Wednesday, January 31, 2007

Ack!

The things I hate most about nursing homes is the smell. And when we walked into the one where my mother is temporarily staying, the smell stopped me.
Turns out it wasn't the usual smell in these places - it was something much stronger. They were preparing kraut as part of the dinner last night.
Thank goodness that was the worst smell I encountered.
The next thing that frightens me most about nursing homes are the sounds. When my husband's grandmother was in an Alzheimer's unit, I took to wearing the earplugs he uses when he target shoots because I just couldn't stand the moans and yells.
One very loud moan. That's all I heard last night.
It probably helps that mom is in a wing where people are "too well for the hospital, but not well enough to go home."
With the exception of having to share a very small room and phone with her roommate and the lack of cable television (CNN withdrawl was already settling in), it seemed like an ok place to be. I think we can do it for 5 days.
"What's this 'we' stuff," my mother asked when I told her my observations. "You get to go home."
She's right. But it makes it far more easier for me to go sit with her if I don't have to wear earplugs or hold my breath.

Tuesday, January 30, 2007

The Healthcare System in This Country Sucks

Warning: This is a rant. I'm not going to adhere to the rules of writing or even be philosophical. Proceed at your own risk.

I was informed this morning that they want to move my mother to a nursing home from the hospital. It's not because she is well and they want to provide her with round the clock physical therapy to help her back on her feet. It's not because she is so sick she will never be able to care for herself again.
It's not even because her doctor says so. He argued with the hospital this morning about her moving.
No, it's because Medicare says it is time for her to move someplace else where she can still get IV antibiotics so it is cheaper for them.
And why are nursing homes cheaper, particularly the ones that allow low-income patients such as my mother?
Because they staff their operations on a shoe string. They have one nurse on staff caring for 60 patients (confirmed this with a friend this morning at this particular place) and the low level of staffing affects everything about the place.
But because the government has a chart that tells them when patients have to be moved, instead of relying on a doctor, who presumably went to school to make such decisions for the care of his patients, we're now entering a new and very scary realm of care.

Monday, January 29, 2007

Oversight

When we are children, our parents do everything in their power to ensure the people in our lives are there to protect us. Our teachers, the bus drivers, even the neighbors.
When our parents become old and ill, the job is the same, only in reverse. I don't know why it is in some people's nature to feel powerful over the weak and elderly. But these people exist, even among the ranks of nurses.
For those of you out there who have elderly parents in hospitals and nursing homes, I cannot stress the importance enough of making sure these places and the people who work there knows your loved one has an advocate.
I received many comments last week from people who advised me to go to the hospital at different times so the staff never knows when I'm showing up and to have different people go. The more the better, I was told. But that isn't an option for us, so I called the hospital's patient advocate - truly a great resource.
Not only did I see a vast improvement in my mother's care over the weekend, she even seemed to be enjoying the nurses yesterday.
So, caregivers who are new to the game, I suggest connecting with the patient advocate in the facility where your loved one is. At the very least, they will know your loved one has someone who cares. And it could very well improve the quality of care.

Friday, January 26, 2007

Betty's Bad Bug

A little humor to end the week. Mom's doctor refuses to let her go home until they are able to name the strain of pneumonia that she has.
"Why don't we just name it. You can become famous with your own bug in the medical journal. We'll call it Betty's Bad Bug. Now, can I go home."
The doctor just smiles and shakes his head. "You're like a doll with a pull string. I come in here everyday and pull your string and you ask the same thing."
My mom likes her doctor, who does have a caring demeanor and dry wit.
She was in good spirits last night but I know my visit wore her out. I called when I got home (she worries about me driving around and being out after dark. Like many elderly, I think she believes the sheer blackness of the night might swallow me whole) and I could tell she was already groggy.
Until I arrived, she wasn't having a good day. It would be inappropriate for me to post why, but let's say I'm going to have a little chat with her doctor or the head of nursing about why it is important for the nurses to assist the elderly in maintaining their dignity.
Their family caretakers are aware of it every moment of everyday and they should be as well.

Thursday, January 25, 2007

Awakenings

It's not the dramatic transformation after her first hospitalization three years ago, but I think Mom is feeling better. She is griping about her nurses and lamenting the state of the union, so to speak.
After her heart attack the changes in her attitude were more dramatic. Not knowing what to expect, we took her home after three full weeks in the hospital. She was like a zombie, going through the motions, but not functioning on her own. She only left her chair to get up to use the restroom. She couldn't feed Tinker, her dog, and she didn't have an appetite either. Most times, we had to wake her to force her to eat a little.
At the end of my aunt's two week stay, we went to lunch, leaving Mom alone for the first time in nearly 5 weeks to discuss what to do. I knew if she conintued in that state she would not be able to live on her own. She could not take care of herself, much less Tinker.
After doing some research on the web, I learned about the devestating affects some medicines had on seniors. Given my mother had not taken anything stronger than over the counter medicine for headaches for years and now she had a tray full of different medications, I knew then that it could be one or a combination of medicines.
It didn't take me long to find the culprit - Toprol. A drug classified as a beta blocker, her doctors insisted that she needed it to regulate her heart. After arguing with the nurse over the phone, I paid an unannounced visit to the doctor in person. He finally conceded there might be another drug with fewer side effects that they could try.
When he removed her from the drug, she was hospitalized again because that caused a negative reaction in her breathing. But 24 hours later, she was sitting up in her hospital bed eager for me to accompany her on walks down the hall so she could start regaining her mobility. Her eyes were bright and yes, she was discussion politics again - a sure sign she was back.
I was reminded of the movie "Awakenings," where zombie-like patients returned for a brief visit to the real world.
But Mom stayed.
Now I accompany her on every doctor visit. When she's hospitalized, I insist on knowing if her medications are being changed or new ones are being introduced. I research the possible conseequences of each one.
And I wonder how many people are sitting in assisted living or nursing homes because their system couldn't cope with their medications.
This time, the turn around hasn't been as dramatic of an awakening, but I can tell she is feeling better than she was on Monday.

Wednesday, January 24, 2007

It's Good to be Right

Sitting in her hospital bed yesterday evening, my mother finally conceded that I had been right all along about her going to the doctor.
"I DON'T FEEL LIKE GOING TO THE DOCTOR!" she had screamed at me Monday morning when I told her it was no longer an option.
Fighting back tears while wondering why everything has to be such a struggle, I told her, "Well, that's the point. People go to the doctor when they don't feel well." The fight continued at the doctor's office. "I don't want to go to the hospital," she said in more of a restrained voice to the doctor and his nurse. While doc waivered and conceded that antibiotics and bed rest at home might help, the nurse wouldn't back down. Thank God for Joan, who finally told her, "Imagine how Kerri would feel if you went home and something happened to you. Imagine how we all would feel." Joan finally reached her.
Last night, after her diagnosis of pnemonia, a day of antibiotics, fluids and breathing treatments, we were able to laugh about the previous day.
"Heart attacks and pnemonia are two things that can't be cured at home," I told her, referring to the time three years ago she waited hours before telling me of the pain that consumed her whole left side. "You know you've given me legal custody of your care. I won't wait next time."
She replied with the same amount of banter, "You aren't the boss of me."
We were smiling, but I wasn't kidding.
I'm weary.
I love my mom unconditionally and it is hard enough to accept the unevitable of her growing even more ill and weak as her chronic illness and age advances.
The fight shouldn't be between us, but against the next crisis that surely will come.

Tuesday, January 23, 2007

How do you Spell Relief?

Pnemonia: An inflammatory disease of the lungs.

Not good, but I'll take it over the other possibility - congestive heart failure - any day.

The sun is shining again. Literally and figuratively.

The Journey: In Reverse

Last night, after admitting my mother to the hospital for the third time in as many years, I began the lonely trek down the elevator from the 5th floor to the first, through the empty hospital corridors to the entrance that would lead to my truck. My husband volunteered to come and sit with us until I went home, but I told him to stay at work, there was nothing he could do there and his nature wouldn’t allow him to just sit for very long without his restlessness spreading like a virus.
Visitors use the main entrance as a general rule, but I used the side entrance earlier in the evening to admit Mom.
Now that wing of the hospital was dark and vacant. The only thing following me in these sterile corridors were the ghosts of experiences past. My journey through the hospital took me down several floors in the same elevators I used three years ago when visiting my mother when she “moved on up” from ICU to the critical care cardiac unit after her heart attack. That time, I hoped for her move up. This time, I hoped she would not be moved down.
It seemed like a lifetime ago and then it seemed like only yesterday we gathered around the screen where the cardiologist showed us the almost complete blockage of her artery. Mom would not give them permission to place the stint in the vein to unblock the clot. “What are her chances if I don’t sign these?” I asked the cardiologist. “She doesn’t have a chance,” he replied. “And if we allow it?” The wrinkled brow did not ease. “She’ll at least have a chance. I can’t say, given her age and the time she wasted getting in here.” I looked at my mother, so small on that table who was still shaking her head and mumbling, “No surgery.”
I signed the papers. I took the gamble and we won.
I entered the hallway where I once waited with a frightened and confused Mrs. Johnson (a woman whose husband had underwent heart surgery and was in ICU at the same time as my mother) until a doctor could lead her to her husband. We were two people, who didn’t even know each other’s first names, but we hugged and wished each other well as I watched her walk-run through double doors where her husband waited on a table.
What ever became of them? I wondered, as I had so many times before.
As I neared the last set of elevators, a maintenance man dragging two huge trashcans, the debris of a day where lives and families were allowed to go on – or where fate shattered them - startled me. Not wanting to be alone when I first entered the maze of corridors, I now wished I were.
I waited for the elevator to take me to the parking level, while gazing down the final hallway of my journey. At the end, a sign read “ICU.”

Monday, January 22, 2007

What to do When Mom Can't Advise Me

My mother is a stubborn person and when it comes to illness, it can be maddening. She waited 4 hours into her heart attack to tell me she was in trouble. She masks pain to keep from going to the doctor like no one I've ever met.
She began feeling bad on Wednesday. I was at her apartment that day and while she said she didn't feel well, it seemed like the episodes she gets occassionally. That night, she sounded really bad on the phone, causing me worry. Thursday and Friday she assured me she was better. I was so convinced, I didn't protest when she cancelled a doctor's appointment on Friday because she said she didn't want to go into the cold.
Saturday morning, a little cause for concern when her neighbors couldn't wake her and called the weekend manager to open her apartment. She hadn't removed the ring from the door that tells the floor monitor in her building that she was ok. Knowing Mom always does this, they were a bit alarmed by 10:30, a half hour past the time she was supposed to have removed it.
Still, my mother assured me she was feeling better. I went and saw her for a little while. She did seem more alert.
On Sunday morning, she sounded better than she had in almost a week. Later that afternoon, I talked to her on the phone to ask her if she would like something to eat. Again, there seemed to be nothing to alarm me, except a bit of confusion (and this is another thing you never know to freak over or chalk up to normal aging).
When we spent an hour with her later last evening, she complained that her back was hurting a little again, but she masked her pain very well.
It wasn't an hour after we left that my sister called and said Mom was feeling so bad that she didn't even want to stay on the phone. I called her and it was a complete turn from the visit we had just hours earlier, and I had to drag it out of her what exactly is hurting and how that is affecting her overall.
The uncertainty and worry from last week follows us into this one. And the worst part about it is that my mother has always been my adviser. The irony is that I can't even trust her to tell me what's really going on inside her own body.

Friday, January 19, 2007

Mothers and Their Daughters

You know the saying about not being able to pick your relatives.
Fortunately for me and my husband, we chose the route that allowed us to pick our daughters. We decided early on for many reasons that we didn't want biological children, so we decided to take on two exchange daughters for a year at a time.
I knew the first time I saw both of our daughters that they were special. I was right. Steffi is our oldest. Our German daughter from Munich is a talented artist and photographer; brilliant, especially in languages and she lights up any room when she's in it.
Meg-Ann, our Australian daughter from near Melbourne, is outgoing and fun, a talented graphic artist. She makes friends easily and when she lived with us, our house was full all of the time.
Both of our daughters have a keen sense of love and loyalty. They are both very close to their biological families and 17 and 15 years later, remain very close to their American one a half a world away.
In recent years, Steffi has went through the loss of both of her grandparents in Germany, two people with whom she shared a very special bond. Her grandparents had two daughters, Steffi's mother and aunt. Steffi and her sister were their only grandchildren.
When Steffi came to live with us, we had contact not only with her biological mother, but her grandparents as well. They were the ones who first made us realize we had a very precious person in our care.
Last year, when Steffi's grandfather was so ill, Steffi took turns with her mother and aunt going everyday to feed and care for him. Toward the end, they took turns staying the night with him, so when the time came, he would not be alone. Although he was already in a skilled nursing center, they didn't leave the care of their father and grandfather to strangers. It was stressful for Steffi, who has a high-level career in the insurance business, as it was for her mother, a teacher. But through the stress and sadness they stuck together and helped him, while they were there for each other.
My mother sometimes laments about the breakdown of the traditional family. Yet here's an example of a very "non-traditional" one (my husband is the only person Steffi's ever called Dad) and these 3 people who share more than DNA are a sterling example that sometimes it takes more than the traditional figures to create a functional family.
Meg-Ann's family in Australia are just as close. Meg and her sister are both married and her sister has two children, but their family still gets together and even vacations with one another.
Their compassion and love extend to their American family, as they often ask about their American grandmother and even send her cards and letters.
Steffi once told me that if I ever found myself alone, she would take care of me. If I can get myself to Germany, I might someday have to take her up on it. If I do, I know she will be there for me.
I can't take credit for Steffi and Meg-Ann's caring nature, that was already present when they came to us. But they have served as role models to me on how we should be caring for our elderly.
Everyone should be so lucky as to be able to choose their daughters and sons, but for those parents who did not, I think the one thing we can do for them when they can no longer do for themselves is to act as if they had.

Thursday, January 18, 2007

Not a Typical Week

Unfortunately for me and Mom, it hasn't been a typical week. Mom has COPD and mild congestive heart failure, along with suspected allergies. So, when all of those forces combine to make it hard to breathe, the results can be a slight infection with fever. That's how it started on Tuesday, but Mom's coughing eventually aggravated an old back injury so by last night, she not only felt horrible and was having a hard time breathing, she was in a lot of pain with her back.
And like so many times before since this journey into old age began, she did something I don't understand - she cancelled a doctor's appointment that had already been set 2 months ago. Her reasoning: she didn't want to get out in the cold.
There's some experiences in life that you truly cannot understand unless you walk in that person's shoes and I think growing old and ill is one of them. Everything that we've ever come to understand about common sense flies out the window for the people on this journey with them.
If you're not feeling well, wouldn't it make sense that's when you keep your appointments with the doctor?
Not for my mom.
And I don't know what it is that I'm expected to do. I'm not trained in medicine and I don't really believe I'm that good at comforting.
It's times like these that sometimes do give me an ounce of understanding for people who've left their loved ones in nursing homes to the complete care of others. It's times like these that sometimes makes me want to run screaming for the nearest airport.
But I don't. I usually run screaming for my favorite sushi bar with a good friend. Many people I know can't imagine eating raw fish, my mother included.
I have to admit, at one time I couldn't imagine it either.
But especially on days such as this, I order a good Japanese beer, savor my favorite dishes and enjoy the atmosphere.
It helps me gain my strength for another day.
And with it, I gain some understanding of why my mother may not want to see the doctor, especially when she is feeling so bad.

Monday, January 15, 2007

Old Friends Never Die

There was a recent study that suggested we, as a society, don't make as many friends, or aren't as close to people as we were in decades past.
I have to wonder if that has to do with our aging population. As I get older, I've noticed that I don't have as many close friends, or even what I would even consider casual friends, but more mere acquaintences.
Since I was a mid-life child for my parents, I've known my mother all of my life from her 40's on and in that time, I realize I've observed the same thing with her. At first, I thought this was a by-product of her being anti-social or a bit shy around others, but now I think paring your "real friends" from "casual friends" or acquaintenances comes naturally as we age. In our teens and maybe even through our 30's, we might have dozens of people we talk on the phone with (and email now) about school, work or family. But as we grow older and our responsibilities, and life's losses grow deeper, people seem to drop away. Some of them by their choice (or ours), others may not drop completely but fade into the background.
It was perhaps this I was witnessing in my mother as I grew up. She had very few friends I would consider close and as I accumulated dozens through my childhood and early adulthood, I couldn't understand it.
I think this might come from our sharpening senses of people; who we can count on and who we can't. The True Blue.
My mother and Godmother, who had their share of 'issues' through the years (as people who care for one another do), were still close when she passed over 1 year ago. As both of them encountered more medical problems with their age, they called each other even more frequently and my Godmother even checked in on my mother when I was out of town. Perhaps it was that natuaral sense of who was True Blue that got them through the earlier rough times of their friendship.
After the last of the "old gang," as my mother calls them, passed this fall, my mother told me that for her, the worst part of getting old is not the medical problems, nor the loss of her energy or mobility, but it is being the last one alive. She couldn't even bear to attend the funeral.
When Mom moved to the senior living apartment, I first envisioned her making all sorts of new friends, maybe helping to replace the holes left by the losses that have come at a pretty steady rate for the past two decades.
What I see is her making a lot of casual friends, people who might drop a piece of cake off at her apartment or bring her the mail when she doesn't feel like walking to the lobby, but not what I would consider really close friends. No one who comes over for a full morning coffee clatch as I remember she did with the women of the old gang.
And as I speed toward my mid-40's, I understand that relunctance to trust your inner-most secrets to just anyone if they haven't made it into the old gang.

Tuesday, January 09, 2007

Emergency Plans

It is supposed to sleet and snow here beginning on Friday and maybe last through the entire weekend.
One of my mother's former weaknesses was planning ahead. She never drove a car, but it used to drive everyone around her crazy when she would forget something at a store we had just been to the day before.
I say a former weakness because later in life when she began working as a cashier, she became much more attuned to everyone else's busy schedules. Now I ask her to give me her grocery list, check for groceries and scratch off tickets on Monday. I also have her call in her prescriptions at the beginning of the week so they're ready anytime I have a moment to run to the store or pick up the drugs.
She still sometimes forgets to give everything to me and I forget to get it and it's hard for me not to get annoyed when I think I have so much more on my mind.
But then I do know that she doesn't intentionally forget.
I did gather all the stuff I needed last night and as we were discussing the impending storm, I told her we might have to bring her to our house for a few days. Her building's electric is still powered by lines above ground and they have no generator to continue electric service if the power goes out. She not only needs her oxygen, but heat to stay warm.
So, this week, I asked her to make another list of everything she would need in case the winter storm punches us a direct hit.
It's always good to have a plan.

Friday, January 05, 2007

Thank God For a Typical Week

When there's a person in your life with a chronic illness, you learn very quickly to appreciate the typical weeks. This week, thank goodness, was one of those.
Mom had her downs early in the week and didn't feel well one day, which is pretty normal. As the week went on, it was the usual routine for her of paying bills, making out her grocery list, going to the beauty salon, chatting with the housekeeper.
And a routine week for her means a routine week for me. No side trips to pick up prescriptions or doctor's visits. And no extra worry aside from the uneasy sense of waiting for the next emergency.
Thank God for routine weeks.

Wednesday, January 03, 2007

Ghosts of Christmas Past

Anyone who saw my mother's huge assembly of Christmas decorations when I went to clean out her duplex last spring knows she is a woman who loves the holidays. It used to take her at least a day to decorate and a whole day to take it all down. Yesterday, she took down her door decoration and her stocking, 2 of the 3 things we had up. It took me another 5 minutes to bag her tiny tree and place it back in her storage area. Mom seemed a little down, she didn't allow her longing for the traditions of our past ruin her holiday spirit, but I could tell it had finally caught up with her yesterday. Everyone has that let down feeling after the holidays. They complain about the January doldrums when there's no celebrations or even much good weather. But I think for the elderly, it is especially hard. Mom's whole building was absent of the festive trees in every common area. Although I started complaining about the singing, dancing Santa that went off anytime I got on the elevator, I even missed Jolly Old St. Nick on my visit yesterday. There weren't many people chatting in the lobby when I came in and for the ones who were milling about the common areas, they looked a little more tired than usual. I only heard one excited conversation going on about the New Year's Eve bash, which had a good band and good food, in this person's opinion. And even that conversation focused on looking back, rather than forward.

Tuesday, January 02, 2007

The Party

This is the story of our new beginning for my mother and I, the incident which took us into our current mother/daughter era. This essay was named one of the top 100 in the 2004 Writer's Digest competition, of approximately 10,000 submitted that year:

Friday night was like a party, an outlandish reunion of many different families in a single room, united by dire tragedy. Some brought children; others brought food. People smiled and hugged while waiting their turn to see their sick loved one.
The weekdays and nights were lonely in the ICU waiting room. Only one or two people of a family sat in quiet reflection while the rest of their kin took a break to go home to rest and bathe or to go back to work.
During the day, the regulars played cards in doubles or solitaire, knitted or read. Younger visitors worked on laptop computers, chatted on cell phones or watched television.
Night brought complete tranquility, except for the code blues that sent doctors into the room to awaken family members. They struggled up from their curled embryonic positions in chairs and were ushered into the diminutive waiting room across the hall. After the chaplain arrived, they would emerge sobbing.
But Friday night was different. Instead of somber reflection, it was a happy time, even for the families of the sickest patients.
My two sisters, Linda and Janet, and their husbands were part of our unit, as was my oldest nephew and his wife, who sped down from South Dakota the day before. His brother and girlfriend also joined us.
Helpless to do anything for our mother and grandmother who had suffered a severe heart attack on Wednesday, we indulged in a party platter of hot chicken wings, fried potatoes and mozzarella sticks from a nearby restaurant and traded memories.
“Steve was chasing the dog and came around the corner and slipped on the wet grass she had just watered and landed right at her feet,” my oldest sister said, recalling the first time her husband met our mother.
Mom was obviously not impressed. “Are you sure this is the right guy for you?” Linda said our mother later asked her.
We all laughed, thinking about Steve’s over 200 pound, six-foot frame landing at the foot of our 95-pound mother and offering his hand saying, “Nice to meet you.”
We found the humor in my mother’s belief she could will any illness away. I recounted the conversation I had with my mother on Wednesday night after her heart attack. “Mom, you told me you were feeling good when I talked to you this morning.”
I knew by then that the dull pain of her heart attack had already begun that morning before I called her. “Well, I wanted to feel good,” she said.
I looked up and saw one of the Johnson’s smiling at my story. We became familiar with Mrs. Johnson, a woman in her 60’s, her two sons and one of their girlfriends. The elder Mr. Johnson had survived bypass surgery the day before.
For those of us in the ICU waiting room, our identity was our patient’s surname.
When one of the two outside lines would ring and someone would answer, the person answering would call out whoever’s family they were trying to locate.
As was the case for a different family since we took residence at this place two days before, we watched the Johnson’s wait throughout a grueling 10-hour day. Once, towards evening, when I came back from spending time in my mother’s room, Janet leaned toward me when I sat down, “They just told them that he was in recovery, but he started bleeding, so they took him back in and opened him back up,” she said, nodding toward the Johnson’s.
I was glad that my mother’s own internal bleeding stopped the night before. Two hours later, when they brought him down to ICU, Mrs. Johnson hugged both of her sons good night. She turned, nodded and smiled to us as she walked out to settle into her husband’s room. The worry lines on her forehead had softened.
Most families’ presence was temporary, such as the family who came in that Friday morning. They too, were sweating out a surgery. This family also had two grown men waiting for word about their father. During the day, a hospital volunteer sat at a desk answering the waiting room telephone and taking messages for family members.
It wasn’t long before the two brothers learned that the volunteer was very meticulous about “her” waiting room. Certain lamps had to be on, the coffee pot full and the television at a certain volume. One of the brothers started turning out one lamp every time the volunteer left the room.
By noon, the antics escalated to elevating the television volume up or muting the sound and rearranging the volunteer’s pens on her desk. We all giggled like rebellious children playing a trick on the teacher as we watched her pace around while returning order to all of the items.
“You’re going to make that poor woman have a breakdown,” Janet said to one of the brothers as he turned off the lamp for the last time that afternoon.
“Now, who keeps turning off this lamp?” the volunteer nearly screamed when she returned. Her face red and her hands shaking, she said she was glad it was time to go home as she put on her coat and left, stopping only to turn the lamp back on as she went out the door. We howled with laughter after her departure. At the volunteers’ expense, we were eager for some comic relief.
When their father came out of surgery, they stayed for the Friday night waiting room festivities and then followed their loved one to another unit. “Movin’ on up?” we would ask the families, as patients on the first floor ICU were moved to the second floor rehab unit.
Other families settled in for the long term, either beginning the long journey to recovery or facing sad endings. Anna was the caregiver for a mentally disabled man who had open-heart surgery the day before my mother arrived. We immediately recognized his unique German last name. He was the relative of a neighbor in a community where we grew up.
We followed his progress for four days through Anna. She announced when he first sat up on the edge of his bed and when he shed the respirator. She heard about our mother’s first bites to eat and when the stint from her groin was removed on Friday, allowing her to once again sit up and bend her legs.
Anna was the one who warned us about the hospital food. “The soup is ok, but I wouldn’t try anything else,” she said. After a trial of one of the hospital meals during a snowstorm, whomever’s turn it was to go home had to bring back food for everyone else.
That Friday morning, an older man shuffled into the waiting room using a cane. His face was drawn and he barely looked up as he made it to a chair to rest. I wondered if his exhaustion was mental, physical or both.
I felt the pain on his face. Before dawn, a young woman and her husband were whisked to the tiny waiting room. Her father had passed. My fears for my mother clashed with the flashes of the walls closing in on me in a similar waiting room when my father died of a heart attack nearly 23 years before.
The old man looked familiar to me and I placed him somewhere in the memory of my youth.
“Excuse, me,” I said. “Did you teach high school?” I asked the man as I moved to sit next to him. His face brightened. “Yes,” he said.
“Mr. Martin.” We said his name at the same time.
“I’ve been coming here everyday for the past 29 days now,” he said slowly, looking down at his liver spotted hands. “My wife is being transferred to a long term care facility tomorrow. Flu. I got it and then she did. I was able to shake it, but we don’t think she’ll pull through.”
He gave her room number and I realized she was the woman in the ICU room next to my mother. Mrs. Martin was on a respirator and appeared to be comatose.
I wondered how anyone could handle the stress of coming to this place for 29 days straight. How many nights had he stayed waiting for his wife to wake?
My mind took me back to sophomore biology. Mr. Martin was never a cool teacher. He always moved a bit slow and seemed an easy target. His demeanor must have made us think he was slow witted as well. But he was smarter than we all realized, even once leaving a bogus test key to see who would try to cheat.
I suddenly wanted to go back in time, for Mr. and Mrs. Martin, for my mother and father and for myself. But like a long summer day at an amusement park, we try to do as much as we can until the day is spent. We have the memories of the ups and downs, but we can never get the day back.
“I’m sorry,” I said. “We’ll pray she recovers.” Mr. Martin nodded, smiled and gathered his strength to stand. A sudden blast of music from the intercom interrupted my thoughts as I watched Mr. Martin move slowly and deliberately down the hallway.
“Do you know why they keep playing Rock A Bye Baby?” I asked one of the Johnson brother’s girlfriends.
“They do it every time a baby is born,” she said. The thought of a new life made me smile.
On Saturday morning, Anna’s charge was gone. I did a mental victory dance as I realized he had moved on up. My happiness for them subsided when I saw that a cleaning lady mopping the floor was the only person remaining in Mrs. Martin’s room. She had moved on to the nursing home. As I turned to walk down the hall, the lullaby once again played over the intercom.
Later that weekend, my mother moved on up. Several days into the week, I ran into a frantic Mrs. Johnson as I got off the elevator. “They called a code blue on my husband and I just rushed back up here…I don’t know what happened, he was doing so well.”
She grabbed my hand and I waited with her until the doctor could explain Mr. Johnson’s condition and escort her to her husband. She hugged me and hurried down the hallway disappearing back into ICU.
The next evening, I poked my head into the ICU waiting room. Among the sea of new and unfamiliar faces, who quickly turned away when they realized I was not anyone they knew or anyone who could bring them good news, I saw Mr. Johnson’s eldest son. He smiled and waved.
“How is your dad?” I asked, sitting beside him, feeling almost like an intruder in the waiting room that just the week before I felt we belonged.
“Stable,” he replied. “And your mom?”
I suddenly felt guilty because she was doing so well. “She’s leaving in the morning,” I said, pointing to a bag I brought to pack her things.
Instead of a look of envy, the junior Johnson said, “Oh, that’s great. My family and I pray for her full recovery.”
I realized I had sat in the same chair Mr. Martin was sitting in when I spoke with him the week before. I knew the junior Johnson was sincere in his wishes for my mother.
“And my family all pray for your dad as well,” I said. I felt the genuine warmth of friendship as we shook hands. We didn’t even know each other’s first names, but our lives connected through our shared pain and distress.
As I left the ICU waiting room for the last time, I heard, “And that’s how me and your granddad met…” the group surrounding an older woman laughed.
It was another reunion on another Friday night.