In this little poem the narrator gives the reader permission to observe an appeal to a higher order for help in deciding how best to care for a ventilator-dependent patient. The narrator seems to be addressing Emma's creator to hear his concerns.
Emma now "lives as a swollen eggplant on its stem" although she was formerly strong and healthy. The poet develops the theme of organicity as the narrator makes his final case for guidance: "I must tend the leaf as best I can / and, anticipating other seasons, / turn the soil."