Tom Clancy, a posthumous message

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Tim Clansso

Member
Jan 25, 2015
14
40
73
Toulouse, France
Everyone remembers when TC passed away on the 1st of October 2013.

It has been a sad day for the Novellists and for his Readers worldwide.
As a fan since his first book, I had the luck to be able to exchange mail with him during ten years, and follow his professional life throught a forum, today closed.
In December 2006, Tom had his first heart attack, then very kindly posted the following message in the forum. I saved it for my archives. I believe it is worth being known, so voilà:

"Nothing particularly on topic--not that you guys ever let that stop you--but something that might be of passing interest to those who read my books.

I should probably be dead now. I have never written anything like that before, and in truth it feels melodramatic, since I never really felt all that bad. But five--or was it six?--Fridays ago, I felt a little punk. Took an a mile walk around NYC--a city I don't like very much--and came back to the hotel feeling a little tired. (Odd, I can usually walk all day long.) Woke up the next day, NY Times, breakfast, TV, another boring day kicked off. But my wife comes from NYC, and I go there to make her happy. So, another installment in the marriage contract.

Then something rather odd happened. I was sitting in the room, and the TV was on, probably to a news channel, and it started moving. Imagine sitting in the dead center of a movie theater, and the stuff on the screen starts moving left-to-right at high speed, like 20 RPM or so. Very strange. Stranger still, I didn't feel dizzy from it. I sat down to digest this phenomenon, and in due course, say about 90 seconds, it stopped. How very odd, I thought, then I forgot about it. But 20 minutes later it happened again, this time for maybe 30 seconds, and that made me think something was genuinely wrong. Maybe I should call my friend Terry, who fixed my eyes a few years ago. Good guy, good doc, now living in Florida. Shortly thereafter my wife called via her cell phone. She asked how I was doing and I replied that something odd had taken place, and I described it to her. Alex got excited. Inside of half an hour she was back in the hotel with me and planning a trip back to Baltimore. (She even thought about chartering a private ambulance, but common sense broke out, and though I settled on an SUV, I still think we would have been better off on the train, but my opinion as overruled.) Several hours later we left the hotel and drove down. Three to four hour trip that passed uneventfully. Every stop on the New Jersey turnpike I thought about getting some cigarettes, but for fear of Alex's reaction, I refrained. Ate Arthur Treacher's Fish & Chips, which I rather like, but it's a dead franchise operation. Pity. We made it to Baltimore, where we have a condo, and then Alex dragged me to the Johns Hopkins Hospital Emergency Room.

Alex had called ahead to a friend, named Curt. Curt is a pal, and something of a hero to me. Pediatric Oncologist. Crummy way to earn a living. Hell of a guy, brilliant physician/scientist. Superb doc. He was waiting when we showed up, and I was checked into the ER for a preliminary evaluation. The usual medical bullshit, answering the usual questions repeatedly to different physicians who nod, hem and haw a lot. Then they sent me off for various tests, the results of which were unremarkable as far as I could tell. So, I was checked into the hospital proper for observation. I was probably pretty dull to look at.

Next day the tests began in earnest. You bleed into test tubes (fortunately the troops at Hopkins who stick you are expert, and it doesn't hurt much) but the worst memory of this date was the MRI scan. You lay on your back and they slide you into a large plastic tube, about 4" from your nose while a machine looks into your body through physics I do not understand. (I'd later hear from a doc that his father-in-law, a Jewish chap, did this and called it the worst experience of his entire life. This guy was a concentration-camp survivor. He thought it worse than Bergen-Belsen. It wasn't pleasant, but no SS guys appeared to end my tenure on earth as "unworthy of life." What the hell. I have blue eyes.) No word ever on results. Toss in an echocardiogram. That was when things started getting iffy.

A couple of docs came into see me, one of whom I'll call Dr. B. Dr. B is an ordinary-looking chap, about two weeks younger than I am, I would later learn. He looks smart, but there are a lot of people like that at Hopkins. He told me that one of my coronary arteries was 100% blocked, and the rest of the important ones were 90% blocked. I found myself listening carefully to Dr. B. Those are scary numbers.

Now, by the way, back in July I had a stress test. I passed the son of a bitch. My smoking is largely a thing of the past. I take Lipitor, and my cholesterol numbers are, actually, pretty good. How was this possible? I wondered. On he other hand, there was no arguing with Dr. B. What to do? I asked. Well, Dr. B sits in the coronary surgery chair at the Johns Hopkins University School of Medicine, and he said he had to crack my chest open and fix the broken parts. Not much in the way of words to object to his proposal. Dr. B was clearly a man at the top of his game, and this guy has the gift of inspiring great confidence in his patients. (About the best thing a doc can do, when you think about it.) So, I agreed. I didn't even have to sign any release forms ("If he kills me, it's okay, and my estate won't sue the hospital..." that sort of thing). The crazy part was that I wasn't even very scared. Sure, I would have preferred to leave and have a drink and a smoke. but that wasn't an option.

Meanwhile, Dr. B had talked to my wife and told her that I was "a very sick man," but that "I think I can help him." Alex was having rather a stressful time, but when she next saw me I didn't catch any of that. So, I went to sleep.

You know, cigarettes are made for moments like this. They're good at steadying you down, but nobody offered me one. Pity, but about what you'd expect.

Next day. I met the gas-passers. Two of them, Dr. B's regular anesthesiologist, and a resident who's learning the business. I was scared of this. Why?

It happened down where I live. Some poor schlub was in the local hospital for major but routine surgery--gallbladder removal, I think--and the operation went as planned, except for one thing. the gas-passed knocked him out with Phenobarbital, paralyzed him with Pavulon and the surgeon started carving. But the Phenobarbital wore off, and the patient recovered consciousness in mid-procedure. Because of the Pavulon (a synthetic curare, a paralyzing agent) he couldn't scream or make any noise. He couldn't even go into shock, but the gas-passer neglected to hook up the nitrous oxide, and so he got to experience almost the entire procedure. They say he had a severe attitude problem in the recovery room. (Does Josef Mengele School of Medicine come to mind? Hell of an interrogation technique, when you think about it.) That possibility scared me, rather a lot, in fact. Irrational? Okay, I am not a Vulcan. But I slept that night, fairly well, I suppose.

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Tim Clansso

Member
Jan 25, 2015
14
40
73
Toulouse, France
(cont'd)

Next day they wheeled me into the OR. You lie there, looking up at people in green. masked so that you can't see their faces. No comforting smiles Body language: people at the office for a day's work.Next AM, it was time to go to work for the medical team, and my chest was the field of battle. The OR was totally nondescript a cluttered room with lots of lights and other stuff that you can't identify. I was on my back, looking up at the crew, not trying to be brave (I should have been terrified, but I was not, strangely enough, just curious). No score card to identify the players. They made me take off my wedding band, to which I objected, but they didn't listen to my objections. (It turns out that they were concerned that my fingers might swell from fluid retention, causing the finger to turn black and fall off, which would be a black mark in their copy books. And you can't have that.)About this time the gas-passer zapped me with some drug or other, and then world stopped.

They told me going in that I'd have no sense at all of the passage of time. Not even any dreams. Turns out they were right. But while I was out of the normal universe, the senior surgical resident used the big skin knife to slice my chest open, then to peel that back like the skin of some fruit, then he got an electric reciprocating saw (the sort where the blade goes up and down) and used that to slice through all of my left-side ribs, opening the surgical field for Dr. B's skilled hands. This is why I couldn't be a surgeon. The idea of carving some poor bastard up with a knife puts me into auto-droop mode. But for Dr.B it was like selecting his 5-Iron for a par-3 tee shot. Surgeons are not like the rest of us. At least they're not like me.

So, there I was asleep while Dr. B did the skilled work, allowing his resident to observe and ask questions, while he cut he was all the way inside, into the pericardium, exposing my heart. Yes, cynics, I really do have one. Even though I'm a Republican.

Oh, for those among you who wonder how someone with a 100% blockage of an important coronary artery could be alive, be advised that every damned day for five years I've been doing the treadmill under the tutelage of my trainer. The exercise caused the heart to develop"collaterals," which means little supplementary blood vessels that kept my heart working. Dr. B said he could see them on the echo-cardiogram,but not on visual inspection. Meanwhile, I was asleep, and the gas-passer remembered the nitrous oxide, Gott Sei Dank. So I was still in a parallel and quiet universe, oblivious of what to Dr. B. was just another day at the office. You know, society depends on people like Dr.B. in order to function. He's rather an important chap--that day he was damned important to me. But to him, it was akin to taking out the garbage, albeit requiring some greater skill in execution.

Some blood vessels were removed from my right leg to provide the substitutes for vessels needing replacement on my heart. The procedure took about four hours. What Dr. B makes per hour is probably fairly high, but I will pay cash for that, with a smile. Double, even. What the hell, I've given Hopkins a lot of money in the past.

I woke up of 0400 or so the next morning in what was probably the surgical recovery room. Without a doubt the worst moment of my entire life. I've had some bad ones, but not this bad. I figured I'd have to recover quite a bit before I was well enough to die. The insult of such surgery to the human body is noteworthy. I looked like an extra from"The Texas Chainsaw Massacre." Worst of all, I had a plastic umbrella rammed down my throat--far enough that I was certain it poked out my other end. In fact it was about 5" long. and had probably served as an airway for me to breathe during the procedure. I had a Foley Catheter rammed up my penis. Thank God that was inserted while I was unconscious. (I've had it done the other way, once, and it is not the least bit pleasant. If I ever meet Foley, I'm going to gut-shoot him with a .45 hog leg) So, I could urinate without thinking about it. I also had a bunch of chest tubes stuck into my chest, busily sucking out the thirty pounds of fluid my body had accumulated during the procedure. Dr. B would later tell me that I had a full liter of fluid in my right lung alone. I have no idea at all how that happened, but I was asleep the whole time.

(I did ask them to video the procedure. The Hopkins lawyers don't allow it. Too bad. Okay, I have a very perverse sense of curiosity. But it is my chest we're talking about here, y'know?)

After waking up, I worked hard to go back to sleep, and I largely succeeded. That day passed without much in the way of memory. I think Alex showed up, and probably kissed me and did the usual good-wife stuff. (Let it be said here that she is a superb, brilliant wife. "Luxmea mundi" doesn't begin to state my feelings for her. I love her. All the way. Her concern for my initial symptoms probably had the net effect of saving my life. She's a good girl.) Every so often I'd semi-wake up and look at the wall clock, then fade back out. There was nothing to be gained by waking up all the way. So, I rejected what had become a very adverse world. Somewhere along the way they yanked out my breathing tube and one of the chest tubes. And the Foley Catheter, I think. I may have been semiconscious for some of this, but no memories resulted. The Hopkins troops treated me quite well. Good troops, everyone of them.

(Oh, Alex photographed me. Sure enough, I look as though I'd have to improve in order to die. I have no memory of the flashes involved, and on most of the prints I look unconscious. They are, in their way,darkly funny. But it's hard for me to laugh at them.)

Soon thereafter I was wheeled into Nelson (Building) Room 677A to continue my recovery. It had a window. (The wake-up room didn't, and I remember it as being gray-dark. I woke up cold, covered by a blanket and something that looked and felt like egg cartons, made of cardboard(???), but I was too whacked out to care very much. I was now in a motorized bed (up/down, but no sideways) and I could see what approximated a real world outside. (East Baltimore is not YellowstoneNational Park, but I grew up about a mile east of Hopkins, and I recognized a few landmarks from the distant past, including the playground which I visited only once in my life, at age 4 or so. Only went there once, but I never forgot it.

Being in 677A was not exactly pleasant. Two chest tubes sucking fluid out of me, into a pair of boxes, though the other one and the Foley were long gone. That limited my mobility rather badly. the head, only a few feet away, might as well have been in Philadelphia. To urinate I had a plastic container with an ill-fitting top, using which was a little inconvenient, all the more so as I had to empty my bladder fairly often. I was tempted to piss on the floor. The TV had a half-assed cable selection. Discovery Channel was the most interesting,but repetitive.

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Tim Clansso

Member
Jan 25, 2015
14
40
73
Toulouse, France
(cont'd)

The food. You don't check into a hospital for the quality of the cuisine. People came in and out, including Dr. B, whom I asked about getting the hell out of there. He evaded the question with skill. It would end up about a week. He also said I was recovering very well,better than expected. (I've always been a fast healer, and this time it mattered rather a lot.) Dr. B, in addition to being a superior chest-cutter, is a man of considerable charm to whom his patients are not mere pieces of meat. Such cutters are reputed to be arrogant fighter-jock types. Not Dr. B, who's a decent, honorable gentleman in all respects. Suffice it to say that I owe him a beer. I owe him a beer at the Yeomen Warders' Club at Her Majesty's Royal Palace and Fortress,the Tower of London, of which I am an honorary member, and is the best place in all the world to have a pint of beer, especially if it's John Smith beer. And unlimited access to Box 31 at Camden Yards. Turns out that Dr. Bill is also a mediocre golfer, and when I build my house at The Greenbrier, he'll be our first house guest. A princely gentleman in all respects.

He does not approve of smoking. That's putting it mildly, though he largely depends on smoking for his livelihood. He even told me that my heart, which he held in his hands (scary thought, that!) had cigarette burns on it. Bullshit, but cleverly stated bullshit. He's also a very charming chap, Dr. Bill. But he never quite explained to my satisfaction how the hell I passed my stress test in July. False sense of security. When he told me that a major coronary artery was 100% blocked, well, it came as a very adverse surprise. You can't trust a stress test? What the hell, over? On the other hand, my treadmill work,he said, undoubtedly saved my life through creating all of those peripheral blood vessels. I suppose I remain lucky or something.

Anyway, eventually I was allowed to leave the hospital and drive to my Baltimore condo. You are sent out in a wheelchair, lest an observer think you are cured. I'd done the walk up & down the corridor at Nelson enough to be certain that I could handle the four-minute basketball court, and I was ready to pull a gun on the Hopkins staff. But it needs to be said that they are real professionals in all respects. They took exemplary care of me. I tried to be a good patient, undemanding as much as possible.

The food. I was getting food from Marberg, which is supposed to be better than average at Hopkins. If so, average" isn't quite as good as,say, McDonalds. But I survived. I went into Hopkins weighing about 163lbs. (Came out of surgery at 191, which means they flooded me with fluids, for the chest tubes to suck out.) I came out at 152 or so,looking rather like an Auschwitz survivor, with an impressive scar down the middle of my chest. Inside my chest is held together by stainless-steel wire. The skin is largely glued together. Super Glue, I suppose. Initially when I coughed it felt like the end of the world.So, I tried to avoid coughing as much as possible. Chest remains rather sore today (11-22-06) but not too bad. A couple of Tylenol before bed makes it go away.

in the hospital I begged for some Chardonnay. Dr. B eventually okayed it, but the wine they got me (it said "Meridian" on the label) was not exactly what I am accustomed to. (Stump water, as they say in Mississippi.) What the hell, I slept fairly well in Nelson 677A.

In the back of my wife's car--she likes he BMW and says it's better than my Mercedes Benz S-600 V-12. It isn't, not even close. I was still alive, and on the way to my own bed.

I was under orders not to drive a car and to sit in the back, lest the airbag open my chest incision, and give me a traumatically induced case of dextra cardia. Would probably make the responding cops faint deadway. I wouldn't like it much either, but I also wear my seatbelt. Three days after that we drove home to southern Maryland. We have a large house, but a couple of years ago, we installed an elevator. (When my wife packs to go somewhere, she packs everything, and this is useful for getting the baggage up and down.) Stairs were rather frightening things for me to contemplate, and the elevator came in handy.

Well, I still have a book to finish. My new editor didn't entirely like the submission draft of Dead or Alive, but I think I know the fixes needed.

Looking back, I am probably rather lucky to be able to draft this document. I was very sick, albeit without knowing it. My heart could have stopped at any moment, and that would end my career, and also prevent me from being daddy to my newest kid, now age 2.5, which is rather important to me.

So, now I get to do it. She graduates from high school about the time I contemplate turning 80. Scary thought, that.

I cannot end this without indulging in further praise for Alexandra Maria, my wife. Her instincts were instrumental in getting me into the Hopkins ER. She was, therefore, instrumental in keeping my ass alive.My wife is very pretty to behold, but more importantly than that she has a golden heart. As unpleasant as this adventure was for me, it wasn't much fun for her, either. While I was unconscious in the table with my chest cracked open, Alex was in a waiting room waiting, which must have been hell, while being told every hour or so that things were going well. (Dr. B, gentleman that he is, was pretty good at keeping people informed, so I am told. I guess he understands that another day at the office for him is end-of-the-world to the rest of the people involved.) Anyway, now she's turning into Nurse Ratchet, but I have no reason to complain. As awful as my wake-up was, it wasn't carved in stone anywhere that I had to wake up at all.

Everybody says I'm doing very well indeed. Had a post-op meeting with Dr. B. and he proclaims me on the way to recovery. It will take another 4-6 weeks before I'm fully back to battery. My physical energy isn't too bad. The mental sort comes a little harder, but I do have a book to finish. We'll see.

We're spending Thanksgiving on Martha's Vineyard, a new family tradition. Then back home to continue the recovery process. I am now allowed to drive a car. Can't pick my daughter up yet (okay, I've cheated a little on that), but I'm getting better. The process isn't fast enough. I wish you could fast-forward through this sort of thing,but reality doesn't permit it. Pity. Reality, however, could just as easily have killed me in New York City. It would have come as a considerable surprise, but I've lost some good friends to something like that. I am not immune, though I remain lucky. And luck counts.George Armstrong Custer was also lucky until one last day in Montana Territory. So, you don't depend on luck, though you don't drop it when it lands in your hand.

I'm not smoking anymore. Pity. I miss that. I might sneak one or two in the coming months, but no more than that. Pity. I'll miss the habit.Dr. B, however, was very positive on that.

What the hell, I've made a new friend. Dr. B is a really fine chap. His professional skill is, shall we say, noteworthy, and he's an easy chap to talk to. I've met worse men than he. None better, however.

And I still have a book to finish.

So, that's it for now, guys.

TC

AFTERWARD. 12-13-06

I am now two months post-op, and I am recovering nicely. Just got back from TOYS 'R US in preparation for my newest daughter's secondChristmas. I do good Christmas, and she's a cute little beast. So, now I get to watch her grow up. She's #5 for me. It really does get better with age.

You'll be seeing me here in a few weeks to dodge the bullets and spears. Have to learn a new software system. This is traumatic for Macdrivers, but I can probably figure it out. Until then, you guys know my e-mail address on AOL."

TC
 
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Dana Jean

Dirty Pirate Hooker, The Return
Moderator
Apr 11, 2006
53,634
236,697
The High Seas
(sorry, something strange occurred and a few spaces are missing here and there between words. This is *my* fault, not Tom's)

Seven years.
In the second and third installment, I added spaces between words that oozed together. I will go back and fix first installment when I get through my other duties. Actually, first installment looks good. I think it was the other two that had issues. It's looking clean on my end.
 

Tim Clansso

Member
Jan 25, 2015
14
40
73
Toulouse, France
Merci Dana.
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