Sunday, September 28, 2025

The Patient Report by Charles A Perrone

 

<The Patient Report>

 

 

Charles A. Perrone

 

 

 


 

Avoiding Palliative Care

 

This guardian assigned to me,

whom I do consider to be a pal,

suggested that I complete a lap

around these elliptical gardens

 

(an unusual installation for this institution,

hardly a palace, or apt place for a paladin

capable of re-scaling challenging palisades)

 

During my trek around the grand green track,

I suffered a palette-reducing lapse of memory,

which affected a certain vertebra in a bad way,

years later causing a wan palsy in my right arm,

thus the left arm is the only arm left for my use,

and the palpitations in my chest are beginning

to become worrisome as my mind prompts me

to think and to emit palpably suspicious palaver

 

 

.

Ten-lines of Assistance:

Call them what you will—

handlers, healers, advisors, guardians, guides,

coaches, helpers, nurses, counsellors, trainers—

all those who come here to aid me

in this, my five-part rehabilitation:

to hear with clarity, reducing racket;

to see more clearly these surroundings;

to smell what fell sans suspecting rats;

to taste the sweetness of victory over falls;

to touch the finishing line with all ten digits.

           


 

                        Hierarchy of Help

The daily staff are ready and heady, much obliged.

The weekly counselors are sufficiently engaged too.

But the monthly specialist is a psycho-something therapist

who definitely has the most distinctive suggestions for me.

I am told to take charge of a table in the available eatery:

tell the busboys that you will clear the table and wipe down;

tell those who set up that you will aptly populate the table

with knives and forks and spoons and napkins and plates;

tell the waitresses that you will take food and drink orders;

tell the manager that you will decide who will get to feast

and who will be forced to watch as what will unfold does so.

 


 

                              Staff Recommendation

Once again staff provided me with a creative prompt.

"Revive that character you invented last time around.

Tell us about some quirky habit of his that resonates."

Where to begin? ... His boxes, his banker's boxes, yes!

Some neighbor had discarded some plain filing boxes,

and he took them to his secret hideout for processing.

Their unadorned surfaces were all simply unbearable.

Covering them would have to be something original.

He decided to become a mailbox thief to acquire material.

Envelopes that might have mailing labels, bumper stickers,

decals, adhesive advertisements, anything he could paste.

After a number of weeks, the co-mission was accomplished.

Each square inch of blank cardboard plastered with variety.

Now I must decide what to say if staff ask me how I came

to know about his desires, thievery, art, and whereabouts.

 


 

                 Most Recent Visit

The latest overseer decided to tell me

to gather memories of papers that may

have been adorning my desktop when ...

There were far too many to recall them all

but the suggestion proved fruitful when ...

I remembered an out-of-the-blue piece of mail

from a long-lost classmate who ascended and

sent to my address a simple blank postcard

with nothing on the front but my data in bold

and nothing on the back but a tiny-print name

reminding me of unpaid bills and unopened

letters and some public-utility announcements

that had been posted menacingly on the door

and covers of magazines I had pilfered nearby

including one sporting a cover photo of a sign

of round shape with bright red circular edges

and a prohibitive slash across the emptiness

of the all-white sign maybe signifying when...

 


 

Checking in on Patient X

 

These handlers I

have been assigned

are expecting me

to pay attention

to attend to their

invocations of "if"

or much better said

what if and I natch

cannot fail to agree

absolutely not to flee

for flight would be

frowned upon by

those few wingless

overseers I must

endure in such dire

straits or straight up

fire time set ups

... say what?...

 

 

 

 


 

 

                       

What the Bi-Weekly Counselor Told Me

 

Forget the flints flaunted by ne'er-do-well neighbors

not hip to modern ways to ignite the night and knells

needed to illuminate the path past plain pine boxes

                                                 and limited access to plenitude.

 

Favor keeping the mind in mind

and also hailing hindsight as it may move us

                                    toward more forward-looking friends.


 

            Recurrences

Once a year the friendly attendants

are kind enough to allow some seasonal cheer

 to permit half a dozen simple gifts

like the cracked ash tray from some hotel in the Alps

or the plastic comb with the name of a sports club

a paper shopping bag full of smaller sandwich bags

discarded yoga mat to be re-purposed

and an abacus left behind by former neighbors

so tired of the reigning used-car mentality


 

                          Co-nun-drum

My therapist suggests I give air and wings

to my feelings and dreams in my writing

My literary advisor suggested I never use

flighty therapy sessions as creative springboards

My trusted accountant suggested that both

therapy and remunerated literature classes

were superfluous and unsustainable expenses

My suggestion manager said she could no longer

work under these conditions free of charge...

I'm still figuring out what to make of this taste

                                           of freedom

 

 


 

                          From my personal space

This sort of confinement does have its consequences.

I, for one, tend to lose track of time and of timing the

beginnings and the endings of four or five seasons on

the wall calendar they have so kindly ceded to me for

reasons likely related to mind control and abatement

of temporal miscalculations regarding local outcomes.

But I digress and am no closer to redressing grievance

filed on behalf of watchmaker whom I addressed over

the years in an unfavorable and second-handed mode.

The hour hand, for its part, remained all independent.


 

Monitored Leisure

 

What I most like about this particular institution

is the nicely appointed outside recreational space

where I can sit back just to gaze at the lemon tree

and regard each of its so abundant pieces of fruit

with different sizes and varying shades of yellow

all connected by branches of bitter super sap that

leads me to the word and the weight of sapience

—great vowel shift as it were notwithstanding—

and before I can actually work out the meanings

of that suggestibility the two assigned guardians

come to fetch me in order to return me dutifully

to the room they have been making me inhabit

which is windowless with two detail-filled walls

that I will be politely asked to continue to ponder

until our next recess beyond the building's doors

 


Staff

 

The doctors agree that the best course of action

would be for me to mimic myself

 For auto-mimicry is guarantee

 to produce a familiar feeling

A far cry from and no danger of

reeling due to the impact of mammoth surprises

carrying the freight and weight

of unencumbered alterity, otherness,

and whatever else might lurk outside the domain

 


                                                            CC Me

The courteous courtesans now under retention

attending to my case in this countryside retention

have come up with different words to refer to me

and to my state of being who I currently am or pretend to be

In terms of hammers they have resorted to the sledge

as for situation they simply aver that I'm clearly over the edge

 

 


 

                    Next Patient Report                    

My former therapist believed that the means of communication

are meaningful and symbolic and worthy of our attention and

that her penchant for Freudian methods was totally justified

so the interpretation of one's dreams is usefully undertaken

in conjunction with newer science affirming a few advantages

of completing REM sleep cycles and their oneiric content ...

I complained that whenever a truly welcome dream was about

to conclude in satisfying fashion the damn phone would ring.

Her suggestion to mute the device or unplug it upon retiring

was moot since we had a single-setting metal-bell ringer unit hard-wired into the floor outlet at the bottom of the wall ...

Yeah, this was way back in the day, and years later some newer

models with clips facilitated disconnect and one could silence

the sleeker instruments with the flip of a switch but still

one had to remember to take preventive steps at bedtime

or cover the phone with a pillow to muffle sound while

keeping a small cushion handy to cover exposed ears and ...

Mobile phones? Cell phones? and all their conveniences?

Clearly irrelevant. All this took place before their inventions.

The story was recorded on a mechanical answering machine

discovered and revived by the next-generation analyst who

has determined to sift through the amassed symbols and signals

to sort them all out nicely and to complete the call as dialed.

 

And how has lettered time affected your patient patient report?

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