Tag Archives: illness

AGGRESSIVE ACCELERATION: CHAPTER 16

Here begins PART 3 of our journey.

It is a great and long chapter and a massive turning point in our tale.

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PART 3

“It’s the end of the word as we know it, and I feel . . . ”

-R.E.M.

 

Dr. Odegaard, the GP who had made my very first “there is definitely a lump” diagnosis some 30 days ago (yes, ALL OF THIS, has happened in one month) and had recommended me to Dr. Honda, my urologist, has now recommended an oncologist for me to meet with at White Memorial Hospital in downtown Los Angeles.

My wife and I enter the hospital and find that the main lobby is under construction and is being poorly partitioned. Dust and specks of insulation and dirt and cement and broken tile lie about and float in the air. It’s less hospital and more third-world-country-post-war-zone chic. I ask the receptionist where I should be, and she directs me to an elevator that looks as though it were designed and installed at the turn of the century and hasn’t had a maintenance check since. Upon exiting my floor I find red (blood/rust/chemical/vomit/paint??) stains on the carpet and water stains on the ceiling.

All hospitals are not created equal.

I enter the waiting room, and the very first thing I notice is that there are patients everywhere; all the chairs packed, people standing and sitting on the floor, nearly stepping on one another, two and three deep and I just keep thinking, “There are so many. So many sick people. There aren’t enough doctors here.” And while I focus on this weird ratio of patients to professionals, I wait . . . and wait . . . and wait . . . .

An hour past my appointment time, I approach the window and ask for an ETA on my “reservation” and they tell me that they’re running about 90 minutes behind schedule. I ask if a doctor got sick and the receptionist says, “No,” and I ask, “Is this pretty standard?” and she sort of gives me a shy I’m-not-supposed-to-say-this type smile and it’s enough of an answer for me. I sit back in my chair and mumble angrily to myself and wish there were some sort of air freshener in this room because it’s starting to smell like body sweat.

Thirty minutes later, they call my name—“Mr. Brootbagk”—and lead me like a lamb to the slaughter (you know the feeling), and once I get into the doctor’s exam room I wait more and more and more, and it’s not the kind of waiting that one expects in a doctor’s office. It is the endless abyss of waiting where time stretches on indefinitely and seconds become hours and you wonder if the doctor is just enjoying a ham sandwich in the break room.

The door finally opens and someone enters. A young man. A doctor. He sits down and calls me the wrong name, I correct him, at which point he realizes he’s in the incorrect room. Leaves. We wait. A second doctor enters. Asks me two questions, and gets my name right. Excuses himself. We wait. We wait. We wait. A third doctor enters. He sits down and asks me what my name is and what I’m doing here. He has no folder, no information on us or my surgery or background. He’s just winging it off the cuff, I guess. He exits. He returns with our folder.

The doctor tells me that I have stage 2 cancer. He tells me they biopsied my testicle (put it in a blender and looked at the goop under a microscope). He tells me that there are two different kinds of cancer; there is nonseminoma and there is just plain old seminoma and that I have the first. I take a deep breath, relieved, because clearly, “non” is always better. He sighs and says, “Nonseminoma is actually the more aggressive of the two,” and now, every comedic deflection I have is being ground out of me and my lip begins to quiver and I still don’t understand why this is happening. He tells me, “Nonseminoma breaks down into four categories and you also have the most aggressive of the four.”

I say, “The most aggressive of the most aggressive . . . ” and he says, “Yes,” and my hand has turned purple and then white from Jade squeezing it and I look over and see that she has mascara and tears streaming down her cheeks and her eyes are red and her face is puffy and I feel like I’m going to pass out but manage to say, “So . . . what . . . does that . . . mean?” And I say this because . . . what else do you say? How else do you respond? Someone tells you that you have some of the most aggressive cancer on Earth and—

The doctor says, “I’d like to admit you today, right now. I’d like you to start chemotherapy,” and my breath catches in my throat because now I am a Cancer Patient. More visions of ghostly bald kids with hollow eyes shoot through my brain and images of me hiding somewhere in the crowd with my IV, pulling it sadly behind me. I ask the doctor, “But . . . my job. I work tomorr—” and before I’m even done with my sentence he’s shaking his head. “No. You’re not. You won’t work again until this is over,” and I say, “But I can work. I can make it work—they’re cool with my schedule,” and he says, “No. You won’t work. You won’t read. You won’t watch TV. I just want to be very transparent with you about this—I’ve seen this take men in the military down to . . . nothing,” and I just keep thinking, “Why is he telling me this? Why is he saying these things?” and me, grabbing at straws, trying to make ends meet, throwing myself at any possible outcome that doesn’t involve chemotherapy, say, “Dr. Honda—he says he wants to pull out my lymph nodes! Cut me open from gullet to groin and pluck pluck pluck! We can just do that!” because, in my head, surgery is not as serious as chemotherapy. Surgery is manageable and understandable and considerably more familiar ground but the doctor says, “No. It’s . . . . That’s not possible. The cancer is too aggressive and it’s moving fast. We have to just get you into chemotherapy as soon as possible and try to kill it—” (me) “—that way. It’s our best shot. Surgery will just delay it and, ultimately, you’ll still have to undergo chemo just to make sure.”

My wife is still crying and he says, “I’ll get the paperwork,” and I say, “No,” and the doctor says, “What’s that now?” and I say, “No. We’re not checking in here.”

And we rise up and we leave, pushing blindly through walls and walls and walls made of patients on standby.

In the car, we call Dr. Honda, our urologist who had suggested pulling out my lymph nodes, and we tell him about our experience at White Memorial. I tell him about the floors and the ceiling and the dust and the dirt and the waiting and the missing files and the three doctors and all the people just standing there and I say, “I can’t do that. I can’t leave my life in the hands of those people. I just . . . . If I have to do chemotherapy, fine, I have to do it but you make sure I have to do it and please, please, please, just put me somewhere else. I don’t trust them.”

We hang up the phone and it immediately rings with an unrecognized number. Curiosity wins out and my wife clicks it open while I drive. “Hello?” she says.

It’s the doctor from White Memorial.

“Please,” he says, “I can’t stress this enough. You must check in somewhere today. You must begin treatment today. Your disease is so aggressive—” (There’s that word again, like a mad dog or a cage fighter or an acid: aggressive.) “—it’s not something to mess around with. Just . . . please.” And then, “Why don’t you come back? I can be your oncologist.” At first he sounded like he was genuinely pleading my case and then it sounded like he was freshly employed, and needed the experience under his belt and so my wife tells him, in the politest way possible, that his hospital reminded us of any number of post-apocalyptic movies.

There’s a pause on the phone and the doctor speaks again, softer. He says, “I understand. Fine. But please, listen to me. Listen. Don’t mess around with this. I don’t care where you go, just . . . go. Go somewhere. Go there now and check in,” and my wife says, “Thank you,” and hangs up and neither of us says anything but we both recognize something so desperate in his voice that we each have to wonder just what it is we’re dealing with here.

We know it’s bad but . . . how bad? How aggressive?

Several days later, my wife and I are finally sitting in front of Dr. Honda and, yes, I know the last doctor said we needed to check in ASAP, but the truth is, there are channels one must go through and sometimes those channels are clogged by other patients that are not you and you must simply . . . wait.

And that’s Cancer: waiting. Waiting in doctor’s offices, waiting in exam rooms, waiting in waiting rooms slowly, waiting, dying, healing hopefully, but dying and fearing and waiting.

“Cancer markers,” Dr. Honda says and all I can picture is children with thick black markers coloring the walls of a classroom in living venom slime, the dark goo dripping down and running everywhere, growing and attaching to anything with DNA.

“Cancer markers are in your blood. They let us know how much cancer you have. A normal, healthy, cancer-free person would have zero.” I say, “OK,” because the math seems to make sense. He tells me that previous to my surgery they did a blood test and my cancer markers were at 32 and I say, “What?! Thirty-two out of what?! Is that high?!” And he says, “Higher than it should be. Mine is zero,” and I shrug because this, too, is sound logic.

He tells me that two days after surgery, my numbers hit 619 and my jaw drops to the floor and my teeth fall out and the doctor says, “Today you hit 900,” and now my breathing is shallow and my tongue is dry and everything is blurry and I don’t know if I’m crying or if my eyeballs are just dry or if I’m getting faint, but I do the quick math and realize that I now have roughly 30 times the amount of cancer I had a couple days ago when I still had a bawl. The doctor at the Ghetto Hospital’s voice suddenly rings through my head, and I hear all his desperation with new ears.

I hear that word.

Aggressive.

Dr. Honda says, “We need to check you in somewhere,” and, making a personal suggestion, he says a good friend of his is an oncologist at Arcadia Methodist. He says it’ll be a far drive but— And we don’t let him finish the thought. We love him so much that anything he says is Gospel. If he likes the doctor, we like the doctor. We take his word for it and make a bee-line for the place, site unseen.

An hour later, in the parking lot of the hospital, my wife snaps a photo of me standing in front of the monolithic building – a soft, four-story cube. I’m staring directly into the camera with the fullest beard I can grow, a large smile and a full, confident face. It’s the last time I’ll see that expression for some time. I’m sporting aviator sunglasses, hair, and hope but I’ll slowly lose all three of them before long.

WARNING: Please keep your arms and legs inside the vehicle at all times. This trip is about to get bumpy.

***   ***   ***   ***   ***

We walk through the doors and immediately I see the clean, white, sterile, horrible hospital. Even the best hospitals are horrible and hideous and terrible. Even the cleanest and purest and friendliest are hateful places, filled with the sick and the dead and dying. The smell of cleaning supplies masking the stench of vomit hits my nose. The smell of rubbing alcohol and latex and linen mixes with powdered mashed potatoes and powdered scrambled eggs and powdered milk. All roads have led to here. This is the trajectory my entire life has been on, like a rocket aimed at the moon. Houston, we have contact.

I know that I have a long fight in front of me and, although I’m happy to be getting started, I do wish I were instead at home or at work or, really, anywhere. But instead I’m here, in this elevator . . . and now in this hallway . . . and now in this room that will be my home for the next eight days.

I undress, put on the gown, and set my personal belongings on a small shelf. On a table next to the bed, I place a novel I won’t open; my iPod, which I will barely turn on; and my journal, which has served as the skeleton and fact checker for this book; journals that I’m eternally thankful for because my brain is about to turn into something slightly softer than Jell-O, something slightly less formless than a raw egg. This is your brain—this is your brain on chemo.

The nurse enters with the IV and my knees lock and my heart speeds up and my forehead starts to sweat and she tells me to lie down. I don’t bother fighting it but I tell her how afraid I am and every time, every needle, it never gets easier, it just gets worse and worse and worse. My wife holds my hand and rubs the back of my palms with her thumb and my toes wiggle and I feel the metallic stick slide into my arm and fish around and I’m not breathing and then it’s done and she says I can release my fist. She applies some tape and tells me to relax and says that she’ll be back in a little bit and now it begins.

I look at the IV pole to my left and I am One of Them. I am a Cancer Patient.

My wife turns on a reality TV show and I try to write in my journal while not upsetting my IV in any fashion, so afraid that it’s going to get caught on something and yank out. The TV goes to commercial break just as a man enters the room and tells me they want to do a CAT scan on me and at this point I’m just a sack of potatoes, their puppet, to push around and wheel back and forth and poke and prod and maneuver in any way they see fit, so I say, “OK,” and my wife keeps watching a show where a family has eighteen kids and I can’t have any.

The giant Mechanical Donut is down in the basement of the hospital and the room is run by two guys who look like they drink lots of beer while consuming pharmaceuticals that they steal from work. They both have tattoos on their arms and long hair, and honestly, it’s kind of nice to talk to two people who aren’t “doctors” or “nurses” or “hospital staff” but just “dudes.” I ask them how long they’ve been working here and what they want to be doing long term and they ask me what I’ve got and what I’m doing and they’re pretty impressed with my weird story about cancer and they tell me about how they once gave David Hasselhoff a CAT scan.

The bed shifts and moves and pulls me into the donut and the same female robot from the first hospital (different donut) says, “Hold. Your. Breath.” I do and I turn my head to the left, trying to relax. On the wall is a motivational poster with a photo of a stream and the caption: IN THE BATTLE BETWEEN WATER AND THE ROCK, THE WATER WILL ALWAYS WIN. NOT BECAUSE OF STRENGTH, BUT BECAUSE OF PERSISTENCE. I look back at the ceiling and try to decide if I find this cheesy or poignant or both. The stoner guy says, “Here comes the dye,” and I feel like I just pissed my pants.

The David Hasselhoff guy wheels me back to my room and wishes me luck and I still think about him often. I wonder if he’s still working next to that Mechanical Donut and I wonder how many times he’s told his David Hasselhoff story and I wonder if he’s ever met David Hasselhoff again.

My wife asks me if everything went well and I sort of shrug and say, “I think I still have cancer but . . . the machine didn’t blow up whilst I was inside of it, if that’s what you’re asking,” and she says, “Good,” and then turns her attention back to the TV, where a sweaty woman is giving birth and screaming.

I pick up my cell phone, an old Motorola Razor (you know it’s badass because it’s named after a blade) and call my mom. She says, “Hi, sweetie! How is your daaaay!?” and again, I just want to reiterate that I wasn’t expecting this. I wasn’t planning on sleeping in a hospital tonight. It wasn’t marked on my calendar. So you can see the loaded question here. “Well, uh . . . ” I say, “I’m doing good. Sort of. I’m, uh, my cancer is back,” and there’s silence on the phone and then quiet crying. I say, “I’m in the hospital right now,” and panic is setting in with her, “Are you OK? What’s wrong?” and I say, “I’m, uh, I’m getting chemotherapy,” and there’s more quiet crying and I hear my dad in the background ask what’s wrong and he takes the phone and he says, “Hello?” and I say, “It’s me,” and he says, “Oh. What’s wrong?” and I say, “Nothing’s wrong, I mean . . . yeah. I’m in the hospital. I’m getting chemotherapy. My cancer is back—or—it never left, I guess. They didn’t get it all. I’ll be here for a while— I’ll be here for a week. About eight days,” and my dad says, “We’re coming out.”

A few hours later an old man enters my room pushing a cart that smells like cafeteria food. He places a tray on my bedside table and says, “Bon appetit!” and then vanishes. Because I haven’t eaten since previous to my appointment with Dr. Honda, my stomach is grumbling and I don’t care what’s under that plate cover, it’s going in mouth and down my throat. I lift up the warm lid and there is absolutely no amount of money that would sway me into placing that food on my tongue. The menu would probably call it “meatloaf” but I would call it “gunk at back of fridge mashed into patty formation.” The fact that it’s swimming in powdered gravy doesn’t bother me so much as the fact that the powdered gravy is the consistency of snot. I ask Jade if she wants any and she says, “Uh, no, thank you,” and then I say, “I dare you to take a bite of this meatloaf,” and she says, “No,” and I say, “No, seriously. What would it take for you to take a bite of this meatloaf?” and she says, “A one-hour back rub,” and I say, “OK. Fine,” because I really want to see her gag. She looks at the plate and then, reconsidering, “I can’t do it.”

I put the lid back on the tray and scoot the entire table toward the door where the smell is least offensive while my wife leaves to purchase us Panda Express.

She’s gone for about forty-five minutes while I just sit in the room, alone, reflecting, and I will soon find out that this is one of the biggest problems with cancer. When you can’t do anything, all you can do is dwell on yourself, your problem, your condition.

It’s not so bad right now and my attitude is pretty good and I’m certain it’s just going to be like getting the flu and that doctor didn’t know what he was talking about when he said that it would shut me down. I’m not a robot.

People walk by in the hallway and there is a general background noise happening out there—talking and footsteps and intercoms and beeping. And so I get up and shut the door and turn on the TV but can’t find anything to watch so I put in my earphones and think of Ben (Folds) and wonder what he’s doing right now—some guy somewhere that has no idea where I am, what I’m doing. He’s playing a show, punching his piano, and signing autographs and here I am, remembering him while I drown out everything else.

I open my eyes and Jade is standing in the room, staring at me, a big white bag of fast food in her hands. She says, “Dinner bell,” and I sit up while she sits at the foot of the bed. She pulls over the coffee table, which is now empty—I assume someone came in and took the “food” while my eyes were closed—and we eat dinner, we watch TV, we talk, and we wonder when The Chemotherapy will begin.

Eight o’clock rolls around and still no drugs so I hit my buzzer and a nurse enters who has a very sweet face and I ask her when I’ll be starting my “thing” and she tells me, “Tomorrow, in the morning,” and I smile and nod my head and am not sure if this is good news or bad news or indifferent news. The nurse leaves and Jade snuggles up next to me. There is a cot in the room but we don’t use it. That night the two of us just crush our bodies together in a platonic, nonsexual, but still really desperately needy way and sleep in very broken segments, two kids that are stupid and lost and scared.

***   ***   ***   ***   ***

In the morning, the old man serves us “eggs” and “bacon” and “toast” but the only thing either of us consumes is the “fruit.” Neither of us are big breakfast eaters nor fans of food that tastes like someone’s vinegar-soaked jock strap.

There’s another reality show on TV and I think this one might be about wedding disasters and the victims therein. Sigh, tragedy. My wife is locked on, saying, “What! Shut . . . up . . . What?” and then the nurse who gave me my IV yesterday is back but she’s wearing a full hazmat suit over her regular nurse get-up and she has on a face mask and gloves and she carries a dark bag that’s covered in plastic.

I ask, “What is . . . that?” but I already know the answer. She says, “This is bleomycin; it’s the first of four medicines you’ll be receiving today.”

Medicine. Boy, we’re really throwing that word around, aren’t we? I imagine that in the future, people will say, “Can you believe they used to give patients chemo??? They poisoned them to cure them—how savage! Luckily, the scientists have found the cure for cancer in oil. Too bad we used it all driving our SUVs with only one person in the car and now the polar bears are all dead because of global warming! Hip-hip-hooray! The future really is a brighter place. But only because the atmosphere has finally dissolved and the sun is now shining directly onto our reddened, burnt skin! Yay for technology! Yay!

I unconsciously slide away from the IV pole, trying to put distance between us and I say, “Why is it in two bags?” and the nurse says, “So if it leaks it doesn’t spill,” and I say, “And why are you dressed like that?” and she says, “So in case it spills it doesn’t get on my skin,” and I say, “And where is that going?” and she says, “Into your IV,” and I swallow hard.

She hangs the bag upside down and allows gravity to do what it does best. She plugs a tube into one of my ports and turns a small dial with her thumb. I watch the liquid drip-drip-drop from the bag and race toward my arm and I hold my breath. Here it comes. Here it is. And I say, in a strained voice, “Will this hurt?” and the nurse says, “No,” but I don’t believe her. The clear liquid enters my body and she’s right. I don’t feel anything.

Drip-drip-drip.

She tells me she’ll be back in about two hours and then leaves. Jade turns from the TV and sits down next to me on the bed and we both watch each little drop race down into my body and my wife says, “Each drop is you getting better. We’ll be OK.”

Drip-drip-drip.

 

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SURGERY: CHAPTER 13

 

 

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We drive to the hospital on a Friday morning for my out-patient surgery. I always assumed that, when the time finally came, I would be considerably more depressed or mournful. But instead, there is a freedom that is both liberating and intoxicating in the air. I’m just happy that this will soon be over. Today.

Take my nut. Just save my life. Take the poison before it spreads.

As I sit in the waiting room, no thoughts of hormone supplements cross my mind. The word eunuch never enters my brain. The only thing I can think about right now, the only impending doom I can imagine, the enormous, inevitable snowball that’s rushing toward the small village that is my psyche, is the thought of the IV.

But, thankfully, I tell myself, it’s the last one for a long, long time. “Just get through this one and you’re good. You’re gold. You can do it.”

On the television in the waiting room is a talk show where the special guest is a young musician speaking about coffee enemas. I stand up and turn the TV off just as a nurse calls my name.

My testicle leaps nervously into my stomach and it feels like it’s trying to give me one last hug. I say, “I hate goodbyes,” but it won’t let go.

The nurse leads my wife and I into a cream-colored room and instructs me to put on The Gown. When I come out of the bathroom, dressed for surgery, she’s ready to stick me with the IV and for some reason I feel like this is The Line. I feel as though, at any point before the IV, I was free to turn around and run away and lead a life anyway I chose, but the IV . . . . It represents a kind of umbilical cord to the hospital. Like red vests at Wal-Mart—they make it very easy to differentiate between who belongs here and who doesn’t.

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I tell the nurse that I’m afraid of needles and she just laughs and I lean forward and say, “No, listen. I’m afraid. Do you have a numbing shot? I’ve heard that such a thing exists.” And she says, “A shot before the shot?” and I say, “ . . . Yes,” and she says,

“ . . . Sure.”

The nurse excuses herself to get the pre-numbing needle and returns with a freaking golden retriever! Bedside manner, ladies and gentlemen. The extra mile.

I say, “What the H-E-C-K is this!?” and the nurse says, “This is Samantha. She’s our therapy dog. We let children pet her before they get shots—I mean patients—we let all patients of every age pet her before they get shots.”

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I say, “I see,” and stare into Samantha’s eyes while I lie back. They’re a beautiful brown, almost golden color, and I hand my arm to The Extra Mile Nurse and Samantha pants and smells my right hand and The Extra Mile nurse taps my left forearm. Samantha says, “Don’t worry, kid, everything is going to be all right because I love you just for being you,” and I say to The Extra Mile Nurse, “Don’t forget the numbing needle,” and she says, “Of course,” and I feel a poke and I look deep down into Samantha’s eyes while I hold my breath and I wonder how many hundreds and thousands of children this dog has been loved by, how many eyes have stared directly into hers. I wonder where she sleeps at night and how she’s treated.

“All done,” The Extra Mile Nurse says and I say, “I only felt one poke,” and she says, “I know; the numbing shot worked!” and I look over on the table and only see the remains of a single syringe.

The Extra Mile Nurse turns to leave and pats her leg and takes Samantha with her, and I feel my hand run down her head, down her back, down her tail, and she’s gone.

I never see either of them again.

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Later, another, younger nurse comes in and tells me that she’s here to give me a “cocktail.” She says it will help take the edge off and make me a little sleepy. I ask her where she was twenty minutes ago.

She plugs a bag into my IV and I . . . take . . . a nap . . . .

Minutes or hours or days have passed. I wake up, and I’m still in the same room. I feel my crotch. My testicle is still there. My tumor is still there. For a true moment, I was hoping they had pulled a quick one on me and had it all done with.

The Young Nurse comes back in, tells me that it’s time to go, and takes me away. Two more nurses meet her in the hallway and the three of them navigate me through wide, bright, green corridors. I watch the overhead lights wash over me and try to remember every movie I’ve ever seen that uses that shot. I listen to the wheel on my gurney squeak.

This is it.

They push me around a corner, and I sit up and look over my shoulder and wave to my wife. She waves back and shouts, “Good luck! I love you! I love you!” and then I’m all alone, surrounded by scrubs.

They push me through a set of double doors and into a large room that smells like rubbing alcohol. Two women help me slide from my bed onto another bed. No—this isn’t a bed. This is an operating table. I’m on The Slab.

I lie back and stare at the ceiling, where a gigantic light on a rotating arm hangs above me. A pretty young lady with red hair leans down over me and says, “Are you comfortable?” and I adjust my shoulders and say, “Yes,” and she says, “Good.” She says, “I’m going to inject you with something. Is that all right?” and I say, “Is this—is this the stuff that’s going to put me down?” and she laughs as her thumb slowly pushes on the plunger, and there is an explosion in my chest that rises into my mouth that tastes like copper. I lick my lips and say, “See you on the—”

Other side.

When I wake up moments later I find myself sick and wanting to vomit. An oxygen mask covers my face. I try to sit up and look around because I have this feeling of complete nakedness. Not of nudeness, not the sensation of being unclothed, but of being exposed and out of place. I can only equate it to the feeling I get when I suddenly find myself walking through the young teen’s bra section at Target. What—how did I get here? I hope no one sees me—where’s the exit? Run! No, don’t run, you’ll look suspicious. Walk slowly—no, not that slowly, you’ll look like you’re perusing. Just keep moving.

I look to my right and see a row of hospital gurneys that are all empty and I suddenly feel a sense of impending doom, like I’m the next and final victim in some mad science experiment.

Why do I taste pennies?

My throat hurts fiercely. I bring up my hand to rub my trachea and see that there’s a tube taped to my forearm. Oh, yeah. Everything hits me in a quick wave: Cancer. Hospital. Testicle. I remember why I’m here, what I’m doing. I lie down and hold back my gag reflex. The only thing worse than being in the bra section at Target is puking there.

Suddenly, a nurse is standing above me but I don’t remember what she looks like or how old she was. She asks how I’m doing, and I tell her that it feels like I’m burping up pennies. She laughs and asks if she can touch my beard. I have to pause and reflect if she’s having a bad day and needs a therapy dog like Samantha to help her through it. I willingly tilt up my chin and she runs her fingers through my face pubes.

She tells me that she thinks I might be Amish—a remark I get often thanks to the pattern in which my beard naturally grows; two long side burns into a neck beard thing I call The Hanging Tomato Plant. Hair simply refuses to grow on my cheeks or upper lip.

I tell her I’m not Amish, as far as I know, but secretly wish I were, which is true. I tell her my throat really is sore and she tells me it’s because they stuck a tube down it and I ask if they used a hammer to get the job done.

I shift my eyes to the left and have a quick daydream. I suddenly see my naked, flaccid body on a slab. I see a tube shoved down my throat. I see eight people standing around me, cutting me, sucking my blood into machines, moving my penis and pulling my testicle out through a hole in my abdomen; a male C-section. I see the tumor, a big black pulsating alien brain connected to veins leading back into my cavity. I see them cauterize the wound. I see scissors and sutures. And I see this nurse, standing next to me, holding my penis up with a gloved hand to keep it out of the way of danger.

My eyes shift back to the right.

After what The Faceless Nurse deemed an acceptable length of time, someone wheels me downstairs to a second recovery room where they prop me into a recliner that I swear was the softest chair I’d ever, ever been in.

A new nurse, a chubby blonde woman in her late fifties, gives me some crackers and apple juice, and I’m certain she was probably a kindergarten teacher at some point and is just role-playing with me.

I tell her I feel sick, hoping to get some kind of high-powered-hospital-quality medicine that is going to take away these waves of nausea, but instead, she brings me a bed pan shaped liked an old man’s kidney.

Gee, thanks. You shouldn’t have.

She takes one step back and I puke three times; acidy strings of yellow and white saliva get stuck in my beard. The Teacher Nurse says, “Are you Amish?” and I wipe my chin on my sleeve and hand her the kidney. She says, “You should probably just keep that.”

Over her shoulder, I see my wife enter the room and, thank you, thank you, thank you, I’m no longer alone. I’m no longer scared or afraid. It’s just her and me and that’s it. She says, “Gross! You puked! In front of everyone!” and I laugh.

She hands me a real life cactus that has been decorated with construction paper flowers and adorned with various Game Boy cartridges. At my heart, I am a stupid little vomiting boy.

flowers

I say, “Thank you. This is very nice. I’m going to puke again,” and she says, “OK,” and takes the flowers from me. I grab the defiled bedpan and hold the rank and frothy mixture up to my mouth. I heave once, twice, and then puke doesn’t come up but instead some kind of salty cracker concoction. When I look up I see both my wife and The Teacher Nurse staring at me. I look to my left and see another older nurse that I hadn’t registered before watching me, as well. Where were these people coming from? Did they hear there was going to be a show? I politely ask them all why they’re staring at me and each of them, in turn, looks down at their feet.

I stare back into my bedpan and can feel all three sets of eyes slowly rise up, waiting, watching, anticipating me, each of them so excited to watch me erupt. “Oh, yes,” they are surely thinking, “Here he goes—his breathing is getting heavy! This is going to be amazing!”

Nothing comes out and there is a collective sigh. Sorry to disappoint. I tell The Teacher Nurse that I have to go to the bathroom and she says, “Number one or number two?” and then I’m positive that I’m stuck in some weird role-play with her. I say, “Uh, I just sort of have to pee,” and she says, “OK, that’s number one. Let me help you up, sweetie.”

I hobble across the floor with a 4-foot, 2-inch, fifty-something year old woman “supporting” me. Her perfume is pungent. She opens a door, and I mumble my thanks before shutting it and opening my robe and this is the first time that I realize I’m wearing some kind of—I don’t really know the best way to describe it—a nut-sack diaper, I guess.

It’s like a jock strap with no cup.

Scrotal

I exit the bathroom and excitedly ask the nurse if I get to keep my new accessory and she says, with an air of English dignity, “It’s called a scrotal support. And yes, it’s yours to keep.” The best gift a boy could ask for. I say, “It’s perfect. You’re so sweet. You shouldn’t have.”

The Teacher Nurse helps me back to my chair where I find a doctor handing a folder to my wife. He says, “I don’t know what you’re going to do with them, but we took ’em,” and Jade smiles and says, “Thanks,” and the doctor says, “From what I could tell, we got it in time and it hasn’t spread.” My heart leaps in my chest. It’s over. “But,” the Doctor Guy continues, “check in with your urologist next week. I’m sure he’s going to want to follow up with you.”

Sure, sure, whatever. I. Am. Healed! Hallelujah! I hear a chorus of angels playing the mambo. I want to dance with them but my scrotal support is simply too constricting.

A nurse pulls out my IV and wheels me to the hospital exit. My wife pulls up in the car, and I feel like a woman having just been released from childbirth. Except I have no baby.

I have no baby.

And my balls are . . . completely gone . . . every chance of children I have rests on the shoulders of others.

Jade honks the horn, and I saunter over to the car and crawl into the passenger seat. She hands me the manila folder and says, “One last surprise.” I open the file and find three digital photos that have been printed out on high gloss paper, each one more gruesome than the last.

She says, “I figured that little bastard has given you so many problems in the last month you’d at least want to see his face.”

Inside are three pictures of my bloody testicle sitting on a blue rag with a small gray tumor stuck to its side. We go home, frame one, and put it on a shelf in our living room.

Jade says, “We made it. We survived cancer.”

 

***   ***   ***   ***   ***

Well, that’s the very end of the story. Thanks for reading!

Just kidding. There’s still an awful lot of shit heading right towards this fan.

Tune back in next Monday for THE BLACK TENDRILS: CHAPTER 14 as Cancer reaches out from the grave.

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