The Staff

It can be complicated. There are multiple levels, multiple programs, different sources of funding, connections curving and twisting and sometimes quite Byzantine.

There are those who work with the patients directly, or who work in some fashion around them…nurses, RNs, PAs, Nurse's Aides, M.D.s, the custodial staff, the receptionists, the physical therapists, the speech therapists, the vocational therapists, the replacers of oxygen tanks, the emptiers of this and the fillers of that, those who man desks and those who pilot the wheelchairs to lunches of much softened meats and pureed vegetables…

And, as a rule, these people know my father. He is there so often. He is so friendly. So open. He greets them. He speaks to them. Asks about their families and their lives. They call him, "Mr. Tucker," even when he tells them he is "T.J." They check on him, they watch out for him, ask him about her, encourage him, even…in their way…protect him, or as much as they can in the chaos of the place and the time.

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Then there is another level. These are the occupiers of front offices and the givers of bills. These do not see the patients, or not as much. These deal with the children or siblings or spouses or whoever it is that is deemed Responsible. Some of these, too, have a relationship with my Father. Something like friendship. He brings them a check once a month.

They have a game they play. He hands the women at her desk the check. She tries to take it. He pretends his fingers clamp shut and the paper cannot be removed by any means short of surgery. She giggles. He relents. The money changes hands.

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Other layers, other complications. There is a layer of administrators who, in theory, also deal with the patients and their families, but whose actual contact with either may be rather minimal. They are, instead, the managers of those who do connect. They are not "in charge," exactly, but neither do they labor in the vineyards and fields. They hew not wood nor draw water, but they command those who do. They set not policy, but enforce it. In another sort of army, they'd be NCOs. Subalterns is, I think, the term employed by Those Who Know Important Things.

These we shall revisit.


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Further still upwards. Managers.

Managers of the complex, some of whom have offices here. Most of whom do not. They are invisible. You will not see them. They have no interest in seeing you. They are the Great and the Powerful. The Oz. Behind the curtain. Silent and the Inevitable. The MBAs. Heaven's blest. Children of the King. Increasers of shareholder value. Those who made suburban parents and high school guidance counselors very, very happy.

These, too, we shall see again.

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And all these women and men are present. These different strands. They connect, twine, interlink, form that most tentative and least natural but most common of all our modern communities…a workplace. The Office. No worse than most. Better than many.

Yet, I wonder, for you see the Others…the patients…they too are present daily. But, they are not permanent. They, the patients, occupy the beds and the chairs, are wheeled into the sunshine on pleasant days, are left in front of the televisions when there is rain. They are tended to. They may be here for years.

But, ultimately, sooner or later, and usually sooner, they…the patients…they have other appointments. Some recover from some distressing ailment and are able to live at home. Others, most, the majority, they, well, shall we say? it is best left unsaid. Insert silence here. An inevitable silence. Perhaps meditative. Perhaps even to be wished. If not to be hurried. But a silence.

On the other hand they…the staff…they will remain. Coming in each morning. Leaving each evening. Thirty minutes for lunch. Tasks large and small repeated ad infinitum. Gossip around the proverbial water cooler. Small friendships which would not normally form and will not last the change of jobs or position. Enmities which are deathless and eternal. Our normal lives.

And I wonder, then, whose story this really is. Who are the genuine residents? Whose home is, in fact, the Home?

Who, in the end, is fixed? The flies in amber?

And who the free?