Blood Test

I thought nothing of it. I didn't even realize he had ordered them. I attend a small clinic associated with Stanford University Medical Center. Since my original doctor retired, I had to hustle to get me a new doctor. It was difficult to find someone to measure up to her. She was an oncologist and with my previous history of cancer she was happy to take me on as a patient even though I had been cancer free for many years. Yet, I had a milieu of other medical problems and it was a nightmare seeing one specialist after another without having someone to manage my health.

After she retired, it took me several months before I turned to the clinic where I now have a wonderful primary doctor, and I can see any of the specialists within the clinic where each one has full access to my medical records at a click of a mouse.

So the day of the blood test, I met my new Rheumatologist, who patiently listened and discussed with me how to proceed with my arthritis, osteoporosis and permanent damage to my pelvis from the bone cancer. Checking my computer records, he noticed it had been a while since I had a blood test. So he ordered one.

Since he recommended that I get a scan done, I went down to that department and made the appointment instead of waiting until I got home to call. I also stopped at the computer help desk to get my new ID and password in order to get online to my account. This wonderful clinic gives the patient access to their records online!

I dropped by the pharmacy, picked up my prescription and started to leave when I passed by the lab. I dropped by to get a copy of my last blood test results. The medical assistant asked me if I was also going to have my blood test today. Oh, yeah... I had forgotten the doctor had ordered one!

Because of my complicated medical history I don't have very good veins. So drawing blood from me usually has to be done from the back on my hand. I have one really good thick popped-up vein on the left. So I was patting it when I met the lab technician. We had a nice chat while she gathered together the equipment for the draw. Perhaps that was why getting the blood out of me was quick and easy.

I left the clinic, went and had lunch, then drove home. That evening the doctor called me on the phone to let me know some of my blood tests results were in, and he wanted me to know it was abnormal. My white blood cells were highly elevated, a sign of infection usually. But because a certain component of the white blood cells, (the myelocytes) which show problems with the bone marrow, I am to see an oncologist next Wednesday.

Aging Pain

Looking to the future

I wonder if pain will continue

throughout the next thirty years.

I wonder if doctors

will proliferate in my life.

I wonder if coping will be

my everyday strategy,

if the enemy shall wake me,

accompany me each moment

throughout the hours

like it did the generation before me.

Are genes my destiny?

How will I break free

of the pattern

that's already begun?

~~~~~~~~~

Note: Digital art by Elizabeth Munroz

The Hardest Thing to Do

A first person account of Daniel Mercy:

I remember when my best friend, Johnny, came home from the hospital. We were both five. But he was half my size. He had been living with leukemia but then, he died. I remember that was when I first decided "when I grow up I'm going to be a doctor".

I soon forgot that dream and before you know it, all I wanted to do was ride my bike and be a racer. As I peddled like a speed demon delivering the newspaper throughout the neighborhood, I always avoided the house of Johnny's parents as much as possible. I got very good at throwing the paper from impossible distances, making sure his parents weren't in sight. If they were, I would go back later to deliver.

As I grew older Mom and Dad encouraged me to be an accountant. They pointed out my thriftiness with the income I made from my paper route as a way to point out that I was a "natural" for such a career. I would be secure with good money and I would always be well off, they said.

It was at that time I took up art and scribbled away on any piece of paper I could get my hands on drawing the microbes I saw in Biology class, drawing the map of the stars in astronomy class. It was then I decided I wanted to be an astronomer

But, the day came when at a neighborhood festival, I ran into Johnny's parents. They had gone on with their lives, and had other kids by this time. I met them one by one, right down to the youngest, the five year old they had named John.

That day is indelible in my mind, it was the day I got serious and began to study. I made up my mind, it would be medical school or nothing. It wasn't easy. I thought it was the hardest thing in the world I would ever do. But, it wasn't.

I thought the hardest thing I ever did was when my first patient died. I went home in a daze, I punched the wall in the garage before I went in the house and cried my eyes out in my wife's arms.

But, that truly was not the hardest thing I ever did. Not the hardest thing I will ever do.

The hardest thing I ever do, is every day... Sometimes it is when I have a new patient come in the door with worried parents.

And later on, after you have tried your best to save that little life, you would think the hardest thing is being honest and telling the kid its over. But they are so understanding and wise beyond their years. They already know. They are relieved. They want it to be over. They know it is time. They knew it before I did.

But that's not the hardest thing. The hardest thing is telling the parents there is nothing else that can be done. That it is all over. Time to go home and wait it out. Get hospice. And knowing the child wants to go, but the parents cling. That's the hardest thing.

>>>>>>>

Note: This was a fictional writing exercise in character development.

Suicide Attempt? or Blessing?

I was a youngster, practically. And I used to cry and moan and twist in pain in my hospital bed, saying "Jesus, Jesus, Jesus," and "Oh, My God"

Now mind you, I was pretty much out of my head not only with the pain, but the morphine they were shooting into me every four... or if they forgot, five or six hours, sometimes later. Some compassionate woman from down the hall, got herself out of bed to come find the one who was calling on God. She found me and proceeded to tell me how she would pray with me and for me. Praise the Lord, thank you Jesus...

Oh, my. I shut my mouth and smiled at her. There was no way I was going to get into a religious argument with her, no way I was going to go through a major guilt and conversion session, and soon she was gone. I was very bitter, and at that time was Atheist. Little did she know that I had been cussing, "taking the Lord's name in vain", otherwise I don't think she would have been so interested in praying with me. I guess I should have said "goddammit", as my Mother would have said if she was hurting.

Doctor MeanGuy had been in that day to tell me the tests showed my bladder was shreds and there was nothing they could do with it, except connect the ureters to my bowel. Of course that would mean a lifetime of E-coli infections and who-knows-what-all backing up into my kidneys.

I knew little medical terminology. But I sure as hell knew bad news when I heard it.

Since I had cancer and wasn’t expected to live anyway, I just thought I would take things into my own hands and get it over with. I was so despondent about what that doctor had said. I had had enough surgeries!!! I had had enough pain and suffering. I had enough of hospitals, doctors and nurses. Enough of living in fear.

Needless to say, the little old Italian woman, Mrs. Calabresi who was in the bed across from me, (four to a room was a luxury in those wards) watched all this with bright eyes. I loved that old woman. I don't know why anymore. Every morning the priest would come in to give her last rites, every afternoon her adult kids would traipse in to see if she had died yet, and quietly leave. Every evening she would attempt chat with us but mostly listened. I didn't know much about her diagnosis except that she had something terribly wrong with the arteries in her legs, ( I think) and she couldn't walk and was expected to make her exit quite soon.

So, that night when I decided to cut the intravenous line and the bladder catheter tubes (one came out of my abdomen) she figured it all out, got out of her bed, and walked over to me. I was so shocked to see this, you'd think Jesus walked on water! Anyhow, she lovingly stroked my forehead, I got tears in my eyes. Real tears not the tears of the frightened girl in pain. And she touched her heart, then my heart, speaking in her broken Itali-nglish. I understood quite a bit, anyhow, as I lived in Niagara Falls. Either you were Italian or Polish, I was neither but heard the languages all my life. Anyhow, she said things like, “you be better, God will help you.” That's the woman I could be honest with. “No, God wont help me, I don’t believe in God, I'm mad at God!”

She completely disarmed me by saying: “You no like God? Tha's okay! Madre di Dio si curerà. God's Mother make better!”

My mind went completely blank... a concept I couldn't conceive, God’s mother? Calabresi had me and she knew it.

"Okay Now? A pregare la Madonna You pray!" I just stared at her. "You pray! I pray!"

I couldn't say no. I would have done anything she asked me. She had a "green scapula" with her. (How it suddenly appeared threw me. Did she have it in her hand all along and I didn't notice. Why, of course!) She held it up for me to see the Blessed Virgin. She showed me the words encircling her picture. Then we said the words together.

"Again!"

We said it again. We repeated it quite a few times. Then she put it in my hands and curled my fingers around it telling me to pray all the time... well, three times a day, ten times over, or maybe it was the other way around. By this time I was hypnotized, and I can't even remember how fervently I did this. Though it really did calm me, and I felt prepared to go beyond, whatever that would be. I still was mad at God and still didn't believe in him. (Yes, yes, an oxymoron, I know, but had little logic back then. Hmmm maybe less now)

Soon the nurses were in there putting in a new IV and one catheter. They couldn't do anything about the one leaking into my abdomen. The doctor would have to repair the damage surgically.

So, that was why I was cutting things. I had scissors, but no razor, so this would take time. Damned nurses. If I had turned that light on needed assistance they never would have come in all night long. Just when you don't want them, they come along and bother you.

So, the next day, they had to take me into emergency surgery. After I woke up Dr. Neisen (the nice one, see? I remember his name after all these years) came in beaming. I was still kind of druggy from the anesthesia but so glad to see him. He said, "I don't know what happened, but your bladder is all in one piece. All we had to do was sew up the hole where your abdominal catheter was located."

Smiling nurses came in to see that I was comfy and all tucked in. When they pulled back the curtain, I could hardly wait to tell Mrs. Calabresi. But her bed was all made up tight as a drum. She and all her belongings were gone. Nobody had to tell me where she had gone.

The next day, I asked for the priest. He came in. I told him about the miracle, and that I wanted to become Catholic. After he asked a few questions he told me no. It was impossible. I was a married woman, on my way to a divorce and previously baptized and confirmed in a non-catholic church. I was pretty insulted. After all, it had been a Catholic miracle. He agreed it couldn’t have been anything less. But that wouldn't make any difference where my soul was concerned.

He left, and then I was REALLY pissed at god!

For a long time after that though, I went to the shrine of Our Lady of Fatima in Youngstown NY, and had some peaceful times. But, I never converted, even after the "rules" got loosened.

This is the tip of the iceberg of how I coped with the diagnosis and surgical challenges. Very badly, until Mrs. Calibresi stepped in. Then, very calmly, because,  “Tha's Okay.” I could always talk to God's Mother.