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.

Spiders and Bugs

One summer afternoon as I was enjoying some quiet time with a book after work on my serene front porch in Springfield, a blood-curdling scream pierced my solitude. Through the screen door behind me, I heard a door slam upstairs, and then a thunderous noise roared down the stairs inside of the house as the screaming grew louder and louder and more and more shrill. Just as I was about to put down my book and go see what was happening inside, Mack flew out of the front door, jumped across the front porch, and raced into the yard. “There is an army of beetles in my bathroom!” she shrieked. “They tried to kill me!” Mack stood in the middle of the yard, dancing and whining, shuddering with revulsion, a look of pure disgust and horror across her little freckled face. When I started laughing at the child, she told me to shut up and go do something about it. Mack stayed in the yard as I went upstairs to repel the invading army. When I opened the bathroom door that Mack had slammed during her noisy and narrow escape, I found a dozen or so leaf beetles—the little orange bugs with black spots—hanging out around the nautical window high in the corner of Mack’s bathroom. So, basically, a handful of cute little lady bugs had defeated the brawny, ten-year-old Mack, sending her screaming in defeat out into our front yard.

Once when Mack and I were playing a quick round of nine holes at Pasfield Golf Course down the street from our house, Mack propped up her golf bag on the tee box of the third hole. She reached into her bag to withdraw her driver, as I was putting down my own clubs to watch her tee shot. After Mack withdrew the club, she let out a high-pitched squawk, threw down the club in a panic, and took off running down the open fairway. “A spider, a spider,” she yelled. “Oh my god, there’s a spider in my bag!” She kept tearing down the fairway as she yelled and while I peered into the golf bag, which miraculously had stayed upright. There dangling among the shafts of the clubs, I saw the remains of a small spider web. I started laughing, but Mack kept running! If there had been a spider present at the time Mack had reached into the bag for her club, it had disappeared during the ruckus. My high-school senior had abandoned her clubs and went screaming down the fairway of a busy golf course because there may or may not have been an eensy-meensy spider in her golf bag. And, what’s more, Mack adamantly refused to continue playing until after we had emptied out the entire contents of the golf bag and made damn sure that the offending spider was long gone.

Over the years, most of Mack’s friends and family members witnessed first-hand Mack’s response to bugs. But for those of you who never had the pleasure of a Mack-meets-bug episode, let me be direct and perfectly clear. Mack hated all creepy crawlies, great and small. Mack was terrified of every spider and every bug that ever lived. And although Mack adored all mammals and liked very much all reptiles, she abhorred and abominated insects and arachnids; and if one dared to introduce itself, you could rest assured that Mack would make a spectacle of herself getting as far away as possible.

To further illustrate the depth of Mack’s fear and loathing of spiders and bugs, I offer the following tidbits…

Mack may have been one of the best tacklers on her youth football team, but she ran away from adorable and beloved fireflies.

Mack never cried when she broke her arm, but she screamed like a baby every time she saw a bug, however small it was and no matter how close it was to her body.

Mack was one of the most self-sufficient teenagers I have ever known, but whenever there was an ant in the kitchen or a spider in her bathroom, she called her dad to come home from work to kill it.

For her entire life, Mack refused to sit in the grass, because a grasshopper might join her.

Mack once toughed out two days of high school basketball practice when she was suffering from a horrible sinus infection, but she once refused to get into my car when we discovered there was a chirpy cricket hiding inside.

Some of the best cardio I ever saw Mack do was in response to seeing an insect. Mack was no track star, but if she was fleeing from a bug, she probably could have been a state-qualifying sprinter.

Mostly, my Macko was a quiet person who rarely ever raised her voice. But, I kid you not, Mack’s scream at the sight of a bug could shatter eardrums and crystal wine glasses!

This face does no real justice to the faces Mack made when she was horrified by a spider, but it reveals something of the disgust she always felt when a creepy-crawler had the nerve to make her acquaintance…

eeeww

And this just in…

After I posted this blog, Sierra, one of Mack’s dear and life-long friends, provided the following picture of Mack fleeing a spider. Apparently, during a weekend friend trip to Ali’s cabin, a spider made its appearance in Jackie’s car and Mack jumped into the trunk to get away!

oh no