Decisions

I saved a life, once.

It all happened because I assumed I was invincible. Not delusionally so, just invincible enough to believe bad things couldn’t happen to me, not really, anyway, not ones that could last, stay, scar.

That belief bore its first cracks when they showed me the little square pink plastic tests, with the tiny circle sample hole, and the tiny circle result hole that shows the plus or minus sign. They do three of them per urine cup, because “it’s always possible for tests to be wrong.”

Of course, I had already done my own test, and there were two blue lines, because I had thrown up about a pound of jelly beans (it was feast or famine, in those times, and I had recently feasted at the bulk foods section of our favorite store) earlier that morning, and I was somewhat terrified that I already knew what was happening. Somewhere inside me, something rebelling.  A bloody revolution.

They showed it to me, in a sonogram. The nurse asked me if I wanted to see it. Now that I am remembering, I remember telling her yes. I’m a victim of my own curiosity, sometimes. Or an adventurer — I don’t know. She turned the screen toward me, and in the middle of all that white noise, all of what looked like nothing so much as a Carol-Anne moment of Poltergeist, there was a grey shadow, and in the grey shadow, a white crescent. “The size of the white tip of your little finger’s fingernail,” she told me.

The size of a maggot. In me. This foreign body, cells multiplying.

“Six weeks,” she said cheerily. “You have to wait until seven, to decide.”

That wasn’t true. I had decided long ago. I had decided the very first time I’d ever had sex — if the unthinkable happened, I already knew what I would do.

After, while someone readied my forms, I sat alone in a room with a tape recorder. Alone, to listen to a recording tell me what it meant, what would happen. Policy for the clinic.  It was someone’s office, because they didn’t have much space. So I read other people’s mail, and books that were on the shelves. For what could have been as little as fifteen minutes, or as much as an hour, I let the tape run, with the volume turned to nothing.

I didn’t want to know any of the specifics. I did not want to change my mind. I had already decided.

When the clinician came back, I signed the forms and booked the appointment.

It was a long week.  The clinic only did the procedure on Thursdays — I booked it as early as possible, showed up early, with him in tow. I could not find someone to cover my morning shift at my coffee-shop job. The lesbians who ran the place had been so kind, and because my own mother was far from me and would not want to know the stupid mistakes I made that had led me to such a stupid position, and we were of no comfort to one another during those years of my life, I told them I was going to be going in for a brief outpatient procedure, and I asked if I could show up the next day instead.

They were happy to switch my shift, until one of them asked more plainly what I was going in for. I told the truth, because it never occurred to me not to. These women were my mother hens. They shepherded me through the painful weeks of living away from my own mother for the first time. They let me take home all the day-olds because they knew I wasn’t eating more than my free shift meal a day. They fed me, and counseled me, and acted like family. But once they heard my situation, once I confessed, it all changed.

They were cold on the phone, and told me if I didn’t cover my shift, I would lose my job.  I hung up, stunned. Did that really just happen? I called everyone I knew who worked there. No one would switch shifts with me. Did my mother hen lesbians do that on purpose? I’ll never know.  I called them back, but they didn’t want to speak with me.

Show up for my shift, or don’t come back.

I didn’t show up, so I didn’t go back.

Instead, I walked up the steps of the converted house’s big porch, naively confident — not brave, knowing all the risks and choosing anyway — but boldly heedless, decidedly unafraid because I was so young, I believed myself unscarrable. It happened, I chose, and I would get through this all in time to dress up fine tomorrow, do my hair and makeup, and pound the pavement for a new job. It was only an outpatient procedure after all — only the barest of local anesthesia, to keep cost and recovery down.

I took him with me, and he trailed in my wake, unsure of where to stand or sit, or what to do with his hands. He carried an over the shoulder bag with one of those ridiculous leatherbound journals with the celtic knot stamp embossed on the cover. You know, the one everyone had in the nineties while we were all listening to Sarah MaLachlan or Tori Amos or Dave Matthews or Moxy Fruvous. He kept poetry and stories in it, and he was as proud of it as anything, and I probably should have known well before I let him stick anything in me that he wasn’t going to be worth all of this, but I was hungry for approval and praise, and in the beginning he was like the sun on my earth, and it wouldn’t be for another week or so after this that I would find he’d set just far enough that he would no longer warm me. For now, in these moments, he stood in the waiting room while I finished papers, and looked out the window, or at me, and made his best solemn face, and I briefly wondered how much it would hurt.

This was not a clinic in a place where people protested. At that point, despite the judgmental mother hen lesbians, I lived in an odd haven of women’s rights and progressive thinking.  My life was not in danger. No one had a bomb. No one threw red paint or fetus dolls. No one held signs and called me a whore. It was a safe place, for all that the rest of my life was not.

They called my name, but would not let him come back with me yet.

They asked me if I was safe. If he hit me. If I were, really and truly, doing this of my own volition. They asked me if I wanted to, one last time, because it is always better to be sure. This was a big decision, they said.

I told them I was sure. I had already decided.

The room was cold. The table was cold. Everything was cold. I laid on my back and stared up at one of those stupid adhesive light covers that paints a picture of balloons or sailboats or strange fish. There may have been a mobile, in primary colors, red wires, and blue and yellow rounded triangles.

He was with me, to my left. The clinicians were in front of me, and to my right.

I don’t remember if there were stirrups. I don’t remember if I wore a gown.  There was a thin blanket, but I was still cold. I remember the pinch. That’s what it felt like — like a pair of massive forceps reached up and in and plucked at me, peeling a pear from the inside out.

I remember a deep-seated pain that was strangely full and sharp and somehow underwater, in the dark red ocean of me. I remember wanting to close my legs.  It hurt. I had not comprehended until those moments, how deep my body went. It felt like some strange warping of space that made no sense. It felt a hundred thousand miles inside me, behind my belly button, as though they were excavating some strange pit below the table, below the floor, below the crawlspace or basement or whatever was under the house that was the clinic that held me.  In and down and far away, but still inside me.

They kept telling me to relax.

I kept telling myself to relax.

I couldn’t relax.

I never looked. I never saw any blood, but the color of clutches of pomegranate arils and dark red wine kept coming to mind. Not brick. Not candy or apples or fire engines, but velvet and purple. I couldn’t smell anything except antiseptic, and my own sweat. What I remember is how my ears got wet; tears rolled from the corners of my eyes and slid down through my hair, and went around and in my ears. At first they were hot, and then they were cold, and then they were just sticky.

They kept apologizing and telling me I was ‘doing good’ and it would ‘be over soon’.

He looked, sometimes, to what they did, and then he looked at me. He held my hand.   When he didn’t know I saw, he looked alternately afraid and bored. I imagine I might have made the same face, if our situations were reversed.

How could he know what it felt like, after all? How could he know to make enough of a concerned face that it felt as though he gave a damn that we were both stupid, but I was the one on the table?

I attempted to imagine what was happening inside me. I knew what a curette looked like, what suction hoses looked like, what specula looked like. I knew, medically, all that they were doing. I knew what would happen, and I knew that when I left, it would be done, but not over. I would continue to bleed, and I might find myself hormonally emotional, much as if I were having my period. The body is a strange creature, with its own clock and own designs — mine cramped and bled and wept and felt relief and sorrow and joy.

I ate Chinese food that afternoon. He brought it to me. He said he wanted to take care of me. It didn’t last but not much does. He is gone now, long gone, and I forgave him finally once I understood I had to, to forgive myself, too, for being nineteen. We were all nineteen once, even if we’re twenty-three while we’re nineteen, or thirty-five, for that matter.

I cried, but the sadness didn’t last. It didn’t stay. It didn’t stay gone, either. It still comes and goes, sometime, the way strange and wonderful and terrible things come back to you. The same stupid way you will suddenly remember the PLU code for bananas, or what your fourth grade crush’s name was, or how your beloved second grade teacher once laughed so hard while you were making a commercial for dog biscuits you all made as a class project that she nearly peed her pants, these strange moments blooming inside your head like poppies, flashes of red at the most ridiculous points in time.

You can pity me. You can revile me. You can judge me.

Honestly, though, those thoughts of yours will never touch me — you’ll never manage to ask me a question I haven’t already asked myself and answered as best I could. Besides, what I did saved a life.

It just so happened to be mine.

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Rewrite

I dream I can end it, losing the fight —

slip into my wings, fly into the light —

and burn as I cry to the angels below

that I wear the last heart you’ll ever know.

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State of the Union

In and out, disappearing and reappearing. I do that, from time to time. I’m attempting to get a decent buffer here so that I can write steadily, produce steadily, and yet if I have to take a day or three to handle life’s little explosions, you’ll get content enough to choke a horse.

Here’s the long and short of it:

About a year ago, (a little under, to be precise) I had an atypical pap smear. No big. Happens to 99% of women at LEAST once. Anything from an infection to a tampon to penetrative intercourse (to name a few things) can cause such a result. The thing is, it’s happened to me repeatedly, so I didn’t bother with a follow-up. My doc bugged me about it, but I ignored her, as I do.

Fast forward.

My doc calls me and says “I made an appt for you. You HAVE to go.”  Then I was told I had to go back in for a colposcopy — where they don’t just scrape, but cut out a tiny portion of the cervix to more thoroughly examine it. I had two sites showing what they considered ‘dysplasia’ or ‘cellular changes’. Did that — not comfortable, but not the worst thing I’ve ever felt.  The doctor wrote out on a scrap sheet of paper all the stages that cervical cells can go through, starting at the top with ‘normal’ running all the way down to the bottom of the page with ‘cancer’.  She crossed out ‘cancer’ and said, “That’s off the table. You don’t even need to worry about it.”

Fast forward.

I get a phone call while driving my wife and son somewhere. Home Depot, for a school project, I think.

“I feel so terrible,” my doctor is saying. “It’s cancer.”

Cancer? But I’m 35. How the hell can I have cancer?  Whatever. I don’t really have a breakdown — in fact, we make fun of it. We make light of it.  We throw an ‘It’s Cancer!’ party and invite a couple dozen people. It’s potluck and board games and karaoke, and we all have a great time. It’s not real, because there haven’t been surgeries. There’s no radiation or chemo… I’m not sick. I feel fine.

Aside from a 30-second freakout in a grocery car park wherein I grab my wife out of nowhere and hang on to her like I’m drowning on dry land, gulping for breath like a fish out of water, just before we make a long drive to visit good friends, I’m fantastically upbeat about the whole thing.

Fast forward.

Summer — I undergo what’s called a Cold Knife Conization, because I can’t have a LEEP because I have not 1, but 2 types of cancer (…jackpot?) and the cauterization effect of the LEEP can cause cell change in its own right, and make the biopsy hard to interpret.

It’s not a fun procedure, and I’m a little wigged out, but they give me awesome drugs, and then it’s all over. A rather large chunk of my cervix is gone, but hey, it was mutinous anyway, so fuck it.

A week or less later, the GYN-ONCON calls me and says I’m in the clear! They got out all the cancer in just the biopsy. The margins of the portion taken are CLEAR and that means it’s GOOD and GONE and YAY!

I spend a bunch of time eating and drinking and indulging, because if that’s not a good enough excuse to just LIVE, then I don’t know what is.

Somewhere in there, the first OB/GYN calls, the one my primary LNP sent me to, the one who said it couldn’t be cancer then had to tell me it was.  “Get a second opinion,” she says. “Please. There’s no way it’s all gone.”

I don’t want to listen to her, but I get a recommendation for a second GYN-ONCON and we head down to meet her, bringing along the slides of what had been taken out of me a some weeks before.

My blood pressure is taken, a urine sample, blood work, all kinds of stuff. It’s still all very abstract. And then someone asks me “How do you feel about a hysterectomy?”

“I don’t care if you make it into a purse,” I say. “I’m not using the damned thing.” Turns out it’s a good thing I got a second opinion. Remember how I had 2 kinds of cancer? The first kind sticks together. If you scoop all of it out that you can see, you’ve gotten it. The second kind is trickier. Even if you get all of it that you can see, it may have buried itself well below the surface, without a trail down to where it’s hiding. You might not see it, but you could still have it!

Fast forward.

Phone calls and planning, check ups, pre-op, and a little more fear this time, because it would be nice for this to just be OVER really, instead of be a great big rollercoaster.

October 22, 2013, they remove my uterus vaginally, via a laparoscopic procedure. I forget to ask the surgeon to snap a smartfone pic of my innards, though she’d promised to do so if I could remember to ask. It’s probably (hopefully) the only time it’ll ever happen, but I suppose that’s okay. The DaVinci robot was awesome-looking, and I mean it literally. I was filled with a sense of fear and awe, looking at it, this giant mecha-spider that would be piercing me in five different places.

The stay was hard, because they had me without food from Monday early morning until Wednesday morning, due to diet restrictions. They wouldn’t let my wife stay in the room with me. They injected me with Benadryl, thinking I was having an allergic reaction to something, and it made me unfathomably sleepy until about 11pm when my wife had to leave to check in to the suites they have right near the hotel, for family. I had a lot of pain, but I also had a lot of drugs. I don’t remember anything concrete about the next week or so.

Fast forward.

I get a phone call from my GYN-ONCON, who tells me the surgery was a good call — I had more cancer brewing in me. I had cells changing into that second kind of cancer, and it was further inside the cervix. Could they have found it later, with another smear? Yep. Could they have missed it. Yep. What’s that all mean, then? Well, without a cervix, uterus, or fallopian tubes, I could still get ovarian, though it’s quite unlikely (did you know, most ovarian cancer begins as fallopian cancer?) and vulvar cancer is still a possibility.  Cancer’s just a bitch like that. I can’t cervical or uterine cancer though, so that’s good, at least.

Fast forward.

I finally go back to work, but I’m still exhausted for weeks.

Fast forward.

Holidays! Everyone loves holidays. So food. Much family. Very presents, to quote the latest, as it were. Happy New Year!

Fast forward.

Last Sunday, Groundhog day? I broke my goddamned foot. Proximal third of the 5th metatarsal on the right foot. Broke the same place on the left foot a couple years ago. Dumb luck and clumsy ass.  It is called a ‘Jones fracture’.  Ugh.

I am well, dear readers. I really am. I’ll take a broken foot over cancer any day. I’ve had a second round of XRays and the orthopedic surgeon says he already sees signs of healing (probably fracture callus formation and/or hyaline cartilage formation) which is very good, because this particular site of the human body can decide (due to very poor blood flow) to just NOT heal, which could require surgical pin placement, or ultrasonic bone growth stimulation (which sounds like playing heavy metal at my foot until it Wolverines) and SO…

I have a peg leg, in the mean time, which is awesome, and helps me get around. I have a son I can make fetch and carry things. I have a wife who is trying very hard not to yell at me when I attempt stupid things around the house, because by god, I apparently want to break all the REST of my bones. I have a job, and friends, and a warm house and a million other blessings. And a broken foot.  Now all I have to do is wait.

Apparently, I appear to be out of ‘Fast Forward’s.

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The Price

“Well?” the ice-eyed blonde snaps. “Are you ready?”

“Yeah,” he says, standing, scrubbing his lips with the back of his hand, wincing as he swallows, feeling bloody glass and fire on the back of his tongue. “Get it out of me,” he rasps.

“Don’t be so fucking impatient,” she hisses, reaching up to slide her bare fingers against his cheek. It would be an intimate gesture, sweet, if either of them wore anything except exhausted hate on their faces. She holds tightly to an empty leather glove in her other gloved hand.

“Be gentle. Watch your mouth. And hurry up,” the third of them murmurs, staring out into the night. His breath fogs in the cold, a nimbus of shadowblue and orange under the arc-sodium flood lamps, gravel crunching wetly beneath his boots as he paces. This is taking too damned long.

“Let go,” she murmurs, frowning.

“I’m trying,” he promises, gasping, leaning in to her touch.

She recoils from his sweaty, filthy frame, shoving him back and breaking contact with a low sound of disgust.

When she releases him, he hunches over, hands to his head, and utters a long, keening cry.

The slowfastslowfast pitterplack of droplets smacking the damp concrete is swallowed by the sounds of the industrial laundry. He crouches a little longer, hunched over, and the muscles in his back bunch and flex beneath a dirty T-shirt as his throat finishes the impossible translation between whatever the fuck it was he swallowed last and whatever the fuck is landing on the floor between his boots.

Mostly, it looks like blood now.

“Jesus,” she breathes. “You can’t keep doing this to yourself,” she says. “One of these days, I’m not going to get to you in time.”

“Like you care,” he wheezes, going to his knees. “You don’t get to me in time, you call for a crew, and it’s all over.”

“Peter–”

“Both of you shut up. Don’t have time for this,” their third murmurs. “Is it done?”

The blond leans down and smudges her boot through the thick puddle, staring at its contents, making a face. “Looks like,” she tells him.

“Good. Let’s go.”

“But what if–” she begins, looking over at the young man on the ground.

He’s no longer kneeling, but has slumped to the ground, his cheek pressed to the damp concrete, his eyes gone glassy. “This one was rough, Vale. What if he doesn’t wake up before shift change?”

“Not my problem. One less piece of filth for you to dirty your hands on. Now let’s go.”

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Party of None, Please

I can hear her crying in the next room.  What makes her stay with the halfbreed, I cannot comprehend. It is either fear or guilt, but it could never be loyalty, could it? When he came for me, she stood at my back. When he took more than was his due, she went without question. When I see her in the halls, her eyes are always cast away, and there are no smiles for her lips any longer.

I hate that I am as much her jailer as I ever could be her liberator. I hate that I have been pressed to travel ells past the reach of her voice and the echoes of our long-dead friend whose name I bear. I hate that I fight for my life. I hate that by the time I return, a conquering hero, she may well be an old woman who cannot forgive me, because she has forgotten me, while I will remain forever young in the company of strangers.

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