Monday, December 31, 2007

a great case

Ok, I know I said once that I wouldn't crow about my fascinating patients, because it seems wrong to use them for blogfodder, but this one is just a medical marvel. I can't help myself. No one else in HospitalWorld gets excited like I do, so I have no one to share the thrill with -- and I'm going to explode if I can't share the thrill.

She's in her sixties, and totally healthy aside from the blood thinner she takes for a heart condition. However, for the past three months she's been losing weight and becoming more and more tired, while her adoring hubby has tried without success to get her to see a doctor. Finally, yesterday, she came to the ER.

Initial exam shows nothing but a pale woman without obvious physical problems aside from a slow heartbeat.
Initial labs show that her kidneys have utterly failed. Because of the kidney failure, she has uremia (toxic overdose of the body's waste products) and a potassium level high enough to stop her heart.
And she's missing two-thirds of her blood.

I got her potassium down from the danger zone, poured bags of red blood cells into her, and called my Kidney Man to do emergency dialysis.

My official diagnosis thus far is What the fuck?

More later. I can't wait to go to work today!

Sunday, December 30, 2007

flight 5234, seat 8c, part two

Y,

Please forgive me for using email, but I think this needs to be said and I have long since lost courage for speaking to you in person. Not that I had much to begin with.

It was four in the morning, and I had less than two hours to pack and get to the airport for my sunrise flight. But I couldn't sleep. He was too much on my mind.

I don't know why you keep doing kind things for me. It was nice of you to bring the leafblower over and help take care of my yard. Last week you helped me with the flat tire. I want you to know I appreciate the things you do.

Later, on the airplane, my thoughts swirled and heaved like boiling tar. Maybe I shouldn't have sent him that email. I didn't want any awkwardness between us, especially because our separation was running like a well-oiled machine. When we saw eachother, we joked easily about the kids and how much we either loved or hated them, depending on the moment. We ran down our list of patients, mocked their exasperating families, and groaned about the fencesitters -- the ones who had no hope of recovery, didn't want to go home, hated the hospital, but still clung to it as their last line of defense against the rap of Death's hand at their door. We got along better as a separated couple than we'd ever done as marrieds. In fact, I was so practiced at maintaining a cool, arms-length friendship with him that I could barely remember all the molten-lava days of our beginnings; days when I'd convinced myself he was my blazing passion and my one-and-only.

The smart cool woman in me said, don't rock the boat. But I kept thinking about the leafblower and the flat tire and those other nice things he was always doing for me. What if it meant-- something. What if this was his way of saying-- you know. And what if I missed my chance, once again, by not opening the door to make it easy for him to say more.

I appreciate your help, but I don't know why you do those things. I write because I guess there's a slim chance that this is your way of trying to get close to me -- like the way you acted during those weeks you hung around and did housework, after you said you were leaving. I just want you to know that I appreciate it . But also, I want you to know that actions alone will never touch me, because I no longer trust your intentions as I once did. It would take words to erase all the other words I've heard from you before. I'm telling you this because I would hate for you to do kind things for me for the next hundred years and find me unmoved, and wrongly conclude that there's no way you can ever get close to me again.

The flight attendant was making his way up the aisle, canvassing for beverage requests. He was a suspiciously young boy with smooth olive skin who, in an apparent nod to Queer Eye, wore a jaunty beret cocked low over one eye. He lacked even a hint of facial hair. I wondered: do boys of today lie about their age to become flight attendants, like boys of yesterday used to lie to join the army? Maybe it's one of those modern trends I'm too old to catch on to: like text messaging, or cameras that live in cell phones. Or cell phones themselves, for that matter.

I shook out my face like a wet rag to make my mouth set right. "Coffee. Cream and sugar," I told him. My voice came out crisper than I'd intended -- in fact I sounded stern and purposeful and no-nonsense, like one of those formidable women who knows exactly what she wants and plans to accept nothing less.

As he poured, I opened my tray table and set my book aside. I'd been reading it the whole flight, having bought it that morning in the airport gift shop just as the sun was rising. It was a good story: engaging, and a bit of a tearjerker. It was Anne Tyler's latest, Digging to America.

Wednesday, December 26, 2007

flight 5234, seat 8C, part one

But-- but-- You can't leave me! I have hand! -- george costanza
Yeah, well, you're gonna need it. -- george's departing girlfriend

I flew home for Christmas. The flights were on time, more or less. On the last leg to my hometown airport, someone was crying on the airplane. I don't mean a child, but a grown person: a middle-aged woman who was traveling alone. She wasn't making any noise, but intermittently a spill of tears would roll out from under her eyelashes and she'd swipe at it with the back of her hand.

She had a book open in her lap: Anne Tyler's Digging to America. At first, I guessed it was the book that was making her cry -- but then her face buckled suddenly and drew into a grimace: her eyes squeezed shut and silent tears rolled down. She recovered immediately, and her features resumed their normal arrangement. A few moments later, though, they contorted again.

Anne Tyler has made me cry before, but not like that.

From a medical standpoint, crying is weird. We did a unit on eyes, of course -- normal anatomy and physiology as first-years and eyeball pathology the year after. Eyes have so many parts and confusing dysfunctions. Even the words are odd. Lacrimal gland, iris, vitreous. Astigmatism, glaucoma, strabismus. (As an aside: If you ever have any worries about your eyes, don't waste your time going to your family doctor. Ophthalmologists are well paid to understand eyes, but every other doctor pretty much thinks of them as two gooey pits stuck in the head, as mysterious as quasars and best avoided.)

What we didn't learn in med school was the physiology behind emotional tears. I never learned what part of the brain turns sadness into sobs, why the face suffers those involuntary grimaces during hard crying, or why the nose gets all red and sniffly.

The woman's seatmate and the other passengers failed to notice anything strange about her. Or more likely, they were politely averting their gaze. No one spoke to her. I wondered if the other passengers were annoyed by the way she'd gracelessly thrust them into the awkward position of pretending she didn't exist. It was like a tense dramatic movie, maybe the dark sequel to Snakes on a Plane! This time, Crying Woman on a Plane! Oh, the humanity.

Really, it was pretty freakin selfish of her; she could have tried a little harder to control herself. Like the rest of the passengers, I pretended nothing odd was happening. One thought crossed my mind: good thing she's not seated in an emergency aisle.


I had set out very early in the morning, and had slept badly the night before. Actually, I had slept not at all -- first because of the kids and then because of the packing, and then just because. I had a lot on my mind. My ex had come over the preceding afternoon with a leafblower, and had rounded up the kids for some spontaneous raking and bagging action in my front yard. He's been full of spontaneous acts of goodwill lately. It troubles me, because I haven't figured out what he means by it.

When he first announced he was leaving me -- this was a year and a half ago -- I answered with nothing but a shrug. "Fine," I said. "Go ahead." Inside, I was actually shocked by the development -- not because things were good between us, but simply because it had never crossed my mind that I could leave our crappy marriage with its three breakable, needy little children, so of course it had never crossed my mind that he could leave, either. Still, I don't think my face changed expression when he told me his decision. I had long since reached the point when pride, and giving no quarter, mattered more to me than any memory of love.

After his declaration we entered a strange period. For weeks, I kept expecting to come home from work and find him packing suitcases. I have to admit that the thought of this final scene filled me with dread -- a dread which, of course, I was determined not to show.

But what happened was nothing like that. With no explanation, he suddenly began acting the part of a model husband. Instead of packing suitcases, he began playing with the kids in the evenings, after years of ignoring them. He did housework, cleared the plates after dinner, made the kids their school lunches. He asked permission each night to come back into the king-size bed that for a couple months had been mine alone. Every night, he turned to me in the dark.

I observed these developments with detachment. I was cynical. Well okay, I was actually fired up with crazy hope, but I hid my stupid little double-X-chromosome gooey center under a six-inch titanium-plated shell of cynical, and even fooled myself. Almost.

One thing that irked me was that his sudden change seemed to prove what I'd suspected all along: that he knew full well he'd never pulled his weight in the home or with the kids (though for years he'd postured and stormed at me like he was the hardworking breadwinner and I was nothing but a bonbon-eating layabout). Another thing was, his motives were suspect. I didn't want to let myself believe that true remorse lay behind his change. He's scared to be off on his own, I told myself. Or else he's realizing that without me to anchor him, he'll drift right out of the kids' lives. I pictured him in a small boat drifting out with the tide, waving his arms and calling the children's names while he got smaller and smaller in the distance.

(The kids would meanwhile be clustered around me on the shore, all clamoring for my attention and oblivious to the tiny dot of a father disappearing over the horizon. Eventually one of them would remark, "Hey, where's Baba?" and they'd all glance around in mild surprise and then look toward me. Oh -- he's working, I'd explain with a vague wave of my hand, and they'd nod and go back to their games.

This might seem to my readers like the bitter fantasy of a wounded woman, but it was actually a pretty accurate depiction of our family life. There were weeks when he dropped out of their sight, leaving home before sunrise and coming back after the children's bedtime, and still it would be days before any of them asked where he was.)

So, when I saw him sweeping the floor and running the dishwasher, I didn't ask him why he was suddenly a new man. I certainly didn't ask if he wanted to stay married to me. I watched silently and waited for him to explain himself. After a couple weeks I stopped fearing a confrontation with halfpacked suitcases, and started expecting that a stumbling confession was in the offing: Honey, I don't want to leave you. I see where I was wrong about things -- I see how you worked so hard and I never appreciated you. I had high hopes. He had found out that I wouldn't beg him to stay. I had found out that he didn't want to go.

It was a complicated game of brinksmanship: like negotiating for a car you desperately want to buy from a salesman who desperately wants to sell it to you, while both of you pretend indifference as a ploy to gain advantage. But my opponent had showed his cards, and the upper hand was mine for once. He wanted to stay with me -- and that meant he understood that he was in the wrong about everything. Soon he would break down and admit it out loud. I was exultant.

But as weeks passed, and I came home to find my minvan detailed and the kids' toys set in order, I became increasingly annoyed. No confession and no apology were forthcoming. He thinks that he can stay on indefinitely without any explanation and just sweep his ugly words under the carpet with all the other rancid and decaying things that we've already concealed there. He thinks he can announce that he's going and then decide he's staying, and I'm a doormat who's going to let him walk over me in both directions.

One night in bed when he reached for me, as he'd done for weeks, I did not melt. (Sex had always been our best thing, really, right up to very near the end). As he wrapped his arms around me and whispered, "Is this okay?" I felt a surge of power. It was time I staked out my position as queen of the castle, and made clear how far he'd need to climb to win back a place at my side.

"This can't go on," I said coolly. "I don't understand what you think you're doing. You said you were leaving, but you never go anywhere. You can't just stay forever."

I meant to force his hand. I wanted a pound of flesh, and then another, and then a hundred and forty more. I wanted to hear his beautiful warm lips form around the words, I'm sorry; I made a terrible mistake. Please let me have another chance. I wanted to know he knew he was wrong and meant to do better. Also, I wanted to rip his freakin heart out and spit on it, because God knows, he had it coming. It was my moment of triumph.

At my words, he froze with his arms around me. One second ticked by, the slowest second since the dawn of time. Then he let out his breath and said "You're right."

He let go of me and drew away to his side of the bed. We lay there in the cover of darkness, not touching.

I held still for a long time in the dark, waiting, but he didn't say anything more. After a while, I could tell he was asleep.

Saturday, December 15, 2007

today's six-year-old

Sarah: Mama, what are you mumbling about?
Me: I'm just talking to the computer.
Sarah: Oh, so computers understand English now?

**************

Me: Want some nuts?
Sarah: Can it be the kind you like? Brazil nuts?
Me: No; I already picked them all out and ate them myself.
Sarah: You're just joking.
Me: Actually I'm not. How about some cashews?
Jake: What are cashews?
Sarah: Cashews are nothing. They're just peanuts in the shape of a moon.

Friday, December 14, 2007

another dumb blonde joke

A sleepy blonde is on an airplane. A lawyer takes the seat beside her and looks her over. He likes what he sees.

Lawyer says, "Cutie, I know a game that will pass the time. I ask you a question, and if you can't answer it you give me five dollars. Then you ask me a question, and if I can't answer I give you five dollars."

Blonde twirls her hair with her index finger and giggles. "I don't think so, honey." Then she closes her eyes.

Lawyer persists. "C'mon, don't be a chicken. Tell you what: if you can't answer my question you give me five dollars, but if I can't answer your question I'll give you fifty dollars."

Blonde says, "Oh, okay, that sounds good. You can ask first."

Lawyer: "How many miles is it from the earth to the moon?"

Blonde thinks a moment, then hands the lawyer five dollars.

Lawyer cackles. "Your turn. Betcha can't stump me!"

Blonde considers. Finally she says, "Try this one. What goes up a hill on three legs, and comes down on four legs?" She closes her eyes again.

The lawyer puzzles. He googles it. He emails his friends. He can't figure it out. It's killing him. Meanwhile, the blonde is snoozing peacefully beside him. As the plane lands three hours later, she wakes up. "Well?" she asks him. "Figure it out yet?" The lawyer reluctantly reaches for his wallet and peels fifty dollars off his wad. She giggles and slings her carry-on over her shoulder as the plane rolls up to the gate.

"Wait!" shouts the lawyer as she disembarks ahead of him. "You didn't tell me the answer! What the hell is it that goes up a hill on three legs and comes down on four legs?"

The blonde hands the lawyer back five dollars. And walks away.

Thursday, December 13, 2007

an hour in the mall

I went to the mall today for shoes. I rarely buy shoes, usually not until my toes are sticking out or the uppers are flapping free from the soles. My distaste for shoe-buying is one of the reasons I am not an ob-gyn -- but that's a whole different story.

Here are some disturbing things I noted during one hour in the mall.

1) Holy crap, the parking lot is crowded. It's eleven AM on a weekday in mid December -- who are all these people? Does no one work anymore?

2) Four school buses, from four different surrounding counties, are parked in the lot. Why are schoolchildren taking a fieldtrip to the mall? Is it for home ec class? Are they studying capitalism?

3) There are thousands of school-age kids at the mall, and I don't mean field-trippers. I saw eight-year-olds racing away from their mamas. I saw knots of teen queens on the prowl. I felt confused. Is today Saturday? Is school already out for Christmas? (It's only December 13, for God's sake.) Did the moms tell their tykes, "You're not going to school today, because I need you to come to the mall and tell me what electronic gadgets I should put under the tree for you this year." Are they all from Swiss boarding schools, enjoying a monthlong holiday before winter term? Are there that many well-heeled teenage dropouts in my nice middle-class city? I'm baffled. I don't get it. I give up.

4) A cluster of three beautiful trees, about fifteen feet tall, grace one of the auxilliary entrances of the mall. The leaves are almost all gone but the branches make a flawless silhouette -- perfectly shaped and perfectly grouped, like three old friends whispering to the sky. I recognized the trees as Japanese maples, probably of the bloodgood variety. As a person who spends far too much of her free time in garden stores and landscape outlets, I know how precious Japanese maples are. Elegant, slow-growing, and poetic in form, they are among the priciest of plants. A little one in a gallon pot can cost about a hundred dollars.

The ones at the mall must be fifty years old. They are priceless. They're works of art. They belong in a quiet garden or on a hillside, with a sweet breeze moving through their branches and a stream coursing at their feet. They deserve to enjoy fresh moonlight and the twitter of wild birds. There should be an old married couple, still in love, walking hand in hand beneath them on a winding gravel path. They deserve to thrive and be loved in a setting that honors them. I am utterly offended that the mall people used their millions to buy them up and trap them forever in this soulless place, between the parking lot and the east entrance to Dillard's.


That's it. I usually love malls, but not today. Even though I did get a pair of cheap black shoes, it hardly seemed worth the irritation.

a healthy curiosity

I see that everyone has gotten all nervous and uptight about global warming. I can't turn on CNN without seeing Al Gore's crumpled-paper-bag face looking earnestly back at me. Even the local paper today ran as its top headline, "ARCTIC IS SCREAMING, SCIENTISTS SAY." Or something. I didn't read it very carefully.

I'm a good liberal girl; at least, I was raised to be one. I memorized the leftie environmental catechism before I was three: you know, save the environment, protect the seal pups, boo the big conglomerates, hate the hunters and the timber companies and those people who are whacking down the rain forests. I was such a good liberal girl that the first almost-president I ever voted for was Michael Dukakis. Show me five other people in the country who can say that.

I've abandoned some of the quainter liberal sacred cows along the road to thirty-nine years old. But I still care about seal pups and frown at litterbugs. I recycle, as long as someone makes it really convenient for me. And although I drive a minivan, I occasionally feel bad about it. Okay, so mostly I feel bad because the price of gas is truly irritating when you drive a car that gets ten to the gallon, and because I think buying gas supports the Saudis, who run possibly the most loathsome regime on earth. But also, I feel a tiny bit bad because maybe my big car is polluting something. Or exploiting something. Or whatever.

But here's the thing. When it comes to global warming, I don't feel the way everyone says I'm supposed to feel. No gloom, no anxiety, no stress. Actually, I can't wait for global warming. I'm looking forward to it with an emotion that approaches breathless anticipation.

I don't mean that I'm hopeful of getting an ice-free winter and not having to dig up the cannas in fall -- though, admittedly, that would be a nice perk. No -- I'm mostly just eaten up with eager curiosity. Melting ice caps? Howling hurricanes? Rising water levels? Way cool! Wonder what that's gonna be like! I hope I live long enough to see the world get all shaken and stirred and changed around. Because you know, it's been this one same way my whole life, and I'm ready for a little climatic action!

I know what you're all thinking: People are going to lose their homes as the ocean invades the coasts. Subsistence farmers in Africa are going to see their dusty crops get swallowed in sandstorms and shriveled by desertification. Human beings will die from this. Worst of all, those cute little seal pups will drown by the millions. How can she be so callous?

OK, maybe I'm a horrible person. But I just really, really love to watch a good show. World, entertain me! Show me something different! I wanna experience something new under the sun!

Come to think of it, seven years ago I felt the same way about trying for the first baby. My then-husband was all mushy about it: I love you so much. I want to have a baby with you, sweetheart. But for me it was more like, Hey, I've never been pregnant before -- that'll be interesting! I ended up trying fetus for all the same reasons I had tried acid a few years earlier. (In an eerie parallel, fetus, like acid, turned out to be a much worse trip than expected, and it went on and on and on long after I desperately wanted it to stop).

Before that, curiosity got me to tie the knot with a stranger. Partly I got married in a rush of altruism brought on by romantic literature (see the post me and victor hugo from 11/07), but partly I was driven by the sudden thought of, Hey, marriage! Won't that be new!

It was the same thing when I lost my virginity. But, my God, how I hate that archaic phrase. Do people still actually say that in 2007? Let me start over:

It was the same thing when I had sex with my first guy. My roommate and I were hanging out on the sofa one night talking about our flowerful hymens and such, and she commented, "It's not that there's anything wrong with virgins, but I've been one for eighteen years and now I'm bored." I laughed and thought, She's so right! The next night there was a party at Sig Ep, and after eighteen years of saying "Non, monsieur, non, je te prie!" I changed my answer to, "Yeah, sure. Your place?" And that was that. I can tell you that it was marginally better than a bad acid trip or hyperemesis of pregnancy, but only in the way that being stabbed with a dull pocketknife is better than being shot in the head.

(In fact, it was bad enough that I didn't have sex again for two more years. For the rest of college, people were always asking me, "Hey, why are you putting your clothes back on already?" and I was always having to explain to them, "Well, I think sex is really boring, plus it hurts. So I pretty much just like to fool around, and then leave." Strangely, many people resented this answer; I never understood why. Regardless, they should have blamed Mr. Inept from Sig Ep instead of telling lies about me and calling me nasty names behind my back.)

So that's how it is. I just like to try new things. I thrive on novelty. I have an inquiring mind. Christ, stop frowning at me -- those are GOOD things.

Hey, you know what else I'm looking forward to? The destruction of the world's oil reserves. It's going to happen; it has to. When it does, we'll all be riding bicycles or strapping on daedalus-style wings of feather and wax. That would be fun. And one thing is for sure: when it happens, ten thousand Saudi princes and their nutcase Wahhabi clerics will all fall down sobbing and crawl out into the desert to die. I'm going to stop eating so many doughnuts and take better care of myself, because I really want to live to see that day.

Anyway, didja know the Arctic icecap may be all gone in just a few more years? How exciting is that! What do you think will happen next?

Wednesday, December 12, 2007

pay no attention to the man behind the curtain

My ex is reading a book called "The Four-Hour Workweek". It's written by some sort of (self-described) millionaire entrepreneur and renaissance man. It purports to tell all us wage-slaves how we, too, can have the life he leads: working only an hour a day and papering our kitchens with spare hundred-dollar bills.

In the introduction, he gives a brief biography of himself and his various business adventures. He first became rich inventing and marketing a vitamin product called brainQUICKEN. He was a Princeton undergrad at the time, with no background in health or nutrition.

Now, this suggests to my cynical brain that he has a proven track record of selling snake oil to the overly optimistic.

His book is hardcover. The retail price is something like twenty-two dollars; a fairly high price for snake oil even in today's market. I ask myself why my ex -- a doctor and overall a smart man as far as I can tell -- bought twenty-two dollars worth of snake oil and is eagerly rubbing it all over his body. Apparently he hopes that this book will teach him to see twenty-five hospital patients each day in under an hour.

Is he really that gullible?

But then I remember: he swallowed Islam whole in childhood without giving it a cursory critical thought. And although the only way he manages to live with it is by breaking every rule he finds inconvenient, he still never asks himself if Islam really is, as he was taught, a perfect system for living created by God.

So that pretty much answers my question.

Sunday, December 9, 2007

pomegranate 2

I was actually going somewhere different with that pomegranate thing, before I got sidetracked.

What I meant to write about, is the fact that I'm in love with pomegranates. I think they're so freakin sexy. They give me that flip-flop in the stomach when I think of them, same feeling my ex used to give me way back when. There's nothing like them -- truly; they're in a genus by themselves: Punica granatum. And I can only get them in the fall, which drives my lust to unimaginable levels the rest of the year.

They were first cultivated in Iran and Kandahar, a dry semi-desert region in southeast Afghanistan where frost rarely touches the ground. Kandahar is best known now as a stronghold of poppies and of the Taliban, but still the Kandahar people take pride in their pomegranates -- said to be the finest in the world.

Pomegranates traveled the silk road. They fell into the hands of the Phoenecians, who gave them their genus -- Punica, the Roman name for Carthage. They gave their name to Granada, home of the thousand arches of the Alhambra. They are mentioned in the Old Testament. Hundreds of years later Mohammed said of them, There's not a pomegranate in the world that doesn't have among its seeds, at least one seed that comes from Jannah (heaven). They are a beloved part of Rosh Hashoneh celebrations around the world. They are pictured in the art of ancient Egypt. They flowered in the hanging gardens of Babylon.

Pomegranate means "seeded apple". It has no relatives among other fruits. It stands unique: rind around clustered arils, each aril a blob of pulp around seed. The juice that sprays from the arils can stain clothes like blood; nothing but bleach can get it out. In fact, the boiled rind is used to make a red dye for cloth. The tree has a high tannin content and has long been useful in leather preparation. The leaves can be processed into ink. The pressed arils make pomegranate juice, which is the main ingredient in grenadine, the syrup that makes tequila sunsets blush.

Pomegranates. I've got a thing for them. I mean, who doesn't?

Hades touched Persephone on the shoulder. Before you go, he said, take one gift from me, in farewell. The girl had spent months sitting motionless upon the throne he built for her, refusing all food, not speaking to her captor or even looking his way. But when he unfolded his hand and showed her a cluster of pomegranate seeds glistening in his palm, she caught her breath. She had a thing for pomegranates.

The gods had intervened and she would soon be home safe with her mother. What was the harm? Yes, she'd always been warned that even divine visitors to the underworld must eat no food there, or risk being trapped in the land of the dead forever. But -- these were pomegranate seeds. She bit her lip. Her mouth watered. No, she told him, really. I'm not hungry.

Just have a taste, he said.

When Hermes came to spirit the young goddess up to the sunlight after her long, dreary imprisonment, he found Hades smiling. She can't go, said the dark god. She ate the food of the dead. She is mine now, forever.

Persephone gasped, Demeter raged, and in the end Zeus struck a bargain to keep the peace. Because she had eaten four seeds, she would spend four months a year in the land of the dead. Each year when she goes to her black throne, Demeter wanders the earth in sadness. Crops die and the land falls barren until her daughter returns with the spring.

Thus did Persephone inflict winter upon us all, and blight the land she loved -- all because she couldn't say no to a handful of pomegranate seeds.

Well. I guess I can understand that.

Friday, December 7, 2007

kristallnacht USA

Today I read a despicable item on AOL. Goes like this:

In a quiet Missouri town, a thirteen-year-old girl, MM, hanged herself in her closet after being victimized by cyberbullying. She had been exchanging myspace messages with a 16-year-old boy named Josh who first won her trust then turned against her, posting nasty things like, "You should die. Everyone in this town knows what you are. Everyone here hates you." After her death, a neighbor tipped off police that Josh was an invention, created by a 47-year-old woman on the same street, whose teen daughter had had a falling out with MM. Allegedly, the mother-daughter pair cooked up the idea to pose as a friendly boy, win MM's trust, and find out what she thought about the daughter. The password of fake-Josh was passed around to other kids in the neighborhood. As things got uglier, many kids took turns playing Josh, making up vicious things to write to the child.

You're probably thinking that this is the despicable part. Actually, I haven't gotten there yet.

As far as I can tell, it's completely unclear what part the woman actually played. She may have come up with the fake-Josh idea herself. She may have learned of it after the fact from her daughter. She may have encouraged her daughter to write nasty things. She may have written nasty messages herself, spread the Josh-password around, and encouraged other kids to participate in the hoax. Or maybe she knew almost nothing about it. Or maybe she knew, but didn't stop it. Or maybe she did try to stop it. The story is long on rumor and short on facts.

Since the news of her alleged involvement broke, the woman has become a lightning rod for hatred in the name of moral outrage. She now stands at the whipping post where other women (yes, it's always women) have stood before: Linda Tripp, Susan Smith. She receives death threats daily. Her home has been vandalized. Her teenage daughter has had to change schools. She's lost her job. Her phone number and address have been publicized, and posters exhort eachother to hound her until she kills herself like her alleged victim. On a hundred webpages, people are posting messages which all sound very familiar. "You should die, cunt. Everyone knows what you did to that poor girl. Everyone hates you." The girl's suicide was a year ago, but the groundswell of hatred continues to gain momentum on the internet, like plague or wildfire.

Let's review. She is hated because she stands accused of bullying a girl to death. The people who hate her must be tenderhearted souls who are taking up for the victim, who can't bear to think of poor MM's pain. They are shocked by the woman's alleged crime, because they themselves would never do such a thing. Would never threaten or bully or seek to hurt another living soul. They would not destroy someone's life because of rumor. They would not mob together to call for a woman's death. They would not litter the web with words like, "You should die, cunt!" Right?

Christ. I'm no fan of cyber-bullying, but my tolerance for bloodthirsty hypocrites is far, far less.

I suppose some of the haters might say they are deliberately giving her a taste of her own medicine, to show her how it feels. I don't buy that excuse. She has become the target of a runaway mob: mindless as sheep and vicious as jackals on the scent of blood. What's sickest of all is that this mob credits itself with acting in the name of virtue and decency.

Here's what I think:

Within every person lives a secret bully, caged and stowed in a down-deep hidden cave, but always starving for a chance to break loose and be a mad little kid again, taking vicious delight in throwing stones at cats, torturing bugs, and making weaker kids cry. Bullying satisfies something dark in our souls that we can't quite explain and pretend not to have. But it's there, lurking. There is nothing like the gleeful blood-rush that comes from dominating another person: knowing you can do anything you want to him, take all your savagery out on him, see fear in his eyes. Power is a drug. Absolute power is a high that can't be equaled.

What feels even better than bullying, is bullying as part of a mob. The power-rush increases exponentially when you can have an orgy instead of just a solo thrill. Imagine: you not only get to beat up a kid, you've got your friends there holding him down and laughing as they egg you on. You not only get to storm into town and rape any girl you want, you're drunk on the shouts of your fellow soldiers as they take turns with her mother and sisters, and machine-gun her brothers against the wall.

But wait. There's one thing that feels even better than bullying with a mob: bullying with a mob and claiming God on your side. Imagine: you not only get to run wild in the streets with your jackbooted comrades, beating up old men and women, smashing their homes and shops -- you also feel the pride of righteousness and just vengeance against your enemy. As you swing a bat into a man's skull, you tell yourself, This parasite deserves it, he's been asking for it, and by God it's time I deliver it! You return home swaggering to the cheers of your neighbors, to parades and patriotic speeches in your honor: Well done, boys! You've struck a blow for the Fatherland tonight. Your country and your Fuhrer salute you!

Hatred looks for a target. Thanks to education, many people in America today are queasy about jumping on the bandwagon of kike-hating, nigger-hating, fag-hating -- they've been conditioned since Sesame Street to think, Nice people -- people with class -- aren't allowed to do that anymore. If we do that we'll look ignorant. But hating a woman who's been accused of an immoral act, that's admirable. She's stepped outside decent behavior and broken the rules, so now we have license to pick up stones and chase the bitch naked through town until she drops to her knees, sobbing and begging for her life. She asked for it; she's a fallen woman. We, the righteous, are gonna give her what she deserves! Come on everyone, join the party -- let's make this cunt bleed!

Hatred looks for a target, and in a quiet neighborhood in Missouri, it has found one. The Enemy has a name and a face now -- she's forty-seven and a killer of children. America cheers for its righteous citizens as their bricks and rocks find their mark, as they scream for her blood.

But me, I think the Fuhrer is grinning in his grave tonight. This is my lesson to the world, he chuckles, though the world stops its ears and pretends not to hear it. I saw the truth of it when I was barely grown. In any land, in any century, people are the same. You are no different from what we were. Your moral superiority is hypocrisy, a lie of arrogance. I created no evil; I only channeled the natural impulses of men to my purposes. Look at Dachau, then look in the mirror and know: in you and your children and your children's children, I'm still alive, and always will be. The final victory and the last laugh are mine.

an evil grandmother

The following comes from an aol feature -- "Tell us the worst gift you've ever gotten!" People wrote in to complain about receiving sticks of gum, expired tea bags, and duct tape. This one made me laugh the most.


With Love From Granny

"My grandmother gave my sister this beautiful leather jacket and top of the line baby clothes. She gave me a box of black hair dye. She said, 'Red is such an ugly color for hair. I know you were born with that deformity, but at least you can fix it and have beautiful black hair like your sister.' My mom slapped her."

Sunday, December 2, 2007

pomegranate 1

Persephone played in the golden fields. It was late summer. Flowers bloomed at her feet, and all around, a sea of heavy-laden wheatstalks swayed and whispered in the breeze. She hummed a song that she was making up on the spot, which had no words and not much tune but was nonetheless heartbreakingly enchanting. Always a lighthearted girl -- quick to laugh and given to spontaneous cartwheels -- she was even happier than usual that day. The sky was exactly her favorite shade of azure and a fair wind carried with it the scent of ripening figs. The moist earth was warm and springy under her bare feet. Harvest-time had come around again. It was her favorite season of the year.

She bent for a moment and picked some buttercups, twining them into a circlet for her hair. Across the sea of wheat she spied her mother moving with stately grace among the far fields and orchards of the gods. Persephone gave her a wave. In all her fifteen years, the daughter of Demeter had lived on sunshine and sweet rain, marking her years by the round of crop seasons and the measured drift of the stars. She had never known, even for an instant, the darkness that must eventually touch every life -- even the charmed life of a girl-goddess. But as she stood, shoulder-tall to the swaying wheat ready for harvest, that was about to change.

Hades was watching. Hades, deep in his cold kingdom in the earth, fixed bloodshot eyes on her young form and was racked with bitter anger. Her radiant youth and light steps, her honey hair fired by the sunlight that never touched his world, stirred him to emotions he could barely put a name on. Her song choked him with grief, like a memory of lost joy -- but when it echoed off the cold walls of his dark palace, the echoes sounded like mockery. Ha, Hades! King of the dead, king of nothing, lord of empty places!

He grew furious. Why should this youngling have the youth and joy that he -- one of the mightiest of the gods! -- was denied? He spat on the ground, which was cold black rock. In fact his entire palace was hewn from black rock -- the walls, the parapets, his mighty throne, even his bed -- all rock which had once been seething magma, until his chill hand quenched its fire. Hades himself, one might say, was made of cold black rock as well -- or might as well have been. He sat day and night on his obsidian throne, lost in melancholy thought. From time to time, as now, he would look out at the happy doings of the sunlit world above. Meanwhile all around him, the shades of dead heros and long-forgotten lovers flitted like silent shadows to and fro across the mute dark lands he ruled.

Watching the girl, his anger turned to envy. He was a god and she a barefoot child -- but he would have sold his godhood in an instant to live a brief life of simple joys in the warmth of the sun; to enjoy for even a single month the carefree bright world she took for granted. He watched as she leapt across a brook from rock to rock with her skirts raised up, surefooted as an ibex. Her legs were golden like the laden wheatstalks, curved like the lyre of Apollo. He stared. And now a different feeling stirred within him.

It must be said, it had been a long time since any girl had turned the head of Hades. His brothers were famous for dabbling -- sodden Poseiden had his harem of sea-nymphs, and Zeus, the old goat, would chase anything in a skirt whether she were willing or no. The two randy deities had littered the known world with a mob of half-breed offspring: one-eyed monsters, scheming heros and other mixed-race abominations beyond counting. It had gotten so you couldn't throw a pebble on the most farflung godforsaken island in the Aegean without striking some loudmouth braggart shepherd boy who claimed kinship to the gods.

Frankly, his brothers' conduct made Hades sick. He himself had little passion. For eons in his chilly kingdom he had sought no nubile beauty to warm his bones, no consort to rule beside him. He did his work well with all efficiency, kept order in the land of the dead, and retired each night to his hard stone bed alone.

So what changed in his hard heart that day, no one can say. Was it lust or loneliness, anger or avarice that drove him to do what he did? Maybe it was her song that moved him. Music has power: it can cast a listener down into the realm of sorrow and longing, where even a god may lose his reason and succumb to madness. Perhaps he didn't even mean to keep her, at first; maybe he merely thought to snatch a bright bit of earth's joy for an afternoon, then return her to her mother. Was that so wrong -- to want an hour's companionship with a girl of shining hair, smooth cheeks and goldflecked irises? Perhaps he hoped her transitory presence would bring sunlight and warmth enough to raise a few thin stalks of wheat in his lifeless kingdom, or make a couple weedy flowers bloom where she stepped. Maybe all he wanted was a little bit of what she had, a crumb of happiness off her overflowing table. If this was what he wished for, I would not say it was too much to ask.

However, it's likely that Hades himself could not have found words to explain his actions. He did not think. He simply leapt into his chariot and laid his whip across his chargers' flanks. Shouting Faster! Onward! with foam flying from his lips, he tore up through a crack in the earth with one thing on his mind.

You know what happened next. The damsel, all in innocence, turned at the sound of thunderous hoofbeats. No sooner did she gasp in fear at the chariot bearing down on her, than she was grabbed about the waist by mad-eyed Hades, her half-uncle. He hoisted her up and then flung her down in the seat beside him. With a slash of his whip he struck a cleft in the earth itself, and shouting to his stallions, he drove wild and headlong back down to the underworld with his captive.

At the last moment, just before the earth sealed closed behind them, Persephone recovered her wits and screamed for help. Demeter was half a mile away when she heard the cries. Dropping her armful of flowers, the harvest goddess rushed to save her daughter. She was too late. When she arrived, all was still and silent. Demeter charged wildly through the fields, shouting the girl's name and crying out to her fellow gods for assistance. But it was no use: Persephone was gone, as utterly gone as if the earth itself had opened and swallowed her up. Which, of course, it had.

A nightmarish time followed, during which days and nights bled and melted together, and weeks, and months, all passed without Demeter's notice. The grief-crazed mother ran and shouted and searched high and low across the world, crying out the name of her precious one. The temperature plunged, and crops browned and shriveled while she paid no attention. Grapes rotted and dropped from the vine, and people went hungry, and their desperate prayers fell on deaf ears, for Demeter no longer spared a thought for her work or the humans she was meant to serve. Finally the last of her hope and strength ebbed away. She dropped to her knees on the frozen ground, bone-tired beyond words. Leaning her face in her hands, she sobbed.

Then, something in the dirt caught her eye. It was a circlet of buttercups, torn and smashed into the mud, but still blooming bright and fresh as if just picked and undaunted by the cold. She reached out her hand in wonder and touched a petal. Among the flowers was a strand of honey-color hair.

Demeter raised her tear-stained face to Mount Olympus, new hope dawning in her breast. Great Zeus, she whispered. Hear me now. I will have my daughter back, or I will bring this world to ruin. No more will men sacrifice the best of their cattle in your name; no more will you hear them praise you. Your temples will stand empty and their stones will be pried out one by one to line the burial-mounds of men and women. All will be gone to wailing and weeping, to hunger and death. I, without the aid of thunderbolts and storms, will do this. So I promise, unless you help me find my girl.

Zeus, who saw all from atop Mount Olympus, trembled at her words, and a chill ran up his spine. He called to Hermes, the fleet-footed messenger of the gods. Carry a message to my brother in the underworld, he said slowly. Tell him, this thing must stop. The daughter of Demeter must be returned. Tell him he must prepare himself, and bid her farewell.

Saturday, December 1, 2007

paradox

Me: You've got to understand. Your mother is eighty-nine years old. And she's frail: hospitalized seven times in the last two years. She doesn't have a good chance of surviving this pneumonia.

Them: But she's a fighter! She's been through worse than this. Do you know how many times before we've heard this same gloom-and-doom speech from doctors like you? Do everything you can, doc. We're sure: Mom's going to live.


I've discovered a paradox. I can't untangle it. It ties my brain into a Mobius strip and makes me claw the insides of my skull if I think on it too long. Here it is:

Experience tells me that the older a patient is, the more likely she is to die from her illness. Families, however, have the opposite experience. If their mom has come through eighty years of life without dying a single time, that's a convincing pattern of staying alive. If she's spent ninety years not dying, that's even better. And as she goes on amassing years of life on earth, her statistical probability of being alive and not dead at any given moment continues to increase.

Experience also tells me that the more times a patient has been hospitalized in the past, the more likely she is to die. A patient who's in and out of the hospital is by definition made of weak stuff -- which means she's slow to recover and always in danger of complications. But here again, the family's viewpoint is different. Mom's always beaten the rap before, they say. If she's survived three past admissions, she's got a three-and-o record under her belt for beating the spectre of death. If she's come home alive from nine admissions, that makes her nine-and-o -- a hell of a winning record. She didn't die the last nine times, her loved ones muse; so why would this time be any different?

The doctor bases her argument on common-sense medicine. The family bases theirs on pattern recognition and inferring probabilities from past experience. Which side has the greater claim to truth and logic? I've been contemplating this conundrum for years now, and I still can't resolve it. Someday I'm going to dwell on it too long, and be found dead with black smoke issuing from my ears.