i could give him ten breathing treatments
he’s still 84 years old
struggling to breathe at 4:45 in the morning
i could give him twenty treatments
he still has CHF
jamming the right chamber of his heart
flooding his lungs
he’s not drowning in it, not yet
but every breath is a squat ******
i sit with him at 4:45 in the morning
administering useless medicine
watching ice truckers, shooting the ****
it’s not lasix, which is what he needs to flush the fluid
but i’m good company and so is he
and that will have to be therapy enough
at 4:45 in the morning

when i was ten years old and we were moving
i recall those sessions with the real estate agent
i was suffering and she was happy
i was watching my world disintegrate
leaving my friends, my school, my home
my sister and i would never feel comfortable again
and this real estate woman was having a ball
enjoying the transaction, making a few bucks
digging life
i remember wishing we could make an even switch
i could be her, happy and whole
she could be me, losing so much

now i work in a hospital
and as i treat the weak, wheezing and dying
spending time with them and their families
and their desperation, resignation and grief
while for me it’s just another workday
punctuated with lunch and coffee
i see they too wish for an even switch
they’d leave me languishing in the bed or waiting room
while they hop on my bike listening to the beastie boys
on their blissful way back home