I now understand why massive heart attacks are so often fatal.
A knife drove into my left shoulder, another between my left ribs.
I screamed. I couldn't breathe.
If death had come along then I would have run to his embrace, black robe, scythe, skeletal fingers and all. I would have welcomed his boney touch and begged him to take me. The pain was that bad. I would have done anything to escape it. My whole left side was on fire. The flaming flesh was being flayed and the exposed nerves were being burned separately.
The only thing that saved my life was that when it hit the first spasm of pain forced me to roll off of David. We had been making love and I had been on top, the way he liked me. If I had just collapsed we both would have died there. At my daily weigh-in the day before I had been 524 and, as strong as he is, he would not have been able to move that much dead weight.
But I got lucky, I guess, although death right then would have been a blessing.
Come to think of it, not just "right then." The weeks that followed often made me feel a long sleep pushing up daisies would have been wonderful.
But I did live.
And then the real pain started.
I threw up and he managed to get me onto my side so I didn't drown.
He had 911 on the phone in a few seconds, and then followed their orders, keeping me breathing, clearing my mouth and throat, and telling me I would be okay. Each breath I managed to draw was a separate agony and as he kept me alive I wished he wouldn't.
But he did and it couldn't have been more than a few hours, records showed it was less than four minutes, before the EMTs arrived. I was only vaguely aware of the indignity as they shifted my immense, naked body onto the gurney, then had to roll me off so the lift could get me down the stairs.
After that, I'm blank for almost a week. I'm not good with pain so they kept me pretty much doped up. I have some interesting scars. Nothing big, they didn't have to actually open my chest or anything, just three or four small scars where they did the stents and shunts and whatever else they did with the laparoscope.
The pain that followed wasn't as intense, as world-shaking. But it was relentless.
I had been home for three weeks and I was starving.
David came into the bedroom with my "breakfast." I put that in quotation marks advisedly. Where was my six egg omelet, dozen strips of bacon, biscuits and gravy, orange juice, milkshake, and French toast? Instead, the tray had a single plate with one poached egg on a slice of dry toast.
"I'm starving and you bring me this?" I said, trying for a smile.
"The doctor says I have to get at LEAST 300 pounds off of you or I'm going to lose you," he said, his eyes locked on mine, "and this is a start."
"But I thought you loved me like I am," I said, putting on my best pout.
He caressed my cheek, wiped my lips with a soft napkin, and said, "I love you like you are, but we took it too far. And I don't want to lose you."
"So you're going to starve me to death?" I said. I was still pretty cranky at that point.
"No, I'm going to save you," he said, flashing that grin that always made my knees weak, "and get you to a trim and svelte 250."
"Go away," I said, rolling away from him.
I felt him yank the sheet off of me and yelled, "DAVID!"
"Come on," he said, his hand pulling at my shoulder, trying to roll me back to him, "the doctor says we need to get you up."
"LEAVE ME ALONE!" I yelled.
"OWWWWWWWWW, FUCK!" I yelled as a line of fire formed across my hip.
My hand, rubbing my hip, found a welt, so I rolled over again.
"DAVID! WHAT THE FUCK!" I yelled.
He was standing there, naked, erect, and with a long rod in his hand.
"Ashley, I love you," he said, "and I'm going to do what it takes to keep you."
"Then leave me alone, please," I said, starting to roll over.
The rod, I later learned was called a "switch," whistled again and another line of fire formed along my thigh.
"GET UP!" he snapped.
"OW, JESUS," I yelled as I rocked a couple of times for momentum and swung my legs over the edge of the bed, sitting.
He caught my hands in his then and kissed me. Not a good kiss I'm afraid. I was pissed.
"Come on now," he said, "on your feet."
He had the leverage now and I had no choice. Well, I suppose I could have let him pull me until I fell on my face, but I didn't.
I was a little unsteady on my feet. I hadn't done much walking in the past year.
Steady, finally, I looked into his eyes, trying for an angry scowl. But his smile was infectious and when he took me in his arms, well, he couldn't reach around me but when he laid his hands on where my waist had once been as far around as he could reach and kissed me, a true kiss, a man-woman kiss full of his desire, a desire I could feel against my belly too, I melted.
"God I love you," I said.
"I love you more," he said, completing the ritual we had developed.
"Now, my love," he said, stepping back and putting some distance between us, meeting my eyes, "today is our first walk. I measured it out and we're going to walk 250 feet today."
I know, I know, 250 feet? Not even the length of a football field. Hardly a walk, right?
But when you weigh a quarter of a ton and haven't done any walking to speak of, hell, when you've used the damn mobility cart when you went to the mall, it seems like forever.
So we did it. David's hand was on that soft pad of fat on my upper arm, steadying me, and I was glad of it. I wobbled as we walked to the end of the hall, turned (slowly), and walked back.
We did that four times and by then I was sweating and panting.
I was grateful when we walked back into the bedroom and then passed into the bathroom. He held my hand as I stepped into the walk-in tub he had installed when I passed 400 pounds and was having trouble stepping over the rim of the old tub. I stood as he got the water running hot and then sat, leaning back, resting my head on the sponge pillow, as the tub slowly filled.
I relaxed, contemplating my life.
By and large, it was good, I won't deny it. I had a husband who loved me and all of the good stuff. Oh, there was the heart attack thing, but I had survived and was on the mend.
But I was starving too.
I jumped, startled, when I felt the washcloth touch my face. I hadn't been sleeping, exactly, but I had been in that twilight state of almost pure relaxation.
He had a little paper pill cup in his hand and said, "open your mouth."