It’s the kind of thing

      you might not notice

            when the music plays

 

and hands at the piano

      release Beethoven from the page,

            one note after another

 

in the slow movement

      of Pathétique.

            I’m thinking

 

about the very first time

      I heard it on the radio, how

            Karl Haas adopted it

 

as his motto theme on NPR.

      And everywhere it makes

            me stop and listen

 

to something new

      and something heard before.

            But now

 

it’s not a sonata anymore;

      it’s turned concerto

            with bleeping monitors,

 

quick ventilator strokes,

      and distant conversations

            about trivialities

 

as the ICU attending gazes left

      and I, the neurologist, to the right,

            past the awkward incongruity

 

that hovers over the bed and

      stalks students and residents in the corners.

            And nurses chart the vital signs

 

or fix the lines

      or move about with

            squeaky shoes on the shiny floor

 

while the tape the parents made

      for their brain dead baby

            plays it over and over and over again

 

like Beethoven must have done

      when he first heard it in his head,

            first felt it … in his heart