Death At The Diner: A True Story

Yesterday (Friday, Dec. 7) I sat in the corner booth of the Peterborough Diner, my back to the wall. Across from me sat my nephew, David, 28 years old, looking far older than he should. I was finishing my BLT and fries, while David talked between bites of his bacon cheeseburger. We were pretty quiet despite the fact that the diner, one of those old metal railroad car-type dives that dots the American landscape, was nearly filled to capacity. Plates chimed in the dish washing-room out back; diners tapped coffee spoons on the edges of white ceramic mugs. There was chatter at the counter; newspapers crinkled.

The Peterborough Diner is a decent place, as far as it goes. The food is pure grease-and-grill; the menu is cheap and easy, a bi-fold covered in plastic so dirty you want to wash your hands before you eat but, knowing what the bathroom is like, you're convinced such fussiness will not produce the desired effect. For certain, the diner does not evoke images of sterility.

Only a few feet from my left sat John, a thin, wiry and rugged man, about my age, who's the only guy in town who sells and carves gravestones. John had his back to me, propped up as he was on an old, round vinyl-and-metal stool at the end of the counter. To his right, another man sat, a man in his late 50's or so, who I had seen around town many times but did not really know. But I knew his name. Joey.

As I said, I was nearly done with my BLT. My nephew was enjoying his burger and fries. And then I heard John at the counter.

"Joey! Are you OK?!"

Instantly I was up, leaping toward Joey, trying to prevent him from flying backwards off his stool. I tripped and fell, catching myself with my right knee and right hand but still managing to catch Joey with my left hand. I stood up quickly. John was still shouting.

"Joey! Joey! What's wrong, bud?"

John had an awkward hold on Joey, reaching as he was from his seat on the stool. I looked around Joey's rigid body; his lips were distended, drool spilling out of his mouth. His eyes were rolled up in his head. His body was spasmodic. And he was sporadically emitting awful sounds.

Immediately I could tell he was not choking. He had an airway, irregular and spastic as his breathing was. I turned to a waitress.

"Call 911!" I urged.

John kept talking, and I found myself trying to go through a checklist that I could not find. Airway? Pulse? Seizure? How much time? Where's the ambulance? I was suddenly confronted with my own helplessness.

Joey's condition immediately worsened. He gasped, then shrieked eerily. I warned people around me that he might vomit. People moved away in deathly silence. Then Joey exhaled -- a huge exhalation. He did not inhale. I checked for a pulse, but I could not find one. And I looked at his pallor, and it seemed fine. Then, unbelievably Joey exhaled even more than seemed possible. A moment later, a partial inhale, a gulping.

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Just over 7 years ago, my nephew -- who is learning disabled -- was driving his mother, my 44-year-old sister, to the doctor's office when she suffered a heart attack on a lonely stretch of highway. My nephew pulled over, exited the car, and jumped around frantically, waving his arms at the few cars that drove by. No one stopped, so he drove a little further to a farmhouse. He pounded on the door. No one answered. He ran back to the car. He waved. Finally, someone stopped.

My sister never recovered from the massive loss of oxygen her brain suffered that day. Four days later, I would be the one to remove life-support (not the feeding tube) from her. She died in the ICU in the early morning twilight.

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As Joey struggled to live, I turned to my nephew. Though 28 years old, he looked like an old child. His face was pure panic; he was jammed in the booth and he could not escape. I moved the little I could to give him a pathway out.

"David," I said. "You can go. It's alright to leave!"

He bolted.

The next few minutes were harrowing for me. I was looking at a man's struggle for life, even if his struggle came while unconscious. I could not accept -- at least for Joey -- that his life would end in a diner.

Another man came to our aid. He was calmer than I. I was distracted by this haunting sense that I could not find my mental checklist for first aid. I was only reacting. I wasn't helping. The waitress, on the phone with 911 operators, was asking us questions. We answered, but all rather dumbly. Again I searched for a pulse, but I couldn't find one. Why? Surely if his heart was NOT BEATING, Joey would not be still able to fight this spasmodically.

Suddenly the man next to me said, "He's completely unconscious. Let's lay him on the floor. Hold his head."

I did what I was told. We pulled Joey off of his stool. And then I realized that the reason we had not laid him on the floor sooner was because there was so little room, AND because the floor was filthy. This man can't die on a filthy floor! I said to myself.

Feeling myself utterly helpless, I held Joey's head and prayed for him. This was death, or so it seemed to me. The ugliness that words cannot convey struck me as proof that Joey was dying, his head in my hands. I asked God for a miracle and for mercy. There was nothing but simple desperation in my plea.

When I finished, I kept asking if anyone had found a pulse. ("They said to lay him on his side!" the waitress shouted.) I could hear sirens a couple of blocks away. I checked Joey's arms for medical bracelets. Nothing.

Just as I was about to say that we needed to start chest compressions, I heard a voice.

"Oh, what happened? That's weird."

"Joey! It's John!" shouted John.

The calm man next to me asked a series of questions: "What's your name? where are you? where do you live?"

Joey answered the questions perfectly. He was completely lucid.

"How embarrassing," he said. "Can I stand up?"

"No," I said, still holding his head (it was cold with sweat). "Don't be embarrassed. We are all the same here, Joey; none of us is different. Do you have any history of epilepsy?"

"No, I don't," he calmly answered. "Can I get up now?"

"You stay here, Joey, until the ambulance arrives."

At that, a paramedic walked in, cool as could be. He recognized Joey.

"Joey, bud! What's going on?"

One minute later, Joey walked out of the diner and into the ambulance.

"Your lunches are free today," the waitress said to me and John.

I went and found my nephew.

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Five hours later I received a call from someone who knew Joey and had discovered that I had helped in a time of crisis. It turns out that Joey was rushed to a major hospital for emergency surgery to install a pacemaker. Joey's heart had slowed WAY, WAY down.

But he would be fine.

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Trust me when I say that I was certain I was staring at death in my hands. Death that suddenly opened its eyes, spoke apologetically, and walked out of the diner.

Peace.

©Bill Gnade 2007/Contratimes. All Rights Reserved.