Brittleness
A man we have only known casually for a few months flew 1500 miles to visit our town and meet some of our friends over this past weekend. I have checked with medical professsionals to confirm this, and it is no exaggeration to say that he was near death in our bedroom Sunday night. Nobody was shooting coke or smack or meth or anything illegal. Nobody had drunk any alcohol and nobody had in fact done anything they were not supposed to. Yet the fragile state of his internal metabolic insulin and sugar balance tipped dangerously to one side; so much so that our dogs had picked up the indicators of doom and were hiding in the bathroom. Like a cruise ship with broken ballast tanks and all the passengers lined up on one side to watch whales, he was tilted and listing and taking on water faster than we could discern the nature of the problem. Though I work in a doctor's office, I have never stuck a needle into human skin. And not knowing how to take a blood sugar level or effectively deal with whatever the reading might have been, I did what all frightened people do. I dialed nine one one. One good thing about living in the midst of a great metropolis is the rapid response time from such a call. If four minutes went by between the call and the arrival of two EMTs, it seemed like two. These men whose names I do not know posed a few astute questions of me while taking my friend's vital signs. They got a nearly instant piece of critical information that only modern chemistry can provide: Blood Glucose Level was 35. An IV bag of sweet stuff hooked to a vein in my friend's arm produced nearly instant results. Like a diver finally freed from a deep sea entaglement and desperate for air, my friend was paddling hellbent for the surface where he could perceive some vague light drawing him up. From about the halfway point between stupor and awareness, he did manage to get a good look at the twenty-something hunk working earnestly to revive him and blurted out: "God, you're cute!" This was about the same time the dogs came out from under the furniture to welcome my friend back to the pack. On the EMT's instructions, we made a midnight snack for our friend and watched him eat it. With a modicum of equilibrium assured, the crew left. It was all over in fifteen minutes with a discarded needle guard on the dresser the only evidence that a miracle had just happened here.
Two days later, I am still prone to shaking and emotion when I let my thoughts go back there for a moment. I have put off calling my friend who returned Monday morning to his world of detailing cars, selling houses and taking care of his aging mom in Seattle The problem is that I don't know whether to browbeat him for not taking care of himself, for not keeping close tabs on his glucose levels, for being in denial about the severity of his diabetes. Or to just tell him I how much I want him to go on living, to come and see us again soon, to keep searching for a solid life partner and to set the world on fire with his intensity and decency. It might be easier to just have him read this. Maybe everyone who has the so-called manageable form of diabetes could read it too. Lest they perish in a hotel room far from home and all alone with no one there to call for help.

