After receiving a dose of a valium-like drug that would have rendered the average person totally unconscious, Job was still talking to us as we wheeled his bed toward the O.R., but he was also calm. I placed monitors on him and gave him oxygen, talking to him as gently as I could about what I was doing at every step. I injected the anesthetic into his IV and watched as his eyelids fluttered closed and remained motionless when I brushed my fingertips against his eyelashes. I placed the breathing tube, put a warming blanket on him, relaxed his abdominal muscles, measured his temperature, and gave him anti-nausea medication as well as a large dose of long-acting narcotic to blunt his response to painful stimuli. Throughout the surgery I watched over his ventilation, heart rate, heart rhythm, and blood pressure, made sure he was receiving what I thought was the right amount of fluid, checked his urine output, made sure his abdomen stayed relaxed enough to allow Caroline to do what she needed to do, and gave more pain and anti-nausea medicine.