developing what the doctor called Cheyne-Stokes respiration where, for many seconds at a time, she didn’t breathe. Short, shallow breaths followed by no breaths at all. When she didn’t breathe, I didn’t breathe. Her nails are blue now, the skin of her arms and legs blotchy and gray. “It’s a sign of imminent death,” the doctor said only yesterday as he set a firm hand on my shoulder and asked if there was someone they could call, someone who could come sit with me until she passed.
“It won’t be long now,” he’d said.
I had shaken my head, refusing to cry. It wasn’t like me to cry. I’ve sat in the same armchair for nearly a week now, in the same rumpled clothes, leaving only to collect coffee from the hospital cafeteria. “There’s no one,” I said to the doctor. “It’s only Mom and me.”
Only Mom and me as it’s always been. If I have a father somewhere out there in the world, I don’t know a thing about him. Mom didn’t want me to know anything about him.
And now this evening, Mom’s doctor stands before me again, taking in my bloated eyes, staring at me in concern. This time offering up a pill. He tells me to take it, to go lie down in the empty bed beside Mom’s and sleep.
“When’s the last time you’ve slept, Jessie?” he asks, standing there in his starch white smock, tacking on, “I mean, really slept,” before I can lie. Before I can claim that I slept last night. Because I did, for a whole thirty minutes, at best.
He tells me the longest anyone has gone without sleep. He tells me that people can die without sleep. He says to me, “Sleep deprivation is a serious matter. You need to sleep,” though he’s not my doctor but Mom’s. I don’t know why he cares.
But for whatever reason, he goes on to list for me the consequences of not sleeping. Emotional instability. Crying and laughing for no sound reason at all. Behaving erratically. Losing concept of time. Seeing things. Hallucinating. Losing the ability to speak.
And then there are the physical effects of insomnia: heart attack, hypothermia, stroke.
“Sleeping pills don’t work for me,” I tell him, but he shakes his head, tells me that it’s not a sleeping pill. Rather a tranquilizer of some sort, used for anxiety and seizures. “It has a sedative effect,” he says. “Calming. It will help you sleep without all the ugly side effects of a sleeping pill.”
But I don’t need to sleep. What I need instead is to stay awake, to be with Mom until she makes the decision to leave.
I push myself from my chair, strut past the doctor standing in the doorway. “Jessie,” he says, a hand falling gently to my arm to try and stop me before I can go. His smile is fake.
“I don’t need a pill,” I tell him briskly, plucking my arm away. My eyes catch sight of the nurse standing in the hallway beside the nurses’ station, her eyes conveying only one thing: pity. “What I need is coffee,” I say, not meeting her eye as I slog down the hallway, feet heavy with fatigue.
* * *
There’s a guy I see in the cafeteria every now and then, a little bit like me. A weak frame lost inside crumpled-up clothes; tired, red eyes but doped up on caffeine. Like me, he’s twitchy. On edge. He has a square face; dark, shaggy hair; and thick eyebrows that are sometimes hidden behind a pair of sunglasses so that the rest of us can’t see he’s been crying. He sits in the cafeteria with his feet perched on a plastic chair, a red sweatshirt hood pulled over his head, sipping his coffee.
I’ve never talked to him before. I’m not the kind of girl that cute guys talk to.
But tonight, for whatever reason, after I get my cup of coffee, I drop down into the chair beside him, knowing that under any other circumstance, I wouldn’t have the nerve to do it. To talk to him. But tonight I do, mostly, I think, to delay going back to Mom’s room, to give the doctor his chance to examine her and leave.
“Want to talk about it?” I ask, and at first his look is surprised. Incredulous, even. His gaze rises up from his own coffee cup and he stares at me, his eyes as blue as a blue morpho butterfly’s wings.
“The coffee,” he says after some time, pushing his cup away. “It tastes like shit,” he tells me, as though that’s the thing that’s bothering him. The only thing. Though I see well enough inside the cup to know that he drank it down to the dregs, so it couldn’t have been that bad.
“What’s wrong with it?” I ask, sipping from my cup. It’s hot and so I peel back the plastic lid and blow on it. Steam rises to greet me as I try again and take another sip. This time, I don’t burn my mouth.
There’s nothing wrong with the hospital’s coffee. It’s just the way I like it. Nothing fancy. Just plain old coffee. But still, I dump four packets of Equal in and swirl it around because I don’t have a stir stick or spoon.
“It’s weak and there are grounds in it,” he tells me, giving his abandoned cup the stink eye. “I don’t know,” he says, shrugging. “Guess I just like my coffee stronger than this.”
And yet, he reaches again for the cup before remembering there’s nothing left in it.
There’s an anger in his demeanor. A sadness. It doesn’t have anything to do with the coffee. He just needs something to take his anger out on. I see it in his blue eyes, how he wishes he was somewhere else, anywhere else but here.
I too want to be anywhere else but here.
“My mother’s dying,” I tell him, looking away because I can’t stand to stare into his eyes when I say the words aloud. Instead I gaze toward a window where outside the world has gone black. “She’s going to die.”
Silence follows. Not an awkward silence, but just silence. He doesn’t say he’s sorry because he knows, like me, that sorry doesn’t mean a thing. Instead, after a minute or two, he says that his brother’s been in a motorcycle accident. That a car cut him off and he went flying off the bike, headfirst, into a utility pole.
“There’s no saying if he’ll make it,” he says, talking in euphemisms because it’s easier that way than just saying there’s a chance he’ll die. Kick the bucket. Croak. “Odds are good we’ll have to pull the plug sometime soon. The brain damage.” He shakes his head, picks at the skin around his fingernails. “It’s not looking good,” he tells me, and I say, “That sucks,” because it does.
I rub at my eyes and he changes topics. “You look tired,” he tells me, and I admit that I can’t sleep. That I haven’t been sleeping. Not for more than thirty minutes at a time, and even that’s being generous. “But it’s fine,” I say, because my lack of sleep is the least of my concerns.
He knows what I’m thinking.
“There’s nothing more you can do for your mom,” he says. “Now you’ve got to take care of you. You’ve got to be ready for what comes next. You ever try melatonin?” he asks, but I shake my head and tell him the same thing I told Mom’s doctor.
“Sleeping pills don’t work for me.”
“It’s not a sleeping pill,” he says as he reaches into his jeans pocket and pulls out a handful of pills. He slips two tablets into the palm of my hand. “It’ll help,” he says to me, but any idiot can see that his own eyes are bloodshot and tired. It’s obvious this melatonin didn’t help him worth shit. But I don’t want to be rude. I slip
