Clean Rooms, Despair of the Mind

Wednesday

I’ve turned to Mary Oliver’s “University Hospital, Boston” several times when I’ve had friends in hospitals, and I did so again last week when my dear friend Rachel Kranz was in the Bronx’s Einstein Hospital. The poem notices what I noticed.

For instance, I saw up close the contrast between “intricate machines” that “chart with cool devotion/that murmur of the blood” and “the despair of the mind.” The technology was remarkable, with the nurses wheeling in computer stations, going through various electronic protocols to make sure Rachel received the proper medications, and taking note of every variation in blood pressure and temperature. In contrast, there was the very human patient, fighting against hopelessness as the cancer ravaged her body.

Despite the sophistication of the technology, it wasn’t, in the end, enough. Like the suffering union soldiers who once suffered and died under the front yard’s sycamore tree, I too found myself longing for “tools still unimagined, medicines still unfound,/wisdoms still unguessed at.”

And when Rachel was moved from the oncology ward to the intensive care unit, I could imagine how the room I emptied out would look to a stranger:

Later walking the corridors down to the street,

I turn and step inside an empty room.

Yesterday someone was here with a gasping face.

Now the bed is made all new,

the machines have been rolled away.

Like the poet’s friend, Rachel was high above the city—you could see the Manhattan skyline from her 11th floor room—and like the friend, Rachel too was getting the best of care. Like the poet, I sat holding Rachel’s hand as we assured ourselves that she was getting better. Like the patient, Rachel’s eyes were often grey and missing her customary humor.

Trees function in the poem as images of fertility. With Rachel gone, the world does indeed feel like “a place of parched and broken trees.”

University Hospital, Boston

By Mary Oliver

The trees on the hospital lawn

are lush and thriving. They too

are getting the best of care,

like you, and the anonymous many,

in the clean rooms high above this city,

where day and night the doctors keep

arriving, where intricate machines

chart with cool devotion

the murmur of the blood,

the slow patching-up of bone,

the despair of the mind.



When I come to visit and we walk out

into the light of a summer day,

we sit under the trees —

buckeyes, a sycamore, and one

black walnut brooding

high over a hedge of lilacs

as old as the red-brick building

behind them, the original

hospital built before the Civil War.
We sit on the lawn together, holding hands

while you tell me: you are better.



How many young men, I wonder,

came here, wheeled on cots off the slow trains

from the red and hideous battlefields

to lie all summer in the small and stuffy chambers

while doctors did what they could, longing

for tools still unimagined, medicines still unfound,

wisdoms still unguessed at, and how many died

staring at the leaves of the trees, blind

to the terrible effort around them to keep them alive?


I look into your eyes
which are sometimes green and sometimes gray,

and sometimes full of humor, but often not,

and tell myself, you are better,

because my life without you would be

a place of parched and broken trees.

Later walking the corridors down to the street,

I turn and step inside an empty room.

Yesterday someone was here with a gasping face.

Now the bed is made all new,

the machines have been rolled away. The silence

continues, deep and neutral,

as I stand there, loving you.

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