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M. A. Istvan Jr.'s avatar

“Surgilube” is a morally fraught, ethically destabilizing poem that situates itself at the volatile intersection of caregiving, erotic charge, institutional bureaucracy, and human dignity. The title itself—clinical, antiseptic, associated with lubrication in medical settings—signals the poem’s refusal to draw clean boundaries between the bodily and the bureaucratic, the compassionate and the taboo. What unfolds is not pornography but a disquieting meditation on embodied care in spaces where bodies are otherwise reduced to metrics, billing codes, and compliance protocols.

The opening movement presents scenes of manual relief administered by nurses to bedridden men—some elderly and unvisited, others immobilized and cast-bound. The language oscillates between mechanical rhythm (“two high one full, two high one full”) and sensual grotesquerie (“gooey macaroni,” “glop glop glop”), refusing the reader a stable interpretive footing. Is this tenderness? Is it degradation? Is it mercy? The poem insists it is all three at once. The caregivers are described as “matronly yet militant,” their touch “clinical, but only where it counts: in resolve.” That distinction is crucial. The clinical dimension lies not in emotional detachment but in the firmness of purpose—the refusal to allow bureaucratic fear to erase bodily need.

These nurses are framed not as transgressors but as overworked “angels in scrubs,” administering what the poem calls “farmer clemency” to the marooned. The agricultural metaphor suggests practical mercy—earthy, unpretentious, necessary. The relief offered is not sentimentalized; it is messy, uncomfortable, and edged with violence. Yet the poem insists that it is fundamentally humane. The act becomes a form of recognition: these men are “ensouled people (more to them than mere billing codes).” The inclusion of a daughter’s line—“Dad never looked so happy in his life!”—sharpens the ethical paradox. The poem suggests that denying such relief in the name of propriety might constitute a deeper cruelty than permitting it.

The second half of the poem shifts into institutional critique. Here, the explicit bodily scenes give way to a devastating satire of compliance culture. The target is not modesty but bureaucratic sterilization. A cascade of examples—time-limited sponge baths, anti-anxiety beige walls, forbidden endearments, open-door mandates, script-bound discourse—illustrates how contemporary institutions often mistake risk management for morality. The prohibition of warmth (“honey,” “sweetheart,” “darlin”) is placed alongside euphemistic speech codes (“unalived”), suggesting that linguistic sanitization parallels emotional cauterization.

The poem’s argument is not that all boundaries are oppressive but that the overcorrection toward liability avoidance can extinguish precisely what makes caregiving human. The demand for two caretakers to be present at all times “to prevent breaches” becomes emblematic of a culture terrified of intimacy. Even holding a trembling hand risks disciplinary notice. In this context, the earlier scenes of manual relief function as an extreme case study: an act that is simultaneously tender and dangerous, compassionate and scandalous, and yet arguably more respectful of personhood than the bloodless safety protocols that follow.

“Surgilube” therefore operates as both provocation and lament. It asks whether true respect can survive systems obsessed with documentation and defensibility. It interrogates the meaning of consent, dignity, and care in institutional settings where the safest action is often inaction. The poem’s tonal volatility—swinging between grotesque humor, reverence, and biting satire—mirrors the ethical instability of the terrain it maps. Ultimately, it suggests that humanity is not preserved by eliminating risk, but by navigating it with courage and discernment. The “bridge” between tenderness and taboo is precarious, but the poem implies that abandoning it altogether leaves us with something far colder than scandal: bureaucratic sterility masquerading as virtue.

care ethics, medical humanities, institutional critique, bureaucracy, dignity, bodily autonomy, nursing labor, compliance culture, satire, taboo and tenderness, consent discourse, risk management, dehumanization, medical intimacy, poetic provocation

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