St. Clare's Hospital

Did that really happen?

3/16/16

Writing is so much about remembering. Or more accurately, re-feeling. But sometimes when I’m going over my past, working on a poem, I think, “Did I just make this all up?” Like it’s some story I told and somehow the world believed it and it turned into memories. 

1983 July 4 

52nd Street. The abuelos play dominos on a TV tray/Boombox tuned to Spanish music/Little boys tumble in the fire hydrant spray/On this hot afternoon black-cat smoke up to my knees./We have a stat transfer. St. Clare’s ICU to Bellevue. Critical./Could there be a place grimmer than the St. Clare’s CCU?

Yes. Directly across the hall/The ICU lacks even flimsy privacy curtains/And is stuffed full of neurological casualties. There’s no staff./The place where the doctors and nurses sit/Surrounded by plexiglass similar to the bulletproof enclosure at a liquor store/Is over yonder. In CCU.

Our transfer is on a respirator, surrounded by a tangle of wires and tubing./I look at his chart. From what I can make out he was on the floor/Crashed, and got rushed to ICU./His blood pressure is being maintained with drugs./He has uncontrollable arrythmias./He must be transferred to Bellevue as soon as possible.

                        from BrokeDown Palace

 

I know this call really happened. But it seems so absurd. How could there have been an ICU where the medical staff is across the hall behind two closed doors? Maybe it was only that way on holidays. The other strange thing about that day was there was only one doctor covering the ICU, CCU, and all the floors, so they didn’t have anyone to ride with us. I know it wasn’t like that usually. But my friend Bonnie went to visit the AIDS ward with a group of singles one afternoon in the early 1990s and they never saw any medical people. She said the entire place seemed to be run by guys in hospital gowns who were smoking, drinking beer, and playing poker.

20,000 Ambulance Calls

Today, I calculated how many ambulance calls I did in my life, and it’s around 20,000. Then all the driving around in between calls, hanging out with cops or homeless people, meeting the men who built shacks on the pier, bullshitting with other units. It’s a lot to remember. The starkest things pop up fastest; homicides, people under the train, jumpers. But the rest is there, I know. I’ll be biking by a corner and think, oh, there used to be a boxing club on the second floor here, where the men were all black and spanish and the coaches were white. We had a berry aneurism in one of the rings.

Below is what I was writing today. As I worked on it, I suddenly remembered there was an apartment on West 30th Street inhabited by albinos. The twin girls were drug addicts, the 20 year old brother was on oxygen and smoked crack, and the oldest sister had an enormous ovarian cyst that made her look nine months pregnant. I can still see the brother’s room in my mind.

 

Across from St. Clare’s, on the second floor of a nondescript tenement, stood a peculiar urban outpost of darkest Appalachia. The apartment itself was a mechanical impossibility. Every grease-coated wall leaned inward. Every faucet dripped. A bulb screwed into the ceiling gave almost no light, but somehow illuminated each spatter and smear. This edifice contained not a single bright or decorative object. No salt and pepper shakers, no little statuettes. No pictures. Nothing. Only two jobless, toothless inhabitants. Grace and Bobby. Mother and son.                    (from BrokeDown Palace)

trying not to revise the past

BrokeDown Palace is a history in poetry. The history of the hospital I worked at, and the history of myself and the people who came before and along with me to build it. I was there for the 1980s, the 1990s, and the 2000s. Right now, I've organized the poems by decades and those are by far the fullest. But in a certain way they're harder to write. If I write about the world of St. Clare, for whom the hospital was named, I can build a world from distant history. Maybe it's the way it was or maybe it's not, but I'm not revising it trying to please my picture of myself.

You were born in the Mongol years/You could have met the son of Genghis Kahn./Eleven years old when the crusaders sacked Constantinople/Who were you? A noble child, wrenched by love/of poverty in her rough tunic/St. Francis in the moonlight, eyes like torches . . .

When I get to poems about the 1980s, I have to fight off the desire to improve my past. In light of what came after. It takes so many drafts to get beyond this, and I don't know if I always do.