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My name is Jim. My birthday is June xx, xxxx. I do not believe that the pill cup being offered to me by the older nurse who looks like my mother, in fact contains the Prednisone that she says it contains. I look to the other woman who hangs over my bedside table and ask if she recognizes the contents of the pill cup. She is a larger, younger woman whom I have never seen before. She says she is a respiratory therapist and is therefore is not allowed to know about patients’ medications.
The woman claiming to be a respiratory therapist says to me, “I suppose taking it would do you more good than bad.”
I agree with her, tip the pill cup up to my mouth and empty the two tablets onto my tongue. The older nurse-woman pushes a straw through the hole in the side of my oxygen mask. I suck in enough water to wash down the pills. My throat is dry. I cough. I try to wipe my mouth, but the oxygen mask prevents me from touching my mouth. My lips are chapped. I ask the older nurse-woman for some Blistex. Then, before she can reply, I ask her, “Do you know the difference between Betadyne and Blistex?” (a recollection of the last event – June 2008, ICU Providence Hospital, Portland, Oregon – on bipap)
Older Nurse-woman nods that she does. I suddenly realize that not only does she look like my mother, she also looks like the nun at the end of the 1970s film “The Sentinel” who finally sits in the garret of a New York brownstone, staring out at the world while guarding the gates to Hell. But I conclude that Older Nurse-woman is not up for the job. So I tell her, “A nurse on second floor put Betadyne on my lips instead of the Blistex I asked for.”
Older Nurse-woman looked appalled and asked if I knew the offending nurse’s name. I responded that I had been in room 233 on Wednesday when she came in and smeared that brown liquid on my lips. By this time, Respiratory Therapist had disappeared, but I had not noticed her leaving.
“What’s your name?” I ask Older Nurse-woman.
“Mary.”
“You look like my mother.”
“Oh, are you sure? I’m rather plain.”
“My mother is a good looking woman.”
Mary rifles through the items on my bedside table. Then, I realize what the game plan is. My wife is a nurse who works at this same hospital and has told me about a new, employee incentive program. The hospital is trying to identify poorly performing employees with a program that pretends to promote excellence while discretely eliminating poorly performing employees.
I conclude that Mary’s job is on the line.
Next, Mary shows me the tube of Blistex she has found on my bedside table.
“Oh, thank you, Mary. You are so sweet.”
“I need to take off your mask for a few seconds so I can put it on your lips.”
“You just go right ahead. I trust you.”
Mary pries up the mask and I feel a cool smear on my lips. It tastes like mint. I feel the effect of its moisture immediately. It is Blistex.
“Oh thank you, thank you. Now is it OK if I snooze a little?”
“Yes, you just go right back to sleep.”
I slink down in my bed, but I feel phlegm in my throat. I cough and realize I have a nice, big loogie in my mouth.
“Let me get you a new suction tube.” Mary pulls out a long, pointed clear plastic tube in a movement that seems to be quite magical. I conclude that in fact, Mary has some talents.
“You probably have a little blood in your sputum from the tube they had in your throat. This tube works just like the one your dentist uses. You just spit into the end and it sucks your sputum into that tank over there. There are holes in the side of your oxygen mask. We just used one for drinking your water. See? Just stick the tube through the lower hole in your oxygen mask, and you can hit your mouth.”
I do exactly as Mary directs. I hit the target easily. I place the loogie near the tip of the suction tube and Voila! Le loogie disappears into the tube. Well, it actually doesn’t disappear. Since the tube is clear plastic, as I pull the tube from my mouth and examine the tube itself, le Loogie has been transformed into a swirl of pink and white that clings to the inside surface of the suction tube. Le loogie has a strawberry sherbet appearance about it.
The tube continues to suck away, so I again spit into it. The spittle is more clear the second time. I discover that I can blend the pink swirl with the newer, clear spittle and create a different appearing substance altogether.
“Do you want to hold onto the suction tube for a while?”
I nod in affirmative.
“OK. You snooze for a while and I’ll keep checking on you. Here’s your call light. Do you know how to call me if you need me?”
I nod in affirmative. I close my eyes. When I blink them open again, Mary has disappeared. I close my eyes again and take a deep breath. I cough up another loogie. This loogie is clearer than the last. I conclude that I must be healing. I am content. I snooze.
When I am next conscious, I cannot tell how long I have been asleep. It may have been minutes. It may have been hours. I look around my bed. I know I am in the ICU because I had been on the same unit last summer with the same respiratory problem.
Then, I see Wilson. Wilson is a clock. On Wilson’s face, someone has pasted a chenille cleaner in the shape of a bright red mouth in a big smile. Wilson also has two bright blue eyes made from the same material. I think to myself, “How sweet. My special education students want to keep me oriented to the present, so they went to the Dollar Store, got a clock and some chenille cleaners and turned the clock into Wilson.”
![Image](https://dzinor2013.wordpress.com/wp-content/uploads/2014/04/misterclock1.jpg?w=238)
Then, for the first time, I notice what I call “the telemetry system”. This telemetry system consists of a wire curtain that moves around the soffit in the ceiling above the nurse’s station. A shortwave antenna is mounted on the ceiling nearby. A thin, blond ward clerk sits at a computer that shows a somewhat rough computer graphic image on the monitor of the entire unit in low resolution.
I am now aware of pressure coming from my bowels. It occurs to me that I may need to have a bowel movement. When did I last have one? I cannot recall. In fact, I cannot recall anything since a nurse gave me an Ambien for sleep the first night I was admitted to the hospital. I find my call light and push the button with the red human torso on it.
Mary appears.
“Hi Mary, I think I need to use a bedpan.”
“Let me find one.”
I think, “OK. Find one? Where have I been having bowel movements? Maybe I haven’t had one yet. Maybe I’ve only been in ICU a matter of hours. Maybe my “stuff” isn’t set up yet.”
Mary reappears and tells me she’s going to lower my head. When I am flat, she tells me to grab my bedrail and to pull my body to my right side. I obey. Then, I feel what I know is plastic being placed against my buttocks.
Mary says, “Try and square up your bottom with the bedpan.”
I think, “This will be a challenge because the bedpan itself feels like it is square. Will my butt fit to it?”
Then, Mary says, “OK. Now roll back over onto your back.”
I obey, and strangely enough, I feel secure that things will work out. I relax. I bear down. It works! Mary was right.
“Mary, I need to pee also.”
“You go ahead and do that. You have a catheter. See? It drains into this tube.” Mary lifts the tube and I see that it goes over the side of my bed. I know from experience that the tube drains into a plastic bag attached to the frame of my bed.
I now know for the first time, I myself have been catheterized, but I also know what a catheter is and what it does. When I was working my way through college, I worked in several hospitals as an orderly. In fact, I have probably taken enough paraprofessional classes to be at least a Certified Nurse Assistant. In fact, I myself have installed many catheters in many men in the distant past. So, while I didn’t like the idea of having my first catheter, I knew why I had it .I also knew that once it was removed, there would be no permanent effect on my involved body parts.
Mary was correct again. I felt the pressure in my balder reduce.
“Are you done with the bedpan?”
“I think so. Thanks.”
“OK. I have some soft cloths with medicine on them so you don’t become irritated down there. I’m going to hold the side of the bedpan while you pull yourself to the right again. Go slowly so we don’t flip the bedpan over.”
I obey. Then, I feel Mary pulling hard at the pan, so I lift my hips as much as I can. Voila! Le bedpan is gone. Then, I feel Mary wiping me with the cloths. They are warm.
“Wow. Those cloths are warm.”
“I put them in a warmer. I’d hate to have cold cloths touch me, so…”
“Oh, thank you, Mary. You are so kind.”
“Now, roll back onto your back and I’ll raise your head.”
“That’s great. Is it OK if a snooze again?”
“You go right ahead.”
I snooze.
When I next become conscious, I am aware of a strange, young woman standing in a doorway across the unit, wringing her hands. She has bright red, curly hair and large, round tortoise shell glasses. She looks like an aging Orphan Annie.
I think to myself, “That’s the doctor I’ve heard about. She may be a person with Asperger’s Syndrome. But, I hear that she is quite brilliant.”
Then, I look at the ceiling in the nurse’s station again. This time, an entire section of the ceiling has tilted downward to reveal the inner workings of the telemetry system. For the first time, I notice what is located inside the ceiling.
It is also at this time that I feel pinching in my neck. I conclude that I must still have some discomfort from what must have been a tracheotomy tube. Having never had one before, I cannot imagine in what sort of arrangement my trach tube might been installed.
I recall Millie, an LPN I worked with a long time ago. Millie had a medical episode once when she had needed a tracheotomy. She had pulled the trach out, and caused herself all sorts of trouble. My pinching feels like it is related to a trach tube. I push the button with the red human torso on it.
Mary appears.
“What can I do for you?”
“I feel this pinching. Do I still have a trach tube?”
“You had one for several days, but the doctor removed it.”
“Why do I feel this pinching in my neck and throat?”
“I don’t know. Maybe they didn’t get all the staples out.”
I think, “Staples!? What kind of trach tube are we talking about? Did they have to sew it into place? Do I have a new hole in my body? Did I react like Millie? Am I still in danger?”
“Let me look. OK. It looks like they needed to suture another line from your neck directly into the IV. Do you want me to remove the sutures?
“Sure. I vaguely recall they had trouble finding good veins. I’ve had so many IVs and blood tests over the past year. My veins are scarred and hard to hit.”
“That was probably it.”
I think, “Probably? Mary, don’t you know? Didn’t anyone give you report about me?”
Mary disappears and then reappears. I assume she has some instrument for removing sutures. I don’t want to watch, so I close my eyes. I feel Mary’s hands turning my head and the pressure from her fingers and she seems to be searching for sutures. Then, I feel a tug on my neck and a sharp pinch.
“OK. Is that better? Someone forgot to remove some staples.”
I nod in the affirmative. Then I think, “Still this staples thing. Mary, which is it? Staples or sutures?”
“Do you feel like a little water?”
“Sure.”
“Here’s the straw.”
“I forgot about my suction tube. Where is it?”
“Right here.”
By now, the pink swirl appears to have frozen in the tube. I put the tube to my mouth to test its effectiveness. I spit into it. Yes! It still works! I keep it in my left hand and allow Mary to insert the straw from the glass of water into the hole on the side of my oxygen mask.
“Thanks, Mary. I’m really bushed now. OK if I snooze some more?”
“You go right ahead.”
I snooze.
The next time I become conscious, I notice that the coiled, plastic threads that hold the drapes to the doorway of my room, are blowing mysteriously. At this point, I also assume that when I speak into my oxygen mask, due to the nature of the telemetry system, the ICU staff can hear what I say.
I ask the staff if the waving threads on the curtains are a way of communicating to me about my allergic reaction which has caused this particular stay in the ICU. I hear a bumping noise from the other side of the curtain. I say into my mask, “Tap once for no and twice for yes.”
I hear two taps. I think to myself, “OK. Confession time. These folks need to know my history. At least, Mary does since it seems that no one has given her report on me.”
I say into the mask, “I know I look very white, but if you had known my Dad, you’d know the family secret – dark hair, dark skin, Indian. He had the Indian curse – alcoholism. He died of it. That’s what bothers me the most about this urine bag. I can’t see it. When I was 24, in May 1972, I watched my father die of alcoholism. His urine bag had filled with blood clots. He was lying back in his hospital bed with an electric fan blowing on him. At one point in the afternoon, he confused me with his brother, my uncle. Then, he just seemed to hold his breath. His face turned red, then blue and then black. I turned on his call light and stood over him screaming, ‘Breathe damn it. Breathe.’
A nurse rushed into the room and told me to leave. I went down to the waiting room. She came in a few minutes later and told me he had died. I screamed, ‘Oh Jesus! Oh Christ!’
The autopsy report said that my father died from an abssess that had formed near his heart. By the time of his death, he had drunk so much and for so long that his liver had turned to fat. He was 47.
Is this what you want to hear about?”
I hear two more taps.
“OK then. What else? You want to hear all that David Copperfield crap that Holden Caulfield wanted us to hear?”
No tapping.
“I said one tap for no and two for yes.” Nothing. “Ok. Here it is anyway.”
I announce this into my face mask, “They dressed me up like a girl. My mother and my grandmother. They took my picture dressed up in a dress. I had long, curly hair when I was a baby. They put a dress on me, a ribbon in my hair, posed with me and took my picture.
I’m sure Doc was pissed when he saw that one. Doc was what his friends called my Dad. I’m Doc’s Boy. To any of his old friends who are still alive, and in spite of my turning 60, they would probably still only know me as Doc’s Boy.
Being Doc’s Boy was quite an honor in many ways. It meant I got to hang out at the Pink Tavern on Saturday afternoons while Doc played pinocle and gave me his winnings to spend on Bun candy bars. It meant an annual trip to Northern Iowa to hunt pheasant with my BB gun. When I got older, it meant being able to claim back many favors that my father had done for others in his alcoholics’ community.
But, the dress thing ruined me. It wasn’t long before I found myself going up to my maternal grandmother’s bedroom where she kept a fishnet head scarf on her dresser. She had taken me to see Marilyn Monroe in “Bus Stop”. I was probably in first or second grade. Marilyn sang “That Old Black Magic”, wearing a pair of slightly torn fishnet stockings. Low and behold, I found that when I put that fishnet scarf on my bear legs, strange things happened in my private area.
OK, where is this all going? Do you want more of this or do you want some theories on what I think it is that’s making me sick?”
Two thumps.
“Well, for one thing, my mother took me to a cheap dentist when I was kid. My own dentist says all of my old fillings probably contain mercury.”
Mary appears.
“Mary, I was just saying that I still have mercury in the fillings of my teeth. Do you suppose the mercury is causing my respiratory problems?”
“I have heard of people having their mercury based fillings replaced, but you need to talk to your doctor about that.”
“Mary, I’m sorry to do this, but I’m feeling a little tugging on my catheter. Would you mind looking at it?”
“No. Let me see. There’s a little blood in the area where it goes in. It may be time to change it.”
“I understand. I used to be an orderly many years ago. I put in catheters daily.”
“Let me go get a kit.”
Mary disappears. I close my eyes. I open my eyes. Mary is standing near me as I realize my privates are exposed to the world of the ICU. Suddenly, a chorus line of clowns marches by my door shouting things like, “Whoopie!”
They shout out wolf howls and whistle, “Fwhoot. Fwhoo!”
Mary quickly covers me, then builds a mountain of sheets between me and the door. She next walks to the doorway and pulls that curtain with the waving threads across the door.
I realize that Mary has goofed up, and her colleagues on the unit are giving her a “heads up” about her error by marching by in their clown makeup. I feel Mary fumbling with the instrumentality inserted in me.
“So, what size is it? I always wondered what size Foley I take.”
“What? Oh, you have a 16 right now. So, I got another 16. Let me cut the filler and let the air out of the bulb. You probably know how these things work.”
I nodded in agreement, but I did not confess to Mary that I had always secretly hoped I needed at least a size 20 Foley.
“What about a sterile field, Mary? You don’t seem to have one going on there.”
“You know, actually I don’t need one. I checked your orders. They say that the doctor was going to remove this sometime today anyway. I’ll just leave it out.”
“Sounds good to me.”
“Yes. My understanding is that you’re being moved to Intermediate Care today.”
“That’s the way they did it last summer.”
“In fact, your notes say that for breakfast this morning, you’re going back on a regular diet.”
“Sounds better and better,” I say this as I grit my teeth when I feel the rubber tube being pulled from my urethra. “If there’s a urinal close by, just sit it on my bedside table. Is it OK if I snooze some more?”
“You go right ahead. Do you want me to turn off this fan?”
I think, “Fan? Turn off this fan?”
And I realize that ever since I gained consciousness, a small fan has been blowing in my face. It reminds me of the fan that blew in Doc’s face the day he died. I recall the blood clots floating in his urine bag. Just then, Mary lifts up my own urine bag.
“This thing is getting full anyway. That’s actually very good output. And it’s not so thick now.”
I look at my urine in the bag. It looks a little on the heavy side, but it contains no blood clots.
I am relieved. I snooze.
The next time I open my eyes, I see Mary and the ward clerk. The two women seem to be arguing over something.
Then, I hear Mary say, “I won’t go.”
The ward clerk answers, “I’ll call Mr. Strong.” My wife told me long ago that Mr. Strong is code for Security. I think, “Mary has finally pulled a boo-boo so bad that they are sending her home. Was it her exposing my nakedness to the rest of the ICU? Was there really an order to remove my catheter? Was that really Prednisone she had given me earlier?”
Next, I see Mary turn and disappear into the deep recesses of the unit. It is now that I notice the monitor on the ward clerk’s computer. I see a graphic representation of a female figure heading toward the top of the monitor screen. I assume it is Mary.
The ward clerk goes to the keyboard and starts poking buttons. I see the floor space represented on the monitor begin to shrink. Next, I notice the wire mesh of the telemetry system inside the soffit under the ceiling of the nurses’ station begin to turn. I realize that the wire mesh is shrinking with the floor space depicted on the monitor. I think, “That’s how they do it. The ward clerk wants Mary to go home. Mary has refused and has gone deeper into the unit. The ward clerk is using the telemetry system to control and to limit Mary’s movements.”
Soon, I hear what I assume are Mary’s fists pounding on some metal door where she has been confined by the telemetry system. Then, I hear nothing.
A tough looking male employee dressed in white enters from the opposite direction where I know the entrance to the unit is located. He walks toward the area where Mary is confined. The male disappears momentarily. I hear a metal door open and shut. Mary’s graphic image is no longer on the monitor. The male employee reappears from the recesses of the unit and walks out in the direction of the entrance.
I am somewhat relieved. If Mary is incompetent, the rest of the staff has been successful in convincing her to leave the unit and to go home. Now, it occurs to me that Mary is the only employee who has ever offered to help me with the bedpan. I begin the feel pressure building in my bowels.
Suddenly, Mary strides into view from the direction of the area to which she had been confined. I think, “She’s back! Of course. She’s an employee. She probably knows a code to override the telemetry system.”
The ward clerk holds out her arms to stop Mary and then directs Mary to another computer in the nurses’ station. Mary sits down in front of this other computer, and I think, “Mary has made a deal. She has agreed to sit at the computer and review the mistakes she has made tonight. I assume that after the review, she will be allowed to stay, and (hooray!), Mary will even be allowed to help me with the bedpan. What a great system! I mean, admittedly, Mary did appear to be getting up there in years. She probably needs a refresher course or two.”
Sure enough, just as soon as I am sure that Mary is finished reviewing her mistakes, I push the button on my call light with the red human torso on it and Mary looks up at me and comes toward my doorway.
“Do you need something?”
“Mary, I am sorry to tell you this, but I think I need to use the bedpan again.”
“That’s not a problem. I’ll get it.”
This time, Mary returns with the bedpan and closes the curtain to my doorway. I am impressed. There will be no clowns marching by the doorway this time. I am very careful to anticipate Mary’s needs when she places the bedpan beneath me. I do my thing. Mary retrieves the soiled bedpan. Mary wipes me with warm, medicated cloths.
I turn back on my back and ask, “Could you also hand me that urinal? I need to use it too.”
“Here you go.”
“Thanks.” And a few moments later, “I’m done. Can you take it?”
“Sure.”
“Mary, I hate to ask you this, but I feel a little discomfort down there since you took out the catheter. Would you mind looking at it?”
“Not at all. Well, there is a little blood on it.”
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