Sunday, December 15, 2013

The Affliction

“Hello, Mr. Zarkoff, this is the Oncology Support Center at Metro Health Hospital Downtown. We’re sorry we missed your earlier calls, but we just didn’t have very much information at the time. The reason for this call at this time is that Dr. Schmidt, our on-call oncologist, needs to speak with you immediately concerning your wife Andrea. If you can come down sometime today or tomorrow, that would be perfect; we can send you up to speak with him immediately. Thank you, and goodbye.”

Blip.

“Hello, Mr. Zarkoff, this is the Oncology Support Center at Metro Health Hospital Downtown…”

Blip.

“Hello, Mr. Zarkoff…”

I continuously replayed the message in my voicemail as I sat in the private examination room, but it only made my heart sink more, every word feeling like a punch to the chest. 

 “- Our on-call oncologist needs to speak with you immediately concerning your wife Andrea…”

It was almost a nervous tic at this point, almost soothing to press the buttons on the phone’s touch screen, hearing their satisfying little blip as they activated. It was the one thing in my life I had control over, unlike everything else. Orderly. Neat. Calming. Always, always I could pause the voicemail, or delete it, or replay it as endlessly as I wanted, over and over and over and over and over and over

Blip.

“Hello, Mr. Zarkoff?”

I started like a nervous jackrabbit, and looked up at the now open doorway. The stern-looking face of a middle-aged man, black hair trimmed neatly, scrutinized my tired eyes for attention.

“Oh… hello, doctor, I’m sorry, I was just…” I glanced down at the phone, shutting the voicemail off. “Nervous habit of mine.”

“It’s understandable, Mr. Zarkoff.” A weary, sad smile from the doctor. “I’m Dr. Schmidt, I’m sure you were listening to the voicemail the front office sent you, correct?”

“That’s correct,” I murmured, locking the phone’s touch screen as I pocketed the device. “You said you had something to talk with me about?”

The doctor pulled over the swivel chair and sat down, eyes holding the same detached, unreadable look as every other doctor had before explaining bad news. I felt my stomach start to do nervous gymnastics as I looked to him. Maybe it wouldn’t be bad news. Maybe he was remaining detached because that was how he’d been trained to react. Maybe he’s just trying to remain professional.

“Well, Mr. Zarkoff, here’s the thing,” the doctor said, clasping his hands in his lap. “We’ve discovered that your wife’s cancer is in a bit more of an advanced stage than we thought. We had hoped it was only stage II or so, but it’s looking like it may actually be stage III. She’s going to have a long battle, even though the chemotherapy has started and seems to be working alright. We’re doing all we can, but it’s still going to be very difficult for her.”

“What do you mean, ‘seems to be working alright’?” I responded in alarm, standing. My heart was speeding like a racecar without any brakes.  “Is it working or not?”

“It’s working as best as can be expected, but this type of cancer is extremely aggressive and can –”

“I know, alright? I’ve been told by enough of you white-coats that this cancer is a son of a bitch to get over, and that Andrea might not get over it at all, and that there’s a good possibility she could die from it. I know!”

“Mr. Zarkoff, please calm down. I understand how upsetting all of this must be, I know you’re scared for your wife. But we are really, in all earnestness here, doing the absolute best we can do for her right now. I cannot be any more honest with you than I am being right now when I tell you that I am trying everything I can to ensure she recovers.”

My shoulders slumped, and I stared at the oncologist blankly as he continued to speak.

“Now, I know you’ve been told that this is a difficult cancer to treat, but it might put your mind at ease to know that inflammatory breast cancers like your wife’s have a good rate of sur-”

The tinny voice over the intercom cut off the doctor’s words.

“Paging Dr. Schmidt, emergency in Room 411; Dr. Schmidt, emergency in Room 411.”

“I’m… sorry, Mr. Zarkoff, I have to step out for a second…”

I watched in frustration as the doctor rushed hurriedly out of the room to attend to the emergency, the door slamming behind him as he left. The anger I felt probably paled in comparison to the horror of a loved one being in an emergency situation, but it still stung. This hospital’s staff was probably overworked to hell, of course they’d have no time for me or for Andrea. Of course, they couldn’t give her absolutely everything. Of course, all they could do was try their hardest to fight for her. They surely didn’t mean to abandon both her and I when they were so busy… did they?

Of course not, Michael, I thought, shoving the idea from my mind. They have a lot of patients to take care of and if even one of them has a problem, they have to attend to that person. Even if it isn’t Andrea.

But what if it is?

Oh God. No, Michael. No, no, no. Don’t think about that. She’s fine. They just said she was doing fine. Her room isn’t even Room 411. She’s fine. She’ll be fine, Michael. She’ll be fine…

“Mr. Zarkoff?”

I looked up expectantly at the man who had just entered the room. Odd, I hadn’t even heard the door open, and yet there he was, standing in the corner, hands folded behind his back, dressed head to toe in blue surgical scrubs. His eyes, an unappealing shade of hazel-green, scrutinized my face as he quietly began to smooth the wrinkles from his surgeon’s gown and gloves.

I suppressed a cringe as I realized both garments were spattered and speckled with the blood of a patient that had just been operated on. I never was very good with blood.

Disgusting…

“Hello,” the surgeon responded in a voice like an oil slick. “Dr. Schmidt asked for me to speak with you, seeing as I was the only one available and my next patient isn’t for a good several minutes. He said you were quite upset and needed someone to speak with.”

“Um… yeah…” The stench of blood on his clothing was almost enough to make me faint, and his tone wasn’t helping matters. “Yeah, thank you…”

The surgeon nodded slightly in response, seeming to notice my unease, and walked towards the sink to rinse his gloves.

“I do apologize for the mess,” he continued, watching the bloodstains dissipate into the water streaming from the tap. “My last patient had to have a rather large tumor removed from her abdomen; quite messy work. But yes, I thought you looked a little pale… Is this about Andrea?”

I nodded numbly as he dried his gloved hands and turned to face me once more.

“Yes… yes, it is about her, actually,” I responded, finally gaining my composure again. “I was told she was having some difficulties, though I don’t suppose you’d have any information about that…”

“Actually, I do,” the surgeon replied eagerly. “You see, I work very closely with the Oncologists and nurses in this area, and I have become acquainted with your wife through hearing about her. At this moment her condition is stable, although they are correct in telling you that your wife has a stage III cancer of the breast. They have done a mammogram as part of her checkup and already have discovered several tumors, some of which have gotten quite large and have started to spread to the other side. They will likely need to be removed via mastectomy, which they should be scheduling her for soon, I expect…”

I wanted to throw up.

“She’s… She’s really going to have to go through surgery after all, then?” I asked worriedly.

“Oh yes,” the surgeon responded. “And of course, there’s still another several rounds of chemotherapy to go. Poor thing, chemotherapy is quite a nasty process. Essentially they’re injecting her with mass quantities of poison, which causes cells to lyse. That is, the cells essentially explode and die. And those drugs are so indiscriminate that they attack non-cancerous cells as well as cancerous ones…”

“Please stop,” I muttered, sitting down and holding my reeling, light head. “I’d rather not…”

“Of course, the way cancer cells proliferate is completely random, usually stemming from DNA damage which causes the cell to multiply non-stop without dying as normal, and so the abnormal cells pile up into the structure known as a carcinoma. From there, pieces of it can break off if the carcinoma is large enough and spread through the blood stream, eventually spreading to other large organs in the body, such as the liver, heart, lungs… even the brain. Of course, that’s without treatment, and your wife is undergoing aggressive treatment, so there is a chance she might even live…”

“Stop it, already!” I snapped, stomach swimming with nausea. “Just… Please… please stop it, I don’t want to hear about it anymore…”

“Well, then.” The surgeon’s eyebrows raised in intrigue. “I do apologize for not beating about the bush. The truth is, Mr. Zarkoff, there is no telling whether your wife will survive the treatment or not, even though her prognosis seems alright. The rest of the staff is trying their hardest, yes, but they are just as worried she will not pull through as you are. They know better than to be fully optimistic… and you do too, yes?”

My ears began to burn, and my nails dug into my palms as my fists clenched in anger.

“Besides,” the surgeon continued, turning to look at the clipboard Dr. Schmidt had left on the counter top, “It does no good to sugar-coat a bitter pill, does it? After all, doing so would simply make your wife’s inevitable death that much harder to bear…”

“She isn’t going to die!”

I stood, and my hand somehow found their way onto the surgeon’s shoulder just as he turned to face me, his eyes continuing to scrutinize me. His eyes… There was something wrong with the color of his eyes, they weren’t just hazel-green, they looked… rotten, rotten green is the only descriptor I have for it, a sick, moldy green. And his skin under his scrubs didn’t feel right, it felt like the scrubs stuck to him, like a bandage clinging to an open wound. But more so than that, he had a septic smell to him, a bacterial smell like a festering sore, a smell that made me regret getting so close and made me wonder just what in the hell kind of tumor he’d been operating on earlier…

“Would you kindly let go of my shoulder, Mr. Zarkoff?” he asked, his tone suddenly gone harsh and cold.

I obliged, and backed away a bit, skin crawling. There was something wrong with him, something horribly wrong. He was very clearly sick with something I was pretty sure I didn’t want to catch from him, something that could very easily be contagious.

Something that, I realized with a shudder, was now all over my hands.

“I’m… I’m sorry,” I muttered, stumbling over to the sink to wash my hands. “I was… I was just…”

“You were upset, I know,” the surgeon responded coolly, setting the clipboard back on the desk where it belonged. “It is understandable to be upset over watching a loved one die. But then again, it is healthy to fear death. After all, all organisms wish to continue living, yes?”

I watched, speechless and confused, as the surgeon calmly walked to the door and opened it with a soft squeak.

“I really am sorry for this, but I must be going now. My next patient is due for surgery soon and I cannot be late. I will be sure to keep in touch with you concerning your wife’s condition, however… Oh, and speaking of your wife, she would probably like to see you before you head on your way… Good afternoon, Mr. Zarkoff.”

The door quietly closed behind him, shutting with a soft click and leaving me in confused silence. Not five seconds later, Dr. Schmidt returned.

“I’m sorry about that, Mr. Zarkoff,” he said, retrieving his clipboard, “But I had to attend to a patient whose vital signs dropped. You didn’t wait too long, did you?”

“No,” I replied, drying my hands and sitting back down. “But the surgeon you sent in to speak with me, the one with the weird hazel-green eyes? He was extremely rude and I think he may have been giving me too much information.”

“Hm, that is serious,” the oncologist murmured, giving me a stern look, “I don’t seem to recall a surgeon matching that description in my department, but if I see them I will speak to them about it. As for your wife, she is doing well at the moment, and if you have a moment, she would like to speak with you before you leave… Would you be able to do that?”

Why did you even have to ask? Of course!

“Yes, I do,” I replied, standing. “Show me where her room is?”

The walk to Andrea’s hospital room was short and uneventful. The doorway to her room opened up into the small room, which she happened to have to herself at the moment despite there being a second bed there. Her bed was closest to the window and faced towards the apartment complex, curtains parted to show the soft snowfall outside.

Her face turned to me as I approached, and she carefully sat up in bed. One look at her and I could tell she wasn’t feeling good – the chemo drugs were already starting to do a number on her judging by how tired and sickly she looked, but her dark eyes lit up as she saw me walk in with the doctor.

“Michael…” she said softly, smiling tiredly. “Hi, how are you…?”

“I’m alright,” I replied, taking her hand gently in mine. “You holding up alright?”

“I’ve been better... And I’ve been worse. You look tired and worried, hon, you alright?”
“I am tired, I’ve been worrying about you ever since you’ve been here.”

Her face fell in worry.

“Michael, please, I know it’s hard,” she said, bringing her other hand over mine. “But it’s not going to help either of us if you’re worrying yourself sick over me… I’ll be fine… Dr. Schmidt said that there’s a good chance the chemo will work, and then maybe once I recover you and I can go up to your folks’ place for New Year’s or something… instead of Christmas…”

“Maybe…” I thought aloud, thoughts swimming. The steady beeping of the pulse monitor continued in the background.

It does no good to sugar-coat a bitter pill…

“No,” I muttered, staring out the window at the soft snow falling all around. “No it doesn’t…”

“What doesn’t…?” Andrea asked, snapping me out of my thoughts. “Michael, you look exhausted, honey… you should really get some sleep when you get home.”

She was right, of course. I hadn’t been sleeping well for a while now, not since she’d started getting sick.  And as always, she had a point – I couldn’t do anything if I was tired all of the time…

“I was going to do just that when I got home,” I replied softly. “I’ve been so tired lately I’m starting to see things, and that can’t be good…”

“No, no it really isn’t,” Andrea scolded, finally finding enough energy to become her old, stubbornly confident self again. “Now you get home and you get some rest. I’m not going anywhere soon…”

A small smile from her, and she let go of my hand. My cue to leave.

“I’ll see you soon, Andrea,” I said, walking towards the door.

“See you, babe,” she said, the last words I heard before entering the silence of the hospital hallway and back downstairs to the main lobby.

The main lobby was almost empty, oddly enough, save for a few waiting visitors and waiting patients. In one seat, an elderly woman sat knitting, perhaps waiting for the receptionist to call her name. In another, a young-looking mother breast-fed her very new baby. In a third, a man and woman helped console their crying son, who looked to have experienced a broken arm. A nurse quickly attended to the trio, and escorted them down to the emergency visit wing. And in one distant corner, just far enough away from everyone else, a man in black clothes and a top hat sat with what appeared to be a little girl in a black dress, both of them looking expectantly in my direction…

Oh God…

The sudden recognition sent my heart into my throat and bristled into a cold sweat over my face and back. The whole room went cold, and it was as if time itself slowed down. Not them again. Not again…

I turned and quickly began to walk towards the front lobby entrance. Their eyes burned into me, following me out the door. Well, at least the man’s would have, had he any to speak of…

My thoughts raced as I quickly walked down the hill towards home.

Ignore them, Michael, they weren’t who you think they were, it’s just coincidence. He didn’t really have no face, you were just seeing things. You’re going to get home, take a Xanax, go to sleep, and wake up, and everything. Will. Be. Fine…

If that was the case, though, why did everything still feel so horrifying? Why was I worrying so much over nothing? Why did everything feel so wrong, so off-kilter and foreign?

Why did I feel like I was being followed?

I slowed down my walking pace for a second, collecting my thoughts and trying to calm myself down. Inhale, Michael. Exhale. Breathe. It’s just an anxiety attack. Nothing is out to get you. Nobody is following you.

I shut my eyes and focused as I slowed to a stop.

So did two other sets of footsteps on the pavement perhaps about three feet behind me.

Michael… Michael, don’t panic. Don’t think about them. Don’t look at them. Don’t acknowledge they’re even there. Just take the long way home, confuse them, lead them off your trail, anything you can. Just. Don’t. Go. Home. And don’t. Panic.

I picked up my pace and turned down a narrow alleyway, desperately trying to calm my shaky breathing. The two other sets of footsteps echoed off the alley walls, increasing tenfold, pointing out just how claustrophobic this alley was…

I began to shake and turned down the nearest side alley, breaking into a run. There’s more than a few of these small alleyways in downtown Grand Rapids, a small maze between buildings. If I played my cards right I could lose my pursuers in them, and then I could get home and forget all about the strange surgeon, the little boy from the park the other day, and the man that was following me now. 

Their footsteps at first increased in speed, then began to fade. Yes! All I had to do was run down some more side alleys, just a few more, just one more…

There!

The alley opened up towards the street, not that far from the apartment complex and the park. And what was better, I couldn’t hear their footsteps behind me anymore. I’ve lost them. Good. One last check before I head out of this alley for good…

But as I turned around, I realized the reason why I couldn’t hear footsteps anymore.

The man was already right behind me, staring down at me expectantly with the eyes he didn’t have, rangy arms casually at his sides. The little girl, Mori, peered out from behind his stilt-like legs with sad eyes, silently watching as I stood there frozen, trembling.

“Please don’t leave…” her voice sounded so upset, so disappointed. “He didn’t mean to scare you… Besides… he won’t let you just leave…”

“W-what?” I asked, my voice coming out in a half-whimper. “What do you want from me?”

“He thought you looked nervous,” Mori said, fidgeting. “Scared. He likes it when people are scared…”

I swallowed nervously. God, I wanted to move. I wanted to run so badly, I wanted to get the hell away from them, but something… something kept me rooted to the spot, frozen in fear… something in the man’s eyeless gaze, pinning me to the spot, holding me there like a moth pinned on a corkboard, I… I couldn’t. I couldn’t leave. I couldn’t run. Not from him.

He nodded slowly, tilting his head in intrigue as he scrutinized me, scanning me for weakness. I was sure of it.

“He says you’re scared about your wife again,” Mori said, stepping towards me. “He says you’re scared she’s going to die and you can’t help her. Because her disease is getting bad, because the Doctor said so. He saw what happened. He saw everything.”

I nodded numbly, and shut my eyes, trying to pretend they weren’t there. Maybe if I ignored them, they’d go away.

“You shouldn’t do that, Mr. Michael. He doesn’t like being ignored. You’re going to make him upset… And you don’t want to make him upset.”

Skeletal, cold fingers brushed against my face, numbing my skin, and my eyes instantly flew open.

No. No no no. Please no. Never touch me again. Please...

“Well it got your attention, didn’t it?” Mori asked. The man folded his arms, and the girl did the same. “He thinks you’re being stubborn. What are you going to do if she does die, Mr. Michael? What are you going to do if the doctors can’t help her? What are you going to do?”

The man’s gaze seemed to intensify in darkness and power, burning holes into me. He wanted an answer, an answer I couldn’t give. And all I wanted was to go home and go to sleep…

“I… I can’t… I don’t...”

That awful stare kept me pinned to the spot as I tried in vain to move, as my eyes shifted from him to the girl and back. I felt like I was on stage, I felt exposed and vulnerable… I didn’t have an answer. How could I have an answer to that when I didn’t even know what was going to happen next?

“I… I don’t know…” I murmured, and my shoulders slumped. “I don’t know… Please… I don’t know, and I just want to go home… Please, just leave me alone and let me go home…”

The man drew back a bit, as if surprised by my answer, and inclined his head in thought a moment.

Then he proceeded to lean down towards me, reaching for me with curious, skeletal, cold fingers…

I ran, my legs suddenly able to function again.

They didn’t follow.

I don’t remember the run back home, all I remember is pulling the door to my apartment open, slamming it shut, and locking the deadbolt. A cold sheen of sweat drenched my forehead and soaked the back of my shirt as I palmed a single Xanax in one shaking hand. I’m seeing things, I’m feeling paranoid, and this needs to stop. Andrea was right.

I really, really need sleep.

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