Nurses Week Quotes

love. she liberated me to life, she continued to do that. and when she was in her final sickness i went out to san francisco and the doctor said she had 3 weeks to live, i asked her "would you come to north carolina?" she said yes. she had emphysema and lung cancer, i brought her to my home. she lived for a year and a half ..and when she was finally in extemis, she was on oxygen and fighting cancer for her life and i remembered her liberating me, and i said i hoped i would be able to liberate her, she deserved that from me. she deserved a great daughter and she got one. so in her last days, i said "i understand some people need permission to go… as i understand it you may have done what god put you here to do. you were a great worker, you must've been a great lover cause a lot of men and if I'm not wrong maybe a couple of woman risked their lives to love you. you were a piss poor mother of small children but a you were great mother of young adults, and if you need permission to go, i liberate you". and i went back to my house, and something said go back- i was in my pajamas, i jumped in my car and ran and the nurse said "she just gone". you see love liberates. it doesn't bind, love says i love you. i love you if you're in china, i love you if you're across town, i love you if you're in harlem, i love you. i would like to be near you, i would like to have your arms around me i would like to have your voice in my ear but thats not possible now, i love you so go. love liberates it doesn't hold. thats ego. love liberates.

Beside Mama, in my own folding chair, with my feet sticking out in front of me, I thought about my own innards. Just a few months before I'd had no idea whether my reproductive equipment worked. There was no evidence. But that week I had become a full-fledged bleeder and was still absorbed by this first change in myself that I had ever noticed. The click and buzz of my synapses kept making the same connection. If you can change, you can also end. Death had always been a theory to me. Now I knew. The terror hurt good and I nursed it and played it like a loose tooth.

In Plaster I shall never get out of this! There are two of me now: This new absolutely white person and the old yellow one, And the white person is certainly the superior one. She doesn't need food, she is one of the real saints. 
At the beginning I hated her, she had no personality -- She lay in bed with me like a dead body 
And I was scared, because she was shaped just the way I was 
 Only much whiter and unbreakable and with no complaints. I couldn't sleep for a week, she was so cold. I blamed her for everything, but she didn't answer. 
I couldn't understand her stupid behavior! 
When I hit her she held still, like a true pacifist. 
Then I realized what she wanted was for me to love her: She began to warm up, and I saw her advantages. 

Without me, she wouldn't exist, so of course she was grateful. 
I gave her a soul, I bloomed out of her as a rose 
Blooms out of a vase of not very valuable porcelain, And it was I who attracted everybody's attention, 
Not her whiteness and beauty, as I had at first supposed. 
I patronized her a little, and she lapped it up -- 
You could tell almost at once she had a slave mentality. 

I didn't mind her waiting on me, and she adored it. 
In the morning she woke me early, reflecting the sun 
From her amazingly white torso, and I couldn't help but notice 
Her tidiness and her calmness and her patience: She humored my weakness like the best of nurses, 
Holding my bones in place so they would mend properly. In time our relationship grew more intense. 

She stopped fitting me so closely and seemed offish. 
I felt her criticizing me in spite of herself, 
As if my habits offended her in some way. She let in the drafts and became more and more absent-minded. 
And my skin itched and flaked away in soft pieces 
Simply because she looked after me so badly. Then I saw what the trouble was: she thought she was immortal. She wanted to leave me, she thought she was superior, 
And I'd been keeping her in the dark, and she was resentful -- Wasting her days waiting on a half-corpse! 
And secretly she began to hope I'd die. Then she could cover my mouth and eyes, cover me entirely, 
And wear my painted face the way a mummy-case Wears the face of a pharaoh, though it's made of mud and water. 

I wasn't in any position to get rid of her. She'd supported me for so long I was quite limp -- I had forgotten how to walk or sit, So I was careful not to upset her in any way 
Or brag ahead of time how I'd avenge myself. Living with her was like living with my own coffin: Yet I still depended on her, though I did it regretfully. I used to think we might make a go of it together -- 
After all, it was a kind of marriage, being so close. 
Now I see it must be one or the other of us. She may be a saint, and I may be ugly and hairy, 
But she'll soon find out that that doesn't matter a bit. I'm collecting my strength; one day I shall manage without her, 
And she'll perish with emptiness then, and begin to miss me. --written 26 Feburary 1961

Once an Australian nurse named Bronnie Ware, who cared for people in the last twelve weeks of their lives, recorded their most often discussed regrets. At the top of the list: “I wish I’d had the courage to live a life true to myself, not the life others expected of me.”6 This requires, not just haphazardly saying no, but purposefully, deliberately, and strategically eliminating the nonessentials, and not just getting rid of the obvious time wasters, but cutting out some really good opportunities as well.

It is so much more threatening to have something out of hand than to believe that at any moment I can stop (I started to say "This foolishness") any time I need to. When I wrote the previous letter, I had made up my mind I would show you how I could be very composed and cool and not need to ask you to listen to me nor to explain anything to me nor need any help. By telling you that all this about the multiple personalities was not really true but just put on, I could show, or so I thought, that I did not need you. Well, it would have been easier if it were put on. But the only ruse of which I'm guilty is to have pretended for so long before coming to you that nothing was wrong. Pretending that the personalities did not exist has now caused me to lose about two days. Three weeks later Sybil reaffirmed her belief in the existence of her other selves in a letter to Miss Updyke, the school nurse of undergraduate days.

If a nurse declines to do these kinds of things for her patient, "because it is not her business," I should say that nursing was not her calling. I have seen surgical "sisters," women whose hands were worth to them two or three guineas a-week, down upon their knees scouring a room or hut, because they thought it otherwise not fit for their patients to go into. I am far from wishing nurses to scour. It is a waste of power. But I do say that these women had the true nurse-calling—the good of their sick first, and second only the consideration what it was their "place" to do—and that women who wait for the housemaid to do this, or for the charwoman to do that, when their patients are suffering, have not the making of a nurse in them.

Slowly, inch by inch, I felt myself recovering. After a few weeks, the darkness began to recede; my appetite for life returned. Haven was wonderful; she understood and nursed me through these weeks until I felt strong enough to go out in public, to get on my bike again.

A truculent vet refused the advice and coaxing of doctors, nurses, and physical therapists for weeks; as a result, his back wound broke down, just as we had warned him it would. Called out of the OR, I stitched the dehiscent wound as he yelped in pain, telling myself he'd had it coming. Nobody has it coming.

He hated hospitals, hated them. The stench of Domestos and death seemed to linger in his nostrils and on his clothes for weeks, as if to remind him of something bad. It was even rare to find a tasty nurse these days. Most of the ones he'd seen this afternoon had been as ugly as sin.

The Harvard Nurses’ Health Study found that eating just one serving of lettuce or other vitamin K–rich foods (leafy greens and veggies) a day can cut the risk of hip fracture in half compared to eating just one serving a week.

The Everlasting Staircase" Jeffrey McDaniel When the call came, saying twenty-four hours to live, my first thought was: can't she postpone her exit from this planet for a week? I've got places to do, people to be. Then grief hit between the ribs, said disappear or reappear more fully. so I boarded a red eyeball and shot across America, hoping the nurses had enough quarters to keep the jukebox of Grandma's heart playing. She grew up poor in Appalachia. And while world war II functioned like Prozac for the Great Depression, she believed poverty was a double feature, that the comfort of her adult years was merely an intermission, that hunger would hobble back, hurl its prosthetic leg through her window, so she clipped, clipped, clipped -- became the Jacques Cousteau of the bargain bin, her wetsuit stuffed with coupons. And now --pupils fixed, chin dangling like the boots of a hanged man -- I press my ear to her lampshade-thin chest and listen to that little soldier march toward whatever plateau, or simply exhaust his arsenal of beats. I hate when people ask if she even knew I was there. The point is I knew, holding the one-sided conversation of her hand. Once I believed the heart was like a bar of soap -- the more you use it, the smaller it gets; care too much and it'll snap off in your grasp. But when Grandma's last breath waltzed from that room, my heart opened wide like a parachute, and I realized she didn't die. She simply found a silence she could call her own.

Mr. Smith is a banker, Mrs. Christian is a nurse, as if those twenty or forty or sixty hours made the other hundred of each week nothing. How do you introduce yourself at parties, reader? Are you a cook? A hiker? A reader? A moviegoer?

Medicine asked something extraordinary of nurses: to forge intimate connections with another person for hours, weeks, or months, to care thoroughly and holistically—and then to let that individual suddenly go, often never to be heard from again.

We had chosen not to make a hard thing harder, which made it slightly easier when I counted up the days six weeks later and realized that my luck had run out. I still had enough money in my savings account left over from when I made actual money. I didn’t have to call anyone. I didn’t have to ask anyone for permission or help. A nurse stood beside me and held my hand and I’m here to tell you, I felt nothing but grateful. There was always going to be a part of the story I didn’t tell Joe or the girls. What I did was mine alone to do.

We walked into my mother's house at 10:30 in the morning at the end of February 1992. I had been gone for three weeks. She had been so desperate about us - she, too, looked thin and haggard. She was stunned to see me walk in, filthy and crawling with lice, with a huge crowd of starving people. We ate and drank clean water; then, before we even washed, I put Marian in a taxi with me and told the driver to go to Nairobi Hospital. We had no money left and I knew Nairobi Hospital was expensive; it was where I had been operated on when the ma'alim broke my skull. But I also knew that there they would help us first and ask to pay later. Saving the baby's life had become the only thing that mattered to me. At the reception desk I announced, "This baby is going to die," and the nurse's eyes went wide with horror. She took him and put a drip in his arm, and very slowly, this tiny shape seemed to uncrumple slightly. After a little while, his eyes opened. The nurse said, "The child will live," and told us to deal with the bill at the cash desk. I asked her who her director was, and found him, and told this middle-aged Indian doctor the whole story. I said I couldn't pay the bill. He took it and tore it up. He said it didn't matter. Then he told me how to look after the baby, and where to get rehydration salts, and we took a taxi home. Ma paid for the taxi and looked at me, her eyes round with respect. "Well done," she said. It was a rare compliment. In the next few days the baby began filling out, growing from a crumpled horror-movie image into a real baby, watchful, alive.

Three days a week she helped at the Manor Nursing Home, where people proved their keenness by reciting received analyses of current events. All the Manor residents watched television day and night, informed to the eyeballs like everyone else and rushed for time, toward what end no one asked. Their cupidity and self-love were no worse than anyone else's, but their many experiences' having taught them so little irked Lou. One hated tourists, another southerners; another despised immigrants. Even dying, they still held themselves in highest regard. Lou would have to watch herself. For this way of thinking began to look like human nature--as if each person of two or three billion would spend his last vital drop to sustain his self-importance.

Filth, filth, filth, from morning to night. I know they're poor but they could wash. Water is free and soap is cheap. Just look at that arm, nurse.' The nurse looked and clucked in horror. Francie stood there with the hot flamepoints of shame burning her face. The doctor was a Harvard man, interning at the neighborhood hospital. Once a week, he was obliged to put in a few hours at one of the free clinics. He was going into a smart practice in Boston when his internship was over. Adopting the phraseology of the neighborhood, he referred to his Brooklyn internship as going through Purgatory, when he wrote to his socially prominent fiancee in Boston. The nurse was as Williamsburg girl... The child of poor Polish immigrants, she had been ambitious, worked days in a sweatshop and gone to school at night. Somehow she had gotten her training... She didn't want anyone to know she had come from the slums. After the doctor's outburst, Francie stood hanging her head. She was a dirty girl. That's what the doctor meant. He was talking more quietly now asking the nurse how that kind of people could survive; that it would be a better world if they were all sterilized and couldn't breed anymore. Did that mean he wanted her to die? Would he do something to make her die because her hands and arms were dirty from the mud pies? She looked at the nurse... She thought the nurse might say something like: Maybe this little girl's mother works and didn't have time to wash her good this morning,' or, 'You know how it is, Doctor, children will play in the dirt.' But what the nurse actuallly said was, 'I know, Isn't it terrible? I sympathize with you, Doctor. There is no excuse for these people living in filth.' A person who pulls himself up from a low environment via the bootstrap route has two choices. Having risen above his environment, he can forget it; or, he can rise above it and never forget it and keep compassion and understanding in his heart for those he has left behind him in the cruel upclimb. The nurse had chosen the forgetting way. Yet, as she stood there, she knew that years later she would be haunted by the sorrow in the face of that starveling child and that she would wish bitterly that she had said a comforting word then and done something towards the saving of her immortal soul. She had the knowledge that she was small but she lacked the courage to be otherwise. When the needle jabbed, Francie never felt it. The waves of hurt started by the doctor's words were racking her body and drove out all other feeling. While the nurse was expertly tying a strip of gauze around her arm and the doctor was putting his instrument in the sterilizer and taking out a fresh needle, Francie spoke up. My brother is next. His arm is just as dirty as mine so don't be suprised. And you don't have to tell him. You told me.' They stared at this bit of humanity who had become so strangely articulate. Francie's voice went ragged with a sob. 'You don't have to tell him. Besides it won't do no godd. He's a boy and he don't care if he is dirty.'... As the door closed, she heard the doctor's suprised voice. I had no idea she'd understand what I was saying.' She heard the nurse say, 'Oh, well,' on a sighing note.

When the nurse leaves, Doctor Rose mouths, “Act like you’re in pain.” Then she mimics a painful expression in case Summer doesn’t understand. On the contrary, Summer’s an expert at interpreting body language and reading lips. It’s all thanks to her observant nature while enslaved on the Cosmos. Who else could tell that Peter’s discomfort is due to him wearing the same pair of underwear for a week straight? Ah, yes, she always knew when day six and seven approached. She watched the crew member with much amusement as he waddled, pulled wedgies, and scratched his bum relentlessly. Not that anyone else cared to know that little nugget of information.

Queen Wilhelmina of Holland entered the state of motherhood six times, but was never able to carry the child to maturity. All the science of Europe could not bring the child to birth. There was a dear lady in our congregation in South Africa who had formerly been a nurse to Queen Wilhelmina. Her son was marvellously healed when dying of African fever, when he had been unconscious for six weeks. Being a friend of the queen, she wrote the story of her son’s healing, and after some correspondence we received a written request that we pray God that she might be a real mother. I brought her letter before the congregation one Sunday night, and the congregation went down to prayer. And before I arose from my knees, I turned around and said, “All right mother, you write and tell the queen, God has heard our prayer; she will bear a child.” Less than a year later the child was born, the present Princess Julianna of Holland.

One rule on the handout was that parents should not hold, rock, or nurse a baby to sleep in the evenings, in order to help him learn the difference between day and night. Another instruction for week-old babies was that if they cried between midnight and five A.M., parents should reswaddle, pat, rediaper, or walk the baby around, but that the mother should offer the breast only if the baby continued crying after that. An additional instruction was that, from the child’s birth, the mothers should distinguish between when their babies were crying and when they were just whimpering in their sleep. In other words, before picking up a noisy baby, the mother should pause to make sure he’s awake.

Mid-Term Break I sat all morning in the college sick bay Counting bells knelling classes to a close. At two o'clock our neighbours drove me home. In the porch I met my father crying— He had always taken funerals in his stride— And Big Jim Evans saying it was a hard blow. The baby cooed and laughed and rocked the pram When I came in, and I was embarrassed By old men standing up to shake my hand And tell me they were 'sorry for my trouble'. Whispers informed strangers I was the eldest, Away at school, as my mother held my hand In hers and coughed out angry tearless sighs. At ten o'clock the ambulance arrived With the corpse, stanched and bandaged by the nurses. Next morning I went up into the room. Snowdrops And candles soothed the bedside; I saw him For the first time in six weeks. Paler now, Wearing a poppy bruise on his left temple, He lay in the four-foot box as in his cot. No gaudy scars, the bumper knocked him clear. A four-foot box, a foot for every year.

Bronnie Ware, an Australian nurse and author who spent several years working in palliative care with patients in the last weeks of their lives, recorded her patients’ top five regrets. The number one regret was that people wished they had stayed true to themselves.

Once an Australian nurse named Bronnie Ware, who cared for people in the last twelve weeks of their lives, recorded their most often discussed regrets. At the top of the list: “I wish I’d had the courage to live a life true to myself, not the life others expected of me.”6

In the second week, there was full mobilization. The hastily assembled epidemic managers called the shots - field clinics, isolation tents; whole towns, then whole cities quarantined. But these efforts soon broke down as the doctors and nurses caught the thing themselves, or panicked and fled.

And with that, the training was over. One week. A fifty-page orientation manual, half of which concerned cleaning the rooms and the toilet, and keeping the supply closet organized. We had spent three days just going over that part. Long enough to question if we’d been hired as maids or nurses.

A truculent vet refused the advice of doctors, nurses and physical therapists for weeks; as a result, his back wound broke down, just as we had warned him it would. Called out of the OR, I stitched the dehiscent wound as he yelped in pain, telling myself he'd had it coming. Nobody has it coming.

And then he has nothing to do. After three weeks-or is it a lifetime?-of ceaseless activity, he has nothing to do. A very long sentence, anchored in solid nouns, with countless subordinate clauses, scores of adjectives and adverbs, and bold conjunctions that launched the sentence in a new direction-besides unexpected interludes-has finally, with a surprisingly quiet full stop, come to an end. For an hour or so, sitting outside on the landing at the top of the stairs, nursing a coffee, tired, a little relieved, a little worried, he contemplates that full stop. What will the next sentence bring?

All told, approximately 100,000 people were examined in the days and weeks after the accident, 18,000 of whom required hospitalisation. It took the combined efforts of 1,200 doctors, 900 nurses, 3,000 physicians’ assistants and 700 medical students working in shifts to provide round the clock care.185

The wound, as I called it, was three inches across, eighteen inches long, and as deep as my backbone. I was gutted like a Halloween pig. It couldn't be stitched up because of infection danger and I had to heal from the inside out. When the nurse first saw it, she said, "Oh my God!" Which scared me to death. Just what I needed. And it had to be washed out with saline at least three times a day and disinfected. Slosh it in with a squirting machine, suck it out with a vacuum machine. The first time I looked down at what they were doing, I said it, too: "Oh my God!" I didn't look down there again for weeks.

During her time at Miss Porter’s School in Farmington she had often become depressed and was hobbled by fatigue. In 1887, when she was twenty, she wrote in her diary, “Tears come without any provocation. Headache all day.” The school’s headmistress and founder, Sarah Porter, offered therapeutic counsel. “Cheer up,” she told Theodate. “Always be happy.” It did not work. The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

The labor to leave this world takes from one to three weeks. The key sign that tells us labor has begun is when a person begins sleeping with their eyes partially open, eyelids at half-mast. It takes energy to keep your eyes open; it takes energy to keep them closed. The normal position for our eyelids is at half-mast.

The Three-Decker "The three-volume novel is extinct." Full thirty foot she towered from waterline to rail. It cost a watch to steer her, and a week to shorten sail; But, spite all modern notions, I found her first and best— The only certain packet for the Islands of the Blest. Fair held the breeze behind us—’twas warm with lovers’ prayers. We’d stolen wills for ballast and a crew of missing heirs. They shipped as Able Bastards till the Wicked Nurse confessed, And they worked the old three-decker to the Islands of the Blest. By ways no gaze could follow, a course unspoiled of Cook, Per Fancy, fleetest in man, our titled berths we took With maids of matchless beauty and parentage unguessed, And a Church of England parson for the Islands of the Blest. We asked no social questions—we pumped no hidden shame— We never talked obstetrics when the Little Stranger came: We left the Lord in Heaven, we left the fiends in Hell. We weren’t exactly Yussufs, but—Zuleika didn’t tell. No moral doubt assailed us, so when the port we neared, The villain had his flogging at the gangway, and we cheered. ’Twas fiddle in the forc’s’le—’twas garlands on the mast, For every one got married, and I went ashore at last. I left ’em all in couples a-kissing on the decks. I left the lovers loving and the parents signing cheques. In endless English comfort by county-folk caressed, I left the old three-decker at the Islands of the Blest! That route is barred to steamers: you’ll never lift again Our purple-painted headlands or the lordly keeps of Spain. They’re just beyond your skyline, howe’er so far you cruise In a ram-you-damn-you liner with a brace of bucking screws. Swing round your aching search-light—’twill show no haven’s peace. Ay, blow your shrieking sirens to the deaf, gray-bearded seas! Boom out the dripping oil-bags to skin the deep’s unrest— And you aren’t one knot the nearer to the Islands of the Blest! But when you’re threshing, crippled, with broken bridge and rail, At a drogue of dead convictions to hold you head to gale, Calm as the Flying Dutchman, from truck to taffrail dressed, You’ll see the old three-decker for the Islands of the Blest. You’ll see her tiering canvas in sheeted silver spread; You’ll hear the long-drawn thunder ’neath her leaping figure-head; While far, so far above you, her tall poop-lanterns shine Unvexed by wind or weather like the candles round a shrine! Hull down—hull down and under—she dwindles to a speck, With noise of pleasant music and dancing on her deck. All’s well—all’s well aboard her—she’s left you far behind, With a scent of old-world roses through the fog that ties you blind. Her crew are babes or madmen? Her port is all to make? You’re manned by Truth and Science, and you steam for steaming’s sake? Well, tinker up your engines—you know your business best— She’s taking tired people to the Islands of the Blest!

the Yale Cancer Center, Dana-Farber Cancer Institute, and Massachusetts General Hospital supports this notion. It found that dying patients who had open conversations about their death experienced a better quality of life in the weeks and months leading to their passing, as judged by their family members and nurse practitioners.

Philip had received little kindness in his life, and he was touched by the American’s desire to help him: once when a cold kept him in bed for three days, Weeks nursed him like a mother. There was neither vice nor wickedness in him, but only sincerity and loving-kindness. It was evidently possible to be virtuous and unbelieving.

Mary Katherine had no way of understanding that her mother was not upset at her seventeen-year-old daughter because she was too relieved that the seventeen-week-old daughter that she remembered nursing hadn’t died in that car accident last night. She had no way of knowing that no matter how big children feel, they will always look smaller to their parents.

She had signed her own death-warrant. He kept telling himself over and over that he was not to blame, she had brought it on herself. He had never seen the man. He knew there was one. He had known for six weeks now. Little things had told him. One day he came home and there was a cigar-butt in an ashtray, still moist at one end, still warm at the other. There were gasoline-drippings on the asphalt in front of their house, and they didn't own a car. And it wouldn't be a delivery-vehicle, because the drippings showed it had stood there a long time, an hour or more. And once he had actually glimpsed it, just rounding the far corner as he got off the bus two blocks down the other way. A second-hand Ford. She was often very flustered when he came home, hardly seemed to know what she was doing or saying at all. He pretended not to see any of these things; he was that type of man, Stapp, he didn't bring his hates or grudges out into the open where they had a chance to heal. He nursed them in the darkness of his mind. That's a dangerous kind of a man. If he had been honest with himself, he would have had to admit that this mysterious afternoon caller was just the excuse he gave himself, that he'd daydreamed of getting rid of her long before there was any reason to, that there had been something in him for years past now urging Kill, kill, kill. Maybe ever since that time he'd been treated at the hospital for a concussion. ("Three O'Clock")

men worked fifty, sixty, even seventy or more hours a week; the women worked all the time, with little assistance from labor-saving devices, washing laundry, ironing shirts, mending socks, turning collars, sewing on buttons, mothproofing woolens, polishing furniture, sweeping and washing floors, washing windows, cleaning sinks, tubs, toilets, and stoves, vacuuming rugs, nursing the sick, shopping for food, cooking meals, feeding relatives, tidying closets and drawers, overseeing paint jobs and household repairs, arranging for religious observances, paying bills and keeping the family’s books while simultaneously attending to their children’s health, clothing, cleanliness, schooling, nutrition, conduct, birthdays, discipline, and morale.

I can give no adequate description of the Horror Camp in which my men and myself were to spend the next month of our lives. It was just a barren wilderness, as bare as a chicken run. Corpses lay everywhere, some in huge piles, sometimes they lay singly or in pairs where they had fallen. It took a little time to get used to seeing men women and children collapse as you walked by them and to restrain oneself from going to their assistance. One had to get used early to the idea that the individual just did not count. One knew that five hundred a day were dying and that five hundred a day were going on dying for weeks before anything we could do would have the slightest effect. It was, however, not easy to watch a child choking to death from diphtheria when you knew a tracheotomy and nursing would save it, one saw women drowning in their own vomit because they were too weak to turn over, and men eating worms as they clutched a half loaf of bread purely because they had to eat worms to live and now could scarcely tell the difference. Piles of corpses, naked and obscene, with a woman too weak to stand propping herself against them as she cooked the food we had given her over an open fire; men and women crouching down just anywhere in the open relieving themselves of the dysentery which was scouring their bowels, a woman standing stark naked washing herself with some issue soap in water from a tank in which the remains of a child floated. It was shortly after the British Red Cross arrived, though it may have no connection, that a very large quantity of lipstick arrived. This was not at all what we men wanted, we were screaming for hundreds and thousands of other things and I don't know who asked for lipstick. I wish so much that I could discover who did it, it was the action of genius, sheer unadulterated brilliance. I believe nothing did more for these internees than the lipstick. Women lay in bed with no sheets and no nightie but with scarlet red lips, you saw them wandering about with nothing but a blanket over their shoulders, but with scarlet red lips. I saw a woman dead on the postmortem table and clutched in her hand was a piece of lipstick. At last someone had done something to make them individuals again, they were someone, no longer merely the number tattooed on the arm. At last they could take an interest in their appearance. That lipstick started to give them back their humanity.

The nurses gave us meds to alleviate our tingling skins. And more meds to soothe our burning brains. We were body searched twice weekly for any sharp objects, and sat in groups together purging ourselves, theoretically, of anger and self-hatred. We learned not to turn on ourselves. We learned to blame. After a month of good behaviour, we earned silky baths and massages. We were taught the goodness of touch.

One ancient retired Air Force nurse does nothing but screams 'Help!' for hours at a time from a second-story window. Not six weeks ago, a huge stole HELP WANTED sign was found attached right below the retired shrieking nurse's window. Unit #5, kittycorner across the little street from Ennet House, is for catatonics and various vegetablish, fetal-positioned mental patients. It is, understandably, a pretty quiet place. But in nice weather, when its more portable inmates are carried out and placed in the front lawn to take the air, standing there propped-up and staring, they present a tableau it took Gately some time to get used to. A couple newer residents got discharged late in Gately's treatment for tossing firecrackers into the crowd of catatonics on the lawn to see if they could get them to jump around or display affect.

Nothing will go wrong,Micheal said soothingly. Me and you? We've been through to much together. And your too unpleasant to die.Too bossy.God will keep you down here for a while until you learn your lesson and start learning to work and play well with others. Now your talking.Will you go with me a week from Friday when I get my biopsy? Wild horses and an evil head nurse with rubber gloves couldn't keep me away. Now your just being gross.

In a study in Scotland, members of the public were adamant that they could remember a nurse removing a skin sample from their little finger. But this never happened. A week earlier these volunteers had been asked by researchers to imagine a nurse removing the sample. But somehow, on recollection, it had morphed into a real event. They were four times as likely to recall it as real compared with those who had not been asked to imagine it.

after my first sinus cold last week, I have become acquainted at one fell swoop with the byways of socialized medecine. the hard way. they persuaded me to try our college “hospital” here, and I went obediently, thinking with relief of the smith college routine of penicillin and cocaine. here it was aspirin therapy, total neglect, and pasty white meals (potato, fish, bread, custard and dough). when I asked for kleenex, the nurse offered to tear up an old sheet; probably a winding sheet.

He came toward us, looking worried. As the birth grew closer, we had both been edgy; Frank irritable and myself terrified, having no idea what might happen between us, with the appearance of Jamie Fraser’s child. But when the nurse had taken Brianna from her bassinet and handed her to Frank, with the words “Here’s Daddy’s little girl,” his face had grown blank, and then—looking down at the tiny face, perfect as a rosebud—gone soft with wonder. Within a week, he had been hers, body and soul.

You came all this way for a whore?” Albert asked, and Royce shot him a harsh look. “Don’t call her that if you want to live a long and happy life,” Hadrian said as they dismounted. “But this is a whorehouse—a brothel, right? And you’re here to see a woman, so—” “So keep talking, Albert.” Hadrian tied his horse to the post. “Just let me get farther away.” Gwen saved our lives,” Royce said, looking up at the porch. “I beat on doors. I even yelled for help.” He looked at Albert, letting that image sink in. Yes, I yelled for help. “No one cared.” Royce gestured toward Hadrian. “He was dying in a pool of blood, and I was about to pass out. Broken leg, my side sliced open, the world spinning. Then she was there saying, ‘I’ve got you. You’ll be all right now.’ We would have died in the mud and the rain, but she took us in, nursed us back to health. People were after us—lots of people … lots of powerful people—but she kept us hidden for weeks, and she never asked for payment or explanation. She never asked for anything.” Royce turned back to Albert. “So if you call her a whore again, I’ll cut your tongue out and nail it to your chest.” Albert nodded. “Point taken.” Royce climbed the steps to the House and rapped once. Albert leaned over to Hadrian and whispered, “He knocks at a—” “Royce can still hear you.” Hadrian stopped him. “Really?” “Pretty sure. You have no idea how much trouble I got into before I learned that. Now I never say anything I don’t want him to know.

I was on one of my world 'walkabouts.' It had taken me once more through Hong Kong, to Japan, Australia, and then Papua New Guinea in the South Pacific [one of the places I grew up]. There I found the picture of 'the Father.' It was a real, gigantic Saltwater Crocodile (whose picture is now featured on page 1 of TEETH). From that moment, 'the Father' began to swim through the murky recesses of my mind. Imagine! I thought, men confronting the world’s largest reptile on its own turf! And what if they were stripped of their firearms, so they must face this force of nature with nothing but hand weapons and wits? We know that neither whales nor sharks hunt individual humans for weeks on end. But, Dear Reader, crocodiles do! They are intelligent predators that choose their victims and plot their attacks. So, lost on its river, how would our heroes escape a great hunter of the Father’s magnitude? And what if these modern men must also confront the headhunters and cannibals who truly roam New Guinea? What of tribal wars, the coming of Christianity and materialism (the phenomenon known as the 'Cargo Cult'), and the people’s introduction to 'civilization' in the form of world war? What of first contact between pristine tribal culture and the outside world? What about tribal clashes on a global scale—the hatred and enmity between America and Japan, from Pearl Harbor, to the only use in history of atomic weapons? And if the world could find peace at last, how about Johnny and Katsu?

I counted up the days six weeks later and realized that my luck had run out. I still had enough money in my savings account left over from when I made actual money. I didn’t have to call anyone. I didn’t have to ask anyone for permission or help. A nurse stood beside me and held my hand and I’m here to tell you, I felt nothing but grateful. There was always going to be a part of the story I didn’t tell Joe or the girls. What I did was mine alone to do. I tore the page from the calendar and threw it away.

Bronnie Ware is an Australian nurse who spent several years working in palliative care, caring for patients in the last twelve weeks of their lives. She revealed the most common regrets of her patients in the best-selling book “The Top Five Regrets of the Dying—A Life Transformed by the Dearly Departing” (Ware). Here were the regrets, starting at #2: 2.I wish I didn’t work so hard. 3.I wish I’d had the courage to express my feelings. 4.I wish I had stayed in touch with my friends. 5.I wish that I had let myself be happier.

Saturday, July 2, 2016 1:51 PM "One ancient retired Air Force nurse does nothing but scream 'Help!' for hours at a time from a second-story window. Since the Ennet House residents are drilled in a Boston-AA recovery program that places great emphasis on 'Asking For Help,' the retired shrieking Air Force nurse is the object of a certain grim amusement, sometimes. Not six weeks ago, a huge stolen HELP WANTED sign was found attached to #4's siding right below the retired shrieking nurse's window, and #4's director was less than amused, …

I hired a nurse to take care of me so you don’t have to do so much or come over all the time.” Praise Jesus. I’m going to church every week from now on. “A nurse?” Consternation wrinkles Banner’s expression. “Why? I can—” “No, you can’t, Banner,” he says gently, firmly. “I need you not to for a while.” She still looks confused, but I’m not. Zo needs to fall out of love with Banner and can’t while she’s there all the time being exactly the woman he wants. “I personally think it’s a great idea,” I chime in, just in case they’re wondering.

The Christmas I was sixteen, my ma and I were poorer than church mice. My pa died when I was two, taking her heart with him." A smile curved his lips. "She could have remarried for a more comfortable life. But she couldn't bring herself to do it. We were happy, though, her and I. Just when I was getting old enough to do odd jobs, bring in some money to make her life easier, she got sick. I stayed home to nurse her. She had no strength left. But somehow she'd scraped together the last of her red yarn and made me a pair of stockings. My Christmas gift that year." Sensing his thoughts lingered in the past, Louisa brushed a finger over the scrap in her palm. "She died several weeks later." Louise caught her breath, aching for the pain of that young man. "I took a lot of ribbing for wearing red stockings. But I didn't give them up, even when I could afford to. I felt like they kept my ma close. Like she was with me." Tears welled up in Louisa's eyes. One dripped over. He caught the drop on the tip of his finger. "They brought me luck." "That's why you're called Red. I wondered.

The idea behind a stool transplant is to “reseed the lawn,” so to speak. After exposure to weeks or months of antibiotics (including Vanco) the normal bowel flora — the organisms in your colon that help prevent infection — is weakened. They simply can’t keep C. diff out. In other words, the normal barrier function of the colonic flora is gone, and C. diff gets right back in. So putting in some normal flora from a healthy donor is like reseeding the lawn — it restores the barrier. When that happens, C. diff cannot get back in, and the infection is cured.

Since 1980, the planet has experienced a fiftyfold increase in the number of dangerous heat waves; a bigger increase is to come. The five warmest summers in Europe since 1500 have all occurred since 2002, and eventually, the IPCC warns, simply working outdoors at that time of year will be unhealthy for parts of the globe. Even if we meet the Paris goals, cities like Karachi and Kolkata will annually encounter deadly heat waves like those that crippled them in 2015, when heat killed thousands in India and Pakistan. At four degrees, the deadly European heat wave of 2003, which killed as many as 2,000 people a day, will be a normal summer. Then, it was one of the worst weather events in Continental history, killing 35,000 Europeans, including 14,000 French; perversely, the infirm fared relatively well, William Langewiesche has written, most of them watched over in the nursing homes and hospitals of those well-off countries, and it was the comparatively healthy elderly who accounted for most of the dead, many left behind by vacationing families escaping the heat, with some corpses rotting for weeks before the families returned.

The ITU had had a busy week and there were ten patients in the large and brightly-lit warehouse of a room, all but one of them unconscious, lying on their backs and attached to a forest of machinery with flashing lights and digital read-outs the colour of rubies and emeralds. Each patient has their own nurse, and in the middle of the room there is a large desk with computer monitors and many members of staff talking on the phone or working on the computers or snatching a plastic cup of tea in between carrying out the constant tasks that are needed in intensive care.

The country about here, though not romantic like Lucca, is very pretty, and our windows command sunsets and night winds. I have not stirred out yet after three weeks of it; you may suppose how reduced I must be. I could scarcely stand at one time. The active evil, however, is ended, and strength comes somehow or other. Robert has had the perfect goodness not only to nurse me, but to teach Peni, who is good too, and rides a pony just the colour of his curls, to his pure delight. Then we have books and newspapers, English and Italian — the books from Florence — so we do beautifully.

The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

As with all social service projects, a lexicon of terms accumulated around the Housing First movement. Permanent Supportive Housing (PSH) described the movement’s general aim and means, and a model program conducted in the 1990s in New York had shown that housing for chronically homeless people could indeed be long-lasting and beneficial, provided they received adequate support. This trial—The Consumer Preference Supported Housing Model (CPSH)—had involved 242 people who suffered from either mental illness or substance abuse or both. The model had housed them, via various grants and public subsidies, in apartments situated in “affordable locations throughout the city’s low-income neighborhoods.” And they had been supported by Assertive Community Treatment (ACT) teams, somewhat modified from the general prototype, but substantial. These included nurses, social workers, drug counselors, administrative assistants, and “peer counselors,” who directed the support services with the advice and consent of the tenants. Each team had access to psychiatrists and other professionals, and each stood ready to help the tenants every night and day of the week. After five years, 88 percent remained housed—a remarkable result.

And if it snowed and snow covered the drive he took a spade and tossed it to one side. And always tucked his daughter up at night And slippered her the one time that she lied. And every week he tipped up half his wage. And what he didn't spend each week he saved. And praised his wife for every meal she made. And once, for laughing, punched her in the face. And for his mum he hired a private nurse. And every Sunday taxied her to church. And he blubbed when she went from bad to worse. And twice he lifted ten quid from her purse. Here's how they rated him when they looked back: sometimes he did this, sometimes he did that.

For the love of God, Ma. I’ve spent the last two weeks with you. You’re driving me fucking nuts.” “That’s a fine way to talk to the woman who dropped everything to nurse you back to health because you couldn’t swerve around a bomb,” Ina Moretta shouted back. “You played Candy Crush and yelled at me if I didn’t turn on ‘The Price is Right’ everyday,” Aldo roared. "You aren’t driving yourself to PT. I don’t care how big and tough you think you are. So you’re welcome to walk. Go ahead and hitchhike. See if I care. I didn’t raise you to be a grown man who shouts at his own mother.” “That is exactly who you raised me to be!

We both know food is the catalyst that unlocks our brains, binds our families, and determines our futures. And yet …” She trailed off, her eyes growing narrow as she took in a soap opera poster featuring a nurse giving a patient some unusual care. “Does anyone have the time to teach the entire nation to make food that matters? I wish I did, but I don’t. Do you?” As she turned to leave, Pine, not wanting her to go or fully understanding what he was about to hatch, said quickly, “Wait, please just stop—please. What—what was that thing you just said? About teaching the whole nation how to make food that—that matters?” Supper at Six debuted four weeks later. And

While the president understood and fully supported this, he remained frustrated, as did I, because his most trusted advisors didn’t fully sign on to a strategic approach to testing. At one point he offhandedly remarked, “You’ll have to convince my son-in-law of that.” Naturally, Kushner and everyone else had been deferring to Fauci and Birx on all things medical. To make matters worse, the Fauci-Birx testing strategy was not merely unfocused; their strategy bizarrely prioritized more testing in the lowest-risk people and the lowest-risk environments—students and schools—while letting the deaths continue in nursing homes and assisted living facilities, where a once-per-week schedule was assumed to be effective.

i carried the child for six hours on a big jet plane to the other side of the country, where he is going to spend the next few weeks meeting his extended west coast tribe. i am not working here. it is hard. when I delve into despair, remind me that it is fine that i'm not working or touring and that i am a fucking new mother who is allowed to take six months off to nurse and cuddle a baby. my good friend Andrew O'Neill once told me something about our mutual hero Henry Rollins. Henry, he said, takes an inhale year (reading, learning, traveling, absorbing) and then an exhale year (touring, working, speaking, art-assaulting). if I ask you, please. remind me. this is an inhale year. this is an inhale year. over and out.

In 1931, at the age of four, my father was diagnosed with polio. He was immediately put into an isolation room at the local hospital in Brooklyn, New York. There was no cure and no vaccine for polio at that time, and city dwellers lived in fear of its spread. For several weeks my father had no human contact, save for an occasional visit by a masked nurse. His mother came to see him every day, but that’s all she could do—wave to him and try to talk to him through the glass pane on the door. My father remembers calling out to her, begging her to come in. It must have broken her heart, and one day she ignored the rules and went in. She was caught and sternly reprimanded. My father recovered with no paralysis, but this image has always stayed with me: a small boy alone in a room, gazing at his mother through a pane of glass.

Egg-laying hens, for example, have a complex world of behavioural needs and drives. They feel strong urges to scout their environment, forage and peck around, determine social hierarchies, build nests and groom themselves. But the egg industry often locks the hens inside tiny coops, and it is not uncommon for it to squeeze four hens to a cage, each given a floor space of about 10 by 8.5 inches. The hens receive sufficient food, but they are unable to claim a territory, build a nest or engage in other natural activities. Indeed, the cage is so small that hens are often unable even to flap their wings or stand fully erect. Pigs are among the most intelligent and inquisitive of mammals, second perhaps only to the great apes. Yet industrialised pig farms routinely confine nursing sows inside such small crates that they are literally unable to turn around (not to mention walk or forage). The sows are kept in these crates day and night for four weeks after giving birth. Their offspring are then taken away to be fattened up and the sows are impregnated with the next litter of piglets. Many dairy cows live almost all their allotted years inside a small enclosure; standing, sitting and sleeping in their own urine and excrement. They receive their measure of food, hormones and medications from one set of machines, and get milked every few hours by another set of machines. The cow in the middle is treated as little more than a mouth that takes in raw materials and an udder that produces a commodity. Treating living creatures possessing complex emotional worlds as if they were machines is likely to cause them not only physical discomfort, but also much social stress and psychological frustration.

Today most sows in industrial farms don’t play computer games. They are locked by their human masters in tiny gestation crates, usually measuring six and a half by two feet. The crates have a concrete floor and metal bars, and hardly allow the pregnant sows even to turn around or sleep on their side, never mind walk. After three and a half months in such conditions, the sows are moved to slightly wider crates, where they give birth and nurse their piglets. Whereas piglets would naturally suckle for ten to twenty weeks, in industrial farms they are forcibly weaned within two to four weeks, separated from their mother and shipped to be fattened and slaughtered. The mother is immediately impregnated again, and sent back to the gestation crate to start another cycle. The typical sow would go through five to ten such cycles before being slaughtered herself.

The idea of the camp was to use it as a staging area for soldiers on their way to liberate France. It was much better than putting them in Boston in case the Germans attacked. Allied soldiers from several countries left from Camp Myles Standish to go to England and then on to France. They would only stay for a week or two. One group would go out, and another group would come in. At that camp we were doing everything, all the maintenance. There was a small hospital with nurses and doctors, and we were busy. I worked in the PX. We sold coca-cola, and Narragansett beer was delivered once a month. Cigarettes were five dollars a carton. There was plenty of food. We were glad when they gave us American uniforms; that meant we were something. We had work, and we were doing something good. When Italy got out of the war, and we signed to cooperate, that felt pretty good.

The case of a patient with dissociative identity disorder follows: Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis. Cindy had been well until 3 years before admission, when she developed depression, "voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen. Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life. Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged. At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters.

The schedule took a toll. As residents, we were working as much as one hundred hours a week; though regulations officially capped our hours at eighty-eight, there was always more work to be done. My eyes watered, my head throbbed, I downed energy drinks at two A.M. At work, I could keep it together, but as soon as I walked out of the hospital, the exhaustion would hit me. I staggered through the parking lot, often napping in my car before driving the fifteen minutes home to bed. Not all residents could stand the pressure. One was simply unable to accept blame or responsibility. He was a talented surgeon, but he could not admit when he’d made a mistake. I sat with him one day in the lounge as he begged me to help him save his career. “All you have to do,” I said, “is look me in the eye and say, ‘I’m sorry. What happened was my fault, and I won’t let it happen again.’ ” “But it was the nurse who—” “No. You have to be able to say it and mean it. Try again.” “But—” “No. Say it.” This went on for an hour before I knew he was doomed.

I think that a lot of people lead their lives never having really lived them at all. They play the roles they were assigned early in life, without questioning if they even want to be this way. They get comfortable, even with really uncomfortable circumstances. They let the days and weeks and years wash over them and never see that they have the power to change IT ALL. But I don’t see that for you [...] You are not going to think, I wish I had let myself be happier. Do you know that those are two of the top five things people regret when faced with death? I do because I googled, ‘What do people regret before they die?’ and found that Bronnie Ware, a palliative nurse in Australia who had spent years sitting with people who were dying, wrote an entire book on the subject: The Top Five Regrets of the Dying. She saw over and over just how much people regret not living the life they wanted, not letting themselves be happy. I just don’t see any of those regrets for you. For you, I see something grander: I see a life that you consciously live. That you curate and cultivate and create for yourself, a life in which you are self-aware AF, grateful for the luck that you are here at all, a life in which you love and also let yourself be loved. I see you engaged to your life, holding it firmly yet tenderly by the hand like it’s your soulmate, bringing it in for the deepest of make-out seshes. I see you feeling up your life in the most passionate of embraces. That is what I see for you.

Mostly Gaylord deals with insurance scamming. He takes a car off a lot and the insurance company pays.” “That’s still stealing.” “I guess, but it’s an insurance company, and everyone hates those people.” “I don’t hate them.” “Well, you’re weird,” Lula said. “Do you like the car?” “I love the car.” “There you go. And by the way, you might want to put a dab of concealer on your nose.” Kranski’s Bar was on the corner of Mayberry Street and Ash. This was a neighborhood very similar to the Burg, but the houses were a little larger, the cars were newer, the kitchen appliances were probably stainless. I parked in the small lot beside the tavern, and Lula and I sashayed into the dim interior. Bertie was working behind the bar that stretched across the back of the room. A bunch of high-top tables were scattered around the front of the room. Two women sat at one of the tables, eating nachos and drinking martinis. At one end of the bar four men were drinking beer and watching the overhead television. I spotted Kenny Morris at the other end. He was alone, nursing what looked like whiskey. Bertie caught my eye, tilted his head toward Kenny, and I nodded back. “I guess that’s the guy you’re looking for,” Lula said. “You want to tag-team him?” “No. I just want to talk to him. I’ll go it alone.” Lula hoisted herself onto a barstool by the four men, and I approached Kenny. “Anyone sitting here?” I asked him. “No,” he said. “No one ever sits there.” “Why not?” “The television is at the other end.” “But you’re here.” “Yeah, I’m not into the team television thing.” He looked a lot like his yearbook photograph. His hair was a little longer. He was slim. Medium height. Pleasant looking. Wearing jeans and a blue dress shirt with the top button open and the sleeves rolled. He was staring at my nose with an intensity usually displayed by dermatologists during a skin cancer exam. I couldn’t blame him. I’d smeared some makeup on it, but even in the dark bar it was emitting a red glow. “It’s a condition,” I said. “It comes and goes. It’s not contagious or anything. Do you come in here often?” “Couple times a week.

Consider the life of a pregnant sow. Her incredible fertility is the source of her particular hell. While a cow will give birth to only a single calf at a time, the modern factory sow will birth, nurse, and raise an average of nearly nine piglets — a number that has been increased annually by industry breeders. She will invariably be kept pregnant as much as possible, which will prove to be the majority of her life. When she is approaching her due date, drugs to induce labor may be administered to make the timing more convenient for the farmer. After her piglets are weaned, a hormone injection makes the sow rapidly “cycle” so that she will be ready to be artificially inseminated again in only three weeks. Four out of five times a sow will spend the sixteen weeks of her pregnancy confined in a “gestation crate” so small that she will not be able to turn around. Her bone density will decrease because of the lack of movement. She will be given no bedding and often will develop quarter-sized, blackened, pus-filled sores from chafing in the crate. (In one undercover investigation in Nebraska, pregnant pigs with multiple open sores on their faces, heads, shoulders, backs, and legs — some as large as a fist — were videotaped. A worker at the farm commented, “They all have sores. . . . There’s hardly a pig in there who doesn’t have a sore.”) More serious and pervasive is the suffering caused by boredom and isolation and the thwarting of the sow’s powerful urge to prepare for her coming piglets. In nature, she would spend much of her time before giving birth foraging and ultimately would build a nest of grass, leaves, or straw. To avoid excessive weight gain and to further reduce feed costs, the crated sow will be feed restricted and often hungry. Pigs also have an inborn tendency to use separate areas for sleeping and defecating that is totally thwarted in confinement. The pregnant pigs, like most all pigs in industrial systems, must lie or step in their excrement to force it through the slatted floor. The industry defends such confinement by arguing that it helps control and manage animals better, but the system makes good welfare practices more difficult because lame and diseased animals are almost impossible to identify when no animals are allowed to move.

But perhaps the best and most memorable way to explain the conflict that arose between honoring traditional honor, and honoring one’s individual psyche, can be conveyed in a story from World War II. In 1943, coming off his dazzling victories in the Sicily campaign, George S. Patton stopped by a medical tent to visit with the wounded. He enjoyed these visits, and so did the soldiers and staff. He would hand out Purple Hearts, pump the men full of encouragement, and offer rousing speeches to the nurses, interns, and their patients that were so touching in nature they sometimes brought tears to many of the eyes in the room. On this particular occasion, as Patton entered the tent all the men jumped to attention except for one, Private Charles H. Kuhl, who sat slouched on a stool. Kuhl, who showed no outward injuries, was asked by Patton how he was wounded, to which the private replied, “I guess I just can’t take it.” Patton did not believe “battle fatigue” or “shell-shock” was a real condition nor an excuse to be given medical treatment, and had recently been told by one of the commanders of Kuhl’s division that, “The front lines seem to be thinning out. There seems to be a very large number of ‘malingerers’ at the hospitals, feigning illness in order to avoid combat duty.” He became livid. Patton slapped Kuhl across the face with his gloves, grabbed him by his collar, and led him outside the tent. Kicking him in the backside, Patton demanded that this “gutless bastard” not be admitted and instead be sent back to the front to fight. A week later, Patton slapped another soldier at a hospital, who, in tears, told the general he was there because of “his nerves,” and that he simply couldn’t “stand the shelling anymore.” Enraged, Patton brandished his white-handled, single-action Colt revolver and bellowed: Your nerves, Hell, you are just a goddamned coward, you yellow son of a bitch. Shut up that goddamned crying. I won’t have these brave men here who have been shot seeing a yellow bastard sitting here crying…You’re a disgrace to the Army and you’re going back to the front lines and you may get shot and killed, but you’re going to fight. If you don’t I’ll stand you up against a wall and have a firing squad kill you on purpose. In fact I ought to shoot you myself, you God-damned whimpering coward.

Sylphid was beginning to play professionally, and she was subbing as second harpist in the orchestra at Radio City Music Hall. She was called pretty regularly, once or twice a week, and she’d also got a job playing at a fancy restaurant in the East Sixties on Friday night. Ira would drive her from the Village up to the restaurant with her harp and then go and pick her and the harp up when she finished. He had the station wagon, and he’d pull up in front of the house and go inside and have to carry it down the stairs. The harp is in its felt cover, and Ira puts one hand on the column and one hand in the sound hole at the back and he lifts it up, lays the harp on a mattress they keep in the station wagon, and drives Sylphid and the harp uptown to the restaurant. At the restaurant he takes the harp out of the car and, big radio star that he is, he carries it inside. At ten-thirty, when the restaurant is finished serving dinner and Sylphid’s ready to come back to the Village, he goes around to pick her up and the whole operation is repeated. Every Friday. He hated the physical imposition that it was—those things weigh about eighty pounds—but he did it. I remember that in the hospital, when he had cracked up, he said to me, ‘She married me to carry her daughter’s harp! That’s why the woman married me! To haul that fucking harp!’ “On those Friday night trips, Ira found he could talk to Sylphid in ways he couldn’t when Eve was around. He’d ask her about being a movie star’s child. He’d say to her, ‘When you were a little girl, when did it dawn on you that something was up, that this wasn’t the way everyone grew up?’ She told him it was when the tour buses went up and down their street in Beverly Hills. She said she never saw her parents’ movies until she was a teenager. Her parents were trying to keep her normal and so they downplayed those movies around the house. Even the rich kid’s life in Beverly Hills with the other movie stars’ kids seemed normal enough until the tour buses stopped in front of her house and she could hear the tour guide saying, ‘This is Carlton Pennington’s house, where he lives with his wife, Eve Frame.’ “She told him about the production that birthday parties were for the movie stars’ kids—clowns, magicians, ponies, puppet shows, and every child attended by a nanny in a white nurse’s uniform. At the dining table, behind every child would be a nanny. The Penningtons had their own screening room and they ran movies. Kids would come over. Fifteen, twenty kids.

a guitar. A hammock is swung near the table. It is three o'clock in the afternoon of a cloudy day. MARINA, a quiet, grey-haired, little old woman, is sitting at the table knitting a stocking. ASTROFF is walking up and down near her. MARINA. [Pouring some tea into a glass] Take a little tea, my son. ASTROFF. [Takes the glass from her unwillingly] Somehow, I don't seem to want any. MARINA. Then will you have a little vodka instead? ASTROFF. No, I don't drink vodka every day, and besides, it is too hot now. [A pause] Tell me, nurse, how long have we known each other? MARINA. [Thoughtfully] Let me see, how long is it? Lord—help me to remember. You first came here, into our parts—let me think—when was it? Sonia's mother was still alive—it was two winters before she died; that was eleven years ago—[thoughtfully] perhaps more. ASTROFF. Have I changed much since then? MARINA. Oh, yes. You were handsome and young then, and now you are an old man and not handsome any more. You drink, too. ASTROFF. Yes, ten years have made me another man. And why? Because I am overworked. Nurse, I am on my feet from dawn till dusk. I know no rest; at night I tremble under my blankets for fear of being dragged out to visit some one who is sick; I have toiled without repose or a day's freedom since I have known you; could I help growing old? And then, existence is tedious, anyway; it is a senseless, dirty business, this life, and goes heavily. Every one about here is silly, and after living with them for two or three years one grows silly oneself. It is inevitable. [Twisting his moustache] See what a long moustache I have grown. A foolish, long moustache. Yes, I am as silly as the rest, nurse, but not as stupid; no, I have not grown stupid. Thank God, my brain is not addled yet, though my feelings have grown numb. I ask nothing, I need nothing, I love no one, unless it is yourself alone. [He kisses her head] I had a nurse just like you when I was a child. MARINA. Don't you want a bite of something to eat? ASTROFF. No. During the third week of Lent I went to the epidemic at Malitskoi. It was eruptive typhoid. The peasants were all lying side by side in their huts, and the calves and pigs were running about the floor among the sick. Such dirt there was, and smoke! Unspeakable! I slaved among those people all day, not a crumb passed my lips, but when I got home there was still no rest for me; a switchman was carried in from the railroad; I laid him on the operating table and he went and died in my arms under chloroform, and then my feelings that should have been deadened awoke

One letter was addressed to me personally in large, shaky handwriting with little circles over the i's instead of dots. [...] It was from Sid. Dear Debbie [Nancy's mother], Thank you for phoning me the other night. It was so comforting to hear your voice. You are the only person who really understands how much Nancy and I love each other. Every day without Nancy gets worse and worse. I just hope that when I die I go the same place as her. Otherwise I will never find peace. Frank [Nancy's father] said in the paper that Nancy was born in pain and lived in pain all her life. When I first met her, and for about six months after that, I spent practically the whole time in tears. Her pain was just too much to bear. Because, you see, I felt Nancy's pain as though it were my own, worse even. But she said that I must be strong for her or otherwise she would have to leave me. So I became strong for her, and she began to stop having asthma attacks and seemed to be going through a lot less pain. [Nancy had had asthma since she was a child.] I realized that she had never known love and was desperately searching for someone to love her. It was the only thing she really needed. I gave her the love that she needed so badly and it comforts me to know that I made her very happy during the time we were together, where she had only known unhappiness before. Oh Debbie, I love her with such passion. Every day is agony without her. I know now that it is possible to die from a broken heart. Because when you love someone as much as we love each other, they become fundamental to your existence. So I will die soon, even if I don't kill myself. I guess you could say that I'm pining for her. I could live without food or .water longer than I'm going to survive without Nancy. Thank you so much for understanding us, Debbie. It means so much to me, and I know it meant a lot to Nancy. She really loves you, and so do I. How did she know when she was going to die? I always prayed that she was wrong, but deep inside I knew she was right. Nancy was a very special person, too beautiful for this world. I feel so privileged to have loved her and been loved by her. Oh Debbie, it was such a beautiful love. I can't go on without it. When we first met, we knew we were made for each other, and fell in love with each other immediately. We were totally inseparable and were never apart. We had certain telepathic abilities, too. I remember about nine months after we met, I left Nancy for a while. After a couple of weeks of being apart, I had a strange feeling that Nancy was dying. I went straight to the place she was staying and when I saw her, I knew it was true. I took her home with me and nursed her back to health, but I knew that if I hadn't bothered she would have died. Nancy was just a poor baby, desperate for love. It made me so happy to give her love, and believe me, no man ever loved a woman with such burning passion as I love Nancy. I never even looked at others. No one was as beautiful as my Nancy. Enclosed is a poem I wrote for her. It kind of sums up how much I love her. If possible, I would love to see you before I die. You are the only one who understood. Love, Sid XXX.

Robert Askins Brings ‘Hand to God’ to Broadway Chad Batka for The New York Times Robert Askins at the Booth Theater, where his play “Hand to God” opens on Tuesday. By MICHAEL PAULSON The conceit is zany: In a church basement, a group of adolescents gathers (mostly at the insistence of their parents) to make puppets that will spread the Christian message, but one of the puppets turns out to be more demonic than divine. The result — a dark comedy with the can-puppets-really-do-that raunchiness of “Avenue Q” and can-people-really-say-that outrageousness of “The Book of Mormon” — is “Hand to God,” a new play that is among the more improbable entrants in the packed competition for Broadway audiences over the next few weeks. Given the irreverence of some of the material — at one point stuffed animals are mutilated in ways that replicate the torments of Catholic martyrs — it is perhaps not a surprise to discover that the play’s author, Robert Askins, was nicknamed “Dirty Rob” as an undergraduate at Baylor, a Baptist-affiliated university where the sexual explicitness and violence of his early scripts raised eyebrows. But Mr. Askins had also been a lone male soloist in the children’s choir at St. John Lutheran of Cypress, Tex. — a child who discovered early that singing was a way to make the stern church ladies smile. His earliest performances were in a deeply religious world, and his writings since then have been a complex reaction to that upbringing. “It’s kind of frustrating in life to be like, ‘I’m a playwright,’ and watch people’s face fall, because they associate plays with phenomenally dull, didactic, poetic grad-schoolery, where everything takes too long and tediously explores the beauty in ourselves,” he said in a recent interview. “It’s not church, even though it feels like church a lot when we go these days.” The journey to Broadway, where “Hand to God” opens on Tuesday at the Booth Theater, still seems unlikely to Mr. Askins, 34, who works as a bartender in Brooklyn and says he can’t afford to see Broadway shows, despite his newfound prominence. He seems simultaneously enthralled by and contemptuous of contemporary theater, the world in which he has chosen to make his life; during a walk from the Cobble Hill coffee shop where he sometimes writes to the Park Slope restaurant where he tends bar, he quoted Nietzsche and Derrida, described himself as “deeply weird,” and swore like, well, a satanic sock-puppet. “If there were no laughs in the show, I’d think there was something wrong with him,” said the actor Steven Boyer, who won raves in earlier “Hand to God” productions as Jason, a grief-stricken adolescent with a meek demeanor and an angry-puppet pal. “But anybody who is able to write about such serious stuff and be as hilarious as it is, I’m not worried about their mental health.” Mr. Askins’s interest in the performing arts began when he was a boy attending rural Texas churches affiliated with the conservative Lutheran Church-Missouri Synod denomination; he recalls the worshipers as “deeply conservative, old farm folks, stone-faced, pride and suffering, and the only time anybody ever really livened up was when the children’s choir would perform.” “My grandmother had a cross-stitch that said, ‘God respects me when I work, but he loves me when I sing,’ and so I got into that,” he said. “For somebody who enjoys performance, that was the way in.” The church also had a puppet ministry — an effort to teach children about the Bible by use of puppets — and when Mr. Askins’s mother, a nurse, began running the program, he enlisted to help. He would perform shows for other children at preschools and vacation Bible camps. “The shows are wacky, but it was fun,” he said. “They’re badly written attempts to bring children to Jesus.” Not all of his formative encounters with puppets were positive. Particularly scarring: D

I haven’t seen my old friends in a while. Maybe next week I’ll go visit them in the nursing home.

Charlene moved through the house as quietly as her abused body would allow. She hadn’t been able to stand upright in nearly two weeks thanks to the two broken ribs courtesy of her husband. But those two broken ribs had given her a new lease on life. Charlene would never forget the minute when the nurse looked up and said those magic words: you’re pregnant. Even though the nurse’s disgusted look spoke volumes, Charlene’s heart soared; then the terror set in. Charlene might not have the courage to stand against her husband for herself, but she knew she could do it to protect her unborn daughter. She didn’t know why she knew it was a girl, but she did.

having learned nothing from “the war to end all wars,” was mobilizing for battle once again. On the morning of September 1, 1939, Germany invaded Poland. Turkey prepared for the worst. Sitare and a few of her friends began attending courses twice a week to learn how to prepare dressings, clean wounds, and stanch blood. Soon, every young civil servant in Ankara could say his wife had learned the fundamentals of nursing.

Letting confusion get in the way of changing your diet and lifestyle will deter you from facing the reality of how hard it is to give up sugar. If you’ll forgive the expression, I am not going to sugar-coat it: sugary drinks, donuts, cake, cookies and candy are out. And there’s no “okay in moderation.” What does that mean: once a week, once on the weekend, only on holidays? It probably doesn't mean Friday after work until Monday morning!

One day, however, they had an experience that revealed just how fragile their life had become. Bella developed a cold, causing fluid to accumulate in her ears. An eardrum ruptured. And with that she became totally deaf. That was all it took to sever the thread between them. With her blindness and memory problems, the hearing loss made it impossible for Felix to achieve any kind of communication with her. He tried drawing out letters on the palm of her hand but she couldn’t make them out. Even the simplest matters—getting her dressed, for instance—became a nightmare of confusion for her. Without sensory grounding, she lost track of time of day. She grew severely confused, at times delusional and agitated. He couldn’t take care of her. He became exhausted from stress and lack of sleep. He didn’t know what to do, but there was a system for such situations. The people at the residence proposed transferring her to a skilled nursing unit—a nursing home floor. He couldn’t bear the thought of it. No, he said. She needed to stay at home with him. Before the issue was forced, they got a reprieve. Two and a half weeks into the ordeal, Bella’s right eardrum mended and, although the hearing in her left ear was lost permanently, the hearing in her right ear came back. “Our communication is more difficult,” Felix said. “But at least it is possible.

And there I lie in these damned bandages for a week. And there he lies, swathed up too, like a little mummy. And never crying. But now I like raking him in my arms and looking at him. A lovely forehead, incredibly white, the eyebrows drawn very faintly in gold dust... Well, this was a funny time. (The big bowl of coffee in the morning with a pattern of red and blue flowers. I was always so thirsty.) But uneasy, uneasy... Ought a baby to be as pretty as this, as pale as this, as silent as this? The other babies yell from morning to night. Uneasy... When I complain about the bandages she says: 'I promise you that when you take them off you'll be just as you were before.' And it is true. When she takes them off there is not one line, not one wrinkle, not one crease. And five weeks afterwards there I am, with not one line, not one wrinkle, not one crease. And there he is, lying with a ticket tied around his wrist because he died in a hospital. And there I am looking down at him, without one line, without one wrinkle, without one crease...

When I saw him three months later, he was still despondent. “I feel as if a part of my body is missing. I feel as if I have been dismembered,” he told me. His voice cracked and his eyes were rimmed red. He had one great solace, however: that she hadn’t suffered, that she’d got to spend her last few weeks in peace at home in the warmth of their long love, instead of up on a nursing floor, a lost and disoriented patient. *

I lay there, depleted and relieved that whatever used to be in my body was now out. Marlboro Man, on the other hand, was stunned. Patting me affectionately, he stared at our newborn baby girl with a shocked expression he couldn’t have hidden if he’d tried. “Congratulations,” Dr. Oliver had said moments before. “You have a daughter.” You have a daughter. In the previous several months of gestation, I’d been so indoctrinated with the notion that we were having a boy, it hadn’t even occurred to me that things might go the other way. I couldn’t even imagine Marlboro man’s surprise. “Good job, Mama,” he said, leaning down and kissing my forehead. The nurses immediately wrapped our little one in a white blanket and set her on my chest. Plop. There she was. Lying on top of me. Writhing and looking pink and pitiful and about as precious as anything I'd ever seen. Marlboro Man grasped my hand, squeezing it softly. “Wow,” he said, almost in a whisper. He stared and stared. We were totally quiet. We could hardly move. My throat began to tighten as I realized what had just happened. The being that had been growing inside of my abdomen, that had tapped and kicked and pummeled me in the ribs and bladder during those final weeks, that had brought me heartburn and exhaustion and weeks of debilitating nausea, was now lying on my chest, looking around this strange new world in which she found herself. It was the most surreal moment of my life--more surreal than any moment of surprise during my courtship with Marlboro Man, the father of this new human that had just arrived on the scene and changed absolutely everything. She had arms and legs and a nose and a tongue, which she slowly thrust in and out of her tiny mouth in an effort to familiarize herself with the sensation of air. She was a person--alive and moving around in a real world. I realized that tears were rolling down my face. I hadn’t even noticed I was crying.

Adam: Adam was a young man whose anxiety turned into a monster. Where Shelly had a very mild case of social anxiety, Adam’s case could only be called severe. Over a period of several years, his underlying social fears developed into a full-blown school phobia. A quiet, unassuming person, Adam had never stood out in the classroom. Through elementary school and on into high school, he neither excelled nor failed his subjects. By no means a discipline problem, the “shy” Adam kept to himself and seldom talked in class, whether to answer a teacher’s question or chat with his buddies. In fact, he really had no friends, and the only peers he socialized with were his cousins, whom he saw at weekly family gatherings. Though he watched the other kids working together on projects or playing sports together, Adam never approached them to join in. Maybe they wouldn’t let him, he thought. Maybe he wasn’t good enough. Being rejected was not a chance he was willing to take. Adam never tried hard in school either. If he didn’t understand something, he kept quiet, fearful that raising his hand would bring ridicule. When he did poorly on an exam or paper, it only confirmed to him what he was sure was true: He didn’t measure up. He became so apprehensive about his tests that he began to feel physically ill at the thought of each approaching reminder of his inadequacy. Even though he had studied hard for a math test, for example, he could barely bring himself to get out of bed on the morning it was to take place. His parents, who thought of their child as a reserved but obedient boy who would eventually grow out of this awkward adolescent stage, did not pressure him. Adam was defensive and withdrawn, overwrought by the looming possibility that he would fail. For the two class periods preceding the math test, Adam’s mind was awash with geometry theorems, and his stomach churning. As waves of nausea washed over him, he began to salivate and swallowed hard. His eyes burned and he closed them, wishing he could block the test from his mind. When his head started to feel heavy and he became short of breath, he asked for a hall pass and headed for the bathroom. Alone, he let his anxiety overtake him as he stared into the mirror, letting the cool water flow from the faucet and onto his sweaty palms. He would feel better, he thought, if he could just throw up. But even when he forced his finger down his throat, there was no relief. His dry heaves made him feel even weaker. He slumped to the cold tile and began to cry. Adam never went back to math class that day; instead, he got a pass from the nurse and went straight home. Of course, the pressure Adam was feeling was not just related to the math test. The roots of his anxiety went much deeper. Still, the physical symptoms of anxiety became so debilitating that he eventually quit going to school altogether. Naturally, his parents were extremely concerned but also uncertain what to do. It took almost a year before Adam was sufficiently in control of his symptoms to return to school.

When Mom and Dad die, they’re taken care of by strangers in a nursing home two towns over. The kids don’t have to see them go. They don’t even have to see them after. They just get a “we’re sorry to inform you” call late that night from the institution’s management, for whom such calls are as routine as putting out the weekly garbage is for a suburban homeowner. The funeral home picks up the body. The cemetery buries it. Unless you’re a professional, you might live your whole life without seeing someone in the moment of leaving his own.

For he has faith enough, he feels, if he were really to delve into himself, faith enough to move mountains, but he cannot manage to put his back into it. Once in a while the need to create wells up in him, the longing to see a part of himself set free in a work by him, and for days at a time his being can be tensed with joyous, titanic efforts to mold the clay into his Adam. But he is never able to shape him into a semblance of his image, he does not have enough stamina to maintain the self-discipline that it demands. It make take weeks for him to give up the work, but he does give it up, and irritably asks himself why he should keep on: what more does he have to gain? He has enjoyed the pleasure of creation, the tedium of upbringing remains, to nurse, nurture, and support entirely - why? for whom? He is no pelican, he says. But whatever he says, he is still ill at ease and feels that he has not done justice to the expectations he has of himself. It doesn’t help him to confront these expectations and try to doubt that their demands on him are justified. He is faced with a choice, and he must choose; for life is such that when the first youth is gone, sooner or later - depending on the natural disposition of the person - sooner or later a day dawns when resignation comes to you like a seducer and tempts you, and you have to say farewell to the impossible and accept it.

At four degrees, the deadly European heat wave of 2003, which killed as many as 2,000 people a day, will be a normal summer. Then, it was one of the worst weather events in Continental history, killing 35,000 Europeans, including 14,000 French; perversely, the infirm fared relatively well, William Langewiesche has written, most of them watched over in the nursing homes and hospitals of those well-off countries, and it was the comparatively healthy elderly who accounted for most of the dead, many left behind by vacationing families escaping the heat, with some corpses rotting for weeks before the families returned.

In a long-range study of 91,000 nurses over twelve years, the Department of Epidemiology at Harvard showed that the risk of breast cancer in premenopausal women is twice as high in those who eat red meat more than once a day as in those who consume it less than three times a week .97 The risk of breast cancer could therefore be halved simply by reducing consumption of red meat.

NOW THAT HIS BOOK was done, a number of deferred medical matters could be addressed, including a colonoscopy, a prostate screening, and some tests a pulmonologist had recommended to investigate a recent shortness of breath. He didn’t have cancer, and a steroid inhaler did away with the wheezing inside an afternoon, but it was also decided, at the urging of a new orthopedic surgeon, that his spinal stenosis be treated with a laminectomy. The surgery was scheduled for late March and a rotation of private nurses arranged to be on hand for two weeks, which stretched into three.

It was clear the USA government had mishandled the COVID-19 pandemic. President Trump had spent weeks misinforming the USA masses about the seriousness of the global pandemic and the government and hospitals had not procured enough supplies to handle COVID-19. Personal Protective Equipment (PPE) was running out and was being rationed by hospital managers. The result was doctors and nurses became infected in large numbers and some were dying.

When Aubrey was finally born, every ounce of throat-searing bile was (mostly) forgotten as I looked into her adorable little face covered in that weird, white marsh scum* infants are born with. I wish someone had warned me about the vernix situation. Maybe then I wouldn’t have screamed, “IS SHE A LEPER?” in front of two nurses, the doctor and a team of horrified interns. David teased me for weeks. Every time I’d hand her to him, he’d make a cross with his fingers and yell, “Unclean!

The Germans found out where the camp of our partisan unit was. They cordoned off the forest and the approaches to it on all sides. We hid in the wild thickets, we were saved by the swamps where the punitive forces didn’t go. A quagmire. It sucked in equipment and people for good. For days, for weeks, we stood up to our necks in water. Our radio operator was a woman who had recently given birth. The baby was hungry…It had to be nursed…But the mother herself was hungry and had no milk. The baby cried. The punitive forces were close…With dogs…If the dogs heard it, we’d all be killed. The whole group—thirty of us…You understand? The commander makes a decision… Nobody can bring himself to give the mother his order, but she figures it out herself. She lowers the swaddled baby into the water and holds it there for a long time…The baby doesn’t cry anymore…Not a sound…And we can’t raise our eyes. Neither to the mother nor to each other…

The next Task Force meeting also had a full agenda. As always, more items were listed than would be covered. At the end of the meeting, the VP remembered to squeeze in the testing guidance document, quickly asking for the added section on nursing homes in order to finish with the whole issue. Redfield distributed it around the table to everyone. It had no annotation of changes—all “Track Changes” indicators were now removed. I glanced through the document. It had been completely changed from the version approved by everyone at the previous Task Force meeting. True, a separate section on testing inside nursing homes had been added. However, nearly the entire document had been reverted to the original, old version of the guidance. Virtually none of the changes we had all agreed upon one week ago were present. I pulled out my notes from last week’s meeting. I was correct—that entire document had been ignored.

He’d been dreaming about Mrs. Armbruster’s class, fifth grade at Oliver North Elementary. They were about to be let out because LearningNet said there was too much Kansas City flu around to keep the kids in Virginia and Tennessee in school that week. They were all wearing these molded white paper masks the nurses had left on their seats that morning. Mrs. Armbruster had just explained the meaning of the word pandemic.

Alice saw it now: all her life, she’d thought of death as the single moment, the heart stopping, the final breath, but now she knew that it could be much more like giving birth, with nine months of preparation. Her father was heavily pregnant with death, and there was little to do but wait—his doctors and nurses, her mother in California, his friends and neighbors, and most of all, the two of them. It could only end one way, and it would only happen once. No matter how many times a person was on a bumpy airplane, or in a car accident, or stepped out of traffic just in time, no matter how many times they fell and did not break their neck. This was how it went for most people—actual dying, over a period of time. The only surprise left would be when it happened, the actual day, and then all the days that followed, when he did not push away the boulder or stick his hand out of the ground. Alice knew all of this, and sometimes she felt okay with it, it being the way of the world, and sometimes she was so sad that she couldn’t keep her eyes open. He was only seventy-three years old. In a week, Alice would turn forty. She would feel immeasurably older when he was gone.

Mom believed deeply in the promise of education. She was the salutatorian of her high school class but never made it to college because Lindsay was born weeks after Mom graduated from high school. But she did return to a local community college and earn an associate’s degree in nursing. I was probably seven or eight when she started working full-time as a nurse, and I liked to think that I had contributed in some small way: I “helped” her study by crawling all over her, and I let her practice drawing blood on my youthful veins.

Once an Australian nurse named Bronnie Ware, who cared for people in the last twelve weeks of their lives, recorded their most often discussed regrets. At the top of the list: “I wish I’d had the courage to live a life true to myself, not the life others expected of me.”6 This requires, not just haphazardly saying no,

Day by day, week by week, the dreams, the visions, came oftener, grew deeper. They were not occasional now, but occupied most of the day. We would see her rapt, as if in a trance, her eyes sometimes closed, sometimes open but unseeing, and always a faint, mysterious smile on her face. If any one approached her, or asked her something, as the nurses had to do, she would respond at once, lucidly and courteously, but there was, even among the most down-to-earth staff, a feeling that she was in another world, and that we should not interrupt her. I shared this feeling and, though curious, was reluctant to probe. Once, just once, I said: ‘Bhagawhandi, what is happening?’ ‘I am dying,’ she answered. ‘I am going home. I am going back where I came from – you might call it my return.’ Another week passed, and now Bhagawhandi no longer responded to external stimuli, but seemed wholly enveloped in a world of her own, and, though her eyes were closed, her face still bore its faint, happy smile. ‘She’s on the return journey,’ the staff said. ‘She’ll soon be there.’ Three days later she died – or should we say she ‘arrived’, having completed her passage to India?

I thought about my prison cell and my room in the nurses’ dormitory. I understood him all too well. “I want to travel,” he continued. “Visit distant countries. Backpack through the Himalayas or paint New York red for two or three weeks. Then fly to Tokyo and eat sushi. Not staying anywhere too long, always on the move, always a new goal on the horizon. That’s what I want.