Wound Care: The Musical

 I take a long weekend off and fly down with the Widder to Ashland to see some shows at the Oregon Shakespeare Festival. I take my scooter, and manage to get around the small but hilly town without much trouble. 

I fly back Monday afternoon, a few hours before my weekly wound care appointment. 

Curtain parts to reveal the WOUND CARE CLINIC. Seann wheels over to a chair and TIM takes his scooter away. Nurses can be seen bustling about in the background. 

NURSES:

This is wound care, 

where we care for all the wounds that will not heal, 

the holes that won’t close, the ulcers that won’t seal, 

we stop the sores from becoming more, 

give you bandages and casts, 

stop infection in its tracks,  

and if by chance it hits the bone, don’t be blue…

we’ll put you in the hyperbaric tube! 

TIM: Let’s see how the wound looks today! 

I’ll just fire up the saw and cut this cast off

S: I’m not sure what the wound is gonna look like

I went away this weekend and I kind of walked a lot

TIM: Well you’ve got to live your life. I mean, it’s not

(Saw drowns out the rest) 

This looks good. This looks good.

There’s hardly any drainage.

S: Would you say scant?

TIM: I’d say small. But it isn’t bad at all. 

(Takes out measuring tape)

The wound has shrunk from eight by three

to five by one. 

S: That’s fine by me.

TIM: The doctor will be glad to see. 

You really should be 

…haaappppyyyyy

Doctor Taggert appears, wielding her number three knife, and starts to sing The Callus Song, accompanied by a steel drum ensemble.

TAGGERT: Callus!

I love to cut callus. I don’t feel any malice

unless of course it’s towards a 

cantankerous callus. 

I’m a queen with a scalpel in a wound care palace!

I feel like Alice

in Wonderland, trimming the rim

of a rabbit hole. 

Off with her head? 

That’s not what I said!

Listen to me. I said:

 off with that callus!

S: Hey, I keep forgetting to ask, how was Panama?

TAGGERT: How was Panama? How was Panama? I’ll tell you how Panama was!

The people live in huts! 

They don’t have any furniture! 

They don’t even sleep on mats! 

S: They sleep on the dirt?

TAGGERT: On the dirt! Look, here’s our waiting room. (She shows me her phone. On the wall flashes a photo of a women sitting on folding chairs under a tree)

And here’s our ICU (flashes a photo of a man in a hammock) 

S: So you won’t be moving to Panama?

TAGGERT: To be honest, I don’t have the stanima! 

We went with a group called Floating Doctors

Who treat poor people on islands in the tropics

We ate plantains and we slept in hammocks

Removed their parasites and barraged them with shots

I took my son. He’s an EMT and dyslexic.

S: So a TME

T: Don’t be smart alexic.

NURSES: 

There’s so little you can do 

But you can do something. 

There’s almost nothing anyone can do

But you can’t just do nothing. 

You know that no one there has to live with diabetes?

S: Really? Why not?

TAGGERT: Because it kills them instantly!

S: That really puts the die in diabetes. 

NURSES:

There’s so little you can do

But you can do something. 

There’s almost nothing anyone can do

But you can’t just do nothing.

The canal’s hundred thousand dollar transit fees

have made so many investment bankers wealthy

while a short boat ride from Panama City

countless lives are lost to flesh-eating larvae

S: Investment bankers, eh? I’d rather take my chances

with the flesh-eating larvae.

It’s difficult not to look at these pictures and not feel a little sheepish. After all, here I am in this clean, sterile room, receiving… well, maybe not the best medical treatment money can buy. But I’m not sitting in a folding chair underneath a roof made of banana leaves, either.

Taggert finishes my cast and says, “Remember, it’s Memorial Day next week. When did they reschedule you for again?”

“They didn’t,” I say. “Wasn’t Dede supposed to call?”

Taggert looks annoyed.

“Because she didn’t call,” I say. 

“You’re coming in Tuesday,” says Shelley. “Is that okay?” 

“That’s fine,” I say. “Hey, did your kitchen ever get finished?”

Shelley is lit by a single spot as she sings a mournful song about torn-up floors and new cupboards that keep getting delayed. When she finishes, the audience gives her a standing ovation. 

S: So that’s wound care. It may not be the fanciest department in the hospital –I mean, they probably won’t be making a hit TV show out of it anytime soon- but there are some mighty fine folks working here, fine folks who really know a lot about taking care of wounds. They make you feel like you’re in good hands. More than that, they make you feel like family. 

Curtain

Pancakes for Supper

Once the guards at the metal detector have had their way with me, I speed upstairs. After using the restroom, with one smooth motion I zoom across the waiting area through the office door that Caitlin has just opened into room two and hop onto the chair and slip off my shoe. Caitlin wheels my scooter away. CK yips something. Caitlin yips back. Fires up the saw. 

“Thompson cast, I presume,” she says, digging in the drawer for the cracker.

The wound looks good but the skin of the foot looks like it's becoming macerated. Caitlin isn’t concerned, and chooses instead to fixate instead on a bruise on my shin, despite my assurances that it’s been there a while. I ask if she heard about the goat lady and she says no; like CK, she's off Thursdays, but I assumed they all would have been talking about it the next day. I tell her the story and she laughs and says, “So much for nurse appreciation week. The day before they brought in an alpaca but they only brought one which let me tell you is not enough alpacas for that many nurses.”

Dr. Taggert is also pleased with my progress. “Who knows, maybe it'll be healed up by next week!” she screams.

“It probably will!” I cry.

“That's the spirit! The power of positive thinking!” 

“I'm going to make it happen!” 

The little voice in my head grumbles but I can hardly hear it over all the yelling.

She slices the callus and the loudspeaker announces, “Code Gray in dialysis. Code Gray in dialysis.” 

Taggert laughs. “Who has the energy to cause a scene when they're on dialysis?” she asks.

“Maybe it's not the person on dialysis who's the code gray,” I say. “Maybe it's their jilted lover.” She scoffs and I say, “Wow, I’m sensing some real anti-dialysis sentiment in this room right now. Just because your kidneys are messed up doesn't mean you can't have a red-hot sex life. Maybe the patient's two baby mamas showed up at the same time and are getting in a pregnant catfight. You’re being blinded by your prejudice. Which, frankly, I find disgusting.”

“Don’t make me laugh when I'm holding a knife,” Taggert laughs.

As Caitlin wraps my foot, she says there have been more Code Grays than ever lately. “That's why we keep the door locked now. They put in a new bolt that we can hit with a button in case of a Code Silver.” I ask what a Code Silver is and she says it means there's someone with a weapon, or actively committing an act of violence. I mention that they've been using the metal detectors nonstop lately. “Yeah they’re finally protecting their staff, and not just talking about it.” I don’t tell her how distasteful I find them.

     She leaves and I hope that CK comes in to keep me company, but she doesn't. I can hear Taggert in room three, talking to an elderly couple about the wife's almost-healed wound. She goes on and on, not really giving them any information, just sort of hanging out. I wish she would hurry up and finish up so I could get out of here. 

     She finally comes in and pulls on her paper scrubs. CK comes in and starts to tell her the goat story. Then she stops and says I could tell it better, so I go through the whole thing again, embellishing only slightly.  

     ”Everybody is losing their shit,” Caitlin says. “The other night my husband was picking up pizza at this arcade we like to go to, where they have karaoke. This little kid gets up to do karaoke. He's wearing a helmet so there was definitely something going on there. He started singing so quiet you could barely hear him, and his mother took the other mic and started doing backup vocals. The kid suddenly started screaming ‘Fuck you Mom, shut the fuck up,' over and over again and she couldn't get him to stop. It really shook my husband up.”

“Didn't the karaoke machine have a kill switch?” I ask. 

“My middle one was like that,” says Taggert. “Once he started you couldn't stop him. This one time I was at Safeway with all three of them, the little one was still a baby and I had her strapped on my front, and my middle kid goes right behind the counter and smashes his hand  down on this cake, I mean, splat! I grabbed him and pulled him away and he had the nerve to ask if he could have a cookie, they always have cookies for the kids there. I said no and he started screaming like you wouldn't believe. Then my oldest starts in with wanting a cookie too and I told her, I'll make you pancakes for supper and she was okay with that. But meanwhile the other one is literally on the floor kicking and screaming, I had to pick him up and carry him out like one of those goats. I'm sure everyone thought I was the worst mother in the world. I left the cart when we left and called my husband to come get it. I couldn't believe it was still there. But I took those kids home and made them pancakes and my son didn't get any.”

     Between the old couple and me, it’s apparent that she really needs to talk today, so I just let her. By the time she finishes her tale, my foot is fully encased in fiberglass. Protected from the dangerous world, safe from harm. I roll out into the sunlight, up the hill, past scattered needles and a no parking sign that 's been flattened by a car, to the bus stop. The shelter is covered with advertisements for an AI money management service. An obese woman stands with a huge stroller and two rambunctious little boys leaping around and hollering. 

When the bus arrives, I get on first, and sit next to a banged-up looking Black man dressed all in black, with a black cap with the word DETROIT in black block letters across the front. He wears a black eye patch and sits behind an empty black wheelchair.

“Ain't enough space here,” he growls. As I squeeze in closer I tell him I’m making room for the woman with the stroller, who sits down across from us and tells her boys to sit still. 

As the bus starts moving, the man fishes around in his pocket and pulls out a wad of bills and holds it out to the older boy. 

“Here, buy your kids some ice cream,” he says. 

“Oh, that's very nice, but, no thank you,” the woman says. 

He shakes the money and says it again. “Buy your kids some ice cream,” but she again says thanks but no.

“I was on my bicycle when a car hit me,” the man says, tucking his money away. “Banged me up real good.”

“I'm so sorry,” the woman says. The man just nods and looks at the boys with his one eye and they stare back at him, fascinated.

“Kids should have ice cream,” he says, flashing a smile of crooked, gleaming white splinters.

Escorted from the Premises

 Everyone in the office seems low-energy, even Dr. Taggert. I can’t get a laugh out of anyone, and feeling my energy being sapped, I eventually give up trying. CK’s either off or hidden away in hyperbarics.

Caitlin cuts off my football and is pleased to report that, while the wound isn’t any smaller, no drainage has seeped through and the flesh looks pink and healthy.

Tom from Evergreen Orthotics shows up like we had arranged, and he tells me about how the AFO works. He looks at my foot and says that most of the pressure will be put on my shin, and on the front of the sole. “It’ll be a little like having toes again,” he says. “It takes some getting use to, but after all you’ve been through, I bet you’re up for trying something new.” 

He makes a mold of my entire foot up to my knee with some sort of quick-setting rubbery material, which he peels off and tucks into a satchel bursting with cloth and foam and a dozen pairs of specialty scissors. “They rummaged through it at the checkpoint downstairs and now it’s a total mess,” he says. 

“Remember when Dr. Thompson snuck her knife past the guards?” asks Caitlin. “She was so proud of herself.” I picture her wielding a huge bowie knife but Taggert says it was just a little thing. 

Tom says he’ll be back Monday with my brace, and Dr. Taggert applies my cast by herself. The nurses are all just kind of wandering aimlessly around the office.

“What’s with everybody?” I ask. 

“It’s been a day,” says Taggert. “Now remember, call if anything feels off.”

“I know, I know. And if it’s off hours, go to the ER so they can saw it off.”

“You can call here off hours but you won’t get anybody, so feel free to leave a long, rambling message like some of our patients do.”

Overhearing, Caitlin yells, “Remember that guy who would call drunk all the time and leave those, um, colorful messages?”

“Oh my god yeah. He’d leave long, rambling messages for some woman named Rhonda. That went on for months. The lesson being, don’t drink and hit speed dial.”

 

Three days later I’m back. I’m hoping the drainage remains low enough that i can go back to coming once a week. 

I set off the metal detector, but the guards don’t bother to wand me. The woman behind me says both her shoulders are made of metal but they don’t bother to wand her either. 

Upstairs, I wait a while for them to get my room ready. A large family sits around a table, evidently waiting for someone. “Hey look, it’s 4:20,” says the son.

“Ha, I remember when that meant something, and not just once a year,” the father says. “You kids don’t know how easy you have it. Used to be you had to journey all the way across town and find some guy if you wanted to get high. Sometimes you’d smoke up all day and realize it was ten at night and you were out and had to go searching for more. You kids don’t know how easy you have it.”

“We’re ready for you, Seann Patrick,” says Bridget. “We’re in room one, Jenny’s waiting for you.”

“Oh no,” I say. 

“Hi Seann!” cries Karen. 

“Hey! How’s Dolly!”

“She’s perfect. Want to see pictures?”

“How come you’re nice to everyone but me?” asks Jenny. 

“Because you’re my favorite,” I say, as Karen runs over with her phone. Her beady-eyed dog stares blankly from a log on the beach. 

“Then a bunch of us took the wieners paddleboarding, but Dolly couldn’t go because there were too many of us already.” She swipes to a photo of a bunch of lithe young women in bikinis with daschunds on paddleboards. Then Jenny fires up the saw and she dances off.

“Oh this looks good,” she says. “Let’s say moderate, though it’s really much less.”

“What does it measure?” asks Bridget, staring at the computer like she is trying to remember what it is. 

“Not today, we’re just casting,” she says. 

“God I can hardly keep my eyes open,” says Bridget.

The top of my foot has a row of bright red bruises. Jenny says it was from the Optilock, the foam bandage they put on the wound. “It’s great stuff, but it’s got this thick edge that you can’t trim.” I’ve never had this happen before, but she’s not concerned so I’m not either.

“So today was baby goat day,” says Jenny. 

“Ooh, are they still here?” I ask. I have warm memories of being here for baby goats day two years ago. 

“No. In fact they left early, we didn’t even get to see them. Apparently the woman who brought them freaked out and they made her leave.”

Karen says, “I had just got down there and she was yelling, ‘they don’t think I’m friendly enough so I’m being escorted off the premises!’ She was not having a good day.”

“I hope to someday be escorted off the premises,” I say. “Hey, what do you all think of the room makeover?” 

“I like the blue,” says Karen. “It’s like gazing out at the sky.”

“Bridget despises it,” says Jenny. “Don’t you?”

“Say what now?” asks Bridget groggily

“He wants to know what we think of the new room.”

“I despise it.” I tell her about my idea for a mural. She approves, and says, “I have a poster at home that reads ‘A wound neglected is a wound infected.’ You could put that in there somewhere.”

“You have wound care posters just hung up around your house?” 

As she wraps my foot back up, Jenny tells Bridget she talked to sally.

“How’s she like the new job?” Bridget asks.

“Well, you know Sally. I’m not sure she likes anything. And it’s an hour drive so she’s not even saving any time on the commute.” I hadn’t even realized she was gone; once they made her supervisor she rarely emerged from the hyperbaric room. When you first arrive at a place, you assume everyone had been there forever and always will be. I think about this at work a lot, where after a number of tumultuous years I am one of the few old timers left.

Jenny leaves to call Dr. Thompson, who comes in and squats on her stool. Bridget stands there looking down at the bucket of water.

“What’s wrong?” asks the doctor.

“I couldn’t get the temperature right,” she says. “It really bugs me.”

The doctor dips her gloved fingers into the bucket. “It’s fine.”

“You know what people mean when they say something’s fine,” says Karen. 

“It means they don’t want to tell you the truth,” I say.

“You probably know what it means in the Italian Job,” says the doctor, looking at me. “Freaked out, Insecure, Neurotic, Emotional. Speaking of which, I still can’t get over that woman with the goats,” says Dr. Thompson. “I could see that she was in distress and I asked how she was doing…”

“You actually talked to her?” asks Karen. 

“Yeah I was there for the whole thing. I love baby goats.”

“I thought with, you know, how you are about germs…”

“For the most part, animals are cleaner than humans. A dog’s mouth is cleaner than a human’s mouth.” 

“But the goats walk around with all that poop on their butts,” says Karen. 

“It’s cleaner than our poop. I asked how that woman was doing and she said, ‘I’ve got walking pneumonia, that’s how I’m doing! Do you need to know my whole life story?’ And then she picked up the goats, one under each arm, and kicked the gate open and stomped on out with them. She had to come back for the other two.”

“We kept hearing calls of a Code Gray at the west entrance,” says Jenny.

“She was definitely having issues. The attendants usually help people with the goats but she was just sitting there with her head in her hands. And then she screamed at one guy ‘Don’t hold them like that, you’ll break their backs’ But he was just holding it normally. The gaps seemed happy, anyway.” She shakes her head. “There weren’t any problems with the woman with the llamas yesterday.”

“I missed the llamas,” Bridget says.

“Are you running a petting zoo here?” I ask.

When she’s finished, Dr. Thompson tears off her smock and throws it into a bin in the new cupboard. 

“That’s for linens,” says Bridget.

“Where’s the garbage then? I can’t get the hang of these new rooms,” says the doctor.

“I despise them,” says Bridget. 

“Wound mural,” I say. 

As my cast dries, they all gather in the main room to continue to excitedly discuss the baby goat incident. The whole thing has reinvigorated them; there is none of the office ennui I sensed just a few days ago. 

“Oh shit, I keep forgetting,” I call from atop the chair, which no one has bothered to lower. “Doctor Thompson, can I get you to sign a form for a temporary handicapped parking permit?” Jenny brings my scooter and lowers the chair so I can fish the form out of my bag. The doctor signs it and Jenny makes a copy and I’m free until Monday. I leave by the side entrance and cross the parking lot, which was recently the scene of such goat-related melodrama. It’s quiet now, the only sign of life an old guy in a Primus t-shirt, smoking, who tells me I’ve got a sweet ride as I scoot by. 

A Dent in the Dishwasher

  The metal detector is once again in service, and this time I remember to take everything out of my pockets before rolling through. Am I the only one who finds that these props and performances make me feel more stifled than safe? As if I need another reminder that we live in a country that would rather install machines and pay thugs rather than stop letting people buy fucking guns.

Shelley has a big smile for me, and says that they’re preparing my room. When Caitlin comes to get me, I refuse to look up from my phone. 

“Oh, so it’s going to be like this, is it?” She asks. 

I sit there for another moment before saying “Oh, hey, I didn't see you there.”

“Just get in here.”

Everything in Room One has been rearranged. The chair is further back and the white board is on the opposite wall. The walls themselves have been painted, one blue and the others beige. 

“This is the big new paint job?” I ask.

“Yup. We’re not fans,” she says.

 “Why are they different colors?” I launch again into my routine about painting a mural of wounds, which she of course thinks is brilliant.

“Now you’re in for it!” screams CK. Her eyes are sparkling and crinkling with laugh lines. It’s ridiculous how happy I am to see her, how good it feels to have the three of us in this room again. Recently my already-severe loneliness has metastasized. After not seeing her for months, CK looks like a homecoming queen.

“By the way, Jenny and Gretchen say hi,” she says. “They saw you were on the schedule.”

Caitlin says the wound doesn’t look too bad. I tell her I’ve been trying to be careful, but that I have to walk a bit at work. “Yeah, that skin stays delicate for a while,” she says. “You have new shoes, right?” I tell her I haven’t even had a chance to wear them out of the house yet. 

She sits at the computer while CK measures the wound. “Point nine, possibly one point oh,” she says. “I can’t tell.”

“Pretty sure it’s point nine,” I say. “Possibly even point eight.”

“Well if someone would hold their foot straight then maybe I could measure it properly.”

“Is there undermining?” asks Caitlin. 

“No undermining. Hey, they’re redoing all the pipes in my condo!” She throws out her paper ruler and swab and bounces over to the side of my chair, where she repeatedly grabs my arm as she tells me the saga. “Everyone here is sick of hearing about this so I’ll torture you with it. It’s an old complex and they suddenly decide they have  to replace all the pipes. So first they did the kitchen, and they totally dented the dishwasher, then tried to deny it…”

Everything disappears except for a flouncing red ponytail, a  slender neck, a hand on my arm. 

You know, this is pretty pathetic, a voice inside myself says. 

Shut up and let me enjoy myself for once, I hiss. 

“So I picked white tile with gray grout,” she’s saying. “And because of the dishwasher thing, they're not charging me any extra to go all the way up to the ceiling! It’ll be nice to be able to take a shower again. I really reek.”

“I didn’t want to say anything. How’s Cathy?” I ask. 

“Oh she has a new suitor, a big black boy with these crazy green eyes…”

“Hello!” cries Dr. Taggert, coming through the curtain like a talk show host. “Your A1C is so good! You’re not diabetic anymore! I mean, you are, but way to go!”

“Well, sure, but then there’s this thing again,” I say. 

“I know but I wanted to start out positive.”

“Thanks. I still have work to do but it’s much better than it was, and I feel good about that.”

“You should! It’s really impressive. And this really doesn’t look too bad,” she says, unwrapping a scalpel and slicing the dead skin. Shelley slips in and takes a seat at the computer.

“Well, I didn’t wait months to come in this time,” I say. “I’m learning. Just very, very slowly. I’ve mostly been really good, but it’s hard to stay off it at work. I’ll probably have to get you to write a note for me to stay off it for a while, and I’m not sure if they’ll let me work through that.”

“Well they can’t fire you. You can sue!”

“No but it could complicate things, and I’m scared of that,” I say.

“Well once you have the shoes on, this shouldn’t happen,” says the doctor. “But I know the in-between time is tricky. Have you heard of an AFO?”

“You mean we’re going to use alien technology?” I say excitedly.

“Ha, AFO, not UFO. It’s a sort of brace that is made that wrap around the bottom of your foot so you don’t put pressure on the front part.”

“Wow, that sounds like exactly what I need.”

Shelley turns the monitor screen to face me. She has the Amazon screen pulled up, with various forms of braces. They don’t honestly look all that bad.

“What does AFO stand for?” I ask. 

“You know what, I don’t know,” the doctor says. 

“Ankle foot orthosis,” reads Shelley.

“Not orthotic?” asks the doctor.

“Orthosis.”

“Huh. Anyways, Evergreen should be able to get you fitted for one. The trick is I don’t know if insurance covers them. But I can send them a referral if you’re interested.”

“Are you kidding? Let’s try it,” I say. Why the hell haven’t we tried it before, the little voice in my head asks.

Shh, I tell it. This is not the time for that. 

But seriously, it insists. Doesn’t this sound like something that would’ve been helpful since the first time we healed up? Why the hell didn’t she…

We’ll discuss this later, I say. 

Yes but…

LATER.

“So we’ll hold off on putting you in a TCC until Evergreen can see you. I mean, if that’s what you want.”

“If you think that’s best, I’m fine with a cast.” 

“Okay good. In the meantime we’ll put you in a football. I’ll send this out and you should call them in a few days. In the meantime Dede or Perez will call you to make your next appointment.” 

“You’ll probably make it on a Thursday because you hate us so much,” says CK.

“It wasn’t my fault!” I whine. “Dede kept saying that was all she had! You know you’re both my favorites. I think she’s trying to keep me from you.”

“She might be,” KC says. 

“And Thursdays are so…quiet!” I say.

“Yeah, a certain other doctor here doesn’t like laughter,” says Caitlin, wrapping my foot in a football. 

“I’ve noticed that,” I say. “Though I’ve barely seen her this year what with her being away. It’s been mostly substitutes, which honestly has not been great. And when I left it was so anticlimactic. There was no closure. I mean, on my foot there was. But there should’ve been a party to celebrate my graduation. A parade through the corridors!” 

Encouraged by their laughter, I have become increasingly boisterous. The prodigal patient has returned. Girls are flirting with me, my blood sugar is stabilized, and there’s a new device for me to try that might actually help with the healing. I am moving in the right direction (not a word, little voice). I am making progress (I said not one word, little voice). Everything (stop it) is going (I mean it) to be fine. 

KC runs to get my scooter and zooms around the office on it, whooping gleefully. I yell at her not to wreck it but she ignores me, and when she disappears around the corner I hear a crash.

I miss the bus, so I sit in the lobby and read for a while. I’m surprised to see that even though it’s close to six, the guard is still herding people through the metal detector, though he’s paying more attention to his phone. He doesn’t even look up when the alarms are set off by a man who walks right through and says, “This is such bullshit.” I feel so safe.

On the bus, an old man across the aisle smiles and laughs continuously to himself, a loud, forced “HA. HAHAHA. HA.” He continues to laugh until we get to where I make my transfer, at which point he gets up and hurries off the bus. 

“Hold on, I’ll get a little closer for you,” the driver tells me, and pulls up a few feet. 

The old man is standing there on the curb, waiting to get back on. I carefully disembark and he steps in, his face frozen in a deep scowl.

Everyone is losing their shit, the voice in my head says. I try to argue but I’m suddenly very tired. 

The Thompson Elk Returns Home After Years in Exile

It’s a perfect sunny day, and I take off my jacket and hang it over the handlebars of my knee scooter as I wait for the bus to take me across the river to my endocrinology appointment. All day I’ve been boiling with tension, a film of irritation covering a roiling sea of anxiety. It doesn’t help that the bus is running late. There are more bodies scattered across the sidewalks than I’ve seen in months.

At the first stop on Burnside, an old man in a motorized wheelchair gets on. I try to make room for him but he ends up backing up and smashing into my knees. I feel like yelling at him. 

I’m dismayed to see that the metal detector and x-ray machine are back up and running in the lobby of the hospital, manned by two beefy young men who look like they’re in high school. I put my bags in a plastic bin and instead of waving me around the detector they tell me to roll right through, causing the lights to flash. They run the wand over me and have me take everything out of my pockets, which I had forgotten to do. I roll down the hall to what they call the Tower elevators and notice for the first time that they only stop at four of the upper floors, the buttons in between are blacked out. By the time I make it up to the endocrinology/weight loss office I’m fifteen minutes late.

They call my name before I have a chance to get a good look at the waiting room. Without the Christmas decorations that were up during my last visit, it looks stark and barren. I step on the scale and just like last time it shows that I weigh much more than I expected. I’m not even wearing a cast this time. Am I really putting on that much weight? I don’t feel or look any different. But if the scale is right, I’m heavier than I’ve ever been. 

The aide pricks my finger so they can check my A1C levels, then disappears and a few minutes later the doctor arrives. I had been warned that Dr. Miller was booked solid and that I’d be seeing his assistant. Like the guards downstairs, she looks like she should be studying for the SATs. Her nametag has the same surname as one of the most toxic ghouls currently hollowing out the country from the White House. I’m tempted to make a joke about it but she seems very nice and very earnest. She tells me my A1C is 6.6 like it was last time, then connects her computer to the app for my glucose reader and walks me through what she sees. “You’re doing so much better, it looks like you’ve got things really under control,” she says. I have never had an endocrinologist tell me that in my life. I’m glad I didn’t joke about her name.

She asks what’s going on with my foot. In the three weeks since I was set free from wound care, I’ve been wearing a post-op shoe instead of my new orthotics. “You were almost healed up last time you were here…?” she asks, reading the screen. I tell her it finally healed, but after two weeks it opened up again, just like it always does. I say that after I see her I’m going to roll down to wound care to make an appointment. 

“I’m really frustrated,” I say, but to my surprise I don’t really feel that frustrated anymore, and I’m able to talk to her about it in a calm, matter-of-fact tone of voice. She is very kind and says that aside from my foot problems, I’m doing really well and that I should come back in four months. 

  When I roll up to the wound care clinic, I see through the window that there is an elderly couple with an ancient woman in a wheelchair at the counter, so I wait until they’re done then hit the good old blue handicap button and roll in. I’m surprised to see Perez behind the desk, sitting next to Gladys, who instantly gives me that disapproving look I’ve grown sort of fond of. 

“I’m back!” I cry. 

Dr. Thompson comes from around the corner and leans very close to me and asks, “How are you? Are you okay?”

“I’m here, aren’t I? The question is, are YOU okay?” She looks confused so I say, “The last time I saw you, you were about to have surgery.” She pulls down the front of her scrubs to show the base of her throat, which is lightly scarred, as if she’s had her thyroid removed. 

“I’m a robot now,” she says, which doesn’t sound like a thyroid issue. Throat cancer? “I’ll tell you about it later. You’re coming back to us?”

“I’m afraid so. It opened back up again. Even though I’ve been really good,” I say, looking at Evelyn. 

“I bet you have,” Gladys says, in a tone that could be either sarcastic or sympathetic. 

I have been, though. In the past month, the only time I’ve done any walking is at work, where I can’t avoid it. And even there I try to use my heel as much as possible to keep the pressure off the thin new skin where the wound was. But apparently I wasn’t careful enough, because after a few weeks, the skin started to tear open.

“The same spot?” she asks. 

“The same spot,” I say.

“Is it bad?” she asks. 

“Not really,” I say, feeling strangely lighthearted. For weeks I’ve been slipping deeper and deeper into despair, but being here, facing this maddening issue at last, is genuinely freeing. Plus, I’ve been so lonely. I hadn’t realized just how dependent I had become on my weekly visits to provide some social interaction. So I’m genuinely excited to see Original Karen appear from the back of the office and ask, “Is that Seann?” 

“Nope, just the bell inspector.” I adjust the three bells on the counter, my hand lingering a moment on the one I so recently rang. “Just as I suspected. I think you need a fourth one.” I pick up the Oscar statuette and shake it.

Perez searches for an opening, typing and frowning. 

“It’s tricky because we’re down a room,” says Original Karen. “We’re painting them.”

“Ooh, you should let me do a mural showing all the different kinds of wounds,” I say. 

“Yes!” cries Gladys. “And a hyperbaric chamber! It would look so cool!”

And at last Perez finds me a slot at the end of the day on Monday. I’m so relieved that I don’t even care that I won’t be giving work much notice. I need to start putting my health first. I suspect that the only thing that will truly heal this up is to take some time off again, or else find a way of doing my job without walking even a little bit, which I’m not sure is possible. I feel resigned to doing whatever I need to in order to get better, even if it costs me my job. 

Afterwards I roll across the street to get blood work done for Dr. Miller. Since I was here last, the lab was taken over by the evil corporate monster Labcorp, and they have installed automatic check-in kiosks that require you to scan your photo ID and insurance card before you can talk to anyone. The fascist police state is firing on all cylinders these days.

I’m finally called up to the counter and told it’ll be a fifteen or twenty minute wait. I watch as patients are called in one by one before me, and finally take out my sketchbook.  

At some point the lab tech calls, “Rosie? Is there a Rosie?” An elderly Black woman and a young white father with a little girl both stand up at once. “Rosie R.,” the tech says. 

“I’m Rosie R,” says the old woman. 

“So are we,” says the young man. “Well, I’m not, but my daughter is.”

“How about Rosie Ross, then,” the tech says, and the man and the little girl follow her in. 

The old woman takes her seat, chuckling, “What are the odds?” 

I wait for over an hour until they call me. The tech is astonishingly fast. When I leave, line to check in stretches out the door and down the hallway. 

I catch the bus and make my connection into downtown. It’s only been three weeks and here I am, back on the merry go round of what will no doubt be a long series of weekly appointments. As we turn off Main Street, I see that the barricades and caution tape that have been littering the block for months have been removed, and that the bronze Thompson Elk statue, damaged during the Black Lives Matter protests, has at last been put back in its place. It’s been six years since they took it down to restore it, six years since the protests, six years since the beginning of COVID. It’s genuinely comforting to see the beloved stag once again standing with antlers held high beneath the trees. I wonder if he is shocked to find that in his absence the society he gazed down upon for a hundred years seems on the verge of collapse.

Don't Chase

 I spend July 4th in the apartment, alternating between cleaning and sleeping. I didn’t have too much to drink at the barbecue but I still feel sluggish and worn out. I have a pretty pleasant day regardless, and by evening feel perky enough to head down to the Goose for supper. 

There are Lost Dog posters plastered all over the neighborhood, showing a moppy little mutt with the typical admonition “Dont chase will run.” The Goose is busier than I thought but most of the crowd is settling their bills and heading out to watch the fireworks, leaving only a few of us. 

As usual, nearly everyone on the deck is coupled up, but when I walk over to the water cooler I see an attractive woman sitting by herself. I smile and she gives me a big, warm smile back. Well that’s nice, I think, but she’s probably waiting for someone. But when I go to sit down with my drink, I see her start to talk to a guy sitting by himself a few tables away from her. He has a full beard and a baseball cap. He also has a dog. 

By the time my food comes they are laughing and chatting like old friends. His dog barks wildly at every other dog that approaches the deck. “She’s just saying hello,” the man says every time. I can’t make out much of their conversation but I hear him say that he’s in real estate. She’s new to the neighborhood, and fairly new to Portland. I hear them talk about paddle boarding. They look like a good match. Even if I had a dog, I can’t compete with real estate and paddle boarding, not to mention that beard, which is full and lustrous. I can only hope that the cap is hiding a case of male pattern baldness, though I know that wouldn’t make a difference at this point. 

I take my trusty sketchbook out for company but my heart’s not in it. I tell myself this is a good opportunity to practice not spiraling down into self-hatred and misery about how alone I am, how long I’ve been alone, how the older I get the chances of this changing grow ever slimmer. It’s so easy to chastise myself for my cowardice. I should have gone right up to her when I got my drink, talk to her before that irresistible canine spell could take hold. But I couldn’t do it. I am convinced that no woman wants anything to do with me. While this might not be true, it has been many years since I’ve seen any evidence to the contrary.

“I need to get a dog,” the server says to me.

“Same here,” I say. “But I like cats better.”

“Me too,” he says. “But, you know.”

The new friends order another drink and I finish mine and head back up the hill. In an empty parking lot, a gorgeous young woman and a man who looks like her father are fiddling with an automatic ball-throwing machine that their dog is nosing warily. The girl is twitchy and holding her limbs at odd angles, like she’s on something. Dog toys and balls and various bits of throwing apparatus lie scattered across the parking lot. 

At the top of the hill, the lost dog signs grow more desperate, hanging from every telephone pole. The sky is nearly dark. Soon the fireworks will start and all the dogs I saw tonight will be whimpering under their owners’ beds. I wonder where the lost dog will hide, who will comfort him as the world around him explodes.

Clean Towels

        It’s the day before Independence Day and the second Revolutionary War has been won. After decades of fighting, the noble rich have finally thrown off the shackles placed on them by the filthy poor. For us huddled masses, it’s all pretty disheartening, but I have the day off tomorrow and am on my way to a backyard barbecue. As I sit on the bench at the bus stop, I look at the arrival time on my phone. It keeps leaping around, getting longer and shorter as some unseen force impedes the vehicle’s progress. A man on the corner shows a cardboard sign to the traffic. I don’t bother to read it. I used to be interested in these signs, in all the different ways people ask for help, the various kinds of lettering they use, but I can’t look anymore. 

        A teenage girl sits next to me, thumbs skipping across the screen of her phone. There is suddenly an explosion behind us, followed by another, and another. It seems early for fireworks –the sun is still high in the sky. I turn around to look and see puffs of smoke in the air above the bridge. The booms go on for a few minutes. 

        “What was that?” the girl asks uncertainly. She doesn’t have an accent I would guess she’s Pakistani.

        “Oh, somebody getting ready for the fourth,” I say.

        “But that’s not until tomorrow,” she says, sounding confused.

        Just then there is a crash right in front of us. An old hatchback truck crammed with junk has spilled a pile of metal shelves out of its open hatch. The truck speeds through the intersection then pulls over. Fortunately, the car behind it brakes before it hits the shelves, and I walk out in front of it, holding up my hand up. The girl runs out after me and we both gather up  the shelves. The words CLEAN TOWELS are written on a piece of masking tape on one of them. We carry them to the sidewalk and the driver of the truck comes and grabs them without a word. 

        

        The girl and I sit back on the bench. 

        “Lucky that didn’t go through somebody’s windshield,” I say. 

        “Yeah. Pretty scary,” she says. The bus comes and I gesture for her to get on first then she does the same to me and I insist and she says no then we both try to step on at the same time and laugh. As we drive off I look at the guy on the corner and finally decide to read his sign. He’s crayoned an American flag next to the words WAR VETERAN ANYTHING HELPS. I wonder if he knows that the real war is just beginning.