Rachael Ikins
Rachael Ikins the day after the ablation
By Rachael Ikins
These poems tell the story of my heart arrhythmia and procedure May 2018. It was many years before I understood this is a thing you live with like your eye color. In 2015 I was defibrillated at the Emergency Room of St. Joseph’s Hospital in Syracuse NY.
The ablation for afib happened at Upstate Medical University in Syracuse. I went home that early evening. A friend stayed with me for a week because I wasn’t allowed to lift or exert myself. The cardiologist who did the ablation told me a lot of the erroneous activity was coming from the nerves in the stump/scar of the part of my lung my husband operated on so long ago. Felt like Phillip was talking to me.
The last poem about the voice was written one of the times post ablation when I wore a monitor for a month. They look like smart phones. But the leads come unstuck sometimes and the red light comes on so I ended up phoning the 800 number in a panic. The lovely man on the other end had a voice like melted chocolate and talked me through redoing the leads while I stood in the bathroom mirror telling him what I saw. I decided they must hire people with those voices on purpose. Sure calmed me down.
I’ve just now started to feel a degree of knowing what to do when it bothers me rather than panic.
Boundary Violation was previously published in an anthology by IndieBlu press.
When My Heart Forgot the Dance
Always happened autumns—
when my heart forgot the dance. light shortened,
darkness chilled pavements, speed up,
two step, cha cha, break dancing
red phone in my pocket,
ambulance, ER,
alien spaceship’s inner dome. I remember
the EMT’s kindness, my panic attacking me,
how she said to blow through my mouth 2, 3, 4,
5, 6, 7, 8,
suck in, nostrils only.
In a cargo bay,
hooked me to leads, at one
with the Mothership, did bleeds
they left me.
To study the dirt on the baseboards
where the wringer mops flipped their hair. I had to pee.
Two years later, October,
after a beer and a bowl of chili,
a ride to Urgent Care even though last time
I remembered they said: heart = ER.
I was too busy breathing to argue.
EMT injected me, something warm
that told my heart to stop fucking around.
When we got there, a-fib. They could
turn me off, shock me on again.
I came to chattering. Lost an earring.
Before zap, all metal must be removed,
collected in a plastic bag. I wanted to get back
to myself, but that earring never found its way.
After years of donut holes,
drugs that didn’t work.
Spring, ablation.
Information minimal about just how asleep
you are or not during this procedure with wires
snaked up your hoo hoo and a floating level of consciousness
that thinks “How obnoxious!” that jack- hammering
in your chest. I said it aloud.
Home late afternoon, subcu Loop recording my every beat
and tattling wifi.
Years passed. There is still a-fib now and then, not much,
and phantom sensations left from the jackhammering
“They may never go away”
Beat, beat, squeak
Loop’s battery dying. I can opt to have them dig it out. No,
say, leave it with my tats and scars, all friends by now.
Last night we fell back an hour,
nights leave frost-lathered dawn lawns.
I realize, beat beat, it’s the time of year when shit happens
and me without my Loop. Who knew I would miss that tattletale?
On news they say daylight saving fallback stress
causes more heart attacks and strokes.
I wake up 2:10 a.m. right after the time changes,
Doo be doo be shaboom,
have faith little girl
Your heart is strong.
Boundary Violation/Heart Surgery
I entered the machine.
On my own soft feet.
Murders of black robots like crows
rustled and hummed,
exhaled frigid breath.
They stripped me,
taped me, needled and sprayed me.
And I laid my body down
in this glass room. They kept me awake. Bitter herbs.
A white rabbit larger than a man
grinned vampire teeth,
hammer in one paw to pound my heart.
There were balloons, liquid nitrogen,
a suggestion of microwaves and my secrets
exposed on a 52” screen as snakes slithered
through my skin into pathways only my blood
should whisper.
They told me to breathe.
The next few nights I did not sleep.
Fearing the rabbit.
Where they planted a monitor in my skin,
glued next to my cat tattoo,
bruising spread, my left breast a purple Picasso
masterpiece.
I did not sleep.
The monitor tattles my secrets all night after midnight.
The third day exhaustion took me. I slept hard,
unaware when I woke of the day or time. I followed
my mother into a field. She disappeared down a woodchuck hole.
When I called, she popped out, a large lynx
with Mom’s three-years’-past-dying eyes, juicy
bird in her mouth.
“Eat, baby.” she said. I was hungry.
Last night while the monitor recorded my regular rhythm
I camouflaged myself well with dusk,
I arrived on Cape Cod. My husband and I argued and then
I was running, running to the ocean, water to my waist.
I embraced a mossy cliff.
Salt-tinged rivulets flowed down my sore throat.
I need. I need. I need.
When I climb to the beach, fog obscures the world.
No way back to him, our motel, or not to fall off a cliff.
I slide one bare foot at a time along pavement, sand grinds skin.
My feet must be bleeding. It stings.
A cottage looms. Woman bows her head over artwork
she crafts by lantern light. I stand unseen, back to the shingles.
I shiver, fingers spread, full of splinters and peeled paint, to wait
for the sun to burn the fog away.
To find my way.
Heart-percussion syncopates/ocean’s song.
Beneath a May moon.
I pray
for peace.
My Heart is a Lonely God, Tearing My Guts
The voice of my heart growls like a stomach.
bustles along tunnels in darkness thinks only
of its next meal, rodent whiskers twitch over
large black eyes. You prod and probe. The snail
suspects a spy, curls in on itself, curses the magic wand
depending on your hand’s angle.
The curve where the path branches
off is a rush hour river. We raft in the arms
of all the layered voices that limped and skipped
down these banks before us. A chorus.
This room, the white leaved tree of lights holds
all their melodies, two notes, sometimes three,
voices that say, Hey/mom and why/why/why.
Heart is Gollum hoarding its ring,
does not appreciate your spying,
taking notes for future to use
against it.
Calling the 800 # Tech at 2 a.m. When My Heart Monitor Blinked Red
His voice is a hole in the box spring
A haven I crawl into.
His voice is wrap-around sunglasses
smoky and cool, when I wear them
nobody sees me.
Back here by the baseboard
of betrayal,
I carve two words into my skin,
“No more.”
His voice holds my heart
this heaving small animal, in one palm,
strokes with a single finger until I sigh.
The dark fills with stars. My heart
whispers his name, melted velvet
I lick my lips
Zion. Zi-on. Zi-on