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TERMINAL CANCER AND CONSTANT PAIN TOOK A SINGLE FATHER, 35, TO THE BRINK MORE THAN ONCE - UNTIL ONE NIGHT AT THE HOSPITAL WHEN HE FOUND ... AN ANGEL OF HOPE.


Byline: Jenifer Hanrahan Daily News Staff Writer

Ray Garay's cane wobbles under the pressure of his white-knuckle grip as he rises to his feet.

It's 7:30 p.m. He switches off ``Wheel of Fortune,'' cutting short contestant No. 1's wild clapping.

Soon, he'll go to the hospital for a shot of Demerol in his hip that will dim, but not extinguish, the ache.

``It never leaves me alone,'' he says.

Doctors have given up trying to keep at bay the cancer ravaging his thyroid, lung, throat and bones.

Now, he says with a sardonic laugh, they just want to keep him comfortable.

He could have ended the pain last night, this afternoon, whenever. Methadone methadone (mĕth`ədōn', –dŏn'), synthetic narcotic similar in effect to morphine. Synthesized in Germany, it came into clinical use after World War II. It is sometimes used as an analgesic and to suppress the cough reflex. , Valium, codeine codeine (kō`dēn), alkaloid found in opium. It is a narcotic whose effects, though less potent, resemble those of morphine. An effective cough suppressant, it is mainly used in cough medicines. Like other narcotics, codeine is addictive.  - enough for an overdose - litters his night stand.

Three times, he surrendered. He gulped dozens of pills. The last suicide attempt got him three days in the intensive care unit.

He surely would have killed himself by now, he says, if not for a chance encounter with an emergency room nurse.

Lydia. He doesn't know her last name.

Tonight, he'll get to see her. Just one hour till she's on, working the graveyard shift at North Hollywood Medical Center The North Hollywood Medical Center, (), was a hospital in the city of North Hollywood, CA. The now decommissioned hospital, which is at 12699 Riverside Drive in the North Hollywood neighborhood of Los Angeles, California, is the location .

On one desperate night, she told him to keep living, making memories with his children.

But he doesn't have much time left.

At 35 years old, he is going to die.

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Ray takes measured steps past the ambulance in the loading dock, past the paramedics wheeling a blanketed body through the steel doors that say ``EMERGENCY'' in red.

He takes a seat in the overheated o·ver·heat  
v. o·ver·heat·ed, o·ver·heat·ing, o·ver·heats

v.tr.
1. To heat too much.

2. To cause to become excited, agitated, or overstimulated.

v.intr.
 waiting room that looks like an out-of-the-way Greyhound bus station, with rows of thinly padded chairs welded to a metal frame.

A sheen of perspiration erupts on his upper lip and forehead. His eyelids eyelids,
n.pl a moveable fold of thin skin over the eye. The orbicularis oculi muscle and the oculomotor nerve control the opening and closing of the eyelid.
 droop. The rims are moist. His face contorts. He doesn't want to cry.

``Maybe I should go see what's taking so long,'' he says.

In moments, a nurse, holding his chart, calls his name.

He heaves his body from the chair, pausing at the door to steady himself.

Lydia Altomare, R.N., 5-foot-8 in running sneakers sneakers
Noun, pl

US, Canad, Austral & NZ canvas shoes with rubber soles

sneakers npl (US) → zapatos mpl de lona; zapatillas fpl 
, spots him in an instant.

She throws her arms around him, enveloping en·vel·op  
tr.v. en·vel·oped, en·vel·op·ing, en·vel·ops
1. To enclose or encase completely with or as if with a covering: "Accompanying the darkness, a stillness envelops the city" 
 his head and pulling him close.

``Oh, my poor baby.''

Ray doesn't have the heart to tell her the hugs hurt, like pressing on a bruise.

She asks about his son. She puts her hand on his head, her gold-painted fingernails spreading out like a sunbeam.

They whisper as she takes his blood pressure.

``Nothing ever turns out the way it's supposed to be,'' she says. ``All you can do for me is feel better. I'll be back soon.''

She closes the curtain - stained brown by blood in one corner - with a whoosh whoosh   also woosh
n.
1. A sibilant sound: the whoosh of the high-speed elevator.

2. A swift movement or flow; a rush or spurt.

intr.v.
.

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Ray lies on a bed covered with thin white sheets and closes his eyes.

A child behind the next curtain giggles.

``Be quiet, this is a hospital,'' a woman's voice says. ``People are sick.''

``No, they're not,'' says the child, impetuously im·pet·u·ous  
adj.
1. Characterized by sudden and forceful energy or emotion; impulsive and passionate.

2. Having or marked by violent force: impetuous, heaving waves.
.

The child's voice turns Ray's thoughts to his own children, Ronnie, 10, and Ilene, 12.

``I want to live to watch my son grow up to be a man and my daughter grow up to be a woman,'' he says. ``I want to tell them I love them. I want to tell them `Happy Birthday' for each year. I want to tell my daughter to be careful the first time she falls in love.''

In a few minutes, Lydia is back. Ray rolls over to his side, undoes his belt and zipper and pulls down his pants.

He doesn't flinch when she injects the painkiller.

``I'm so used to it,'' he says.

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The night Ray met Lydia, he was desperate for relief. He had gone to a hospital in Burbank earlier that night. But when he rolled up his sleeves, he revealed his past.

His forearms bear the telltale markings of a gangster - a black widow spider black widow spider

poisonous spider; consumes her mate after mating. [Zoology: NCE, 308]

See : Deadliness
, initials of a former girlfriend and SV, for the gang in the Sun Valley projects where he grew up.

Near his elbow joint elbow joint
n.
A compound hinge joint between the humerus and the bones of the forearm. Also called cubital joint.
, on the inner side where blueish blue·ish  
adj.
Variant of bluish.

Adj. 1. blueish - of the color intermediate between green and violet; having a color similar to that of a clear unclouded sky; "October's bright blue weather"- Helen Hunt Jackson; "a blue
 veins should be, scars are etched into the skin - track marks from his days as a heroin user.

The nurse, hardened by years on the job, cast a suspicious glare.

``I think you're drug-seeking,'' she said, the hospital term for addicts looking for Looking for

In the context of general equities, this describing a buy interest in which a dealer is asked to offer stock, often involving a capital commitment. Antithesis of in touch with.
 a fix.

She refused to administer the drugs until she checked his medical records and called his personal physician, a process that often takes hours.

Humiliated, Ray walked out.

He tried another hospital, this time North Hollywood Medical Center, where Lydia was working in triage triage

Division of patients for priority of care, usually into three categories: those who will not survive even with treatment; those who will survive without treatment; and those whose survival depends on treatment.
.

Ray handed Lydia the doctor's note written on a small slip of paper, a prescription order form on which his doctor had scrawled Ray's future: ``Patient has terminal cancer of the throat and lung.''

``She read it, and her eyes watered up,'' Ray says. ``I thought, `This nurse is weird.' ''

Then he spotted the 6-inch scar on her neck, just like his. Once he started talking, it all came pouring out - his anger, depression, fear. He confessed he tried to kill himself three times.

``She told me she was really glad that I didn't die,'' Ray says. ``She told me, with the little time I have left, I should spend it with my son and making memories for him. She just put everything in perspective for me.

``She held my hand,'' he said. ``She let me know that I'm not alone.''

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Lydia. At 40, she looks like a blond Cher, with mascara-rimmed blue eyes, long hair and sparkling diamond rings on her fingers.

She met her soon-to-be-second husband shooting pool at Yankee Doodles. She always wins.

But life hasn't always been so good, she says.

As a young woman, she lived on a kibbutz kibbutz: see collective farm.
kibbutz

Israeli communal settlement in which all wealth is held in common and profits are reinvested in the settlement. The first kibbutz was founded in Palestine in 1909; most have since been agricultural.
 in Israel, modeled in New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
, married her childhood sweetheart, had two kids, divorced.

Right about that time, she took her son for a checkup check·up
n.
1. An examination or inspection.

2. A general physical examination.


checkup See Yearly checkup.
. The doctor's eyes honed in on the black mole on her neck.

``She said, `What ... is that on your neck?' '' Lydia recalled. ``I thought it was a black beauty mark.''

A biopsy came back: melanoma. She had surgery that required 70 stitches.

Then, a year and a half ago, she started hemorrhaging. Tests showed she had cervical cancer Cervical Cancer Definition

Cervical cancer is a disease in which the cells of the cervix become abnormal and start to grow uncontrollably, forming tumors.
.

She underwent an emergency radical hysterectomy radical hysterectomy
n.
Complete surgical removal of the uterus, upper vagina, and parametrium.
.

``I think that God made this happen to me so that I could be more compassionate to people,'' Lydia says. ``I've had a lot of pain. When you know what it's like, you can be a much better nurse.''

When Ray handed her that note, she sized up his soul, not his appearance.

``He's a sweet, wonderful, caring man whose had the worst sh-- luck. I thought I had the worst sh-- luck. My heart broke for him.

``He has such a pure soul,'' she says. ``I just feel it.''

She let him talk, held his hand, prayed with him, kissed the top of his head.

``I think my purpose in this world is to get people out of pain and to make them feel good,'' she says. ``I hug him and hold him and kiss him and shoot him up with Demerol, and I won't let him leave until I know he's OK.''

Ray once saw Lydia give a $20 bill to a woman, a regular in the ER, who said she needed a pack of cigarettes and food. A few days later, the woman came back drunk with a bottle of vodka sticking out of her handbag. Another time, Lydia gave away her shoes.

A few minutes after the shot, the Demerol begins to bring Ray some relief. His face relaxes. He smiles at Lydia.

They go outside and share a cigarette. Smoke from the burning tips intertwines as it rises.

``I'm going to put in a good word for you when I get up there,'' Ray says.

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At home, Ray props up his head on the heel of his hand. He is woozy, but hurting less.

His bedroom smells of stale smoke from an ashtray filled with stubbed-out Marlboros.

Smoking didn't cause the cancer. Nor did the drugs. The guns and the gangbanging didn't do him in either.

In fact, for a few brief years, he thought his mistakes were over.

He moved out of the projects in Sun Valley to a North Hollywood apartment. He went to drug rehabilitation, earned a certificate in computerized accounting from Pacific Coast Technical Institute and Los Angeles Valley College LAVC redirects here. For the software library, see libavcodec.
The university is adjacent to Grant High School. Often called "Valley College" or simply "Valley" by those who frequent the campus, it opened its doors to the public on September 12, 1949, at which time the campus was
 and landed a job as a clerk in the legal department of a finance company.

``I was a terrible person. I was mean,'' he said. ``But I straightened up my life.

``We made it,'' he said. ``I had everything going for me.''

Then, like a thump from the hand of God, the cells of his thyroid went berserk ber·serk  
adj.
1. Destructively or frenetically violent: a berserk worker who started smashing all the windows.

2.
. Ray's physician, Dr. Ignacio De Artola, said he could not have prevented it.

He underwent chemotherapy and radiation that made him horribly sick. The vomiting, the chills, the disorientation disorientation /dis·or·i·en·ta·tion/ (-or?e-en-ta´shun) the loss of proper bearings, or a state of mental confusion as to time, place, or identity.  and weakness might have been worth it - if the treatment had worked. But the cancer continued its creep until doctors said it was inoperable inoperable /in·op·er·a·ble/ (in-op´er-ah-b'l) not susceptible to treatment by surgery.

in·op·er·a·ble
adj.
Unsuitable for a surgical procedure.
. Terminal.

A single parent, Ray sent his daughter to live with an aunt. His mother moved in to help care for Ray and his son. He stopped working, started collecting Supplemental Security Insurance. He started doing street drugs again, until the numbing effects of prescribed narcotics made illegal drugs unnecessary.

He wanted to get dying over with - until he met Lydia.

``I believe that there are angels here on Earth. I believe she may be one of them.''

Ray runs his fingers along the artwork and photos of his two children that hang on the door to his bedroom: a card Ronnie made from aluminum foil and crayon crayon, any drawing material available in stick form. The term includes charcoal, conte crayon, chalk, pastel, grease crayon, litho crayon, and children's wax colors.  that says ``Smile Now. Cry Later''; a Father's Day card from Ilene that says ``I Love you Daddy. 4 ever Daddy's Gril''; a picture of Ronnie in his Little League uniform, holding a bat; a cross his son made from two pieces of wood.

``He says he's going to put it on my grave,'' Ray says.

He has made peace with God, he says. But he has not made peace with leaving behind his children.

``Lydia battled cancer and she won,'' Ray says. ``Unfortunately, I'm losing. But she gives me hope. The doctors have written me off. I know I don't have much time. But maybe before I die they'll find a cure.''

It's 9:30 p.m.

Tonight at least, with the pain dulled, he'll rest easy.

CAPTION(S):

3 Photos

Photo: (1--Cover--Color) A Nurse Named Lydia; He doesn't know her last name, but she's the reason terminal cancer patient Ray Garay is still alive.

(2) Ray, suffering from cancer in his thyroid, lung, throat and bones, waits for Lydia, a nurse at North Hollywood Medical Center.

(3) `I believe that there are angels here on Earth. I believe she may be one of them.'

Ray Garay
COPYRIGHT 1997 Daily News
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1997, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Title Annotation:L.A. LIFE
Publication:Daily News (Los Angeles, CA)
Date:Sep 1, 1997
Words:1835
Previous Article:THE WEEK THAT WAS : RAISING THE BAR.(SPORTS)
Next Article:Q&A: IT'S NOT CHOLESTEROL, BUT IT CAN STILL CAUSE HEART DISEASE.(L.A. LIFE)



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