Hospitals

A Bangkok hospital view

Some parts of life don’t bear talking about. Factories, mostly. I spend a lot of time in factories, time that forms a base of knowledge I have spent so many hours on the road to acquire. And yet it’s hard to talk about factories. Complicated, really.

Hospitals are like that too. Except I didn’t mean to spend so much time in them. Some days I remember the details. I remember waiting in the UCSF hospital while Tara got ACL surgery, nervous and uncertain in a tiny sitting area with no windows. Reading bad old magazines and trying not to stare at the only other visitor, an old man. Wondering over and over what or who he was waiting for but neither of us in any mood for talk.

The next time I had to wait through Tara’s surgery I went sneaker shopping in Siam Discovery, a fancy Bangkok mall. I had a couple hours they’d said, and knew better than to sit still. Sneaker shopping sounds fun, and often is fun. I remember walking the BTS stations almost surprised how normal everything felt. How normal my body was, despite the huge scrapes on my arms and legs. I felt worried, but also lucky, the doctor having cleared my shoulder after an exam. Only Tara’s wrist broken, after the motorcycle crash in northern Laos. Just the small bones. Just her right hand. Five years later it’s still a hard week to think about.

The third time wasn’t even surgery. Just stitches and a lot of cleaning, a lot of cutting dead skin away. She was awake. I left the room, pacing the entry to the fancy Hong Kong hospital for an hour at midnight on a Sunday. Nervous and tired but pretty sure she’d be ok. That was easier, but still too hard.

In March of last year it was again voluntary, or scheduled: one night in the hospital alone after shoulder surgery. My left, beat up by years of climbing and frisbee. And probably never a hundred percent since New York. Or since that motorcycle crash. Overnight hospital stays, like Ben Watt says in his book Patient, are strange things. Peaceful but without rest, the body either shutting down or being woken up for pills, for checks, by pain. It’s hard to sleep, even in a private room, even with luxury. I got laid off that morning, by phone, before the nurses brought more pain killers. Overnight hospital stays, when they’re going ok, are an awful lot of time to think, and no energy at all for thinking.

And then New York, of course. Two different hospitals. Five nights each. Surgery with fingers and biting on sweatshirts. A lot of pain and long waits to try walking. A lot of slow hellos with nothing to say. A lot of time to stare and think and no energy at all.

Hospitals are hard to talk about. Like factories.

Rattling bottles

On the street outside the recycle bin lid thumps open against the side of the building. It is eight pm and just beginning to get dark. Someone begins digging through the bin, pulling out cans and bottles with clangs and dings, the mechanical sounds of a practiced activity. After a while someone else joins, or tries to, and there is a brief debate, some muttering, and then casual conversation, a little too low to hear. Three floors up I sit with windows open to cool the house. Homeless and searching for income the unseen pair below have agreed not to fight over my scraps. This is life in San Francisco in the twenty first century, living in the Mission. While I was at work today someone peed on my garage door, leaving me to walk my bike around the puddle. Between my house and the Bart station one block away several people have slept and defecated in the last few days, and the street is alternately cleaned and crudely dirty.

This is life in the Mission district of San Francisco in twenty fifteen.

Tending our strawberry plants on the rooftop I watch the sun set over the hill while the fog rolls in, wrapping around the base of the Sutro Tower. Many days in the summer the entire tower will be engulfed by six pm, leaving the height of the hill itself a mystery, the fog pouring over and down into the Castro, into Duboce Triangle and lower Haight. The cat and I enjoy this varied weather. He sits in the doorway to the stairwell, feeling the breeze, feeling his fur ruffle after the long day alone in the hot apartment. He relishes these breezy evenings, as do I. One block away, on the rooftop of an expensive apartment complex, someone else watches the sunset too, in shorts and a hoodie. We are too far apart to even acknowledge each other. There is a similar building closer, with swimming pool on the roof, to whose inhabitants I could speak with raised voice. That nearer roof is empty though, the residents so new, the building so recently renovated that they do not venture out of doors on week days. Yet residents of all three buildings enjoy these evening views of the Bay Bridge and downtown SF to the east, Twin Peaks and the Sutro Tower to the west.

This is life in the Mission district of San Francisco, where studios go for $3,800 a month and where 4,000 people sleep on the streets.

In many ways San Francisco is the future, with apps that summon cars and dinners and movies and so many things, with electric scooters for rent and wifi in bars. San Francisco is the future in other ways too, with no rain, with no housing, with an incredible income gap, and with a liberal urban population that did not grow up in these hilly neighborhoods.

This morning the escalator to the 16th St Bart station was out of order again. I was not surprised, there had been several pounds of trash pushing up against the bottom of it when I walked out of the station the day prior, and often that trash gets sucked in to the bottom, jamming and breaking the escalator. This trash comes from the dozens of people who spend all day in the plaza at the metro exit, homeless and searching for help. The escalator is repaired weekly, the people left to wander the streets. Later in the evening they will search for cans in the bins outside my apartment. They share, argue, and curse out the fancy cars that have started encroaching on their sleeping spots, the rooftop terraces that host parties they can barely see from the ground.

This is life in San Francisco today, forefront of the future in all regards.