Tag / lung transplant

by Brian E. Holbrook

Hello In There

PART I

You know that old trees just grow stronger
And old rivers grow wilder every day
Old people just grow lonesome
Waiting for someone to say, “Hello in there, hello”

John Prine, ‘Hello in There’

There are fourteen guitars in the room where I am writing this. Most of them are mounted on wooden rectangles, about two-and-a-half feet by five, upholstered with muted tweed shades of green, grey, and blue. They are hung, hopscotch-style, in an ascending stair-step pattern that wraps around three walls, and terminates at the cathedral-style ceiling, twelve feet off the ground.

Interspersed between the guitars are professionally framed and matted posters –with matching ticket stubs– from a dozen shows from around the Pacific Northwest: Bob Dylan and John Mellencamp at the Yakima Fairgrounds; Leonard Cohen at the Key Arena; Kasey Chambers at the Aladdin; John Prine in Missoula, and half a dozen others.

The instruments and framed posters –all beautifully and meticulously crafted– represent the treasured memories of life-long music fans, but they aren’t mine.

With one exception, I never attended any of the shows on the posters. And, although I wish I did, I do not play or own any of the guitars nestled on their swinging hooks. There is a passion for music that radiates from the memorabilia and paraphernalia so lovingly attached to these walls, but it isn’t mine. It is that of the long-time friends who have graciously taken me into their home.

This is their music room, and I’ve come here to die.

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by Brian E. Holbrook

Never Break the Chain

“Listen to the wind blow, down comes the night
Running in the shadows, damn your love, damn your lies
Break the silence, damn the dark, damn the light

And if you don’t love me now
You will never love me again
I can still hear you saying
You would never break the chain.”

-Fleetwood Mac

So, I was interviewed by hospice yesterday. Two lovely nurses came by and asked questions for about an hour. It was at the behest of my palliative care doctor, with whom I had a video appointment last week. When she had suggested that I be evaluated by hospice, I decided to humor her.

Hospice means you’re imminent–or, if not that, certainly not far from it. If it doesn’t imply a timetable (which, even though hospice people are quick to tell you that it doesn’t, the admittance criteria sort-of suggests that it does) it certainly carries a sort of psychological weight.

“You’re not getting out of this…” it says.

And I’m not. I know that. I am chained to this fate.

But, when your endless-numbered-days bleed from one into the other, and your hours stack indistinguishably upon one another in a macabre, terminal Jenga game, day after day, it’s easy to delude yourself that it will all simply continue, stretched out into a bleak, bland future where you continue to exist, somehow. Your logic and science and medical tests pale in comparison to the undeniable fact that you’re still here, decades after they’d said you’d be dead. It feels as though things can just continue as they are, as they have been.

In short, it’s easy to lie to yourself.

Then, two very lovely nurses come along and brighten your morning with their cheery dispositions and helpful manners and remind you that they’re here to help you die the best way you can, because it is fast-approaching.

And you answer their questions and play along, certain that this is all just a bureaucratic formality–something rushed into being a bit too soon, but which would be rude to interrupt or oppose. You tell yourself that it is insignificant because it will never be approved by The Director, so it is all just a bit of play-acting that we are all going through. Harmless, really. Hospice is for people who are about to die soon. You, obviously, are not about to die soon. Not soon enough to require hospice, anyway. It will never be approved.

As they pack to leave, you exchange parting pleasantries.

“Sorry to have wasted your time.” You say.

The nurses exchange a quick, knowing expression.

“Why would it be a waste of time?” One asks.

“Well, I doubt I meet the criteria.” You’d said.

“Oh, you certainly meet the criteria.” Says the RN in charge. “We’ll take the paperwork back for The Director to look over, but expect to be approved in the next few hours.”

They call you back a few hours after they have left. Your nurse will be there to admit you into the hospice program as soon as is convenient. Will tomorrow be OK?

No. That’s too soon, but you can’t think of a reason why. It’s just too soon.

Tuesday?

Oh no. The home health aid who fetches your meals and washes your clothes and runs your errands and helps you shower and takes out your trash, she comes on Tuesday. You can’t start dying on Tuesday. Too much to do.

Wednesday morning?

Your mornings are usually busy. You nap and dream and pretend you haven’t spent the last seven months in the same room. That won’t work.

When can you start dying? Wednesday afternoon? We need to get started. There are forms and paperwork and examinations. There is an opening Wednesday at 1pm. Can you start then?

You assent.

They put it on the schedule. It becomes real and tangible.

Wednesday at 1. The beginning of the end. You make a note on your calendar. For no discernible reason, the Fleetwood Mac song “The Chain” keeps playing in your mind, over and over.

“Never break (the) never break (the) never break the chain…”

by Brian E. Holbrook

Miracle Baby

I was born at about 10:30 P.M. on January 21st, 1973 –less than 24 hours before the United States Supreme Court handed down their landmark decision on the case of Roe vs. Wade.

No one knew I was a miracle baby there. No one prayed over me, or prophesied over me, or spoke in strange tongues while grasping my scalp with hot, sweaty palms. I was just a weird kid who liked Phil Collins and Motown when everyone else liked Def Leppard and the Beastie Boys, and I found that was easier to live with. My mom wasn’t ready to let me leave the church, however –at least not as long as I lived under her roof. So I struggled through thrice-weekly services –once on Wednesday, twice on Sunday– for a couple of years.

I was three months premature, weighed just over three pounds, and was less than a foot long. I’d been a breech baby –meaning I was born feet-first– and the umbilical cord had been wrapped around my neck, cutting off my oxygen supply for quite some time. The doctors told my parents that I had very little chance at survival, and cautioned that if I did, I would certainly be special needs, severely brain damaged, and would require life-long care. To make matters worse, a feeding tube was incorrectly inserted into my lung instead of my stomach, so for the first few weeks of my young life I battled pneumonia.

My parents ignored the doctor’s dire predictions and prognoses and fought to make sure that I got the best care available to me in St Louis, Missouri in 1973.

And I pulled through.

I was the second of my mother’s children to do so.

My older sister, born in June of ’71, was also three months premature, just under three pounds, and faced similar health challenges. She also pulled through.

Not long after we were born, my parents moved several hours south to a little town called Poplar Bluff, near the Missouri/Arkansas border, around where they had both grown up and where they had been married. There, my mother found a church whose congregation couldn’t seem to get enough of the story of her miracle babies.

My sister and I were enrolled in the Christian school that our church ran, and soon all of the teachers knew our story. I don’t really remember a time that we weren’t held up as an example of God’s love and mercy. Teachers would tell my story to other kids in class while I squirmed uncomfortably at my desk. My sister and I would be called before church congregations and school assemblies to have people laud us and prophesy over over us and speak in tongues and exclaim about the big plans God had in store for us, and enumerate all the reasons he’d saved us.

In the late 70’s and very early 80’s, I don’t recall this ever being more than run-of-the-mill evangelism –“Come look at the Miracle Babies, saved by the Lord of Hosts!”– but something began to happen in the mid-80’s, after Reagan’s second term: abortion became a very big deal in the Evangelical church, and our story came to represent something very different to people, and they weren’t shy about telling me so.

I remember being used as an object lesson in front of a class.

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by Brian E. Holbrook

First One’s Free

‘…Almost every adult I knew smoked. Cartoon characters smoked. To complain about smoking was almost rude, like being a vegetarian.’

The America I grew up in was dusted in ash and studded with cigarette butts. Everyone smoked everywhere, all the time: hospitals, grocery stores, movie theaters, high schools  –and no one thought a thing about it.

By the end of the 1970’s, when I was a boy, the entire country was like an over-flowing ashtray that had been filling up since Prohibition. The public spaces looked like a morning-after coffee table, and people just didn’t give a damn anymore.

They stubbed out cigarettes on shopping cart handles, on grocery store shelves, on the carpeted floors of department stores, on the tabletops at restaurants and bars. Nearly any flat surface was a socially acceptable option when it came to snuffing out your coffin-nail.

Part of it was just the times. America was grubbier then. There was a sort of gray film that coated everything and the whole nation had the feeling of being worn and lived-in, like a building that had seen too many tenants.

It was completely normal to see someone answer a telephone, pick up a pencil, and start writing on the wall as if it were a notepad. People tossed garbage from car windows without a second thought. People poured used motor oil straight on the ground.

It was like we were all just renting the place.

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by Brian E. Holbrook

The Comforting Roar of Eternity

Sometimes, usually at night, when the tide comes in, I’ll be sitting here in my living room, windows open, watching the TV and wondering:

“What the hell is that roaring noise?”

Then I remember it’s the Pacific, just over the berm, clawing at the beach, just like it has been for 200 million years –long before any of my kind were around to hear it.

It puts me in my place, this ocean.

So I mute the TV and listen to the closest I’ll ever get to eternity whisper in my ear.

“You don’t matter.” It says. “You are nothing. This is all nothing. None of this means anything. I will be clawing at this beach 200 million years from now, long after your kind are gone.”

There are people I know who would consider this discouraging, or terrifying, or even a form of heresy or blasphemy. But for me? It is a comfort like a mother’s embrace.

“It has all been OK.” It says. “All you’ve worried about, and fretted over, and tortured yourself because of during long nights of doubt? It’s as insignificant as beach sand. It all gets washed away, eventually.”

And some part of me wishes that it weren’t true; that I’d somehow carved something indelible into the time or space that I have occupied –some proof that I’d mattered somehow. But I’ve seen enough of death to know that the ocean isn’t lying.

We fade within two generations, often sooner. We are sparks from a bonfire: beautiful, blazing, unique, and soon forgotten.

But the longer I live here next to this unimaginably ancient sea, I understand that it is OK. It’s OK to be a spark that is born, rises, touches nothing, and fades away. That is the cycle. That is life.

That’s the truth the Pacific knows.

And sometimes, when I mute my TV, it whispers it in my ear.

by Brian E. Holbrook

The Runner

“Dragline: You’re an original, that’s what you are! Them mullet-heads didn’t even know you was foolin’!
Luke: Foolin’ ’em, huh? You can’t fool ’em about somethin’ like that. They broke me…
Dragline: Aw. All that time, you was plannin’ on runnin’ again.
Luke: I never planned anything in my life.”

— Cool Hand Luke

I’m not sure that I’ve ever made a truly considered decision. I don’t recall ever making a life-altering choice after careful research and deliberation. I have never faced a daunting challenge and weighed all of my options and their possible repercussions to arrive at the best course of action. I leap then look, and have all of my life.

On the day I joined the Army, I had awoken that morning with no inkling that I would do so. I was largely homeless at the time and needed a job –a job that would hire me, train me, house me, feed me, and clothe me. I just happened to be walking past the Armed Forces Recruiting Center when I realized this, so I walked on in. I had no real affinity or preference for the Army, they just happened to be the only recruiters who weren’t at lunch.

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