Shannon Burke, Author

From Black Flies

    When the really hot weather began the average number of medical emergency jobs in the city went from 2,300 a day to around 3,600 and sometimes up above 4,000. North of 125th Street, heat meant irritable, tired, uncomfortable people crammed together on sidewalks, on stoops, and beneath awnings. It meant murders, clashes with police. It meant suicides, domestic disputes, everyone short-tempered, bickering with us, and us with them. It meant that they cancelled our vacations and our weekends and then increased the shifts from eight to twelve and then to sixteen hours. And we expected this. It was part of the job. And it’s not that we freaked out or lost our minds in any obvious way, but as one day bled into the next, and as our entire waking lives became a relentless round of stabbings, shootings, heart attacks, asthmatics, schizophrenics, bloated corpses, anything the city could offer up, I think we lost track of what was considered to be normal—the siren, the stretcher, the flashing lights, the needles, the blood, and the weeping relatives—that was everything life had to offer. And the relentless weirdness and banal horror of the job brought on a feeling of being at ease in those circumstances, of feeling offhand and even comfortable in the bizarre, alternate universe of medical emergencies, injuries, and sudden death. I remember breaking down a locked door and putting an old woman’s head between my legs and shoving a five inch laryngoscope blade down her throat while her family watched and thinking that this was just an ordinary occurrence. Of feeling unsurprised as I walked through the shell of an abandoned building to find a kid against the wall, the kid pulling a hand from his belly to show coiled, blue intestines spilling out. Of idly seeing splintered bones pierced through skin. Of seeing the skull beneath the scalp, and the brain beneath the skull. Of seeing eyeballs popped out and lying there with the ganglia still attached. Of seeing the chest open and the heart still beating with an unreal, spastic sort of motion, like a separate living thing. Of knowing at a glance how long a corpse had been there. Of knowing without even thinking about it the progression of lividity, rigor mortis, and gradual decay. And all of this the normal routine of our day. All of this coming at a time when it was easier to immerse myself in that world and not come up for air, when it was hard to judge how far any of us drifted because we only talked with each other.

 

           The first words out of Marmol’s mouth as he hefted himself into the ambulance were, “So, LaFontaine turned me on to this new diet. I can’t think of anything but food, so I've taken up a hobby to get my mind off it.”
         "What hobby?” Rutkovsky asked.
          "Ventriloquism."
          “Ventriloquism?” Rutkovsky said.
          “Yeah. Ventriloquism.”
          With his sketchbook, his offhand manner, and his eccentric hobbies, Marmol cracked us up. He was always preoccupied with some little creative project. He wrote songs. He wrote rhyming poems about dying patients. He wrote a limerick about a ten-year-old boy found dead, shot in the head. And on this day in late June Verdis had called in sick, and with nothing better to do Marmol jumped on the ambulance with Rutkovsky and me. As soon as Marmol got on he held up a hand puppet made from a sock, yellow yarn for hair, and said, “Whenever I think of food, I talk instead. To take my mind off eating.”
          “Good idea,” Rutkovsky said.
          “Can I talk to your patients?” he said with the puppet.
          “I don’t care what you do to them,” Rutkovsky said.
          Our first job was for a seventy-year-old guy sitting on the bottom step of his stoop, face slick with sweat, holding a fist to his chest. Marmol ran up with that sock on his hand: “Hi! I’m Papi the puppet! Are you having chest pain?”
          “Yes.”
          “Talk to Papi!” Marmol said. Then, with the puppet, “What’s the pain feel like?”
          “It’s killing me. It just came on. It’s crushing my chest.”
          “Papi’s going to give you a nitro,” Rutkovsky said.
          Rutkovsky put the tiny pill in the puppet’s mouth and the puppet dropped it on to the old guy’s tongue. The guy didn’t seem to think it was unusual that we were talking to him with a puppet. We carried the guy to the ambulance.
          “Are you feeling short of breath?” Marmol asked with the puppet. “Are you nauseous? Dizzy? Are you still having chest pain? Papi says you get another nitro.”
          “I think I’m going to borrow Papi to talk to my ex-wife,” Rutkovsky said, which made the old guy having the heart attack laugh and then cough and put a fist to his chest.
          “Oh, Lord, you guys are killin me,” he said, which made us laugh louder.
          Our next job was for an overweight, naked woman strolling down Broadway. It was that orange light time of day in mid summer. A crowd of young men stood around in the sweltering heat, catcalling as this naked woman walked on past, eyes flat and still, totally oblivious. Rutkovsky seemed to feel vindicated.
          “That’s the thing about this job. You think you’ve seen everything, then something like this happens.”
          “Something like this!” Papi repeated.
          We pulled up alongside the woman. She didn’t say a word to us, but understood that we were there for her. She got in the ambulance more or less amicably while the men crowded together on the hot street, jeered and complained that we’d ruined their fun, threw empty beer cans at the ambulance. We heard them clinking against the outside as we strapped the naked woman into the stretcher. We put a sheet over her. She tore it off. We put it on. She yanked it off. We shrugged and left it off.
          “Are you on drugs? Do you have a psychiatric history? Have you taken your medications?” the puppet asked. The naked woman didn’t answer any questions. Just sat there with her eyes wide and dull, jaw moving in circles, like a cow. We brought the woman into the Harlem psych ER. There was a new intern triaging. You could see he hadn't been in New York long. He had a kind of openness and eagerness that you didn’t see in anyone who’d been there for any amount of time. I walked in first, before the woman, and said, “We got a good one for you. Thirty-year-old female—”
          "Why'd you bring her to psych?" the intern cut me off.
          “She was walking naked down Broadway."
          "It's hot out,” he said. “It’s natural not to want to wear any clothes. Maybe we should all be naked at this time of year."
          I just laughed. There was nothing to say to that. Marmol walked in with the woman at his elbow. She lumbered over and sat in front of the intern: naked, tangled hair crawling with lice, rolls of grime-covered fat on her belly, black toenails, sweat running in clean rivulets down her filthy skin.
          "Can you tell me your name?" the intern asked her in his most polite, understanding voice. Then again, "Can you tell me your name?"
          She didn’t answer, just sat there moving her mouth around, then reached between her legs, dug around a moment, pried out a dark, rotten, leafy vegetable of some sort, and began eating it. The intern looked wild. I was stunned myself. Rutkovsky turned away and kicked at the wall with his boot. He kicked again and then again, eyes tight knots of skin, like he was trying to kick the image out of his head.
          Meanwhile, Marmol stuck his hand around the corner, and with the puppet, said, "I think you should discharge her. I mean, she's only eating. It's natural, isn't it?"

           


From Safelight

          We found Rolly reclined on sloped concrete rubble in the courtyard of an abandoned building. His legs out, ankles as thick as his thighs, his hand fished for a bottle wedged between two bricks.

         "I wanna go to hospital oh-seven," he said. "I'm sick."

        
He wasn’t sick. Rolly called every day. He got drunk every day, needed a place to stay, so he called us to take him to the hospital, where he slept on a stretcher that they’d wheel out into a hallway near the lobby.

         
I set the drug bag in the dirt. Burnett found a red milk crate, brushed dust from the top, sat, and tapped Rolly’s bottle with the antenna of his radio. 

         
"What’re you drinking?"

         
"Thunderbird."

          
"How much was it?"

         
"Two oh nine."

         
Burnett turned, smiling.

         
"Two oh nine. He knows it exactly. That with or without tax?"

         
"With tax. Dollar ninety-four without."

         
"Jesus."

         
"Dollar ninety-four warm. Dollar ninety-nine cold."

         
Burnett gave me a look. 

         
"Guy’s a whiz with numbers. How much's Night Train?"

         
“Dollar eighty-seven with tax. Dollar seventy-five without."

         
"And warm?"

         
"I already told you. Nickel less. Dollar seventy."

         
"Whattaya buy it? Warm or cold?"

         
Rolly rolled his shoulders.

         
"Don't matter to me. Warm or cold. I won't lie to you. I just wanna drink.” He looked over as if he recognized me for the first time. “Take a picture,” he said.

         
“He remembers you take pictures.”

         
“I don’t need a picture,” I said. “I got ten of you sitting right there. Do something new and I’ll take a picture of that. Like if you were sober. That’d be a picture.”

         
“Aw.”

         
“What?”

         
“You’re mad,” he said. “You in a bad mood today.”

         
Burnett placed two fingers on Rolly’s knee. 

         
"You ever had a job?"

         
"Sure I had a job."

         
"What?"

         
“I boxed.”

         
“You boxed?”

         
“Look at his hands,” I said.

         
Burnett rolled a concrete lump the size of a baseball in his fingers. He looked at Rolly critically.

          “So where’d you box?”

         
“All over. Vegas. Wherever.”

         
“What happened?”

         
“Nothing happened.”

         
“Why didn’t you stay in the boxing business?”

         
“I guess I had enough.”

         
“You started drinking. That’s what happened,” Burnett said.

         
“I was sent to prison is what happened.”

         
“Bullshit.”

         
“All right.”

         
“What for?”

         
“Killing someone.”

         
“Bullshit,” Burnett said again. He cleared his throat and spit past Rolly’s foot. “You listenin to this?” he said to me.

         
“What else would I be doing?”

         
“Guy was messing with me,” Rolly said. “Messing with my woman.”

         
“Uh-huh,” Burnett said. “What’d you use to kill him? Gun?”

         
“I didn’t use anything,” he said. “I used myself.”

         
“Look at his hands,” I said again.

         
Rolly had enormous, knobby, arthritic hands. Old boxer’s hands. He could not close them all the way.

         
"So how long'd you do?"

         
"Six years eight months. Parole for two."

         
"And where'd you do it?"

         
"Couple places."

         
"Where was the first?"

         
"Attica."

         
"What'd you do there?"

         
"Worked in the kitchen. Did that two years."

         
"What cell block?"

         
"Eight."

         
"You were in cell block eight?"

         
"That's what I just said."

         
"And after that?"

         
"I was down in four."

         
"What'd you do there?"

         
“Still in the kitchen."

         
"And how long for that?"

         
"Nine months. Then I was upstate. Sing Sing. In two north. I made street signs."

         
The three other buildings that formed the courtyard were all abandoned and boarded, here and there a window showing black where the plywood had fallen or been pried off for some other use. Pigeons sat on concrete window ledges.

         
"What'd you do when you got out?" Burnett asked.

         
"I didn’t do anything," he said.

         
"You didn't go back into the boxing business?"

         
"No."

         
“And the woman?”

         
Rolly just looked away and didn’t answer. Burnett tossed his lump of concrete aside and stood.

         
"Get up, Rolly."

         
Rolly reached for his green bottle. Burnett pushed his hand away.

         
"Nah. You're not drinking anymore. Get up."

         
Burnett held Rolly at arm's length.

         
"You boxed?"

         
"I don't anymore," Rolly said.

         
"Of course you don't. You're an alcoholic. You're forty-two and can hardly walk. Your ankles're like a fucking elephant’s. And every day you’re calling. Bugging us. Forget that we could be helping someone else. I could be eating my lunch.”

         
Burnett held him by the shoulder. I noticed a kid watching from around the corner of the building.

         
"Jack," I said.

         
Burnett saw the kid, and glowered. The kid ducked away. I stepped over to check the slot between the two buildings. The kid had stopped halfway. When he saw me he kept on running and tailed off onto the sidewalk, out of sight. Burnett turned back.

         
"Show me how you used to box, Rolly."

         
"I don't do it no more,” he said in a meek voice.

         
"Show me how you used to."

         
Rolly raised his hands to his chest and Burnett punched him in the jaw, grabbing Rolly’s collar to keep him from falling. Burnett punched him again so I heard the clacking sound as Rolly’s teeth knocked against each other. I started forward as if I was going to stop him. Then I turned as if to wait between the buildings. I could hear Burnett grunting behind me, the sound of flesh on flesh. I turned again. I brought my camera out and took a shot of Burnett hitting. Burnett smacking with his open hand. Burnett pushing him back when Rolly tried to protect himself. Burnett smiling with his arm around Rolly’s neck. Burnett prodding him on with one stiff arm between the shoulderblades.

         
"I gotta wear gloves. He almost fucking bled on me."

 
          The ambulance was parked twenty yards down the block to the left. To our right was a concrete stoop. The boy I’d seen before stood on the other side of the stoop, and was talking to a man and woman through the bars of the railing. When we came out from between the two buildings they all looked up and the boy walked away quickly, glancing over his shoulder several times. The woman, tall, skinny, with bony knees and elbows, yelled out, "You all right, Rolly?"
          "Yeah, I'm all right," he yelled back.
          "You're bleeding!" she shrieked. She stood abruptly. She was five foot nine, with big feet, and big hands, and an inch of matted hair. She was about forty years old. She tapped the man sitting beside her. "He's bleeding!"
          "I'm all right," Rolly said over his shoulder.
          A raised edge to the sidewalk, and as Rolly looked back his foot caught the edge. Burnett supported him with one hand under his left arm. Rolly leaned on Burnett, then slumped and sat on the pavement. Burnett stood over him, smiling.
          “Get up, Rolly,” Burnett said.
          “He’s bleeding!” the woman down the block shrieked. “Look’t’m! Look’t his face! He’s bleeding! They hurt him!”
          “I don’t fucking believe this,” Burnett muttered. Then yelling to the woman, “He fell down. He’s drunk.”
          “His mouth’s bleeding! I see it! Blood!”
          The woman stood. The man stood, too, reluctantly. He was a trim-looking guy wearing khakis, a white button-down shirt, and a gold chain with a gold cross around his neck. Fifty years old. Some church guy. The two walked over, the scrawny lady striding quickly, waving an arm, and the short, well-dressed man following behind.
          "He’s not bleeding,” Burnett said.
          “He’s bleeding!”
          "That's wine," Burnett said. Then to me, “Talk to her, Frank.”
          “He was drinking when we found him. That red you see is wine.”
          “That ain’t wine.”
          “Night Train.”
          “Lie!” she shrieked. “Lie! Lie!”
          The left side of her mouth twitched. She squinched her eyes shut and stood with her head turned, shaking. An older woman and two teenaged boys approached, wheeling one of those wire carts that you tilt to push. She set the basket upright. Rolly sat on the concrete, looking drunk, bewildered. Burnett caught my eye.
          "Get’m in the bus."
          The trim little man bent to help.
          "How you doin, Rolly?" the man asked in a gentle voice, and Burnett, who was already annoyed by the gathering crowd, said impatiently, "We got him. Step back."
          The man ignored him. Again, in a soft voice, "You hurt?"
          Burnett held the man back with one hand. The woman with the grocery cart shouted, "Don't you touch him! He ain't done nothin! Don't you touch him!" Burnett made a little huffing noise and pushed the man back. He tried to raise Rolly with one hand but only dragged him across the concrete. Both women yelled out, "You’re hurting him!"
          “We’re gettin him in the ambulance,” Burnett said.
          “He’s bleedin!”
          Burnett turned on me.
          "You gonna help, Frank?"
          I’d been standing back, fingering the camera in my pocket, wondering how to get a photograph without making a scene. As I stepped up, Burnett looked past me and his eyes grew wide, startled. I turned to see a flash of metal. Something passed under my right arm. I fell. A blossoming on my right side, a warmth that flowed into my entire body. There’d been an insulated feeling to the whole exchange, and then suddenly it was like that moment when you come out of an air conditioned house into the heat of the day. I lost perhaps ten seconds. Then I was on my back with a view of sky between brownstones. I heard sirens faintly. People ran back and forth near my head, shouting. I just lay there, overcome, for a moment, with a feeling of well-being. Burnett stood near my head, a blue glove on his right hand, pulling a glove on the left, saying, "I gotta protect myself, Frank, never know who you been fucking." I tried to sit up and was surprised when I couldn’t. I tried to sit up again and Burnett held me down with two gloved fingers. They were putting me on a board. Strapping me in. I felt hands on either side of my head. Burnett placed three fingers on my wrist.  "Frank," I heard someone say. "How you doin, Frank?" Burnett seemed far away. He was counting my pulse.
          "I got one?" I asked.
          He didn't answer.
          "What is it?"
          He stopped counting.
          "Little fast."
          "Burnett."
          "Yeah."
          "What is it?"
          "One ten."
          "How's it feel?"
          "Like you'll live."
          I was being lifted. Burnett had his gloved hand at my right side.
          "How's that feel? That hurt?"
          "Ah fuck."
          "That?"
          "Would you fucking stop it?"
          We were in the ambulance. Burnett was bandaging me. I felt something both sharp and heavy on my side. I began to sit up and Burnett held me down.
          "She get you anywhere else?"
          "I don't know."
          I was lying on the stretcher looking up at the hanging bags of saline. Burnett was holding me down.
          "How deep is it?" I asked.
          "Hardly a scratch," he said.
          “What was it?”
          “Knife, Frank. Didn’t you see it?”
          I tried to sit up again. I was restless. "Come on, Frank. Jesus. . ." They put an oxygen mask on me. Burnett was saying, "Take it, easy, Frank. Fucking take it easy.” I was infinitely grateful that it was Burnett treating me. He was a great medic. Much better than I was. He was a thug, but he was a great medic. Burnett was going into my arms with the needles, the clear lines swinging on either side. He was talking to the driver up front. Then we were at the hospital and they jerked me out. The wheels landed roughly, with a pain that jolted through my entire right side. I did not really feel it for a moment, and then I did.
          Inside the trauma room, Towers and Joseph came into view over my head. There were two stethoscopes on my chest. They cut my uniform off. Six pairs of hands rolled me, and they felt my whole back, the area inside my legs, my neck, my stomach, my back again, a finger in my rectum. Dr. Towers was over me, listening with his stethoscope, and then taking it off one ear, then the other, smiling, and saying, "You must've said your prayers this week, Frank. Been a good boy." They gave me a chest tube and took a chest X-ray and gave me a unit of blood and listened to my lungs about eight times. Then they sent me upstairs where, later that night, Norman came in wearing surgical scrubs, a blue hairnet, and around his neck, a dangling white mask.

 



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