I
was trying to make sure everyone understood their assignment,
crossing the room, leaning over shoulders, checking in and generally
making a nuisance of myself, but my mind was on my back which has
started to itch in this severe, crispy way that made me want to rake
my fingers over it or, better yet, to pull off my shirt, lay down in
the parking lot and ask someone to slowly drag me over the roughest
patch of concrete. But, in front of the class, I could only give
myself an occasional furtive pat which did nothing but send the itch
signals stampeding through my mind.
“Yes,
that’s it; can’t you see?” My mind was trying to communicate to
my hands. “Scratch at this! Scratch at this for all you’re
worth!” Must’ve been the new detergent. I ignored it and it
subsided. It didn’t, however, go away.
When
I got home, after scratching a bit on the bus, shimmying around in
the seat—probably how I got this itch in the first place—I hiked
up my shirt in front of the bathroom mirror. My lower back was an
involuted mass of histamine swelling, like my body had decided to
grow another brain just above my ass.
“Gina!”
I yelled, hoping a second opinion would be less worrying, because,
with my head turned around looking into the mirror everything looked
worse, or so I hoped.
“Ohh
that’s bad” she said, before she’d even gotten through the
bathroom door. Together we marveled at how red and swollen it looked.
“Something just irritated it.” Gina said and, to show her
solidarity with my pain, she rubbed some lotion on the rash for me
and, to stand by her point that the rash was some slight irritation
and nothing more, she rubbed the leftover lotion onto her face,
physically addressing the tacit question of whether this might not be
something worse, something contagious and disgusting.
“Wait!”
I started to yell, and then dropped my voice—Esme, our six
month-old daughter, was asleep in the other room. “What if it’s
contagious!” Gina waved away my concerns as unfounded. As usual, I
was overreacting. She rubbed the leftover lotion vigorously into her
face, smiling. Nothing to worry about.
...
Friday,
I woke up, not itching, but still swollen, still red and with a
ticklish feeling. I took a bike ride and picked up some
hydrocortizone almost as an after thought—even that didn’t really
seem necessary. I’d use it once or twice, like that Nyquil I bought
the last time I had the ‘flu and then it’d get forgotten under
the bathroom sink. I was surprised when I got home and put it on and
it didn’t seem to do anything. “Hmm, still itches.” I said
scratching the cream into the inflammation, hoping the intense
contact with the cream would result in something.
Saturday,
working for the bakery, out doing deliveries, I noticed I had a
slightly different rash breaking out across the tops of my hands.
Rather than being a single red plateau, these were islands, blistery
islands, almost like zits, but less opaque, like a cyst. In one place
there was something that looked like an inflamed scratch, a jagged
line only, like everything else, it itched. I drove and scratched at
the back of my hands. Muttering about the allergic reaction I was
having. Clearly, the itch, the inflammation, the infection or
whatever was spreading, but how the hell did it spread from my lower
back to the top of my hands and the inside of my wrist? Was it poison
oak? I hadn’t been near the woods in a week. Was it all the flour
from work? Had a year of close contact with bread resulted in a
gluten intolerance? I was grasping at straws, but I had nothing else.
But even with this horrific rash breaking out all over, I figured I
just needed to put some more cream on it and maybe get some rest.
Getting
older brings so many maladies with it, I scarcely pay attention to
the individual ones anymore. I had woken up at 3:30 to get to the
bakery. I felt lousy all over. My eyelids were dried and felt jammed
like rusted storefront shutters. My ears had a slight ringing that
sounds like a distant alarm when you don’t get enough sleep and
drink too much coffee and I was farting like crazy. I felt like an
old scabrous dog: itching and farting. The itching, I reasoned on my
way home from work, was just a specific symptom of a more generalized
decay. I mentioned this to Gina by way of my usual Saturday afternoon
‘how do you stand me?’ monologue. Something about waking up too
early on Saturday makes me feel particularly vile and hideous by the
afternoon. As we talked, I scratched myself and whined piteously.
“It
wouldn’t be so bad if I didn’t feel like a damn dog scratching
like this.” Gina laughed at this and reminded me that I’d been
scratching myself nearly since we’d met.
“Remember
Argentina?” She laughed. “My boss when I was babysitting didn’t
even want me coming in after I told her about your itching. She was
convinced you had scabies or something.”
At
this, a dull lightbulb flared, not the strong incandescent kind that
come with a good idea but a naked bulb hanging in a basement,
illuminating something awful lurking in the shadows. Scabies, that
was something I’d hadn’t considered. By this point in my itching,
I’d Googled all kinds of word combinations that seemed to encompass
my symptoms. I’d played Scrabble on the internet with words like
‘rash, inflammation, hands, causes, treatments, blisters, swelling,
redness, allergy, psoriasis and dermatitis’ all of which yielded
those ‘top ten’ lists of common skin aliments, common treatments,
common causes, etc. They had names like:
-
7 Worst Rashes!
-
4 Things You Don’t Want to Infect You!
-
5 Reasons you Itch like a Damn Dog!
-
6 and ¾ Symptoms of Psoriasis!
Comparing my rash to the pictures on the internet was profoundly
depressing. I was beginning to resemble the inflamed bastards with
their expressions of quiet sufferng, but no matter what diagnosis I
gave myself, the problem persisted. The itch defied categorization.
It only looked vaguely like anything I’d seen on the internet and
usually only had about 3/4ths of the associated symptoms. After Gina
mentioned it, I decided to type in ‘scabies’. It was going out on
a limb, but it was something else I hoped I could rule out.
The
images of scabies looked slightly worse that what I had. Inhabitants
of the ninth circle of hell stared back at me from the screen,
covered with oozing pustules and rouged and swollen burrows, like
wiggly track marks. Just looking at the poor bastards made me itch,
but this time there was something sympathetic about the reaction. As
I read about the symptoms, I felt myself becoming more and more
desperate, which was a sure indication that I had what I was looking
at. When previously reading about the symptoms of psoriasis and
eczema, I found myself overextending to try and make my symptoms
match what I was reading, with the scabies this wasn’t necessary. I
had everything it said I would have, everything, that is that
indicated a ‘highly contagious infestation’ for which Web MD
recommended cleaning every kind of fabric the afflicted had come into
contact with. As I read I looked around the room. The carpet floor,
my daughter’s blanket, the rugs, the clothes, the fabric of the
couch. It was impossible not to imagine the scabrous bastards
crawling all over everything. If it was scabies. I was screwed, worse
yet, my family was screwed.
Gina
was still laughing remembering how her former employer thought I had
scabies when I motioned her over to show her the picture I’d found
of them that looked very much like what was on my wrist. As she
looked at it, I raised my wrist alongside the monitor, in an awful
display of similarity. She stopped laughing and, she too started
looking around the room, in particular at where our daughter was
playing, surrounded as she was by the potentially infested fabric of
her baby blanket.
“Oh
my God,” she said, showing dismay for the first time, “after I
touched your back that time, I rubbed my face!”
“Wait,”
I said, interrupting her and my own thoughts which were racing ahead
to all kinds of awful quarantine scenarios. I began to read the
screen. “There’s a test, rub a marker…. alcohol.” I didn’t
bother reading it, but left the details to Gina and ran off to get
the makeshift scabies test components.
When
I came back, she told me what to do. Rub the marker over the sores
and then use rubbing alcohol to wipe it away. If there’s a dot of
ink that won’t be wiped away, you’ve got scabies. We conducted
the test twice, but each time, the result wasn’t clear. Some ink
remained, but it didn’t seem like enough to be of consequence.
“Besides,” I argued. “That’s just where the skin is broken
from scratching. Of course it’ll leave a mark there.
Don’t
ask me how we did it, but despite all the evidence to the contrary,
we mutually convinced ourselves, I didn’t have scabies and went for
a walk! Not just a little stroll but a rollicking Saturday afternoon
walk, downtown and back. And worse still, I carried our daughter in
the carrier, where her tender skin would be pressed right up against
mine for hours! Looking back now, I want to scream at this lunacy,
but my protests go unheeded and that foolhardy couple goes walking
out the door, wanting to think themselves safe so badly did they
ignored even that most faithful of Cassandras, the internet.
...
I
think it possible that the news was just too overwhelming. The
diagnosis too severe. Scabies? Who gets scabies? Sure I was not the
cleanest of individuals, but it’s not like I was sleeping on
couches found discarded in alleys with suspicious stains and faint
noisome odors. It’s not like I’d been staying in an abandoned
house, sleeping on a pile of mattresses found in the basement. I
hadn’t been in any dumpsters lately. What made the scabies so
impossible was that I’d never gotten them before when I’d
been doing all the things I’ve listed. I used to eat from the
trash, spend excessive amount of time in squalid settings and go for
days, even weeks without bathing while wearing the same clothes I
slept in. When I was in 8th grade. I wore my Operation Ivy
shirt every day of the school year and I don’t think I ever washed
it. In 9th grade, because I had to get up early, I took to
sleeping in my clothes. In college, the trend continued, but now so
far from my mom’s free laundry service, I eschewed the entire
practice of washing. In short, I used to be filthy and I’d never
gotten scabies. Now I woke up and showered almost every day. I
changed my clothes. I wore shirts with collars. How the hell was it
that only now I got scabies? Had they lain dormant, waiting until I’d
had a family they could infest as well? All the websites said they
were usually transmitted through skin-to-skin contact. Whose skin had
I contacted? Show me where and when. It just wasn’t possible, but
the more I thought about it, it was.
It’s
not the most common scenario, but scabies can be transmitted in
fabric, especially in institutions where infestations might not be
noticed or treated right away like prisons and rest homes. While I
hadn’t been in any such place recently, I’d been on a close
approximation: The Redwood Transit Bus.
Because
I’d braved all kinds of dirty scenarios and never had any ill
effects, I’m not squeamish about germs or dirt or unwashed hands.
The one aspect of filth that I try to avoid, and not because I’m
afraid of it, is stink. Even in my unwashed years, I made an effort
to avoid any kind of noxious odor: that awful mattress that got left
in the flooded basement, the armpit infection a friend developed,
people’s feet, vinegar in any of its putrid forms, halitosis and
the incontinent. The latter I’d been increasingly encountering on
the RTS bus. Probably twice a month, riding back and forth to work,
I’d find myself seated too near someone who’d crapped or pissed
themselves who didn’t have the energy or the wherewithal to do
anything about it. Each time this happened, I noticed something
awful. The offender would get off somewhere along the line and,
within the next few stops, someone else, usually a fairly clean and
nice-looking person would sit right where the incontinent had been,
as if they were sinking into their own couch at home. I always wanted
to say something, but how do you word that?
“Excuse
me, ma’am, but you’re sitting in a seat that, well, the guy who
just vacated it, well, I’m pretty sure he’d recently shit
himself. The smell might not be too obvious anymore, but if you do
some olfactory casting about, I’m sure you’ll soon discover all
the evidence you need. You might want to take my seat. I’m about to
get off anyway.”
A
few times, I myself had sat down in a seat that had a lingering
cloacal quality. But, because my experience had led me to believe
such interactions were unpleasant, but ultimately benign, I didn’t
think much of it. Now, it seemed, I had my answer. If I’d gotten
the scabies from anywhere, it was from the bus, not necessarily from
someone incontinent, but someone who had such a bad infestation the
mites had been raining off of them onto the seat, waiting for me to
get on and, so trustingly, take the open seat.
“Damn
those padded upholstered seats!” I shouted, after returning from
the walk and reading how scabies is difficult to transmit through
hard or smooth surfaces, preferring fabric or hair the way lice do.
“Why did they ever switch over from those hard plastic seats buses
used to have?”
It
was like we just needed the walk to process things and by the time we
got home, both Gina and I were convinced what I had was scabies. Gina
bathed Esme and put her to bed, hoping such preemptive measures could
stop the dread mites from spreading. I sat in front of the computer,
scratching and obsessing.
The
internet suggested all kinds of things to combat my infestation, but,
unfortunately, I’d have to go to the doctor to get a prescription
if I wanted to be sure to get rid of them. I rubbed tea tree oil all
over myself while Gina started striping the rugs off the floor and
the covers off the chairs. She took all the pillows and blankets and
made me sleep on the couch. I closed all the self-diagnosis windows
on the computer and opened Youtube, searched, Choking Victim’s song
“Infested”. I hadn’t listened to it in years, but I remembered
the words. I sat back and listened, scratching and smiling with
complicity.
I’m
sure I hate ‘em, there ain’t no maybe/ body lice and crabs,
headlice and scabies.
In
the morning, first thing, we headed over to the walk-in clinic, one
of those places that exist solely for people who are convinced they
don’t need insurance and that any rash, cough or shooting pain will
eventually go away on its own. To see such a place through the gloom
of Sunday morning is really a powerful argument for finding a family
practice but, of course, who has the money for that?
The
clinic opened at 8, and we did the thing we always do which was that
we got there just early enough to be at the back of the line of
desperation before the place opened. Anything that was going to bring
people out early on a foggy Sunday morning to stand around a parking
lot in Eureka was surely going to be bad. One lady coughed like she
had TB, an old lady chatted with someone else about her bladder
infection. There were various symptoms passing between these people
like witticisms at a 19th century dinner party. We stayed
by the car.
When
the doors opened and everyone ran to claim their place, I found
myself predictably near the end of the line, between the old lady
with the bladder and the woman who couldn’t stop coughing. A guy
with a clipboard was moving down the line, asking everyone, in a way
as to completely dispel any lingering illusions of privacy, what we
were there for. I didn’t bother to beat around the bush. When he
came up to me, I told him, ‘scabies’ and almost enjoyed watching
everyone, including him, shrink slightly away from me.
I
was told there’d be an hour wait. Gina and Esme were waiting in the
car, not wanting to risk exposure to the miasma of germs and bacteria
swirling around that waiting room. There was a cafe nearby and I went
over to get a coffee to calm my nerves. Gina made me get
decaf—probably for the best.
After
an hour of hanging around the walk-in clinic parking lot, they called
us in. When we were all ensconced our little examination room, a
girl, no more than 20, peaked her head in, she was observing the
doctor today and would we mind if she observed my case. “Sure, join
the party,” I waned to tell her. As little as I was concerned with
my image, I understand why people don’t want to tell everyone they
have scabies. For one thing, it’s contagious. If you told me you
had scabies a few months ago, I might still consciously move a few
feet away from you and go wash my hands at the first opportunity.
Furthermore, well, it’s got that association with filth. I was
surprised to find all these things online telling me that it wasn’t
only the lowest of the low that got scabies and to not take the
diagnosis too hard. It seemed the biggest blow for most people is
psychological. Not only do they feel dirty, there’s the knowledge
that they’ve got bugs burrowing through their skin. But really,
we’ve always got bugs burrowing through our skin, it’ just that
certain varieties are a little more pernicious. I didn’t mind the
observation, but I wasn’t about to tell all my friends I’d
recently seen that I had scabies. It just makes you sort of
untrustworthy in a way, like you’ve allowed yourself
to be colonized by bugs.
I
had tried not to harbor any
illusions, but when the doctor came into the room, I couldn’t help
but to hope that maybe she’d tell me that, as much as it might look
like scabies, I’d just had an
allergic reaction to something. But when I told her I had scabies,
she just nodded and began showing the intern—or whatever she
was—the telltale signs, making me strip down so that they could
both marvel at this thorough example
of an infestation.
The
doctor prescribed the Permethrin I needed, but when I asked about my
family, she told me that she’d have to see them, too in order to
prescribe more. The cost of ‘seeing them’ would be 100 bucks a
person. I considered protesting, but Gina told me she’d call the
open door clinic and see what she could do—they’d
probably be willing to help a breast-feeding mother by just sending
in the prescription. The doctor even told me, sotto voce,
that she was prescribing the
largest size and including instructions for female and well as male
application, wink wink.
Next
it was time to worry about the insurance covering the medication. I’d
read on the walk-in clinic’s website that they accepted Medi-Cal,
but when I got there, I had to sign a waiver saying that I
acknowledged that they didn’t accept Medi-Cal and would have to pay
out of pocket. I’d been told my insurance would probably cover the
Permethrin, but, I was expecting the same thing to happen again. This
is usually what happens with insurance. They do all they can to avoid
paying for anything. At least, for once, I wasn’t paying for the
insurance anyway, so if it gave me nothing, it wasn’t like I’d
put anything into it.
I
was so happy to find that the Permethrin was free, I didn’t worry
much about the size of the tube that didn’t look like it would be
enough for three people even if one of them was a baby. When I got
home, as usual, Gina took the disappointment in stride. After
all, I was the one who actively had
the bugs, shouldn’t I be the priority here? She agreed, but I
understood her reluctance. I’d read somewhere that an infestation
could take a few weeks to display symptoms and she had rubbed the
lotion from my rash onto her face and then there was Esme who, as a
breast-feeding baby, was still attached to her most of the time. If
Gina had it, it was certain Esme would get it too. I tried not to
picture the wriggly bastards flocking eagerly to my daughter’s soft
and probably much more vulnerable skin.
We
spent the rest of the afternoon cleaning the house. We bagged up
everything that could be bagged and sprayed Clorox on anything that
couldn’t. I wiped down the floors with bleach water while Gina took
Esme for a walk, but as I cleaned, I couldn’t shake the notion that
I was undoing my own work. I hadn’t put the medication on yet so I
was still crawling with scabies. I’d thought about putting the
Permethrin on first, but then I would’ve been touching all the
things that potentially had scabies on them, as well. Despite this
concern, when I finished the cleaning and the whole house seethed
with bleach and Clorox fumes, I felt better. It was hard to imagine
anything, no matter how tenacious living through the
disinfectant—even I had to open the windows and go outside.
That
night, I put the Permethrin on, taking care to rub it into every pore
beneath my chin.
I’d hoped it would tingle or at least smell like an insecticide,
but it was about as sensational as an application of Jergens. I went
back to the couch to sleep for the night. As I lay there, still
itching, I couldn’t help but to wonder if I’d gotten a defective
tube.
After
the application of the Permethrin I was safe to go back to work. It
was for the best, if I had to stay home, I would’ve done nothing
but sit around and worry. I woke up and took a shower after leaving
the Permethrin on for the maximum time of 12 hours. I couldn’t even
tell if I was washing it all off. There was no residue or any hint
otherwise that I’d gone to sleep slathered in toxic goop.
Even
though I wasn’t contagious, I stayed as far away from everyone at
work as possible. Not only to avoid an outbreak but also because I
was beginning to look scabrous. The pimples on my wrist had
swollen to pustules. I had an inflamed and sweaty plateaus on the
back of either hand. Despite the medicine, I could swear the bastards
were spreading.
I
was relieved to get a call from Gina in the afternoon telling me,
after much finageling
and calling around, she’d managed to get another tube of Permethrin
for her and Esme. When she’d called the local open-door clinic they
told her they’d have to see her before prescribing—the same
runaround we’d gotten before. She tried to explain that she had no
symptoms, but the receptionist wouldn’t accept this. When Gina
relented and asked for an appointment, they told her it would be more
than a month before they could see her. No wonder people are clogging
up the emergency rooms. There’s no where else to go. I could see
how something like this, though not necessarily an emergency, would
make anyone frustrated enough to just risk the expense and go to the
hospital—even with no symptoms. After everything we’d read said
everyone who’d been
in contact with the afflicted needed to use Permethrin.
By
the afternoon, I’d begun to itch like crazy and I felt guilty as
hell just being at work,
sitting in chair that other people sat in. Using a computer that
other people used. Touching things. Would the mites crawl into the
mouse pad and wait for another wrist to infest? Was that how I got
the bastards in the first place? Maybe I’d been wrong to accuse the
bus, maybe I’d gotten scabies from a much more benign place, like
the college. My mind went into hypochondriac overdrive. Everything
around me could’ve been infested. I started thinking of all the
other associate faculty. Who knew where they’d been. I was freaking
myself out and I decided to go home.
Over
the next week, I continued to have small outbreaks I was convinced
were indicative of the Permethrin’s ineffectiveness. I still itched
and nothing looked to be receding. If anything, it was swelling and
growing more red and involuted as the days went on. I started putting
on aloe and tea tree twice a day and showering like a madman. Every
time I’d feel itchy, I’d point to it as evidence that nothing was
working, but, gradually, the itching and the swelling started to go
down. By the time a week had gone by and we were to reapply the
Permethrin, I was nearly back to my normal appearance. Other than a
few red bumps on Esme that we obsessed over, but turned out to be
pimples, nothing developed in anyone
else.
It’s
now been almost two weeks; today is my last day of class for the
semester and it’s looking like infestation has subsided, except for
this strange collection of small red bumps on the side of my
nose...oh well, it’s probably just another symptom of the larger,
more generalized infestation of time, one that, unfortunately no
cream can combat which continues to ravage my body. I guess it’s
just something I’ll have to get used to—time
that is.