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I. I know which veins are the safest for needle entry; which areas will hurt, and at which angle the needle should be inserted. And I know, too, that once the needle is in, removing blood from the human body is nearly effortless. I explained all of this to you once. In the trunk of my car, there is enough equipment to remove all of the blood from my body.

II. It's storming outside. Flashes of lightning illuminate my bedroom. We talked about storms often. You asked me if I was scared.

III. The sound of your laugh runs through my head louder than thunder. I remember when I used to imagine what it would sound like. Now it plays on repeat. My favorite song.

IV. Some mornings I wake up in a panic. I dream in your language.

V. The first time you told me you loved me was the only time I had ever been surprised to hear anyone say it. I can't describe what that felt like, and I don't know if I will feel it again. Sometimes I think that was the last thing I had left to feel for the first time.

VI.

VII. You are gone.

They said that I could be whatever my heart desired
But I don't know what I want; All I know is that I'm tired
The world's too big for someone like me
The world's too small to fit people comfortably
The cities are jam-packed and all of the bodies
Are writhing and bending like awkward pilates
But the abs don't develop, the friendship's avoided
The only way to the top is to blood dope and 'roid it
There's no one that smiles as I climb on the train
And true, my own smile I made plans to retain
But maybe that's it! We've got a vicious rotation
Of these serious faces, a shy person's vocation
"Put up the wall!" cries the brain in a fright
The same little voice that grabs the wall switch at night
So let's bring them all out of the hand-painted shell
That covers them up and locks them in so well
But back to the start, I don't know what I'll be
And it's so hard to think with these people around me
They crowd up the alleys, the houses, the street
And it's funny, two strangers with same routes don't meet
We wrap ourselves up with the survival of the day
And we become more robotic as our humanity slips away
We entertain the thought that we're cognitively higher
And we've been doing that since Prometheus stole the fire
We've got all our gadgets ideas and tools
And we set codes of standards and morality rules
Sure maybe we're self-governing and make our own laws
But how does this make us above those with paws?
Are we wholly smarter by gift of this tech?
Because it seems to me that the world is a wreck
We took over the planet with ignorant spreading
Closer and closer the moment we've been dreading
Is nearing the Earth through the vast population
We're nearing the point where we'll need a space station
To hold all the people, too eager to quit it
To keep it in your pants, think before you hit it
To keep our races intact, to ensure man's survival
We're our very best customer and salesman and rival
"Help yourself and I'll be right along"
Is the tired old phrase, the motivation song
And some things you can change and fix with a thought
But the number of things that need more? Quite a lot
You can't save a nation just by a mental notion
There's no telepathic messenger who will fly across the ocean
On the wings and dreams of the oldest dragon
Whilst carrying the remedy in a silver flagon
There's no Wish Police who will answer your calls
And pull down their Fix-it Guns from the racks in the halls
So to move a nation, you might think it funny
But the thing that speaks to all is valid currency: money
To make all the changes you wished up in there
You've got to pull out the cash and flip back your hair
Make a statement that sure, you've no clue what you're doing
But you're willing to try, and while politicians sit stewing
Over who voted how and which bill not to pass
"The elephant says yea; Let's legalize grass!"
None of that matters if you get full support
And when you work for the world, who takes you to court?
So I guess the whole point, the big picture theme
Is that changing the world will take more than a meme
It involves more than **** and ******* and wines
It's more than those selfies and twerking and vines
It's more than that petty stuff you find so amusing
The internet was information, but you all are abusing
You muddle up facts with your silly fan fiction
U and I are ovr because you've bastardized the diction
The syntax is wrong, there are so many errors
These are but one of the grammatical terrors
That plague the nation, plague the world
The torch is passed and the baton twirled
The next generation knows no better
Than to follow our actions to the letter
What can they change when we've taken it all
And compacted it down to six summer weeks small
The information they're using is paraphrased
And the original sources have been erased
To make more room in the data banks
For storing the info on nukes and rebel tanks
Let's all converse and stop these risk stunts
Grab the bat from the player; "Take a risk, not a bunt!"
Change to the world has got to be swift and loud
Stop mumbling ideas when you can shout at the clouds
Let loose the brain you've kept locked away
And shout at the world; let them hear you today
What will I be? Well, I've got to make dough
To make waves in the world and change it, you know
I'll do what I can, within moral reason
To gain leverage on everything and it might become treason
To fix the whole world using ideas and cash
But I'd much rather my back feel the sting of the lash
Than condemn my mind to the essential lobotomy
My only medical surrender will be to phlebotomy
So take out my blood and my money too
If the world's gonna change, I've got to learn to trust you
That will be our base, our motto and creed
To strive for the change fueled by trust, not by greed

You can't safely have a cigarette outside of the bus terminal
without a couple of folk asking for one.
You can't safely have a cigarette in general.
But, if five of them have to last you a night and a sunrise,
you don't really mind turning down a few nameless hands.
Some of the bus drivers like to talk about football, weather;
others complain about management or the patrons;
a few don't say much at all, avoiding sympathy.
They're probably the smart ones.
They don't want to learn the sad stories in between stops.
I usually like to just sit in the back and ride out the best bumps.
The handrails jiggle and crash with every pothole.
-
The men who work at the metal scrap yard
usually get on in front of Debbie's Diner on 22nd street.
Bundled up for warmth and firm of face, they only speak to each other.
Small talk about who almost missed the bus, broken crane joints,
and who moved the most barrels of copper piping fill the blocks.
They tend to pick on the guy who runs the aluminum can crusher;
big guy, they call him "Boose" and he couldn't be much older than I am.
His hands and lips are dry and cracked from exposure,
but his face still shows ember of teenage years, though jilted.
There is a bar that serves three-dollar chili across the street, spicy.
The workers go there when they miss the first bus, have a beer,
down a bowl of boiling chili, and catch the return bus in better moods.
-
The railroads on Brush College road tend to hold up traffic.
The ADM plant doesn't really mind if a few twenty-something mothers
are late to their practical nursing and phlebotomy classes,
but they voice their complaints out of a cracked window to the side
of a ten story soybean silo nonetheless; steaming ears and all.
I stare at the graffiti on the laggard train cars, each unique
in color, quality, style, and message; the industrial Louvre.
These waits sometimes last a half hour or more.
In the days before Pell grant rewards come in,
when students still feel like they're working toward tangible cash,
the seats are all packed with heavy breathers.
The air becomes thick with community college carbon coughs.

Sitting and waiting in the hospital reception area,
gave me time to think; and feeling even warier,
having just suffered the very first nosebleed of my life
and carrying within my wallet a warning card so rife
with the advice that its possessor is subject to the danger
(I know this may sound somewhat dog in manger)
inherent in an anticoagulant called rivaroxaban
and (if this doesn’t overstretch your attention span)
in the event of bruising or of bleeding
medical advice must be sought before proceeding
any further.  That is to say, at once, or even faster.
or, at least, with speed sufficient to avert disaster.

So, as I say, there sat I contemplating
(no, not my navel, but) the rather aggravating
progress of events that had brought me to this juncture,
that ended recently in a procedural puncture
preparatory to the insertion of a stent
the culmination of which they had to circumvent.
This gave me time, while waiting for the nurse
to minister to my problem, or at least rehearse
for my own delectation the best course
I would have to follow, not to make the situation worse.
At this point let me interrupt my own amorphous
rambling to pay due tribute to the hospital service.

This versifying for which I have developed a proclivity
means that I’m never at a loss these days for an activity
to occupy a boring period of gross inaction
replacing boredom with cerebral satisfaction.
So there I was, awaiting the arrival of the ****** nurse.
(Sorry, that sounds like an awful curse.)
In fact her blood-related treatment meant a lot to me
and was a simple adjective for her phlebotomy.
At that point my thoughts turned quite naturally
to the forthcoming repeat angiography,
and all the helpful comments by my  tender-hearted
friends, and the advice that they imparted.

I was quite astonished by the growing number
of people who this affliction did encumber
all of whom it seemed were anxious to ensure
that I was quite relaxed about what I had to endure.
Instead of being reassured I wondered
why the pessimists apparently were so outnumbered.
Indeed the views were so greatly one-sided
I found it strange there were no “undecided”.
Are they reluctant because of superstition?
Or is it that they wish to avoid an admission
that their empathic fear of ****** invasion
has led them to avoid arterial-related implantation?

But most of all I felt there should be scored
some “Nos” to balance the procedural record.
but they have been unbelievably silent,
whilst I’ve been growing every day more  violent.
Is it, dare I think, that it is just perhaps
because they may have suffered a relapse?
And then I had the most amazing thought of all,
and your objections I am anxious to forestall:
but I feel impelled to discuss the thought
that there’s a reason why they have not brought
their negativity to this post.  Is it quite beyond the pale
to suggest they’re no longer here to tell the tale?

Sometimes,
I get so angry, I want
to tear open my skin.

Who needs anger management
when you can give yourself
a bloodletting instead?

I want to annotate my wrists
with the names of every person
who ever hurt me--
part the Red Sea with steel.

And I'm pretty sure a phlebotomy
is the closest I'll ever get to a lobotomy
(or an exorcism).

My trauma (my fury) is a toddler
throwing a tantrum in the middle
of the dairy aisle in the supermarket.

I pluck this child--
feral and snivelling--
from my veins and throw
her over my shoulder.

I don't know where her screaming ends
and where mine begins.

Sometimes, I think all she really wants
is a hug.

I walk into a hospital and the hospital is a graveyard. A doctor stands with his back to me, performing a ballet autopsy on a bluish barbarian. A single salty droplet falls from the  bluish barbarian's head and there is a tremor in his hand. "He is alive" I whisper. "Stop doctor, stop," I say but the doctor doesn't listen. I keep shouting louder and louder until I am making a huge racket. A skeleton nurse shushes me. I scream and the doctor jerks, his graceful movements broken. He turns to me and his glacial eyes take over my mind, stripping away my layers until I am barren, exposed. He speaks but his voice is a wolf's voice. A wolf's voice isn't like a human voice, it is *******, harsh. "Look what you've done" he growls. "Now it's impure. It's weak." I watch as the bluish barbarian becomes dozens of tiny screaming beetles. Then he is dust and the graveyard is an urban labyrinth. "You stupid thing," says the doctor but the doctor is now an ant. I laugh and walk into the labyrinth but the doctor-ant follows me. "Shut up" I say and I laugh and I cough and I walk into the phlebotomy lab and break my skull on a glove. "I told you" says the ant and it walks away and I cry.

Blood tests are something I could do without
But they are alas a necessary evil
And though it’s really not a thing to shout about
They haven’t so far (in my case) proved lethal.

However it was with a deal of trepidation
That I presented myself at phlebotomy today.
The result did not match up to my anticipation;
The perfect vein was quickly pierced I’m glad to say.

It did, at least, give some sense of direction
To medical support for my ongoing treatment
Avoiding, to my great relief, any infection
Or disconcerting prospect of impeachment.

While the symptoms are improved by the procedure,
The condition, sad to say, is not remitted,
And the problem, even sadder, gets no easier,
While the health practitioners remain committed

To additional probing examination,
And are calling me for further tests next week,
Despite the blood flow’s vast immoderation
That required a lot of plugging of the leak.

When they put me into my final casket
And thus dispose my bones and body once for all
I can imagine someone there will ask it:
“We wonder why his body seems so awfully pale.”

Seize my strength
For the first
Seize my worth
For the hundredth

Why must I crave 
What I despise
Why must you hate
What you realize

A phlebotomy is always at risk
You mustn't always fight my kiss

Timidness is not wisdom
The wise approach with openness
Caution is not wisdom
The wise remain brave, unmoved by fear
Entire and entirely

You are an atmosphere
Enveloping my mind
You are my atmosphere
Entire and entirely
No escape

I am free
Why do you still seep into me?