Tarot's Card of You and I
Those
who know me know that I can analyze anything to death. It took me
nearly nine months to buy a refrigerator as I had to learn about
them, then compare all the models and prices. Then there was the
five years that had passed before I finally settled on a way to
replace the windows in my house. Again, I was looking at all the best
possible ways to get this done.
Where
does this caution come from? I suspect part of it is age. The older
you get, the more you know that this world is an erratic place and
your reactions to it had better be judicious. Also weighing heavily
on me was my past. There were times when I jumped without looking and
OUCH! I was one of those people who learned from their mistakes a bit
too much.
I'm
better now, really. I used to be worse!
It
was 2003 when I had a lightning bolt of enlightenment about my trying
to predict all possible outcomes in order to be “ready” for them.
Eight years ago, my brother had ended up in the hospital due to his
cystic fibrosis. The disease was progressing rapidly in its terminal
phase and home care was not going to cut it. I'm no doctor. My part
in his care was coming to an end as I was I was sorely unqualified.
He
had complained that morning of not being able to use the right side
of his body as it was numb and paralyzed. I had him shipped out of
this house that early September morning via 9-1-1 and I hotly
followed the ambulance all the way to Rhode Island Hospital. When
we got to the hospital, the vitals were read and it was determined he
was not at death's door and was admitted for further testing. There
was no reason for me to stay and I went home.
The
next morning I had gone to visit him and realized then he was in ICU
on a respirator. His CO2 saturation was awful, the other data sucked
and the doctors could not reliably predict his outcome. Great.
Atrocious lab tests and no real prognosis which gave me nothing to go
on.
That
certainly set off on my ”What will be the outcome routine.” I
just had to know.
That
weekend in September I tortured myself with various scenarios,
tending towards the most catastrophic. “What if he dies? How will
I manage the funeral? Dammit! I don't have all his friends numbers to
find them to tell them! Christ, where are all his legal documents?
If he does die...I'll be the LAST one of this family and how will I
manage THAT! What if he doesn't die and ends up in a nursing home?
Does he have the insurance to pay? Wait!!! He has some ownership in
this house. What if the bills are so large they slap a lien on this
property? What if he does come home but is in worse shape and I have
to hire someone to watch over him? On and on I went.
For
two days I sorted every goddamn possibility of what would happen and
formulated a response to each.
The
Monday morning after the weekend I visited him. As I
passed the nurse's desk in ICU, an Asian nurse sitting there piped up
and said...”Are you the brother of Ken M?” I say “Yes” and he
then tells me of the following story.
“Well, we had some problems this morning with your brother.”(Oh.Fuck. I was thinking...things got worse).
“We
were sitting here and his screen suddenly showed all zeros, not off,
just no data.” (The nursing station has flat screens that update
all the vitals, information and whatnot of every patient in ICU)
The
nurse goes on.
“I
went to go see what happened when I saw your brother walking down the
aisle, yanking tubes, sensors and all the other wiring he had on him
that was connected to the computers. I asked him...”Where do you
think you're going?”
My
brother responded in a clear voice, “Home.”
By
then the other nurses had showed up and the Asian one tells me they
had to manhandle him back into his bed as my brother was adamant he
was not staying any longer.
Finally
a his doctor showed up to talk to me
He
suspected my brother came out of his Ativan haze long enough to
extubate (rip out his own intubation tube that was jammed down deep
into his trachea) and manage to pull off all the other medical
equipment.
“You're
brother isn't on the respirator now. We concluded if he could get up
and decide to walk home, he could do without it. Also, the tests we
did following this incident showed his CO2 levels were near normal
and that supports our decision to keep him off of it. If he's not
relying on the respirator, his lung strength will improve.”
I
stood there listening to this, not surprised by my brother's actions,
but at my complete inability to have predicted this.
I
was dead wrong on it all.
I
can remember walking to my car after visiting him, thinking on all
that I had heard. I was then struck by the thought, “All your hyped
up concern was for NOTHING.”
A
couple of months later, after my brother had come home, I had sent
him out again due to low O2 levels. But this time I didn't hop into
my car to tailgate the ambulance back to RI hospital. Instead, I
flipped on the stereo and made myself breakfast.
I
had learned to play it by ear.
I
still look before I leap. I still am prudent. But, I did learn that I
am not some gypsy with an ability to see into the future and that's a
relief.