Judging by the color of them, the ceiling tiles must have been recently replaced. The walls, unevenly covered by some kind of plaster and patched in several places, unsuccessfully blocked noises from surrounding exam rooms. There was a screw missing on a panel near the ceiling that might once have featured a clock. The glass covering an innocuous aluminum-framed print needed washing.

I began to feel the chill of institutionally gray tiles through my thin cotton tee shirt, and realized the danger must have passed. To my right, viewed between assorted steel railings supporting the bed between us, the P.A.’s navy-pinstriped legs moved slightly with her efforts. Her shoes were expensively sensible. I admired her slacks; the hang of them, the color, the fine weave of the fabric from which they’d been fashioned. I wanted to ask where she’d found them, but worried I might not be heard from my vantage point on the floor beside the bed.

I considered getting up, as the floor seemed to grow colder every minute I lay there. I eyed my jacket, draped across the back of the ridiculously uncomfortable chair I’d ridden for the better part of three hours.

“You ok down there?” Her Midwestern accented voice carried no judgment.

“Yeah, I’m good.” I answered, making the decision to stay put for the time being.

The sight of his sweat-pant covered legs, dangling as they did, from a gaping hole in the ceiling, alarmed me. All sorts of maternal recriminations sprouted inside my head, and I kept them there, knowing he would consider me unnecessarily concerned, and motherly. I approached with pursed lips in anticipation of cradling the box of ornaments he would hand down, and was met, instead, with a rain of limbs. He recalls his foot slipping from the ladder he meant to jump upon. I remember a slow-motion, herky-jerky, free-fall during which my mind immediately began to catalogue possible injuries.

As my brain continued its seamless shift into “medical-mode”, I watched the way his feet met the floor and felt sure he’d done no lasting damage. He plopped to a half-sitting/half-crouching position against the wall. Raising up as I bent towards him, he held one arm with the other hand, and below that was something I’d seen only in well-worn textbooks. I immediately bent his arm at the elbow, in an effort to close the gash.

Surreally, images of pioneer women rending their skirts flashed across my brain, before training took over again, and I envisioned the gridwork of veins and arteries snaking through that part of the human arm. I had no skirt to rend. The size of the dressing seemed most important to me as I envisioned wrapping towels of every size around his arm. Discarding each of them as too bulky, I raced through the house in the direction of the rag bag. Grabbing the telephone on my way back, I dropped it twice, before successfully dialing 911.

I raced back and forth around him following, implicitly, the instructions given by the emergency operator.

“Do I have to sit here?”, he asked from his puddle of blood.

“Well…” I hesitated, conjuring something akin to a “scene of the crime” kind of vibe.

He drew his legs up to rise.

“No! Wait!” Seeing he was determined, I helped him up, observing, as taught, for any changes in his gait.

I planted him on a chair in the kitchen.

“Hey? Can you get my cigarettes and coffee?”

Complying, I placed them before him as diffused strobe lights began to play in the next room, and removed them as quickly as I’d lain them down.

“It’s not cool to meet paramedics with your cigarettes and coffee between you.”

After opening the door, I left them to their ministrations, tempered with cheerful holiday banter. They were good at what they did.

The house was quiet again. The lights continued to play while they settled him inside the rig. I took the puppy out to feed him.

An insistent rapping against glass caught my attention and I fixed my expression on my way to meet the curious neighbors I’d been expecting. Robert lives next door.

“Yeah…” The word was jovial, coming from my smile.

“Uh, look, he wants to ask you something.” This was not what I had expected. “You know, I was just coming to make sure you were alright, and he stopped me. He wants some things from the bedside table, and he wants to ask you something.”

“Ok…thanks.”

“Let me know if you need anything…”

They had him strapped onto the gurney under very bright lights. He wore the grin that always means “I need you but you’re not going to like it.”

“Did you know that if I don’t ride, there’s no charge?”

I looked at the paramedic manning the door.

“Really?”

He inclined his head.

“Yep. Joe here’s not even gonna ride in back with him. He’s only a 3 out of 3. I mean if he’d been a 10 out of 10…but he’s only a 3 out of 3.” There was a hint of apology in his voice.

I marveled, silently, at the notion that the fuel required to drive a person to the hospital had more value than medical services rendered on site, before looking again into the jarringly bright light.

The grin had widened.

“Well, sure. I can drive you….sure. Let me get some things…We’ll take your car, you’re not comfortable in mine.” Most of this was thrown over my shoulder as I hurried back inside.

“God! You just seem miserable! You’re making me miserable! Just go home!” As he said it, from his perch on a bed in the middle of a room that, at least gave the look of being sterile, he turned his head away slightly.

“You know? Here’s the thing. It’s a problem of too much knowledge. It’s knowing that while we’re in here for hour upon hour, they are out there talking about what they served for Thanksgiving and flirting with the maintenance man they called to fix a drawer that won’t open, and they don’t care. It’s just a job, you know? I mean, they don’t mean to be disrespectful, but it’s just like you in your office. You visit right? You walk down the hall and talk to Chris or Steve, right? And you think nothing of it. It doesn’t matter that you’ve got reports on your desk that need editing. You’re bored. You walk down the hall. It’s the same here. And most people don’t know it, but I do, and I just want to go out there and say “Hey! I had plans here! My son is away for four days and I had plans tonight! This was supposed to be my night! Can we hurry things up here? Can you flirt with the guy from maintenance tomorrow maybe?”” Spent, I stopped.

Save for the sounds of a lift being pushed on a bed next door, and the beeps from a portable x-ray unit, and the sound of high heels on tile, and a rough-hewn voice that sounded like a maintenance man’s calling playfully, “Hey, come here!”, it was silent inside the room until the P.A. stepped inside.

After introducing herself she set about gathering supplies and began her work; the picture of kind efficiency. Holding a vial containing clear colored liquid over her head, she inserted a needle of some proportion, explaining that the lidocaine would “deaden the area”. I saw his sharp intake of breath as the needle disappeared behind his body and felt expected to do something. Averting my eyes as I approached the bed, I took his other hand.

“Here, squeeze this.”

I stood, and he squeezed for several minutes, before the back of my knees began to tingle. I bent them slightly as taught in chorus so many years ago and focused on an array of buttons set in the opposite wall. The buttons, and even the wall, itself, became cloudy and I attempted to will it away by blinking. When I realized I could no longer hear the cheerfully kind banter of the P.A., I patted his hand, explaining I should sit down. As I struggled with consciousness, I remembered the coolness of a tile floor, and I climbed off my chair, hoping no one would notice.

Rain sheared across the windshield as I struggled to make out faded lines in the road.

“What was that about?” His speech still carried Dilaudid. “You were a nurse!”

“Now, you know.”

“What? What do I know?”

“You know the real reason I didn’t want to come.”

“But you were a nurse! You saw things like that all the time! How did you do it?”

“It’s different…when the outcome affects the picture you carry in your head, of your life.”

We rode in silence for several minutes before he spoke again.

“Did I imagine it, or did you tie a dust-rag around my arm?”

© Copyright 2007-2008 Stacye Carroll