It’s easy to treat a man with Lou Gehrig’s like he’s a baby. The two are similar in many ways. They both wear diapers. They both need to be fed. They both can’t talk. They both can’t walk. They both cry a lot, one because he or she needs something, the other because he or she has lost everything. They both can’t do anything if I molest them. But being treated like a baby can be demoralizing for a 55-year old man, especially if you dress him up as one and talk in that obnoxious baby voice all the time.
“How’s my wittle Bobby Marshall doing today? Does he need to be tickled? Maybe later I’ll push you around the wittle park in your wheelchair.”
But certain people actually have respect for others and will go out of the way to try to make a patient feel like they’re still an adult human. When my Dad was in the hospital after having his tracheostomy, Greg and I got a taste of this. We had just called our Dad’s diaper a diaper. The rough nurse on duty at the time—who probably hadn’t had her pussy even looked at in twelve years, probably got a cesarean section, not because she needed one but because her ObGyn didn’t want to look—caught us saying it and pulled us out into the hallway.
“We don’t call them ‘diapers.’ Okay. He’s a 55-year old man not a fucking baby. Okay. We call them ‘briefs.’ Okay. Call them ‘briefs’ from now on. Okay. If I hear you call them ‘diapers’ I will force you to look at my pussy, which hasn’t been looked at in twelve fucking years. Okay?”
Greg and I both responded, “Okay.”
We can understand that we should treat my Father as if everything is normal, like he’s his old self, only confined to a hospital bed and a prisoner of his own body, but we thought calling the diaper a ‘brief’ was going a bit far. After the crusted old nurse left, we both looked at each other and smiled.
“Fucking bitch,” I said in Beavis’s voice.
“Yeah, what a fucking bitch,” giggled Greg as Butthead.
I mean, my Dad didn’t give a shit what we called it. If he had requested that we call if a ‘brief,’ then sure, we’d call it a fucking ‘brief.’ Anything for Daddy. Anything at all. But calling it a ‘brief’ wasn’t going to make him feel any better. It wasn’t going to rebuild the motor neurons that Lou Gehrig’s disease had destroyed. It wasn’t going to make the respirator unnecessary. It wasn’t going to prop him back up on his feet and send him off for his seventh marathon. It wasn’t going to reactivate his sex life. Well maybe.
“Fucking bitch.”
We started to have bit of fun with the whole diaper euphuism.
Me: Excuse me nurse. What do we do about this diaper rash? Is there a cream we can apply?
Nurse: [Starring me down like I had just slapped her across her cesarean section belly with the tip of my dick]
Me: Oh, excuse me. Is there a cream we can apply to his brief rash?
Or.
Me: Hey Greg, do you think we should try spending a whole day in one of Dad’s diapers?
Greg: In one of his what?
Me: In one of his diapers.
Greg: Dad doesn’t have diapers he has briefs.
Or.
Greg: Grab that case of diapers.
Me: Don’t you mean ‘grab that briefcase?’
Or.
Me: Greg, Lee Jeans should make diapers and call them ‘Brief-Lee,’ like briefly. Do you get it Greg? Why aren’t you laughing? Oh fuck it. Just change Dad’s diaper and let’s get the fuck out of here.
My Dad’s neurologist, Dr. Bromberg, also got into the diaper naming game. Dr. Bromberg is furry man whose eyebrows like each other so much that they’re holding hands. If he wasn’t a neurologist he could be a professional beard grower, if such a thing exists. His breath suggests that he’s too busy for hygiene.
We were at a monthly check-up, the one where they come in and basically say, “Well, there’s really nothing we can do. You’re pretty much fucked because there is no cure for Lou Gehrig’s disease. Fuck, we don’t even know what causes it. Are you taking your Lexapro for depression? That’s about all we can give you. Oh, and morphine if it comes to that point where you just can’t stand it anymore. Anyways, have a great day. Oh, do you need validation for your handicap parking?”
We caught Dr. Bromberg at the end of the day on this visit, so he was worn down and ready to get home. My Mom and I were present. My Mom always cries throughout these appointments, but Dr. Bromberg is desensitized to all of the effects of Lou Gehrig’s disease, so he is able to talk about it with a medical slant instead of the emotional one my Mom applies. And I’m dead inside so I just sit there looking for funny things to report.
Debi: When’s he going to die?
Dr. Bromberg: Well, I will never say he’s going to die on this day or that day because the disease progresses at different rates with different people. It’s usually a good sign when the fasciculations begin in the upper motor neural region, your arms and shoulders, but it has gone after his lungs thus necessitating the respirator which is not good.
Debi: So, when’s he going to die?
Me: [With note pad] How do you spell fasciculations?
On this visit we were concerned with making the care-taking easier on us. We were waking up two to five times a night and the disease was starting to take a toll on us. They always say Lou Gehrig’s disease only needs to have one victim. That’s fucking impossible. Anyone who loves anyone with the disease is an indirect victim so fuck who ever said that. It was probably me. We weren’t getting the sleep we needed and we were consequently not physically able to provide the care my Dad needed. We were tired and agitated.
Bob: [Lipping the words, ‘you’re not shaving me correctly.’]
Me: [Throwing the razor into the pan of water] If you’re so fucking smart then why do you have Lou Gehrig’s disease?
The night before the appointment, his respirator alarm wouldn’t stop beeping, so I called it a ‘motherfucker’ and bare-knuckle punched it three times. My Dad woke up and told me to stop.
I turned to him, “If you’re so fucking smart then why do you have Lou Gehrig’s disease?”
Dr. Bromberg started suggesting solutions:
Suggestion: Well you can rotate every other night so one person can get a good night sleep.
Me: My mom has cancer and needs her rest too. All I have is a drinking problem.
Suggestion: You could move the last feeding to around 8 PM so he wouldn’t be getting up in the night to urinate.
Me: Let us do the fucking care taking. Oh wait. That’s actually a really good idea. [Running my finger across his uni-brow.] Thank you Dr. Bromberg.
Suggestion: What about a condom catheter so he doesn’t have to wake you to urinate throughout the night?
Me: Hahahaha. Do they really have those? My father’s hung like a circus freak, so he’ll need a Magnum condom catheter. Do they make those?
Dr. Bromberg: Yes, black people also get Lou Gehrig’s disease.
We took a few ideas from him and then he started asking about the bowel programs. I guess ‘bowel program’ is the medical term for when my Dad takes a shit. I always called it his shitting schedule because I like getting shit out of my mouth whenever possible. You wouldn’t think it because no one talks about it, but managing the pissing and shitting of a person who can’t move or feel parts of their body are one of the biggest care-taking responsibilities. I’d say at least 40%. Though embarrassing, a patient must push their dignity to the side and allow others to help them. We discussed.
Dr. Bromberg: [Like it’s some non-profit endeavor] How’s the bowel program going?
Debi: Fine. He shits at 8 PM ever night.
Dr. Bromberg: And that’s working?
Debi: Yes, he shits at 8 PM.
Dr. Bromberg: And is he still wearing an exclusive dressing?
Me: [Looking at my Mom, who also has no fucking idea what he’s talking about] A what?
Dr. Bromberg: An exclusive dressing.
Me: I’m sorry. We don’t know what that is.
Dr. Bromberg: An adult brief.
Me: Oh, a diaper. [Stretching my Dad’s sweatpants out so his diaper is visible to Dr. Bromberg] Yeah.
Debi: When’s he going to die?
An exclusive dressing.
I couldn’t believe it. It’s a fucking diaper. Let’s stop fucking around here. I mean, it’s nice that he was trying to protect my Dad’s dignity, but when he asked about his shitting schedule, dignity was lost. An exclusive dressing sounded more like something you would put on a salad with golden croutons. Not something you would call something used as a catcher’s mitt for shit.
I imagined a stuck-up family caring for someone with Lou Gehrig’s using the phrase.
Stuck up Mother: Alvin, would you mind changing your father’s exclusive dressing? I’ve got to be at the gallery by six. They’re naming another wing after us.
Alvin: Not at all Mother. Let’s me just put my croquet racket in the rec. shed and I’ll be right up. Are you still keeping them below the Rembrandt?
Stuck up Mother: No, we moved the Rembrandt to the attic. I was getting bored of it. There’s an exclusive dressing pack to the left of the shark tank.
Alvin: I’m sorry, did you say shark tank or octopus tank.
Exclusive dressing.
I had to share this with Greg, so I rushed us out of the appointment. “Thank you Dr. Bromberg. I love your beard. Thanks for all you do. Blah, blah, blah.”
We got home and I laid my father into his bed. He mouthed the words ‘thank you’. I usually reply, ‘I know. I’m fucking amazing,’ but there wasn’t time for that. We had morbid jokes to make.
I ran down the hall and pulled Greg out of nap to tell him about our new toy.
“Greg, Dr. Bromberg called Dad’s diaper an ‘exclusive dressing.’”
“That’s amazing. Let’s just hope he doesn’t get an ‘exclusive dressing’ rash,” Greg said, putting the ridiculous phrase into practice.
We laughed and slapped a high-five.
My Dad then rang his bell at the end of his bed, signaling that he needed us to help him with something. I walked over to the edge of his bed and asked him what he needed. I was having trouble reading his lips. Maybe I need to take Hooked on Phonics for lip reading. I deflated his cuff, which is a small balloon around his internal trach. that can be deflated so air can pass is vocal chords and allow him to talk.
My Dad cleared his throat and formed a half-mass smile on his face before saying, “I need you to change my exclusive dressing. I just took a shit.”