Great; Jimmy seems to be bothering the neighbors now. I can see him walking back toward the house, and I hope he did cause any trouble. He’s had a hard time accepting the new neighbors, though it was through no fault of their own. They are actually quite nice people and I get on with them quite well, but Jimmy has had a very hard time.
I met him halfway on the gravel determined to get the story out of him.
“The fuck did you do?” I growled at him, grabbing his arm. “I saw you running up the gravel and I hope like hell you didn’t go running into their house. That’s not Hank’s house anymore, Jimmy, and I won’t have you scaring our neighbors with your behavior.”
He actually looked hurt when I said that and I barely suppressed the urge to roll my eyes. I know he’s had a hard time since Hank’s passing, but he’s got to be an adult about this. Oh and there he goes, starting to cry. He flipped me off and ran for the house, making me scream right there in the middle of the gravel. I shook my head and followed, though I wasn’t going to say boo to him until he’d grown up a bit.
“What’s up with dad?” Eliza asked, as I walked back inside. She was standing at the toaster, and I realized that the mornings drama had kept us from making breakfast for the kids.
“Nothing.”
I stomped down the hall and practically broke Jimmy’s office door in my attempt to open it. He was sitting at his desk, typing frantically; it was apparently some kind of email and I turned to leave. He might as well be left alone, because I don’t want to deal with him right now. If you have known me for even a short length of time, you know how I am: when he’s being a baby, I back off, because I’m not dealing with it. Those of you new to our relationship might find that harsh, but it’s not; when he’s acting like this, he’s anything but rational. I can’t deal with him when he’s being irrational and that’s all I’ll get out of him right now.
“Dad?”
I turned to see Eliza standing in the doorway, working through a piece of peanut butter toast. This kid will eat peanut butter straight out of the jar, I swear. I waited for her to speak, figuring I didn’t really need to verbally acknowledge her.
“Shouldn’t you be checking on dad? I mean, after last night and all, you know? I have to work at noon, so I’m out of here.”
“What time is it?” I asked. She usually leaves 20 minutes early, just in case she runs into traffic on the county road.
“It’s 1140 dad,” she called up the stairs, her footsteps disappearing as she moved toward the back door. “It’s been a long morning.”
I couldn’t disagree with that, as I went downstairs to make toast for myself. I thought about offering Jimmy food, but figured he was probably still in his mood. I was surprised, then to find him sitting at the table, eating a bowl of cereal. Priscilla smiled at me, then looked at her dad and sighed. I hope she studies psychology, because once she gets the concept of what’s wrong with her dad, she’ll be a great help. I overheard their talk upstairs and I think she’s starting to grasp things.
“I’ll talk to him,” she promised, as I put two slices of bread in. I got the butter and jelly, then made a bowl of cereal. We don’t really have set eating times around here, but I don’t like having breakfast so late. But all at once I’m starving and I don’t want dinner yet. “Just let me deal with it.”
I nodded, making my toast when it popped up and then retreating to my office. I needed some down time and this was my big chance. I looked at the calendar in the bedroom and Jimmy’s got a doctor’s appointment at two for his lungs. I’m going to call Dr. Mangus and get him in there. He’s always got an emergency spot open for Jimmy, because he knows the man goes off on a moment’s notice.
With a sigh, I dialed the doctor’s office and hoped he wouldn’t maim my husband when we got there.
***
“Whether you’re speaking to me or not, you have an appointment with Dr Sullivan in half an hour, so we need to get going,” I told my husband after dinner. Well, in so much as you can call it dinner, I guess. I had a frozen pizza and Jimmy took a turkey sandwich to his office. “Come on.”
He followed me sullenly, grabbing his keys and his med list. He’s been keeping track of how he’s feeling this summer (rough) and it’s time to see if the doctor needs to tweak his meds. I called to Priscilla that we were leaving and I assume the grunt that emanated from the living room meant she got the message.
“You need to quit sulking,” I told him, as he started the drive into Omaha. Missouri Valley was closer and had a satellite clinic, but it’s just as easy to go into Omaha. “I know you’re upset about things, but at some point, you need to grow up and move on. I know that losing Hank was equivalent to losing your real dad but he wouldn’t want you to sulk like this.”
I know Jimmy heard me and the look on his face, with which I am oh-so familiar, means he agrees. But he’s in a mood and when he’s like this, he’s impossible to deal with. I’ll keep the second appointment a secret until we’re in the waiting room, because if I tell him now, I won’t get to either appointment.
“Well, if you’re going to sulk all this time, I’m turning on some music,” I told him, and promptly cranked the radio to an ear-splitting volume. Jimmy frowned and turned it down somewhat, but I was a little happier; I got a response out of him, at least. “If you want to talk, just turn it down.”
Not surprisingly, the entire drive into Omaha was spent with me singing to the radio and Jimmy sulking. I hope he cheers up for the doctor, at least. He’s going to be run through a gamut of breathing tests and he can’t exactly sulk through those. I mean, he’s got to follow lots breathing instructions and the staff have known him for so long, he’ll end up telling them what’s wrong right away.
“Well, I’ll wait in the lobby like usual,” I told him, once we’d arrived at the clinic. He’s been going here since we got married and his first asthma attack hit, shortly after we returned from our honeymoon. He’s the only person in his family with asthma, though somehow, he passed it along to the girls. “Good luck.”
He got checked in and was called back soon after. I settled in with a book, considering this can take up to an hour sometimes. The process is a little tedious and he’s had mild attacks before brought on by some of the breathing tests. I don’t want that to happen now, of course, but I am prepared for it. Thankfully, none have been serious and all can be treated right here in the clinic.
“How are you doing, Coby?”
I looked up from my book and smiled at a retired colleague, Mark Wallerford. It seemed retirement suited him, though his hair was greyer. He’d only been retired six months, but he was very much missed around the ER.
“I’m good, how are you doing?”
“I’m good. Joyce is seeing the doctor today for a checkup. She had a horrible bout of pneumonia a few months ago and her lungs never quite recovered. How’s Jimmy?”
“So far, so good. This summer has been rough on him, of course, with so much humidity and so many hot days. He’s having a checkup as well, and might be getting his meds tweaked a bit. His regiment was working fine until we got back from California, so we’ll see what the doctor has to say.”
Mark nodded, settling into a chair next to me. “He’s had a terrible time with his asthma the last couple of years; what’s going on?”
“No one knows,” I said, with a shrug. “He had it under control for a long time and then all at once, that control was gone. The asthma developed because he both snorted and smoked crack-cocaine, but why he’s lost the control he had is beyond everyone.”
“Hopefully he’ll get some answers today,” Mark said, as Joyce came out. She looked better than she had the last time I saw her and I got up to hug her. “How did it go?”
“Just fine. The doctor doesn’t know what took so long, but everything has cleared. My lung tests were good today, but he wants to keep me on the inhaler another month; we’ll reevaluate at that time.”
“Sounds good. Good luck to Jimmy,” Mark told me, and I waved at them as they left. I just hope we get good news, like it’s just a medication thing. I have a suspicion, but I haven’t said anything yet because it will upset him. He regrets everything he did before he got clean for the last time and if I’m right, he’s not going to take the news well at all.
***
“Coby? Can you come back a moment? We need to have a conference,” a voice said, and I startled. My book had fallen aside and I stretched, yawning.
“Sorry. What?” I asked, embarrassed that I’d fallen asleep.
“No worries,” Dr. Sullivan (no relation) said, smiling. She’s only been Jimmy’s doctor a couple of years, but she does a great job. Dr. Callahan retired two years ago and I was nervous about getting a new doctor. But so far, so good. “It’s taken longer than usual, and a nap sounds good right about. Come on back, we need to have a conference.”
I nodded, trying to tell myself that nothing was wrong and I was going to learn about his new medications. After all, outside of some bad days, he’s been doing pretty well of late. I followed the doctor down to her office and noted the distressed on Jimmy’s face. Once I’d sat down, I took Jimmy’s hand and waited for the doctor to speak.
“Well, I have the results of Jimmy’s tests. As usual, he stands out because his symptoms are not by the book. But his PFT results were low and when I ran him through some simple physical activities, he became winded quickly. We know that the weather is a trigger, so if this had happened outside, I’d have chalked it up to weather. But when it happens in a climate controlled room, I become concerned. I did a couple of additional tests and I have the answer.” I nodded, hoping it wasn’t dire news. “So, now that I’ve done the testing, I can say with certainty that Jimmy’s asthma has progressed to COPD.”
I gulped, because COPD is serious. It’s a disease of the lungs seen often in smokers, which Jimmy used to be. He smoked regular cigarettes, crack-cocaine, just about anything a person can light and inhale. I heard a shuddering breath come from Jimmy and wondered what the next step was.
“Right now, he’s doing fine. This disease progresses slowly over time, so he’s got a long time before we have to worry about drastic measures. For now, I’m going to put him on a 24 hour bronchodilator, which will keep his symptoms under control. I’ll keep him on the asthma pill he’s already on, and recommend a newer rescue breather. I’ve also prescribed a newer, slightly stronger medication for his nebulizer. When winter rolls around, he’s going to need a flu and pneumonia shot, because those two are major triggers for a flare up. Also, be sure to take care if you get a cold, okay? That can affect your breathing as well.”
“Will I have to have oxygen every day?” he asked, and I know he’s scared; I’m scared, too, trust me.
“Not right away. That should be several years down the line, unless you’re one of the rare cases that progresses quickly. Since you don’t have the typical symptoms, it’s hard to say.”
“What caused this?” I asked, although I thought I knew the answer already.
The doctor sighed and I hoped she wasn’t afraid of hurting feelings; Jimmy knows what he did all those years ago.
“Given your history of smoking and drug abuse, it’s fair to say that cocaine is the problem. You’re nasal septum collapsed years ago and you had that repaired; your chart indicates that you had that surgery two years after your last rehab stint. The problem with abuse of cocaine and other drugs is that some effects don’t show up for years. In your case, the asthma started quickly once you were clean, but the COPD came later. Your chart indicates and you’ve told me, that you smoked cigarettes and crack, so this is not a surprise. The difference here is that you take responsibility for these problems and admit what you did. Now, we just need to keep you healthy.”
I put an arm around Jimmy’s shoulders, attempting to comfort him. We’ve known for years that some effects of his drug abuse wouldn’t show up for years and we are proved right at every turn, it seems. I knew there was nothing I could do for him except make sure we follow the new regime. With luck, things won’t worsen for several years. But knowing our luck, things will get worse quickly.