Lisa felt her arm lifted and rotated so the nurse could read her identification bracelet. The arm was replaced and patted. "Are you ready for us to fix you up, Lisa Marino?" asked Carol, releasing the break mechanism on the gurney with her foot, and pulling the bed out from the wall.
"I don't know," admitted Lisa, trying to see up into the nurse's face. But Carol had turned away saying, "Sure you are," as she pushed the bed past the white Formica desk.
The automatic doors closed behind them as Lisa began her fateful journey down the corridor to OR #21. Neurosurgery was usually done in one of four rooms: Number 20, 21, 22, or 23. These rooms were fitted out with the special needs of brain surgery in mind. They had overhead mounted Zeiss operating microscopes, closed-circuit video systems with recording capabilities, and special OR tables. OR #21 also had a viewing gallery and was the favorite of Dr. Curt Mannerheim, Chief of Neurosurgery, and Chairman of the Department for the medical school.
Lisa had hoped that she'd be sleeping at this point, but such was not the case. If anything, she seemed particularly aware and all her senses sharp. Even the sterile chemical smell seemed exceptionally pungent to her. There was still time, she thought. She could get out of the bed and run. She didn't want to be operated on, especially not her head. In fact, anything but her head.
The movement stopped. Turning her gaze, she saw the nurse disappear around a corner. Lisa had been parked like a car at the side of a busy thoroughfare. A group of people passed her, transporting another patient who was retching. His chin was being held back by one of the orderlies pushing the bed, and his head was a bandaged nightmare.
Tears began to run down Lisa's cheeks. The patient reminded her of her own upcoming ordeal. Her central being was going to be rudely cracked open and violated. Not just a peripheral part of her, like a foot or an arm, but her head… where her personality and very soul resided. Would she be the same person afterward?
When Lisa had been eleven she'd had acute appendicitis. The operation had certainly seemed scary at the time, but nothing like what she was experiencing now. She was convinced that she was going to lose her identity if not her life. In either case, she was fragmenting, and the pieces were there for people to pick up and examine.
Carol Bigelow reappeared.
"Okay, Lisa, we're ready for you."
"Please," whispered Lisa.
"Come now, Lisa," said Carol Bigelow. "You wouldn't want Dr. Mannerheim to see you crying."
Lisa didn't want anyone to see her crying. She shook her head in response to Carol Bigelow's question, but her emotion switched to anger. Why was this happening to her? It wasn't fair. A year ago she'd been a normal college girl. She'd decided to major in English, hopefully to prepare for law school. She loved her literature courses and had been a superior student, at least until she'd met Jim Conway. She knew she'd let her studies go, but it had only been a month or so. Before meeting Jim she'd had sex on several occasions, but it had never been satisfying and she'd questioned why there was so much fuss about it. But with Jim it had been different. She knew immediately that with Jim, sex was the way it was supposed to be. And she hadn't been irresponsible. She did not believe in the Pill, but she'd made the effort to be fitted with a diaphragm. She could remember very distinctly how hard it had been for her to find the courage to make that first GYN clinic visit and go back when it was necessary.
The gurney moved into the operating room. It was completely square, about twenty-five feet on a side. The walls were constructed of gray ceramic tile up to the glass-faced gallery above. The ceiling was dominated by two large stainless steel operating room lights shaped like inverted kettle drums. In the center of the room stood the operating table. It was a narrow, ugly piece of equipment, reminding Lisa of an altar for some pagan rite. At one end of the table was a round piece of padding with a hole in the center, which Lisa instinctively knew was to hold her head. Totally out of keeping with the environment, the Bee Gees crooned from a small transistor radio in the corner.
"There now," said Carol Bigelow. "What I want you to do is slide over here onto the table."
"Okay," said Lisa. "Thank you." She was annoyed at her response. Thank you was the farthest thing from her mind. Yet she wanted the people to like her because she knew she depended on them to take care of her. Moving from the gurney to the operating table, Lisa held on to the sheet in a vain attempt to retain a modicum of dignity. Once on the table she lay still, staring up at the operating lights. Just to the side of the lights she recognized the glass partitions. Because of reflections, it was difficult to see through the glass, but then she saw the faces staring down at her. Lisa closed her eyes. She was a spectacle.
Her life had become a nightmare. Everything had been wonderful until that fateful evening. She had been with Jim and they both had been studying. Progressively, she had become aware that she was having difficulty reading, particularly when she came to a specific sentence beginning with the word "Ever." She was certain she knew the word but her mind refused to give it to her. She had to ask Jim. His response was a smile, thinking she was teasing. After she persisted, he told her "ever." Even after Jim had told her the word, when she looked at its printed form, it wouldn't come to her. She remembered feeling a powerful sense of frustration and fear. Then she began to smell the strange odor. It was a bad smell, and although she sensed she'd smelled it before, she could not say what it was. Jim denied smelling anything and that was the last thing Lisa remembered. What had followed was her first seizure. Apparently it had been awful, and Jim was shaking when she regained consciousness. She had struck him several times and scratched his face.
"Good morning, Lisa," said a pleasant male voice with an English accent. Looking up behind her, Lisa met the dark eyes of Dr. Bal Ranade, an Indian doctor who had trained at the university. "You remember what I told you last night?"
Lisa nodded. "No coughing or sudden movements," said Lisa, eager to please. She remembered Dr. Ranade's visit vividly. He'd appeared after her dinner, announcing himself as the anesthesiologist who was going to take care of her during her operation. He had proceeded to ask her the same questions about her health she'd answered many times before. The difference was that Dr. Ranade did not seem to be interested in the answers. His mahogany face did not change its expression, except when Lisa described her appendectomy at age eleven. Dr. Ranade nodded when Lisa said she'd had no trouble with the anesthesia. The only other information that interested him was her lack of allergic reaction. He nodded then too.
Usually Lisa preferred outgoing people. Dr. Ranade was the opposite. He expressed no emotion, just a quiet intensity. But for Lisa, under the circumstances this cool affectation was appropriate. She was glad to find someone for whom her ordeal was routine. But then Dr. Ranade had shocked her. In the same precise Oxford accent he said: "I presume that Dr. Mannerheim has discussed with you the anesthetic technique which will be used."
"No," said Lisa.
"That's odd," said Dr. Ranade at length.
"Why?" asked Lisa, sensing trouble. The idea that there could be any breakdown in communication was alarming. "Why is that odd?"
"We usually use a general anesthesia for craniotomy," said Dr. Ranade. "But Dr. Mannerheim has informed us that he wants local anesthesia."
Lisa had not heard her operation described as a craniotomy. Dr. Mannerheim had said that he was going to "turn a flap" and make a small window in her head so that he could remove the damaged part of her right temporal lobe. He'd told Lisa that somehow, a part of Lisa's brain had been damaged, and it was that section that was causing her seizures. If he could take just the damaged part out the seizures would stop. He'd done almost a hundred such operations with wonderful results. At the time Lisa had been ecstatic because up until Dr. Mannerheim all she could get from her doctors was compassionate head shaking.