31 March 2014
Monday
Start of the day,
what would Harpo do?
This morning, at
8:20 AM, the nurse came in with the usual eighteen pill assortment
and my Copaxone injection. She was all bright and cheery, bubbling
with enthusiasm and making inquisitive small talk using the royal
“we”. Bustling about full of efficient movement that gave the
impression of great purpose to her behavior. She reports to work at 6
AM, so I imagine that she has been up and awake for a couple of hours
by now, at least.
I, on the other
hand, was awakened by her officious entry and incessant verbal
barrage. I sleep with a CPAP machine which is connected to me with a
long hose attached to a mask that is held tight to my face with a
harness that fits around my head. The machine is designed to keep a
constant airflow moving through my nose, keeping my airway open. Thus
stopping sleep apnea of the obstructive type from happening. I have
used a CPAP since 1984, by now it is very familiar, like an old
friend. One thing I have learned is that speaking while the machine
is on, mask affixed, is very difficult. Once the mouth is open air
proceedes to enter the nose and then rush out the mouth, giving a
very breathy quality to the voice. There is no resonance coming from
the chest. Because the design is to keep the airway open, certain
sounds are impossible to effect, like forming an “N”. Thank you,
becomes thag you. Verbal communication is not the forte of a CPAP
machine.
My waking
procedure has a methodic approach. First find the bed controller to
raise the head portion of the bed so I can reach the on/off button to
stop the CPAP machine. Then I have remove one clasp that attaches the
harness to the mask so I can remove the mask from my face. Then I
have to remove the harness from behind my head so I can set the mask/
harness assembly aside. At this point, like a butterfly emerging from
its chrysalis, I am free. Like that butterfly, I am not yet ready to
fly. I have to wipe the sleep crumbs from my eyes, take in my
surroundings and determine where I am (sadly I am in the same ol'
place – again, still). Sometimes I am awakened during a dream. When
that happens I have to also decide how I want to respond, which
reality am I in, what works here and what does not, in other words
having determined where I am, I need to figure the game plan for the
interaction protocol in this reality. ( I have some really wild
dreams sometimes). Normally this all unwinds fairly quickly, a few
seconds to half a minute. But when someone is jabbering non
directive, meaningless apothegms I have to factor that in too.
What do you mean
saying, “How am I this morning?” That rising tone of inflection
implies a question. Are you really asking me this? Do
you really need an answer, or is this another one of those mindless
colloquialisms that I should answer truthfully with sufficient
thought, or equally mindlessly with “OK” or “Fine”. Is it not
obvious to you that I am still waking up? Do you wake up in this
manner, with someone fully awake babbling inanities at your bedside,
armed with stomach upsetting pills and a needle they are going to
stick in you? I need some time here to come fully awake and to
participate completely with this diurnal world and its strange ways.
The behavior being exhibited in front of me, now, is another one of
those strange ways. Does everything that happens between us have to
go through the mouth? Is everything in the waking world constantly
reduced to words?
I could extend my
fist with my thumb erect, pointing toward the ceiling in the
universal affirmation sign. But I'm not feeling so affirmative just
yet, I just woke up, if you care to recall. I suppose that I could
pass my open hand, palm facing down, in a back and forth horizontal
fashion, signalling so-so. But some people, nurses especially, like
to play junior social worker. Such a neutral expression is often an
invitation for more talking, more requests for further information,
more explanations as to why I would feel like that, and the felt
sensation that I have to defend my feelings as if they were not the
“approved” way to be on this particular morning. I was just
sleeping a few moments ago. I haven't been up for hours by now like
you. I haven't had any breakfast yet either. I'll bet you even had
some coffee too. Real coffee, not the lukewarm decaff the facility
pushes on us. And maybe real eggs of substance, not the anemic egg
white substitute we get here. I'll wager that you have even made
hundreds of personal choices already by the time you come in to my
room to force me into your world. There is so much that I could tell
you, about good quality food, making meaningful choices that have
some bearing on the direction of my life, but you don't have any time
for that. You have other medications to dispense to many other
residents. They must stretch endlessly down the hall.Thankfully,
unlike yesterday's nurse, you refrain from staying and watching me
until I take all of my pills and probing for some kind of way to
understand me.
Soon the nurse
leaves and the incessant stream of verbal barrage leaves along with
her. This nurse closes the door when she leaves, unlike most of the
other nurses. Alone with my thoughts I look at the little plastic cup
and the eighteen pills of various colors and sizes. The task is
clear, I have to begin taking those pills on an empty stomach. Soon
the breakfast will arrive and my medication is spread out on the
table where the tray is to be placed. The unspoken and the spoken
expectations have begun. I am without thought or care launched into
another day of the same stuff. I smirk as I wonder what would Harpo
Marx do? Given the overwhelming odds against him to be like everyone
else, what would Harpo do?
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