While in Wellfleet, I learned two very valuable lessons. First, riding a bike is not always as easy as…well…riding a bike. That means it’s a wise choice to wear a helmet if you’re planning to soar down steep hills on sandy pavement. Unfortunately, I’m not so wise. Second, if you’re going to be strapped down on a stretcher and immobilized in a neck brace for several hours, think twice about chugging that second bottle of water before catapulting over your handlebars.
In my case, I was fortunate to suffer more dearly from the second miscalculation than from the first; by some lucky stroke of fate, my left cheekbone and right wrist took most of the impact, shielding my more tender brain matter from permanent breach. As a result, I survived what could have been a life-ending accident with a swollen face, a renewed sense of life’s (and death’s) urgent claim on my soul, and a very dire need to pee. The painful conundrum presented by this last outcome cannot be understated. Trust me: after you’ve beaten the Grim Reaper at a hand of poker, the last thing you want to do is wet yourself on the gurney.
For the record, I didn’t wet myself. I sure did worry about it, though. Never in my life has my bladder screamed so urgently. Politely, I complained first to the EMT, and then to the doctor who evaluated me, and then to the nurse who registered me, all while staring up at a white ceiling, trapped in the very narrow world of stretcher straps and neck braces.
“I understand I might have a spinal injury,” I told them. “But I really need to pee.”
The EMT was the most understanding. During our hour-long ride from Provincetown to Hyannis, he told me he had to pee, too. He and his partner had received the call just when he was about to step into the john, so he understood my pain. Unfortunately, his empathy ended as soon as he rolled me onto the hospital parking deck; gleefully he announced he could finally relieve himself. My own raging bladder would have to wait another two hours.
In the hospital, a nurse told me I could pee into a towel if necessary. I refused. Instead, I let myself panic about the endless minutes left until I would be freed from my trap and allowed to seek asylum in the nearest bathroom. After all, it’s much less maddening to fear the humiliation of soiled underwear than a bad spot on a CAT Scan. If pissing my pants was the worst I had to fear, then it meant I had successfully beaten the odds, won that poker hand, and fulfilled the promise I’d made to Jack when leaving for my ride. I would come home to him. For a while longer, he would enjoy that fundamental delusion so necessary for a child’s development: Mommy will never die.
When I was the age Jack is now, I almost died from the parasite that made its home in my gut. While I was too young to have any conscious concept of death, I have absolutely no doubt that I understood the weight of what I faced back then. The line between life and death is as palpable as any other door; I felt it open then, as I did in Cape Cod. When that door first opened all those years ago, the usual fantasies we all co-create (immortality, eternity) shattered, and I’ve been fleeing death like an escaped convict ever since. It’s been awhile since I saw the movie Final Destination, but its premise still haunts me. Is it really possible to cheat death? And if we do, does it come back to play another round again and again and again?
There are so many opportunities to die and not nearly enough to live. The lessons I learned from that first trip in an ambulance are still brewing like really rich tea. For now, while they steep, I’m concentrating on just one glorious fact: I get to pee.












I used to think that stagnation was my biggest enemy. I’ve witnessed so much death I assumed the grim reaper was more powerful than the giver of life. Then life proved me wrong. Last week, two separate experiences catapulted me out of my solipsistic bubble of personal hunger and into the more powerful magnetism of mass starvation. Ever since, I haven’t been able to cleanse my head of images of that human-eating plant in The Little Shop of Horrors. Evidently, life’s voracious appetite is a universal condition.