Pain and Anguish

The centerpiece of modern Birmingham’s economy is healthcare. Just off the top of my head I can think of 11 hospitals including multiple campuses of UAB (University of Alabama at Birmingham) and St Vincent’s around the metro area. In addition, there are a plethora of clinics of all types all over the area. As with carless people who still need to go to work, there are also many carless people who need to go home from the hospital or doctor’s office.

One of the first hospital trips I remember came shortly after I first started driving in the winter of 2010-11. Unlike many winters in the last few decades, this winter was actually a cold one. We had snow in Birmingham three times that year and had freezing temperatures for several consecutive days. When I picked him up at the ER of one of the largest hospitals there was still a little snow on the ground from a snow shower a few days earlier. I saw the nurses wheel out a very frail man who I would judge to be in his late 70’s. He was wearing a cap with some company’s logo on it, a plaid shirt and blue jeans. His legs were bent and the nurse had a hard time getting him out of the wheelchair and into the cab. When he was finally in I greeted him with my usual hello! how are you doing tonight? “There ain’t nothing they can do for me. They’re sending me home to die” was his response.Well, I didn’t quite know how to respond to that. I didn’t think telling him that I hoped he died peacefully and painlessly would be appropriate. I remained quiet, it was a bit awkward.

He gave me an address in one of the suburban towns north of the city. It was actually outside of the town on a sparsely traveled road in a single wide trailer. He had used my phone to call his son to tell him that we were on the way and that he, the son, would have to pay the fare. When we pulled up in the drive I could see the snow and ice covered ramp coming from the door of the trailer. The son came out looking pissed. He was a total ass. I assume he was pissed because his father had come home. The fare was $19, he handed me a twenty and I gave him a one. He didn’t offer a tip. He also didn’t offer a hello, a how are you or a thank you for bringing my father home.

When he finally got his father into the wheelchair it was time for him to be pushed up the icy, snow covered ramp. I pushed as the son pulled from the front. It wasn’t easy. When we finally got the old guy to the door, I turned and carefully headed back down the ramp to the cab. There was still no thank you or even an acknowledgement that I had helped. The son acted as if it was my job. It’s not. All I have to do is drive the customer from point A to point B. The fare doesn’t include any help beyond that. I was glad to help even though there was nothing in it for me, I didn’t see how it would have been possible for  the angry son to have done it on his own. The only regret I had as I left was that this pitiful old man would have to spend his last few days with a fucking asshole.

The trip started from a dispatch to a church affiliated hospital in west Birmingham. This hospital is in zone 210, what many would consider to be “the hood”. Good, lucrative trips can and sometimes do come from this hospital. When picking up at a hospital, any hospital, one big mystery will be the condition of your customer. Sometimes they walk out on their own power, get in alone, are completely coherent and the trip is no trouble at all. Other times the customer will need assistance from either the hospital staff or a family member but still no big deal. This time it was different. I was having serious doubts during the trip that I would be able to get this guy home before he died. His sister was with him, I think I would have refused the trip had she not been.

He was a young African American man probably in his 20’s. He could not stand or walk or even shift his sitting position in the back seat. Other than on TV commercials for C.A.R.E and other similar charities and maybe in National Geographic, I have never seen a human being so emaciated. I never asked about his diagnosis but it had to have been the final stages of AIDS or some kind of cancer. His bones and joints looked as if there was no muscle or fat at all, just skin and bones. His head was tilted back with his eyes rolled back in his head. We had to make a stop at a pharmacy near the hospital for his sister to pick up a prescription. During this time I was alone with him for about 10-15 minutes. I was looking for signs of life. After a few minutes of total quiet I heard a gurgling sound and I could see his bony chest rise and fall, albeit at a much slower rate than a healthy person.

We arrived at an old apartment complex in Ensley a few minutes after his sister returned. A teenage girl came out of the apartment to help the sister get him inside. The two of them were having a very hard time. I thought about just picking him up and carrying him inside. I thought about what could happen if I dropped him or broke one of his brittle, fragile bones and held back. In just a minute a man who was a friend and neighbor showed up and did exactly what I was thinking of, picked him up and carried him inside. I was glad.

A few months later I was back at the same hospital. This time it was an account trip, meaning that the hospital is paying for the trip. You simply fill out a voucher and get paid by the cab company. When  Alabama court 005we are dispatched an account trip, we are able to see the destination on the computer screen, that’s how I knew this would be a lucrative trip. I waited and waited and waited some more. The customer wasn’t coming out. Before pressing the noshow button I decided to call dispatch to see if they could get in touch with anyone at the hospital to see if the customer was indeed there. The company will pay us $5 for a noshow on an account trip but judging by the distance showing on my GPS this would be a $45 or $50 trip if the customer was there, so I was willing to wait a little longer if necessary. The dispatchers put me through to some hospital staff person who assured me that my customer would soon be out.

They eventually wheeled out a guy who looked like he had just been taken straight out of his hospital bed and sent out the door. He was bent over forward in the wheelchair with a string of saliva drooling from his toothless mouth. He was holding a pale pink kidney shaped drool or vomit receptacle. He was accompanied by a woman probably 10 or 15 years his junior. She had the look of a country woman but with a hard edge. When they got in she barely gave me a hello. It was clear that she wasn’t interested in exchanging niceties with me. Before we got out of the parking lot, the man with the drool pan started screaming in agony. “OH GOD, OH GOD, OH GOD”, he shouted! The screaming didn’t stop. All the way through west Birmingham and all the way out of town he continued to shout “OH GOD, OH GOD” while hyperventilating and clutching his side and chest. For a minute I was thinking that we may need to turn around and take him back to the hospital. I was wondering why they sent him home? No insurance, maybe? The screaming didn’t stop until we finally reached our destination northwest of the city near the Walker County line.

The only words that I heard come out of his mouth other than “OH GOD” were “I’m so thirsty”. After he repeated this several times, the woman asked me to stop at the next gas station to get him a Sprite. Sprite was his favorite soda. After a couple of minutes sitting at the gas station listening to this man scream, I saw her exit the store empty handed. She lacked 40 cents having enough money to buy a Sprite. I thought to myself, it’s a damn good thing the hospital is paying for this trip. I told her to get back in the car and I went in the store and bought the man a 20oz Sprite.

From the view of society that we cab drivers get, stereotypes are sometimes, even often, shattered. This wasn’t one of those times. It took four turns off the main road to get onto the two ruts that the woman called a road. I could almost hear banjos playing as we pulled up in front of a run down trailer with assorted rusty auto parts strewn about in the yard. It was a scene that would confirm the mental image that many have of poor whites in the rural south. A young man, probably in his late 20’s, wearing a camouflage hat and a shirt with cut off sleeves that exposed his tattoos, one of which was a confederate flag, came out and assisted the woman in getting the man in agony out of the car. I couldn’t turn around in front of the place. I drove probably a quarter mile before finding a safe place to turn around. When I came back by the trailer the young man and the woman were gone. The sick man was sitting on the ground leaning against the mailbox, clutching his Sprite.

copyright 2013 R.W. Walker

*All views and opinions are strictly those of R.W. Walker. These views do not reflect the views of any cab company.

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