Frank...
He stinks to the high heavens. That’s what the receptionist told me once I rounded the corner and made it into the office. I hope he didn’t hear her. The glass window isn’t sound proof. That’s what I was thinking. It’s bad enough he’s at a drug rehab facility let alone hearing that he stinks.
Frank was diagnosed with major depression 14 years ago. His face was round. His mannerisms were calm. His voice was purposeful but very soft. An elegant man. I thought to myself. An elegant man wearing what once was a beautiful wool sweater and worn sweat pants. He crossed his leg until he realized that I could see the holes in the bottom of his once expensive shoes.
I wanted to leave. I wanted to help. I saw God sitting before me. That’s how I do it. I cope. It’s God sitting there. God is me. Is you. The good. The angry. The insane. The smiling. The confused. The lonely. The hurt. They are all God. There but for the grace of God go I. Don’t judge. It could be you. Yes. It could very well be you.
He did smell badly. Terribly. I had all I could do to block out the putrid smell of urine in the room. I made an excuse to open the door. Finally some relief.
His history was both wonderful and horrific. Never married. No kids. 58 years old. Mother with dementia. They live alone. Frank tried to kill himself twice. Once, he said, was creative after he watched a movie where someone froze to death. He drank. And drank. And drank. Then after removing all of his clothes, he walked out into a blinding snow storm. 3 hours later he woke up in an emergency room.
What brings you here? I had to ask. A seizure came first. Then a car accident. The fire hydrant won. The hospital said that I soiled myself. Frank said while wiping his forehead with the back of his hand. Not humiliated. But embarrassed. I still have my dignity I thought to myself. Frank needs his too. But, Frank said. I don’t believe them. I would never do that to myself. I would never be that bad.
Water gushed from the hydrant. Frank explained. He panicked and took two additional xanex just to calm his nerves. How will I tell him he has soiled himself? I wondered. Should I tell him? What would Miriam do? Should I? How? Frank was MICA not substance abuse. Now dual diagnosis as MICA isn’t nice.
I knew he didn’t belong here. My supervisor didn’t even have the chance to disagree. I had already started making phone calls the moment our intake was finished. Frank peed in a cup. I made phone calls.
Now I had to tell Frank.
What were you wearing when you were in the accident Frank? I asked looking him straight in the eye. Dignity I kept thinking. Dignity. He was wearing the same outfit as he is now. And the hospital said you had soiled yourself? I asked. Yes. Frank said. Yes they did. But I didn’t. I think you did Frank. I think you did. How do you know? Because I know Frank. I know. Then. Silence. Not one single word. He looked away and put his head down. I didn’t tell you that to hurt you. I know intentions are meaningless to the heart Frank. Please know I don’t want to hurt you. But you need to know. Thank you he said. Barely. But it was said.
I wanted to leave. I wanted to help. Now I wanted to cry.
That’s how I wish it went. But it didn’t. The truth? I didn’t tell him he had soiled himself. Dignity? Was it bad enough for him to be here? For him to have to leave? I don’t know. But I wish I had. Because I would want someone to tell me. That’s why.
Well I guess I’m done here then. He said graciously as he stuck out his hand and offered a firm hand shake. I’m sorry Frank. You wouldn’t be helped here Frank and I’m sorry for that. It pains me to tell you that as you’re actually here for help. Not many are. But you are and I’m actually sending you away. I’m so sorry. That’s all I could say. Thanks for your candor Mike. Is all Frank could say. I just appreciate your candor. It’s rare he said as I handed him a piece of paper. I hope you call these people Frank. I think they can help you. We’ll see he said. It’s not close to any bus routes and it’s too far for me to ride my bike he said as he walked away.
I haven’t seen him since. But I see him in my minds eye. Frank. God. Me. You. I.

