Baby Girl

His name was definitely Frank. Hers, I can’t say. But the roses—those, I will never forget. Waxy, fluorescent hybrids so extreme they tipped over from the burden of their outsized heads. Some might have called them garish but not me. I was dumbstruck by their loveliness—perhaps even suspicious. I wanted to touch them, eat their petals, prove their reality. So thick were the roses that they nearly obscured the chain-link fence they lined, which inexplicably cordoned off a small patch of the already small backyard, itself squared in by yet another chain-link fence. In the center of the rose-lined inner fence was a concrete slab on which sat two 1970s-style lawn chairs. Presumably, this is where Frank and his wife relaxed on summer nights—maybe with sweat blooming in the folds of their necks, maybe with pain shining like spurs in their knees and hips—to admire their rose progeny.

“Prune them once a year and they’ll go great guns all summer, every summer,” Frank’s wife said.

“That’s right!” Frank slapped his palms against his thighs. “Prune ’em back and watch ’em go. There’s nothing to it! Nothing at all.”

Frank and his wife were like their roses, listed over and tilting into the tail end of this life thing, for which Joe and I had barely arrived at the threshold. Old and thick now, these two were selling off the house where they’d raised up five kids—plus all those roses—and moving to somewhere more manageable, perhaps a first-floor apartment with walk-in closets, no stairs, and full-service lawn maintenance. Inside, the house smelled of cabbage. Outside, it smelled of toasted oats—specifically, Cheerios, which was manufactured twenty-four hours a day at the General Mills factory around the corner, where Jackson Street dead-ended against Broadway, the busiest urban drag in this semi-industrial section of Northeast Minneapolis.

Joe and I moved into the house in August, dragging our few dozen boxes and our one piece of furniture, a gray couch I’d gotten from Salvation Army and re-covered myself with remnant fabric I sewed by hand. Our wedding would be performed in an evening ceremony on September 29. Joe was Catholic, but neither of us knew that this day marked the Feast of St. Michael, also known as Michaelmas. Michael was an archangel, who, according to the Book of Revelations, slew the dragon of evil: “Now war arose in heaven. Michael and his angels fought against the dragon, and the dragon and his angels fought back. But they were not strong enough, and they lost their place in heaven. That ancient serpent, the deceiver of the whole world, was thrown down to the earth, and his angels were thrown down with him.”

It was an epic battle.

THE HOUSE WAS a two-story clapboard farmhouse with pretty leaded windows and an open porch. A slatted wooden swing hung from the porch ceiling by two thick metal chains. Although shabby, our new house had the best bones of any on the block. It was overall good stock for Northeast, a working-class neighborhood settled mostly by Eastern European immigrants and known for having both a church and a bar on every corner. Northeast streets are named for U.S. presidents in the order in which they held office. “Andrew Jackson was the seventh president of the United States,” Joe told me. “Dirt poor and orphaned during the Revolutionary War, a kid with no education from a backwater cabin in the Carolinas, and he makes it to the Oval Office. How do you like them apples?” Joe was twenty-five and a social studies teacher. He knew things. He also knew this neighborhood, having grown up a few blocks away on Madison Street. The middle school where he taught was nearby as well. Joe liked things to stay the same.

I was twenty-one and had grown up in two states, several cities, and more than a dozen houses and apartments, including two recent foster homes due to Mom’s latest breakdown. I wanted to believe in things staying the same. To prepare for the wedding, I dropped out of the college classes I had been attending on Pell grants and took a full-time job selling ads in the smoky, classified department of our city newsweekly. Working felt more secure. Not to mention that our being broke had put Joe in a bad temper that seemed to improve in direct proportion to my paychecks. Besides, the wedding required a dress and flowers and a reception with food and alcohol and, apparently, linens, which were supposed to match what salespeople referred to as the “bride’s colors.” Working made sense. I hated ad sales, though, despite having an uncanny knack for it. I hoped to one day be a writer instead. But my advertising job paid more than Joe’s teaching salary—and here we now were, homebuyers.

Once settled on Jackson Street, I would often stand alone in our cabbagy little kitchen staring out the back door into the layers of chain link. I would look through fences and past them, like old glass, to the distortions beyond: my childhood in Duluth, that tough, cold city on the cliffs above Lake Superior, where I was born when my mother was twenty. Two years later, Mom divorced. I remember this: nighttime by the front door, the painted yellow banister, my dad’s legs and brown shoes, a hard-sided suitcase, a pat on the head. Then Mom’s new husband. Thick fingers, secret tickling, secret, secret, secret. I am four. Then the apartment above the Eighth Street Market, where I lick the aluminum screen door on a snowy day and get stuck there, tongue frozen to metal, mouth sharp with blood. Broken furniture, fists, hair. More tickling, more fists, squealing tires. Mom says never again. Again. Another divorce. Then a loud crack, something deep, an axle maybe, or a bone, or a lung, your iron lung. 

THE FIRST BIG surprise was the pregnancy. It started sometime in November with my sinus cold. I took an antihistamine to dry it up. But I was also practicing, or trying to, a natural birth control method that relied on me being aware of my so-called fertile mucous. Natural birth control was my idea, not Joe’s, despite that he was the Catholic. What I said then was that I didn’t like the pill—it made me bloated and quick to cry, an effect that combined badly with Joe’s temper. But there was something else, too, a prickling under my skin, like a phantom limb waking up. To track your fertile mucous, you have to feel things. Of course, I had no idea about the whole-body effects of antihistamines, how they dry you out everywhere, not just your nose. In any case, the baby would come in August, and until then, it would live, astonishingly, inside of me.

I devoured every possible good thing: broccoli and whole-wheat spaghetti, horse-pill vitamins, voluminous tomes on natural birth and breastfeeding. I foreswore coffee, diet soda, sugar. Anything, it turned out, could hurt the baby, directly or indirectly. Like that thing they say about chaos theory, how the oblivious flapping of a monarch butterfly on a summer afternoon can manifest weeks later as a hurricane on a distant shore. Luckily, a promotion at the newsweekly got me out of the smoky office and into my own, where the air was clean—but, still, I was an outlier in a sea of salesmen whose passions were booze and cigars. This spiked my stress, which I feared would hurt the baby, which further spiked my stress, and so on. While I tromped back and forth from work (and most of the rest of the time, too), I obsessed. It wasn’t just the bad things I might do, warned the experts—it was also the bad things I’d already done. Those ignorant wing flaps I couldn’t take back were already building velocity offshore. Meanwhile, more immediate threats lurked everywhere: car exhaust, mold, tuna. Plastic, pesticides, tight seatbelts. Doctors, for their potential mistakes. Water, in a glass or the tub. Loud noises. Ignorant relatives.

Cabbage. Cheerios. Fear.

ONE CHILLY NOVEMBER evening not long after the pregnancy test came the second surprise. Christopher, the kid from down the street, showed up at our door. “She’s living under your porch,” he said, holding a scrawny black kitten up to the screen. He pulled the kitten close to his cheek and made kissing sounds. I opened the door. “See how scared she is?” Christopher said, thrusting his prize at me. “Isn’t she little?” She was very little. Her tiny bones vibrated in my hands.

“What is that smell?” I said.

“That’s just her farts. From eating garbage.”

We took the little cat in, and I accidentally named her Baby Girl due to the way I cradled her in my arms day and night. I was practicing. I practiced at Thanksgiving, too, cooking a thirty-pound turkey for Joe’s big family. We were celebrating the holiday, yes, and also our being married in a new house with a baby coming. It was mostly good until the kitchen sink backed up before dinner, which was then served late, sending Joe’s father into a temper made worse by the cranberry walnut stuffing we had concocted with thick hard slices of whole wheat bread instead of breadcrumbs from a bag. “Whatever this is, it is not stuffing,” Joe’s father said.

The next things that happened were expected. The sugar maple in the front yard dropped the last of its leaves and the grass turned brown and the wind turned hateful. “Better prune those roses,” Joe said. Joe was quick to do what needed doing. He hauled a hacksaw up from the basement and marched out to the concrete slab and knelt down and, one by one, sawed off the tops of the rose bushes.

I watched from the back steps with Baby Girl purring in the crook of my arm. “Are you sure that’s how you do it?” I said.

“Of course I’m sure,” he said. “You hack them to the ground and they come back bigger and better in the spring, just like Frank said. There’s nothing to it.”

Through December and January and February, I toted Baby Girl around the house and worried. I made kissing noises in her ear, as Christopher had done. I whispered into her fur, now glossy and smooth: I love you and I’m so scared. Soon I had a high shelf of belly for Baby Girl to sling her small body across, but I couldn’t feel the real baby inside me. “That’s normal,” the obstetrician said, “because it’s your first.” I said nothing. Meanwhile, my breasts swelled up like planets and my narrow face became moon-shaped, so that when I looked in the mirror I shocked myself. I found a crib and a dresser and a square blue rug at a discount store. Instead of a wallpaper border, I wanted a narrow shelf just under the ceiling, where I could line up old-fashioned toys and dainty knick-knacks for the baby to look at. Joe got out some tools and hung the shelf. We went to childbirth class where the teacher said to practice breathing and counting each breath going in and out while imagining my cervix opening up like a rose blooming, petal by petal by petal.

March brought the thaw, and something else, too. It happened suddenly when I was alone one evening, driving home from work so that at first I was unsure, but then it came again: a flutter under my belly button, which made me laugh and then cry out loud because of the glory that rose up and filled the car, spilling out through the wheel wells and the heater vents and the tiny fissures between the windows their casement. There is a reason this moment was once called the quickening. Soon after this, as the last dirty mounds of snow ran down the gutters under the hard March sun, I began watching for the roses. Having never had roses or, for that matter, any kind of garden, I wasn’t sure what to expect. When should the bushes come back to life? April brought my twenty-second birthday. May came in chilly. I hoped this was why the rose canes looked just as they had after their November shearing. By June, the sun was soft and warm, the grass thick and green. The world slid gently into summer. The roses, however, remained as they were: dry brown sticks. Clearly, they had died. What I felt was guilt.

Poor Frank! Poor Frank’s wife!

In July, I sat heavy and hot on the cement stairs. Baby Girl rolled in the dust at my feet. Joe stomped into the backyard with a shovel to dig out the rose remains. Pruning, it turns out, is a specific art we should have considered far more carefully. Shirtless and sweaty, Joe finished his anti-pruning, after which there lay a great pile of rose carcasses on the grass amid clumps of disturbed soil. A row of evenly spaced black holes gaped beneath the chain link, which no longer showcased the heart of the yard, but instead, encircled nothing. Joe hurried past me toward the basement stairs. He re-emerged swinging a sledgehammer and whistling. First, he went after the fence, then the slab.

Demolition is like that. It sucks you in. It swallows.

SOME THINGS I didn’t know that year on Jackson Street, like how to prune roses, the legend of St. Michael, and that Joe didn’t know everything either. (For example, Andrew Jackson made his fortune as a slave trader and then amassed more wealth on the backs of Native Americans. He bore the nicknames “Indian Killer” and “Sharp Knife.”) What I did know, though, was that symbols are real, people pay for what they do, and dead roses are not a good omen. Please, I prayed. Let the baby be okay. I’ll do anything. Please, please, please. 

I prayed despite not having set foot in a church since the wedding. It had been held in Joe’s boyhood parish with Father Ernie, a flamboyant priest who’d been there since Joe’s Catholic school days. My mom had gone to Catholic school, too, but she was later ex-communicated for divorce and, after that, held a grudge. So after a brief stint in the Lutheran church, which had donuts, we tumbled out of the fold. As a result, I never knew when to cross myself or genuflect or sit or kneel or stand. I knew neither prayers nor hymns by heart.

The whole of my marriage to Joe was a little like church: my ignorance juxtaposed against things he already knew. Take sex. I lacked experience and didn’t enjoy it, though I insisted that I did, because I felt this was the reasonable thing to do. Joe, in contrast, had been with many lovers and liked sex fine, as long as it took place with little fanfare and never if I was bleeding. All of this I found preferable to the only lovers I’d known before: Mark, Bill, and Daniel. Daniel was first, but also last, so it’s easier to start with Mark.

MARK WAS THIRTY-ONE and driving a city bus when I met him. His route included my foster home. I was seventeen. He was sad due to having multiple sclerosis and a wife who had left him and a little son and daughter whom he saw only on weekends. He lived in a townhouse where he cleaned the bathroom with the “two-square method,” meaning you wipe the sink and counters with two squares of toilet paper. He preferred the couch to the bed. Mark picked me up at my foster home in his car sometimes when my boyfriend, Daniel, was with other girls. On my eighteenth birthday, I walked out the foster home and never rode Mark’s bus again.

MY MANAGER, BILL, was twenty-nine when I worked as a door-to-door canvasser for clean water. It was the summer before I started college. Daniel and I were in one of our break-ups. Bill had a blunt mustache and liked to sleep with as many team members as possible. He chain-smoked joints and cigarettes. Once, he gave me a surprisingly tender gift—a threadbare stuffed camel from his childhood. The canvassing job ended in the fall, and I didn’t see Bill again. I gave the camel to the Goodwill.

DANIEL WAS EIGHTEEN and studying to be a cop when we started going out. I was seventeen and still living in the foster home, trying to finish high school. Daniel was half Ojibwa and he wore his long black hair parted in the middle with a red or blue bandana around his forehead, tied at the back of his head, plus black jeans and a leather vest and motorcycle boots. He drove a vintage hearse, which tended to upset older people. For a hobby, Daniel played Dungeons and Dragons, for which he painted tiny figurines. Years later, Daniel would go to prison. Something about guns. But my biggest worry back then, as Daniel’s girlfriend, was that he already had a girlfriend named Kumi. “I will always love Kumi best,” Daniel told me. But Kumi lived in Japan, so it was okay for Daniel to be with me until she came back. It was also apparently okay for him to sleep with other girls while loving Kumi best and dating me, although this eventually became a sticking point. Daniel lived with his mother, Terry, who was kind and exhausted. Terry sat on the couch every evening watching comedy on cable TV and drinking white wine. “Once,” she told me from her spot on the couch, “I nodded off here eating a tuna sandwich. When I woke up, the cat was eating the sandwich out of my mouth.”

During the third year of this arrangement with Daniel and his mother and Kumi and the others, I missed my period. I was nineteen and had just started taking college classes—Latin and linguistics and poetry. I lived in a cinderblock apartment near campus and worked at an ice cream place that also served burgers and fries and beer cheese soup. It was February and my breasts were on fire. Daniel drove me to the clinic. I stared at the ceiling and tried not to see my stepfather’s face, but there he was anyway, like always. When it was over, I went back to my apartment and collapsed on my twin bed. When I got up again, everything was exactly the same except for the cracking, which, again, was deep.

Breaking up with Daniel took time, mainly because he noticed I was changed and tried briefly to keep us taped together. He cut his hair short and bought new pants and shiny dress shoes—but it didn’t work. In May, I met Joe working at the university fundraising center. Joe was finished with his degree and looking for a teaching job. He was also engaged to someone else, but he called that off and even got back the ring. “Someday,” he said, “I might give this to you.”

JOE AND I took long drives to see his parents, who had moved from Madison Street to a lake house in the country. His mother was cool toward me due to the whole canceled wedding and such, but I loved her anyway for how she moved about the kitchen and placed checked cloths on the long table in the screen porch for lunch, which she herself prepared for everyone, including Joe’s older brothers and sisters and all their little children, who were especially fond of me.

Little by little, I told Joe about Daniel and Mark and Bill and the foster homes and my mother and my stepfather and the afternoon at the clinic. He shared secrets, too, like how he’d once eaten too many fish sandwiches on Good Friday, resulting in constipation so severe that his mother had dragged him to the doctor. And how his father had a temper so that sometimes when he got going, one of the older siblings would set off the fire alarm in the house and they would all tear around screaming, Dad alert! Dad alert! And how his older siblings had started him drinking gin in the basement when he was twelve. And how his fiancé, too, had had missed her period, and how afterward, they had agreed to stop having sex until their wedding, which now would never happen.

Joe kept a small sailboat at his parents’ house, and we’d go out on the lake and float. He taught me the difference between the boom and the rudder and the mast, and how to come about when the wind changed. Sometimes, his friends came with us and we drank spiked punch on the pontoon and Joe made honey-bourbon chicken for dinner and served it with more spiked punch, which on the first few occasions made me sick because I wasn’t used to drinking.

“I love you,” I whispered to Joe one night, after I had finished throwing up and rinsing my mouth. We were lying together in a twin bed in his mother’s basement.

“Thank you,” Joe said.

Outside, the cricket sounds swelled. Then the furnace kicked in. All around us, the silence roared.

“I’m just making a point,” Joe said finally.

“About what?”

“About saying ‘I love you.’ It isn’t like fishing. You don’t say it just to hear it back.”

WHAT I FEARED most during that year on Jackson Street was that I was too broken to be fixed. Maybe I had faked my way into a job and a wedding and a Baby Girl who was actually just a gassy stray cat, but, in the end, I was just a foster kid with a history of hearses and stuffed camels and real motherhood was a whole other level. Surely, God would have to intervene. I had thought—for one hovering moment in that slant of late September sun at the altar of Joe’s boyhood parish—that I had resolved my past, with its closed fists and thick fingers. But at twenty-one, I had not nearly grasped the wreck, the thing itself and not the myth, as the poet Adrienne Rich so poignantly describes.

I wish someone could have told me about the real surprise: how my daughter’s gray, wondering eyes, when she first looked up at me that August, would become like the beam of a lamp along that “something more permanent,” how her sweaty little head might point me toward the thing I had always been coming for. That would have been a comfort on those terror-stricken mornings I spent alone staring into the empty chain link. But I had to find it out for myself, when she finally arrived, my tiny featherless bird. The girl who breathed first under water, the girl who lived first inside the wreck of me. She would be bigger than me, bigger than all of us, but, somehow, the walls would not buckle and fall, the floor and ceiling would not blow out as she expanded everywhere, like sea, like sky. I will never forget how it felt to finally hold her, my firstborn daughter, still salty and oceanic.

I would name my baby girl Sophia, for the sheer beauty of it, and because it means wisdom. She would give her lifelong love to the first Baby Girl, stuffing that little cat into ruffled doll dresses and walking her on a leash and reading her stories and coaxing her to drink from teacups and eventually, seventeen years later, watching her die.

All along, I would love my daughter with a searing heat and an unimaginable lightness. In turn, she would flap her little baby wings, kick up her own currents of air and, in so doing, change everything. Maybe healing, when it happens, is the result of a grand quantum entanglement, the swirling of a thousand swelling winds. Maybe it comes when you give your daughter your own heart like another stuffed toy that she will drag with her everywhere: clenching it in her little baby fists whenever she screams in fear or sadness or pain, soaring through the air with it as she jumps from a swing at the highest possible point in the July sky, stuffing it into her backpack as she skulks off to high school on a bad day, locking herself away with it, broken, when her first love leaves her. All along, I would give Sophie the one single thing I had to offer other than my love—which was my words—all of them, filling her up as she nestled into the curve of my life. I would be awed when she grew up to be a writer, so that decades into the future, she would read my writing, and, with utmost precision, pick the words up, one here, one there, to test their shape and weight before skipping them back across the water, counting how many times each would bounce before slipping under.

WHEN THE BATTLE finally ensued between Joe and me—some ten years after Sophie arrived—it was epic, indeed. At the time, I thought it mattered that I hadn’t technically had an affair, but I know now that no one cares about technicalities and, more so, that there are worse things than affairs, like falling in love. So Joe and I cast ourselves out of our own rose patch, the one we had failed, despite our youthful promises, to grow. By then, though, I had learned something else about symbols and how we pay. Which is that we make our own meaning, and if we do pay at all, it is, as James Baldwin says, with the lives we lead as our only currency. Here’s the truth about brokenness: you can tear a thing apart and tape it back together, and it will still be torn and whole. There is no other way. Scars don’t lose their feeling. They become more tender to the touch.

Here’s something else I learned after that year of cabbage and oats and chain link—something about roses. Namely, that there are many kinds, including heirloom shrubs that produce graceful, delicate blossoms. These wild strains are resilient and hardy. They thrive through the harshest climates and endure neglect and even abuse with surprising tenacity. They are poisoned neither by lack of care nor by their own adaptations. They require no pruning, yet bloom abundantly summer into fall, year after year. They are something like strays. You can love them, but they know how to grow themselves.

These are my roses.

Still, even with wildest ones, there is “something to it.” But that something is unknowable. It is of us, but not us, like light from stars that no longer exist. Light that, when breathed into the darkness of a lung, seeps through the cracks, spills into the ribcage, fills it, and finally, finally, burnishes the heart.

 

Jeannine Ouellette is the author of several nonfiction books and the children’s picture book Mama Moon. Her work has appeared in many journals including Up the Staircase Quarterlydecember magazine, Nowhere, The RakeUtne, and On the Issues, as well as in the anthologies Feminist Parenting and Women’s Lives: Multicultural Perspectives. In 2015, her short story “Tumbleweeds” was selected by judge Joyce Carol Oates for a second-place Curt Johnson Prose Award, and her poem “Wingless Bodies” was nominated for a Pushcart Prize. Jeannine is founder and director of Elephant Rock, a creative writing program based in Minneapolis. She is working on her first novel. 

 

Noticing Uncertainty

When I say that studying physics has amazed me with smallness, I don’t mean us, relative to the size of the universe. I mean the cells made from atoms made from protons and electrons and quarks that—guess what—are also waves. Then, as if all this talk about particles acting like the ripples in a pond wasn’t weird enough, Werner Heisenberg comes along. He postulated that our attempts to understand the position and momenta of small objects completely prevent us from the possibility of reaching an accurate conclusion. Though he was talking about waves and particles, his applications extend to human beings.

His uncertainty principle is based on the seemingly simple idea of looking at an electron. Note that we are not poking the electron, or shooting the electron, or putting the electron in a little tiny box. We are just observing it. But to observe anything, our pitiful human eyes (and our pathetic machines) need light to reflect off of the thing and back to us. Recall that light isn’t just a wave, but also a particle. And even when we shine the dimmest, tiniest light at an electron—even if only one photon from a low intensity gamma ray hits it—the light bounces off and the electron also bounces, like the most fragile collision between a ping pong ball and a beach ball that we can even imagine. That electron might have been in a specific place moving in a specific direction before the light shone on it, but the act of measuring skews the measurement.

So what’s the point here? Our perception has introduced uncertainty, according to most physics textbooks. But if we hadn’t tried to measure the position of the electron by looking at it, we would still be uncertain about where it was and what it was doing. We have not introduced uncertainty but noticed it.

Writers will understand this frustration. How many memoirs have come to stalemate because the authors cannot accurately portray their mothers? How many novelists have wracked their brains for a more realistic character, meanwhile surrounded by over seven billion characters so real that they could reach out and touch one?

We could try a different approach. We could ask the electron where it is, in the middle of a cloudy night where no light will bully it out of its way. But then, even our whispers introduce currents of air and waves of sound that would bludgeon the path of the electron even worse than the light. We could send it a telegram, or write our question on a wall, or get it drunk and hope it slips us its secrets. Then we would come to the conclusion that you may have already guessed: we cannot possibly communicate with this electron about its position in the world. A telegram would arrive as a sound or light wave collision. A question left for it to answer would force it to go out of its way to respond. The intoxicated electron is certainly not itself today. It can lie to us or give an honest try, but the only way we could possibly know its position or momentum is to be the electron. We cannot ask the question without changing the answer.

In light of the assertion that seeking skews, the only thing that we can say we’ve really learned in all the history of science is that there is no end to information. Every time something new is discovered, every step of progress only increases the area to be explored. To the planet hurtling, uninhabited, through a vacuum, there is no world outside of its craters and ice sheets and maybe a moon or two. But the travelling vacuum salesperson knows that there are too many houses to ever knock on every door, and that one can sell a hell of a lot of vacuums but never them all.

This begs the question: Why try? Why do we need to know the exact location and velocity of an electron at any given moment? Why would anyone ever want to sell every vacuum on earth, when the manufacturer is making more by the minute? Money is a good motivator. The more vacuums you sell, the closer you get to locating the electron, and there is more cash in your wallet and experience under your belt. There’s something more, though.

Humans are like that electron. You and I can never know each other, because I am not you and you are not me. The very act of writing this down has skewed your perception of me, and the act of reading this has changed you from what you were before into a different beast—sure, maybe only on the order of 10-34 or so, but we are changed nonetheless.

One wonders whether the individual can ever know herself. Like an infinite set of nesting dolls, the more time devoted to pulling one out of the other, the more hopeless the task seems. Though we’re getting closer to the electrons position, narrowing the uncertainty, there’s no way to say whether the impossible task yields any fruit.

 


Kaitlyn Shirey is studying physics and creative writing in Pittsburgh. Upon graduation, she hopes to work on environmental issues, specifically implementing green lifestyles and clean energy systems. She currently works as a tutor and a bike mechanic, and her interests also include feminism, playing the mandolin and ukulele, and studying the social politics of hair.


 

 

In Extremis

by Evelyn Sharenov

The first time I meet Annie*, she’s in the middle of a handstand push-up against the wall outside her room. Balanced on her palms, her back and legs straight up, she pushes off without a sound. A cropped tee falls to her bra line, exposing the bone marimba of her ribs. Her tangle of auburn hair spills to the floor and she has the translucent skin I associate with redheads; an appealing scatter of freckles dusts her nose. She looks more like a gangly teen than the twenty-five years I know her to be.

“Hey,” she calls as I pass by. She rises on thin sinewy arms without missing a beat, and huffs audibly as she lowers herself.

“Hey yourself.” I bend down and smile at her upside-down face.

“Could you help me? I need to shave my legs but someone has to watch me.” She sniffs toward the clinical desk. “They’re all too busy.”

“I’ll see how my morning looks and get back to you in a few minutes. You must be Annie.” It’s difficult to imagine her near death, but when I bend down to greet her, I note the black sutures that bite into the separated edges of flesh on her left wrist. Her self-inflicted wounds are almost healed, but I walk away with a sense of Annie’s troubled life.

“You heard of me?”

NIMH_Clinical_CenterI’ve spent the last hour immersed in her past, familiarizing myself with her case. Of course, I don’t tell her that. I’ve been in this field a year, on 3 East, a thirty-bed, locked psychiatric ward in a hospital in Portland, Oregon. It’s a long road from being a student to forming any sense of competency. Annie’s presence on the ward is daunting; a twinge of stage fright had come over me when I greeted her. She’s challenged far more seasoned professionals than me. Her chart is seven inches thick—the clinical equivalent of hundreds of thousands of frequent flier miles—distilled from dozens of hospitalizations and years of outpatient treatment. It’s hard to believe the upside-down, in-person Annie has burned as many bridges as hospital-chart Annie.

Joanie, a newly minted MSW, watches the monitors at the clinical desk, which illuminate the dark corners and heavy magnetic doors on 3 East and hopefully prevent assaults and elopements. She’s working her way out of the deep hole of college-loan poverty. We’re a subset of a weekend team that includes six therapists, five nurses, and five psychiatrists who rotate in receiving our calls. We have each other’s backs in emergencies.

“Any reason I shouldn’t help Annie shower?”

“Yeah,” Joanie says. She reminds me that Alan, a fellow therapist, is leading a process group. Annie had declined his invitation to attend. But when process group is in session, everything else stops.

In shift report and briefings, we discussed our strategy for working with Annie, particularly the need for consistency. Joanie and I are needed on the floor until Alan’s free. Several patients are still asleep. Others start their day’s journey in a slow drift upward from the strange and frightening dreams that come from psychosis and antipsychotic medication.

I check my watch. Breakfast has come and gone while I’ve gotten caught up on Annie’s history. I work back-to-back, sixteen-hour shifts Saturday and Sunday. It’s Saturday morning, the start of my workweek.

***

Patients are admitted to 3 East in the acute phase of their illness for assessment, stabilization, and referral. Annie was admitted on Wednesday on a psychiatric hold, a status denoting patients who are a danger to themselves or others, with a diagnosis of borderline personality disorder (BPD). Because her illness has been well documented over its ten-year course, we know what to expect—up to a point. Her overly bright greeting, the strenuous exercise, her mood of the moment could swiftly devolve into something dark and irrational.

She’ll manipulate staff, split us into enemy camps, hate us then love us in the time it takes her heart to beat twice. Her emotional landscape is one of extremes. She’ll rage at those who are supposed to love her, who did love her once until it got too hard. She’ll rage at their abandonment. She’ll rage equally at those who try to hang on to her. We can expect her to try anything to fill the emptiness that—like an organ not visible on a CT scan but with an anatomical location vaguely near the human heart—comes with her disorder.

Beyond genetics, we recognize people by their personality traits—the quirks and behaviors that distinguish us from each other. Our personalities reveal themselves in our earliest years; however, personality disorders—patterns of inflexible and maladaptive behaviors—manifest later when they harden and set. No one knows which plays the larger role: nature or nurture. A parent or husband or sister may recognize something’s wrong then ignore the resulting discomfort and frustration and say ‘it’s just the way she is.’ BPD sometimes forms in response to triggers like abuse or abandonment—real or perceived. Real or perceived: this is the mystery at the core.

Young women with Annie’s diagnosis often act out in the form of suicidal gestures. These days, BPD sufferers can visit websites that cater to self-cutters and teach innovative means of self-destruction. Annie shares these creative, self-destructive tips the way best friends share clothing and secrets.

When process group ends, I find Annie. I turn the hot water on for her shower and bring her a cheap, pink, hospital-issue razor. She comes equipped with a heavy white Turkish towel and her cosmetics kit stuffed with miniature, free-gift-with-purchase samples of expensive toiletries.

Delicate white scars map her flesh; intricate patterns crisscross her arms, legs, and stomach—trails of superficial cuts that end just before reaching the generous blood supplies of her arteries and deep veins. I hand her the disposable razor.

“Not a pretty sight, is it?”

“You look like my grandmother’s lace curtains.”

She giggles. The bathroom fills with steam, and I can’t see her reflection in the mirror. I’m uneasy and move closer to watch her stroke the razor easily up her long legs.

“These razors are the pits. They never get it all.”

Afterwards, when she arrives for lunch, she’s meticulously made-up and neatly dressed in designer jeans and a bulky Aran-knit sweater: just a pretty young woman sitting down to lunch on a sunny afternoon. She drinks a glass of milk; she wolfs down two portions of Salisbury steak and gravy, two portions of mashed potatoes with butter and sour cream—all served on paper plates with plastic utensils—and four Styrofoam cups of ice cream for dessert.

When I walk past her room fifteen minutes later, I hear her throwing up in her bathroom.

“Are you okay?” I interrupt the unmistakable gagging noise she makes as she purges her lunch.

“Yeah. I’ll be out in a minute.”

A stuffed animal rests on her pink pillowcase. She’s taped photos to the wall above her bed. One photo in particular catches my eye. I lean in to study it. Annie stands at the center of a group of people jammed together in tree-dappled sunshine. They pose for the camera, smile, and wave happily. Annie looks healthy and plump.

When she emerges from the bathroom, her lips are raw. She smells of toothpaste and has changed into a hospital gown. She slumps down onto her bed and clutches her shabby teddy bear.

I look from her photo to Annie in her bed.

“Who are these people?” I ask. “How old are you here?”

“Sixteen. My mother, my brother, my uncle, my cousin, and my best friend.”

I search for clues in the photo. Nine years. What the hell happened to her?

“Do I have to act out to get a shot? I just want to sleep now.”

“I’ll bring you something.”

I inject a mild sedative. Now is not the time to discuss coping mechanisms. She skips dinner and sleeps through the evening. Sometimes that’s the best you can do for someone.

When I leave the hospital that night through the sliding glass doors of the emergency room, I inhale deeply. There’s a disconnect between 3 East and the rest of the world. It’s an occupational hazard. Inside, I lose track of time.

***

It’s the end of February, still dreary and cold, but it is a clear night with a dazzling array of stars and a sliver of a bright, white moon. Plumes of vapor billow from my mouth. I point my car home. Garlands of Christmas lights still grace houses and trees in Portland. I can’t decide whether my neighbors are lazy or crazy or both; maybe they’re depressed by our long gray winters, or they’re eccentrics who love Christmas lights. Whatever their reason, that night I’m grateful as it allows me to focus on something other than my medical profession’s penchant for dehumanizing patients when it defines them by their diagnoses, particularly anyone diagnosed with mental illness. While “Gall Bladder in Room 3” will leave the hospital without gall bladder issues, the “Borderline in Room 7” will likely be discharged with the same issues that brought her to the hospital in the first place.

It’s no surprise then that patients label themselves by their diagnoses as well. I’m more likely to hear “I’m a paranoid schizophrenic” than “I’m a college student and sometimes I hear voices”—the already fragile psyche stigmatized by itself.

From her records, I learn that Annie defiantly embraces her diagnosis. On a limited playing field, she takes pride in being the best at something where few seek a trophy. It has its own perverse logic. She derives her identity from being “a borderline” and sees herself as a teacher to others with BPD.

“I flunked DBT,” she brags during intake. DBT—dialectical behavior therapy, an offshoot of cognitive behavioral therapy—is the most effective treatment for someone as non-committal as Annie is to life’s infinitive: to be. DBT sessions teach basic skills, such as skills needed to stay alive, when to breathe, and how to walk step-by-step past disaster. Annie had arrived on 3 East following several suicidal gestures, a smorgasbord of passive and aggressive attempts at self-annihilation. The serendipitous arrival of a friend usually thwarted her plan. This last time, she upped the ante. She swallowed barbiturates then passed a razor across her left wrist. When she changed her mind, when no one came to save her, to prove their love, she dialed 9-1-1 and left the door unlocked and phone line open as she spiraled down into unconsciousness.

***

It’s now my second weekend with Annie. She invites me into her room and collapses onto her bed. I pull up a chair. Her features are gaunt and distorted by crying. Her chart indicates she’s down six pounds from a week ago. There’s a cotton ball taped to the antecubital space of her left arm from the morning’s blood draw. Purging destroys fluid and electrolyte balance, which can lead to seizures and cardiac arrest. A phlebotomist arrives daily to collect a tube of Annie’s blood.

Her nightstand is a mess. Sticky remains of last night’s juice smear its surface. Used tissues dry into stiff white clots. An open composition notebook invites snooping.

“How was your week?” I ask her.

“Just awful. If I can’t get out of here, I don’t know what I’ll do.”

Is that a threat? Certainly, she can make the connection between her suicide attempt and her hospitalization. Does she really imagine we’ll open the doors and let her out?

“Sounds like you feel pretty hopeless,” I say. Although I really want to know about her week, she frightens me and my voice gives it away. Annie spots my insecurity and pounces.

“Don’t talk to me like that,” she snaps then starts to sob.

“Like what?” I ask.

“Like a nurse or therapist, whatever.”

“I am a nurse. How do you want me to talk to you?”

“Like a friend.”

“I care about you; I want to know what’s going on; that’s why I asked.”

How easily she walks over my carefully constructed boundaries. “I don’t think you’re ready for discharge if that’s what you’re asking. What would you do if you got out of here tomorrow?”

She stops crying. “They’d find me dead with a needle in my arm.”

“Well, now, that’s kind of dramatic. And not likely to encourage me to advocate for your freedom.”

“I’m nothing if not dramatic.”

“OK, you got me. So short of finding you dead with a needle in your arm, what do you want to do? What happens after here?”

“I want a life. Like everyone else. I deserve it.”

“Of course you deserve it, but we work for the lives we want, and sometimes we don’t get them. And we try again and keep on trying. Swallowing pills and slashing your wrists doesn’t tell me that you want a life,” I point out. “It tells me you’re ambivalent.”

“Yeah, I get that.”

We sit quietly for a few minutes, then I stand to go.

“Evelyn…”

“Yes?”

“Do you have to be so neutral?”

“Annie, you know the limits of our relationship. Maybe a shower and some fresh clothes, clean up your mess. You might feel…”

“Go to hell.” There’s something animal in her voice, growling and hungry.

I keep walking. Neutral? When I think of Annie I feel weary and sad. I want to grab her by the shoulders and shake some sense into her; I’m definitely not neutral.

Still, I’m not surprised by Annie’s boldness when she walks into my transitions group in the afternoon. I’ve designed it for patients nearing discharge. It covers the basics—first steps after walking out of the hospital’s sliding doors into daylight, where to go and how to get there, how you fill prescriptions. And more complex issues, like staying out of the hospital, symptom management, access to housing and health care—how to keep from falling through the cracks of bureaucracy. I teach our most vulnerable citizens how to negotiate a draconian system of health care.

Annie comes up to me at the end.

“I liked your group. I learned something from it.”

“Tell me.”

“That it has nothing to do with me.” She smiles and walks away.

The doctor sees her on rounds, speaks with her briefly, jots some notes, and increases her Ativan for anxiety. He’s not Annie’s psychiatrist, but he’s well versed on her case; everyone who works on 3 East is familiar with Annie’s story.

We tweak her medications. Until new and better medications come along, that’s all we can do. Annie’s been on antidepressants, antipsychotics, mood stabilizers, anti-anxiety medications, and sedatives. They relieve some of her symptoms and temporarily improve her quality of life, but there are no medications to cure BPD. One therapist, in complete frustration, suggests that Annie needs a “personality transplant.”

Later in the evening, Joanie calls me. Her voice carries from Annie’s room down the long hall to the community room. She’s at Annie’s side when I arrive. Annie is tangled in a mess of sheets. Her eyes roll up in her head, her back arches, and she thrashes uncontrollably half off the bed. She’s unresponsive to our queries and white froth turns blood-tinged when she bites her lip. It looks like a classic grand mal seizure.

Annie experiences these after particularly violent episodes of purging. Alan gets there just after me. We catch her before she hits her head and carefully lower her onto the floor.

The seizure is over in an eternity of moments, and then Annie is still. Her blood pressure and pulse are normal, her breathing is unlabored, but she’s pale. I give her low-flow oxygen through nasal prongs for a few minutes and notify the physician. An hour later, she’s awake but sleepy.

“What happens when I have a seizure?” she asks. Do her lips turn blue? Does she froth at the mouth? Do her eyes roll back in her head? Do her arms and legs jerk?

I think about it.

“It’s pretty scary looking,” I answer.

I help her clean up and change into flannel pajamas. I think about neutrality and professional boundaries. Then I sit down with her and describe her seizure in detail.

She sits cross-legged on her bed. A tiny reading lamp clipped to her notebook casts a halo of warm light around her. When I leave for the night, she’s writing it all down.

***

We’re worn down. I’m worn down. I dread my long weekends locked in 3 East with Annie. The staff meets weekly for debriefings and diagnoses each other with compassion fatigue. We veer between giving up on her and believing that she’s tough and will survive. We’re horrified but not surprised that we share some visceral responses to her—anger, mainly. We are surprised when our collective negative energy evaporates as she charms us with a joke or smile, a token of her affection.

She should be out having fun with friends, going to college, dating, enjoying a loving family. Instead, she spends her time with us—binging, purging, cutting, and committing desperate acts of near self-destructive attention-grabbers. She is both victim and predator. In my better moments, I compare her to Tinkerbell; Annie doesn’t stand a chance unless we believe in her.

One of the staff psychologists obtains permission to take her for a walk on the quiet street in front of the hospital for some fresh air and a smoke. Annie runs toward the busy intersection and darts out into traffic. He runs after her and tackles her down; cars skid and slam on their brakes.

That week, I feel the prickly aftershocks of this incident. The staff is vigilant but gives her space. She’s off “constant” watch. I count the number of times she paces the length of the ward. Seventeen laps equal one mile; she does twice that.

My stomach muscles hurt, braced against threat. The signs are there. We take turns walking past her room. I’m apprehensive but not surprised when I hear the crash in Annie’s room.

She stands on a chair with a fragment of fluorescent light bulb that she’s broken out of its ceiling cage. She slashes at her wrists. Blood drips onto the floor. I grab towels to apply pressure while two others take her down from the chair. When we attempt to pry the glass from her hands, she puts the shards into her mouth and swallows. Annie slithers and writhes across a floor that glitters with fragments of glass. Her mouth oozes blood; she bites at us.

“Code Green” echoes over the hospital speakers and trained staff arrives from all departments. The emergency room nurses are there when Annie loses consciousness and turns blue. We have minor cuts and bruises and other deeper injuries that don’t show.

***

Closure is overrated, and in our line of work, it’s elusive. Sometimes I read about a former patient in the newspaper—usually bad news. Not knowing is my way of holding out hope.

Annie is referred to the state hospital, but does not meet their criteria for admission. Her problem is behavioral; she isn’t psychotic. She’s lucky; the state hospital is no place to get better. So she stays in 3 East for a few more months.

Annie is discharged early, at the end of May, into a run of good weather. She gets better. She gains weight. She hasn’t cut herself in a month; she discusses her behavior with mature insight. I’m not sure her improvement has anything to do with us.

In the next few months I hear rumors that Annie is or has been in our emergency department after another suicide attempt. I want to see her, but I don’t want her back on 3 East. It’s another hospital’s turn. The tools in our toolbox are failures of science and art.

A year later, I find a note taped to the clinical desk inviting us to Annie’s memorial service. There’s a phone number if we want additional information. I don’t call.

 

 

*All names and physical descriptions are changed to protect the identity of both patients and staff. The events are correct and in the order they happened. The locales exist although Woodland Park Hospital in Portland, Oregon, closed in January 2004.

Evelyn Sharenov is a writer and editor whose work has been published in The New York Times, Glimmer Train, Fugue, Mediphors, and numerous anthologies, including Best American Short Stories. Her journalism has also appeared in Bitch Magazine and The Oregonian newspaper. In addition to writing fiction–short and long form–Sharenov writes essays and creative nonfiction. She is a psychiatric nurse practitioner.