Late this afternoon I orchestrated a lecture-discussion on research for a wide range of postgraduates – not the densest lecture (in terms of content) I've ever given, but successful I think, especially as I'd been worried about the rather vague theme and large audience. I was satisfied, and pleased with myself afterward; went to the nearby rather scruffy Italian restaurant for a glass of wine, some homemade pâté, a pizza, profiteroles...
And came home to an increasing headache. Panadol, water. Bed. Wakeful with intermittent headaches.
Then thinking, about 4 am: oh, Panadol isn't good for the liver, and that matters, because... well, casting backwards a bit:
***
For some days my shit has been a bit orange (sorry, there's no good way to say that – I typed "feces" and then thought, oh please). Orange means an increase in bilirubin, and that means my liver is going into overdrive, a little bit anyway. Wine? Pâté? Panadol? All things that the liver really, really hates. The signs of a cranky liver: the dry, yellowing skin, the headaches, the general sense of toxicity. Because I haven't been paying attention, maybe my hep C is going to act up, and maybe I'll have to do interferon again, and that makes me very sick and depressed, and maybe....
There is a passage in the middle of the second part of Angels in America where Prior, who has been wandering the streets of New York in search of the truth about Louis, lands in the Mormon Visitor Center and becomes frantic, panicky, as he starts to have difficulty breathing: he demands of Hannah, whom he's just met, to see if his forehead is hot – he starts moaning: I've overdone it, oh no oh no...
That panic from the sense that you've thrown away a period of good health, that the careless feeling that you could get away with a bit of alcohol or indulgent food has suddenly gotten you into a serious state (or, of course, not so suddenly: you know that it happened gradually, that there were signs, but of course you were too foolish or forgetful to remember certain constraints, certain needs, and now the situation has changed from apparently normal to abruptly critical) can pull you up short, remind you of mortality and health and things you've been blithely ignoring.
And, casting backwards a bit more:
***
In Los Angeles last week, both Susan M. and Susan H. mentioned at points how glad they were to see me looking so well (if not precisely svelte) – both of them referring darkly to my appearance when I last lived in LA, for six months in 2000 to teach for a semester – Susan H. said she could "practically see through me" then.
I was bothered by this, because I couldn't really remember being particularly ill: okay, I have a poor memory for some things, but you would think I would be able to recall that time more clearly than I do. I quizzed both of them about details, trying to recapture a period of disorientation, of illness, of panic: did they remember how I looked, could they give me more specifics? And so – how many bits of data could I collect, and how many would it take for me to recover some kind of experiential, some kind of gestalt, total, general, memory of being ill in that way?...
Which made me cast back further:
***
The last two days in LA, I was free to wander around, shop, see friends. I spent a lot of time in Westwood, at first delighted with its warm, cheerfully indulgent atmosphere, then increasingly uneasy at those signs of loss and fragmentation that I remember from even ten years ago, before the disintegrating world of the Bush administration: closed shop windows, going-out-of-business sales, all signs of LA's shaky economy.
At one point I had a few flashes back through my memory, helping me piece together a few fragments of that time in 2000 when I lived there: UCLA put me up in an apartment on the west side of Westwood, up near the university; near a number of restaurants, food shops – but I suddenly remembered that there were weeks, even months, where I didn't have all those choices, because I couldn't walk any further than the restaurant across the street for dinner: because I was so tired, so unwell – I actually learned the shuttle routes across campus at one point, because the only way I could get to my office (only four, five blocks away?) was by bus. Although I can't remember exactly how that felt, how I looked, how thin I apparently had gotten, the idea that I couldn't walk very far is startling to me now, and suggests some of the flavor of whatever memories, experiences, are now lost to me from that time.
And another fragment of that strange autumn returned on another street corner: I had started a new HIV medication – Kaletra, in what were then large orange gelcaps; and after a few days my skin itself (and other things – see above) had started to turn orange also. I thought, strangely enough, that the dye had somehow gotten into my skin – something the doctor thought was quite funny when he heard it; it wasn't the dye, of course, but my liver going into massive overload, and spreading bilirubin everywhere. Diagnozed with hep C, I was told I would have to inject myself daily with interferon. I remember sitting at a small table in a corner of the plaza outside the coffee shop near my apartment, helplessly crying, and trying to hide it, while I drank coffee in the bright, pleasant sun – horrified that my health had deteriorated to the point where I had to inject myself daily: as though that symbolized being really down-and-out, as though the bag of needles and vials I had just been given, sitting innocuously on the ground next to my chair, told me exactly how hopeless my body's situation had become.
***
My sister, a quarter of the way around the world from here, has weathered some difficult and probably frightening (though she would never admit to fear) medical procedures this week; the e-mails from her husband, and today from her, short but overflowing with relief, reflect a recovery from that same kind of panic.
But now, for me in 2007, in this time zone, it is 6 am: my headache is mostly gone. I'm sure I'll be all right, this time: perhaps there will be fewer glasses of wine in the next weeks (it's not as though I drink much anyway), and perhaps I need to drink more water – get some exercise – watch the fats, and all those other things that put the liver into an ill temper.
But it is like a flash of warning, of memory, a reminder of a larger world of illness, danger, crisis: orange, that warning color.
[The poster I found online, from Mark Rothko, great artist and pathetic suicide, was painted the year I was born. Talk about casting backwards....]