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      March 28, 2022EncephalonAnn Giard-Chase

      I remember her smile—quick and fleeting
      on the day she arrived in the EEG Lab.
      She was tentative, curious, quizzical.
      What’s wrong with me? she asked.
       
      She knew the drill, understood I’d fasten
      electrodes like tiny ears to her scalp, connect
      a wiggle of wires to the EEG machine
      as she lay on the gurney and I began to calibrate,
       
      roll the paper across the console, wake
      the stainless steel pens. This was a long time ago.
      I was young; it was my first job and only a few
      years before the CAT scan and MRI began
       
      dragging the heavy iron lid off the human brain.
      For millenniums, the brain lay buried,
      hidden like an ornate jeweled sarcophagus
      until the bony inflexible bowl that holds
       
      the “crux of you” suddenly fell prey to the prying
      eyes of magnets, radio waves, and x-ray beams.
      But what did I know then of the brain and disease?
      And what did this young woman know of me?
       
      I was nameless to her, just another hospital
      tech conducting another test. Yet, fear staggered
      around in my gut; I was afraid of what the EEG
      might find in her cranium, the dark forest
       
      of a hundred billion cells, branches, and roots.
      They have their language, a chatter of whispers,
      hums, and roars. They send messages to each other
      that rise and fall in waves. I heard a faint click
       
      as the EEG began to transmit the brain’s voltage
      into a clatter of pens, scribbling the ancient dialect—
      alpha, beta, delta, and theta waves across the page.
      Down, over, and through the brain’s plump
       
      hemispheres, the fissures, the lobes,
      the wires and threads, the knots of neurons
      and convoluted folds the EEG went, winding
      its way through the rhythm and resonance,
       
      the oscillations and cacophony. The brain
      too has its instruments—an ensemble
      of percussion, strings, and brass. Every
      now and then, the keyboards chime in.
       
      But what lurked? What crouched in the dark?
      What shadow lay awake in some spiny crevice
      plotting against this young woman, the least
      of her dreams still wingless within her?
       
      I kept going, eager to complete the test, quell
      her fears, and have the neurologist scrawl
      within normal limits” across the EEG report.
      I stared at the paper; her brain was spelled out
       
      before me like the score of a vast symphony,
      alpha and beta waves scurrying up-tempo,
      brisk and lively in the opening sonata as she
      lay awake. Soon, an adagio of delta waves
       
      came waltzing by, swirling like petticoats
      across the page as she drifted into a dreamless,
      drowsy haze. Next came the stately minuet
      of REM, her eyes dancing back and forth
       
      as she dreamed in three-quarter time.
      The test was nearly over. So far, so good.
      Everything looked normal. I could relax again.
      Suddenly! a stray beat, a wrong note, the strings
       
      were playing out of tune, the snares drumming
      in a waning staccato, tick … tick … tick …
      like the stroke of time winding down.
      When I saw it lurking in its deep trench,
       
      I knew it for what it was. The EEG pens
      vaulted out of control, surged into a rondo of spikes
      resembling tuning forks bolted upright.
      Tumor! Tumor! Tumor! screeched the EEG
       
      as the pens feverishly scribbled their ill-fated
      news across the page. No! No! No!
      I felt as if I were caught in an undertow—
      some dark wave pulling me under, some
       
      jaws clenching in the tide. I saw both of us
      teetering on a rock ledge and me reaching out
      with both arms trying desperately to pull
      her back. Too young, I was shouting to myself,
       
      the sound of my inner voice like the shriek of metal
      being sliced or the way thunder drags
      itself across a bruised sky, a vibration, a low
      frequency swell upon which I floated with fear
       
      and recognition. I never saw her again. Perhaps
      in time, a decision was made and she was wheeled
      down some long, sterile corridor into a miracle,
      and somewhere she combs her daughter’s hair,
       
      packs lunches, drops the kids off at school, drives
      to work. Or there is that tragic song that plays over
      and over again; you know what I mean. I thought of her
      often as I wound my way through my own years,
       
      how her life had brushed against mine, soft as a bassoon,
      teaching me life’s unending refrain, the rhythm of time
      that spirals on and on, and fate—the dark flame
      flowing past us like a river, heartless and infinite.

      from #74 – Winter 2021

      Ann Giard-Chase

      “The title of this poem, ‘Encephalon,’ denotes the upper part of the central nervous system that resides inside the human skull. When I graduated from college years ago, I worked as a registered EEG (electroencephalography) technologist in the neurology department of a major hospital. Patients of all ages and disease states came and went, presenting with a variety of symptoms to be analyzed by attaching electrodes to the patient’s head and recording their brain’s electrical activity. Based on this data, neurologists were able to detect certain brain abnormalities since brain waves change as a function of disease states. Being young myself, I was especially saddened when a young woman whose EEG I conducted was diagnosed with a brain tumor. I hadn’t dealt with early death or the potential for early death at this time in my life, and it impacted me greatly, and I never forgot her.”