Archive for January, 2009

Setting Other Things In Motion

I had mentioned the wheelchair I would need to order.  Not knowing how I would go about it via the VA…and since I had assumed (wrongly, of course) that in awarding him compensation for my husband’s disability would  be what I’d use to purchase any and all equipment for him, I sought advice from the centre with regards to fitting him for a suitable wheelchair for which we paid.  When I had the appointment with a counsellor from the VA who explained much to me then left the VA Handbook…which went on to explain a great deal more.  He explained the award and other benefits to which Fred would be entitled.  I asked about a bathroom addition…he asked why stop there.  I could have a room with bathroom suite added on for which the VA would pay;  transportation…I could, if I wished, look into getting a van and having it adapted for transporting Fred in his wheelchair.  Almost anything he required or would assist in his care could be applied for though not necessarily granted.  He also made it clear that any application had to be for my husband’s needs or use and this also, stringently, applied to how the pension they awarded him was to be spent.  This “is not for you…it’s for him”.  Additionally, every year an accounting of every penny spent must be submitted to the VA.  That would make two…the court required a total accounting of everything coming into the household in Fred’s name.  With me not working that was everything…insurance, social security and the VA pension.  I’m a fairly literal person in many ways…that and always needing to make sure all the I’s are dotted and t’s crossed…so I did have to ask “What if the roof needs fixed, redecorating is needed, the carpeting needs replacing?”  Might sound a bit redundant but I truly was very aware and wary of doing something wrong, that would cause any of those entitities to halt their financial obligations or, worse, remove Fred from our home.  It was made clear that all of those things were still considered to be for my husband’s well-being, needs and comfort so…no problem.  But I can tell you that each of the following four years’ accounting, I was meticulous to the penny and my own expenditures (I discovered that a total of $400 a month of his pension was for my own personal purpose) amounted to what I would spend on clothing, personal hygiene, the odd magazine or book, my own life insurance, dogs needs and occasional CD and food…my food since Fred did not eat.   And not that I needed to, but I sweated bullets every one of those years.  I did my own accounting and incoming/outgoing matched to the last cent.

So…we had ordered the wheelchair, now we just waited.  Meantime, “a day in the life…”, which would be most days.  I’d be up at six to have my coffee and a few minutes before getting into the day.  Fred actually slept very well, despite being disturbed every two hours so I would leave him sleep until eight.  Shaving came first.  I had to laugh…it paid off me, as a child, enjoying watching my Dad shave…making a clean, rasping swathe through the white foam.  The first day I shaved Fred I was afraid he’d have a heart attack when he saw me approach with the razor and his eyes popped.  Initially, he rebelled the only way he could…rolled his head from side to side as if saying no.  But I knew, while he’d grown a beard twice in his life, he didn’t like them so I just told him that would be his future.  Didn’t know if it would mean anything to him, now, but I had to try.  Finally, he stopped fighting me and success ruled…clean shaven, no nicks!  Next came the bed-bath.  One thing…I did get some walking done, going from one side of the bed to the other.  While on his back, I’d lather and rinse his front, head to toe, then I’d place a pillow on his left side, back around to his right side so I could roll him up over to the left.  Bathe the right side of his back, head to toe and repeat this maneuvre on his left side.  Dressing him required the same maneuvres and though I did attempt to get him into regular slacks and shirts I soon found why sweats were recommended.  The pants easier to pull up.  While he was on his back, I could get the pants up to mid-thigh with only one trip either side of the bed.  From there it took three each side just to make sure they were up to the waist, not bunched, no seams in the wrong place.   He had fairly good range of motion but not being able to help twist or bend elbows or arms, getting a regular shirt on was a struggle.  The sweat shirt went over his head, arms up and through each sleeve, quick roll in either direction and we were good to go.  Probably should mention that “quick roll in either direction” didn’t happen the first day…or the first week.  It took practice…and patience, the latter with myself!  Before the last…socks and shoes….we did range of motion exercises.  And THEN…he seemed closer to the bottom of the bed than the top so needed to pull him up.  First time I tried just as I had in the rehab centre but it went no better this time than last.  Behind Fred’s bed was the family room window, in front of which was a wall-wall window seat…so I stood on it…only to find I had to bend too far forward and slipped off the window seat.  Only one thing for it…I laid the bed flat for a few seconds (hopefully!) climbed on the bed and straddled his head, squatted with palms under his arms, gripped and pulled.  It worked!!  So well…that first time…that his head hit the headboard.  For that I flagellated the hair shirt I wore the rest of the day.  Never mind…I wouldn’t make that mistake again and at we had conquered a major problem.

That done, brush his hair, tried to brush his teeth…little success there but we’d keep trying.  Time to ‘eat’.  Clean and check the PEG, feeding tube, fill with his liquid nutrition and set the pump in motion…a very, very slow drip.  Check his BP and temp…give him meds.  He had thirteen he was taking…for seizure control, BP, three different meds to stimulate the brain, reflux.  They were pulverized to be mixed with water then syringed into the PEG access.  They had said it didn’t matter if he had his meds before or during the tube feeding so I opted to let the PEG do it’s job for about an hour, detach the feeding the tube then squirt his meds through the valve input.  I’m not sure if it made any difference, I just felt that he…like the rest of us…would absorb the meds better when not on an empty stomach.  Fred’s person taken care of, time to get him up in the lift-recliner.  It was a little nerve-wracking the first few times, knowing he was connected to the feeding tube.  How would I know whether it pulled, pinched, if it happened to tangle even the slightest bit, did he feel it and did it hurt?  All I could do was try to watch his face, expression…but not easy to do with my face buried into his shoulder while tranferring him.  I learned very quickly that there were some things I just could not fret about…if I needed to keep him to the routine to which he may have become accustomed, we’d just have to work through whatever problems that incurred.  He’d be as comfortable as possible in his chair by 10am.  Two hours, now, to take care of household chores before changing his position, putting on his splints, more meds.  Strip the bed and gather up the linens, his hospital gown…I’d considered pj’s but the hospital gowns were really the most practical and the most comfortable for him, I thought.  Laundry started, dogs out in the yard, vaccuuming/dusting done, floors swept and mopped and, all the while, keeping up a running commentary, stereo or tv on to fill in any possible ‘gaps’.

Noon…all change!  Fred up and back to bed, shoes off, hand and foot splints on, meds given and tucked in for a nap.  The tv channel already tuned to “Days of Our Lives”!  Kim had charged me to promise I’d make sure he saw it every day…heaven help us!  LOL!  At that point I could go get my shower and have lunch.  Not then or for many months, could I bring myself to eat in front of Fred.  I had tried to, I felt like he looked at me, wondering why I wouldn’t share but when I did, he wouldn’t swallow and I’d have to go in his mouth to hook out what he had pocketed away in his cheeks and a couple of times he’d bitten down, almost getting my finger.  After lunch, play time with the dogs in the yard, while Fred slept. 2pm, time to turn him on his side for a while and at 4pm, turn him on his other side.  6pm…check the feeding tube, meds, shoes on to get him up in the chair until around 8pm when he would be back in bed for the night.  Depends would be changed throughout the day, every two hours.  Once Fred was back up in the chair I would see to my dinner, paperwork, bill paying etc. until time to get him back to bed…another bed bath, head to toe, fresh gown and made comfortable.  I’d sit by his bed until 10pm when I would pull down the sofa bed and watch tv until either I fell asleep or need to adjust his position in two hours, at midnight…whichever came first.  Throughout the night I would be up every two hours.  This all worked for a while but eventually…actually, sooner rather than later, I’d change it as I went along, making things easier both for Fred and myself.

The CNA coming from the agency was to be there Monday afternoons, from 1-3pm.  His name was John, around the same age as ourselves and, I soon learned, a great guy.  I’d specifically asked for a male nurse…mostly because I figured he could talk to Fred, sort of male companionship for a couple of hours which might be good for him.  During the two hours John would be there, I could go take care of shopping, banking etc.  His first day with us I learned he was retired military…Army…so there was something of a common bond.  There was nothing for him to actually do except ‘watch’ Fred, be there should the pump or the PEG act up, a safety measure while I ran errands which I could not…would not…do, leaving Fred by himself.  And I have to admit, even knowing this was necessary it was as hard…if not harder…leaving someone else in charge of Fred than it was the first time we left our infant daughter with a sitter.  The responsibility for Fred’s welfare and life did lie heavily and not then, not ever, did I want anything to happen to him on someone else’s watch for I, first of all, didn’t want them feeling badly and I didn’t know how I would deal with the guilt I knew I’d feel.  After a couple of weeks of John being there, he suggested I leave Fred’s personal care until he came in…felt he wasn’t ‘doing enough’.  But he also was trying to caution me not to feel I needed to do everything by myself.  It was early days…I hadn’t learned to be able to let go, just a little bit.  I didn’t know if I ever could.

Published in:body-mind-spirit, inspiration, life, Uncategorized |on January 15th, 2009 |3 Comments »


The day was drawing near and much to be done.  Fred would ‘berthed’ in the family room where we already had the tv and fireplace.  The previous owner of the house had added it next to the living/dining room so, from there he would be able to see through the doorway to dining area and kitchen…all I had to do was widen a door and get one of the kitchen walls removed.  While I was at it, the back wall of the dining area had a window which could come out and a slider put in, leading to a deck I’d have built.  The good ol’ ‘snowball effect’.  All I had to do was decide the starting point and find a contractor.  I chose getting the slider in, first.  It didn’t take too long and as the guy was finishing up with the slider he asked me what I was going to do next…did I plan to have a deck built?  I looked outside at the 2′ drop from the new dining room slider to the back yard…”Actually..I’m thinking bungee jump…”  Did I plan a deck…sheesh!  A contractor came to remove part of the dining area/kitchen wall and build a breakfast bar as both divider and replacement for the dining table and chairs, now long gone.  Of course that meant new flooring throughout living/dining/kitchen, painting of all this area and then I realised the doorway to the family room needed to be widened, not just  to accommodate a wheelchair but offer a better vantage point and view for Fred to see what was going on ‘next door’ as I (and the dogs) was going about the daily business of chores and care.  The deck was built, complete with ramps and, for now, everything that immediately had come to mind was done.  At some point I wanted to have a second bathroom added on to the family room for his comfort and convenience.  Since his ‘awakening’ he’d been accustomed to his nightly shower…infinitely preferable to a bed bath…but there was no way of continuing this at the moment.  Then I remembered I needed to have the front door widened and a ramp installed from there to the driveway.  I knew I’d never be able to get Fred into our car but at least would then be able to take him outside for walks.  For his 21st. birthday, my sister arranged for her son…my favoured nephew…to fly out and see his beloved uncle.  Since his Dad had left them when he was seven, Fred had pretty much taken over the role of Dad, they were very close and my nephew idolised him.  He was coming to help me get Fred home and settled.  He arrived a few days before Fred’s discharge and, of course, I was still making trips up to PA to see him and finalize arrangements so we took that last journey up there two days before Fred was to come home.  The hospital bed was delivered and ready, as was the feeding pump and stand.  All necessary supplies had been bought.  We were ready!

July 31st. 1992, Fred came home after his almost ten months absence.  It must have been somewhat confusing for him..he didn’t seen to recognise where he was and, into the bargain, he had again not travelled well but been very sick on the long journey home.  This was it…jump into the fray and get him cleaned and freshened up before getting him in bed and it hit me…we were on our own!  I didn’t know how we would do it but do it we would and, hopefully, without any break or change to what had been his routine for  the last eight months.  Except there was one thing I had not thought of and no-one mentioned…a wheelchair.  I didn’t have one nor did I know how or where I was supposed to acquire one.  We had talked about it at the centre and I think I assumed that they would have taken care of that…CHAMPUS would have…and it was just a matter of waiting for delivery.  Meantime, intent on keeping his routine as close to what he had been accustomed, I went out next day to rent one from a medical supply house while my nephew stayed with Fred.  Didn’t take long to learn a rented wheelchair just would not do!  A regular wheelchair would not do…he would need one built specific to his needs, height etc.  I brought the chair home and next morning we would get him up, as usual.  It seemed logical to me that I would sleep in the family room.  This room was 28′ long, front to back, 12′ wide…doorway into the body of the house and directly opposite this doorway was one going out to the screened porch where our ’67 Fairlane was stored.  (I only mention this since it would seem much easier had I put a slider out to the porch instead of having to have a deck built out back and ramp out front but there was nowhere else to put the darn car).  But the room was basically in two sections, ‘divided’ by both doorways.  I had Fred’s bed and equipment in the top half, facing the opposite end where tv and fireplace were.  In that half were our recliners, sofa bed, grouped around tv and fire.  Sleeping there I would be aware of anything and everything, 24/7.  I was confidant!  Actually, at that point it was more bravado than confidence and while I know I never would have changed my mind on bringing Fred home it did cross my mind it was insanity.  Here we go…

I didn’t sleep at all the first couple of nights, always getting up to check the feeding pump, his breathing, despite the fact that I would be up every two hours, anyway, to change his positions.  Mornings, I’d be up to grab a cup of coffee before getting started then do his bed bath, shave him, get him dressed and get him up into the chair (we didn’t have!).  Having brought a rental chair home, the following morning I did get him up and into it.  This was not going to work…the seat was a sling-type and he needed much more support than it provided so he slumped.  I was grateful for my nephew being there for, together, we managed to get a pillow under Fred.  Didn’t help much but was the best we could do.  There was also no neck or head support so, more cushions and pillows.  No question I couldn’t keep him in this wheelchair for very long and also that once my nephew had returned home, I could not even come up with any possible to even get him in this particular chair with a modicum of comfort and safety.  But for now, and with my boy’s help, we could wheel him into the main part of the house, show him around.  He seemed happy at seeing the dogs, didn’t show much recognition of his surroundings and he certainly seemed to very taken with our nephew, almost as though he remembered him.  And then came the first hiccup…bordering on panic.

The weather was very overcast that day, tv was on and late in the afternoon a tornado watch was announced.  Tornado??  I hadn’t even thought of such a thing…surprising, since the very idea of tornadoes scares the hell out of me at best!  These watches and warnings always made me nervous…nowhere to run, nowhere to hide, least of all in a rancher with no basement, no safe place.  Not that that would have helped.  What to do and where to take a man as helpless to help as Fred was?  And I couldn’t just run off screaming, leaving him in a bed!  Then I had my nephew and his, then, fiancee.  I instructed them that if it looked like the weather was worsening and a tornado imminent, they had to run for the bathroom in the hallway.  It was between it and a little hallway behind it, at the back of the house which housed our laundry area and seemed the safest place for them to take cover.  He argued, wondering what I would do, what could we do with Uncle Fred.  The only thing I could come up with was “we just have to take our chances”.  Hopefully this watch would pass soon and then I really would need to think about this.  Fortunately it did.

In the few days my nephew had left with us, it gave me a chance to get out for anything and everything Fred and I would need, stock up…to call around the various home nursing services to arrange for someone to come in on occasion, allowing me to take care of banking, shopping, things that were necessary to the running of a household and providing for Fred’s needs.  The VA had come through with a disability pension for him which was a boon in helping to provide those needs but I also had some appointments with them to have everything explained to me.  For that they would come to the house.  I was still in contact with the centre for final paperwork, they checked to see how Fred was settling etc. and I asked about the wheelchair.  Which is when I found out that this was not their responsibility or CHAMPUS’s.  Now it was the VA’s and I had to file a request for someone to come measure and fit Fred to one appropriate for his condition.   As it happened, once I did it took a couple of weeks to get the home visits, measurements, and a number of weeks before his wheelchair would be ready.  My nephew and his fiancee returned home and now time to settle into a way of doing things which would become the pattern.  The rental wheelchair had been returned after that first weekend…it served no purpose…but somehow I still had to find a way to get Fred up out of bed, at least a couple of times every day.

Brilliant!  I would move his big recliner across the room next to his bed!  I knew how to get him out of bed, could swing him around and into his chair and, voila!  Yaaayyy!  It was the next Sunday…a week after Fred came home.  Bathed, shaved, dressed, shod..sitting up in bed watching as I shoved this huge chair over, got it positioned and we were ready.   Got him upright, feet on the floor, up, up and away, swung him round and lowered him into his chair.  Tah-dah!  Made it!  Positioned a couple of pillows on either side of him to help prevent serious slumping to either side and a light throw over his legs.  Being a recliner, I could at least change the leg position every half hour, too.  I was actually quite proud of our accomplishment…but, you know what they say.  Pride cometh before a fall!  Two hours later, time to get him back in bed for his rest period.  This was necessary for, as much as he needed to be up in a chair fatigue would become very obvious, particularly since a recliner wasn’t ideal for him though better than nothing, I thought.    Okay…stood in front of him, his right leg between my two and arms under his shoulders, lift.  Lift!  LIFT!!!  Nothing…I wasn’t lifting.  Heave!  Nope.  I could not get him off the seat so much as an inch.  And I couldn’t understand why.  Tried a few more times…no.  Stepped back and surveyed the situation.  It seemed to me it was because the seat of the recliner was slightly raised to the front, dipping back a little at the rear and I knew then I was not going to get this man out of that chair without help.  Called Tom, the neighbour.  I did hesitate for a few minutes.  It was my decision, my choice to bring Fred home..knowing then, as now, I had to be able to do everything, every little thing for him without help, without needing or having to depend on calling a friend or neighbour.  Paying for a nursing assistant was one thing but asking others to help me could not come into the equation.  This was my first emergency.  But no-one was home next-door.  Among the neighbours we had come to know, nearly all were elderly and the others I didn’t feel we knew well enough to impose.  Off to the linen cupboard.  I’d get a sheet, wrap around Fred from back to front and under his shoulders, wrap each end around my hands, pull up up and outward.  I explained all that I was going to do…he looked at me wide-eyed, a bit disconcerted.  Didn’t take but one attempt to know I didn’t have the height to do this…even if I could raise his butt from the seat there was a vision of the 1’+ difference in our heights (combined with his dead weight) sailing over my head and toppling us both.  I even considered…and discussed with him…the possibility of lifting his legs up onto and across the bed, pulling and pushing the rest of his body over from chair to mattress then turning him lengthwise.  At least he laughed!  But the chair was lower than the bed so this was a no-go.  I’d left a message on Tom’s answering machine for him to call when they came home and he did, about two hours later.  By then I was almost in tears…frustration, feeling useless but mostly seeing that poor Fred was exhausted, obviously uncomforable having been in this chair for much too long.  At that moment I felt I had done everything wrong.  Tom came over, I told him what I thought he needed to do, I did my part and with a little bit of struggle did finally get Fred in bed…at which point I vowed to myself that, despite what I knew needed to be done, he was not going to be getting out of that bed until either his wheelchair arrived or I could come up with a better temporary measure.  I opted for the latter.  All evening the mental wheels were spinning on what I could do about the recliner to make it so getting Fred in and out was manageable for me.

Eureka!  The very thing!  I’d get him a lift-recliner.  Not only did I believe I could use it to get him out of bed, for now, but later we could use it just for him to sit in, a change from the wheelchair (once we had one) and give him some sense of normalcy.  By first thing next morning I had the phone number of a dealer, called them at 8am.  They had one in stock, asked what colour…I didn’t care, could be purple with lime green polka-dots…how soon could they deliver?  Next day!  When it arrived, I’d already given the other recliner away to fit in with my plans.  The lift-recliner was positioned by Fred’s bed and I did try it out before the delivery men left.  Wasn’t perfect but it worked…I could get Fred into the chair no problem and to get him out, just raise the seat up a little to where he was halfway upright and then, to bed.  At the same time, once he was in the chair, I could get behind it and push chair…and Fred…across the room to the sitting area where he could be in his chair to watch tv with no hospital bed, other medical apparatus in view.  We would do this for about three months…until his wheelchair was delivered.   Next??

Published in:body-mind-spirit, humour, inspiration, life, Uncategorized |on January 15th, 2009 |1 Comment »

Dog Days

As the weather improved, moving into Spring, I decided it might be time to bring the dogs for a visit…see what, if any, response that would elicit. Of course I first asked permission and it was readily given. I’d stayed at the Red Roof Inn a few miles down the road from the centre..sometimes, with whatever was going on, I’d feel a need to stay an extra day and/or didn’t want to cut into my ten days a month free lodging in the townhouses. It was the nearest motel, clean, I’d come to know the staff there and they were always most accomodating so I enquired about bringing the dogs for one night. They said that wouldn’t be a problem. Hopefully, it wouldn’t be for me, either! I’d taken them to the vet…a few miles down the road from home; the kennel, but very, very rarely and, again, just a few miles from home. A 5-6hr. trip would be an adventure, to say the least! I wasn’t sure I’d even want to make that journey with children! I left later that day, food, water and dishes all packed. I would only stay one night as two days with them out of their usual environment and routine might be difficult for us all. When we arrived, I went to the centre first, leaving the dogs in the car. Visited with Fred for about an hour, checking on the pups periodically…they were just fine, snoozing on the back seat…but I wanted to get to the hotel, checked in and give them their last run of the evening then settled for the night. Tomorrow was the big day…I was anxious and curious to see how they would react when seeing “Dad”. Around ten I went to get Fred and bring him to the foyer where he would see the dogs. Carol was a great help, staying with him while I went out to bring them in…she was always helpful that way but she also was anxious to see the dogs I talked about so often! When I brought them in and walked them to Fred’s wheelchair he looked at them for a few minutes, no reaction…then suddenly he began to laugh and cry, simultaneously and tried very hard to open his right hand resting on the wheelchair arm, as if to invite “Come!” The dogs were curious…sniffing around the chair, his shod feet, but it wasn’t clear whether or not they remembered Fred. And I asked Fred if he knew who they were. He mouthed “Dogs…” but there didn’t seem to be recognition. HIs response so far was of one who just loved animals, I thought…something he would probably do with any other dog or cat, any time. I lifted our little female, Scruff, onto his lap and suddenly she went wild…licking his face, hands, tail beating a tattoo on his legs, giving happy yips all the while. At that, Fred’s face changed and I had no doubt he remembered something…maybe not their names, probably not how long we’d had them (ten years for her, nine for our male) but seemed to me he knew he and they belonged to each other. I traded places…her for our male, Shadow, and the greeting was even more frantic for he had always been Fred’s dog more than mine while Scruff was definitely my girl. We sat out in the foyer all morning and, collectively, we had many visitors, staff taking photos and the dogs well and truly made a fuss of.

I already knew that Fred’s short-term memory was pretty much non-existent, his long-term…well, we hadn’t begun to test that yet. Where could I go with it? Not knowing where his memory could go I wasn’t sure if I’d open a can of worms, so to speak. It didn’t seem like he could initiate…he never asked a question spontaneously, never had asked where he was, how he got there, what happened. I had told him of his previous months’ journey and then, if I asked him if he knew what had happened, he didn’t. Once he told me he had been in a car accident. I asked him if he knew who I was and he responded, “Agnes”. Agnes is my given name but one I only have ever used to formally sign legal or binding documents, cheques. No-one has ever called me by that has always been Nancy. Even when prior to our marriage, the minister asked which name I would be using during the ceremony. Fred had said “Nancy..” but I told him…and the minister…I couldn’t do that. Agnes was my given name and I believed that was what should be used. So it was to be..until during the ceremony and minister used my name for the first time (and thereafter throughout) he said “Nancy”. I have to admit that really disturbed and upset me and I wondered why he ignored what I’d requested. When the ceremony was over and I was complaining about it to my parents and new husband, Fred admitted that a few minutes before the ceremony began he went to the vestry, asking the minister to use Nancy “because if he called you Agnes I’d feel I was marrying a stranger. I don’t know you as Agnes!” For him, then, to say “Agnes” made me laugh but it was something of a surprise. I had then asked him who Agnes was…what was I to him. He shook his head negatively. Could be he didn’t remember I was his wife of now 27yrs…had to wonder, though, who he might have thought this Agnes person was! Did he remember he was married, did he wonder about children? I didn’t want to go there. Our daughter had died four years before he became ill. In those four years we were learning to try to move forward and it was far from easy. While four years later I was a very, very long way from where I am today, I was working on it. Fred, on the other hand, seemed to be at a standstill, possibly even reversing. And, like it or not, it had occurred to me that given his health issues, his frailty now, if he didn’t remember out daughter that might not be bad thing for him and, for now, I wasn’t going to push him to revisit that time. It wasn’t an easy decision to make. Selfishly, perhaps, I suppose I resented my own decision in a way for I found it put me in a very lonely place. With whom would I share the memories, the photos, the joy we had in raising her? Our family history? Yes, of course there was my mother…my sister and nephew..but for most of our lives, living a rather nomadic existence in the military, much of our history and memories were just ours…the two of us. There were still many hours and days of sadness, still grieving and I had no-one who could quite share that of a parent with me, either. But it could not be helped…well, the counselor had even suggested that he would be willing to sit in with me if I wanted to talk to Fred about our daughter but the risk of setback deterred me. Life had to go on and we would manage, cross whatever bridges popped up naturally and not force a one of them.

The dogs were really very good, behaved themselves much better than I probably expected and we made the trip home without incident…no scrapping in the back seat, no “accidents” in the hotel room! This was the only trip they made up there, however. Shortly after this visit, I was to learn that Fred was being discharged in a few weeks. Again, there was much to do…more than when he was being shunted out of the hospital.

Fortunately we lived in a rancher with two bedrooms, living/dining room, family room, kitchen and one bath. The bedrooms were out of the question for Fred to be in…they were at the end of a long, narrow hallway which would negate maneuverability of a wheelchair but, apart from that, I wanted him to be at the hub of any activity going on, daily. That would be the family room. The bathroom would serve him no purpose at all…it was off the hallway and measured about 5′ x 4′! Part of that taken up with the tub. I’d have to start planning so that when the announcement came of his discharge I’d at least have the beginnings of ideas how we would manage.

Meantime, I asked his therapists to now allow me to do what they did, days I was up there, under their supervision. I had to learn not just by watching but by doing. Also his nurses and CNA’s. Always being elevated to one degree or another while in bed, a body has a tendency to slowly slide downwards and, in his case…as with any tall person…feet tended to crumple somewhat at the bottom so while his position was changed every two hours, they would lift him back up the bed towards the head. Naturally it didn’t escape me that it took two of them to do so! Hmmm…now, how would I manage that? I thought I had it figured out so one afternoon I moved his bed slightly forward, stood behing the headboard and put my hands under his armpits. Heave! Ummm…Heave! Nothing. I couldn’t get any purchase…standing 5′ tall I barely topped the headboard so I was banging my elbows on it, bruising my hip joints on the lower portion. This could be a worry but maybe when I got him home I could figure it out. At any rate, I wasn’t saying word one about my “failure”! Was not going to give them any reason to tell me I couldn’t take him home, least of all now. He was no longer being fed food…all attempts had failed so we had stopped trying. PT…the standing frame had proved to be beyond Fred’s capabilites and that, too, had been halted but there were still other, minor, activities being done, not the least of which was transferring Fred from wheelchair to raised exercise mat where we would work on range of motion for his legs. I asked the tech to allow me to do a transfer one one. He showed me how it was done then got Fred back in the wheelchair, allowing me to do the move but the young man was obvious in his grave doubts! I did it..he laughed in delight and said “Wow…I give you 98%! They must breed them tough in Scotland!” I was just so tickled that I’d succeeded in moving Fred to the mat…without either or both collapsing to the floor! But I told the tech, pointing to my arms and then my heart, “Aaah, I guess it’s not the strength you have here (arms) but what you have here (heart)…” So, from then on, the days I visited I did his transfers. Then there was his PEG…that was critical and I needed to know not only how to clean it, the entry wound, adjust it, set it but also how to replace it if it should be pulled out. Nothing bothered me about doing any of those things except replacing it…besides being a bit squeamish at best, how would I know if this hurt him or not, having to push a tube into a wound, into his stomach? And really it wouldn’t matter for it had to be done and as quickly as possible should it pop out. The wound would quickly close up, it would also mean he would go without nutrition or water until someone got it back in if it meant going to an ER. I couldn’t take Fred home if I was unwilling or unable to do everything for him that needed to be done.

Financially, things were much better.  His disabilty insurance was arriving monthly, SS disability had begun in April.  The VA was still processing the claim I had submitted and then they needed copies of the UMMS hospital records which I’d gotten and taken to them.  Finally, the day came when I was told of his pending discharge.  July, 30th.  CHAMPUS had decided that he had probably made as much progress as he was ever going to and his prognosis was not great…I guess not great or good enough to continue paying for this sort of care if nothing more was to come of it.  I had met with a representative of CHAMPUS one afternoon, up at the centre.  Wasn’t exactly satisfactory.  She had begun talking about where we were going to move Fred now and I told her.  That wasn’t much to her or their policy’s liking nor was it to mine for while they would pay for a nursing home they would not pay towards his needs if I took him home.  And we would need many things…his nutrition for one thing plus the equipment to get it to him; catheters…well, they were going to go by the wayside.  He had in-dwelling catheter which I wasn’t too happy with.  For one thing, there is a risk of infection with them, not to mention what if in his daily bed bath, frequent position changes, it was pulled out?  I don’t know whether “OUCH” was applicable or not but I sure thought it must be!  And even with a catheter we still used Depends or such like.  I already knew how many of them we would go through in a day.  The Ensure nutrition would cost $600 a month.  This rep said those costs would be refused, not reimbursed.  Well, I pointed out the nutrition was medically necessary…why wouldn’t they pay for it?  She told me “Because he has to eat…you would be paying for his food if he was eating, anyway, and we don’t pay for that!”  Fine…but who eats $600 worth of food a month?  Or did, in 1992?  We ate well…good, healthy food and even with snacks, treats etc. my food bill had never been $600 for two, let alone one!  But, okay…somehow we would manage.  He would get his Ensure and for me…hey, there was always the dogs kibble!  😉

Published in:body-mind-spirit, inspiration, life, Uncategorized |on January 8th, 2009 |2 Comments »

New Year, New Hope

We remained at the centre for three days. The day after Christmas our friends arrived around lunchtime. These were the first visitors Fred had had, besides me, since being there, and of course I was excited to tell them of the big event of the day before. It was temtping to keep asking Fred questions which could only be answered by a nod but I was careful not to do so. His Mom went home before New Year’s…to be honest, I have no recollection of what I did Hogmanay that year. I know New Year’s Day I was at the centre and stayed on a couple of days to be with him during his therapies, when they resumed. Eating was proving to be a challenge…he had what they called a rotating chew which they said was good…and not often the case, normal in an adult as opposed to an infantile chew but swallowing seemed to be the difficulty. Of course the food being fed to him was pureed and I had to wonder if part of his problem was that he hated mushy, squishy foods and just was not going to get it down. He would pocket mouthfuls in a cheek and most often his therapist would have to then scoop it back out with a finger. The tough part…or one of them…was that when eating he would have to eat a specific amount in a certain number of minutes. I’m sure there was a logical reason for this but I would wonder if, had he more time, would he do better? Physio-therapy was typical…exercising his limbs, keeping his muscles fluid while maintaining some strength for possible improvement when he might learn to stand and, who knows…maybe even take a step? For now they would move him to a long table which would start out horizontal then moved, gradually, to an upright position. He didn’t do so well on this…movement upset his equilibrium, occasionally causing him to throw up. Days he did better, they would leave him upright for a few minutes at a time, lengthening the time frames gradually. Recreational therapy took various forms from wooden boards with blocks to fit into corresponding shapes, to cards etc. Fred could, by this time, move a couple of fingers on his right hand, nothing on his left…but he could not lift or move his either hand. He could move nothing and he could not verbalize in any way. The days I was there I’d try feeding him some treat or other, periodic moving his arms, legs. I’d take over the putting on and taking of the four splints when necessary, freshen face and hands throughout the day and tend to his oral hygiene. That was probably the toughest. First couple of times wasn’t too bad…he allowed me to get the toothbrush in his mouth, brush, and get it back out but since he didn’t eat we had a problem with his tongue. I learned that for people who cannot eat, papillae on the tongue will overgrow and we needed to brush or scrape his tongue. First time I did this he clamped down on the brush and I have to admit I was surprised at the strength he still had. Nothing would induce him to let go, to open his mouth and there was no way I could pry open his clenched teeth. I couldn’t run for help or advice…didn’t dare leave him with this object in his mouth and risk choking. So I hit the call button. We all laughed about it later for his night team hadn’t realised I was still there so to be called to Fred’s room…they ALL showed up! We cajoled, physically attempted, to get his jaw to open but…nope. All I could do was sit it out. One of his nurses told me that a few days before she had been using a tongue depressor when he bit down on it, so hard that she was sure it would split and this would not be good news. I could see that! All we could hope for that he would soon fall asleep and his jaw muscles would relax. I told them that from now on, I wasn’t brushing his tongue…I’d leave it to them. Before I left for the night I would make him comfortable, turn him on his side, packing pillows behind him. He needed his position to be changed every two hours…one of the keys to helping prevent bedsores. So far we had been lucky…he had none and we wanted to keep it that way. His head also had to be always be kept somewhat elevated due to reflux, if he coughed, anything that could choke him and unable to move to help himself. His face had returned to it’s normal slimness and structure, his body boney…considerably thinner than he had ever been before and he had always been of slim build. At least now he was getting showers, though…they would come in around 8pm, transfer him to a shower gurney and wheel him off. He’d come back fresh, clean and smelling of Old Spice. All in all, every aspect of his care was nothing short of excellent, from nursing assistants to physcians to dentist. First couple of times I met the dentist bemused me. A tall, very distunguished-looking man with permanently jovial features. He wore dark slacks, white shirt and a very colourful bow-tie, picture or cartoon buttons on the shirt and lace-up sneakers. It was about the sneakers…each one had bright, colourful, cartoonish laces with bells or other baubles on the ends. I asked one of the nurses if he always dressed this way and was told he did it for the patients…just another ‘stimulant’. Thus were our days at the centre. Days at home were catch-up for the business of running a home, learning as much as I could find about coma, the legalities, filling out reams of paper-work.

Not the least of those was filing for guardianship of my husband. Once I had applied to the courts I learned that an attorney would be appointed to serve on Fred’s behalf. He or she would visit the centre to assess Fred’s condition, back to the court and then it would be decided whether or not I qualified. This was a worrying time. I mean…I had been his wife, mother of his children, for going on 27yrs. Taken care of our family, household and finances the few times he was serving where we could not be with him at all or would take a few months for us to get there. But what if they didn’t deem me suitable? There was no reason to me that this would happen but the decision was not going to be mine to make. I had never known anyone who had become the legal guardian of a loved one so had no idea how the process worked or was decided. And having to interview Fred? Visit with him? What would they glean from that when he could not respond to questions, tell them what he wanted, nothing? What would I do if if guardianship was not granted to me? Frankly, I didn’t know. From day one I had no other thought than to take care of this man until “death did us part”…whomever went first. To think that a court or some stranger would be appointed to direct our lives, make decisions for us that we could not balk against…that would be unacceptable for me. Oh, well…cross that bridge when I came to it. Meantime, I received a letter from the court telling me date and time their representative would be visiting Fred. It was a woman and she would be flying into Pittsburgh to be at the centre at 11a.m. My visit a few days prior to the appointed time, I notified the staff at the centre of this pending visit and I said I would be there, I wanted to be present for the proceedings and, if possible, not to allow her to see Fred until I arrived. That morning I left at 5am (normally I’d leave home at 6) and drove like a bat out of you-know-where, no stops. Too late…she had already been and gone…insisted she could not wait as she had to get back to Maryland as soon as possible. I was frantic…and pretty much stayed that way until a couple of weeks later I had a letter appointing me as Fred’s legal guardian and outlining all that this would require. It included a reminder that this guardianship could be revoked should the court see fit. Well, I wasn’t about to give them reason! Finally, I could submit a copy of this document to the insurance company and we would have income, again. It only took them another month or so to begin paying out.

Fred had been the only occupant of his room, since his arrival. One they called to let me know that they were moving him down the hall…just so I would know when I next came up and not panic! This was an even nicer room with big window through which he could see the quadrangle. A young man was in the bed by the window, Fred by the door. This young man…Joe…had made a good recovery from his brain injury. In a wheelchair…but he was now talking and even getting home visits on weekends. They thought this could be beneficial for Fred, company…someone to talk to him, seeing the other residents outdoors now the weather was improving somewhat. I then changed my visiting routine to go up on Fridays, come home Sunday. Joe was a local boy and his family visited on weekdays/evenings so there was much activity. Weekends, with no therapies, no Joe, the activity level changed so I figured I could take over as Room 101’s Activity Director. It worked out quite well and when Joe couldn’t go home, he then had company for the weekend. I soon learned that Joe was about ready for discharge…a few weeks and he would gone. Great news for him and his family! And I then reserved Joe’s bed for Fred…right by the window. In fact, when Joe left Fred was back, once more, to a private room. Only thing lacking was a tv. That had been Joe’s. I’d arrived on the Friday and when I saw the cable dangling, decided to take a run into town and get Fred his own tv. He was a little more mentally alert and seemed to be happy watching television, regarldess of what was on. I realised this one day when his CNA came into do various things and switched to “Days of Our Lives” saying, “Fred! Time for our soap!” Hysterical…I had never watched a soap in my life and the very idea of Fred thinking about doing it, let alone doing it, was hysterical. When she stepped out for a minute, I asked him if he was okay with this. His eyebrows shot up to his hairline, eyes widened…but he nodded yes…LOL. Okay, then…whatever he wanted! And no, I really wasn’t sure if it was what he wanted, perhaps just that the tv was on. So I’d leave them to it…Kim to do what she ‘needed’ to do for that hour and them both to watch their scandalous soap…and then she would comment and discuss it with him. LOL! I didn’t mind…I’d go to the smoking lounge and chat with other family members if they were there or read…and I was content knowing that there was a good relationship between Fred and those who cared for him. Each one had told me how much they liked Fred…he was a good patient. Oh, sure…easy to say about someone who didn’t talk back, couldn’t complain or raise a rucus (which, in normal health, he would have. The very little he was sick, he was NOT a good patient!) but while I say this, I had noticed that he really seemed to pay attention when they were asking or telling him what they needed to do, what they were doing and why and he was more compliant with them than with me. Apparently it worked for him and for me too, knowing I wasn’t and couldn’t be there every day while they were.

One day, while we were wheeling him to Speech Therapy and a try at lunch, we had to stop while his therapist ran back to the nurses’ station. I was standing by Fred’s wheelchair, talking to him…just chit chat about this and that and went looking in my bag for something. I noticed him watching me intently so began taking things out to show him. The first two he just looked, the third was the cheque-book. I took it out and held it up for him to see…he nodded slightly then his lips moved! “Do you know what this is, Fred?” He looked at me, mouthing “Cheque-book…” “What is it for?” I asked. Now, you might think that to be a stupid question to ask a grown man but no-one knew or had anyway of telling the extent of the damage done by the aneurysm. A couple of weeks before he had been transferred up to the centre they had asked me if I wanted them to do a neurolytic study…they didn’t expect much but it would give an indication of any brain activity going on. Of course they should do it. When they did and came to tell me the results it was not good…I asked them when they would do another and they wanted to know why they should. I’m not doctor but this was a first for that study. Okay, they actually found that there was nothing going on, basically no hope of brain function but…where was the harm in doing another at a later date. This one would be a base-line and only if they did another could they ever tell if anything was changing for his good, no? I mean, why do one if you don’t plan to do another? They never did…but then Fred was moved so I can’t criticize. And this is why I asked what would otherwise be an inane question. Again, Fred looked at me and mouthed “Money! Do we have any?” I wasn’t sure whether to laugh or cry…so did both. When the therapist came back and we resumed our ‘road trip’ I was telling her what happened. She was very excited…this was another first. But still he wouldn’t eat. We had him off the trache, wanted him off the PEG and all that would remain would be the catheter. They decided to take him to the local hospital for scan, endoscopy etc. to see if perhaps there was an obstruction or some physical difficulty preventing him from swallowing. Results came back…nothing, no obvious reason but probable vagals nerve damage. In PT, they now had him in a standing frame…they would wheel him up to the frame, two PT techs would raise him to his feet and attach safety straps, then lean him in to a little table top attached on which he could lean. This would be a prelude to learning to walk, if successful. Another ‘step’ forward. Once a month I’d meet with Fred’s team members and staff, we’d discuss his progress, problems and possible treatments. There weren’t many…he had had occasional seizures and I was aware that even with his medication, they would likely continue or at least he would be at risk for them. Despite the diligent use of his splints, there was severe spasticitiy in his upper body developing and, one day, I was asked if I would authorize them to do a nerve block which could help. They explained it to me and did say that it would not be without risk…that being it could stop his heart. I asked for time to think it over, particularly since it was not an emergency situation. However, I was sure I would agree and sign the consent form. The director…a neurologist…would do it himself so I asked for day and time and that it not be done until I was present. They had no problem with that.

The morning of that day I was, once again, up and on the road earlier than usual, dismayed to find it was pouring rain, windy and was expected to last all day. I wasn’t wild about driving in those conditions but had no choice. Traffic seemed a little heavier that morning and, as usual, I chose to drive in the middle lane. At some point I needed to pass but there was a car to my left, maintaing a constant speed and not allowing any room for me to get in front to pass or even get behind him. Two people in the car…probably old, I thought. We drove like this for about thirty miles, still in the same formation and no way of bettering it for me. Finally, I noticed the car to my left was gone, I moved over and sped up. Travelled about ten miles in the fast lane until I came to the top of a hill, on a wide curve when I moved back into the middle lane. I’m driving along quite happily, up another hill, over in the fast lane, listening to a music cassette. Then I noticed an odd sound I couldn’t identify…seemed to be coming from the tape. I looked over at the tape-player like it would give me an answer, turned up the sound…that noise was still there and I knew it was not there before. I’d had this tape for twenty years, for crying out loud…never heard this before. Oh, well…no big deal…and then I looked to my right. This car which had annoyed me earlier was back and now seemed to want me to get out of the way so he could move back into the fast lane. Well, at that juncture I couldn’t…looked back at the driver and shrugged. Was he giving me the one-finger salute?? How dare he! Well…too bad. I stayed put, looked over yet again and to my horror the driver now had a hat on…a very attractive State Trooper hat! And that had been no ‘salute’…he was pulling me over! Zooming down another hill, pouring rain, I got in front of the car in front of him, and gradually came to a stop…and ready to pass out! He pulled in behind me and walked up to the window. First thing he said was, “Ma’am, you and I have travelled a good portion of this road together. I’d say about thirty miles? You were going a little over the speed limit but I let it go. NOW you were doing 85 miles an hour!!! What were you thinking?” And, by the way, yes…I did know how fast I was coming down that hill. I gave him my licence, insurance…he studied the licence then said, “You’re a far way from home this early in the morning??” I told him I had an appointment up in Pittsburgh, had to be there by ten (BTW, enough time and trips had gone by I knew I could do this journey in five hoursm with my breakfast stop…and we won’t even discuss at what speed). But I was proud of myself for one thing…I was wrong, I knew it and so be it. I didn’t even think about trying to get out of it with telling him where I was going, why and what for. (That didn’t stop the staff at the centre giving me such a hard time about it when I told them I’d been pulled over for speeding!) And then the trooper surprised me. “Okay…for the travelling we’ve done together, this morning, I wll say you seem to be a careful driver, a good driver, using your lights, indicators…I can only fault you for your speed. If you want to get to your appointment, I suggest you back it off! I’ll give you a warning….” Phew! Could not believe he would be this generous. Then he said, “What part of Scotland are you from?” When I told him, he was familiar with the area and then he tells me he’s Irish…”And guess what? My vacation starts in two days and I’m going home to Ireland!” We had a lovely chat, he cautioned me again to slow it down and be safe, I wished him a wonderful vacation and a safe journey and bid each other good-day. And don’t think I don’t know how lucky I was!

Oh, the two people in his unmarked car? Just him…but he had his hat sitting on top of the headrest of his passenger seat! He told me he was on his way to court, in Cumberland. I might be a Scot but that day I had the luck of the Irish. Doubly so, when Fred had the nerve block and suffered no ill effects.

Published in:body-mind-spirit, humour, life, society, Uncategorized |on January 5th, 2009 |2 Comments »

Christmas Miracle

Days went by at a slow pace…I had four or five with the dogs, two or three up in PA with Fred.  I was happy to see that my mini-absences seemed to have no ill-effects on my pups but I still felt sorry having to leave them.  Life had changed for them, too and, unlike myself, they had no idea why.  Fred was stable…nothing more had happened to get too excited about.  He was maintaining.  His company lawyer was finally getting somewhere with the insurance company and had convinced them to agree to making the one-time payment up through November.  I couldn’t begin to tell you the relief that was but I did have to arrange for guardianship.  Fine…I would do that come January.  Meanwhile, I was of course keeping Blanche up to speed on Fred.  When she left in October she had said she would return as soon as she could.  One day, soon after Thanksgiving, she called to say she would come from Christmas and I was happy to hear that.  I didn’t think we would go up to PA Christmas Day, however.  Interstate traffic, I knew she wouldn’t want to drive in an unfamiliar area and perhaps not that particular day with me driving.  Friends of ours had asked if they might visit Fred the day after and even had suggested we all ride up together.  Blanche was agreeable to this…I, somewhat.  She flew in two days before Christmas, we did some shopping for Fred…more sweats, another pair of boots and I bought him a large, stuffed gorilla for his bedside plus put a family photo collage together for his wall.  But the night before Christmas Eve, Blanche I sat around talking and, having had time to think after she had told she would be coming East, I hesitantly told her I’d had a change of heart.  I wanted to go up to PA Christmas morning.  In fact, “I can’t NOT go…it’s Christmas.  I can’t stand to think of him with no visitors on Christmas whether or not he is even aware of it.  I am…and that’s enough for me..”  We had been very lucky, our twenty-five years as a military family…one one Christmas had we been seperated and that was when he was serving aboard ship…our daughter’s first Christmas.  He was somewhere off the coast of Africa, she and I were still in Scotland but preparing to come to the U.S. in two months.  There was one other that I was away from Fred and I our daughter, my first one in the US.  I was in hospital over Christmas, having given birth to our second child who was stillborn.  But Fred did spend most of that day with me.  Blanche grinned and said she just knew we would be going up there, even when I’d said we’d wait until the day after…and she was ready to go!  She even said she had every confidence in me…sounded to me that she had more in me than I had!

Christmas morning we loaded the car and were off by 5am.  Wasn’t sure if my little eatery was open so we prepared muffins, cheese and a thermos of coffee to take with us.  We’d had some rain and ice storms a few days before and when we got to Sidling Hill it was magnificent.  The rock faces were sheer ice, beautful icicle formations shimmering in the sun.  Perfect place to pull over for our breakfast picnic.  We arrived at our destination around eleven that morning.  The centre was so festive!  Christmas trees and lights everywhere, the residents dining room sparkling as a ballroom, tables beautifully set with seasonal decorations.  Each of the rooms, such as Fred’s were also decorated…lights, tiny trees, Santas on the bedside tables.  Fred was in his wheelchair as before and wearing a huge button on his sweatshirt…a photograph of him and a “visiting Santa”.  His Mom seemed just a little disappointed…she could see no change, nothing different, but that wasn’t quite so.

For the most part, he still looked as he had done a few weeks ago but, to me…something different about his eyes.  Not quite so much a blank stare…there was ‘something’ there but I couldn’t quite say what.  And of course his curly hair had begun to grow back.  Blanche and I laughed about that for she hadn’t noticed.  I guess because in some small way she was seeing the son she knew.  The surgical scar had healed, leaving an Interesting groove from one ear, up and over to the other but since this was his hairline it wasn’t so noticeable now.  He had no therapy that day, being a holiday so we spent a little time with him before they came to get him back to bed for his rest period.  When he fell asleep, off we went to the lunch room.  By the time we headed back to Fred’s room, I had decided to stop at the nurse’s desk to ask if we might walk him around, take him out of his room for a bit.  I’d never done so though I saw others walk their family member around.  They told me I was more than welcome to do this at any time and asked if I could manage both his chair and the stand on which they hung his feeding tubes, bag and pump.  Oh sure!  Ahem!  One little detail I forgot…Fred sat up high in his wheelchair plus he continued to have the framework and headrest behind him.  I couldn’t see over it at all!  No matter…I’d manage.  Blanche took the feeding stand, I had the wheelchair and off we went with her as my guide.  Down one hallway, across another…in to see George, up to see David and Carol, cut through the dining room.

Now, in the dining room there was a wall of floor to ceiling windows looking out on a quadrangle.  By those windows were comfy chairs, couch, coffee tables.  I thought it would be a nice place to sit and look out on the little fir trees in the quad.  The staff had decorated each of them with edible goodies for the birds who happened to have chosen that hour to enjoy their holiday meal.  All the while I was talking to Fred as usual, asking him if he’d like to sit here a while, was this okay…was he…and, of course, no response, no reaction.  I positioned his wheelchair in between his Mom and myself so we could both see him, talk to him and…if he was seeing, he could see not only  us but straight ahead out the large windows.  I had been watching a couple of birds hopping, cavorting around a seed bell, fussing with each other when I realised this was the first time Fred had been anywhere to look out, see the sky, the outdoors, birds, trees, in a very long time so, conversationally, I turned and said so to him…”…and it’s been a long while since you saw outdoors, hasn’t it?”  Blanche was sitting across from me, smiling and as I looked at my husband I saw him nod his head, ever so slightly…so slightly and fleeting, I thought I was surely the only one to have seen it (if I, indeed, had) but I heard Blanche gasp “Honey….!  Did….”  I looked at her nodding and asked if she saw ‘it’.  Asked her to describe what she saw and it was exactly as I had.  We both looked at Fred…face still expressionless…and I asked him if he nodded.  He slid his eyes toward me and nodded again….!!

“Stay with him, Mom…” I said…”I have to go get somebody, anybody!”  Found a nurse who paged one of
Fred’s team.  She came running and when I told her what we had seen she said she was going to make a couple of calls and would meet us back in the dining room.  A few minutes later here she came along with our social worker/counsellor.  These good people let me babble for a few minutes then I asked Fred a question similar to what I had earlier.  The briefest of nods was his response.  It wasn’t reflexive, it wasn’t spontaneous, it was a question asked and answered.  After a little over three months, a breakthrough!  And let me tell you that from seeing someone as still and pretty much lifeless as…dare I say it…a corpse then to see a finger twitch, head nod (and it was basically one of those nods we’ve all seen as someone is dropping off to sleep…just the head tip forward a tiny bit)…it is an awesome sight and feeling.

On our way up to the centre that morning Blanche and I had been talking about Fred, of course…and if he would ever come out of this state of nothingness.  If so, when…and how long, now, were they going to allow him to stay and be treated at the centre.  At one point I had said to her “Mom…it’s Christmas.  Maybe we will get a miracle…”.  And we just did.

Published in:body-mind-spirit, inspiration, life, society, Uncategorized |on January 4th, 2009 |2 Comments »

Thanks Given

Settled into a different schedule I would go up to Canonsburg toward the end of the week, stay a couple of days then return home.  Fred was also into a routine of sorts.  Each day, they would wheel him to his various therapies and, when I was there, I was encouraged to accompany him and his therapists.  This was something I really appreciated…not just being part of the process but the OJT. 
Well aware that no matter if or how much progress Fred would make, I knew at some point there would be his discharge and he was going home where he belonged.  It was in both our best interests that I  learn to do as much, learn as much as I possibly could, any chance given me.  As to his going home…yes, attempts to dissuade me from fulfilling that promise were constant.  My sister never did, Fred’s mother never did.  I realised that those who tried did so with the best of intention for me.  The two who didn’t also didn’t try for my sake as much as for a beloved brother-in-law and son…they knew me too well, I think, and knew there was no way I couldn’t NOT bring Fred home.  Twenty-five years in a naval career, twenty-six years married…we had been on the move all our lives, moving country to country, State to State.  We lived in a trailer, apartments, row houses, villas, bungalow.  Only the trailer had been ours to own.  The rest were either private rentals when military housing wasn’t available to us or military housing, itself.  We had come back to the US in 1985…to Maryland and Fort Meade where Fred would spend his twilight tour, prior to retirement.  Soon as we arrived we rented a rancher…that lasted about three weeks when another, two streets over, came up for sale and we decided to buy our first home.  It wasn’t a tough decision.  Given his military training and background Fred’s best opportunities for a second, civilian career,  would be where we now were or, most likely, D.C…about twenty-five miles away.  Not a bad commute, all things considered.  Another consideration was our daughter had married a young Scottish engineer and was living in Scotland.  For us to live on the East Coast was much more conducive to us being able to go back there for a visit or for them to visit us here.  If nothing else, it would cut the travel time and expenses plus, anything that would reduce flying time for me was a relief!  Being the first home we had ever bought, regardless of how long Fred might live or even how he would live his life out, he was going to do it in this home…his home.

It was somewhat painful watching them try to get him to eat food.  They did all the work but he could not chew, could not swallow yet this was something they explained had to be done.  Along with hisSpeech therapy (which was the feeding), PT, the recreational therapy, the hope was something would stir and awaken him…but we  saw no signs.  When I would take a few minutes break while Fred was in sleep mode, I’d go to the smoking lounge where I soon made a few friends.  One in particular was a woman no taller then myself (5’0″!)…name of Carol.  She was a little older than I and she visited her son, David, every day.  She lived about two hours north west of Pittsburgh.  David had been in a coma for nine years following a car accident, his vehicle being hit by a 18-wheel postal truck.  A year or two after David’s accident,  his Dad died from a heart attack and Carol now lived with her mother.  Along with learning their story, I had free access to the inspiration of this dedicated mother as well as imagine the heartbreak.  When our daughter died, when they couldn’t revive her, I raged against everything I knew and much I didn’t.  I bargained that if I could just have her in my world I didn’t care how…I would take care of her for the rest of my life and nothing would ever be too much.  I didn’t get the chance and, seeing Carol and David, I did wonder how I really would have coped were I too have been in Carol’s shoes.  Bad enough a husband, but one’s child?   No matter what, she was there at nine every day, worked with David, tended him mostly herself…her choice…and didn’t leave for the two hour ride home until after nine-thirty each night.  She had been doing this for all those years.  Often David would run fevers, have a seizure, get a cold with additional respiratory problems and Carol would just stay over, sleeping in a chair by his bed.  A couple of times she would come back with me to the townhouse…not strictly legitimate since families who lived within PA were excluded from these accomodations but if I had a place a to myself, the staff at the centre would turn a blind eye.  Myself, I was grateful for both the company and someone showing me the ropes from the family side of things.  And Carol was witty, pithy, strong.  I learned how to laugh again and it felt good she also inspired me to keep reaching inside and retrieving strengths I never knew I owned.  I learned how to swear!  And THAT, too. felt just fine…not something I craved doing or aspired to in my life but at that time,  when I would explode, it was a release of sorts.  Not that I was proud of it, either…it was what it was and I realised it was better than keeping things in.  As they say…”Better an empty house than a bad tenant…”.  Never in my life could I claim to know what ‘lonely” was.  I was a loner since childhood.  So was Fred so we were loners together, our favourite pastime, exercise, hobby came down to one thing…reading.  So while I had friends I never felt a drive to seek people or company out.  When friends would visit or we would visit them I thoroughly enjoyed them but I was just as happy on my own.  Often it was just Fred. the dogs and I or myself and the dogs since he was often off on business trips from two to six weeks.  I didn’t suffer boredom, either.  I can’t even say that this catastrophic change in our lives changed things for me in that respect but there were times when found I was glad of Carol’s company, when we would sometimes go to Denny’s down the highway for a 10pm breakfast before she headed home or sit and chat in the lounge at the centre until we were kindly and politely thrown out.

And then it was Thanksgiving.  I made my way up to Canonsburg for the weekly visit, not too concerned about the holiday.  Spent the day with Fred in his room…no therapies that day and he did have a tv, we had music,  I had a couple of books.  Lunch was our soup and sandwich but they did serve us turkey at dinner.  Had my coffee then the smokers amongst us toddled of to the smoking loung before we returned to the respective bedsides and calling it a day.  Fred was back in his bed, lying as still as he had done for weeks.  I had to chuckle…they had told me that first week they were going to have to get a bed extender for him.  When I asked why, they said it was because of his ‘long length…he’s what…6’6″?’  Uh…no.  Six feet…and they didn’t believe me.  And I could see why…for some reason, stretched out as he was, he was a long drink of water and every time I walked into his room, saw the bed extension and his feet almost hanging of the end of it, just couldn’t figure out how or why that was.  I checked to make sure the PEG was on and functioning…a slow drip, sixteen hours out of every twenty-four, talked to him a few minutes then leaned over the side-rails and began softly singing a song.  Even that didn’t stir him to wakefulness as it probably should have!  As I usually did at such times I watched his face carefully, then did a slow scan of his form…head to toe.  It was a two hour period when his splints needed to be off so his hands were palms down on the blanket, by his sides.  I continued singing and scanning.  Then I saw it…very briefly, lasting maybe a split second.  His index finger on the right hand moved!  It rose the barest fraction of an inch but it MOVED!  By itself!  Quickly I looked at Fred’s face…nothing changed, no expression, still in sleep mode.  Back to his hands I asked him to do it again…move his finger, thumb…anything!  Nope.  At that I ran down the hall to the nurse’s station to talk to his night team, his charge nurse.  The words were spilling out all around me…as I tried to calm down.  Finally, I managed to make them understand what I was trying to say.  The charge nurse grinned.  I asked her if I had just been seeing things.  She said she didn’t think so…two days earlier, Fred’s CNA had reported seeing the barest twitch.  They had checked it out, had the doctor, director and Fred’s social worker/counsellor in there but, no…they saw nothing, nothing to see.  Which is why they had said nothing to me until now…they wanted to be sure, needed to see it again (or something like it) but those on duty that night were thrilled that I had been the one to see it, myself.  There were two Coma Scales…Los Ranchos and Glasgow.  I had copies of both and while each was slightly different, Fred had been barely a one…that being the lowest, pretty much.  This night, he may just have moved up a half point!  A new beginning?  I didn’t know, they couldn’t say for sure.  But thanks WAS given.

Published in:body-mind-spirit, inspiration, life, society, Uncategorized |on January 3rd, 2009 |1 Comment »

Wringing Of Hands, Gnashing Of Teeth

I didn’t know what to do with myself.  November 7th, 1991, Fred had been admitted to the coma centre in Canonsburg, PA.  In the three weeks I’d had a driver’s licence I’d driven only as far as Baltimore then back home…approx. 25 miles.  To visit him now would be an almost six hour drive, roughly 350 miles away and somehow I had to pluck up the nerve to make that first journey.  I just didn’t know when although it had to be soon, for my peace of mind.  Meanwhile, I was a bit lost.  His company was still continuing to fight with the insurance company on my behalf, to get me some money that was due me but they were refusing to pay out.  So the bills were beginning to pile up…not quite full-blown panic point but close.  I’d spent every day, twelve hours each day of the last six weeks at his bedside and now…what?  At least it was good for our two dogs.  They had never been left as they were since September and we were all happy to spend some time together.  I did have some shopping to do.  They had asked me to bring…or send…clothes for Fred to wear as they would be getting him out of bed and dressed every day.  No more hospital gowns.  Sweat suits were their recommendation as they were much easier to put on and take off someone who could do nothing to help in dressing.  This would be different.  Neither of us ever wore sweat suits…or such as Reeboks.  They had also asked for those.  Every day we had put splints on his feet and hands/arms.  This was to prevent foot drop and his hands and arms curling into his body.  He had four hours with all four on, two with them off, throughout the day and night and now, during the two hours they would be off, boot-type Reebok’s or similar were preferred.  Well, I could do that this weekend and box up some supplies to mail to the centre for him.  Each day I called up there to see how he was…morning and night.  Those first few days I also used to notify family, friends, colleagues of Fred’s whereabouts now and his current condition…even though that didn’t change at all.  I was heartened to know those first few days that there was no change…I hadn’t expected a miracle, yet, but at least there was no deterioration in his new environment.

With the schedule and routine I’d been maintaining, I hadn’t seen any of our neighbours in quite some time and, of course, had no idea what was going on in their lives.  Then, one day, I saw our neighbour on the other side of us.  To my surprise, I learned that her husband…the George whose identity Fred had borrowed when first admitted to hospital!…was in hospital due to a serious stroke and was being transferred to a rehabilitation centre.  Guess where?  The same place where Fred now was.  She was making plans to drive up for a visit and asked if I would like to ride along.  Would I?  She’s lucky I didn’t go sit in her car for three days prior, just in case she forgot she asked me!  I called up there and reserved a town house for us.  She was only going to stay one night but that was fine by me, much better than nothing and on this trip I could pay a bit more attention to the route, without distractions.  We didn’t know each other all that well, being the kind of neighbour who was there to help when needed, converse about the weather and other idle chatter over the fence every so often.  I didn’t know she was a shopper to the nth. degree.  On the drive up to Canonsburg we stopped at every town, visited every mall while she was looking for a jacket to wear to some occasion she had to attend.  I swear…I thought she called it a ‘future jacket’ when she asked me to help find her one.  What on earth was a future jacket?  I knew blazers, bombers, sport coats, fur jackets…a future jacket?  So at each stop, I wandered around coat and jacket racks, sliding hangers, looking at tags and still wondering.  Future jacket?  Finally, she said we had to take a break for lunch and while so doing, I pleaded my ignorance and asked her just what I was helping her find.  Cut and style apparently didn’t matter to her…she said as much.  What then???  Finally, though a barrage of my questions and the best descriptions she could offer, she said “it’s a kind of PINK!”  Aha…FUSCHIA!!  But it still sounded like ‘future’.  We didn’t find one before we got to Canonsburg.  She said, then, that once she had seen George she was heading up to Pittsburgh to look around there and I was welcome to tag along.  I was quite happy, though, to stay put.

It was no small surprise when I walked into Fred’s room and found hims sitting in a wheelchair.  Just to see him sit upright was something and although his eyes were open, they were obviously sightless in a manner of speaking.  He had leg straps to keep them in place, a strap across his chest to keep him from tilting forward with a metal and foam headband to keep his head upright, not straining his neck.  As much as I knew this to be for his own betterment, particularly were he ever to come out of the coma, it broke my heart to see him like this.  But now they had his sweat suits and boots.  I’d brought his glasses…would be a long while before he ever had them on, no doubt, but they were there, waiting for him.  Toiletries…his favourites since the scent and everything else about them would be familiar to him and useful in his therapies and stimuli.  I had the list of his likes and dislikes, loves and hates in food, smells, music, textures.  I’d brought  more cassettes along with a boombox we had had at home.  One of the tapes was operatic arias and his CNA asked me if he really liked that sort of music.  “No…he loathes it and would hate when I played it at home…” I laughed.  If anything would jolt him, that just might!  Feed him greens…broccoli, brussels sprouts, cabbage, spinach…he hated those (even though I doubt he had ever eaten any!).  Corn he loved, eggs he adored along with bacon;  potatoes.  He hated the smell of fish…any fish…and would not eat it, either.  His aftershave…the one he preferred and used daily…Old Spice.  Music…most he did like (except opera), Country was his favourite.  He loved cotton, hated wool for it scratched and itched him.  I spent the day mostly with Fred but going to visit George, also.  Next day, we returned home.  Confidant or not, I made my accomodation reservation for the next week…two days and hoping I’d find someone to check on the dogs without putting them out, too much.  I just knew there was no way I could NOT go home without knowing…and telling Fred, whether he heard me or not…I’d be back in a few days.

I figured I’d make my first trip up there on a Thursday, hoping to avoid the weekend traffic of people out and about for day trips, family visits etc.  I also thought it was probably easier to reserve a town house on a weekday as most folk would likely visit their family member on weekends.  Thursday I was up at five, on the road by 6a.m meaning I should get there around noon.  That would give me until 9pm that night to be at the centre then the next day until around two.  I wanted to do most of the first round-trip, at least, in daylight so I’d know where I got lost when I did.  And I was pretty sure I would!  I was already pretty savvy with a computer…thanks to Fred.  He was a computer specialist and we’d already had a pc for a number of years.  The internet wasn’t so big, yet.  We had had Prodigy…don’t laugh!  That was many moons ago!  And I bought a trip route programme which helped me map out the best way to get where I wanted to be.  Friends familiar with that part of the country suggested Penn Turnpike.  I remembered having been on it as a passenger once and never wanted to repeat that nightmare, least of all as an inexperienced driver.  And then telling me it was the route favoured by truck drivers clinched it for me.  Not on my, Fred’s or anybody else’s life was I pitting my little Camry and newly acquired skills against eighteen wheels.  The route I had mapped out was I-68…no-one I knew knew of it.  Apparently a new interstate.  It winds across Maryland to Morgantown, WVA, where I would veer right and head north towards Pittsburgh.  Canonsburgh was 21 miles south of Pittsburgh.   At 6am it wasn’t bad driving.  A little more nerve-wracking as I reached Hagerstown but, eventually I was driving a road I learned to love.  The scenery was calming and quite beautiful, not too much traffic at all.  As I approached the town of Hancock I decided I should take a break, head into town and get a cup of coffee.  Found a homey little bakery-cum-restaurant that became my “break” point on all future trips.  Of course, when I got back on the road again I found I was heading in the wrong direction…back from whence I’d come.  Managed to right myself and headed up this very long, very steep hill…Sidling Hill…where the road was cut between two huge rock-faces.  There was a pull off there, had a little museum showing how they had built the  road, cut the rock etc.  I didn’t visit the museum but I did pull off to take a look at the view and it was spectacular.  So far, so good.  Back on the road and on my way.  I was feeling a little more confidant, too…happily surprised that “I am doing this!  Who’d a thunk it?”  And at that point there was great comfort in knowing not “if” or “when” but that I would be making this journey every week.  So began a new routine.

Published in:body-mind-spirit, inspiration, life, Uncategorized |on January 2nd, 2009 |2 Comments »