God Must Love Weird People... He Makes So Many of them!

I walked up to Mass one day during Simbang Gabi. It was dark, of course, being 4:20 AM, or thereabouts. The church and plastic lawn chairs all being full as per usual, I sat down on the stonework of the flowerbed and began saying Lauds.

A Filipino man sat down next to me. He was an older gentleman, perhaps in his late fifties or early sixties. It is hard to tell with Asians. He had a long, scrawny neck, big ears and nose, and that not-entirely-aware, slightly dissipated look that I associate with chronic alcoholics. He wore a pair of jeans with holes in the knees, and a ratty t-shirt, and flip-flops, and no one else in the congregation paid him any attention whatsoever.

He sat down next to me and looked me over for a few minutes, and then smiled and began speaking to me in Tagalog. I looked up at him and smiled politely, and listened with no comprehension whatsoever. He went on and on, with gestures and significant looks and conspiratorial nods. Finally he said the word, “Tacloban,” with an interrogative upward inflection.

“Tacloban?” I asked, “Yes, I was at Tacloban.”

He nodded knowingly, and went off on another conversational paragraph of Tagalog. Eventually he finished it up with an English sentence, “What is your country of origin, Sir?”

“America,” I said.

“Ah!” He smiled. More Tagalog, more gestures and nods of comradarie. “Are you single?”

“No. I am engaged.”

He exclaimed, “Ah!” and slapped his thigh. More Tagalog, and a couple of winks. “So you are filing for divorce?”

I think maybe at this point my face showed something other than polite attentiveness. “No.” I answered quite emphatically. I didn’t know but that he might be trying to hook me up with a grand-daughter or niece or adult themed dance-club, and I wanted to make sure that my status was quite unequivocal.

He nodded with perfect comprehension. “One woman is enough for you?”

“Yes,” I said. “One woman is more than enough for me.”

He soliloquized in Tagalog for another few sentences, but with enough English scattered throughout that I managed to gather that one was not enough for him. He had had to have two. There was also something about his first wife, and a hope that she was like her. Who “she” and “her” were I have no more idea than you do.

Then he looked at me with the shrewd look of someone who has rapidly seen through an opponent's clever but misguided attempts to pull the wool over his eyes. “Do you understand the dialect of the Pilipino people?”

“No.” I answered. No good trying to trick this guy! May as well just out with it.

The Mass started at this point. He sat next to me for the sitting portions, but for the rest of it he was somewhat unpredictable. He would sidestep throughout the crowd of parishioners, periodically dropping to one knee on the cement pad for a few seconds, and then rising back to his feet. No one else even gave him so much as a glance, except for some of the teenagers who laughed at him a bit.

The Mass was mostly in English, but the homily was in Taglish, an approximately 90/10 mix of Tagalog and English. He came back over and sat down next to me and asked, “Do you understand what he is saying?”

I shook my head and said, “No, I do not.”

So he undertook to translate the homily for me. His method was somewhat unorthodox, but surprisingly effective. He would sit with his head bowed and his arms folded, a studious expression on his face, listening for the space of a sentence or two. Then he would say an English word or two, combined with a knowing wink and a hand gesture. Sometimes he would say a Tagalog word and then give me the English translation, and do this several times, as often as that word was repeated. Sometimes he would sigh and just gesture expressively with his hands. I would say I understood about 20% of the gist of that homily, and enjoyed the whole thing immensely.

He did not speak to me much more for the rest of the Mass, except to share a few choice lines from some of the hymns, but he wished me a very heartfelt “Merry Christmas!” at the end of it. He nodded and smiled and waved as he walked off, for all the world as if he possessed some incredibly enjoyable secret which he had just let me in on.

I have seen him there at Sunday Mass since, but have not spoken with him. He always arrives, sits, and leaves alone. I don't know his story, and although I am sure it has had its darker moments, yet there is some kind of faith there, I am certain of it. May God Bless Him and bring Him safely to his heavenly home!

Old People Are More...

My two favorite patient populations to work with have always been old people and children. Of course I have always loved interacting with kids, even when I was one myself. In some respects I still am one. It keeps me sane.

I was surprised when I started working with old people in my medical rotations to find that I really liked them. Perhaps they appeal to me because of their extreme vulnerability, which in America is often pretty great and is getting worse. Children are almost never left unprotected in the healthcare system. Old people very often are. If I can interact with an old person who feels abandoned, unvalued and unloved, and just for a few minutes or an hour or so I can listen to their story and let them know that they are still worth my time and patience, I like to think that I am fighting back against the hatred that society has for the ones who no longer make money.

But vulnerability is not the only reason they appeal to me. Underneath the vulnerability I see something else, which I am not sure how to describe. The only word I can think of is "rootedness." They are not less than the young patients, they are more. Old people have already become. I am explaining this very badly.

My fiancee and I agree that in general there are two kinds of old patients. There are terrible old patients and there are awesome old patients. There are no average old patients. (This is not including patients with dementia or Alzheimers or some other primary mind altering condition. They are a different story altogether.)

Once in the ER, on the exact same day on opposite sides of the hall I had two patients, both older gentleman, one in his late 60's the other in his early 80's. One had come in for a fall in his garage, and spent his whole visit complaining about how much pain he was in, and how terrible the service was, and how he had to tell his story so many times, all the while explaining how tough he was and what a high pain tolerance he had. I was examining him and he winced and screamed like I was stabbing him every time he saw me come near where the injuries were.

The other gentleman, the older one, had cut his leg with a chain saw a week prior and had calmly driven in to the hospital and gotten it stitched up (bad call on the part of whoever stitched it). Now it was closed, but there was a huge, angry, red abscess cooking in the wound pocket which had not been allowed to heal from the bottom up as it should. His whole front thigh was in pain, but he was sitting upright, quiet, patient, chatting and telling stories of his exploits and the strange things he saw back in the War. We squeezed every drop of pus out of that wound by force and then mashed on it until there was not one little pocket left undisturbed. He turned a few shades paler (he was a black gentleman) but then he looked at the huge glob of pus and clot we had expressed and jokingly asked whether he should give it a name.

Old patients are not less of anything than their younger counterparts. They are always more. They are either courageous beyond belief, or whiny beyond belief. They are either interesting in ways that no younger person could ever be, or incredibly dull. They are either utterly loving and self-giving, or they are exasperatingly selfish. The elderly gentleman with no teeth, rheumy eyes and unsteady feet is still more courteous and gentlemanly (and charming, my fiancee would say) than any suave, cultured man of the world. The dirty old man is more lecherous than any horny teenager would ever dare to be. That peaceful old lady with the curly white perm is more completely unselfish in her every thought than I have ever been at my most heroic. That other lady in room three is more vocally and rudely inconsiderate than I have been since I was a baby.

Perhaps my fiancee and I have this perspective because we see them under stress. The stress may reveal traits that do not show in day-to-day life. However, I think there is another reason. I think that old people live in extremes like that because they have spent their whole lives becoming that thing or the other. They have either been practicing strength and courage and courtesy and become very good at it, or they have been practicing weakness, manipulation and whining their whole lives and have gotten very good at that.

Whichever the case, it does not change how I treat them. If anything, I have to put more effort into the whiny patients. I don't know their whole life story (although I probably will if I don't watch out) and I don't know what they have been through. I don't know what they are afraid of. They probably don't know what they are afraid of, and if they have not faced up to it in the last 70 years or so, odds are they won't do it in the time they have left. I pray that they do, though. Even at the end of our lives, all of us are still becoming. Right up until the very end, change is still possible.

At any rate, it makes me take a good hard look at my life. I ask myself, what kind of old person am I becoming? Am I becoming a holy terror? Or am I becoming that awesome old dude who can crack jokes while getting an abscess drained without anesthetic? It is worth thinking about.