#vomitting

Cliff sagged against Elliot when Elliot sat next to him. He was in no shape to do paperwork, so Elliot tried to fill it out as much as he could. Fifteen minutes passed. Cliff was whimpering in pain and his wheeze had grown louder. “Just a few more minutes, Cliffy,” Elliot said, hoping it wasn’t a lie. Thirty minutes passed. Cliff was now insisting he was fine after all, and that they ought to go home. But that was when he was lucid, which would last only a minute before he’d follow up by saying something that made very little sense and reminded Elliot exactly why they couldn’t leave. Finally, about forty minutes after they’d checked in, a nurse called Cliff’s name and brought them to a small room between the waiting room and the actual ER. Elliot repeated the story he’d given the receptionist although more aggressively this time as the nurse nodded and took Cliff’s vitals.

Elliot never wanted Cliff to be so sick. However, his vitals did prompt some action and for that Elliot was grateful. Cliff’s fever was 103.5 now, his oxygen running lower than expected at 92%, and his heart rate and blood pressure were both high. The nurse led them to a stretcher in a curtained off bay and told Cliff to change into a gown. Elliot had to help Cliff climb up, his boyfriend’s coordination poor. His hands were shaking too hard to button his own gown up, so Elliot did it for him.

“Don’t feel good,” Cliff mumbled, swaying even as he sat up on the stretcher.

“I know, just lie back,” Elliot said. “They’re gonna help you.”

Thankfully, this time they only waited about ten minutes before a new nurse came in with a small bucket full of supplies. She introduced herself as Anna and said she was going to insert an IV, take some blood, and hook Cliff up to oxygen and fluids. She was also going to swab Cliff for flu and strep, but Elliot explained the urgent care had already done that. “Well, this tests for some other stuff too, it’s a full respiratory panel. I’d recommend we just do it anyways.” Elliot agreed on Cliff’s behalf; Cliff seemed to be communicating only in nods at this point.

Nurse Anna looped some oxygen tubing over Cliff’s ears first and plugged it into the wall. She also attached a blood pressure cuff and oxygen probe that she said would stay on for now for monitoring. Elliot felt like all the devices only made Cliff look sicker. Anna swabbed Cliff’s nose, which made him cough harshly to the point of gagging, and then got ready to insert an IV.

Cliff looked to Elliot in panic, swallowing rapidly. ‘Faint,’ he mouthed to Elliot helplessly. “Um, I think he passes out when there’s needles,” Elliot spoke up for him. Cliff nodded gratefully.

“Well you’re in the right place if you do,” Nurse Anna said. She lowered the head of the stretcher and told Elliot to hold Cliff’s hand as she looked for a vein in his other arm. “I’ll go super quick,” she reassured them, and she was right. It was quick. But Cliff turned sheet white and got really sweaty and by the time she’d collected enough tubes of blood, flushed and secured the hub and hooked him up to a bag of fluids, Cliff was barely conscious. “Don’t worry, it happens,” she said. She put a pillow under Cliff’s legs and told him to breathe deeply through his nose. Elliot found her calm demeanor the only thing keeping him calm, because it seemed terrifying even if it was normal. Cliff followed her directions and eventually gained some color back. Anna said his blood pressure was coming back up and that he should just lie there with his feet up for a few more minutes, then left the room.

“I’m sorry,” Cliff apologized miserably for the tenth time since they’d come back here.

“Baby, please, stop apologizing,” Elliot told him. “You’re here because you have to be and you’re not doing anything bad or wrong. Just rest.”

Cliff’s eyes filled with tears and he covered them with his forearm. “I suck,” he whimpered, Elliot’s words clearly not having reached him as intended. Elliot sighed and put one hand on Cliff’s head to stroke his sweaty hair. It wasn’t worth fighting Cliff on this right now. Elliot just had to be there for him.

Cliff fell asleep to Elliot’s relief. Elliot texted his mom what was going on and hoped this wasn’t as bad as it felt. Cliff snored quietly until a woman came with a huge portable x-ray machine. “Sorry to wake you up,” she said, “Cliff? I’m here to get your x-ray. I’ll go fast.”

Cliff opened his eyes and stared blankly at her. Elliot wasn’t sure if Cliff knew what was going on at this point so he stroked Cliff’s arms and explained, “Cliff? She’s gonna take the pictures of your lungs now.” He helped the x-ray tech manipulate Cliff’s torso so that he was lying on a hard board. Elliot stood in the doorway while they did the films.

“Alright, take a nice deep breath for me and hold it,” the x-ray tech said. “I know, good job, got it. You can cough.” And cough Cliff did, that same desperate wet cough that had made Elliot’s mind up to bring him here. He managed to catch his breath, but it wasn’t over. “One more,” the tech said, moving the boards and machine around to point at Cliff’s side now. “Again. Deep breath. One, two, and good. Let it out.”

This time Cliff didn’t seem able to stop coughing. He coughed until each gasp sounded like a Herculean struggle and Elliot wasn’t sure that any of that air he was gulping in was actually reaching his lungs. The machine that was measuring Cliff’s oxygen levels started to beep and the tech told Elliot she was going to find the nurse. Elliot held on to Cliff and tried to soothe him, but it didn’t seem to work. Cliff just kept coughing until suddenly his eyes flew open and he spewed a sharp wave of vomit from his mouth all the way to the end of the stretcher. Elliot winced, pulling back and trying not to look at the mess. Cliff spluttered and coughed between additional harsh gags that produced little besides a stream of thick brown saliva that pooled in his lap. Elliot prayed the nurse would come in soon and hesitantly rubbed Cliff’s back. He didn’t know what to do and Cliff seemed frozen, unable to lift his head or close his mouth.

Thankfully the nurse showed up then and said, “Oh no!” Oh no was right, Elliot thought anxiously. “Did we just get coughing too hard?” She glanced at Cliff's oxygen levels and turned a small green dial on the wall, which made a quiet hissing noise for a second as the flow of oxygen increased. “Don’t worry hun, we’re going to get you cleaned up.” She found a change of sheets in one of the cupboards behind the stretcher and changed the blankets and top sheet in record time. She checked Cliff’s fluids which were nearly done and then charted standing in the room for a few minutes on her rolling computer.

Cliff was silent, hunched over holding a pink plastic basin in his lap in case of another incident, and Elliot couldn’t tell if he was just out of it or humiliated. The room still smelled of putrid stomach acid; Elliot breathed through his mouth. His phone dinged in his pocket and he saw an alarmed text from his mother. He didn’t have time to reply though, as the doctor walked in at that moment.

“Doctor Jim,” Anna greeted him politely, scooting her computer farther away from the bedside. “He just threw up coughing and I turned up his oxygen.”

“I’m not surprised,” Dr. Jim said. He looked to be in about his forties, was mostly bald and had tiny round glasses that looked too small for his face. “Cliff? I’m Jim, I’m a physician here. How are you doing today?”

Elliot thought that was a stupid question. Cliff looked at Dr. Jim with hazy eyes and mumbled, “Sick.”

“Well, that makes sense. You’ve got yourself a nasty case of double pneumonia,” Dr. Jim said. Elliot’s heart sank. “Has this ever happened to you before?”

Cliff shook his head no. He moved his hand to the edge of the bed that Elliot understood as a silent signal to hold it, which he did. “Well, I think it’s best if we admit you for observation overnight with the vitals you have. I’m going to order two IV antibiotics and some steroids, try and get that swelling down in your lungs and hopefully you’ll be feeling better in no time. How’s that sound?”

Cliff didn’t answer. “That sounds fine,” Elliot said, squeezing Cliff’s hand. “Can I stay with him?”

“Once we move him to the floor, visiting hours are eight to eight,” Dr. Jim said. “But you can stay with him for as long as he’s in the ER.” He turned to Anna and gave a few other orders for Zofran, Tylenol, albuterol and budesonide treatments. It all seemed so casual to them, but Elliot was still disturbed by how sick Cliff looked and seemed to him.

Dr. Jim physically examined Cliff next. Cliff shuddered and Dr. Jim apologized for his cold hands, but Elliot knew that the temperature hadn’t had anything to do with it. He hummed a lot, wrote down some notes, and then left with a “Hope you feel better soon.” Elliot wondered if he told all his patients that, or just the ones who could actually get better soon. Nurse Anna also excused herself to get the ordered medications, leaving Elliot alone with Cliff once again.

“So… pneumonia. That sounds pretty bad,” Elliot said. “Why didn’t you tell me you felt so sick?”

“You were at work. I didn’t want to bother you,” Cliff said in a tiny voice. “And then I tried to text you but none of the letters in my phone made sense.”

Elliot felt his chest clench painfully hearing that. “Cliff, you wouldn’t have bothered me.”

“But I’m bothering you now,” Cliff whimpered.

Elliot frowned. “I didn’t say that.” Silence from Cliff. Elliot sighed and grasped Cliff’s hand in his own. “Cliff, Cliffy, can you look at me?” It took a second, but fever-bright, hazel eyes eventually focused on Elliot. “You’re my boyfriend. I want you to be okay. Can you at least try to trust me?”

“I do trust you,” Cliff whispered, voice hurt.

“Then let me care about you.”

Cliff fell quiet again and Elliot sat back but kept Cliff’s hand in his. Cliff had his eyes closed, but it didn’t do much to hide the tears that escaped from the corners of them. Elliot didn’t say anything, just brushed them off of Cliff’s cheeks with his sleeve. Once Cliff was asleep, Elliot finally allowed his own silent tears to fall.

Eventually a CNA came to bring Cliff down to the short-stay unit. She rolled Cliff’s stretcher down the hall and into an elevator. Cliff looked nervous and kept glancing at Elliot, making sure he was still right next to him. Elliot always was. They got to a small room that had a real hospital bed in it and the CNA and Elliot both helped Cliff take two steps from the stretcher onto the bed. It was painful for Elliot to see how difficult even this brief transfer was for Cliff, and Cliff started another one of his long coughing spasms afterwards. Elliot rubbed Cliff’s arm, unsure what else he could possibly do to help. “Water,” Cliff croaked hoarsely between deep, rattling coughs.

“Sure. Um…” Elliot looked around him but this room was barely more than an ER bay. It didn’t even have windows. “Let me go check,” he said, and went to go look for the nurse’s station. There were two tired and rather bored looking, middle aged women sitting at computers at the end of the hall. “Excuse me? My boyfriend just got here and he could use some water…”

“I’m almost there,” one of the nurses said, which Elliot thought was a weird thing to say when she very much wasn’t almost there. Regardless, they didn’t seem to like him hovering very much so Elliot went back to Cliff’s room. There was nowhere for him to sit, so he stood at the bedside. Cliff had managed to stop coughing at least.

The nurse, despite her indifferent demeanor, did show up with a little bin that contained hospital socks, meds and a large plastic jug of water. “Clifford Barrows, hmm? I’m Carey. And you are…?” She raised an eyebrow at Elliot.

Suddenly feeling extra protective, Elliot quickly said, “His boyfriend.”

“Alright. Mr. Barrows, are you okay to have Elliot in here?”

Cliff nodded a yes. Elliot thought it was so weird to hear Cliff called by his last name. They seemed too young for that.

“Well, your boyfriend will have to leave after I finish this admission paperwork as visiting hours are over soon, but remind me to get you a chair for tomorrow,” Carey said. She started a myriad of questions, which included Cliff’s emergency contact.

“Make it Elliot,” Cliff said quickly, looking at him. “Um, will my dad know I’m here?”

“You’re eighteen, right? Not unless you tell him,” Carey said. “But I see your dad is the primary insurance holder so he may see the invoice after you’re discharged. It shouldn’t show any details though.”

Cliff grimaced but nodded. At least there would be no confrontation in the actual hospital, Elliot thought to himself. Carey kept asking questions, which ranged from did Cliff smoke to could he walk up a flight of stairs to did he have any plans to hurt himself right now. They seemed a little ridiculous to Elliot, but Cliff was able to answer all of them with simple yes’s and no’s pretty quickly since he was for the most part entirely healthy.

“You’re easy,” Carey said, winking at Cliff. “Boyfriend? Visiting hours are over now honey, so you say your goodbyes and you can come back at 8am tomorrow morning.” Elliot thought she was kind of like those old ladies at diners who yelled at you for your order but called you honey so you couldn’t feel totally attacked.

He nodded and gave Cliff a quick hug. He thought about kissing him, but Cliff didn’t like to be kissed in front of other people so he just squeezed Cliff’s hand instead. “I’ll be back in the morning,” he promised. “Get some rest and tell them if you don’t feel good, okay?”

“Okay,” Cliff said. He looked scared, so Elliot hugged him again and kissed the top of his head this time.

“I love you,” Elliot said. “I know you can be strong for me. You’ve got your phone right here.”

Elliot didn’t look back as he left, because he could feel Cliff’s kicked puppy expression trailing him and knew if he did, it would be ten times harder to leave. He walked to the parking lot without thinking, got in his car, and drove home without Cliff beside him. He made it to the park a block away from his parents’ house before he pulled over and cried for a solid ten minutes.

Cliff was going to be okay, Elliot told himself. Cliff was stronger than he seemed, and realistically Elliot couldn’t be there for him every second of the way. But he’d promised Cliff they weren’t going to the hospital, and then he promised Cliff that he’d be right there next to him the whole time. He’d broken both of these promises and now Cliff was sleeping in a hospital bed, in a tiny room with no windows and only a crotchety old lady to keep an eye on him. Elliot felt just terrible and wondered if he’d made the wrong choice dragging Cliff to the ER. All he wanted was for Cliff to be okay, though, and he really hadn’t seemed okay today.

Elliot wiped his tears away and told himself he had to be strong. This seemed so intense and adult, but Elliot couldn’t let it overwhelm him. He tried to remember the coping mechanisms his therapist had taught him back in high school. Deep breaths. One second at a time. He could do it, and so could Cliff. Elliot turned on the car and returned home by himself.