Wednesday, August 27, 2008

NIghtmares by the Sea


We got a call from Water's Edge, a rehabilitation center in Trenton whose name to us means neglect, filth and the end of the line. Our definition is not unfaithful to the facility itself which is nowhere near the shore of the Delaware River but just adjacent to the stadium for the losing Trenton Thunder. The Thunder is what you'd imagine: a patched-up team in a patched-up town that has been on the decline since the Industrial Revolution. The residents of Water's Edge have a view of the flickering "Trenton Makes The World Takes" neon sign affixed to the bridge crossing to Pennsylvania. Otherwise they lie in beds in silence interrupted by siren shrieks. It is the place from which "Mr. Bertucci" hails.

"He looks harmless," I told my student "but he's a recipe for chaos."

"He's snoring," she said.

"Yup," I said.

"He's missing both his legs," she said.

"Just wait," I said.

As I'd predicted, once we reversed Mr. Bertucci (not his real name, but he holds a similar, gangster-in-an-alley appellation) from his narcotic coma, he became unruly. He became, in fact, a bed-pooping, swearing, misogynistic invalid. I tried to be patient, but my student was ducking wads of sticky excrement and my co-workers were asking me if I needed security to stop all the yelling coming from his room.

I'd had it. I ripped off his sunglasses (he wears them all the time). I took his Yankees hat. He screamed and screamed at me and reached back to grab more poop.

"Oh no, you don't," I said and grabbed his arm. "You do that and I'm confiscating your necklaces," (no shock, Mr. B. wears multiple heavy gold chains upon his hairy chest.

"You wouldn't!!! Give me my medicine or I'm leaving!" he screamed.

"You took too much already," I replied. "Plus, I'd like to see you try to get out of here."

Tuesday, August 26, 2008

Octopus Garden

Today at Honeybrook Organic Farm . . .






"Our farm" was featured in the Sunday Times. Does this make us cooler? You betcha.

Tuesday, August 19, 2008

Love is Better Than a Warm Trombone

"I'm bringing you a 93 year-old code green from the lobby," sighed my manager.

She walked back into the department wheeling a small, astonishingly tanned, slumped over lady. I couldn't make out her face (although her frantic, also quite elderly daughter was yelling that the right side of her mother's mouth was drooping) because of her strange, drunken-like posture in the chair and the way her bright-white puffs of hair seemed to be leaning forward onto her small chest.

Her daughter (from Yonkers, never took off her sunglasses, I'm sure you can imagine) never stopped talking from the time they arrived. We heaved her mother onto the stretcher and noticed, indeed, that her mouth was drooped and that she wasn't really even talking at this point. As I undressed her, I couldn't help but notice swimsuit tanlines.

"You guys been swimming in the Caribbean?" I asked.

"No!" her daughter yelled. "I left her with my sister-in-law because I'm recovering from the shingles. It hurt like hell. I couldn't move. They took her to the shore for a week and I think she hasn't been talking since Thursday!"

The staff in the room looked at everything but each other to keep from laughing until we noticed that our patient was oxygenating at a level that was quite below normal. I strapped some oxygen on her face and slowly, over a period of ten minutes, the number on the monitor rose and our little, shriveled patient slowly straightened up in bed.

Thirty minutes later, the patient was screaming, "Get me the hell out of here! Where are my earrings? This ain't New York!"

We laughed all day at the idea of this poor woman, left to toast to death on the Jersey Shore by in-laws who had apparently taken all the badgering they could handle.

Friday, August 15, 2008

My Blue Veins



I'd say I'm decent. I'm decent at starting IV's. After a year in southern Alabama where everyone smokes, has diabetes and, thus, terrible veins, followed by a few years in South LA "the drug capital of the United States," I had good practice.

Still, those heroin addicts nearly always give me a hard time. There's nothing quite like trying to put a needle into a heroin/IV coke user while he or she is violently puking. Hitting a miniscule target becomes even more difficult when it's moving (and, for that matter, when you're trying not to end up with vomit on your scrubs that you'll inevitably NOT be able to change for a few hours). "Judy," a heroin addict for twenty-plus years, was back again for vomiting. The last time she was in I ended up starting a teeny, 24-gauge IV in her right big toe. On Monday, my reliable source spot was gone (after she was discharged, she realized that she actually had a reachable vein that she hadn't yet utilized and got her next 2 weeks highs from that same toe) and I was looking frantically for some other spot. Armpit? Nothing. Knee? Nada. Neck? Used.

"Judy, where are you shooting up these days?" I was hoping to find a fresh patch of veins that hadn't all turned to granite from chemical invasion.

In between loud heaves, she lifted her shirt and pointed to her left breast.

I left her, untouched, and called the resident.

Thursday, August 07, 2008

The Old Laughing Lady



I had just woken up and had in my hand the one cup of coffee I try to drink before 10am at work (usually I reheat it an average of seven times and actually never manage to consume the entirety) and a little, shriveled lady yelled at me. I turned around to see a wrinkled face behind enormous pink-framed glasses making this tiny woman's eyes insect-like in proportion to her face. She was squinting and furiously sucking down a breathing treatment through a large face mask.

She tremulously lifted the mask, pointed a bent index finger at me and yelled, "Hey!"

I looked around and then pointed at my chest and she nodded furiously while taking a few more gasps from the face mask.

"Are you the rabbi?" she yelled.

"Only on Tuesdays!" I yelled back.


***"The Old Laughing Lady" is a great sing-songy Neil Young tune. Find it. Listen.

Sunday, July 20, 2008

Tanglewood



Last night, as the moon was shining through the huge sycamores on a field in the Berkshires, I heard Tchaikovsky's violin concerto in D. It was beautiful. The heavy leaves dripped water down upon us as we sat huddled around our candles in that magical place.

There is a reason writers move to upstate New York.

Tuesday, July 08, 2008

Strange Fruit



We have crazy people. We do. In this country, in this state, in this local hospital. London. The world. The universe.

In rooms 12 and 14 yesterday (which are adjacent to each other, believe it or not - we don't have room 13 in the ER), two women of questionable mental status were screaming at the tops of their respective lungs. Room 12 housed a weeping, 82-year old woman who never stopped yelling, "Which way through the woods?!?" followed by long periods of ear-piercing sobs because she didn't know the way home. Next door, a belligerent 28-year old was pacing about, screaming at her gurney, demanding that it turn over her money and quit watching her. She refused to sit on it (I wouldn't want to sit on someone I was talking to, either) and would spit at anyone that approached her for any reason. After medically calming her down (you do the math), she slowly realized she could lie on the gurney and that, in fact, it did not own her money as she had conveniently left it in her vagina.

"Oh, good, there it is," is all you can say.