(In memory of Frank Paino, MD)

Now you have no voice
          beyond the respirator’s
double-noted dirge.
          Here, where a knife
of summer light shears
          a white wound
across bleached bedsheets,
          the bright hosannas
of those you healed
          draw back like tide
before a killing wave,
          and I see a man
who’s powerless to grant
          himself that same
deft clemency.
          Still, you raise yourself
from the railed bed’s pillow
          to scrawl the seven
syllables of your breathless
          conclusion:
the first word round as a spoon-
          ful of wild honey,
the next almost Edenic.
          No way to make them
mean you’ll get out of this
          alive.