I miss Reginald’s sleeping.
Reginald didn’t snore loudly, at least not after he had a minor surgery several years ago to correct a deviated septum, but he made precious little snore-sounds, and that gentle snoring is now painfully missing from my nightscape.
I miss his falling asleep in the car. Reginald fell asleep quite easily when I was driving (though fortunately not while he was driving). His same gentle snores were a common companion on long trips, but even on drives to the mall or to Barnes and Noble 10 to 15 minutes from home, he would often nod off, trusting me to get us there safely.
I miss watching him sleep.
Many nights when I couldn’t sleep for whatever reason I took great pleasure simply watching him asleep, the slow rhythmic movement of his chest up and down. Often enough, this was enough to calm whatever anxieties or fears I was suffering at the moment.
His last several months, there were days upon days (both in the hospital and at home) when his pain, nausea, and fatigue were almost too much for any person to bear. I don’t miss that at all, but I do miss watching him in those moments when he slipped off to sleep on those days, his sufferings eased, at peace at least for the moment, but still alive.
The ten days beginning April 16 this past spring were among the worst of my life. Following the abdominal perforation that almost killed him right then, he lay sedated and unconscious for ten days. Most of that time he was clearly experiencing great pain with his body and I presume some part of his mind. His body would twitch and spasm and he would continually clench his fists. But there were times when the pain would ebb, the twitchings and spasming cease, and he would settle into the gentle rhythms of sleep. In the midst of horror, those moments watching him sleep were good times.
Tuesday, October 14, 2008
Saturday, October 11, 2008
Things I Miss, 3
It’s now been a month since my dear Reginald died, and the loss has only gotten harder as the reality of his absence and the realization that I’ll never see him again in this life has begun to fully sink in.
One of the things I miss most is his empathy and generosity.
Reginald was the most empathetic person I have ever encountered. This could bring him pain, as the suffering and sorrow of others hurt him dearly, but also great joy, as the successes and happiness of others brought him great happiness, too.
Although he kept up with the news, it was almost a burden for him, for all the news of suffering in the world depressed and saddened him almost as much as his own personal health problems. Though he loved reading history, reading about recent history was difficult for him – books about the 20th century and all the violence and atrocities therein he often had to read in small doses spread over months because they upset him so.
Obviously, it’s not this suffering that resulted from his empathy that I miss, but his kindness and generosity that were linked with his empathy. One fond memory I have (fond though wrapped within pain) is from mid-April of this year. I had been teaching all day when I got a phone call from Reginald that he had gone to the emergency room with very severe abdominal pain (pain, we soon found out, stemming from the abdominal perforation that almost killed him at that point). I rushed to the emergency room, and when I entered the waiting room I found him stooped over with pain walking as best he could across the room to give a vomit basin to another man who was getting sick. It was so typical of Reginald that of an entire roomful of people, it was he, doubled over with pain more severe than I can imagine from something that very nearly killed him, that took the trouble to perform this small act of kindness. I don’t want to knock the other people there – they were all either sick or injured themselves, or tending to a loved one in that condition – but simply to acknowledge the way in which he was almost as concerned with others as himself even in the worst of circumstances. Likewise, towards the end of his life, while he was certainly scared and didn’t want to die, he was more concerned that I and others were suffering on account of losing him.
Reginald internalized the experiences of others to a great extent, so that suffering in the world caused great pain to him, but the happier side of this was that the successes and joys of those he cared about brought him intense pleasure as well. He was always greatly pleased by the accomplishments of those around him, with so far as I could tell never a hint of the secret jealousy and envy that so frequently accompanies the success of others for many, if not most people.
The many online tributes that have been posted in the past month are full of tales of his generosity to his fellow poets and/or friends. Though he was quick to acknowledge those who had been important to his success in life generally and in poetry and other writing (see his many writings about his mother or the tributes to Alvin Feinman on his blog), he had clawed his way to success as a writer largely through his own efforts without much benefit of patronage or personal ties to bigwigs. While no one is fully the proverbial “self-made man,” he was about as close as they come.
His response to this was to do what he could to help others to success to the extent he could in a way few had done for him. Occasionally he did this when another course of action might have done more for his own career. For example, with his first poetry anthology, The Iowa Anthology of New American Poetries, Reginald had multiple reasons for selecting the poets he did: they’re all excellent poets, they share certain qualities in their work, making for a coherent volume. At the same time, Reginald knew that he could probably do more for his own career by selecting more established poets (i.e. most everyone likes being invited to be part of such projects, and choosing more established poets would have established or reaffirmed personal connections for Reginald with people more established in their careers and generally more powerful), but he chose to focus that anthology on less established, emerging poets, partly because he thought it would be more interesting for readers, but more importantly because he felt that in that way he could contribute to the success of their careers as writers in a way that wouldn’t have been the case with writers already more established.
One of the things I miss most is his empathy and generosity.
Reginald was the most empathetic person I have ever encountered. This could bring him pain, as the suffering and sorrow of others hurt him dearly, but also great joy, as the successes and happiness of others brought him great happiness, too.
Although he kept up with the news, it was almost a burden for him, for all the news of suffering in the world depressed and saddened him almost as much as his own personal health problems. Though he loved reading history, reading about recent history was difficult for him – books about the 20th century and all the violence and atrocities therein he often had to read in small doses spread over months because they upset him so.
Obviously, it’s not this suffering that resulted from his empathy that I miss, but his kindness and generosity that were linked with his empathy. One fond memory I have (fond though wrapped within pain) is from mid-April of this year. I had been teaching all day when I got a phone call from Reginald that he had gone to the emergency room with very severe abdominal pain (pain, we soon found out, stemming from the abdominal perforation that almost killed him at that point). I rushed to the emergency room, and when I entered the waiting room I found him stooped over with pain walking as best he could across the room to give a vomit basin to another man who was getting sick. It was so typical of Reginald that of an entire roomful of people, it was he, doubled over with pain more severe than I can imagine from something that very nearly killed him, that took the trouble to perform this small act of kindness. I don’t want to knock the other people there – they were all either sick or injured themselves, or tending to a loved one in that condition – but simply to acknowledge the way in which he was almost as concerned with others as himself even in the worst of circumstances. Likewise, towards the end of his life, while he was certainly scared and didn’t want to die, he was more concerned that I and others were suffering on account of losing him.
Reginald internalized the experiences of others to a great extent, so that suffering in the world caused great pain to him, but the happier side of this was that the successes and joys of those he cared about brought him intense pleasure as well. He was always greatly pleased by the accomplishments of those around him, with so far as I could tell never a hint of the secret jealousy and envy that so frequently accompanies the success of others for many, if not most people.
The many online tributes that have been posted in the past month are full of tales of his generosity to his fellow poets and/or friends. Though he was quick to acknowledge those who had been important to his success in life generally and in poetry and other writing (see his many writings about his mother or the tributes to Alvin Feinman on his blog), he had clawed his way to success as a writer largely through his own efforts without much benefit of patronage or personal ties to bigwigs. While no one is fully the proverbial “self-made man,” he was about as close as they come.
His response to this was to do what he could to help others to success to the extent he could in a way few had done for him. Occasionally he did this when another course of action might have done more for his own career. For example, with his first poetry anthology, The Iowa Anthology of New American Poetries, Reginald had multiple reasons for selecting the poets he did: they’re all excellent poets, they share certain qualities in their work, making for a coherent volume. At the same time, Reginald knew that he could probably do more for his own career by selecting more established poets (i.e. most everyone likes being invited to be part of such projects, and choosing more established poets would have established or reaffirmed personal connections for Reginald with people more established in their careers and generally more powerful), but he chose to focus that anthology on less established, emerging poets, partly because he thought it would be more interesting for readers, but more importantly because he felt that in that way he could contribute to the success of their careers as writers in a way that wouldn’t have been the case with writers already more established.
Monday, September 29, 2008
Things I Miss, 2
I miss caring for and tending to Reginald.
I miss cooking for him when he could keep some food down – always iffy, since he was on chemotherapy from last December through April, and on multiple antibiotics continuously from then on. I miss getting him cans of Ensure or Gatorade when those were the only things he could keep down.
I miss rigging up and administering IV drip medications, and changing surgical wound dressings.
I miss the rare good days in the hospital – the days when Reginald didn’t have too much pain or nausea, and I would sit reading or working on my laptop while he slept or worked on his own computer.
I miss driving him around town to doctors’ visits – over the last several months, when he wasn’t in the hospital, he saw one or another doctor almost every day.
A few days ago I was talking with someone on the phone and mentioned that there were some health care smells that I’d as soon never smell again, alcohol swabs, wound prep swabs, saline solution. That wasn’t quite right: I long to smell those smells, but while nursing him at home or being with him while nurses tend to him in the hospital. I miss the less pleasant bile and vomit smells, too, and the task of emptying and cleaning vomit basins.
To be clear: I don’t miss the bad smells and the vomit and other fluids themselves. Even less do I miss the suffering, pain, and nausea Reginald felt for so long. But much of the past year, all I could do was tend to him the best I could and show my love by doing so. I often felt miserable to not be able to do more – nursing him often felt like the least I could do when it was the most I could do – but I miss being able to at least do that.
I miss cooking for him when he could keep some food down – always iffy, since he was on chemotherapy from last December through April, and on multiple antibiotics continuously from then on. I miss getting him cans of Ensure or Gatorade when those were the only things he could keep down.
I miss rigging up and administering IV drip medications, and changing surgical wound dressings.
I miss the rare good days in the hospital – the days when Reginald didn’t have too much pain or nausea, and I would sit reading or working on my laptop while he slept or worked on his own computer.
I miss driving him around town to doctors’ visits – over the last several months, when he wasn’t in the hospital, he saw one or another doctor almost every day.
A few days ago I was talking with someone on the phone and mentioned that there were some health care smells that I’d as soon never smell again, alcohol swabs, wound prep swabs, saline solution. That wasn’t quite right: I long to smell those smells, but while nursing him at home or being with him while nurses tend to him in the hospital. I miss the less pleasant bile and vomit smells, too, and the task of emptying and cleaning vomit basins.
To be clear: I don’t miss the bad smells and the vomit and other fluids themselves. Even less do I miss the suffering, pain, and nausea Reginald felt for so long. But much of the past year, all I could do was tend to him the best I could and show my love by doing so. I often felt miserable to not be able to do more – nursing him often felt like the least I could do when it was the most I could do – but I miss being able to at least do that.
Labels:
cooking,
nursing,
Reginald Shepherd,
smell,
Things I Miss
Friday, September 26, 2008
Things I Miss
It’s been a bit over two weeks since my dear Reginald passed. It hasn’t fully sunk in, I don’t think. I know he’s gone, but I find myself several times a day thinking things like, “I’ve got to tell Reginald about that…” At the same time, I miss him profoundly.
Most of all I miss our love. I miss how much he loved me and while I’ll always love him, I’ll miss being able to say it and show it to him. I’ll always treasure the time we had, or for that matter that the last thing I said to him was “I love you” and that the last thing he said was “I love you” to me – but that’s not enough, and I don’t think it ever will be.
One form our love and communion took was conversation, and on a daily level, I’ll miss that about as much as anything. We were nearly continuously together every day, and that because we wanted to be, and we talked all the time about nearly everything.
We talked about writing – about different literary forms, about the skills and experience of writing poetry, ethnography, fiction, essays, blogs, and other forms, about different forms as art or not art, about the relation between writing and society. We discussed music, something we’re both passionate about – from Britten to boy bands, the state of the music industry and music recording, why some people still seem to viscerally react to Schoenberg, what we liked or disliked about various music. We talked about politics and paleontology, generally agreeing that politics was probably more important but paleontology more interesting, finding debates about punctuated equilibrium or whether sauropods were likely endotherms, ectotherms, or homeotherms more interesting than Obama vs. McCain. We discussed race and racism, food in its many varieties and proper cooking of each, The Simpsons, the relative merits of science fiction television shows, whatever either of us was reading (which gave plenty of topics to explore), culture and history.
Not only did we share wide ranging interests, but he was always smart and knowledgeable about whatever we discussed. (Reginald’s knowledge of world history was particularly formidable. I’ve never encountered directly or indirectly anyone else as knowledgeable about history in general – and I include the writers of world histories. His many world history books are filled with marginal notes correcting the small errors of detail he found.) I don’t think I’ll ever have another conversation as interesting, challenging, or deep as the one we had the last 8 ½ years.
Our conversation, as with that of most couples I presume, was also larded with references that only made sense to the two of us. I miss already being able to say things like “No zombie turkey” or “It’s not yummy” or “Nothing Cake” or “Are you going to the thing?” and make any sense to someone, at least not without such convoluted explanation as to obviate their use as a shorthand – and a shorthand for a range of past shared experience that wouldn’t be explained anyway even with the most elaborate of explanations.
Most of all I miss our love. I miss how much he loved me and while I’ll always love him, I’ll miss being able to say it and show it to him. I’ll always treasure the time we had, or for that matter that the last thing I said to him was “I love you” and that the last thing he said was “I love you” to me – but that’s not enough, and I don’t think it ever will be.
One form our love and communion took was conversation, and on a daily level, I’ll miss that about as much as anything. We were nearly continuously together every day, and that because we wanted to be, and we talked all the time about nearly everything.
We talked about writing – about different literary forms, about the skills and experience of writing poetry, ethnography, fiction, essays, blogs, and other forms, about different forms as art or not art, about the relation between writing and society. We discussed music, something we’re both passionate about – from Britten to boy bands, the state of the music industry and music recording, why some people still seem to viscerally react to Schoenberg, what we liked or disliked about various music. We talked about politics and paleontology, generally agreeing that politics was probably more important but paleontology more interesting, finding debates about punctuated equilibrium or whether sauropods were likely endotherms, ectotherms, or homeotherms more interesting than Obama vs. McCain. We discussed race and racism, food in its many varieties and proper cooking of each, The Simpsons, the relative merits of science fiction television shows, whatever either of us was reading (which gave plenty of topics to explore), culture and history.
Not only did we share wide ranging interests, but he was always smart and knowledgeable about whatever we discussed. (Reginald’s knowledge of world history was particularly formidable. I’ve never encountered directly or indirectly anyone else as knowledgeable about history in general – and I include the writers of world histories. His many world history books are filled with marginal notes correcting the small errors of detail he found.) I don’t think I’ll ever have another conversation as interesting, challenging, or deep as the one we had the last 8 ½ years.
Our conversation, as with that of most couples I presume, was also larded with references that only made sense to the two of us. I miss already being able to say things like “No zombie turkey” or “It’s not yummy” or “Nothing Cake” or “Are you going to the thing?” and make any sense to someone, at least not without such convoluted explanation as to obviate their use as a shorthand – and a shorthand for a range of past shared experience that wouldn’t be explained anyway even with the most elaborate of explanations.
Labels:
conversation,
love,
Reginald Shepherd,
Things I Miss
Monday, September 15, 2008
Reginald Shepherd, 1963 - 2008
Reginald Shepherd, who was my partner, best friend, lover, confidante, and so much more, died this past week on September 10 after a fight with cancer. The following is a short piece about Reginald I wrote for his memorial service, which was held yesterday.
Reginald Shepherd, 1963 - 2008
Reginald Shepherd was born April 10, 1963 in New York City and passed away September 10, 2008 in Pensacola, surrounded by people whom he loved and who loved him.
Reginald was the son of Blanche Berry, who was originally from Macon, Georgia. He grew up in Bronx, New York, along with a sister, Regina Graham. He moved to Macon and lived with his aunt, Mildred Swint, after the death of his mother when he was fifteen.
Reginald earned a B.A. degree from Bennington College in Bennington, Vermont, and M.F.A. degrees in Creative Writing from Brown University in Providence, Rhode Island, and the University of Iowa in Iowa City. He taught literature and creative writing, most recently at Antioch University and earlier at the University of West Florida, Cornell University, and Northern Illinois University, and he was remarkably dedicated to his students and the craft of writing.
Reginald was a magnificent writer. He published five books of poetry (Some Are Drowning; Angel, Interrupted; Wrong; Otherhood; and Fata Morgana) and a book of essays (Orpheus in the Bronx), and he edited two poetry anthologies (The Iowa Anthology of New American Poetries and Lyric Postmodernisms). He recently completed a sixth book of poetry and a second volume of essays that will be published posthumously. Among many awards for his writing, he most recently earned a Guggenheim Fellowship in 2008 and won the 2007 silver medal for poetry in the Florida Book Awards.
Reginald met his partner, Robert Philen, in December, 1999 in Ithaca, New York, and ever since, their relationship has grown, based in conversation, compassion, sharing, friendship, passion, and profound love. The two have lived in Pensacola since July, 2001.
Over the past year, Reginald faced tremendous adversity and continuous pain from a series of illnesses related to cancer, but he faced it all with profound strength and courage, tenacity, love of life – and gentleness, dignity, and innocence. He fought long and hard against the illness, but as one nurse who worked with him toward the end put it, “He remained a gentleman to the end.”
Any of us who knew Reginald are devastated and heartbroken at this loss, and we will miss his unique combination of verve and vivacity, wit and intelligence, tenacity and strength, gentleness, empathy, and sweetness, generosity and innocence. We will also, despite our profound sadness, remain ennobled, happy, and blessed by the time we spent with him.
Reginald Shepherd, 1963 - 2008
Reginald Shepherd was born April 10, 1963 in New York City and passed away September 10, 2008 in Pensacola, surrounded by people whom he loved and who loved him.
Reginald was the son of Blanche Berry, who was originally from Macon, Georgia. He grew up in Bronx, New York, along with a sister, Regina Graham. He moved to Macon and lived with his aunt, Mildred Swint, after the death of his mother when he was fifteen.
Reginald earned a B.A. degree from Bennington College in Bennington, Vermont, and M.F.A. degrees in Creative Writing from Brown University in Providence, Rhode Island, and the University of Iowa in Iowa City. He taught literature and creative writing, most recently at Antioch University and earlier at the University of West Florida, Cornell University, and Northern Illinois University, and he was remarkably dedicated to his students and the craft of writing.
Reginald was a magnificent writer. He published five books of poetry (Some Are Drowning; Angel, Interrupted; Wrong; Otherhood; and Fata Morgana) and a book of essays (Orpheus in the Bronx), and he edited two poetry anthologies (The Iowa Anthology of New American Poetries and Lyric Postmodernisms). He recently completed a sixth book of poetry and a second volume of essays that will be published posthumously. Among many awards for his writing, he most recently earned a Guggenheim Fellowship in 2008 and won the 2007 silver medal for poetry in the Florida Book Awards.
Reginald met his partner, Robert Philen, in December, 1999 in Ithaca, New York, and ever since, their relationship has grown, based in conversation, compassion, sharing, friendship, passion, and profound love. The two have lived in Pensacola since July, 2001.
Over the past year, Reginald faced tremendous adversity and continuous pain from a series of illnesses related to cancer, but he faced it all with profound strength and courage, tenacity, love of life – and gentleness, dignity, and innocence. He fought long and hard against the illness, but as one nurse who worked with him toward the end put it, “He remained a gentleman to the end.”
Any of us who knew Reginald are devastated and heartbroken at this loss, and we will miss his unique combination of verve and vivacity, wit and intelligence, tenacity and strength, gentleness, empathy, and sweetness, generosity and innocence. We will also, despite our profound sadness, remain ennobled, happy, and blessed by the time we spent with him.
Friday, June 20, 2008
The Improbability of Being Alive
I’ve been thinking quite a bit lately about the fragility of life (for pretty straightforward reasons – see my previous post). I’ve also been thinking a bit about the sheer improbability of being alive.
Here’s the most dramatic personal example I can come up with of what I mean:
Members of one of the families from whom I’m descended, specifically my father’s mother’s mother’s family, emigrated from Ireland to Virginia sometime in the late 1600s, establishing a nuclear family household there. Sometime shortly thereafter, this household was wiped out in a raid by local Native Americans, except for an infant son, my ancestor, who was left alive, found by other members of the Euro-American community and taken in.
Whatever their particular grievance, whether against the specific family or against Europeans in general moving into the area, and there were likely plenty of grievances to choose from, had this particular raiding party chosen to completely finish off the household, the world today would be little if any different in any big way, but I wouldn’t be here. Likewise if the child had died of starvation or exposure before being found and taken into another household. Even if the Native Americans in question had chosen to adopt the child into their own community, a not unlikely scenario in the circumstances, that child might have had descendants alive today, but I wouldn’t be here.
In many more mundane ways, my mere existence depends upon a highly improbable concatenation of little decisions having been made by untold numbers of people. Upon having his job as an engraver transferred from a paper plant in upstate New York to a new plant outside of Pensacola, Florida in the early 1950s, had my grandfather and grandmother decided that job or not job, they weren’t moving to muggy Northwest Florida in those pre-air-conditioned Jim-Crow-era days, then my mother and my father would have been around, but never met, resulting in no me.
Given that the human species did evolve, and given that the Neolithic transition occurred (both improbable to varying degrees beforehand), I don’t find it particularly improbable that there are people around now, or even that there are 6 billion people around now, but each of those 6 billion people, as individuals, is the result of an astronomically improbable chain of prior human actions and decisions.
Perhaps not the most profound or original thought (it is, after all, a basic premise of the movie Back to the Future), but something I’ve been thinking about lately.
Here’s the most dramatic personal example I can come up with of what I mean:
Members of one of the families from whom I’m descended, specifically my father’s mother’s mother’s family, emigrated from Ireland to Virginia sometime in the late 1600s, establishing a nuclear family household there. Sometime shortly thereafter, this household was wiped out in a raid by local Native Americans, except for an infant son, my ancestor, who was left alive, found by other members of the Euro-American community and taken in.
Whatever their particular grievance, whether against the specific family or against Europeans in general moving into the area, and there were likely plenty of grievances to choose from, had this particular raiding party chosen to completely finish off the household, the world today would be little if any different in any big way, but I wouldn’t be here. Likewise if the child had died of starvation or exposure before being found and taken into another household. Even if the Native Americans in question had chosen to adopt the child into their own community, a not unlikely scenario in the circumstances, that child might have had descendants alive today, but I wouldn’t be here.
In many more mundane ways, my mere existence depends upon a highly improbable concatenation of little decisions having been made by untold numbers of people. Upon having his job as an engraver transferred from a paper plant in upstate New York to a new plant outside of Pensacola, Florida in the early 1950s, had my grandfather and grandmother decided that job or not job, they weren’t moving to muggy Northwest Florida in those pre-air-conditioned Jim-Crow-era days, then my mother and my father would have been around, but never met, resulting in no me.
Given that the human species did evolve, and given that the Neolithic transition occurred (both improbable to varying degrees beforehand), I don’t find it particularly improbable that there are people around now, or even that there are 6 billion people around now, but each of those 6 billion people, as individuals, is the result of an astronomically improbable chain of prior human actions and decisions.
Perhaps not the most profound or original thought (it is, after all, a basic premise of the movie Back to the Future), but something I’ve been thinking about lately.
Labels:
existence,
improbability,
individual,
probability
Monday, June 2, 2008
Where I've Been
I’ve been a bit preoccupied lately.
In mid-April, my partner, Reginald Shepherd, suffered a serious, nearly fatal, medical crisis. For reasons still unknown, a perforation opened in his small intestine, leading to severe abdominal infection and peritonitis, blood poisoning (one of the things that nearly killed him), catastrophically low blood pressure (think in the neighborhood of 40 over 20) and a heart attack, kidney failure for a short period at the height of the crisis, about ten days on a ventilator and on hallucination-provoking sedatives, three surgeries over the course of those ten days, two weeks (that included the aforementioned ten days) in the intensive care unit, three more weeks in the hospital, and an ongoing recovery process at home. See Speech After Long Silence, Tiene Dolor?, and Long Hard Road Out Of Hell for Reginald’s account of the ordeal.
Reginald’s medical trials didn’t begin in mid-April. The whole past year has been quite rough for him, with a series of emergency room visits (in three separate states), that led in November to diagnosis with colon cancer, a successful surgery to remove the tumor, but also the discovery of the spread of the cancer to the liver, followed by many rounds of chemotherapy and a process called radiofrequency ablation to cook the two tumors on the liver. In short, the situation that began in April occurred after a very trying year and after we were beginning to think (with good reason – his cancer prognosis looked and looks pretty good) his medical condition was under control. As a result, I have mixed feelings about the timing of this crisis: after the entire past year and everything he and we have been through, especially once things were looking up, it’s frustrating, frightening, even shocking to have something else come along to make “Stage 4 Metastatic Cancer” seem like a walk in the park, while at the same time, if this was going to happen, better in mid-April than a few months earlier when the cancer was very much not under control, when even the best case recovery from the acute crisis of blood poisoning would have meant a long delay of chemotherapy at a critical juncture.
As a result of the past year, and especially the last couple months, I have a somewhat different perspective on health, illness, doctors, nurses, medical care and institutions than I did a year ago, but more on that over my next few posts.
In mid-April, my partner, Reginald Shepherd, suffered a serious, nearly fatal, medical crisis. For reasons still unknown, a perforation opened in his small intestine, leading to severe abdominal infection and peritonitis, blood poisoning (one of the things that nearly killed him), catastrophically low blood pressure (think in the neighborhood of 40 over 20) and a heart attack, kidney failure for a short period at the height of the crisis, about ten days on a ventilator and on hallucination-provoking sedatives, three surgeries over the course of those ten days, two weeks (that included the aforementioned ten days) in the intensive care unit, three more weeks in the hospital, and an ongoing recovery process at home. See Speech After Long Silence, Tiene Dolor?, and Long Hard Road Out Of Hell for Reginald’s account of the ordeal.
Reginald’s medical trials didn’t begin in mid-April. The whole past year has been quite rough for him, with a series of emergency room visits (in three separate states), that led in November to diagnosis with colon cancer, a successful surgery to remove the tumor, but also the discovery of the spread of the cancer to the liver, followed by many rounds of chemotherapy and a process called radiofrequency ablation to cook the two tumors on the liver. In short, the situation that began in April occurred after a very trying year and after we were beginning to think (with good reason – his cancer prognosis looked and looks pretty good) his medical condition was under control. As a result, I have mixed feelings about the timing of this crisis: after the entire past year and everything he and we have been through, especially once things were looking up, it’s frustrating, frightening, even shocking to have something else come along to make “Stage 4 Metastatic Cancer” seem like a walk in the park, while at the same time, if this was going to happen, better in mid-April than a few months earlier when the cancer was very much not under control, when even the best case recovery from the acute crisis of blood poisoning would have meant a long delay of chemotherapy at a critical juncture.
As a result of the past year, and especially the last couple months, I have a somewhat different perspective on health, illness, doctors, nurses, medical care and institutions than I did a year ago, but more on that over my next few posts.
Labels:
Blood Poisoning,
Cancer,
medical care,
medical crisis,
Reginald Shepherd,
surgery
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