed to find that I’m almost ten pounds heavier than last time, which can’t be right. I don’t look or feel any bigger, and I’ve been eating pretty responsibly. How heavy is my coat? How heavy is that damn football?
The assistant leads me to a tiny room and takes my vitals. I complement her shoes, which are metallic navy blue, and she beams and launches into a long, not very interesting story about them.
She leaves and Dr. Miller appears. He says my blood glucose level is much better, though he’s concerned about the lows I’m experiencing in my attempt to compensate for the spikes. He tweaks my dosing formulas and tells me to come back in four months, though I will probably have to see the other doctor because he’s booked solid for the foreseeable future. I’m glad things are going ok but I also feel like beside the blood test, I could have done this over the phone. It’s especially annoying because I have to come back here tomorrow for wound care.
The following afternoon, my coworkers once again forget that I’m leaving early, and once again I remind them. Once again I balance beside the time clock on my scooter, waiting for someone to finally relieve me. But at least it’s not raining, and the bus isn’t canceled, and the driver sounds like she sincerely wants everyone to have a nice day.
An old man in a wheelchair sits with his wife in the waiting area. He tells me this is his second round, that the first time they had him in the hyperbaric chamber. I ask him what he thought of it. He looks confused by my questions. “What was it like? Did you like it?”
“He watched a lot of TV,” his wife says.
“I watched a lot of TV,” he says.
“Sorry but we’re running late,” Vicki says, poking her head out then quickly withdrawing it. I try to chat more with the couple but they’ve lost whatever slight interest they had in chatting with me. Karen wheels out an old woman I recognize from some months ago, then a woman in a hot pink jumpsuit and a cast on her left foot comes out and makes a beeline for the bathroom. Her hair looks like she just got out of the h beauty salon Esther than the hyperbaric chamber. When she comes out I point to her cast and ask how her foot is doing. She sighs and says she’s been in hyperbaric for 120 days, though not all at once. “This been goin on for fourteen months,” she says. I ask how she’s doing. “I’m tired, honey,” she sighs. “I’m so damn tired.”
They finally call me in and Karen unwraps my football. The look on her face tells me it’s not good even before I see the pink splotch on the gauze.
“Oh come on,” I say.
“Yeah it’s definitely… bigger,” she says.
“A lot bigger?” I ask. She doesn’t answer. Last week it was just a slit. “What the fuck. I didn’t do anything different.” This isn’t strictly true. I did hobble to and from the car a few times when I was out with friends, but it shouldn’t have been enough to cause whatever is happening down there. I don’t ask to see and she doesn’t offer to show me.
“I think it’s from all this callus,” she says. “Once she gets rid of that it’ll look a lot better.” She calls Shelley in for a second opinion.
“Well that’s no good,” Shelley says.
“That’s not what I want to hear,” I say.
“I want to give you good news more than anything! But only if it’s true.”
“Fuck that. The holidays are all about lying,” I say. “We tell our families we love them. We tell our kids Santa exists. We tell ourselves we believe in peace on Earth and that people aren’t horrible trolls.”
She leaves without laughing and Karen takes my blood pressure a second time –the first time was high- and exclaims, “Well that’s even worse!”
“I wonder why,” I snarl. All week I have been so patient, so even-keeled, so positive –for me, anyways. Now I want to scream. It really is a never-ending loop. I’m stuck on a combination roller coaster/carousel, endlessly plunging and rising and plunging and rising around and around and around on the back of this burning horse.
It would be so easy to wheel out onto the busy freeway.
“I really thought it was going to look better today,” I say.
“I know what will cheer you up,” says Karen, and shows me photos of Dolly in her new Christmas sweater. “Isn’t she cute?” She’s very pale for a Dachshund, and her beady black eyes seem more creepy than cute to me.
We talk about the weather for a while, how much milder the winter is here in Portland than in Omaha, or South Dakota, where her sister lives. Then she leaves, and is gone for a long while.
After twenty minutes she pokes her head and apologizes that they’re running so late.
Ten minutes after that, Vicki pokes her head in and also tells me they’re running late. “I hope you weren’t in a hurry to get out of here,” she says. For some reason this comment infuriates me. When she leaves I close my eyes. It feels good. I want to sink completely into the bright darkness behind my eyelids.
I try to listen to the voices talking behind the curtain, but they’re too quiet for me to make out anything other than banal snippets.
“How did you like the yoga CD?”
“I mean, if you’re going to be the one making my drink…”
“Well for my birthday in February, I’m going to…”
“Do you shave your legs every day, Seann?”
I can’t be sure if I heard that last one properly, but I don’t answer, and no one follows it with anything.
Karen comes back in and says, “Boy, you could use some lotion for that foot.”
“Well I can’t put anything on it with the cast on,” I say. She starts brushing the dry skin off. Obviously enjoying herself, she starts to rub furiously. The tiny flakes fly all over the place.
“It’s snowing!” she cries.
Finally Dr. Thompson comes in. I say hello as cheerily as I can, but she isn’t fooled. She asks Karen what knife she should use, as if she’s talking to a caddy. “I think a number three,” Karen says.
“I didn’t do anything different,” I whine to the doctor.
“I know,” she says. “It’s frustrating. I’ll put in for approval for skin substitute and a TCC.” I don’t say anything. None of it will work in the long run. “But for now, you up for another football?” I tell her I don’t care. She says we’ll see how it looks next Thursday. The Thursday after that is Christmas, and the one after that is New Year’s Day, so I’ll have to change my schedule to Wednesdays, which means I’ll probably get Dr. Taggert. I suddenly remember my dream. I close my eyes again.
Bridget comes in and asks Karen if she needs any help. “Sure, you can chart for me,” she says, and rattles off everything we’ve done so far.
“Whoa slow down there missy, I’m an old lady.” Karen repeats herself slowly, then re-measures the wound.
“Remember it has to be a centimeter to qualify for insurance for the skin substitute,” Dr. Thompson says, looking over her shoulder.
“Okay well I’ve got… point eight. Make that point nine,” says Karen.
“Hmm. It looks like a full centimeter to me,” says the doctor.
“Well, it’s awfully close,” says Karen.
“Kind of hard to see for sure,” says the doctor.
“It’s probably a centimeter,” says Karen.
There is a commotion on the other side of the curtain and everyone starts clapping. The doctor goes to join the celebration. A moment later the office is filled with the clanging of the cowbell.
“Hey, she’s supposed to ring it herself!” Shelley says.
“Her hands were full,” someone says.
“I want to ring that fucking bell,” I mutter.
“You will,” says Karen.
“Sure. In 2027.”
“None of that now.”
She wraps my foot and congratulates herself on a beautiful job. When she’s finished, she straps on my surgical shoe.
“It doesn’t look quite so beautiful with that shoe on,” says the doctor. Sometimes I wish they’d all just shut the hell up.
I leave with five minutes to catch the bus, and I let my annoyance propel me up the hill, making it with time to spare. The driver greets me cheerily but I just grunt at her. My face feels locked in a tight scowl.
A large woman in a wheelchair sits by a young girl with purple and black striped stockings. The woman looks around like a queen on a throne, and babbles imperiously to the girl. “Looks like we’ll make it home just before the murder of crows descends,” she says. “You know why they call it a murder. Those sounds they make are truly appalling. And the flapping of their wings sounds like paper. It gives me the willies. They used to say crows carry off souls. Or maybe that’s ravens. All the same family, in any case. Crows, rooks, ravens.. um...”
“Jackdaws,” says the little girl.
“What did you say?” the woman asks sharply.
“Jackdaws,” the little girl repeats.
“I’m not sure that’s, I mean, I don’t know that…” The woman paws at her phone.
“No, she’s right,” I say, pulling the wire for the only bell I’m permitted to ring. “Jackdaws are a thing.”
“They’re very small,” the little girl says, “compared to the other Corvids.”
I transfer buses and as we pass the river, I see that on the far bank, the trees and the air above them are filled with crows, countless thousands of them, flapping and wheeling and screaming that murderous cry. Fuck. Fuck. Fuck. Fuck. Fuck. Turning the darkening sky even darker.