Monday, February 15, 2016

Marjorie's Trip To The Rehab - Part Deux


     It was 7:30 a.m. when I received a call from Sandy, said caregiver. I steadied myself to hear some challenging news, as was usually the case when she called. She did not disappoint. From that point forward to today has been a whirlwind of activity which included: a quiet ride in the ambulance to the local hospital (mom didn’t want the neighbors to know), a nine-minute surgery to cinch the two bones back to function as one by an orthopedist who bragged about his record for this type of surgery being seven minutes (I assured him pre-surgery that we weren’t necessarily eager for a record-setting procedure), a three day recovery stay at the hospital where mom appeared to be in an altered state of sudden on-set dementia and finally the move to a local rehab facility to get her back to her semi-independent, non-dementia status via physical therapy, rest and recuperation. All the while, woven into this whirling dervish time bubble was a fast trip to Los Angeles to take my daughter and her boyfriend out to dinner for her birthday, bring her home for Christmas( just two days away), entertain the in-laws for Christmas Eve dinner (I slammed out lasagna in record time but not nearly as fast as the surgeon repaired my mom’s hip), construction of the beloved Christmas side dish of Mushrooms Berkeley for the following day’s festivities at my sister’s compound and, of course, hours at the rehab trying to reconstruct a sense of Christmas for mom, the only person in the family who even cares a hoot about this ridiculously overblown family holiday. My sister (the older one who luckily lives in the area or I would be in this alone) and I were emotional wrecks throughout this holiday season. My little sister, up in the Bay Area, was also a wreck, sobbing on the phone and torn between immediately hopping on a plane to visit mom and staying to have Christmas with her family which included her freshman son home for the holidays. We encouraged her to stay with the family. Our brother, outposted in the mountains outside Reno in his enormous log cabin, wasn't able to travel until after the Christmas holiday rush. So my older sister and I ran shotgun for one another.

     What initially looked like a monumental hill that had to be climbed ended up being a long and winding path of switchbacks. You climb, then pause and catch your breath, then tackle the next part of the climb. Little by little you trudge ahead. Mom recovered from her altered state (caused by an overly zealous pain medication regimen) and returned to the planet with her usual wits about her, the Christmas goings on came and went, the in-laws left, the daughter escaped for an East Coast vacation, and the frequent trips to the rehab continued, each visit seeming less odious than the one before. The facility itself is part of an elder/senior community, the type that has full-service and one-stop shopping. The rehab facility is for the residents who either temporarily or permanently need health care and monitored medical and living assistance but also open to outsiders who need care as they rehabilitate body parts, many of which seem to be hip-oriented, or shall we say, upper femur.

       She was put into a room with another elderly female roommate who suffered from dementia but in a quiet and passive way. As I sat by mom’s bed, holding her hand and talking about how soon she would be home  and reassuring her that I had refilled her numerous hummingbird feeders with the properly prepared sugar water, her roommate’s husband came to visit with their dog, Zack the schnauzer, in tow. A curtain of privacy separated us but I heard him chatting with the wife who day-by-day was getting further and further removed from him. He told her how beautiful she was, how this was the best part of his day, seeing her, his beautiful girl that he loved so much.  He filled her in on his and Zack’s daily tasks and adventures and she responded the only way she could, detached and other worldly. I was grateful that mom was not fully cognizant of the tragedy ensuing behind the curtain. We needed to get her a private room and fast. The care facility is a well-oiled machine that runs 24/7 dispensing pills, meals, fresh sheets, baths, daily care to broken bodies and runaway minds. An army of attendants are needed round the clock and it looked as though that army was primarily made up of those of Filipino descent. Caring, patient, sweet, encouraging…the adjectives attributable to the caregiving crew is limitless. But, no matter the quality of care, there was no getting away from the tragedy of a warehoused elderly population waiting to die. Determined that was not to be our mother’s fate, that she would walk out of this place and get back home to feed her own birds, my older sister managed to wrangle a private room the very next day, Christmas Eve, and we wheeled mom down the hall, past a gauntlet of wheelchairs holding slumped souls, past the nurse’s station, overrun by a number of dementia patients looking as though they worked there but just hanging out to be somewhere, down to room 145. I brought along two poinsettias, a Christmas cactus and a tiny flocked pine that followed mom from facility to facility during this Christmas season adventure with a broken upper femur. The room was bright and large and extremely livable with a nice window looking out into a courtyard filled with hummingbird feeders and empty visitation benches. The attendants knew just how to transfer mom from wheelchair to bed without too much of a ruckus being made as her bum leg, the left one, moved gingerly and carefully with her wincing kept to a minimum. This was to be her home, her life for the next who knows how many weeks and she seemed both resigned to this fate and up to the challenge of bucking what the statistics say about a 94-year old woman with a broken upper-femur. I mentioned to her that this challenge was similar to those training to make the Olympic team, a thought she cogitated over with more than a quizzical look, although I quite like the comparison and have grown more and more to believe in it. Of course, the venue is hard to look at without a sense of horror and its comparison to Hayward Field in Eugene, Oregon for the upcoming Track and Field Olympic Tryouts is certainly a stretch, but gritty determination is gritty determination. My mother has amongst her most admirable traits, grit.               TO BE CONTINUED...




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