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Showing posts with label dreams. Show all posts
Showing posts with label dreams. Show all posts

Monday, July 9, 2007

July 9, 2007 - Just Get Me to the O.R. on Time

This morning I awaken in our Adirondacks house in Jay, New York, on this last morning of a brief stay. It's the day when I'm scheduled to drive back home. I've just had another nightmare, prior to surgery. (This sort of thing is getting to be a habit with me.)

My surgical procedure tomorrow, at Ocean Medical Center's interventional radiology suite, is going to be an ultrasound-guided needle biopsy: Dr. David Feng, presiding. He's the same doc who did my core-needle biopsy, at the time of my initial diagnosis.

Events unfold rather differently, in my dream. For some reason, my surgery is going to be at the University of Iowa Hospitals – the place where our son, Benjamin, had a couple of minor eye operations, years ago, when he was very young (we were living in Iowa, then). Accompanying me to the hospital is my brother, Dave. In place of Dr. Feng, conducting my needle biopsy will be Dr. Aron Gornish (the same doctor who was scheduled to do the excisional biopsy, but called it off at the last minute).

The hospital complex is huge: corridor after corridor to wander through. It feels as big as the Pentagon. Eventually, we find Dr. Gornish, and he brings me back into the operating room, to show me what to expect. He holds out a mask, that closely resembles my BiPAP mask in shape – although it's constructed of sinister-looking dark metal and rubber, rather than clear plastic. It looks like something Darth Vader would wear. This is for you to wear during the operation, he explains: it will take care of your apnea problem and also deliver your anesthesia.

I also meet the members of the operating-room team. They're not ready for me yet, so they suggest we go away for a while and come back later. Go get something to eat, they suggest.

Dave and I do that. Somewhere along the line, I've changed into a hospital gown and slippers. He and I climb into a rental car – me, still in my hospital gown – and drive into the town. The town has morphed into Chestertown, Maryland, Claire's and my college town (home of Washington College, our alma mater).

We grab a quick bite to eat, someplace, then rush back, because my anxiety level is rising. There are traffic and parking delays, but eventually we do make it back, in the nick of time. It's then that we become utterly and completely lost, in the hospital complex's maze of corridors. Nothing looks familiar. We keep walking and walking, as the minutes tick by (I'm still in the hospital gown). The time of my reporting for the surgery comes and goes, but still Dave and I are no nearer to figuring out where we are, and where the operating room is.

Along the way, I vaguely wonder whether I should have had something to eat, after all. Wasn't I supposed to abstain from eating and drinking, beginning the night before the procedure? It was the operating-room team who suggested we go get something to eat – could they have goofed up? Or, did I just hear them wrong?

I hear my name being paged by a tinny, nasal voice, over the hospital p.a. system: "Mr. Wilton, Mr. Wilton, please report to the Operating Room." We walk faster, but seem to be no closer to our destination than we were before. It occurs to me that I ought to just pick up a phone and tell them we're on our way, but we figure finding a phone would waste too much time.

We pass by a huge, imposing- looking meeting room, that vaguely resembles the General Assembly of the United Nations – lots of wood paneling and hundreds of seats. Through large windows, we can see all the doctors from the hospital streaming in there, for some kind of important meeting. I wonder if Dr. Gornish is in there with the others. That would mean we're too late.

Finally we make it to the correct wing of the hospital, where I run into a member of the operating-room team, still clad in green scrubs. We've been looking and looking for you, he says. Dr. Gornish has gone for the day, so you've missed the operation. Don't worry about it, though. Come back tomorrow. We'll try to squeeze you in.

With that, I wake up. Good thing, too – I’m glad to be out from under that dream.

Saturday, June 2, 2007

June 2, 2007 - Fear of Failing

There are few things more refreshing than waking up out of a nightmare.

That's what happens to me, early this morning. I open my eyes, and consciously push back a tortuous chain of thoughts that have been plaguing me for what seems like hours (although I know most dreams are actually of brief duration). I feel like a wreck, physically, but I resist going back to sleep, for fear I'll find myself cocooned in the dream-web again.

Here are the details: Claire and I are leading some kind of international tour (we've done that once before, a bus trip around the Scottish highlands and islands). For whatever reason, everyone's traveling separately. The plan is for all of us to meet up at some rendezvous-point in Britain, for a trip to India. Claire and I are traveling though some country that's a conglomeration of Scotland and Ireland. The airline has checked our luggage through to our final destination, but in order to accomplish the transfer, we've got to do a good deal of walking along country roads n this Celtic country, from one airport to another.

We're walking along one of these rustic roads, when suddenly it occurs to me that I've forgotten to pack any clothing in my suitcase. I realize, to my horror, that, for the next couple of weeks, I'll be limited to what I've got on my back – and I know that, traveling through a land as foreign as India, on a tight timetable, there will be neither time nor place for shopping for the kind of items I'll need.

Calculating the remaining time before our next flight, I realize that, if I rent a car, I have just enough time to drive back to the airport, fly back home, rent another car, drive back to finish my packing, then return. It seems to be the only solution to the problem: but, if it's to work, I've got to turn around and go back immediately. (Our itinerary evidently includes the granddaddy of all airline layovers, but who says dreams make any logical sense?)

Claire and I agree this is the only thing to do, and so we ask someone to help us find a car-rental place. Helpfully, he takes us back to his home, and lays out on the dining-room table a whole collection of travel brochures, telling us there's rental-car information in there somewhere. Aware that our layover time is growing ever shorter, we start riffling through these, trying to find the phone number of a car-rental place. We have no success – and, our helpful host seems to have disappeared. The more time slips by, the more my feeling of panic grows. Maybe we should just forget about extra clothing, I think: I'll just wear what I've got on, no matter how unpleasant that will become in time – for my traveling companions as well as myself. No, I can't do that. Quick, look through those brochures again! There's got to be a phone number in there somewhere...

It's then that, in a semi-conscious decision, I push back the suffocating blanket that is my nightmare, and start repeating to myself the healing mantra, "It's only a dream."

Someone skilled in dream interpretation would have a field day with this one. Even an amateur like me can identify the feeling of isolation, of being a stranger in a strange land. That's cancer, for sure.

Then, there's anxiety about professional competence. Advertising myself as a tour-group leader, then forgetting to pack my own bag, is the height of incompetence (although, to be fair, who knows how to pack for the journey of cancer?).

The tour group – offstage in the dream, and unable to witness my momentary panic – is surely my church.

The fear of body odor, from living in one set of clothes for weeks, could have something to do with the physical symptoms of illness, or even – to be perfectly blunt – the stench of death.

As for the rental car, there's a prosaic explanation for that. I had to rent a car yesterday, a temporary-replacement vehicle provided by the insurance company while my son's car is being repaired in a body shop. I felt frustrated that, for various reasons related to fine print in insurance-company and rental-car contracts, I couldn't avoid paying $20 a day out of pocket, for collision insurance on the rental – even though I can usually avoid the surcharge in other circumstances.

Running through the dream, like a rhythmic scratch on an old, vinyl record album, is the steadily-escalating pressure of time – something I'm very aware of in my life, on the micro-level, as my surgery date looms larger, and also on the macro-level, as I'm dully aware of the possibility that my life could be shorter than most.

Finally, there's the aspect that I'm not entirely alone on this journey. Claire's along for the ride, but she doesn't share my problem, personally (her suitcase, evidently, contains everything she needs, although she's sympathetic).

The most significant aspect – and, perhaps, the real lesson imbedded in the dream's surreal landscape – is that my illness isn't my fault. Much as I'm beating myself up, in the nightmare, for forgetting to pack clothing for the trip, there's nothing I could have done to prevent my cancer. Just keep saying to yourself, It's only a dream, (it's not your fault)... It's only a dream (it's not your fault)...

I'm glad it's only a dream. But, then again, in the usual fashion of dream-logic, it's remarkably true to life – at least, to the way I'm living my life right now, in this surreal, extended layover between medical tests.