The Soul Crushing Death of Sinéad O’Connor, Who I Should Have Helped

From Big Brother to Cancer Care Giver

July 23, 2023

What’s the John Lennon line about how life is what happens when you’re busy making other plans? I had this vision of flying into Georgia (on my father’s dime), rescuing my brother from his shithole hobo camp, and delivering him to a Portland cancer treatment facility, then watching his recovery from a safe distance. It didn’t quite turn out like that. 

When I got to my dad’s after landing in Atlanta, my brother, Ronnie, was on the phone, telling me I had wasted my time and that he wasn’t going to leave his camp in Cartersville, Georgia. I could tell he was afraid of the incredible change he was facing. Instead of suffering from his rectal cancer in a hell he knew, he was looking at relocating in a place far away from the Georgia piedmont. And he had never even been on a plane. I told him I wasn’t going to force him to do anything, I was just headed to come hang out with him for a bit. He’d been held up in a Quality Inn for a few nights because his pain was so great. He was convinced he was on death’s doorstep and just wanted to be left alone. This would have to be his choice.

Finally seeing him after two years was a bit rough. I thought about the last days of Howard Hughes but without the billions. His hotel door was propped up open so the Georgia heat and flies could come in as he lay in the bed. I went into operational mode. Food, coffee, and whatever else he needed. Gradually he realized he would be better off in Portland. He wasn’t ready to die just yet. I got a room next to him and we made plans to strike his camp later in the day.

He had been living on a hill behind the Cartersville IHOP for seven years. How he survived, I’ll never fully understand. Another blistering summer in rapidly evaporating Georgia would have killed him. His camp was a tent, full of spiders, and a year of garbage hidden under tarps, and a dozen gallon jugs of urine that served as his bedpans when he was immobilized by pain. It wasn’t pleasant but that thought that there was something better waiting motivated us to clear the camp and head to Atlanta to catch a flight to the land of Obamacare. 

The journey home was a challenge. Whatever you do, don’t fly Frontier Airlines. It’s the nightmare airlines. Just getting a wheelchair to get Ronnie to the gate at Atlanta Jackson Hartsfield Airport was an ordeal. Then, because of cancelled flights, I had to race him to another gate on another concourse and hope that delayed flight would get us to our connecting flight in Las Vegas. The Las Vegas to Portland flight was cancelled and they told us they could get us on another flight home three days later. I told them he was a cancer patient who had an important oncology appointment the following day and Frontier Airlines ticketing agent just shrugged her shoulders. So we headed to another terminal (Ron still in a wheelchair) and bought a ticket for that night on Spirit Airlines. (I never thought I’d say this, but Frontier makes Spirit look like Delta.) We finally made it to Portland, but Ronnie’s backpack didn’t arrive until six days later, with all his electronic items stolen from the bag. Frontier sucks.

After a day of adjusting to West Coast time, my job driving my brother around began. First to an oncologist in Tualatin, south of Portland, where we found out his cancer was Stage 4. Then to a residential facility I was hoping to move him into, where they told us it would be a few weeks. This was happening the week I was driving Cozy to and from art camp, way out in the traffic hell of Beaverton. Endless calls to Medicaid to get his long term care interview moved up from late August, making CT scan appointments, preparing meals, and administering pain meds every two hours.

Suddenly, I’d become an in home care nurse.

It just seemed really clear that this was the obvious role to step into. What else should I do? My brother is battling anal cancer. He was doing it alone in the Georgia woods, and now he’s doing it on my couch in a state that has legal weed. 

The legal weed bit has blown his mind. It’s been hugely helpful with his pain and appetite (although it wasn’t helpful with the Taylor Swift video I tried to make after we got high and watched Yellow Submarine.) In the conservative state of Georgia, possession of less than an ounce of pot is an automatic year in prison, on the taxpayers’ dime. In the liberal state of Oregon, an ounce of weed just means you’re running low on weed.

Once the pot and narcotic pain meds started to work, Ronnie started to feel human again. He’s got an amazing oncologist at OHSU’s Knight Cancer Center and wonderful palliative care coming. We’re still trying to find housing for him. Going through chemo on my couch is not an option. Keeping him in colostomy bags and diapers with an 8-year-old running around is a less than an ideal setting for him and my family, but he’s, literally, out of the woods. Sitting on our porch in the cool Portland night air (the opposite of Georgia), has allowed us to connect in a way we never did when we were kids. It started to feel like this experience was healing me as much as it was intended to heal him. 

It’s certainly a left turn from my normal summer, teaching on line and working on my side projects, but the support of Cozy, Andi, and Jaime makes it work. Watching Cozy and her uncle bond has been a thrill (Cozy is ferocious on the board games), and Andi has helped me remember how important this effort is. The moments I can escape with Jaime for a bit have kept my battery charged and her concern for my brother just fills my heart. And I’ve been able to show Ronnie some of the joys of my little town, like green tea at the Chinese Garden and way too much sugar at Voodoo Donuts.

Fifty years ago, everything was a constant fight between us. I never would have thought of trying to comfort him. Now my hand is on his back as the doctor tells him that his cancer has spread from his rectum to his lymph nodes and lungs. I don’t put him down for his assertion that he can “shred” his tumor with turmeric and sound waves. I just encourage him to listen to his doctors, who are among the best in America. This isn’t Georgia. Under Oregon’s expanded Medicaid, even the poorest among us have access to be best care.

Part of employing empathy is seeing this through my brother’s eyes. He has to be scarred shitless about this diagnosis, that is close to a death sentence, with a treatment option that will be a true test of his mettle. He’s lived as a hermit in the Georgia woods for ten years and now he’s in the hipster metropolis of Portland (Just the number of people walking around has shocked him. Nobody walks down the street in Cartersville, Georgia.), and, on top of all that, he has to trust a brother that has showed him more hostility than love in his life. I can’t imagine what’s going on in his brain. Thank God (Oregon voters) for legal weed.

Ronnie has been incredibly appreciative and acknowledges turning my living room into a cancer ward has been an imposition. But I thank him. This opportunity to help him has been good my for soul. If I can expunge a lifetime at anger towards him, I can deal with my anger issues for good. The other day he reminded of me when I knocked him out for calling me a “baby killer” in front of my girlfriend who had just had an abortion. He’s not the same person, and now I have a chance to be different.

Healing can take many forms. For my brother, it’s going to be regular radiation and chemo treatments, a bunch of pot, and hopefully a bed of his own. For me, just being here for him is the healing I needed.

Ron’s GoFundMe campaign: https://www.gofundme.com/f/help-house-my-brother-for-cancer-treatment?utm_campaign=p_cp+share-sheet&utm_medium=copy_link_all&utm_source=customer

He Ain’t Heavy, He’s My Little Brother

July 7, 2023

My little brother, Ronnie, and I took sibling rivalry to a new level. In fact, I’m quite sure we sent each other to the Emergency Room when we were kids. Our constant fighting must’ve driven our parents crazy. I know it did for me. It was the cause of some desperation, at age 16, when I first thought about throwing myself into a lake and drowning. (To be clear, the lake was a Stone Mountain, Georgia pond that was maybe three feet deep.) As an adult, I stopped talking to him for 17 years after he threatened to kill our mother. He did some time for that one.

Things have changed with my brother.

We started to reconnect in 2012, when I was back in Georgia. We visited some of our old stomping grounds in Stone Mountain and I learned how to talk to him in a non-antagonistic way. Ronnie has had a challenging life and I think our sibling dynamic played a roll. I wasn’t exactly the best big brother. I think Ronnie was the first target of my rolling anger that was the result of my abuse. I relished in the fight as that was my standard mode. When I could have been protective and nurturing, I was combative and cruel. So the reconnect was a chance for repair, especially when my bother fell into homelessness.

For the last few years, my brother has lived in the woods in Cartersville, Georgia, north of Atlanta. Cozy and I had lunch with him and my father in 2021 at the IHOP near his camp and he was skin and bones. We didn’t know it at the time, but he had cancer. We didn’t talk for 17 years, but we talk pretty much every day now, unless he can’t make it down to Kroger to charge his phone.

Trying to find Ronnie adequate cancer care in a backwards red state like Georgia has been next to impossible. Dissertations have been written on how the Republican Party has conned poor and working people to vote against their interests to pad the pockets of elites, but suffice it to say, being sick and poor in Georgia is a death sentence.

So I’m bringing my brother to Oregon.

The assumption in Georgia is that every poor person who claims to be sick is only after OxyContin, so the insane amount of bureaucratic bullshit that is required to even see a doctor guarantees poor and homeless people are cut out of the health care system. Ronnie’s cancer doctor was 46 miles away at Emory University and he was routinely too sick to even organize a ride to the city. Tired of missed appointments, they dropped him from their patient roll, a cost cutting measure that shortened my brother’s life expectancy. Social scientists know we can predict your life span by the zip code you live in and the death gap for Cartersville, Georgia is as wide as the Tallulah Gorge.

Oregon, on the other hand, expanded Medicaid under Obamacare, making sure low income people have first rate health and dental coverage. It took a matter of minutes to get Ronnie signed up to the Oregon Health Plan and get him space in a residential facility and an oncologist to start his cancer treatment. My mother was dumbfounded by how easy it was to get my brother the services he desperately needed. “Well, I live in a blue state, Mom,” I told her. Now I just have to get him here.

Early tomorrow morning, I’m catching a flight to Atlanta (paid for my father) to collect my little brother. The nature of his cancer is among the ugliest, anal cancer. He hasn’t been able to access the health supplies he needs so he’s often sleeping in his own waste. I’ve been Amazoning him colostomy bags, but he needs so much more, including diapers and clean clothes.  Getting him in shape to fly back across the country is going to take some work. He’s in great pain, without access to any sensible pain medicine, often sure he’s not going to live through the night. I assure him Oregon also has legal weed to help him through those nights. I would bring a bag of THC gummies with me from the corner pot shop, but in Georgia that would get you a one way trip to prison. (The penalty for possessing less than one ounce of marijuana is up to one year in prison and up to a $1,000 fine.) Did I mention that Georgia sucks?

These may be his last days or the wonderful care given to low income people in Oregon may extend his life considerably. Anything is better than being poor and sick in the South. I’m banking on him being alive when I get to Cartersville and being in good enough shape to get on the plane. I’m looking forward to our cross country trip and getting to know the guy I didn’t have time for when I was a kid.