Boxes–A Short Story for MMWP


Christian Nursing Home

My submission for MMWP is a short, short story (fiction) for a change, inspired by my former nursing career. I’ve added a little explanation at the end. The prompt for this week was Labor/Work. Hope to see you there.

BOXES

At the end of your life, what will you have to show for it?

The question hurtled across the dark room and caught a ray of light as it passed the door that someone had left ajar. Institutional light.

What’ll you make of yourself? The words howled down the corridors of a time past when she had allowed other people to define her life.

She pulled the ratty shawl she’d knitted tight about bony shoulders covered by a layer of crepe-like skin and rued the dropped stitch she hadn’t bothered to catch as it slipped yet another row towards the mustard-stained fringe.

At the end of your life, when death draws near . . .

The question bounced around in her skull like ping-pong balls in a Lucite box smeared with little kids fingerprints. It was powered by air, she recalled—a project at a science fair that demonstrated random molecular movement? Yes, that was it.

The box was broken now. Molecules split to atoms to neutrons, protons and electrons. And more recently, quarks—whatever the hell they are.

The shattered box of her beliefs, strewn about and discarded like clothes too tight and out-of-style. Like toe-crushing shoes.

She fingered the blanket, threading her fingers in and out of woven sterile cotton: institutional warmth, or lack thereof.

The conundrum chased her around the corners of decades. It unfurled and breathed heavily on the nape of her neck–raspy, persistent. Or was that her roommate once again in respiratory distress?

Her hands lay before her. They were still now—old, used hands with see-through skin. Gnarly knuckles that appeared warped and disfigured like twigs from the oak tree in her backyard. (At home, not in this place).

Hands that had touched, caressed, soothed. Healed even. And sometimes caused pain.

Her distended veins bulged: rivulets crossing the map of her life. She pushed back her skin, stopped the flow, released, and watched dark corpuscles stream back in, carrying life-giving oxygen to her cells. One more day of life—or at least a part of one.

Good-looking veins, she thought, but deceptive like her life had been. Stick a needle in that fat one and it’ll blow or roll.

That’s what fifty plus years of nursing did for her. The knowledge of veins, arteries and blood. And shit, piss and vomit. And worse—much worse. At the end of her life, what would she have to show? That she could read blood vessels?

Service can pass for love, she knew.

If she were her own patient, what would be her diagnosis of herself. Her mind clicked into scientific mode and she began to reflect.

Subjective:

There was the hard, hard heart she carried in a steel box inside her hollow, hallow chest. This woman can’t afford to feel in the face of so much loss: dead babies, dead everyone. Nope, too dangerous look at the subjective. Think it’s better to pass on that one.
A cool breeze blew in from nowhere, walked down the juts of her vertebrae and settled at the base of her spine. Fanning out, the chill expanded and squeezed about her body to embrace the emptiness.

Objective:

Well, these were the facts. Two dead husbands; one dead daughter; a son gone missing; a divorce. Six dead dogs, one cat still alive. Not much money in the bank; a vacant, paid-for house, watched over by a neighbor (along with the cat, of course). A 12’ X 7’ cubicle in a room of three old ladies, surrounded by beige curtains—a hiding place, a box. 13K plus change in credit card debt and no one to leave it to. Ha-ha. A mind that bounces from here to there, imprisoned in a withered body; layers of skin that hang like empty sacks; lost promises.

A memory tossed her into the past: the day they’d painted their house a bright yellow with white trim: the happiness of the color and the joy of standing hand-in-hand with her second husband—the one she really loved because he loved her, too.

She shooed that thought away. Can’t afford to feel, remember?

Assessment:

The box is smashed and fragments of a life that could have been poured out. The diagnosis is clear: Altered reality; meaning deprivation related to . . .” To Nothing.

She’d read an obituary that morning about a woman who had it all wrapped up and tied with a bow, it claimed. Died in profound peace, it said. This mother, wife, friend knew where she wanted to go and went there, or something to that effect. They outlined it for the obituary readers: died surrounded by loved ones who would attend the funeral in the church, it promised. Neatly placed in her box. Amen.

Plan:

That’s what she needed: the answer to the question, she decided, wasn’t in this place. She knew it wasn’t this—not a box-room filled with white sheets, white blankets and a white commode chair. Not the sickly smell of urine and dirty dentures and not a hand-knitted shawl with a dropped stitch and a mustard stain on gray yarn.

She needed a plan with color.

Dragging her legs, numb with cold, to the edge of the bed, she reached for her walker and grasped the rubber handles encrusted with grime—particles of food and feces—and hauled her ass into a standing position. She shuffled slowly into the open corridor with its fluorescent white sheen. Her droopy butt lay bare for all the world to see beneath the open back gown of flimsy gray and pink cross-hatched fabric bleached almost white.

She crept along the hall, stopping briefly at the crash cart that reminded her of OPI “Big Apple Red” nail polish. She palmed the vial of potassium chloride from the unlocked drawer of the cart, concealing it along with a 22 gauge, 1” needle and 5cc syringe. A scarf would do for a tourniquet, she figured and alcohol was academic, wasn’t it?

Approached by the evening shift nurse she requested an AMA. The LPN called the social worker but patient rights won out. As she signed the papers discharging her Against Medical Advice, the team called a taxi and the MD then helped her box her few belongings.

The plan was coming together.

At the end of your life, what will you have to show for it? The phrase rattled in her tin box heart as she slipped the key into the lock of her front door.

Musty odors of cat litter and un-lived-in, unclean linens overwhelmed her.

Purty, her cat mewled with excitement, threaded between her legs, stroking her back to life. Exhausted, she plopped into the overstuffed chair in the front room. A burst of dust enveloped her, but she was home.

She sat there till the early morning sky allowed light to slither around the edges of the curtains.

Purty curled up in her lap and purred and purred. Reaching over she pulled the blinds allowing sunlight to fill the room. Yellow sunlight bounced off yellow walls in her yellow house. It was still there, the yellow she remembered. Joy slipped in.

She thought about the drug stashed in her purse with the syringe, but let it be for the moment. Stretching out her weary limbs, she stood as Purty leaped to the floor.

I need another day she thought and decided in that moment it might be wise to reevaluate her plan. Instead, she wandered through her house in search of color and meaning. Purty, her calico cat, followed her everywhere.

At least have time to find something to show, she told herself, smiling that the last words on her chart were AMA, not RHC. Respirations Have Ceased. Smiling that she was, indeed, OOB.

No, not Out Of Bed. Out of the box.

As a nurse, I spent much of my time working with the elderly. This fictional account imagines how a retired nurse could feel about her life…if she didn’t have something to turn to–like writing! A bit of an explanation: in nursing, we applied the scientific method to patient assessment using a method called S.O.A.P–that’s what the Subjective (How are you?) Objective (What the nurse can notice) Assessment (Making a nursing diagnosis) and Plan (What to do about it) refer to. Don’t know if this is how it’s done right now…but it’s a good way to problem solve in any life situation. Try it with a problem you’re facing!

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17 thoughts on “Boxes–A Short Story for MMWP

  1. S Basu says:

    wonderfully written victoria.

    Like

  2. Dearest Victoria,

    I drank in every word of this.

    I think it could easily be published elsewhere too, it was that good. So many great observations and details.

    I love how she dragged her ass up and out. 🙂 And that Purty was so glad to have her back. I sense things were on an upswing for her and she may die feeling she had mattered. Perhaps there was soon to be a knock on her door by someone who would be a catalyst for happy twists.

    You must have been the best nurse in the world. You have such empathy.

    I had never heard the S.O.A.P plan.

    Mine is A.C.T.I.O.N. Now let me see if I can whip some words….

    Action Creates Truths In Ongoing Nurturing.

    Hey, not bad off the cuff. 🙂

    xo

    Like

  3. willowdot21 says:

    I found that so profound. I was in hospital for over month , unable to move for over a fortnight. I spent a lot of time with older women. Some of them told me wonderful stories of their lives. Some told me even more not from conversation but by their ramblings, rants in their sleep and or sometimes their total confusion.I had nurses leave my meals on my bedside locker walk away only to return later to ask me if I was not hungry…of course I was hungry but having to lie flat I could not reach the food or the wash bowl, being younger I could answer back but some of my companions could not. I was not over happy at having a male nurse give me a bed bath but it was better than no bath at all which is what I would of got from some of the female nurses. It was like a glimpse of the future. I admire your lady I hope I can be like her if I need to.
    your theme is so demanding , what will any of us have in our box at the end of our lives. Thank you for beautiful and thought provoking story. Too many people forget that the old lady or man in the corner has lived loved and been so young!!

    Like

  4. Pat Cegan says:

    I have been with so many who have died disappointed with their lives. I swore I would not do that ten years ago and now have a life that will never end in sorrow and disappointment. Thank you for this wake-up call to those who have not decided how they want their lives to be and then taken action to see that they live to the fullest. Someone told me recently that I was too old to be riding herd with the cowboys becaue I “might get hurt.” I just laughed and said, “If I die on my horse, you will know I died a happy woman.”

    Victoria, your story is touching, and beautifully written. Thank you! hugs, pat

    Like

  5. Jamie Dedes says:

    Tears. This is so accurate. The feelings are true.

    I like the way you use S.O.A.P. (As of ten years ago that was still being taught in the voc ed school at which I worked). Effective … and good advice in the end for us all.

    Writing is a lifesaver. Yours is an inspiration. Thanks, Victoria.

    Like

    • Thanks, Jamie. Whether or not the S.O.A.P. system is still used, it’s a logical approach to nursing diagnosis and I think applicable to many areas of life. Wish I would remember to use it when encountering the challenges life throws at us!

      Like

  6. Astonishing the emotions that I feel at this moment. This brings out a lots of feelings
    I have felt each time I been in the hospital. The helpIessness is the most overwhelming.
    I would imagine, for a nurse, it could unbearable because of the knowledge they have
    of the inside confidential process.

    Briliant writing – Very moving and touching …

    Namaste,
    Izzy xoxox

    Like

    • Having had my share of surgeries and hospitalizations, I can only say all I want is to get the heck out. When I had my kidney transplant, I diagnosed my roommate with pneumonia and called the nurse to tell her she better act on in. She was clueless. The next thing I knew the resident, respiratory therapist were rushing in…not a good place to be. I know you agree.

      Like

  7. Mama Zen says:

    This tore me up. Every woman in my family is or has been a nurse in a nursing home. I even did my time in the field when I was younger. You really nailed this. Nurses make the absolute worst patients.

    Like

  8. Ravenblack says:

    Touching and heartfelt story. A very interesting format which I might try applying. Thanks for sharing it.

    Like

  9. souldipper says:

    Victoria, as Viv alluded to…yikes! Please don’t let this be me in a couple of decades. What a terrific read! I am sooooo glad she went OOB! I cheered and knew that joyful furball would have some influence over her decision.

    I really like the authenticity of this piece, Victoria. It really is a composite of personal experience with the elderly. Some elderly cling to the safety of the institution while others want to kick the daylights out of it.

    My thought has been – for my loved ones and me – if we are doing something ridiculously inappropriate that causes our death, the only important thing is that we are happy doing it.
    For me, death is not to be feared…it’s not being to live while alive.

    Writing – yes, one could create a family, an environment of choice and a place to be vital.

    Well, Ms. Victoria. Didn’t you push some buttons?! Well done.

    Like

  10. viv blake says:

    This excellent piece of writing is a bit too close for comfort to me. We all hope to go peacefully in our own beds, but unfortunately, the odds are against it. Your attempt to dig into this subject is brave, but I’d rather be an ostrich!

    Like

  11. zongrik says:

    I liked the logical plan.I also liked the way characteristics were in the box like possessions.

    This reminded me of a woman who was dying of cancer and chose to stay home with her family. She was an acupuncturist.

    Like

  12. brian says:

    wow. nicely done victoria…think this is the longest piece i have read by you…like the creative deliver as you laid out the SOAP plan…great descriptors and a heart felt read…OOB

    Like

  13. Wow. Speechless. Teary. Deep in thought. GREAT writting!

    Like

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