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Psychiatric Times
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At three breaths before death a blue latex hand pulls out a trach tube, a blade skims over the zipped up hole, and droplets of blood are sucked into skin...
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At three breaths before death
a blue latex hand pulls out a trach tube,
a blade skims over the zipped up hole,
and droplets of blood are sucked into skin.
The patient exhales, rises from bed and walks backwards,
out of the hospital into a car rolling
in reverse, smoke puffing from his mouth
in little clouds, each puff pulled into
the burning red tip of a white cigarette
which grows longer and longer before
he packs them one by one into a box,
the boxes arranged into cartons, cartons
into crates, men carting them
backwards, loading them on trucks
driving rear-end-first to factories
in Carolina and Kentucky where paper
unwinds and shredded tobacco flows
through blades and comes out whole,
the leaves returned to barns where
they hang sweet and moist in the hot
fall sun before ten foot plants are dug
into rich brown earth, shrinking
as summer cools to spring
until all that remains are a thousand
tiny seeds held in a farmer’s hand.
And the man who made the clouds
becomes younger with each puff,
gains muscle and fat, stained teeth
brightening from yellow to white,
the red gristle of tumor and blood
vessels shrinking from a mass
to a little lump, a few wild cells,
to a broken strand of DNA.
His hand reaches up to his face
over and over again, as if
he is blowing a million kisses,
and the lines in his face soften,
his hair grows in gray, changes
to brown, and he becomes younger
and younger until the smoking stops.
In the last scene he is three,
riding a tricycle backwards
in a cul-de-sac where houses
are dismantled from roof to basement,
and their foundation holes are filled
with earth. And the subdivision
becomes a tobacco field, the rich
brown dirt warming in the spring
sun, his mother cradling her child
in her arms, the future as bright
as the gleam in their eyes.