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Hell on earth
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April 27, 2000 | When the pain came, would I behave with
some amount of stoicism and even
grim humor, like the protagonists in
Hemingway novels whom I so admired? Or
would I moan and howl in sounds far
beyond intelligible human speech? Last year I found out when a kidney
stone made
its slow passage through my right
ureter. You may not know what ureters are --
certainly you wouldn't be too aware that you
possessed them until a bit of solid
matter larger than the ureter's diameter
left your kidney for the journey to
the outside world. This journey can begin suddenly, with
paralyzing force. "Like being hit
with a two-by-four," one friend told me.
"Like being shot with an arrow,"
said another. But no simile can
adequately describe pain, or pleasure
for
that matter; it must be experienced. We
can know the concrete causes of pain,
like pressure, too much heat, the
splitting of the flesh, but the
resultant
pain is an abstraction, and like all
abstractions it lies beyond the precise
grasp of language. We simply don't have
the words. We can have trouble, then,
describing our own pain and another's
pain, even when it manifests itself in
grimacing, say, or writhing. Ultimately
it remains metaphysical -- something to
doubt. My kidney stone "attack" tugged me from
an uneasy sleep at 3:07 a.m. The pain
was then only a few degrees beyond
uncomfortable, and I
thought for some hopeful minutes that I
might have a strange muscle cramp or
that my innards were protesting against
the odd-tasting tofu burger I had
risked for
dinner. I tried to ignore it. I tried to
force my thoughts elsewhere. But
the pain was insistent. I massaged my
side and twisted this way and that, but
no amount of repositioning or rubbing
relieved the hot spike tunneling through
my abdomen. The pain ascended through the long hours
of the early morning toward a
level that dwarfed all the other pains
I had known before, including an
abscessed tooth and torn ankle
ligaments. It nearly equaled the
spectacular
sensation of bringing a hammer down upon
my thumb, but that was brief in
comparison, a few minutes of localized
agony that then settled into a
bearable throbbing. The pain in my side
was not just severe but unrelenting,
a continuous deep gnawing coupled with
cold sweats, nausea and other blades of
pain that radiated throughout the
confused coils of my digestion, causing
more
mischief there. I paced the length of the house, took a
hot bath, tried some yoga and
breathing exercises taken from a dusty
New Age book I had once purchased as a
cure for all my ills. I pulled my hair,
pressed my temples, bit my fist.
Before all emotions left me, I cursed
with a flamboyance that, were I loud
enough, would surely have caused the
houseplants to wilt. At one point, I
curled up on the floor like the
insensate fetus I wished then to be.
But no
measure I took lessened the pain. When the sun fully rose, I was still in
pain, and still grinding my teeth
against it some hours later in the
emergency room of a local hospital. A
nurse inserted a shunt into the back of
my hand and hooked me up to an I.V.
meant to flush the stone from my
plumbing. It would be an additional hour of
pain
before I received a mainline of blessed
Toradol. In 20 minutes, the pain
began to retreat. In half an hour, I was
smiling, joking with the nurse and
listening to the prosaic conversations
of the staff, even as other emergency
cases groaned and yelped in the
curtained spaces about me. But I smiled
and
joked because of relief, not elation.
In fact, while I was still in the E.R., a
peculiar despair began to creep over me.
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