Tuesday, January 15, 2019

The Loneliest Night, Or, Collateral Beauty


I walked into my main anesthetist’s office after signing my advance directive will. I was 18 and strong. Up until this point I had virtually excelled at all that I had put my hand to: sports, school, writing, instruments. I was untouchable. “We’re going to insert a catheter bolus into your spine to provide a nerve block for the section of your abdomen that will be affected…but I do have to tell you: it doesn’t always work…it’s a bit of a crapshoot whether we get it in the right way at the right angle.” He then made a joke and told me to enjoy my weekend before the operation. ‘No problem,’ I thought, ‘they’re professionals; they do this all the time; they’ll get it in right.’ Not even considering the trauma that a puncture to your spine with a very large needle is in itself (shout out to all the moms out there who do it while giving birth; y’all are the real MVPs).

Four days later, I slowly wake up with the intuitive knowledge that the surgery was a success and the massive tumor inside my pancreas was gone. I felt a sensation of fullness in my abdomen. I had a tube coming out of my nose that didn’t bother me. The two nurses or interns or whoever they were in scrubs that had been waiting for me to wake up made a joke that it’s contents looked like… excrement. And, up until a few months ago while watching E.R., I believed them and told many the avid listener that they siphoned poop through my nose! (For reference, it was a tube to drain the contents of my stomach). Then I noticed the pain. There was pain. I tugged on whoever was around to ask for something to alleviate the pain.

My next memory was getting wheeled past a waiting room in which my darling younger sister, 13 at the time, timid as a mouse, was red-faced, quietly sobbing. If I wasn’t in so much debilitating pain and attached to so many tubes, I would have run up to her to hold her and tell her it was all alright. We’re like Katniss and Prim, us. Then, darkness.

It was sometime early in the morning when I woke up, the twilight streaming through one window and the dim hall lights streaming through the other. This passionate, fiery Italian woman from New Jersey came in as if she was waiting for me to regain consciousness. I forgot her name due to all the drugs, but I’ve always thought of her as Theresa, promising to name of my five daughters after her. She checked my vitals and bumped the hospital bed. I groaned and began crying, I believe, and said to NEVER do that again. My whole abdomen tensed up and caused the most excruciating pain I’d ever experienced up until that point. She said it shouldn’t have hurt that badly so she called my pain team who happened to be in surgery. We waited. Theresa had the years of knowledge to know that I didn’t want her to talk to me but that I did want her in the room.

Finally the pain team came and ran a ridiculously simple test to see if the catheter bolus had worked. They put a piece of ice on my side and asked if I could feel anything. “Yes,” I managed to get out. With urgency, one looked at the other and said, “She shouldn’t be able to feel that.” The rolled me over to both sides (for whatever dumb reason) to check the injection site and I think decided to just take it out. I would get my pain meds solely from my IV’s, whatever that meant for me and my pain. They left.

One, two, three, four, five. Five breathes per minute. That’s all I could manage due to the pain. Theresa came in and calmly but urgently said, “Anna, you’re down to five breathes a minute; I need you to breathe.” I thought that meant I was dying (thanks E.R. and Grey’s for teaching me about the wonders of intubation since) and I was more than okay with that if it meant the pain would stop. Theresa didn’t leave my side for a while after that and asked if she could play some music for me on her phone. The Lord giveth songs (Pandora) in the night (Job 35:10). I remember thinking that this vivacious, Italian woman was my guardian angel, fittingly since I’m obsessed with The Godfather. Darkness.

That night was the loneliest and most challenging and painful night of my life.

Throughout the rest of my hospital stay, I would allow NO ONE near my bed for fear that they would bump into it causing my abdomen to tense up and produce ungodly pain. I felt like a glass figurine in Laura Wingfield’s menagerie1. And since that night five years ago, I haven’t stopped.

About a year after that fateful night, I was diagnosed with Bipolar I disorder (and ADHD).  I have been in and out of Virginia Tech for five years (managing straight A’s for all the classes I could manage to finish with my mental health intact). I had two short stints at Regent and TCC to see if being closer to home would help. It didn’t. I’ve held part time jobs that I’ve had to fairly quickly quit due to mania, depression, psychosis or a combination of the three. I have tried living with friends and living on my own. I spent a glorious (read horrifying) week in a psych ward but it’s all come to nothing as I have ended up living with my dad for the better part of these past five years.

I feel like an invalid trapped in my own body and mind. Having never before struggled with chronic anxiety, I am now struggling to leave the house. I study formal Arabic 2-4 hours a day and usually do so at a desk in my room. Now, I’m too nervous to leave my bed for more than a trip to the bathroom or to get a water bottle, so I’ve moved all my books to my bed.

I fear that my soul is slowly dying… that I am turning into Laura Wingfield herself. I don’t know what I did to deserve this. I wanted to be a missionary in Palestine for crying out loud. ‘Hello, God, not many foreign Christians want to be sent there and I am BEGGING you to, what’s up with all this death and illness?’ I’m reading a book about a man who suffered a stroke that resulted in locked-in syndrome, a process in which you can make only the slightest of movements, if you are lucky. This man communicated (and wrote the entire book2) by blinking his left eyelid. In one chapter, his wife calls on the phone, “’Are you there, Jean-Do?’ she asks anxiously over the air. And I have to admit that at times I do not know anymore” (The Diving Bell and the Butterfly 1997).

As a recovering Pentecostal, I say this with severe restraint and hesitancy. But through it all, I’ve heard a still, small voice in my heart saying, “You will be okay. It’s gonna be okay.” That’s it. That’s my marvelous message from the Magnificent above.

But as I look around, I am reminded of a movie called Collateral Beauty. Here’s one of my favorite scenes as Love personified talks to roaming, embittered man who lost his young daughter to brain cancer. Here’s an excerpt from Her speech:

“No…I’m in all of it. I’m the darkness and the light. I’m the sunshine and the storm. Yes, you’re right, I was there is her laugh, but I’m also here now in your pain. I’m the reason for everything. I am the only Why? Don’t try and live without me, Howard” (Collateral Beauty 2016).


As I feel like my body hasn’t stopped breaking since the surgeon’s initial incision so many years ago, I muse at this idea of collateral beauty and love being the reason that makes all the pain, the suffering, the breaking, worth it.

I have been to the brink of death and back numerous times (via surgery and suicidal ideation) and I can confirm, or at least posit, that Love is the only reason it’s all worth it. “We have come to know and have believed the love which God has for us. God is love, and the one who abides in love abides in God, and God abides in him” (1 John 4:16 NASB).

*One last thought, if you too feel like you are breaking, mentally, physically, emotionally, spiritually, remember the words of Paul in 2 Corinthians 4:7-18. My memory verse right now is 1 John 2:8b: “…because the darkness is passing away and the true Light is already shining” (NASB). After I recite, my spirit sometimes wells up within me and exclaims, “Oh, God, your Light is inside me; break me if you must that I may see your Light!”

**To those of you who feel as though you are breaking, read the passage I mentioned about and here me say, “It’s going to be okay.” To you who aren’t in a season of breaking, be the collateral beauty in the life of someone whose is. I mentioned a few ways to help people in pain in a recent post.

1 The Glass Menagerie by Tennessee Williams
2 The Diving Bell and the Butterfly by Jean-Dominique Bauby (read this with a box of tissues on hand

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