Sweetlessness

tomatoes

Del knew something was up the minute Annie walked through her door. There’d been foreshadowing in their phone conversation, and there was also thirty-two years of experience.

“I need your bathroom!” Annie declared as she darted toward the toilet. Her face shined with perspiration.

Del remained in her chair at the small table. She and Annie went back almost fifty years. They’d been college roommates and had naturally allocated the academic work to make the most of their individual talents and thus free up maximum time for light drugs and games of Scrabble. Del was the scientist and Annie did sociology. So when Annie was diagnosed with Type I Diabetes in their mid-thirties, it fell to Del to read up and learn about the condition.

Annie’s blood sugars were labile (“brittle” was another term); they sometimes rocketed up or down in spite of intensive insulin therapy and multiple daily finger pricks. So Del knew the urinary urgency was a sign Annie was high and the sweating face indicated low. She waited for her friend to emerge from the bathroom.

“What’s up with you?”

“I don’t know; my GCM keeps sounding off that I’m high.”

“You don’t look high.”

“Yeah, but…” Annie reached into her leather hobo bag and fished out the small black box. “It’s reading 205 right now.”

Weird, thought Del. She acts low but gets high alarms? When they’d spoken earlier, Annie told Del she’d just had the highest reading she’d ever seen. “How much?” Del asked. “Over 600.” “Jeez! Was that from a finger prick?” “No. My GCM.” “Still…I’d love to see you, but you shouldn’t be going anywhere.” “No, no” Annie insisted. “I corrected it. And I just tested. I’m fine. Really. I feel great. I’m good to go.”

Annie plunked down in Del’s big upholstered armchair. “Wow,” she said. “I do feel low.”

It was hard for Del to disregard Annie’s Continuous Glucose Monitor, but she did. “Where are your glucose tabs?”

Annie didn’t answer. She was groping deep in her bag. The look she gave Del was almost vacant.

“How do you feel?” Del asked.

It took Annie a moment to pull her focus away from Del’s eyes. “Weird,” she replied, and from the expression on her face, it didn’t look like a good sort of weird. I’ve never felt like this before, was what passed through Annie’s mind, followed by but here’s Del’s face – her beautiful face – okay…

Shit, she’s really low, Del thought. She knew more than anyone else how much Annie hated the arrival of the handsome EMTs, the haul to the hospital, the hassle of getting herself out of there. Del crouched at Annie’s feet and started searching for glucose herself.

Annie is known for being a bit scattered. She compounds her weak organizational skills by carrying an expensive, beautiful, pocketless leather sack. It was always a challenge to find items in Annie’s bag, and it was often a case of not finding what should be in there. I can’t believe it, Del thought as she upended the bag and dumped its contents on her rug. But she could believe what she didn’t find: her friend had managed to leave home without glucose.

Shit, she thought. Okay: what do I have here? At which point Del would have laughed if Annie didn’t look so out of it. Del had given up sugar a year earlier. She had forsaken most flour products and all packaged snack foods shortly after that. She had to find something that would raise her friend’s blood sugar in a hurry, in her low-carb kitchen.

“How do you feel?” she asked Annie again.

“Weird.” Annie aimed her big blue eyes at Del’s face and reached her right hand toward her, but Del rose, spun and strode to her pantry. Nothing. Her eyes landed on the basket of orange cherry tomatoes next to the sink. They’re sweet as candy, she thought, and she brought them to Annie.

She had to put the first one and then the second into her friend’s mouth, but Annie bit and chewed and murmured, “Hmmm. These are good.”

“Keep eating.” Del had to insert a few more, but Annie started robotically ingesting the little orbs. “Hmmm,” she said again.

Del dashed back to the sink area. She picked up the ripest nectarine among three, and took a paring knife to it. One taste told her it was too tart for her purpose. She returned to Annie and the tomatoes. She couldn’t tell if they were doing anything.

Del had never seen Annie as low and still conscious. I’m sorry, honey, she thought. “Annie, I think it’s time to call the ambulance.” She was reaching for the phone on the shelf behind the chair when Annie looked at her and slurred “Am-bu-lance?”

Probably that should have encouraged Del to complete the call. Afterwards she thought so. But at the moment all she could think of was how distressed Annie would be if she had to deal with the hospital. And Annie wasn’t convulsing or unconscious. Del searched her small kitchen one more time.

And she found the dregs of a four-pound bag of sugar, rolled up and pushed into the very back of her refrigerator. It had undoubtedly moved in with her years ago, and then lived in the fridge because other storage space was limited and tiny California ants were regular visitants to her place.

She poured the contents of the bag into a one-cup measure. There were three or four teaspoons. She took cup and spoon to Annie’s chair, crouched down, and fed her friend a heaping teaspoon of granulated sugar.

Annie’s mouth cooperated. Then her lips pursed as her saliva turned the sucrose to a paste she could process. Her expression was one of mouthful surprise.

Del got another rounded spoon-load into Annie’s mouth and watched the salivating/swallowing process again. She filled the spoon one more time, but Annie then aimed her face upward and sat back against the chair. Her eyes had a shine of alertness to them.

Ah, thought Del. And There’s Del’s face, thought Annie.

“How are you honey?”

“Weird. What just happened? Wow.”

“You went really low. I’ve never seen you this low and conscious.”

Annie was enough recovered to stick herself and insert a blood sample into her meter. They both knew she’d already risen a bit, so when they saw 62 they figured she’d been flirting with the low 30s. And her GCM was still acting like she was high.

She’s back but not for long, Del thought. No way will, what? ten grams of sucrose? get her where she needs to be.

“Annie? Are you okay here for five minutes?” She made Annie look her in the face to answer. “Yes.”

Del isn’t a runner but she pretty much jogged to her corner market then. Faced with a wall of candy, she made fast grabs: the share-size bag of M&M’s Peanut, a like-sized bag of M&M’s Almond, and a roll of Starburst (original flavors). She raced back to find Annie exactly as she’d left her.

Annie went for the M&M’s Almond, but Del made her eat some Starburst too. Del was concerned that the chocolate in the M&M’s would slow down absorption; she knew Starburst were like straight sugar.

After another ten minutes most of the M&M’s Almond were gone, a third of the Starburst were no more, and Annie had a decent level of glucose in her blood.

An hour after that Annie’s glucose was a little high (the cherry tomatoes had finally kicked in, but the time it took was a vivid demonstration of how fiber will slow the absorption of carbohydrate). Her elevated blood sugar wasn’t ideal, but it was comfortable; she felt well enough for them to go to a neighborhood bistro for some shared simple food, and she was able to drive home after that meal.

They discussed the event afterward of course. Del told Annie not to apologize, and yes of course Del had been nervous, but there was no way Annie was dying on Del’s watch. Annie tried to describe to Del the experience of being conscious but unable to retain any short-term memories, of feeling freaked out but calming down every time she saw Del’s face near her.

They agreed that Annie shouldn’t have left home after a 600 reading. In fact, they set the bar at 400; Annie promised that if she ever sees more than that on her meter, she’ll hunker down and treat it as the medical crisis it is. Del can come to her.

They placed the unopened M&M’s Peanut in Del’s freezer, as future emergency sugar.

And they found out that Annie’s CGM should be replaced every six to twelve months. The unit she carried with her that day was a completely unreliable piece of shit that deserved the disregard they gave it.

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Prompts

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I used to read a writers’ magazine.
I gave it up for teaching nothing right.
But I recall advice – where you can glean
ideas for plots and people: how you might
pay heed to all the chatter in the car
when you are toting children after school.
The tweens reveal what circumstances are,
that drive them while you drive them.

No car pool
provides the privacy, the atmosphere
kids need to speak to other kids aloud.
To eavesdrop on their honesty, come here:
aboard this bus or train. Just join the crowd
on transit, or stroll close behind some youth.
That’s when the kids will fill your ears with truth.

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October 2

today

October is my favorite month, and now’s
the season that awakens me to test
a version of myself I mean. I rouse
as days reduce and green retreats. My best
behavior comes with comfort after storm,
with evenings cold as cozy dreams require.
It’s when I’ve time to welcome work for warm,
and bask at night in heat and light of fire.

Perhaps it was my readiness for school
that made the season valuable to me.
The harvest? Rosh Hashanah? German beer?
I think I’ll never know why I’m a fool
for autumn, turned like leaves to brevity,
but now begins my favorite time of year.

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Labyrinth

labyrinth

The labyrinth that Daedalus designed
and built to house a misbegotten bull,
was crafted with imprisonment in mind:
its convolutions blind until a pull
upon a clue of thread revealed its ways,
bisecting mystery with nothing hard.
A king’s intent, in genius dreamt, a maze
by filament became a boulevard.

My labyrinth depends upon a chain,
corralling light instead of monstrous wrath.
Its form is a reminder, silver, plain,
that I interpret purpose in a path.
And obvious as beauty is my thread:
Abandon other work. Just step ahead.

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Muni Metro

Muni Metro

A boyish lesbian, commuting west,
who dropped her phone and earbuds on the tracks,
did something that I never would have guessed:
she looked and leaped. I watched her denim back,
her short dark hair, her bend and turn around,
and then she tried to lever up again,
like rising from a pool. Two times she found
her jump too short, ignoring several men
who reached to aid her. Finally the guys
just went ahead and hoisted her to us.
That jumper wasn’t meeting any eyes –
she rushed away headdown avoiding fuss,
but someone on the platform hooted glee,
and all the rest of us cheered happily.

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Hard Ass

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“You never know what you’re going to do, until you’re confronted with the situation.”

How many times has Del heard this? Why do so many people say it? In Del’s case, and in that of some others, it just isn’t true.

She sputters. She hears her own wheeze and coughs. She decides for the thousandth time to focus when she smokes weed, to do nothing other than smoke it, and try to reduce the bad effects and get the good ones.

She returns to her contemplation of things said by most and not meant by her. Like how everyone keeps thanking military personnel, for their service. Del has known many young folk, from her own cohort and the succeeding generations, who have enlisted because they couldn’t find other employment, or were at loose ends about what was next in their life, or they just liked the benefits. As far as she can tell, the disinterested soldier who wants to serve is as rare as the doctor who lives to heal or the scientist who burns for the truth. Del was born in 1950; the American military hasn’t been impressive in her lifetime.

Or what about teachers? Del knows everyone is supposed to act like school instructors are selfless and overworked. In her experience, those conditions are not true. She thinks that teachers may have impressive before her time, back when the only other options for working women were nursing, secretarial, or retail work. That was when smart women taught classes. She raised two kids and put them through excellent public schools, and with one exception (the high school Latin teacher), she kept encountering instructors of middling intelligence, poor grammar, and hackneyed approaches.

As far as never knowing what you’re going to do, Del thinks she does, and she thinks people who are clueless about their own potential are just that: clueless. Deficient in imagination. For that matter, she thinks bigotry and racism are the result of defective imaginations. Sure people have to generalize in order to maintain their own safety among strangers and strange conditions, she says, but that doesn’t mean imagination gets disabled when there’s no threat. But that’s another subject.

The fact is, Del knows herself well. She can predict what she’ll do in any situation she can imagine, even though some of the predictions are not flattering to her. She is on the brave end of the coward/hero spectrum, but she has seen herself retreat from potentially embarrassing or inconvenient interventions…there have been occasions when she acted deaf and blind to ambiguous signals, when she didn’t step up until it became obvious to her that she had to because no one else would. After a hesitation help, she’d chastise herself for not reacting more quickly. She’d wish she had been more dashing. But she understood her own characteristics, and (at least in her opinion), she doesn’t exaggerate or mistake herself.

Three times in her life she has made a firm, trauma-induced decision. She has reported the decisions to sundry members of her family and cohort, now and then. She has been universally disbelieved (“Oh you say that now, but you’ll sing a different tune if and when…”). But she meant what she said. She still does.

The first decision was made when she was five and a half. The precipitating event was a tonsillectomy. The injury to Del was the adult decision to keep her in ignorance of the procedure she was about to undergo. Her parents surrendered her to hospital employees and didn’t come back for her until the next morning. Del the child had to assess and evaluate the pre-op injections and affronts to modesty, the ether, and the post-op nausea and sleepless night in the crib-sided bed. To make an interminable story short, she took control of herself before she left that hospital. She decided then and there that grownups don’t necessarily know what’s best. She determined that she would be in charge of herself from then on. And she proceeded to develop the most willful personality she has ever encountered. Yes Del is bright. Sure she has an excellent memory. But her chief characteristic is her absolute inability to surrender or compromise her own judgment.

The second big choice was made when she was just a few months short of her twenty-first birthday. It was an October evening and she was visiting her parents across the bay from Cal. She thought her father really wanted the answer when he asked her if she was still a virgin. She was unprepared for the vehement reaction from her mother. She was called a slut (in Yiddish). Her father said he didn’t want to hold economic reins over her head, but he/they could no longer support her if she persisted in a lifestyle of which they didn’t approve (fancy words, but rent was due the next week). Del spent a sleepless night in her parents’ house before returning to her college apartment and roommate and begging a loan of $200 from her roommate’s father (she stretched that to her January birthday, when she acquired the $2,000 account her grandfather had set up, and she used those funds to finish college). During that lonely, tobacco-filled night, Del resolved never to need money from her parents again. For two decades after that event, when the subject of parental mortality and inheritance came up, she asserted that she would disclaim any monetary legacy from her folks.

She has softened on that subject since. Del’s father died eleven years ago and her mother is in her mid-nineties, comfortably situated and unlikely to outlive her money. Del is now willing to inherit when her mother dies. But she has never asked her folks for money as an adult. Except for the summer between her post-college European travels and her marriage to Hank, she has never spent a night in her parents’ home since that premarital sex scandal.

Del made her third unbreakable vow when she was forty. That’s when she divorced her second husband. She and Carl had been together nearly seven years, six of them married. They’d each brought two children into the relationship. Del’s daughter and son were with them most days (Hank’s idea of a weekend was Saturday afternoon till Sunday mid-day); Carl’s joined them every other Friday afternoon to Monday morning, every Wednesday evening, and half of all holidays. Del’s kids knew who their father was, but they pretty much lived with Carl, and they were expected to show him father-like respect and obedience.

By the time that second marriage was over, Del understood the damage done to her children. She assessed their confusion about Hank’s unreadiness to be with them more often, his single-minded devotion to whatever/whomever was in his immediate environment (his second wife and her offspring) and his unwillingness to make plans. She saw how their attempts to be friendly to Carl had been swept up in his stiff-necked awkwardness as a parent, and she vowed never to put them in a subordinate position to a father-like figure again.

Aggie and Max were thirteen and seven then. Del met a few guys that decade and did a little fooling around, but her escapades were either away from home on those rare occasions when Hank took the kids, or around home but with a fellow who was a buddy more than a boyfriend. A nice enough individual, but no one to whom her children needed to pay any special respect.

By the time the kids were launched, Del was accustomed to singledom. That was seventeen years ago. It appears that this third vow, too, was made to be kept.

Maybe Del doesn’t know what she will do, regarding new foods, or solo travel, or even where she will live next. But she’s certain she will always be willful. She doesn’t know how to compromise her judgment or stifle her aims. She’s sure she will forever distrust the medical establishment and will stay as far away as she can from prescription drugs and test protocols. And while she will accept a share of the maternal estate, assuming she survives her mother, she isn’t counting on the money, has no plans for how to spend it, and will get along fine without it.

She talks to her mother every day. Her younger brothers don’t, but they’re not expected to. They’re not daughters. She doesn’t enjoy the chats but she’ll keep doing them. She loves her mother and she meant it when she promised her dying father she’d care for his widow. The conversations are never interesting (minutiae about how her mother spent her day, including the report about her morning walk and the regular disappointing dinner food, mixed in with repeated network news headlines and weather forecasts). Del’s mother builds conversational mountains out of molehills.

Lately her mom is focused on making Del’s youngest brother a co-trustee. “You never know, Adele,” her mother says at least every other night. “Something could happen to me any time. And if so, your brother should have the ability to pay bills and settle affairs.”

This delegation of responsibility makes no sense. Del is the one with the number know-how and the experience establishing and running businesses. Her brothers are nice guys who turned their finances over to their wives. The older of the brothers married a skinflint who rarely spends money (but can craft a budget). The younger one has a spendthrift spouse who has mystified Del by never accumulating assets (no one in the family can figure out what that childless couple spend their money on, but they have no nest egg).

Without a doubt, Del is the heir most able to understand and allocate the money. She’s also scrupulously honest (her brothers are not dishonest or unfair, but they do share a certain carelessness, as well as symptoms of the sort of passive/aggressive attitudes that sometimes result in a little grabbiness). But she wasn’t given the job. Instead, Del (who is notorious in the family for letting her dog live past the ideal time for euthanasia) has been given the Advanced Health Care Directive for her mother, and the one heir who has bounced checks in his time has the financial job. Of course the delegation reveals Mom’s sexism, but that’s no surprise to Del or her brothers.

The first several times her mother talked about the trustee job, Del experienced a little pique. By the sixth time she started grinning. She laughed out loud when that telephone call ended. Her brother will do well enough. She doesn’t want the job. She’ll probably get her fair share. She really doesn’t care if there’s some other result.

She laughs again as she thinks about her mother. The laugh makes her cough. She’d unwittingly relit the joint while cogitating. She considers her bronchiae for a moment. She wonders if maybe she should go for the chest x-ray her doctor advised when she saw him eight months ago. She knows she’s done damage. Then again, Del is pretty sure she wouldn’t be willing to undergo any medical interventions if a problem were to be found. All in all, she feels fine.

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Choppers

helocampanile300

The chop of helicopters overhead
does not create a happy atmosphere.
I’m not too old to recollect the dread
machines surveilling us and shooting tear
gas canisters when I attended school,
and though today they’re shooting news for us,
at best it’s just a waste of dirty fuel;
at worst it spurs the audience to fuss.

The presence agitates. The throb disturbs.
The camera can’t provide a useful view.
Competing stations broadcast pics and blurbs.
The more we’re shown, the less we see that’s true.
A pox on whirlybirds! – our aery flaw.
There ought to be (and used to be) a law.

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Count Your Calories

Calorie book

I spent two bits in 1968,
to buy a little book put out by Dell.
Its title – Count Your Calories – was great:
the pamphlet matched my purpose very well.
I’d dieted four years and added more
than I reduced, and more than growth excused.
Considered smart, I set out to explore
the formulae for how our fuels are used.

Then armed with numbers and a pyramid,
I dieted and taught my friends and kin.
Explaining it was simple: to be rid
of weight takes self-control and discipline.
And I was wrong. Perhaps it was my youth –
I trusted scientists to tell the truth.

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That’s Not Funny

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In talking to a temporary friend
I met on BART, before I knew him well
enough to gauge his shallow depth and fend
his crude advances off, I let him tell
me (twice) what he’d endow if he were rich:
a canine-friendly dorm, with vet, at Cal.
I said that college life is just a hitch
with littered pets abandoned, but this gal
was disregarded by a grumpy fool.
I tried to laugh – suggested that the rooms
be given to the dogs, who’d interview
companions so whenever class resumes,
a student-dog relationship would thrive.
He didn’t grin. The friendship can’t survive.

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Instructions

Instruction manual small-500x500

The renegade conformist sheepishly
insists the application must be typed.
He says they won’t accept facsimile
because it isn’t doubled, folded, striped
the same. “Impeccable,” the man demands,
who seldom notes appearances. “It must
be typed, in ink, just so.” He understands
directions now, and follows them with lust.

“Is this a ritual?” I ask, because
I can’t suppress the question. “Must I cross
my hands like this, and follow detailed laws
of mystery? I think you ought to toss
the form.” (I don’t intend to injure him,
but he has kids who can’t afford his whim).

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