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  1. University of Arkansas for Medical Sciences
  2. Medicine and Meaning
  3. Author: Chris Lesher
  4. Page 3

Chris Lesher

Walmart Rounds (acrostic style) 

By Jon Fausett 

Into the grocery store I stroll, a soft sigh on my lips, the workday is done
My shopping list in hand, still much to do but at least it’s not work
Out of the blue, from the produce to the baked goods aisle, patients are everywhere
Fred shows off a neck boil as I look at apples
Frozen foods on all sides as Ed asks for pain pills
Dinner roles in hand, a mom wants “just a quick look” at little Timmy’s tonsils
Uninterested in Bob’s vaccine conspiracy theory I head to checkout, half my list un-filled
This harassment outside clinic is killing me
You’re all getting billed


Jon Fausett has been a family medicine doctor in Berryville Arkansas for the last six years. His clinic became involved with the UAMS rural residency training initiative and now hosts residents, and he functions as the APD. Jon graduated from Des Moines University School of Osteopathic Medicine and spent residency in Casper Wyoming through the University of Wyoming. He has a wife and five kids, two cats, and three beehives.

Filed Under: 12 – Poetry

Shaking the Ivory

By Alex Marshall

We put a man in the highest place.
Why’d we do it? ‘cause of greed or race?

He’s upended schools and universities.
The regime’s tackling medicine and academe.

But is it the power, prestige, or money that goes?
Which has us hand-wringing, crying terrible woes?

Is it the list of words or the lack of expertise
That are shifting, shaking the tower of ivory?

Where are the leaders? They stepping up?
What do you hear? Are we giving up?

What will we do to win this war-battle?
I don’t know; time will only tell-tattle.


Alex Marshall, Ph.D., is an Associate Professor and Chair of the Department of Health Behavior & Health Education in the College of Public Health at the University of Arkansas for Medical Sciences. She earned her doctorate in Health Behavior at Indiana University with minors in adolescent development and human sexuality. To date, her research agenda has focused on understanding sexuality and sexual health issues among adolescents and young adults and addressing health/ healthcare issues among marginalized and underserved populations. 

Filed Under: 12 – Poetry

Stochastic Resonance

By Dave Malone

The presence of noise . . .
in a non-linear system
makes the system respond better.

—Andrew Smart

My ears ring with the music
of yesterday. Static
in the cochlea

converting sound waves into
electricity
my brain loves.

But it’s the noise, the relic
from last week’s coffee
making

that still zings in tympanic
rhythm, my body’s
percussion

in abdomen and ear. There’s no
anti-aging technique,
no way back.

I hear inside the noise,
without foisting
any sound

elsewhere; here is my becoming;
here is my swimming
with Mississippi’s

paddlefish; here is my song
electrified in the floating
marine plankton.

Here is my ear divining,
chiming, finding, ascending.


Dave Malone is a poet and screenwriter from the Missouri Ozarks. His poems have appeared in Boudin, Slant, and Bellevue Literary Review. He is an avid gardener, long-distance runner, and sometimes quilter. He likes to read poems on TikTok: @poetmalone.

Filed Under: 12 – Poetry

Chemo Consequence

By Lynne Byler

For seven years from molded plastic chairs,
I saw what cancer consumes,
unsated by limbs or organs or hope.

So, in this place that excels at loss,
that my hair wants nothing
to do with me is small potatoes.

Today in the shower, it decamps in earnest.
My splayed fingers lift it from underneath
and large wet bunches catch in my hands.

I pull it out,
layer it on white tile,
clump upon clump upon clump.

If I pull the HELP cord,
the nearest nurse will rush in
and grab me under the arms.

In her wet embrace,
I’ll ask what drug
there is for a sorrow,

dwarfed by other possible losses,
yet unrelenting in
the comfort it devours.


Lynne Broderick Byler lives and writes poetry in Pelham, Massachusetts. She has had poems published in Autumn Sky Daily, Intima, Writing in a Woman’s Voice, and  The Journal of the American Medical Association. Fernwood Press will publish her first collection, The Mice Are Back, in December 2026. 

Filed Under: 12 – Poetry

The Cleaner

By Dustin Grinnell

I directed Mrs. Powell to sit and make herself comfortable. She lowered herself into the chair at the round table in the lobby of my office slowly, her frail, ninety-year-old frame eventually settling into it.

“How’s your health, Mrs. Powell?” I asked. This is how I approached most conversations in which a client asked if they could meet suddenly. Usually, it meant they had gotten some bad news from their doctor, and I suspected as much with Mrs. Powell.

And, indeed, she had. It was rare, and doctors didn’t know what to call it, but it would take her life, and soon—within weeks. We hadn’t been close, but I was sorry to hear it. I never liked getting this kind of news.

“I trust you will ensure everything is in order when I pass?” she asked.

“Yes, of course.” I explained that I would take care of everything for her, according to the end-of-life plans we’d created together, from where she’d like her ashes spread to who would sell her stuff and where the proceeds would go. She didn’t have much to her name, but her condo would sell for at least half a million dollars, and that money would be distributed to her son and granddaughter.

“I’ll make calls, write letters, and make visits as needed,” I continued. “I’ll start by having all of your mail forwarded to my office, so I can get a sense of what will need to be closed down—utilities, credit cards, accounts, and so on.”

Mrs. Powell nodded, thanked me and said she had a large binder at home that included all of her records and important information. It would be nice to have, but usually I didn’t need a roadmap. I already had her wishes in my files, and for everything else, I could find it out through my own investigative work. I’d been in this business for twenty years and was skilled in the art of closing down someone’s life.

I looked at Mrs. Powell, who seemed tired, and placed my hand softly on hers. “You have nothing to worry about. You can take comfort in knowing you’ve chosen me and that everything will be taken care of when the time comes.”

“Thank you, Michael.” 

I helped her out of the chair, letting her use my arm for balance, then led her to the front door, where I thanked her for stopping by. 

“Take care of yourself, Mrs. Powell.”

A month later, faster than anyone had expected, she was gone. 

As her fiduciary, I began the activities associated with my duties. I had her mail forwarded to my office in Santa Barbara and started calling to shut down internet and cable, and other utilities. I dug into her accounts, bringing the money from her checking into a new account where I would pool all of her funds and then distribute them to the designated family members. 

I called her son in Boston, and granddaughter, Ella, in Los Angeles, to inform them of her passing. Her son said he wouldn’t be able to fly to the west coast—though I got the sense, he just didn’t want to—but his daughter, Ella, said she would be happy to go through her grandmother’s possessions. I then called my realtor and began the process of listing and selling the condo.

My work as a “death cleaner,” as some had called me, was efficient and clinical. I seldom felt much for my clients, except for some natural sympathy that anyone’s passing brought. My relations were always professional, even transactional. It had been my sense that one couldn’t run a business if they got attached to every client, so I kept them at arm’s length. Generally speaking, I was satisfied with my place in the world; I had found a niche, something my old law school friends envied. Lately, I had been wondering if it was time for something new. The job felt stale, like I was just going through the motions.

A couple days later, I was on the phone with Mrs. Powell’s gas company when I got a call from an unknown number. After finishing my call, I listened to the message the caller had left. It was from Mrs. Powell’s granddaughter, Ella, who said that she’d be in Santa Barbara tomorrow and was wondering if I’d be able to meet her at her grandmother’s condo in Goleta and let her in, so she could go through her belongings and decide what to send home in boxes. I called her back and said I’d be happy to meet her.

The next day, I drove over to Mrs. Powell’s senior living facility, which wasn’t far from my office. I parked my car and walked the narrow brick pathway that wound through the few dozen condos.

When I got to Mrs. Powell’s condo, I saw a woman in her late thirties with her head tilted toward the sky, seemingly admiring the clouds, or perhaps just enjoying the warm June sun on her face. I recognized her as Mrs. Powell’s granddaughter.

As I got closer, her hazel-colored eyes met mine. “Mr. Hall?” She brushed her brunette hair away from her ear.

“Call me Michael, please,” I said, extending my hand. “When did you get in?”

“A few hours ago.” She rubbed her forehead. “I’m still quite jet-lagged, so please forgive me—my head’s in a fog.”

“No worries. Will your father be joining us?” 

She shook her head. “Just me.” 

Mrs. Powell’s son—Ella’s father—was a surgeon at a Boston hospital, and a busy one, according to his mother. 

I gestured toward the condo. “Ready?”

Ella nodded solemnly and we went into the condo. Inside, it smelled sharp and sterile, like the kind of antiseptic they use in hospital exam rooms.

Ella walked around the living room, into the kitchen, with her hands clasped behind her back. She had an easy-going, even delicate way about her. 

Her eyes eventually landed on old childhood pictures of her with her dad and grandmother on a beach in Martha’s Vineyard, where, Mrs. Powell had previously told me, her son had taken Ella, an only child, every summer while she was growing up. “I’d like to pack up these photos.”

“I can have the movers pack them carefully in boxes and we can ship them to your place in LA. We can send anything to your dad, too.”

I then informed her that the condo had already been sold, and I gave her an extra key and told her she could come and go as she pleased over the next few days until the condo had to be vacated and cleaned.

She thanked me, and I said that I had to leave for another appointment. A client of mine, a gentleman in his sixties, had died of a heart attack and I needed to meet the director of a funeral home to pay for cremation and the funeral services that the family would reimburse me for when they could.

As I was leaving, Ella caught my attention. “I was wondering if you’d like to get coffee, perhaps tomorrow, to talk more about this process.”

I said that’d be fine and suggested we meet at a coffee shop I liked on State Street in downtown Santa Barbara. 

We met the next morning at the busy coffee shop. When we both had our drinks—she had an iced coffee, I had a double espresso—I asked what she did for work, intending to make small talk, and she said she was a writer for television.

“Any shows I might know?” I asked, curious about the life of a screenwriter. 

She listed a couple of shows on a popular streaming platform that I had seen. I enjoyed one more than the other, but I was impressed nonetheless. “Very cool.”

“And what about you? You’re a ‘death’ cleaner, the internet says?”

I chuckled. “I prefer fiduciary, but yes, I help people and their families with all the things that need to be done when folks pass away.”

“Doesn’t it get sad? People dying and grieving. Seems grim.”

I shrugged. “It’s a way to make a living. Plus, I don’t get too close to my clients.”

“Keep your distance, huh? Doesn’t hurt as much when they die. Smart.”

She nailed it, I said, nodding, but I wanted to get off the subject given my growing ambivalence about my chosen career.

“Were you close to your grandmother?”

She sipped from her coffee. “As close as you can get to someone who lives a hundred miles away.” She smirked. “Our family likes to keep their distance, too.”

I had noticed that it was difficult getting Mrs. Powell to talk about personal matters other than in a detached, high-level way. At the time of our planning, I’d preferred it, but sitting across from her granddaughter, I wondered how it might’ve impacted Ella. I also thought about her dad, clearly not coming to California, and I had no clue where her mom even was. Anyway, time to get to business, I thought. 

“So, why’d you want to get coffee? I have everything pretty much handled with your grandmother.”

She nodded, then bit her lip. “Um, I might need to keep you on for a bit longer.”

“Your mom or dad need a fiduciary?”

“No, I need to hire you.”

I shook my head. “I don’t understand.”

Ella went quiet for a second, then dropped news I definitely wasn’t ready for.

“A few months ago, I found out I have a brain tumor, inoperable.”

I stuttered. “How… long?”

“I probably won’t see the end of the year.”

I couldn’t believe it, and for a few seconds, I did nothing but stare at the vibrant woman across from me. So young, seemingly so full of life. I didn’t know what to say. 

“You don’t have to say you’re sorry, or anything like that—I’ve gotten enough of that already. I could have stayed in bed until the end with everyone taking care of me, but I want to live as much as I can until the lights go out.”

I exhaled, open to helping her in any way that she needed. “What can I do?”

“It wasn’t until I worked with my grandmother on all of this end-of-life stuff that I realized dying was complicated. Life’s difficult enough, but dying is its own level of hard.”

I’d heard this sentiment plenty of times. When someone dies, it’s not just grief you inherit; it’s a tangle of paperwork, passwords, and red tape that turns mourning into a second job.

“I can help get all your wishes in writing, draw up medical instructions, take care of your finances, and so on.”

“I imagine I will need help with those things, but right now, I was thinking of working on something else.”

“What’s that?”

“I want you to help me do some ‘cleaning’ while I’m still alive.”

“I don’t follow.”

Ella explained that she feels like her life has been a slow, steady accumulation of things that she never truly chose—jobs, obligations, even relationships. And now, facing the end of her life, she didn’t know which parts of her life were genuinely hers.

This was most unusual. I thought about flatly rejecting her proposal, but I could tell she was desperate. Ella seemed so thoughtful and kind, and I found myself wanting to help her, if not spend a little bit more time with her.

And so, we sat there for hours as her wild idea sparked a fire between us. I agreed to embark on a series of excursions with her. Ella called them mini-cleans in which we’d examine something in her life to see if it was no longer useful, weighing her down, cluttering her life—and if so, she’d find a way to let it go. We started with an old friend of hers from college, who she used to play soccer with. 

When we showed up for drinks at a trendy brewery not far from the coffee shop, her friend Jenna was late. She spent the first ten minutes obsessing over what to order, and then the next half-hour mostly talking about herself and unloading all the problems she’d been having with her husband, who she found lazy and vain. When Jenna finally asked something, it was about Ella and me. 

“So, are you guys like dating?”

“Oh no,” Ella replied. “He’s—”

She didn’t seem to know what to say, so I jumped in and said the first thing that came into my mind. “I’m a digital marketing consultant, helping her with her website and social media presence.”

Jenna beamed. “I’ve been telling her for years, her Insta needs serious help. Her job’s insanely cool! She could be posting behind-the-scenes stuff from the writers’ room, or a movie set.” She sipped from her drink. “I’m not a big fan of social media, but you have to post consistently, right? It’s like having a second job. Do you know I can’t for the life of me get my husband to post a picture of us together? Refuses to do it!” She threw up her arms, almost knocking her drink over. “It’s like I don’t exist!”

In the hour we spent together, Jenna let Ella say maybe twenty words and I didn’t dare try to say much; I just watched as this “friend” of Ella’s steamrolled her in conversation. Unfortunately, tragically, this didn’t leave room for Ella to share the terrible news. There was no mention of cancer, no mention of having months to live. Jenna had all the problems, all of which seemed rather trivial compared to Ella’s.

When we left the brewery, I could see on Ella’s face that she hadn’t enjoyed herself, and might’ve thought it a mistake to invite Jenna out. Either way, it was obvious to us both that she would have to let Jenna go.

We wandered down State Street for hours, the sun sliding low over the storefronts while Ella pointed out weird little things in shop windows that made her laugh. We ducked into gift shops and record stores just to keep talking; I don’t even remember half of what we said, just that it felt easy. 

At a taco stand on the corner, we shared chips and guac, our hands brushing a couple times, both of us pretending it didn’t happen. I caught myself leaning in when she talked, like I didn’t want to miss a word, and once or twice I saw her watching me when she thought I wasn’t looking. By the time the sky went soft and pink, something between us had shifted—nothing big, just enough to notice.

On the way back to her car, we chatted about what the next clean might be. She said Jenna was right that social media was a waste, and that she could probably spend some time scrubbing her digital life. I thought it was a good idea. 

She pulled out her phone and, without a second thought, deleted her Instagram and Facebook. When I Googled her name, I found an old blog titled Texts and the City.

While she was scrolling on her phone, I clicked on a post titled, When His Apartment Says ‘Nope’. I read a line aloud: “Jared’s apartment had the ambiance of a gym bag and more pizza boxes than seating options.”

She burst out laughing. “Oh my God, that blog’s still up?” She found the website on her phone and deleted it without hesitating. “Bye!”

“Bummer,” I said, “I was kind of looking forward to reading it.”

She punched me in the arm playfully.

When we got back to Ella’s car it was dark, and she said the only thing that made the night tolerable was having me there.

“Just doing my job,” I said with a grin.

As Ella was getting in her car, I had a thought—a homework assignment for her. “When you get back to LA tomorrow, go through your stuff. Make piles for things to keep, give away, or throw away. I can visit in a couple days and we can go through it and I can make arrangements to see that it gets to where it should go.”

“Love it.”

When I got home, I had another idea for Ella. I decided to have her create a “reverse will.” Instead of deciding who gets what after she died, Ella would choose to give things away to friends, family, and even strangers who needed them before she passed.

When I arrived at her place in Silver Lake few days later, I told her about the reverse will and she said she’d get started tomorrow. She walked over to a few waist-high stacks of books. Everything was sorted into neat little piles—books, some clothes, household stuff. “These can go to the library or the shelter,” she said.

I examined the books, admiring her collection. I pulled out Aristotle’s Poetics, Kafka’s Metamorphosis, plays by Arthur Miller. “Sure you want to give these away?”

“I can’t read books when I’m dead.”

She walked over to a road bike propped against the wall near her kitchen. “I’ve ridden this three times. Time to pass it on to someone else to ignore it.”

She then went to a box on the kitchen counter, and lifted the lid, showing me a box of envelopes, letters, and old print photos, some of which showed her with various people who looked to be friends and photos with men, who looked to be boyfriends.

“What’s all this?” I asked.

“Pics from high school, college, and running around LA with friends after college. There are a few things in here I’d like to keep; everything else we can throw away.”

She picked up a picture showing her, maybe eighteen or nineteen, with a young man of similar age. He had his arm around her and they were both smiling brightly. So young, so much life to live, and it was all getting cut short. It made me sad for her.

She ran into the kitchen, opened a drawer, and grabbed a lighter. She then snagged a small trash can and brought it out onto her condo’s balcony. I knew what she was doing. She wanted to ceremoniously burn old photos and letters she didn’t want to keep.

Dusk had fallen and the sky had just started to darken when we’d gotten on her balcony. She set the trash can on the floor, threw paper and photos into it, struck a match, and tossed it in. We watched the flames dance in the can as the light faded around us. After the material had mostly burned down, Ella poured water into the can to extinguish the fire. She then turned to me. “I found something while I was going through a junk drawer and I was trying to decide whether I should keep it.” She pulled a piece of paper from her pocket, unfolded it and handed it to me.

At the top of the paper was written, “The Someday List.” I scanned the list of fifteen things she wanted to do someday, presumably before she died. “See a sunset on the beach,” “ride a motorcycle,” “scuba dive.”

“What’s on your list?” she asked.

I shrugged.

“C’mon, there’s got to be something!”

I thought back to college, when I almost studied abroad in Switzerland, but bailed at the last second. “There’s a place called Lauterbrunnen in Switzerland. It looks gorgeous—alpine peaks, chalet-style homes, big cliffs with water falling off the side and disappearing into the air above the valley.”

“I love that for you.”

I smiled weakly, not knowing when or if I’d ever visit. I couldn’t remember the last time I had taken a vacation. 

She grabbed the list from my hand. “Honestly, I don’t really want to scuba dive, or do most of the things on that list, but check out number eleven.”

My eyes landed on that number. “Sing karaoke?” I glanced at her to see that she was smirking. She looked off the balcony. “There’s a little pub right around the corner from here. And, guess what? They have karaoke.”

I cracked a smile. “Absolutely not.”

She nodded playfully, squinting her eyes.

“No,” I repeated, with a laugh. 

She grabbed the keys to her apartment off the kitchen counter. I came into the kitchen, scratching the back of my head.

“If you need to do any vocal warm-ups, you should start now,” she said. “I want you to really bring it. I already have the song picked out.”

None of my pleading got through to her. We were going to the pub and we were singing karaoke. She wouldn’t tell me the song, so I was left in suspense.

Forty-five minutes later, we were at the front of the bar, standing in front of a large screen and two huge speakers, holding microphones. I still didn’t know what song we were singing until the melody kicked in, and I recognized it right away.

“Northern Attitude” by Noah Kahan. Damn, I loved that song. And I knew why she’d chosen it. It captured how I used emotional distance as a kind of armor, even as I longed for the very connection I kept at bay beneath a façade of aloofness, even coldness.

The lyrics rolled across the screen and Ella kicked us off.

Breathin’ in, breathin’ out

How you been? Settled down?

Feelin’ right? Feelin’ proud?

How’re your kids? Where are they now?

As I watched Ella sing, I found that the world sort of fell away. She looked so graceful, so dignified, so lovely. Just then she nodded in my direction to take the next verse. I did the best I could, trying to match Kahan’s soulful vibe. 

You build a boat, you build a life

You lose your friends, you lose your wife

You settle in, to routine

Where are you? What does it mean?

As the song hit its peak, I glanced over and saw Ella smiling at me, soft and affectionate. She pointed at me, then at herself, like she was saying the chorus is ours.

If I get too close

And I’m not how you hoped

Forgive my northern attitude

Oh, I was raised out in the cold

We sang together, leaning into each other, holding the mics close to our faces, pretending we were singers in front of adoring fans. As the chorus continued, I put my arm around her and we lifted our heads to the ceiling and belted out the powerful lyrics.

If the sun don’t rise

‘Til the summertime

Forgive my northern attitude

Oh, I was raised on little light

When we stumbled out of the bar, we walked home not talking much, just letting the buzz of the moment stay with us with big stupid smiles on our faces. 

Ella’s shoulder rubbed against me, then her hand brushed against mine, and then she interlocked our fingers, sending a quiet warmth through my chest. When we reached the doorstep of her apartment complex, she said, “Tomorrow’s a big day.”

“What’s tomorrow?”

“For our next clean, I arranged a meeting with my mom. She lives out in Corona and agreed to drive into the city to talk with me.”

I’d learned enough in my interactions with Ella that she hadn’t stayed in touch with her mother, Linda, on account of the fact that when she was young, she abandoned the family—a victim, her father claimed, of alcohol and various other substances.

Knowing how personal the meeting seemed, I said, “I can sit this one out. I’m sure you’d like some private time with her.”

Ella looked at the ground for a few seconds, biting her lip. “No,” she said, “I’d like you to come too, if you’re available… and up for it.”

“Okay,” I replied, genuinely happy to go.

She then leaned in close to me and pressed her lips softly against mine. Then she pulled back, opened her eyes, and said, “See you in the morning.”

“See you then.”

When the front door to her apartment complex closed, I skipped into a jog, feeling a burst of energy that I hadn’t felt in years. As I drove home, I was reminded of my usual professional dynamic, how I stay detached, a little aloof, keep clients at arm’s length. 

Ella had pushed past every line I’d carefully drawn.

For a second, I considered calling her, saying this was crossing a line, that I could lose my license, that this just wasn’t how I operated. But I let the thought go almost as fast as it came. Maybe meeting Ella was my way out of all this. And honestly, I realized I’d rather risk everything than stop seeing her.

The next morning, I met Ella outside a sandwich shop in Highland Park. She looked paler than usual, had bags under her eyes, and seemed to move with less vigor.

“How are you?” I asked, careful with the words, wondering if things had taken a turn. Was it getting worse? How much time was left? I was reminded of the line I used with clients when things were slipping: ‘How’s your health?’ 

“Didn’t sleep well. Anxious, I guess.”

We walked inside and took our place in line, and I asked, “How long has it been since you’ve seen your mom?”

She thought for a moment. “Fifteen years, maybe.”

We were sitting at a table enjoying ourselves and talking about karaoke—I was sarcastically suggesting that I had perfect pitch—when a heavyset woman with gray hair appeared in the doorway. She approached our table with a slight limp.

Ella’s back straightened, and she smiled awkwardly in the woman’s direction. She stood to greet her, seeming not to know where to put her hands, then nodded to our table. They both sat on the bench and Ella introduced me as a friend. 

I smiled, thinking it was nice to graduate from consultant to friend, though we both knew I was way more than that at this point.

“How are you?” Linda said. “I was glad to hear from you.”

Over the course of several minutes, Ella brought her mother up to speed on the last decade and a half. She talked about going to college at UCLA, studying filmmaking and concentrating in screenwriting, getting a prestigious internship at Disney, then finally, after an incredible amount of effort, landing a job in a writer’s room, where she and other creatives shaped stories for television.

Her mother smiled proudly. “I always knew you’d do great things.” She looked down and scratched at an imperfection in the table. “Guess I can’t take too much credit.”

Ella was generous and told her not to worry about it too much, that she would be perfectly fine if she just dropped the overstuff bag of guilt she was clearly carrying around. She said she’d seen friends struggle with addiction, substance abuse, and knew how hard it was to get clear of whatever chemical had its hooks in you.

Her mother looked relieved by that answer. “And you two?” she said, glancing at me and then back at her. “I don’t look at my friends the way you two look at each other.”

I chuckled nervously, not expecting her to be so blunt, but made an attempt at humor. “She’s paying me to be here.” I winked at Ella.

The irony that she had actually hired me wasn’t lost on me.

“He’s a lawyer,” Ella said, rolling her eyes. “He helped with Grammy’s end-of-life stuff after she passed—getting her cremated, selling her condo, closing her accounts.” She bumped her shoulder against mine. “He’s very good at his job.”

“I was sorry to hear about your dad’s mom,” Linda replied. “She was a nice lady.” There was a brief silence before she continued. “So, I hope we can meet more.”

“I’d like that,” Ella said.

“I have work at a dispensary in Bakersfield starting next week, so I’ll be gone for a couple of months, but maybe we can grab dinner when I get back?”

Ella seemed to suppress a wince. 

A lump rose up in my throat. How far advanced would her illness be in two months? Would she even be around then?  

As we finished up, it became clear that Ella wasn’t going to talk about being sick. I didn’t blame her. I got the sense that her mother would have trouble with the reality, anyway. Sure, she’d be sympathetic, but I doubted she’d cancel her work plans, and why make her feel guiltier than she already was?

As we rode an Uber across town back to her apartment, I wanted to talk about her cancer, ask her what she might need from me, express that I was stricken with sadness, and was never quite sure where to put it.

I was looking out the window when she put a hand on mine, comforting me. Then she thanked me for meeting her mom and said she couldn’t have done it without me. 

“I think I’ll keep her,” she said. 

I smiled, still feeling a little raw.

“Dinner at my place tonight?” she asked.

No words were needed. She knew I was in.

Ella cooked us a delicious meal. That night, we talked and talked about anything and everything—our families, our careers, and how strongly we felt toward each other. We both admitted to it being crazy to start something given “the circumstances,” she said in air quotes, but we were hardly in control of what was happening between us anymore. An affection had drawn us together, despite the futility of it all. We went to bed that night and afterward held each other in each other’s arms until we both fell asleep.

In those last few months, we soaked up every moment together. Whenever we had the chance, we’d get away—exploring Yosemite Valley, cruising down Route 1, sipping wine and relaxing on California beaches. With every trip, our love grew stronger.

It was the most unusual experience falling deeper and deeper in love with each other, while hoping, wishing, praying we had more time, but despite our wishes, her doctors said nothing was working and we had weeks, maybe days.

Eventually, Ella had to take medical leave from work because treatment had made her too weak to work, even though it’s what she loved to do the most. I stayed at her place while she got care at a hospital in the city. I brought her to every appointment, held her hand when bad news was delivered, and hugged her as tight as I could when panic and fear took hold in the middle of the night.

One night around five o’clock, she said she wanted to make a few amendments to her will. She didn’t have much money, but said had “a little gold” from her shows, and she wanted some of it to go to her mom and dad—and some of it to me. 

“Me? What? No, Ella.”

But she insisted, saying that she was going to cover a trip to Switzerland.

“Ella…” I replied, shaking my head.

“Take some of my ashes with you to Lauterbrunnen.”

“Please, don’t talk about—” I burst into tears, I couldn’t help it. It was a big, uncontrollable cry, and in a turning of the tables, she was holding and consoling me as I wept. I realized that I’d been holding back these emotions for months, my love for her keeping me buoyed through all the dark moments.

She rolled over and cupped my face with her hands. “I love you.”

“I love you, too.” I blinked away the tears. “I wish we had more time. I wish I could do something to take away this wicked disease. I wish you’d never gotten sick.”

“But if I hadn’t, we wouldn’t have ever met each other.”

“Yeah, but you’d be okay, and, who knows, maybe we would have still found each other.”

“Honey?” she whispered.

I turned my head up to meet her eyes.

“Can you help me onto the balcony?”

I looked into her eyes. She looked so weak, so fragile. I would do anything for her, but I didn’t want her to overexert herself. “Let’s just stay in bed.”

“I thought of something from my someday list.”

I helped her out of bed with both hands and let her put most of her weight on me as we passed through the sliding door and onto the balcony. Steadying herself by holding the railing, she gazed out across the horizon as the sun was setting. Then, I knew why she’d asked me to help her out onto the deck. “See a sunset on a beach,” I whispered.

She rested her head on my shoulder. “Close enough.”

Two weeks later, she was gone.

I spent several weeks in a state of shock and deep sadness that spilled out of me in unexpected places. It didn’t matter whether I was at a grocery store, making a coffee run, or out for a walk around the neighborhood. Even if my mind was blank and I wasn’t thinking of losing Ella, I would break into tears and sob.

Even now, a year later, my eyes still get misty whenever I think about the seven months I spent with Ella, a beautiful soul, “cleaning” her life before death, building an unusual love story before the end.

I did make it to Switzerland, finally, to that picturesque town in the Swiss Alps. At the summit of a little peak with breathtaking views of snow-capped mountains, I opened a palm-sized container that held Ella’s ashes and scattered them into the chilly alpine air. The sun was just setting, too, and I smiled thinking of her, knowing she’d love the view.

The time off had done me good. I’d thought about quitting, switching things up, maybe even changing careers. But in the end, I realized that cleaning up after people died—handling the mess, the paperwork, the details—had been its own kind of service to the community. It brought real relief to my clients, especially to grieving families who had no idea what needed to be done, while I did.

So, I went back to work. This time with more purpose. And maybe now, I allowed myself to get a little closer to the people I helped. Not just ticking boxes or asking about bank accounts and utility bills, but really sitting with them. Asking how they felt about their life. Whether they thought they’d left anything unfinished. Whether there was someone they should call, just to say hi, before they couldn’t anymore.


Dustin Grinnell is a Boston-based writer whose novel The Empathy Academy (Atmosphere Press) was named a distinguished favorite in the 2023 NYC Big Book Awards, and his short story collection The Healing Book (Finishing Line Press) won a 2024 Best Indie Book Award. He holds an MFA from Lasell’s Solstice Program and a master’s in physiology from Penn State.

Filed Under: 12 – Fiction

The Cure for Immortality

By MN Wiggins

Margo died today. And with her, hope passes, too. Once, the world feared rising carbon dioxide via fossil fuels and deforestation. No one dreamed the last of our species would be wiped out by its absence. Of the few things that remain, only irony is plentiful as I tend to humankind’s last and dying garden. It was vital to survival yesterday, but the garden served no purpose once Margo’s heart gave its last beat. As I record this, time is slipping away—also ironic. I’ve lived for centuries, and time has never been on my side.

I was a strapping young man in the Byzantine Empire in A.D. 763, thirty-some-odd years before a Benedictine monk decided we should call it A.D. I was set on a life of adventure and determined to see the world. My family begged me not to leave our village just east of Beth-Horon, but I was young and stupid. The sea was the life for me, and I whistled as I walked the two days to the coast, not knowing I would never see them again.

Romans had taken scores of seafaring men as rowers, and I quickly found work. Life at sea was arduous, but at my young age, labor felt like play. I visited exotic ports, met people from distant lands, and learned new languages. The life of a sailor was intoxicating, and I had the adventures I’d dreamed of as a child.

Time was a whirlwind. I changed crews as often as it suited me, never owning more than the clothes on my back and the contents of my pockets. I worked hard, played hard, and made friends wherever I went. Then, one day, I realized I’d sailed the Mediterranean twice over and visited every known port. My heart longed for my family, and I joined a crew sailing back to my homeland. When we reached shore, I said farewell to my shipmates and started the two-day walk back to my village. 

My footsteps were light. I carried a bag of trinkets from my last port for my brothers, sisters, and cousins. I envisioned their wide eyes around the fire as I enthralled them with wild tales of my adventures. And later that evening, when the elders had retired to bed, I would tell my brothers of the beautiful women at port and how I had become a man many times over. I laughed out loud as I walked. They would gnash at their fists in envy and surely beg to accompany me when I returned to the sea. 

But when I reached home, my family had long since died. I met strangers with my family name who took me to their elder, a man of ninety-five years, his eyes white with cataracts. He claimed to be the youngest son of my parents, born after I’d left. None of it made sense. I told him who I was, and the old man felt the smooth skin of my young face. He slapped me, called me a liar, and cast me out of my family home.

I left in bewilderment. Could it be? Had time slipped away, and the sea preserved my youth? My mind raced. As a dedicated sailor, I’d gotten drunk several times in questionable establishments. Had some fair maiden slipped me an elixir for eternal youth? Who knew?

With nowhere else to go, I returned to the sea and lived the life of a fool, jumping from ship to ship and behaving recklessly. After all, I was invulnerable—except that I wasn’t. Thrice, my ship went down with only a handful of survivors, and I took no heed. But the sea was a demanding teacher and not done with her lesson.

We were fishing well off the shores of Sardinia when a storm pushed us farther out to sea. The ship was lost, and I alone survived, clinging to a large wicker basket. The storm passed, and the winds grew still. I floated for days, baking in the sun with no shore in sight. I felt the life leaving my body and knew my end was at hand. There was a comfort in it, knowing I would reunite with my family after a century. But on the seventh day, a vessel found me. The sea had taught me I could die. I simply hadn’t yet. 

I left the sea, journeyed inland, and explored the Roman empire for years. I learned the art of persuasion and trade and became a wealthy young merchant and the oldest person on Earth. And in all my time at sea and on land, the wisdom of the ages had taught me a fundamental truth of the universe, a singular, profound guiding mantra that I took to heart: Why work when you can land a sugar momma?

I married rich and traded up as often as future generations traded cars. I drank the finest wines, attended decadent parties, and became a dedicated student of the Kama Sutra—if not its lessons, then at least the positions. It’s important to have goals.

Around 1347, the party ended. Word spread of a great plague over on the Italian peninsula. Watching people suffer and die of disease, or worse, my catching it, wasn’t my bag. I pushed north into harsher climates where I shivered and longed for the lazy days of being fed grapes by future wives. I needed somewhere warmer, somewhere new and disease-free. 

A Norse woman told me tales of long-ago voyages to unknown lands across the sea to the west, and I decided to see if they were true. Besides, the plague was headed this way, and her husband would soon return from military training. Leaving on an adventure of exploration just felt right. 

With my considerable wealth, I convinced a ship in Bergen to undertake the voyage. Upon reaching the shores of the east coast of the future United States, the salty crew summarily dumped my behind, took all my worldly possessions, and left. 

Fortunately, my years on the planet had given me an ear for languages and a delightful personality. I easily made friends with the people I encountered and roamed the American continents from top to bottom and coast to coast—centuries before Lewis and Clark or Forrest Gump. I learned new customs and met the most beautiful women. I fell in love often, married frequently, and moved on before my current wife learned of the next. What can I say? I’m a sucker for weddings.

But while the years had not touched my body, they took their toll on my soul. One day, I sat on a fallen tree trunk and tossed a rock into what would one day be called the Rio Grande. I had no idea how much time had passed in these lands. All I knew was that I was exhausted. I was alone. For all the times I’d married, no one had filled the hole in my heart left from losing my family as a boy. What was the point of it? I would never find true happiness. Other people only suffered a single lifetime. I’d had more than my share, and I was done.

I considered ways of ending my immortal curse, as no one had the decency to end it for me over the centuries. I wasn’t a religious man, which may have been for the best. No respectable religion would’ve claimed me after the life I’d led. But as I gripped my dagger and raised my arms, I stopped. My faith was still there after all those years, buried deep, suppressed by wine, lust, and betrayal. It stayed my hand, and I couldn’t go through with it. Well, shit.

I wandered north and took refuge in a Diné village in the future Southwest of the United States. There, I met Aiyana, a beautiful young woman whose name meant forever flowering, and she had clearly blossomed. I mean that spiritually. Get your mind out of the gutter. 

Aiyana was the most intelligent, intuitive, and kindest person I’d ever met. Given my age, that’s saying something. I fell hard, heart and soul. I knew I wanted to spend the rest of her life with her. But the day before we married, I decided to reveal my curse. I had told no one since that day in my village and expected the worst. After centuries of conning women for personal gain, I’d found my soul mate, and here I was, blowing it by telling the stupid truth.

Aiyana took it in with a stone-cold blank expression. I could tell she was debating whether I was an evil spirit who needed killing or a crazed lunatic who needed killing. Either way, I sensed a theme. Or maybe she was pissed I waited until the day before our wedding to fess up. Honestly, hundred years of experience, and I still couldn’t tell what women were thinking when they got mad.

She took my hand without a word and led me to the elders. There was a long silence until I realized I was there to tell them what I’d told Aiyana. I relayed the whole story, minus the part about all the prior women. I wasn’t stupid.

To my amazement, they accepted me for whoever or whatever I was—delusional, immortal, it didn’t matter to them. Over time, they taught me to see my long life as a gift I should use in the service of others and that I was an idiot for squandering it for multiple lifetimes. The Diné didn’t pull punches. I promised to do better, and Aiyana and I shared a lifetime together. Her people became my people.

Those were the happiest 168 years of my life, and in the blink of an eye, I found myself holding my great-granddaughter’s hand as her ninety-six-year-old body took its last breath. She was the last of my line. I had cared for her in her last years as I had cared for her as a child after her parents died of pneumonia. With my family gone, I set out to keep my promise and walked the 2,400 miles to the East Coast. In Boston, I learned the year had become 1720, and I hopped a ship back to Europe with a new purpose.

I enrolled in college in Edinburg in 1721 and studied Physics. When I’d completed my degree, I worked odd jobs until I’d earned enough to enroll in another university in another city. I continued this pattern over the next two hundred years, learning all I could. I studied Chemistry in Amsterdam, Medicine in Paris, Architecture in Madrid, and Psychology in Hamburg. I learned cooking in Reykjavik, music in Sydney, and tap dancing from a bar owner in São Paulo. I used my cumulative knowledge to help those I could but was always forced to move along before anyone noticed my eternal youth. 

When Watson and Crick unveiled DNA and gene mapping followed, I resumed my study of genetics that I’d abandoned since my days with Dr. Mendel in Vienna. I was good friends with his daughter. No, not like that. Give me some credit. I had grown emotionally. The whole thing was platonic—mostly. 

My research revealed the truth of my identity. I existed and differed from the rest of humanity by chance alone, a rare genetic combination producing incredibly long telomeres and a robust immune system. In lay terms, my engine parts would eventually degrade, but not today, and not for a long time. It explained why I’d never experienced disease. And there were others like me, albeit to a lesser degree. You’ve met them, people in their sixties you’d swear could pass for forty, and those who beat the odds and live beyond the century mark. 

But progress is a double-edged sword. The technological age that answered my age-old question also threatened to end it. I’d been careful to fly under the radar for centuries. I’d never allowed my portrait to be sketched or painted. The risk was too great. Being recognized as older than dirt got you either burned at the stake or dissected for science, depending on the century. Then, Eastman ushered in the Age of the Tripod Camera, and the game changed. His three-legged monsters were around every corner, and the demonic infestation only worsened over time. Before you knew it, flashbulbs were popping at weddings, holidays, and the mandatory faculty group photo I always ducked. I did my best to avoid these beasts, but it wasn’t enough.  

My number was up when the Age of the Camera Phone arrived. Everyone and their dog were armed with the evil great-grandchild of Eastman’s three-legged beast. Ultimately, it was a group of meddling kids that did me in. They’d started a “Find Your Ancestors” business by adapting a facial recognition program to scour billions of old photographs online for facial characteristics similar to their clients. Then, one night, they put down their energy drinks, popped a few beers, and altered the parameters to search for any recurring face over time, hoping to spot a real Wolverine or Wonder Woman or whatever. And they did.

They caught me standing on a sidewalk in Atlanta just before the crash in 1929 and again in Chicago hailing a cab in 1948. Who knew anyone was taking photos? And then there was New York on March 14, 1972. I’d turned the corner right into a crowd at Loews’s State Theater during the premiere of The Godfather. Camera flashes exploded from all angles, and I took several hits, center mass.

The Pizza Roll Gang had me. Cross-referencing with cellphone photos I hadn’t been able to avoid, they tracked me down. With a few keystrokes, these pimple-faced entrepreneurs announced the world’s first superhero, The Immortal Man. I still hate that name. 

Fortunately, most saw it as a hoax, and I was no hero. But it raised enough eyebrows for a pharmaceutical company to take a look in my direction. The more they unearthed, the more I became priority number one. One vial of my blood might unlock new treatments. A bone marrow biopsy might reveal new anti-aging treatments. My genetic material could be the key to billions in revenue. From my research, I knew none of this was true, but I had become the golden goose, and they would never stop coming for me. And I knew what would happen if I were caught. 

They almost had me in a diner in Midland, Texas. I was forced to hide in a wall for three days in my hotel in Kuala Lumpur while they searched. Madrid was the final straw. I escaped via forgotten underground tunnels five hundred years older than the touristy ones built in the 1600s. I knew because I’d paid to have them dug back in the day when the King’s daughter and I—story for another day. I made it out of Spain and headed for the one place on Earth where I would never be found.

Back in 1923, I’d learned spelunking from my eight hundred and forty-second wife. Or was she eight hundred and forty-third? In any case, we’d traveled to the planet’s most remote places and discovered the perfect cave. High up a mountainside and deep down a hole obscured by dense foliage was a complex system suitable for only the most experienced cavers. One of the branches led to a steep, seemingly endless drop-off into a dark zone where even algae feared to tread. Making our way to the bottom of this underground canyon, we discovered a blind horizontal shaft ending in a large chamber with an underground freshwater stream. It was magical.

When the cellphone camera apocalypse hit, I dusted off my 1968 degree in Nutrition and proactively stocked my mountain cave getaway with provisions calculated to last a century. I also lowered in an exercise bike and hooked it to a generator. That took a while. In hindsight, I should have disassembled it first. Lastly, I stocked my pimped-out lair with an ample supply of books and, if you must know, toiletries. I’m not a barbarian. Well, at least not anymore.

After Madrid, I descended into my honeycomb hideout and lived the life of a hermit, reading my entire library five times over and watching my overhead LED lights flicker before finally dying. It did not escape me that one degree I didn’t hold was in Electrical Engineering. Dammit.

Engulfed in total darkness, I stretched my provisions as long as possible as I debated a climb back to civilization. Would they still be hunting me after all this time? How much time had passed? Without clues whether it was day or night and no communication with the world above, I had no idea. But as my supplies dwindled, I felt my body wither. My ribs stood out, and I knew I’d missed my window. Even if I’d wanted to return to the world, I’d never make it up the canyon walls. I shivered as death placed a hand on my shoulder as surely as it had centuries earlier when I’d clutched a wicker basket in the Mediterranean. Do you know how much that basket would be worth now if I’d held on to it? Dang it. 

I closed my eyes and lay on the cool stone floor for hours, waiting for the inevitable when a trickle of water brushed my face. I licked it and spat out the salty taste of the sea. My mind raced. The mountain was over eighty miles from the ocean—and a mountain. Another trickle wetted my hair. What the hell? 

I managed to walk outside the shaft’s entrance at the bottom of the canyon. I peered up into the darkness as a gush of saltwater hit my face and knocked me down. I made it back inside my chamber, but the water level had risen to my ankles. Another gush entered, and I was waist-deep in seawater. Passing away in quiet slumber was one thing, but drowning in the dark was not on my bucket list. I sloshed my way outside the shaft once more as another volley of water completely entombed my home, ruining my copies of Tom Sawyer and Letters of the Arkansas Traveler, one of which is an all-time literary classic—I’ll let you be the judge.

Taking deep breaths, I submerged for protection as successive waves rained down and floated up the canyon as the cave system filled. Once at the top, the water pushed me through smaller tunnels, colliding with incoming waves and tossing me like a rag doll. I held my breath and protected my head until the massive force finally thrust me into the open sky like a giant squid spitting for distance.

I plunged into the sea and surfaced, squinting in sunlight I’d almost forgotten. I managed to reach the mountainside and find protection from the crashing waves. Slowly and painfully, I climbed until I reached a patch of dry soil, where I sat and examined my world as my eyes adjusted to a hazy brown sky. The air carried a putrid smell, and my mountain had been reduced to an island. I saw no other land—or birds. I ran my hand through the soil. There were no insects. I looked at my emaciated body, now vampire alabaster, the latest color at your local paint store. One thing was clear: once I reached civilization, I was getting a refund on that nutrition degree.

After a good rest, I slowly ascended to the mountaintop, a trek made easier as the mountain’s foliage had disappeared. At the top, I found no land mass in any direction. I sat on the rocks of my island prison and laughed. With nothing to eat or drink, at least my sentence would be short.

I laid back and closed my eyes again to ease into the Hereafter. But again, I couldn’t catch a break. A loud rumble in the sky preceded four fires descending on my position. Is this what happens when you die these days? I’d heard of fiery chariots coming for you, but this was a bit much. Maybe they’d upgraded.

A ship landed near my position. People in environmental suits strapped a mask over my face, shot something into my arm, and carried me aboard by stretcher. I awoke feeling as spry as the day I turned six hundred. A scarred man covered in skin tumors sat at my bedside, smiling as much as his face would allow. 

“My name is Taz. And you are the mythical Immortal Man, unseen for a century and a half.”

I couldn’t believe it. My provisions had lasted fifty years longer than I’d calculated. There goes my nutrition refund. Shoot.

Taz wore an oxygen mask and removed it only when speaking or moistening his cracked and disfigured lips. He explained that rising ocean levels had been only a portion of the burden the past few generations had inherited. Famine and viral disease had culled most of our species. Fewer people meant that nuclear plants around the world had gone unstaffed and overheated, gifting humanity just what it never wanted—a nuclear winter. Taz marveled at me and gently caressed my unblemished skin that the cave had protected from radiation. Yeah, dude’s touch was creepy as all get out, but he’d saved me. I let him have his moment.

I told Taz my story, minus the bit about wife shopping, sleeping around, and that I’d broken fourteen of the Fifteen Commandments. What? You thought there were only ten? Editors—what can you do? I offered Taz any help my years of knowledge could provide. He took me to a lounge area where people sat and socialized, all with O2 masks and as scarred and disfigured as Taz. But I paid little attention. I was staring out the window at the stars trailing behind us.

Taz explained we were aboard the Hope, and I’d been in a medically induced coma for the last two months as they’d treated my malnutrition. Hope’s mission was to carry the brightest and healthiest of our dying planet out into the stars in a last-ditch effort to discover a habitable world—any decent rock would do. Once found, the crew would set up a colony and send the ship back on autopilot for those left behind. Everyone knew it would take more than one lifetime, and no one would be left on Earth to rescue.

Days before launch, they’d been shocked to detect life signs on an island in the Dead Zone, and Earth’s remaining physicians had debated whether I would survive. Still, as the most untarnished of our species, I was loaded aboard the Hope in the hopes of recovery.

It was presumed we would have enough time en route to solve the reproductive issues plaguing their generation. We did not. We mourned the passing of each crew member in the years that followed until it was down to Margo and me. At 78, she had a stroke that left her brain dead. Like those before her, I hooked her up to life support, not in the hopes of recovery, but out of the need for carbon dioxide. As people died, our decreased numbers failed to generate enough to keep our plants from dying, our only food source. Turning off the CO2 scrubbers wasn’t enough. But even on life support, the crew’s bodies eventually gave out. Margo was the last. It’s been eighty years since I hooked her up—eighty years of solitude, nothing new for me. With her death today, I’ve become the sole source of carbon dioxide, and I am woefully inadequate.

The Hope has found no habitable planets in the 130 years since our launch. But even if it does, what’s the point? Still, I will maintain her systems and keep Hope afloat as long as I can. I’ve quarantined the last plants in an incubator and wear a mask to collect CO2 for my infant garden. I calculate it will grow just enough to keep me alive. Of course, my Horticultural degree is over three hundred years old. So, who knows? 

I think of Aiyana and our children the same way I’ve thought of them every day for the last 753 years. No other filled my heart as they did. I carry on knowing that one day, we will all flower together forever. But until then, this is my life. I am the last of our kind. I am not immortal, but I have not died. The same could once be said for everyone. We are all immortal until the day we are cured.


MN Wiggins is an internationally published author, surgeon, voice actor, and humorist from the American South whose short stories have been published in The Horror Zine, Symphonies of Imagination, AcademFic, and more, including stories performed on The No Sleep Podcast, Creepy, Frightening Tales, and Kaidankai. Dr. Wiggins’s complete works may be found at MNWiggins.com.

Filed Under: 12 – Fiction

The Storyteller

By Aditi Pant

‘The way you wrote about her

With hostility, hurt, derision

And just a hint of wistfulness’

There are two facets to this story. One is simple and the other not so. When you are caught in a current that is stronger than you, you swim with it and give yourself a chance at survival.  This is simple. Or you struggle against it and either drown or create a story. This is not so simple. It seems all my life I’ve been working against the will of fate. Yet, destiny, fate, call it what you will has its tentacles all around me and I am winded. I’ll leave it to you to decide if I am drowning or if I have created a story.

I could start at the beginning; however, I’m not sure where it all began. So, I’ll start somewhere in between. There was a time when I couldn’t sleep unless I wrote something. So, stalked I was by reality that if the words were wistful and surreal I slept sooner and better. These days however, my dreams are becoming more and more real and reality is slipping into a dream. At times, I’m not sure if I’m awake or asleep or if it really matters. The doctor that comes to see me once a week says I’m prone to rambling (among other things), but then what is a good story without the subconscious surfacing occasionally? 

Is love really blind or does it give us an alibi to be blind to the society, to own up to our fragilities, our vulnerability that make us truly human? Is everything just perception? It could be my medication but what seems real right now are phantom shapes, muffled sounds and the arbitrary traces of memory which blends the septic with the sterile. The storyteller, they called me, even though they knew the stories I told were not my own. The irony is, today when I have my own story I can’t tell it right. My senses are fuddled. I feel drugged. My weakness is exposed. All the learning I audaciously shared with others was just chaff in the wind. I fell – and how!

Even my present seems like a flashback. All I have is a flashback and a story I can’t tell. So, I’ll just show it to you in glimpses that are more lucid than the big picture. What I’m concerned about is the fact that if my present is a flashback, how will my past be presented? Do I even have a future? This is where your genius will help me out. Connect the dots for me, connect this haiku like life and see if the story reveals itself. 

Right now, I’m waiting. You’ll know for whom soon enough. Nainital is beautiful after a storm. The rain wipes out all the grit and there is a poignant clarity in the air that moves the soul. Once this picturesque beauty would have calmed me, even inspired me, however, right now, like reality, it eludes me. As I stare at the lake from the balcony I know the olive placid waters are deceptive. There are undercurrents and hidden depths that fascinate and scare me at the same time. My meditative mood is broken as former events abruptly surface like ripples in the lake and assail with a kaleidoscope of emotions. I’m torn. The tea grows cold in my cup. I go inside for a refill from the warm kettle she has left me. The quiet waters of my being are disturbed and underneath I’m unpredictable, just like the lake. However, don’t see me as an unreliable narrator yet. They called me the storyteller, right? That should count for something.

Am I rambling again? Yet what can I do? I’m only a puppet; puppet in the hands of my own obsession, love, and an angst that keeps one awake at night. Love is the reason for all unreasonable actions and hence the sharp bends in my feelings for Basu – from jealously to hate to doubt to infatuation to love and to jealously again are justified…I think. Who is Basu you might ask? I didn’t promise a linear story, did I?

To a waif, rebel and a person with few means it meant a lot to be adopted by Pritam. Adopted seems like a strange term to use (I was a 23-year-old then), and I would have said befriended but then I owe everything I have to Pritam hence ‘adopted’ should suffice. We first met at the Boat House Club that organises poetry reading sessions. Our conversations were often engaging and sometimes argumentative. How could they not be when our worlds were so diverse. Pritam was aristocratic, affluent and influential. His beautiful colonial bungalow, overlooking the emerald lake was the talk of the town. But what really attracted people to him like moths to a flame was his large warm heart. He loomed larger than life.  I had nothing except a brooding silence that only underscored my poverty and loneliness. Despite being only a decade older than me, Pritam soon became my mentor, benefactor, guide, and a father figure.  He opened his heart and home to me and all because he thought I had ‘potential’.  What he saw in me, a twisted mind with a sour disposition (the metaphor of a moth describes me quite well) I never knew. Yet, I knew for a fact that his friendship changed my life as I knew it.  He gave me a place to stay (his own bungalow), and everything else including the clothes on my back till I could afford them on my own. Even my earning a living and some fame at my vocation came from the few discreet calls he made to his ‘friends’. (If you haven’t guessed it already I’m a writer and a very mercurial one at that). He gave me a chance at living and I looked up to him with reverence. I missed him on his frequent visits abroad and looked forward to his company when he returned. We would sit under the mango tree in the courtyard where he would talk of his journeys as I listened with rapt attention. Or we would just stare at the chestnut trees illuminated by the lamp post near the gate and share a communicative silence. So, deprived was I of any humane feeling before I met Pritam that if my love for him turned obsessive, or if Pritam’s regard for me was a mere guise to use me as an emotional punching bag- I wouldn’t know. 

Coming back to the heart of the story. My being jealous of Basu made extreme sense as I saw her poised to take away the only certainty I knew – Pritam. When his letters from London started mentioning Basu I didn’t pay much attention and brushed her aside as his latest infatuation. But as Pritam’s helplessness became evident I knew this was more than just mere craze. “She is a dream …elusive and encompassing all at once” he once wrote. At first his letters were full of love; eulogizing the beauty of Basu. Then they reeked of doubt and rancour that I didn’t know Pritam was capable of. “She was gone as soon as it was midnight and she is no Cinderella” he wailed in one letter and in another he pondered, “is she trying to kill me…or is it my imagination?”

Pritam’s letters fuelled my growing hatred of Basu, as not only did she take away from me the only solace I’d known but also it seemed that she had a sinister side that had completely changed Pritam. Or was it Pritam who had the ominous side? He seemed crazed and bitter. His letters were now getting more and more ambiguous and I couldn’t fathom if he thought Basu was deliberately harming him or he felt gall; poison develop inside him as he suspected her of loving someone else. My hatred was solidified when I received a letter from Pritam saying, “We are married now…nothing and no one can take her away from me. “ Such an extreme step? Why? How could he marry someone who he suspected was destroying him in bits and pieces. 

I decided to visit them and made all the necessary arrangements when I got a message informing me of Pritam’s death and of Basu’s impending visit to his estate. My head reeled. To say that I was shocked would be an understatement. Not only had I inexplicably lost the only human I cared about but my sanctuary, my home, would now be violated.  I vowed retribution. 

When my nemesis, Basu arrived at the estate, the juxtaposition in my attitude towards her was so acute that I wouldn’t have believed it had my being a writer not made me more astute towards the human condition in general and my own in particular. Was it her innate beauty? Her seemingly innocent eyes? Her careless laugh?  My heart it seemed had completely manipulated my mind and all my worlds came crashing in as I could not prevent myself from being besotted by her. Basu was exactly the kind of woman who would inspire such passion in a man. I was the third man (if Pritam’s letters were to be believed) that thought himself in love with her. She would flick her hair from her forehead and look at me straight in the eye; “You are exactly how Pritam described you- I’m not sure if I’m relieved or disappointed”.  I wouldn’t know what she meant when she said that, and yet everything she said or did seemed so fascinating that I was consumed by the stardust. I knew then what it meant to bring the murderer home and in this case to bring the murderer to the heart. I was cognizant of wanting her to be completely innocent. It seemed my own mind was tearing those damning letters from Pritam into small bits and was letting them flow wherever the wind blew. Was I being disloyal to the one person who had been magnanimous and true to me in this entire world? And more importantly did I even care? 

Are you connecting the dots yet? Can you see my boat buffeted by the winds of fate and waves of destiny? 

Love can make a fool out of you. One clings on to hope that isn’t there. One imagines scenarios that never happened and one denies what is actually taking place under one’s nose. I was no exception and putty in the hands of the very woman I promised myself to redress. Reality, began to bite, and I winced in pain when I finally received a letter from Pritam that was lost in transit. It seemed that Pritam had lost his mind. He hallucinated and further questioned Basu’s character and morality to the extent that he wrote “she might have married me for my wealth… I found sleeping pills at the bottom of my coffee mug.”  Despite these suspicious if not damning developments I remained blinded by my infatuation. Like the placid waters of the lake everything looked tranquil at the surface but the undercurrents were winding me. Denial created its masterpiece when I not only ignored the evidences that were piling up, but also decided to turn over Pritam’s estate to Basu. I don’t know why I decided to do that. What was I trying to prove and to whom? Was it loving that made me so weak? Was I defying fate? This duplicity with a father figure especially after his death made me question my ethicality. I just wanted someone to shake me out of my trance like state. It was almost as if Basu had cast a spell and I was trapped without redemption. 

To give credit where its due, Basu never really showed any affection towards me. She was almost always polite except when she would sometimes smirk and say, “That is the writer in you speaking.” She would look at me sometimes and not see me at all. I desperately wanted her to see me. She would be singing and would stop abruptly. I needed to know why. She would stare out of the balcony for what seemed like hours and I wanted to be her thoughts. The only time I actually got her attention was when I told her of my decision to give the estate to her. Even then I saw no triumph in her eyes – only something akin to pity. Or was it amusement?  What did she want? Was she the grieving widow who sighed into her tea cup or the girl next door who petted the pathetic street dog that sometimes strayed into our courtyard or was she the temptress that shook the very foundations of my being by her unexpected laughter. 

Now you see me as not only an unreliable but also possibly an unscrupulous narrator. Ambiguity is key here. Was Basu really a murderess? Did I really want to know? Like in life at the end of it all, we are just left with questions and no definitive answers. We are mere puppets in the hand of The Almighty and the wilful author changes our mind about characters with gay abandon. Is this why I wanted to be a writer? 

Enough of my musings, the storm had passed. As the darkness approached I knew it was getting late enough to be worried. I once again stepped into the balcony and looked down. Except for a drenched street dog that was lying down miserably near the gate, there was not a soul to be seen anywhere. Rain water had puddled under the lamp post. A breeze ruffled the mango tree in the courtyard and a few twigs fell down and broke. Thunder rumbled in the distance. Did I hear a soft knock at the door? I turned back: no one. It was possibly just the wind or probably my imagination. I know there is no one at the door, and yet at the slightest sound I always turn to look.  It has become a habit. This anticipation will be my undoing. 

Turning over the estate to her was a tedious process. The dashing lawyer visited us several times. I saw how he looked at her, with contempt and doubt. He also asked me to reconsider my decision. “It’s only a stroke of fate that Pritam bequeathed the estate to me in the first place. It should rightfully go to Basu; she is his widow,” I replied. It was uncanny to see my initial feelings for Basu reflected in the young lawyer’s eyes. He hated her. He pitied me. 

But if you are connecting the dots you would know that I also saw how Basu looked at him, and intuitively knew that the young lawyer’s hatred wouldn’t last for long. 

Once I turned over the estate to her, the changes became apparent. Had the sparkle in her eyes dimmed? Was she less or more mysterious? Or had my perception changed? Was I fixated and hence bitter? Did I feel insecure? Was there a reason why I felt unhinged most of the time? Was this an emotional ramification of a physical state or a physical manifestation of an emotional one? I stopped writing-my only tool against destiny. Was Basu trying to kill me? Why? Did I wish to possess her? Could one really possess the wind? With horror, I realised I had become another Pritam.

Call it epiphany. Call it state of mind. The present, the flashback, return all at once. The thunder rumbles. The lightning once again illuminates the beauty of the hills and valley. The lake is silent, dark, and waiting. At some point Basu will return. “I needed a long walk,” she will say. 

“Where were you during the storm?” I’ll ask. Her reply will shock me. Later, while taking the kettle to the kitchen sink I’ll see this strange residue in the lees. Pills?

As I fall into a fitful sleep I’ll hear our voices ricochet in my dream.

“Where were you during the storm?” I whisper.

 “I am the storm, you fool!” she laughs.  


Aditi Pant is an award-winning educator, columnist, author and poet. A postgraduate in Education from the University of Delaware, she enjoys teaching English to high school students in India and USA.

Aditi writes for the column ‘Oasis’ for the Deccan Herald newspaper and spiritual stories for Masala Radio, Sugarland, Texas. Writing is both her passion and sanctuary. Her debut, Zen on the go, a collection of uplifting stories garnered much acclaim. Her novels, The Turning of Seasons, where she blends prose and poetry in a poignant tale of love and loss and Maya, an epistolary novel with a psychological twist have won her many salutes. When she’s not writing, Aditi can be found reading, teaching, cooking, going for long walks and what can only be described as multitasking while drinking copious amounts of tea.  

Filed Under: 12 – Fiction

Trust Your Writing Process

By Pamela Kaye

Of course you know that you are not the first person on the planet to pursue writing, but have you thought about learning some of the habits of successful writers who came before you? Myriam Gurba, the author of the memoir Mean, became interested in writing as a vocation when she was a teen. In an interview with The Writer magazine, she described researching the lives of respected authors:

“I researched specifically what their process was. How did these writers come to be writers? I took notes on practices they engaged in that I could replicate at home. I couldn’t replicate all the practices, but I could replicate some of them. So, for example, I would learn about what Sylvia Plath’s writing schedule was and what her practice was. I would go home and replicate it as a teenage kid. I taught myself to write through choosing literary ancestors and mimicking them.”

Each writer develops a writing process. Do you realize that you have a writing process? Often, the process includes a period experienced as procrastination. When it’s time to write, you first wash the dishes, go through the mail, and maybe even clean out the refrigerator. Do you find that sometimes you go to great lengths to avoid sitting down to write? When you recognize that this anxious avoidance is part of your process, you can stop berating yourself for procrastinating and, at the same time, rein in this resistance. Try making a deal with yourself that you will spend a limited amount of time preparing to sit down and write. Give yourself fifteen minutes, or however long you decide, to put in the laundry, reschedule your dental appointment, and fix your cup of tea. Understand that this avoidance/preparation time is part of your process.

Many experienced writers, who understand their writing process, replace random avoidance with some type of ritual that addresses their anxiety and lets their mind know that it’s time to write. Author Steven Pressfield describes his ritual in the introduction to his book The War of Art:

“I get up, take a shower, have breakfast. I read the paper, brush my teeth. If I have phone calls to make, I make them. I’ve got my coffee now. I put on my lucky work boots and stitch up the lucky laces that my niece Meredith gave me. I head back to my office and crank up the computer. My lucky hooded sweatshirt is draped over the chair, with the lucky charm I got from a gypsy in Saintes-Maries-de-la-Mer for only eight bucks in francs, and my lucky LARGO nametag that came from a dream I once had. I put it on. On my thesaurus is my lucky cannon that my friend Bob Versandi gave me from Morro Castle, Cuba. I point it toward my chair, so it can fire inspiration into me. I say my prayer, which is the Invocation of the Muse from Homer’s Odyssey, translation by T.E. Lawrence, Lawrence of Arabia, which my dear mate Paul Rink gave me and which sits near my shelf with the cufflinks that belonged to my father and my lucky acorn from the battlefield at Thermopylae. It’s about 10:30 now. I sit down and plunge in.”

Prolific author Isabelle Allende starts a new book every year on January 8th. When asked what she does if she doesn’t know what to write about, she said she waits. She sits quietly and waits for an idea to come. Sometimes it comes right away, sometimes it takes months, but she understands that that’s part of her process and that an idea will come.

There are conditions that support your writing process. One of these conditions is some amount of solitude. Sandra Cisneros, the author of The House on Mango Street, says,

“Solitude, which most of our society sees as something negative, is sacred. That is the time for you to develop you. And I can’t repeat that enough, especially to women, because we tend to love in ways that give away all of ourselves and leave nothing for us.”

When Maya Angelou started writing a book, she famously rented a hotel room to get her needed solitude. She instructed the housekeepers not to touch anything, not to change sheets on the bed (because she never slept in it), and to remove all the pictures on the walls and any other distractions. She showed up every morning at the same time, lay down on the bed and propped her head up with one hand, and wrote in longhand, day after day:

“I have kept a hotel room in every town I’ve ever lived in. I rent a hotel room for a few months, leave my home at six, and try to be at work by six-thirty.”

Alice Walker, who has successfully published in a variety of genres, describes her process:

“I wrote every morning, or I made the space. Because part of writing is not so much that you’re going to actually write something every day, but what you should have, or need to have, is the possibility, which means the space and the time set aside—as if you were going to have someone come to tea. If you are expecting someone to come to tea, but you’re not going to be there, they may not come, and if I were them, I wouldn’t come. So, it’s about receptivity and being home when your guest is expected, or even when you hope that they will come.”

Some writers write at the same time daily. Some write a certain number of pages every day. Other writers write for a set amount of time. Some writers find that working in the same space helps, while others seek variety in their workplaces. Notice what works for you and develop your process. Then trust that you will make progress if you follow through with your process.

There is a certain mystical aspect to the art of writing; from nothing, you create something significant. Carl Sagan, a famous astrophysicist and author, honors the magic of books:

“A book is made from a tree. It is an assemblage of flat, flexible parts (still called “leaves”) imprinted with dark pigmented squiggles. One glance at it, and you hear the voice of another person, perhaps someone dead for thousands of years. Across the millennia, the author is speaking, clearly and silently, inside your head, directly to you. Writing is perhaps the greatest of human inventions, binding together people, citizens of distant epochs, who never knew one another. Books break the shackles of time—proof that humans can work magic.”

If you are in the middle of a writing project and you feel lost or discouraged, trust that your writing process is sound and that it will hold you in good stead. Or perhaps you need to shore up your writing process; consider what would help you make steady progress. All the while, understand that confusion and even despair are often part of the writing process. 

If you are a writer, you are engaged in holy work. Be aware that you have a process and make sure that your process works for you. When you run into problems, that doesn’t mean that you’re a lousy writer; it just means that writing is challenging. Trust your writing process.


Pamela Kaye is a retired Sociology professor. She writes essays and has been published in The Sun, Mixed Mag, and other publications.  Pamela is a nascent botanical watercolor artist. When she’s not writing or painting, you can find her collecting sea glass near her home in Monterey Bay.  

  • Talk to the Practitioner: Myriam Gurba – The Writer.
  • Writing Wednesday: 10 Strange Superstitions of Your Favourite Writers
  • Reading Pressfield’s The War of Art (pt. 3: Invoking the Muse)
  • Alice Walker Offers Advice on Writing – Writer’s Digest 
  • The Legends of the Nittany Valley – Mount Nittany

Filed Under: 12 – Non-fiction

My summer of demolition and renovation: Remodeling our bathroom and learning I had cancer in my face

By Carolyn Porter

Twenty-four years ago Aaron and I purchased the home where we still live. It’s a classic mid-century rambler with three small bedrooms and a full basement. Sometime in the 1980s, a previous owner converted the one-car attached garage into a large kitchen, and the oversize lot had big, magnificent trees. As the saying goes, it had good bones.  

As with any 70-year-old home, things need fixing and updating, and we’ve tried to tackle one project a year. Years when money or time was thin, we’d do something small like update a light fixture. Other years projects were bigger. One year we painted the exterior of the house. Other years we hired people to replace flooring, windows, the roof (twice), and we added a bedroom and bathroom in the basement.

But there was one project we never had the gumption to tackle: the main-floor bathroom. 

The room had issues. It didn’t have usable electrical outlets, and the light switch was in the hall. We tried to remember to tell guests where to find the light switch, though we presume somewhere along the line someone has gone potty in the dark because they couldn’t figure out how to turn the light on.

Over the years the original linoleum floor tiles started to crack. A hole in the floor near the tub turned black. The tub leaked. Still, we put it off. To fix it right we presumed we’d have to take the room down to the stud walls, and the disruption seemed overwhelming. So did the price tag. One potential contractor told us projects like ours started at $75,000. 

———

In the fall of 2023, Aaron and I decided the bathroom had to be addressed. I reached out to a local kitchen and bath remodeler, Preferred Kitchens. Neither Aaron nor I wanted to spend $75k, yet neither of us had the interest or expertise to do it ourselves. We could do some things: demo, painting, hooking up a new faucet. But we didn’t know any tradesmen. When it came to a tiler, electrician, or carpenter, we’d be at the mercy of Google and we weren’t comfortable with that. We wanted to work with someone who had connections and expertise. 

The first planning meeting with Preferred Kitchens was in December, 2023. Aaron and I were told what we hoped to hear: they’d help select materials, order all the pieces and parts, then coordinate vetted craftsmen to provide top-quality work. 

I came to that first meeting with a preliminary sketch, colors, and ideas. I hoped to be the client I wanted my clients to be: clear in vision, collaborative, decisive. Some of my initial ideas had to be abandoned due to cost, but our designer and project manager, Jaime, brought great new options and ideas to the table. As suspected, the room would have to be taken down to the stud walls in order to update the original wiring. 

Three months later, in February 2024, Jaime and I had a third and final planning meeting. We reviewed schematics and all material selections. The new bathroom would have small hexagon marble floor tiles, a dark blue vanity, a new oak linen cabinet, stone countertop, Kohler tub/toilet/sink, a fancy new light fixture, and … drumroll … electrical outlets. I handed over a deposit check. The remodel wasn’t going to be $75k, though it would cost half that.

COVID-era supply chain issues had mostly abated, but Jaime expected it could take two months before all parts were delivered. She said her team would put together a project schedule once they had confidence on timing. Weeks later, Jaime emailed the schedule. Demo was scheduled for May 15. After that, the carpenter would shore up flooring, then the plumber and electrician would do their work. She allocated a week for drywall and two days to tile the floor. The room would be painted, the carpenter would install the vanity and linen cabinet, then the stone vendor would come out to measure the countertop. Finally, the counter and sink would go in and the carpenter would finish the trim work.

I was elated to have a solid plan. Jaime assembled a three-ring binder for our project. Every detail — down to the placement of the knobs on the vanity — was carefully documented. Each tradesman could consult his tabbed section to see a list of tasks, supplies, and applicable schematics.  

My OCD graphic designer heart was thrilled.

———

On a Tuesday morning in mid-April, one month before demo was schedule to take place, I called to make a dermatology appointment. Similar to changing a furnace filter or cleaning out gutters, it was routine “maintenance.” Also similar to those tasks, it was a to-do that had been easy to fall behind on. The receptionist looked up my medical record and noted it had been more than five years since I had been seen, which meant I was considered a “new” patient. She told me they weren’t scheduling appointments for new patients until February — of 2025. 

“Unless,” she added, “you could come in today at 1:00.” She explained they had a cancellation that morning.

“I’ll take it,” I said, feeling lucky. 

Three hours later I was sitting on the exam table. The dermatologist I had seen previously was no longer with the practice, so a new doctor was looking me over. 

All previous dermatology appointments had been uneventful. Any spot or lump was met with confident assurance that it was a dermatofibroma or a senile purpura — a.k.a., nothing to worry about. One dime-size spot on my breast had been assessed by my previous dermatologist; she assured me it was a benign seborrheic keratosis. If I ever wanted, she said, I could have it removed. 

Over the previous year or so the spot on my breast had changed enough that I wanted to have it looked at and, if possible, removed. I showed the new dermatologist the dime-size spot and pointed out a few other spots and bumps: one on my left ankle, another on my right shin, a dry spot on my abdomen, and a small bump at the base of my left nostril. I wasn’t particularly concerned about the bump below my nose. It wasn’t discolored. It didn’t have an irregular edge. It didn’t bleed. It didn’t have any of the characteristics we’re told to watch for. I explained it was like a zit that never turned into a zit. I had recently seen a photo of myself where the spot seemed more noticeable than usual and when we discussed removing the spot on my breast I asked if the spot under my nose could be removed, too.

The dermatologist looked at it through her hand-held scope and said she was “55% sure” it was nothing to worry about. She said it would be easy to remove and offered to remove both spots right then and there. 

The following afternoon I was scheduled to review graphic design student portfolios at UW-Stout. I was vain enough not to want to sit across from students with a Band-Aid below my nose, so we scheduled the appointment for the following week. The follow-up appointment lasted all of 10 minutes. After numbing the two areas, the spots were shaved off. I was surprised the tissue from below my nose was put in a specimen vial. The dermatologist had seemed so unconcerned about it. Sending it for analysis was standard procedure I was told. No one seemed worried.

When I got home I looked at the excision below my nose. I was thrilled. It was so small it didn’t even need a Band-Aid. It seemed small enough it might heal in days. And it did. By Friday morning it was barely visible. 

Carolyn & Aaron, October 2023, six months before biopsy

Shortly after 5:00 on Friday, April 26, I received an email saying biopsy results were available. I logged in to the secure health care portal.

The dime-size spot removed from my breast was, as expected, benign. 

The small spot below my nose? 

Basal cell carcinoma. I had to Google it.

A sidenote to health care companies: it doesn’t make for a fun weekend to send test results showing cancer on Friday after close of business.

The dermatologist’s office was closed on Monday, but a gentleman called early Tuesday morning. He explained the next step was Mohs surgery, which is where a doctor cuts the cancer away bit by bit until they get clear, cancer-free margins. Because of where the bump had been, they offered the option of plastic/reconstructive surgery. 

The words made my blood run cold. It was such a small spot. The thought of needing plastic/reconstructive surgery seemed so … serious.

Aaron works in surgical services at Regions Hospital and jumped into action. The next day he approached a plastic surgeon he trusted who specialized in ear/nose/throat cases, and asked if he would do my reconstructive surgery. He agreed. 

By the time I got a call from the surgery scheduler, which didn’t happen for another long, sleepless week, I was able to tell her Dr. Harley Dresner had agreed to do the reconstructive surgery. In the following weeks I would hear nothing but glowing reviews of his work. “If I had to have my face cut open, I’d want Harley to do it,” two different people told me.

Days later the scheduler called again: Mohs surgery was scheduled for Tuesday, June 18. The plastic/reconstructive surgery with Dr. Dresner was scheduled for the following day.

Aaron and I had several long conversations about what surgery might mean. I tried not to obsess about what ifs, but the possibility of having part of my nose removed kept me awake at night (for those of you who read Marcel’s Letters you know I’m not a good sleeper to begin with). Losing part of my nose was a legitimate concern based on where the spot had been. With melanoma — which is a more aggressive cancer than I had, to be clear — Aaron said they often take a one-inch margin to ensure they get all the cancer cells and roots. He didn’t know what the typical margin was with basal cell carcinoma. If they had to take an inch, the entire left side of my nose would be gone. If they took a half inch, I’d lose the nostril and nasal sill. If they took a quarter inch I’d lose part of the nostril and part of the nasal sill. Even if they only took an eighth of an inch I’d lose something.

But what was the option? 

“They’ve got to get that shit out,” Aaron stated one day when I questioned if the surgeon really needed to remove so much. “We’ll deal with whatever’s left.”

It felt easy for him to say. It wasn’t his face.

———

Demolition of our bathroom was scheduled to begin the following week. I reframed the mess they were about to make. To use Aaron’s words, the demo crew would be “getting the shit out” to set the stage for our beautiful new bathroom. Rather than looking at demolition as an inconvenient mess, I saw it as a fresh first step.

In less than an hour, the three-man demo crew removed the vanity, sink, tub, toilet, linen closet, and linoleum floor. In a handful of more hours the room was down to stud walls. 

The three-yard dumpster in front of our house was full. The shit was out.

The next morning the carpenter began shoring up the sub floor. Days later the tub was installed, then drywall went up, then the tile floor went in. The care and craftsmanship that went into the rebuilding felt like a good omen.

———

Only a handful of friends, immediate family, and a few clients knew about my upcoming surgery. I didn’t tell others because I didn’t want to under- or over-theorize what the outcome might be. Aaron reminded me I might not even need reconstructive surgery. Maybe the first round of Mohs would be all they’d need to get it all. Maybe they could whip the spot together with a couple of stitches. 

The short list of people who knew included Jaime. As soon as surgery was scheduled I asked her to block off the week of surgery. I didn’t know what I’d need on the days of, or after, surgery, but in case I needed a quiet house, I didn’t want people coming and going, hammering and sawing. She assured me none of the tradesmen would come to the house that week and modified the schedule accordingly. I was grateful. 

In the weeks after the diagnosis, I berated myself for not having scheduled the dermatology appointment sooner. I berated myself for the blistering sunburn I got the summer I was 13; I had recently learned a bad burn before the age of 18 raised my chances for skin cancer. I berated myself for having used a tanning bed in the spring of 1987 before high school prom, and in the spring of 1991 when I was finishing my last semester of college. I berated myself for not having a daily practice of applying sunscreen, and for the various sunburns I had gotten on vacations or when doing yard work. To say I was unkind to myself would be an understatement. During those weeks, one of Aaron’s favorite sayings from his decade working as an ER nurse kept coming to mind: “If you’re gonna be stupid, you gotta be tough.” 

I steeled myself to be tough. Cancer seemed an inevitable outcome of my stupidity. 

Disfigurement seemed like apt punishment. 

The hardest part was the unknown. Would I walk out of surgery with a few stitches? Or would I walk out missing part of my nose? One night I went down a rabbit hole of researching silicone prosthetic noses. Helpful tip: Don’t do that.

What I desperately wanted was a Jaime-like three-ring binder with detailed, specific plans for demolition and reconstruction. Instead, I’d meet the doctors moments before the procedures. There would be no advance planning, no reviewing schematics, no making selections. Instead, it felt like I was signing up for one of those home makeover reality shows where you hand over your keys, leave your home for a bit, and cross your fingers that you can live with the end result. 

The weekend before surgery I blocked off time each day to do yoga and meditate. I wanted to go into the week in the best possible mindframe. One of the guided meditation sessions, by happenstance, had a theme of forgiveness. The woman leading the session asked us to think of a person we wanted to forgive. With a sweep of uncharacteristic self-grace, I tried to forgive myself for all the cruel things I had said to myself the previous weeks.

Then I cried. 

———

Aaron drove to the Mohs surgery appointment. I was anxious, but calm. Maybe I was in a shocked state. I hoped to keep my nose, but if I couldn’t, I wasn’t going to stop the doctor from taking it. More than anything I wanted the procedure to be over to have clarity on what would be left. 

After a brief consultation with the surgeon, Dr. Tan, his assistant injected lidocaine into my nose and upper lip, and he removed skin surrounding the site of the original biopsy. The procedure only took minutes. The assistant bandaged my nose and upper lip, then escorted us to a special waiting room. Meanwhile, the specimen was mapped and sent for microscopic examination. Aaron and I were told it would take 60–90 minutes before they’d have results. 

I was called back to the exam room in just 45 minutes, so I knew the news wasn’t good. The specimen showed cancer cells along the margin. Dr. Tan needed to remove more. 

The front of the nasal sill had been removed during the first round, but that was all he was going to need to take. The cancer was growing in the direction of my lip, not my nose. In that moment I felt one thing: extraordinarily lucky.

The second round of removal didn’t get all the cancer. Nor did the third. By the time the fourth round of removal was completed, an oval of skin that extended half way from my nose to my lip had been removed. Any notion of closing the hole with a few stitches was long gone. In fact, Aaron said Dr. Dresner had a bit of a “meat puzzle” ahead of him.

But by day’s end demo was over. Dr. Tan got the shit out.

———

The next morning Aaron and I headed to Regions Hospital. For fifteen years I had told Aaron that if I ever needed surgery, I refused to have it at Regions. If I had to get naked in front of his co-workers I would never — ever, ever, ever, ever, ever — go to another one of his holiday work parties. 

But there I was. Fixing the hole in my face was more important than my pride and privacy.

We were escorted to a pre-op room where I changed into a gown. Vital signs were checked. My medical history was reviewed. As Aaron’s co-workers cycled in and out of the room to conduct various pre-surgery checks, Aaron tried not to be “on duty,” but when we were alone he adjusted the tape holding my IV in place, the position of the bed, my pillow. 

Fifteen minutes before surgery, Dr. Dresner came in and introduced himself. He took a thin marker and drew on my face to show me how he suggested we approach the reconstruction. To get enough skin to close the hole, he needed to cut from the outside of one nostril to the inside of the other, and all the way down to the lip in the shape of a letter ‘V’. The two sides of the ‘V’ would be pulled together to create an ‘I’. Combined with the incisions around the nose, it would create the letter ‘T.’ It was a good way to explain the procedure to a someone who works with type. 

Dr. Dresner asked if the plan sounded ok. 

“I trust you,” I said. 

What was the option? I knew less about surgery than I knew about tiling or electrical work. I had no basis to counter his suggested approach. I had no option but to trust him.

After completing final paperwork I was wheeled into the operating room. 

Renovation was about to begin.

———

Surgery lasted an hour and a half. Or so I was told. As expected, I woke with a ‘T’ of stitches that extended from nostril to nostril and down to my lip. 

After a brief stay in a recovery room, I changed back into street clothes. Aaron and I headed home with a supply of Vicodin, antibiotics, and medicated ointment. Once we got home I put ice on my face.

By the next morning the left side of my face had swelled so much the inside of my top lip faced out. I drank a Vicodin-laced iced coffee, pressed a fresh ice pack to my face, then lay on the couch. The house was quiet, and I was grateful Jaime had modified the schedule.

Before Aaron left for work he made a spreadsheet for me to follow with times to take painkillers and antibiotics, and times to apply the ointment. He occasionally texted and called to check in. I told him it was as if I had gotten the most extreme lip filler imaginable — on one side of my mouth. “I do not recommend this esthetician,” I mumbled.

The truth is I was feeling the same thing I felt the day before: lucky. I could not yet picture what my face would look like once the swelling subsided. The swelling was significant enough that it would be days before I even realized that Dr. Dresner had cut down into my lip. And it would be another two weeks before I realized my philtrum was no longer centered below my nose. But I felt grateful Dr. Dresner had done the work; it seemed he had done a skilled and careful job.

———

The following Monday the carpenter showed up to re-start work in the bathroom. I wore a surgical mask while he was in our house; he didn’t need to see the stitches or swelling. 

Two weeks earlier we discovered the linen cabinet had been ordered with the wrong color finish — a small bump in Jaime’s otherwise airtight plan — and the big task of the day was for the carpenter to install the correct new cabinet. I felt buoyed. My surgery was in the rear-view mirror and all energy going forward — mine, Aaron’s, Jamie’s, the carpenter’s — could be spent rebuilding.

———

Twenty-three days after surgery the last big step in the bathroom project was completed: the countertop was installed, and the sink was re-connected. All that was left was touch-up painting. The project took longer than planned due to an additional hiccup with the countertop; thankfully it was something that could be fixed by shipping the stone back for one modified cut. We were grateful for Jaime’s project management, and the slight delay was less important than having a beautiful end product. 

Also, twenty-three days after surgery the bulk of the swelling in my face was gone. What remained was a knot — a knot that would take another five months to resolve. I hoped to regain movement, feeling, and pliability soon. Talking at length was still a challenge and smiling could be painful, but I was no longer having to drink through a straw or cut my food into toddler-size bits. On the days I was frustrated by the slow pace of recovery I tried reminding myself of the lessons from the wrong color cabinet and incorrectly cut countertop: slight delays didn’t matter as long as there was hope for improvement.

It was still unclear what the final “after” would look like: how obvious the missing part of the nose sill would be, how visible the scar between my nose and lip would be, how obvious my repositioned philtrum would be. I was warned it could take a full year for all residual swelling to go away. Dr. Dresner’s office provided contact information for an esthetician who specialized in masking surgical scars. But her office wouldn’t schedule my appointment until six months had passed since surgery, so it wouldn’t happen until December.

Overall I continue to feel lucky. And grateful. Lucky I called for the appointment the day the dermatologist happened to have a cancellation, and lucky the cancer grew the direction it did. I feel grateful for all of Aaron’s support, grateful to work out of home office so I could heal with privacy, grateful to have good health insurance. And grateful that all summer we were surrounded with caring and skilled craftspeople — carpenters of wood and skin alike. 

As for the consultation with the esthetician in December?

It turns out it was just in time for the Regions holiday work party.      

   

Progression of pictures showing before and after surgery, up to ten months after.

Carolyn Porter is a freelance graphic designer, type designer, and author. Her first book, “Marcel’s Letters: A Font and the Search for One Man’s Fate” was awarded a gold medal from Independent Publisher for Best First Book Non-Fiction and was a finalist for a Minnesota Book Award in Memoir & Creative Non-Fiction. She lives with her husband, Aaron, in White Bear Lake, Minnesota.

Filed Under: 12 – Non-fiction

All of Us Are Pink Inside

By Emilee Prado

The chairs smelled of new vinyl, assembly line raw. Antiseptic, of course, pervaded the clinic. After I’d sat in the empty waiting room for no more than five minutes, I was invited behind the heavy door and shown toward an overstuffed grandfatherly chair that stood out for its coziness amid the sanitation. When I sat, my feet didn’t touch the floor. I held out my right arm, but after a miss-stick sprayed the phlebotomist with my blood, I offered my left arm instead.

I didn’t need tests. I didn’t need care. According to the paperwork, I was a healthy participant.

A dozen small vials were drawn that day, but I’ve donated more. Pints of blood have gone to different research studies over time and maybe twenty gallons of plasma. Donation is a tricky word when we’re talking about human bodies. In addition to intravenous draws, I’ve received monetary compensation for donating urine, feces, mucus, ear wax, and tears. I’ve let people scrape from my tongue. At different points in time, I’ve swabbed my face or armpit or groin and mailed those microscopic flecks of myself in boxes to labs across the country. But it hasn’t been just myself going out. I’ve also let medical research put things in. Ultrasound wands, otoscopes, and needles, sure, but also the unknown. I swallowed unmarked pills for twelve weeks in the name of getting more options available to those of us who have struggled with what could be labeled PTSD. I’ve consented to being injected with new vaccines, and along with hundreds of other participants like me, our bodies made sure that shots for COVID-19 and the flu would save the lives of the more vulnerable.

I should clarify that in the wording of every consent form, participants are compensated what’s usually about minimum wage for their time, not for their fluids or anything else. Perhaps compensation for time is only to clarify and satisfy legal conditions. Maybe it’s a way to make people feel as if they are not subordinate to but necessary for a booming medical industry. Maybe the wording is meant to draw more people toward becoming subjects—or to use the newer, more frequently used term participants—which are in constant deficit.

In the US, it’s illegal to sell almost any part of a human body (hair, for example, is one notable exception). But what if I framed the type of donation I’ve participated in as something like medical prostitution? Sluts for science? There is a strange sense of intimacy with medical institutions here. I’ve also experienced a lingering sensation of feeling used, despite how I’ve volunteered. Certainly, no one has been gratified by any of my work in this field, but hopefully, people were helped. This thought makes my personal ambivalence meter lean a little more toward okay. I feel a mixture of empowerment and shame when I give pieces of my body away. I felt both practical and desperate back when I did it regularly.

In addition to the specimen collection aspects of research, I’ve also slept attached to machines so science could watch me breathe. My heart has beat and beat, sending spikes along yards of EKG printouts. My ears have been pummeled by dozens of hours of MRI cacophony during brain scans while the machine’s coils lurched and vibrated with fervor in the white casing around me. The cognitive tests I’ve taken certainly outnumber the medical ones. I’ve remembered and forgotten for Alzheimer research. I’ve navigated new interfaces for anxiety and depression education. I’ve sorted random objects, made patterns, pronounced synecdoche, tried to have the fastest reaction time, and been monitored while having virtual reality experiences. I spent two hours every day for weeks training to navigate a video game city and wondering if I’d actually gotten better over time. Rarely do participants get to see any results.

So why did I sometimes put myself through all kinds of hells to essentially make a part-time job of participation in medical and cognitive research? It’s difficult to pinpoint a single reason. One thing I know is that I’ve held a range of other jobs in recent years, and although I’ve enjoyed aspects of them, they are mostly places where I left my blood, sweat, and tears and returned home a little emptier. However, when selling my body to science, it felt more like buying more time or more self rather than losing it.

I began participating in research consistently while I was facing an uncertain future and working a 2021 temp gig, contact tracing during the pandemic. I’d just moved to a city where I didn’t know anyone and felt foreign and uneasy in the US after spending years in other countries. At first, research allowed me to build connections with my new home by learning the geography between clinics. I was lonely too, although far too stoic at the time to admit it. Because I had no community in the traditional sense of local friends and family, I began looking forward to the strangers I’d meet each week. I welcomed the return to chitchat in my native language while also learning new ways of communication that helped each conversation hit some real note rather than just floating along as a superficial nicety. I learned about the kindness of other humans. It’s sort of funny to think that some of the nicest people in the world are the ones asking, Can I experiment on you?

Sometimes I had fascinating conversations with a researcher about their personal life, their past, their loved ones, their career goals, or their thoughts about science. When someone would hold my arm as they stuck the needle in my vein, it was often the most human contact I’d have in a week. Maybe it was because her white coat and lavender scrubs had already been sprayed with my blood, but I had a particularly meaningful conversation with the phlebotomist who sat me in the overstuffed chair that day.

She wasn’t much older than me. An artist too, a painter and a poet. She teared up when she told me about her dreams. Both of us turned out to be buying a stepping stone made of time, not on a path toward a career of wealth or fame, but on a path that would allow us to perpetually search, question, and make something newer or better or bigger while each of these creations in turn created emotions, journeys, catharsis, and spaces for others. Everyone sells themself in some way, so does it matter which piece of the artist’s body funded that moment of awe, laughter, heartbreak, or brief escape from the transactional world?

The painter day-lighting as a phlebotomist had the same dream that my grandparents’ families had when they trekked thousands of miles across lands or seas toward the vague idea of less pain and more joy—the so-called better life.

Twice, I’ve moved far away from a home toward the unknown to escape memories and acts of violence. I left a third home mostly due to the pain of a broken heart. I was still heartbroken when I volunteered for that first vaccine, and blood draw, and MRI. But as I kept leaving parts of myself for science, I kept finding parts of my way to a future where I’ll continue to create.

Could participating in medical research be some form of endurance art?

The pieces of my body have found plenty of new homes in fridges and freezers, so thanks to medical research, whenever I die, I might just outlive myself.


Emilee Prado is a writer, artist, teacher, and former research assistant at CUChange: The Center for Health & Neuroscience, Genes & Environment, which is housed at the University of Colorado Boulder. Her literary investigations into science and the human body often draw from her experience as a participant in various cognitive and clinical studies in Colorado and Arizona. She currently resides in Tucson.

Filed Under: 12 – Non-fiction

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