Something Greater than Nothing
A kitchen fire at the hospital on 3rd and Elm caught on quickly, so quickly that by the time it was put out it had burned through every room in the cancer ward, killing those patients, all except one at the very end of the hallway. Room 111. Mandy Carrigan, age 25, terminal colon cancer patient and now also victim of burns which were as equally life-threatening as her cancer. When the fire department had found and rescued Mandy, the flames had engulfed most of her room but had mysteriously halted just short of overtaking the side of the room where her bed was, as if the fire had decided to stop. Some have hypothesized that a water main break managed to slow the progress of the fire, giving the firemen time to reach Mandy’s room before it was obliterated. Others have said that it was a miracle from God. But in either case, when the firemen did reach Mandy’s room they found her out of her bed, torn from tubes which administered her chemotherapy, huddled in the corner. The firemen weren’t surprised by this. But Mandy’s doctors, those who were intimately familiar with her case history, were shocked. They argued amongst each other about whether or not even the most life threatening situation could provide the human body with enough adrenaline to accomplish what Mandy had, given her weakened state.
Mandy’s case wasn’t hopeful before the fire. Not even close. Chemotherapy had been more a symbolic gesture insisted upon by Mandy herself, even with warnings that it would decrease the quality of whatever short span of life she had left. And not only that. She also refused the pain killers her doctors recommended, taking only those that wouldn’t effect her decision-making such as ibuprofen, which was pretty negligible for someone in her position, because she was afraid that the stronger options would delude her mind.
But after the fire Mandy’s case was compounded by the the burns and damage done to her lungs from inhaling large amounts of smoke. She was being treated now around the clock by oncologists and world class burn specialists at a hospital in a different city, which was possible in part because of the money donated by the previous hospital and mounting public support for Mandy and her story. There were many national news reports but none showed pictures or videos because the images were so shocking that no managing editor or director could stomach to put them in print or on air, and ultimately none felt that showing them would sell more newspapers or clicks or views, anyway.
As a matter of course her doctors began giving her those strong pain medicines she had previously refused. That was the only way they could treat her in the beginning stages. But as time wore on, in her most lucid moments, Mandy clearly indicated that she didn’t want them. She typed on a small computer pad by her bedside with her one hand that could move only slightly. No pain meds. Her parents begged her to stay on them. The doctors too. But she typed it so many times, and even mounted her thoughts on the basis of a lawsuit against the hospital for failing to follow her wishes for her own medical care. At that, the doctors complied and took her off.
Mandy’s father and mother were very distressed. Before the pain meds completely wore off, they asked her why she didn’t want them, pleading with her to consider a different course. Why not accept just a little relief? Mandy gave the same answer she always did. Her mind was about all the had left, she said, and she didn’t want it tampered with even if that meant release from physical pain. She would navigate forward as best she could without them.
Mandy couldn’t type much after the meds. She gave yes or no answers to questions in the form of “n” or “y,” and even that at times seemed like more pain than she could handle. Her parents found that the trick was to get the temperature and humidity of the room just right, to allow the perfect conditions for Mandy to lay perfectly still by keeping her feeding tubes and life support out of the way, and to keep mental stimulus the focus of waking hours with television, audiobooks, and one-way conversation. If all this was done perfectly Mandy could sometimes avoid complete agony. This phase of her treatment was so bad that her father attempted to conspire with one doctor to sneak pain medicine into her drip, but when Mandy began to feel the effects and gain the ability to type more lengthy passages again, she told her father that if he didn’t stop the pain meds she would disown him as her father and bring charges against him. She ended her text string to him with get behind me, satan.
Mandy lasted longer than her doctors thought she would, and even became a private point of annoyance amongst them, since it was only a matter of time before her cancer would overtake her body, and all would end as it was originally planned. Many resources went into keeping her alive. And her parents too couldn’t stand to see their daughter suffer. That was the most painful thing. They couldn’t understand, month after month, why their daughter kept holding on when it would have been so much easier to let go, and they knew better than to ask her and force her to move her delicate fingers to craft a response.
One evening her parents came into her room and told her what they were going to do. They were going to tell the doctors that Mandy herself was requesting to be removed from life support. They couldn’t take watching their daughter suffer anymore. Not like this. In reponse Mandy was trying to lay very still as tears ran down her cheeks. It was very hard for her to type, but she managed pls no, almost passing out from the exhaustion of that one phrase. Her mother began weeping bitterly. It could not get any worse. She kissed Mandy on one very small portion of her typing hand which had been unburned, the one spot of original skin, and left the room for Richard to do the rest. Richard said he was very sorry but this was in everyone’s best interest. The suffering was too much. He then kissed her hand too and left the room.
The doctors were relieved when Richard and Barbara said that Mandy wanted finally to be taken off life support, and together they let out a collective sigh. They all felt like they had been through something together. Something horrible that none of them would ever forget. True, Mandy’s parents felt a sense of guilt for having lied their way to this solution and for ending Mandy’s life prematurely. But if they hadn’t intervened, how long would she have suffered? Surely they had lessened her overall pain. So even they began to feel a sense of relief after it had been done.
Most people had forgotten the news story, so when the report came out about Mandy’s death, it was a small one which only covered the necessary details. She’d decided to be taken off life support and who could blame her for that? The doctors interviewed said that Mandy had a peculiar and borderline supernatural will to live. Almost like a medieval saint or something. And her parents said they had no idea before Mandy was sick that this thing, this resilience, was anywhere inside of her.
While the doctors were unhooking everything from Mandy they pretended not to notice she was typing on her little computer screen. They knew what was happening. They’d treated Mandy a long time and didn’t believe for a second that she’d authorized it. None of them looked at what she typed. They unhooked her, pumped her full of drugs and eventually, days later, she died. Finally, one doctor thought, I can go back to my regular life and regular patients without news cameras and hassle and barbaric martyrdom. Although her mother knew Mandy must have typed something and made the mistake of looking at what it might be. Mandy’s last words were numbers.
1 > 0
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