My Poor Ear and a Little Clarity

Awake under the surgical drape, I can see the torso and knees of the nurse monitoring my vital signs. She is sitting in a chair next to me, and I can read her badge. “Shirley, RN.” A middle-aged name. My age or older, I am guessing. There is another nurse behind her who leans down to peak at me under the drape. “You all right under there?”

“Yes,” I reply, but I don’t believe it. Given the tremble in my voice she probably doesn’t believe it either. She smiles at me with her piercing blue eyes. She is younger than Shirley and me.

I am lying on my right side with only my left ear and cheekbone exposed above the surgical drape, which is adhered to my face with sticky tape. There is a firm pillow at my back and a softer one between my knees. I would be comfortable if I wasn’t on an operating table about to be sliced up and stitched back together. I could be sleeping right now if not for the thumping beat of my heart and the nightmare of the full-thickness skin graft that will soon be cut from a healthy place on my ear to seal the wound at the edge of my ear caused from last week’s removal of a spot of basal-cell carcinoma.

Oh, no, my poor ear. My perfect, cute, little ear.

But this is what happens when you are a sun worshipper who spent the 1980s lathered up in baby oil and sunbathing on foil. This is what happens when anxiety keeps you away from doctors for ten years because the medical profession failed your daughter. Basal-cell carcinoma bores through cartilage if you ignore it, like I ignored it. How long did I know that spot was no bug bite? How long did I pretend it wasn’t there? So long. Too long. Long ago and away in my denial.

So here I am on a Monday morning in an operating room. Naked under a thin, cotton hospital gown, I am helpless in the hands of five medical professionals who do not know that I am a historian, a mother, a yogi, a lover of dogs and birds and Abraham Lincoln. How weird it is … how unreasonable … how crazy … how amazing … that we give ourselves over to doctors and nurses, human beings just like us, who sometimes burn their toast and forget to water that lonely Monstera adansonii on the sideboard, so far away from all the other plants that get watered on Fridays.

Be careful with me. I have two dogs at home, and I need to water that plant on my sideboard.

I am untrusting and petrified and scared like a wide-eyed child, but no matter my circumstances I am always compelled to be observant. My eyes dart around to see all I can see through the narrow opening of the drape, expertly tented to quell claustrophobia. A steel cabinet with drawers stands against a gleaming white wall. A gray power cord trails below a table. The black scrub pants of the blue-eyed nurse are cinched by flat, gray drawstrings with a single red stripe at each end. Shirley’s chair is a standard black office chair, which seems odd to me and makes me smile. There is a green light on the bottom of the monitor tracking my vital signs. I guess that means I am alive.

Wow. This experience is almost cool. I mean, it’s not every day you get your ear reconstructed by a plastic surgeon. It’s not every day you are awake in an O.R. I pretend I am an attractive patient on Grey’s Anatomy. That gorgeous Dr. Avery will be here any moment to make me gorgeous, too.

I am ridiculous.

I inhale deeply and slowly and then count down my exhalation. Seven … Six … Five … Four … Three … Two … One.

Gasp.

My first surgery is plastic surgery! And I’m awake for it? I am so afraid of the cutting and the pain and the stitches. I want to go home. I need to go home. Now. Please.

“Hush. You are strong, and you are lucky.”

It is my inner warrior speaking to me now. That warrior born from the husks of a grieving mother has arrived to do battle for me. “The skin cancer is gone, and this is a simple repair. You heard the plastic surgeon; this is nothing in the realm of plastic surgery. And look at you. You made it to fifty-seven without surgery, major injury, or serious illness. You delivered two humans into the world. It is okay to be scared, but you can do this.

Oh, shut up.

Inner warriors are so annoying sometimes.

The surgical nurse is now cleaning my ear. I can hear her working, and I feel the cold saline when it arrives at the back of my neck, beyond the reach of the lidocaine. She stuffs cotton in my ear. I know it because I can hear it, THUNDEROUS and SMOOSHING. Now faded away is the jazz music I selected, because, did you know, that awake patients get music dibs over surgeons?

A bright light comes on above me, immediately hot like the Midwestern sun I have tearfully broken up with, because it has, like a cheating lover, betrayed me. I start to sweat under the heated blankets the surgical nurse had so kindly draped around my body to keep me safe from the blasting chill of the operating room, even as she pushed me so dangerously close to a silver tray of scalpels.

Damn. I wish I had not seen those scalpels.

My surgeon arrives and taps my shoulder. I struggle to hear what he is saying, his gravelly voice difficult to understand even without the cotton muffling. He has decided on a different approach, he says, to improvise a better repair. “Watch this,” he says to the nurse. “You’ve never seen this surgery before, because I just made it up.”

Do I look like a guinea pig to you?!!

Oops. I said it out loud. There is muted laughter. “Two incisions instead of three,” he says. “You’ll like it.” He taps my shoulder three times.

Blue eyes smile at me again. “You still okay under there?”

No.

“Yes.” This time I want to mean it.

Then the cutting begins. I hear it. I feel pressure and pulling. The surgeon gets traction or steadies his hand by leaning on my left arm. Then there is sewing. Loud, unapologetic stitching. My ear is a megaphone turning the slipping of delicate sutures into the sound of rope and tug of war. Slip. Tug. Slip. Tug. My face is pulled taught. I feel pressure, but there is no pain. I feel my heart in my throat, but I don’t stop breathing as I listen to Dr. Frankenstein making his monster.

I breathe with my eyes wide open. I breathe with my eyes shut tight. I think about the new walking shoes I need to order this week. I wonder what my sister is doing out in the waiting room. My stomach rumbles, and I think about what I will eat for lunch before the lidocaine wears off. I imagine Bug, at home, sleeping on the back of the couch. I hear the surgeon singing. Is that Jimmy Durante? The sound is deep and lovely, and I think how funny it is that a person’s singing voice can be so different from their speaking voice.

After a month or forty minutes, the surgeon taps my shoulder. “You did good, kid,” he says.

No yoga or strenuous exercise for at least two weeks, so I’ll be leaning a little more on watercolor. Painting my poor ear was oddly therapeutic.

He’s right. I did do good. I did not deploy my plan to secure the strings of my hospital gown and run like the wind for the Illinois prairie. I breathed through all the fear and the disconcerting vulnerability. I breathed through all the cutting and the stitching. I managed my anxiety like a warrior.

What’s more, I am still a kid, but not only a kid to my chubby, singing surgeon who is in his mid-seventies. At fifty-seven, I am still a kid to me. With every new experience, in the face of change, or when standing on the precipice of the unknown, we are all babies. In these moments of course we are scared, because in these moments we are actively learning about the terrifying, wonderful world and learning how to survive what life is throwing at us. In this particular fascinating moment in my ordinary life, I am, indeed, just a kid. Young and scared and hopeful.

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