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Authors: Ivan Doig

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Dad's nerves jumped worse than ever now, which was saying much, and he looked like a thinner replica of himself. But his appetite was gaining and he felt he soon could be doing some part-time work.
Well, don't rush things,
I said, uneasy with myself for feeling there was more that ought to be said. Yet the doctors were finding nothing alarming, Dad seemed merely—if that word was right for any trouble beneath the breastbone—a man who had got in the habit of oversmoking and needed to be weaned from its eventual dangers.

This quick braid of times together, then, before it came clear that my father was in serious illness. I finger apart their pattern here because these are the moment-strands each of us will think of afterward and wonder,
Did I miss there some hint, some flicker of doubt or pain or incredulity, which told what was to come?
And the greater wondering beyond that:
If not, how can that skein of no apparent peril and the skein which followed it be portions of the same life?

For now calamity began to make itself known as rapidly as if it had been invented entirely for Dad: a man who lived on his feet, he was finding himself more and more short of breath after each briefest stint of walking.

At first the doctors he saw suggested that he might have a kind of asthma. There was all the grief on earth in that verdict, with its convulsed echoes of my mother's agony. Yet Dad showed none of the wheezing attacks which so devastated her—his lung difficulty nagged less violently but more steadily—and the diagnosis shifted. It was sometime late in 1966, the year Carol and I had arced our lives
to the Pacific Northwest, that a word neither he nor I had heard before was uttered to my father: emphysema.

In my mechanical way I read all I could find about the affliction, and each word more brought its own gloom. Emphysema, it emerged, could become a torture of the body beyond even my mother's suffering or the holocaust of cancer itself. As the honeycomb of air sacs in the lungs was destroyed by it, breathing would become forever more labored, a constant struggle against a sensation of suffocating. The act of breath would deliver less and less oxygen to the bloodstream, overload the heart into harsher and harsher pumping. Until the recent past, emphysema usually had been confused with asthma or bronchitis, and it had the worst of those ailments—an increasing wheeze, congestion-as well as its own cycle of deterioration in the deeps of heart and lung.

Somehow through the null medical words—
generalized overdistension, difficulty of exhalation, excess mucus—I
came to picture the disaster happening in my father's lungs as a pattern like the splotched burning of a sagebrush fire. Perhaps it was the years of blue haze drifting up from his cigarettes that made me think so of smolder and slow flame-lick. For whatever reason, the image came to me of the black turf such a fire spreads in its steady searing fan across the land, and the thought too that there would be no grass-bright greening in this fire's wake as time passed. Only char and more char.

And the role those words and that image spoke for me: For the dozen years since I had faced away from a storm-blasted band of sheep on the Blackfeet Reservation, this father of mine and this grandmother of mine unveeringly had shown me that they assumed I knew for myself what I was doing in life—which was a tremendous assumption. Then too, by the books and schooling I piled up, I was granted to be the authority on the world outside Montana.
If I happened to be on the scene when Grandma was writing one of her letters to her son in Australia, she still would ask me, as she had when I was eleven, how to spell some Down Under mystery such as
kangaroo;
if I had told her
q-y-n-g-u-r-u,
she would have thought it odd of the Aussies but certified correct because I had said it. When I wrote an article about rodeo and put in a few lines about Dad's own bronc-stomping days, he passed the marvel around to friends until the magazine wore out:
That kid of mine can write, if I do say so myself
, unarguably saying so. Beyond that, there was my becalmed temperament, amid the pair of theirs which swayed and whanged.

It all said that now I must truly become the authority in the family, this time on a matter beyond all of us. Here was the turn of time, sooner by a decade than I ever could have imagined, when I must become father to my own father, and I feared the matter, and wrestled it, and began to do it.

I sent along to Montana the levelest words I could draw from what the medical journals and texts said of emphysema, and the two conclusions which I said demanded doing: winnow until we had the most expert diagnosis and advice we could find about this mystery licking its way inside Dad, and move him from the blizzardy isolation of Ringling nearer to medical care.

The second of these, Dad himself took on as if snapped from a spell. Almost overnight he found and bought a small frame house in White Sulphur. Ungrand as it was, and carrying a sheaf of deeds which showed that it long had been a quick way-station for a procession of souls who couldn't afford better at the moment, the house nonetheless improved on the Ringling shanty in size and warmth and all else.

Grandma was uneasy about the move:
Don't we get by good enough as we are? Gee gosh, at our age, buyin' another
house and all.
... I was the one to woo her from that. Carol said once:
If you told her you were going to run an opium den, she would come around onto the side of opium dens.
As promptly as I had Grandma persuaded out of Ringling, she flung into tidying and flower-bedding the new site. A month after she and Dad moved in, it looked as if the pair of them had lived there from time out of mind.

Yet one of them was not going to live any time at all unless care for emphysema could be found, and the next piece of persuasion was to keep Dad from throwing himself under surgical knives. An operation he had heard of was claimed to lift the sensation of heavy breathing; already the pushing effort needed to make his lungs work was dismaying him.
I'm not sure I've got anything to lose by trying that out, Ivan.

By phone and letter, I found doctor after doctor against the surgery. Guardedly, carefully, I brought Dad around from the idea of the operation and to agreeing that he would come to Seattle to be examined at a highly reputed clinic as quickly as I could arrange it. In his mind, I believe, glinted the hope that he could somehow be rescued into wholeness again as he had been on the operating table at the Mayo Clinic sixteen years before. In mine was simply the vague medical prayer that the emphysema could be slowed, eased; I desperately wanted him not to be savaged into the worst of what the disease could inflict.

He was scheduled for several days of tests at the clinic. The first morning, I noticed Grandma putting on her best shoes and said to her without thinking:
I can stay with him down there, it'll be a long day.
The iron tone I had heard so many times:
I might just as well be there as setting around here like a bump on a log.

Each day and all day, the pair of us lobby-sat. I thumbed magazines, and tried without showing it to watch her beside me. She kept her eyes on the waiting patients,
studying the ones who could hardly puff their way across the room to the reception desk, who sat hunched with their chests swelling in and out for each windy breath, who toddled into the waiting elevator with a nurse balancing them at an elbow.

When Dad appeared, there was the relief, a quick lifting in the both of us, of seeing that he was so much sturdier than the others, his ranchman's stride almost too bold among the gaspy shuffles. And again we would set off with him, up or down the identical floors of the clinic to the next probing test.

Often he would come back to the reception area in surprise:
That wasn't so bad, they just had me lay down under some machine. Could of had a nap except it was so damn cold.
But other times, he arrived pale and grim and taut.
They gave me one of those damn barium deals, and I heaved it right back up.
Grandma would give her resentful
Hmpf!
against the clinic's dosing such torment into anyone, and I would try to talk him calm, keep him seated with us until the whiteness went from that handsome uneasy face. Then the three of us would move through the clinic once more, like a search party off to the next lair of apparatus for Dad to patrol into for us.

Eventually the tests were finished and adjudged. Dad and I waited in the doctor's office; this day Grandma had not wanted to come, had said I should be alone with him. The slim room was as neutral and toneless as if we were the first visitors ever to have been sent into it, like newcomers into a vacuum chamber. But outside the one thin window and below the clinic's roothold on its hill, the towers of the city marched to the dockside, and then the blue of Puget Sound pooled, rimming far off at a shore of timber and glacier-whetted peaks. My father, my one closest pulse back into time, sat looking at the towers and the blue and the
stabbing mountains. Finally he said, in the worrying burr I had heard fret over vanished sheep and surprise blizzards and much else:
I'm just afraid of what he's gonna say, Skavinsky.

But the doctor spoke some surprise, more texture of hope in his words at least than I had been able to allow myself. Of course—the harshest first—the diagnosis was confirmed as emphysema. Yes, Dad's life would be more labored. Several times a day he would have to breathe deep into his lungs a medicine misted out of a machine. He would have to walk only in short stints, learn to pace himself.

The doctor paused, went on. If possible, Dad should move to a lower altitude. Sea-level would be best, and the drier the climate the better. Dad:
No, it isn't possible. I'm too far along in life for that.

The doctor nodded as if he had known what that answer would be, went on with his medical judgments. Dad's heart as yet showed little damage, not yet the expected overwork caused by emphysematous lungs; it pounded in him as strongly as that of a man half his age. His lung capacity still was considerable. His general health was remarkable for a person who had gone through his batterings.

Grandma demanded the news as quickly as we arrived home. I watched Dad to see how he would deliver it, how drastically the prospect of a hobbled life was going to veer him. He gave his cocked grin.
This doctor now, I don't know about him. If I was in as good a shape as he says I am, I wouldn't be sick atall.

But when Dad and Grandma returned to Montana, his lungs soon enough gave trouble. He did learn to struggle more successfully with the emphysema, walk some uncertain line between too much activity and incapacity. But emphysema now brought an ally, bronchial infection which hit Dad again and again in the chill of the valley's autumn and
winter. Now there were hospital stays for him, time upon time the 45-mile trip out of the valley and across the Big Belts to the hospital in Townsend.

A pattern began, like codes spoken by a people in war. Dad would suffer a new infection in his lungs. By telephone from Seattle, I would try to gauge how severe it was. If Grandma guardedly said,
He's just none too good,
in all likelihood he was ill enough to be hospitalized again. I would say
You'd better let me talk to him,
now hating the long moments it took for him to creep to the phone.
Hullo, son, how are ye?
How am I. Leave that unanswerable, begin my questions, calming, gentling.
God, Ivan, I don't know what I better do.
Now persuade him around to going to the hospital, tell him I will get free for a week to help out when he comes home.

At last from him,
All right, son, whatever you say.
Whatever I say. I could say all in the world except the magic we needed: that if he did this certain thing, his lungs would heal, he would not gasp for every atom of air. He would not die this most grudging of deaths.

Yet it was not a time of steady gloom. I think that is the true grief of it—that the four of us could glimpse the richness of life available if the haunting gape in Dad's lungs did not return again and again. The one pastime-without-exertion left to Dad was trout fishing, and the valley, in its style of either withholding ruthlessly or proffering something wondrous, provided him with a friend who would wet lines with him from daybreak to midnight if he wanted.

A railroad worker retired from tending the tracks which coiled between Ringling and Sixteen, Leo was a thick slab of a man whom it was uproarious to think of in the nickname of that job, a
gandy dancer.
Something—rumor said it had been a gassing on a World War One battlefield, although I counted years and couldn't find him old enough—
had erased every hair on his head, including eyebrows. Out of that blank ball of head came a high crackling voice and an Oklahoma accent; when he and Dad were out on a creek or lake, the vicinity jangled with Leo's sentences, as if broadcasts were shrilling in from some rim of space.

For his part, Dad accepted with wryness his reliance on Leo—
I'm wind-broke as an old nag, but that Oklahoman gets me to wherever there's a fish, don't think he doesn't.
Once Carol and I went with the pair of them to a favored lake, and as we hiked the hilltops circling their fishing water, Leo's voice racketed along with us as if he were at our elbows instead of half a mile below, Dad's murmur came in like a far purl of stream. I hold that exact scene like a photo, Dad and his bald bear of a friend in the yellow rubber raft at the lake's center, a cone of color in the dusky retina of water, while Carol and I listen to the steady crackle of fishing talk and grin down over the tassel-tops of sage.

In that first year or two of affliction, there were times even apart from his fishing outings with Leo when Dad could find periods of almost-unforced breathing. Seated in his big living-room chair in the White Sulphur house, his flat back and level shoulders square against the fabric, he could recline and talk with only a hinting rise-and-fall of his chest, as if he had just rapidly walked a block or so.

I'll tell ye a time,
he might begin then if the nudge of encouragement came from me, or more likely from Carol's presence, for he found this new daughter-in-law a dazzling bonus to the family.
I was ridin' out here for the Dogie, and I happened to look up into a little park there in the Castles and saw a bunch of elk going across. I counted five of them. As the Dutch fellow says, as many as the thumbs on the end of mine hand. So I thought, well, this ridin' can go to hell for a little while, I'll just see about those elk....

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