Friend of the blog The Poet Spiel tells me he was diagnosed with pancreatic cancer in 1996 and wrote this flash essay in 2000. What’s the secret of his immortality, I wonder? Could be his bawdy sense of humor!

Details You Just Can’t Live Without

Nurse Jonesy is rushed and red-faced as she wheels my gurney to surgery. She advises my mate Paul that I’ve been having these invasive procedures too frequently and I’m likely to become  increasingly vulnerable to stirring infections which naturally lie dormant in my system.

Sharp insistent pain is shooting into the middle of my back.

I’ve just agreed in writing I will not drive a car or sign any legal document for at least 48 hours.  The drugs I’ll be given will alter my judgment.

Assistants Heather and Tanya greet me like old friends in the sterile room, then drape me with  an x-ray apron and begin intravenous administration of 125mcg of Fentanyl and the hypnotic  sedative of 8mg Versed. As I drift into ‘twilight sleep’ they’ll be able to converse with me but I  won’t have a clue what I’m saying. I insist that they save the stent which is to be replaced in my  clogged bile duct. I’ve wanted to see how much crud it has collected after past procedures but somehow those loaded stents have always mysteriously disappeared.

A big color monitor hangs overhead as Doctor Lutz maneuvers his endoscope through my  innards. Though I can view the process, I won’t recall what I’ve seen during my conscious sedation—or so I’m told.

As the drugs engulf me I hear his voice—remotely—as if wind blows it toward and then away  from me. I can’t relate to the fact that he is talking to me. During past quarterly visits the women  have shown me the gross anti-gagging device which, at this moment, persecutes my lips as they  cram it against my gums. But this time I perceive it as a multifaceted stainless steel monstrosity and I believe they are pushing a shiny silver tractor down my throat. I resist vehemently. These veteran nurses strong-arm me back into working position.

From here on my awareness is nil as the side-view scope tube is advanced into the second portion of my duodenum where they’ll locate the biliary stent protruding from my papilla. This is the stent installed ten weeks ago when I was in horrendous pain. Debris occludes the stent just  as it has clogged each stent for the past 16 procedures. A tiny snare is skillfully manipulated to  remove the fouled stent.

It had been a close run with death—the outset of this awful process several years ago when we  learned my pancreas had curiously twisted and knotted my common bile duct and since then, this never-ending series of keeping my bile duct flowing freely.

The women manhandle me again as I struggle in discomfort. Doctor Lutz uses a biliary catheter  to cannulate my duct, then injects contrast iodine to obtain images that indicate a high-grade  stricture in the common hepatic duct just above the cystic duct. Now he passes a guidewire through my cannula, advances it through the stricture and on up into the intrahepatic ducts. The cannula is removed over the guide wire, over which he also passes a seven centimeter 10-French Teflon biliary stent. It’s placed above the stricture in good position and finally, aha! even in my  dumbed-down state, I see clear bile draining from the biliary stent at the conclusion of the  procedure.

As Heather wheels me to the front curb of the hospital, I am still under the influence of the  magic twilight of Versed, still babbling, making drug induced inappropriate comments about the  gross size of the endoscopic tube, revealing that I’d prefer to have my mate’s dick shoved down  my throat. She tolerates my rude remark as he pulls to the curb to load my dead weight into his  Pontiac.

As he drives me home. I realize they’ve not shown me the fouled stent. I become paranoid. I ask  him over and over again why he thinks those stents disappear. Does he suppose docs are pulling  the wool over my eyes? Maybe these gadgets don’t really fill up? Disability insurance money is easy money these days.

But what about my very real pain?

Between the hospital and the 45 miles to home Paul claims I ramble at least twenty times about  the size of that tube. Oh, and how the first thing I want after every procedure is a big steak  dinner with plenty of mashed potatoes.

He knows I’ll forget that wanting as soon as my head hits my bed.

But the best thing about these repeat procedures: I’m certifiably not responsible for what I’ve  said—or for what I say for the next forty-eight hours.

At this time of year, you may be contemplating New Year’s resolutions to finish writing projects and send out more work to publishers. This true-life vignette by a regular contributor to Reiter’s Block is both timely and a poignant reminder that our creative egos are not the center of everyone’s universe. Spinning storylines from small details is great between the pages of a book, but sometimes this aspect of our minds makes us miss what’s really happening in a relationship.

The First of the Year

by Donal Mahoney

Anyone who has had poetry published by an editor over the years has a relationship with that editor whether one knows it or not.

Sometimes the relationship is lukewarm, other times bordering on friendship, occasionally deep. Over time, writer and the editor notice mannerisms in each other that are often never discussed since these insights have nothing to do with the work and time may be important to one or both. That’s happened to me with editors over the years but never with such impact as happened in an incident that occurred not long ago.

This editor has accepted my work on a regular basis and has kept his distance, a safe place to be for anyone dealing with writers, most of whom know how good they are. Every once in awhile, however, he would tell me that my writing reminded him of some author I had never read. I had always heard of the authors, some of them alive, others recently dead, all very good writers by the standards of this era. He would usually recommend a book or two by each author that he would say I should read. This was the only time he would border on the imperative. Otherwise he would sound as if he had been reading The New Yorker since birth.

This kind of response from an otherwise detached but intelligent editor is invigorating. To be compared to a good writer one has never read has a double benefit: One must be writing some things well. And one must not be subliminally plagiarizing the style of the author mentioned since he has never read him or her.

In the last couple of months, however, this meticulous editor hasn’t published a new issue, something he has done every month in the years since I first encountered his site. I had no idea what might be the matter. Stranger still, I had heard nothing from him and he was always one to respond.

I began thinking that maybe his failure to write might have had something to do with the last two pieces I had sent him. The content of both would be politically incorrect in his eyes but not in mine. I sent the pieces because it’s good at times to get a reaction from someone whose taste you admire but who may not agree with you on the issues of the day or on the bigger issues of life.

Not hearing from him on the controversial pieces, I decided to send him a short story and a poem I thought he would like. Not too hot, not too cold, perhaps just right. Maybe he needed copy. Maybe for some odd reason submissions to his site were down.

A week later he wrote back and apologized for the delay in getting back to me. He said he liked the work I had just sent, did not mention the controversial pieces, and added that he would be putting his site on hiatus till “after the first of the year.” Then he said, almost as a casual afterword, that he could not recall if he had told me that he has Stage 4 cancer. The email ended on that note.

No, he had not told me that tremulous fact and I mentioned that in my reply. I took a chance and said that if he ever simply wanted to sound off about something, I’d be happy to hear from him. I knew nothing about him or his life so I might be a safe place, I thought, for him to air whatever goes through the mind of someone with Stage 4 cancer.

So far he has not written back.

It will be hard waiting for the “after” that I hope comes “after the first of the year.”

The first snow of the winter is blanketing our Western Massachusetts region today, the day before Thanksgiving, which makes this a perfect time to post this short-short story by Reiter’s Block contributor Donal Mahoney. Enjoy, and drive safely.

Big Thanksgiving Snow

by Donal Mahoney

“Sometimes Jesus walked around with a big staff, just like me,” Mrs. Day says to herself as she looks at the frayed picture on her kitchen wall just above the little kitchen table. She cut that picture out of a magazine 50 years ago when she subscribed to Life and Look and Colliers magazines.

“Jesus doesn’t need that staff,” Mrs. Day tells herself. “It was a sunny day in Jericho, the article said. I’ll bet He used that staff to go up in the hills to pray. The Bible says He often left the apostles behind to go away and pray. I’d have kept an eye on Him if I was there.”

At 80 Mrs. Day is legally blind with one good leg. She has a staff of her own to help her walk to stores and then back to her little house. The staff is at least a foot taller than she is. It was a gift from a dead neighbor who was handy with tools and liked to carve and whittle. Mrs. Day needs that staff this Thanksgiving Day as she makes her way through drifts of snow, an unusual amount for this first big winter holiday.

With nothing in the fridge except old bread and prunes, Mrs. Day hopes to find a diner open. Even Jack in the Box is closed for Thanksgiving so there will be no coffee with a Breakfast Jack to go but Mrs. Day has time today to find a place that is open. And she knows that place will probably be Vijay’s Diner, where she’s a customer on days when every other place is closed.

Vijay came to the United States long ago when Mumbai was still Bombay. He cooks for everyone every day of the year, whatever God they worship or ignore. He makes fine Indian dishes for customers who emigrated from India as he did. And he makes fine American cuisine for people from the neighborhood, most of whom have yet to adjust to Indian dishes and their redolent spices.

“I have a nice turkey leg, Mrs. Day, if you’d like that,” he says, but all she wants is coffee, two sugars and a muffin to go.

“I’m on a diet,” she tells him.

Vijay puts her items in a small brown bag and adds a free candy bar, a Baby Ruth bar, a big one, for later tonight. Mrs. Day will be angry when she gets home and finds it but that’s okay. She can’t come out at night to look for something to eat. It’s tough enough for her to get around in sunlight.

Vijay waits for Mrs. Day to dig in her big purse and put all of her change on the counter. Then they count aloud together each coin that he picks up one at a time. Finally they agree he has the right amount even though Mrs. Day has trouble seeing the coins. Usually she can tell which are which by the feel of them. Now Vijay smiles at Mrs. Day, his customer on the holidays only.

“Happy Thanksgiving, Mrs. Day,” he says. “I hope you’ll come again. We’ll have leg of lamb on Christmas. And ham and yams on New Year’s Eve. I’ll make you a nice big sandwich. I know you’ll like it. You can skip the diet for one day.”