Pulling up to a double wide, parked in a clearing inside a mangrove thicket. An old maroon pickup truck on tires nearly flat, you might make it to the nearest service station to put air in those tires, might, depending on how close the service station is. Walking to the door, knocking. Knocking again. Greeted with the sound of vehement hacking from behind the door, “just a minute,” managed between hacks. Entering the trailer, a deteriorated woman accessorizing with a portable oxygen tank and clear tube to her nostrils.
“Hi dearie. Come in.” Hack, hack, hack. Full-body wracking. Tears in her rheumy eyes. Kasha thinks about asking “how are you,” but she can’t be doing well, Mrs. Ackerman.
Inside is dark, red drapes over the windows like oversized doilies defraying sunlight. Cigarette smoke has infiltrated everything. When she leaves, wherever she goes the rest of this day, her patients will think she’s been smoking. Chain smoking. Mrs. Ackerman sits in a tartan plaid recliner. Kasha assumes it reclines because there’s a wood lever on the lower left side of it. She sits on the matching sofa that smells like eight thousand smoked cigarettes.
“How’ve you been?” Mrs. Ackerman asks Kasha with her incinerated voice. On the phone, people mistake her for a man.
“I’m good. What can I do for you today, Mrs. Ackerman? How about a shower?” Mrs. Ackerman smells worse than normal, her hair grease-flattened, split-endy. She’s the only person willing to help Mrs. Ackerman with that shower. Alicia the nurse won’t, her kids, son and daughter, no chance.
“Well, I don’t know.”
Mrs. Ackerman glances longingly at a pack of Virginia Slims on the battered-antique round end table next to her. The ashtray’s been emptied in anticipation of Kasha’s arrival. A glass of something clear, stagnate, probably room-temperature water with a dash of dust particles.
There’s really nothing Kasha can do for her other than to try to make her more comfortable.
“It’d make you feel better. Let’s get you all nice and clean.”
“Can I have a cigarette first?”
Kasha mock frowns at her.
“Will you at least smoke outside?”
She stands, holding out her arms.
“Come on, I’ll help you. It’s a beautiful day. Come outside and enjoy it some.”
***
The Kellers are new. Kasha’s given the address, and instructions from Clemenza, her supervisor and de facto dispatcher for in-home hospice care CNAs and nurses, to “see the Kellers.” She pulls into a middle class neighborhood of ranch homes on slabs, fenced-in patios and enriched-soil backyards, some with screened-in pools. She parks at the curb, goes to the door and rings the bell.
The Kellers answer the door together. Neither looks deathly ill, or anything other than lamé in their golden years.
“Hi, I’m Kasha.” She takes a step forward but they don’t part and let her through, or invite her in.
“Nice to meet you,” says Mrs. Keller. Mrs. Keller locks on to her eyes and studies her.
“Let me ask, you…Kasha did you say?”
“Yes, Kasha.”
“Have you been saved?”
“I hope so.”
Mrs. and Mr. Keller exchange a look.
“This is for you.” Mrs. Keller hands her a brochure. “I don’t think we’ll be needing you today. I thank you for stopping by, though, and God bless you. Find Jesus before it’s too late. He’s waiting, but frankly he’s losing patience.”
***
Into the brightly tiled Florida room, Mrs. Calpysa smiling at her as she enters. Mrs. Calpysa sees herself as a younger woman when she sees Kasha, or similarities. Kasha is older than she may realize.
“Kasha! Come here.” She’s lying on the indoor-outdoor sofa, propped up with pillows. She holds out her arm. Kasha hastens. She bends when she gets to her, Mrs. Calpysa taking her some of her hair between thumb and forefinger.
“My. Such beautiful curly blonde hair,” she says, as if seeing it for the first time.
***
Dani’s out back by the screened-in pool. Kasha lets herself in. Dani’s Lhasa apso, Tammy, hopping up on her hind legs, yapping excitedly, clawing Kasha’s shins. Dani’s in her wheelchair, in the shade of eaves. A glass pitcher with a pale green concoction, almost empty, on a round, mottled-glass table beside her.
“I thought you’d never get here.” She says this like a single, long word. She holds up the glass pitcher.
“Replenish, my Lady.”
Kasha takes the pitcher, heads off to the kitchen.
“And when you’re done with that, please run to Mariachi’s, I’m completely famished. Shrimp quesadilla with black beans and Spanish rice, please. Here.”
Kasha, halfway to the kitchen, pitcher in hand, stops. Dani is holding up her Amex, waving it in the air over her head.
Over the clinking of the ice as she stirs in lime juice, she hears, “Oh, and Tammy needs a bath. She stinks. I’d have thrown her in the pool if I knew she could swim.”
***
Mrs. Young isn’t responsive when she gets there. She knocks on the door, no answer, rings the bell, nothing, so she tries it, it’s open. She lets herself in as she’s done before. The TV is blaring from the bedroom. The View. The women are worked up and shouting over one another.
Mrs. Young is lying in her king-sized bed, propped by several pillows, eyes open, with an open-mouthed amused look.
“Good morning,” Kasha says brightly. Mrs. Young doesn’t respond. Kasha looks for the remote, to turn the sound down. She’s forever turning the sound down. She hates loud TV, commercials especially.
“Mrs. Young?”
Nothing.
“Mrs. Young,” she says loudly, although loud is relative with the ladies on The View in background. “Shit.”
No pulse. She pinches Mrs. Young’s nostrils shut, no reaction.
Mrs. Young’s late husband founded a resort town to the east where they filmed The Truman Show. They’re wealthy. People will be keenly interested to know Mrs. Young has passed. Significant assets will transfer.
***
His house smells of him, old man, unwashed clothes, accentually of urine. She opens the windows and turns on the ceiling fan. He lives in Florida and he has the windows shut and no A/C. She’s there long enough to get the clothes washed and into the dryer or hung. He has a skin allergy he attributes to electromagnetic hypersensitivity. She washes his clothes with an organic detergent that fails to leave his clothes smelling clean and fresh.
She knows what Pastor Adams should look like, or did, from his pictures. Him in the Marines, crew cut, big ears and proboscis, toothy grin, calm blue eyes. A black and white of his wedding, in a white jacket tuxedo, feeding his new bride wedding cake. She imagines When I Fall In Love as background music (the Nat King Cole, Natalie Cole sound-mixed duet). It’s the distance from then to now, how optimistic they were about the life ahead of them, coming to this at last.
First order of business is toiletry. He’ll have soiled his adult diapers. Get those off, get him in the shower if she can, restore a little dignity, make him tolerable to be around. She can see gratitude in his eyes, in his expression, when he’s attended to and settled in, resting on the old sofa near the front window. She can tell he resents the lack of autonomy, and sometimes he resents her because she does these things for him, as if he could do them for himself if it wasn’t for her. His pride is less of a glimmer by now, still flickering.
With each visit she becomes like a bartender for his thirsty conscience, a repository for his regret. His voice is a hard whisper. Sometimes he’ll exhale as he talks and his words burst forth in what must have been his normal voice.
“When they’re little you just don’t know what they’ll become.” When she next comes, “he never read my books. Not one of them.” His hand rifles through his hair, an old habit, a faint echo of youthful vanity.
“We haven’t spoken in five years, other than when he calls me on my birthday. Once he called and it wasn’t my birthday. Why are you calling? I asked him. Is it my birthday?”
“What did you talk about?”
The Pastor turns his head to the side, toward the window, not answering. Something gnawing at him and he’s near the end. Kasha ushering him to eternity’s doorstep. She might be someone to relay these last few messages, as if from the beyond, to whoever they’re intended for.
The next time he has more to say.
“I wanted them to find their own way. To be their own people. Learning from example. My father never explained things to me, I figured it out for myself. I found my calling. I would say none of them did. They found vocations.” A pause. “They work a lot. One thing I’ll say about them, all three of them, they’re hard workers.”
When next she arrives, an ambulance is there. Parked in the driveway, lights off, back doors open. Everyone is inside the house. The EMTs have Pastor Adams on a bariatric gurney, ready to wheel him away. Wearing an oxygen mask, he sees Kasha and pulls the mask away from his face so she can hear him. She leans in to hear, turns her head and throws her hair to a side, holding it away from her ear, her other hand lightly on his forearm. Looking imploringly at her, wide-eyed, “tell them to read my books. Do that for me, please. Please.”