Monday, September 6, 2010

Day 13

With all the little twitches and movements that have signified the return of functions, today felt like the first concrete step down a new road. Eight a.m. the phone rang, it was a call from Burt. His transfer had come through and he was off on his way to rehab, pillow in tow. This was the end of a long and unsure wait for the Sterns. The doctors had been aggravatingly cryptic and non-committal all week on the possibility of the move - getting into rehab started to seem as difficult as getting into college.
The move was set for mid-afternoon and the Stern clan was excited. Connie, still recovering from her rib injury, had to be almost physically restrained from going to the hospital. However, David's presence seemed to be enough of a deterrent. Gregory, who had woken up with a sore throat, decided to stay home too - fever had kept Burt from transferring earlier and no one was taking any chances. The Brothers had been wearing face masks all week to make sure an errant germ didn't get in the way of the program.
About two hours later the call came in from the nurses station, the timetable had shifted and the move was scheduled for 10:30 a.m. David set off for the hospital solo, suddenly late. There wasn't even time buy the opening donut salvo - as there are now a whole new team of nurses and therapists to win over.
While others were enjoying labor day barbecues, Burt was engaged in his all-time favorite activity - waiting. As a general rule, when you deal with doctors, expect a wait, in a hospital it goes up by an order of magnitude. David arrived at the hospital at 11:15, to find Burt was unhooked, packed, and so sick of the delay that he was ready to pull himself across the building one handed. By 12:30, all the papers signed and requisitions approved, the rehab train pulled out of the station. Everyone said their farewells and promises were made to come back and visit. And so the journey began... and end 4 minutes later down the hall to the left at the Berkshire Medical Center House of Pain.
The Center for Rehabilitation is a cheery enough place for a hospital. Patient rooms have the same understated banality across the globe - there is no flair in healthcare. The showpiece is the workout room - it is a big room full of mats, inflatable balls and parallel bars. It looks like a gymnasium in slow motion and no one in it looks like they should be working out. This where the patients learn to regain what they have lost. There are mock bedrooms, bathrooms and kitchens. It may not look like much but every one seems to be sweating it out. This is where the road starts to incline more steeply. This is where the gains are made and hopefully life begins to return to normal. As Burt said, this is where you first see the light at the end of the tunnel.
Burt got situated in the new room. There's more space but he lost the window. His new roommate John is 87 years and in rehab to recover from a fall. He welcomed Burt with a friendly wink that Burt didn't see from his bed. It turns out that both he and Burt are also hard of hearing, so their conversations are not the most scintillating but they'll soon be shouting at each other, much to the nurses' dismay. The only downside to John is that he is on solid food. At this point, even the aromas of hospital cooking are getting overpowering for Burt. 
The festival of bureaucracy began, fresh nurses, new admission forms, more computer questionnaires, evaluations, and thorough if redundant exams. Meanwhile, like a corner man making sure his fighter has everything he needs before the big bout, David surveyed the new facilities, finding the washcloth supplies, ice machines, and the all important mouth swabs. Burt took the nurses poking and prodding with a somewhat sleepy cheer - it isn't easy to get a good night's rest in a hospital. The upside is no one gets offended if you fall asleep mid-interview. With all the preliminaries out of the way, it was time to meet Randy.
Randy is his new occupational therapist and the official greeting committee. He has the no nonsense demeanor of a benevolent Marine Corps drill sergeant. In his late forties, standing at least six foot three, broad shouldered and solid, he cuts quite an imposing figure amongst a group of people who all worked better a few weeks or months ago. But when he towers above them, with his arms crossed and tells them that he's going to get them walking, standing or moving again, its hard not to swell a bit with optimism. If there is someone who can get you across that line, it isn't to believe that Randy might be that man. Randy looked down at Burt and told him the vacation was over. 

Burt looked back up at him and said, "some vacation... but I'm ready to get to work."

2 comments:

  1. Hi Uncle! Just want to let you know I'm thinking of you, rooting for you, and I love you! Can't wait to see you in a coupla weeks!

    Leslie

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  2. Important Things to Keep in Mind When You're in the Hospital

    1. Remember, chocolate is the no. 1 food group for health care workers. Just don't give any to your dog. It causes seizures. (No onions either. They destroy red blood cells. And no Tylenol for your cat. One WILL kill it.) Aren't you glad you're not a dog or cat? Although, if you think about it, they're just furry people oriented horizontally, who don't have opposable thumbs (which doesn't stop a cat from playing the piano). (See YouTube). End of anatomy lesson. There will be a test at the end of the week, proctored and graded by Randy, so don't even THINK about cheating.

    2. Be your own health care advocate! If you're in for surgery on a body part that comes in duplicate or has two sides that do different things (e.g. brain, heart), be sure to clearly label the body part, or side, that's having surgery "Yes" and the other one, or side, "No" using very brightly-colored indelible ink. Make sure you do this BEFORE being wheeled into the operating room and anesthetized. Surgeons are busy people who spend their time concentrating very intensely on their tasks, which usually involve golf clubs. Don't expect them to remember which side of your brain has the resectable tumor, which knee has the torn ligaments, which shoulder has the screwed-up rotator cuff, or anything else. (Reference: Dana Carvey's heart surgery.)
    Why anesthetize? There are a couple of words that no one ever wants to hear a surgeon say while he's operating: oops and oh, shit being the most common.

    3. (Directly related to 2.) Be sure to feed the xray technicians. Yes, it's very important to bring the nurses lots of sweets as they're the ones getting and administering your medications and bringing you the bed pan, but it is the xray technician's job to label the xrays "Left" and "Right" correctly as well as putting YOUR name on YOUR xrays. This allows the surgeon to not have to remember who you are or why you're on his operating table. Check beforehand to make sure the xray technician is not dyslexic.

    4. There really is no excuse for not getting a good night's sleep in the hospital unless your room is directly across from the nurse's station (been there, done that). The overnight nurses are required by law to talk as loudly as they possibly can ALL NIGHT LONG. If you do have the misfortune to be in one of these rooms, being hard of hearing can be a definite plus. It's also useful for avoiding answering questions you don't want to answer or having conversations with people you really don't want to talk to. it's the same as being someone for whom English is a second language. These people simply say "No speaka da Englis" and are then held responsible for nothing.

    John should be good for another 40 years, as it's now possible, using your own stem cells, to grow your own replacement organs. so it's time for him to embark on a new career. Kids these days need to be taught that not only do they need a college degree to get ahead (unless they can make it as a rock star or the equivalent) but they need to get a college degree every 40 or 50 years.

    Randy was obviously trained by my Russian ballet teachers. (The one that lived to 103 taught until she was 93.) Watch out for the stick they poke you with.

    And lastly, some food for thought:
    When medical records become truly paperless, you won't have to sign any forms. They'll use e-signatures. What will they then call the paper pushers?

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