Tag Archives: hospitals

Ann’s Update: 31 Dec 2010

Dear People,

Again, it took longer than I had expected to get back to you, but those of you who have had the experience of putting somebody into hospital will understand. The whole world (my personal world, that is) suddenly changes, and there are new dimensions, new schedules, new expectations and new fears to deal with. Like – are the nurses good and friendly and capable? Do the doctors know what they’re doing and to whom they are doing it? Do they remember which Sasha leg is supposed to get the skin graft? Does the nursing station serve the family members hot coffee and tea whenever they need it? Turns out, we are in a very, very old hospital (when is the last time you saw windows that opened with a crank?), and nobody has tea and coffee for family members, as the former hospital did. That’s okay. There’s a cafeteria downstairs and after hours there are machines that dispense. What they dispense is — well, it’s hot, anyway.

As for Sasha (you were wondering when I’d get around to the most important part of this adventure, yes?) – his graft surgery went very well, or so the doctor says, and he doesn’t seem to be having a lot of pain, so far, which is a good sign. To my surprise, they haven’t put the leg into any harness or other kind of restraint, but he’s wearing the soft boots which he’s had on for months, and we do our best to keep the leg up on a pillow. Oh, yes—we were urged to have our caregivers here night and day, because Sasha’s memory is severely impaired, and directions given to him by a nurse are forgotten ten minutes later So his caregivers (Chimmy, Vickie and Carlos) are his memory.

There have been glitches in communication about the particular pain medication being used by our primary care physician, and the nursing staff is sometimes aware and alert and other times somewhat clueless, depending on how well the outgoing nurses brief the incoming ones at the times of shift change. One breakfast tray never made it to Sasha, but he ate a good lunch.

We think he’ll be here until Monday or Tuesday, and we still have hopes of getting a private room, but the hope is fading, since this hospital was inundated by sick people on Monday, and they’re still full. Our doctor did his best to get us on the private room list, since a very compassionate friend offered to pay for it, but there is little hope that’ll happen. Luckily, the other patient in this room is a very nice gentleman, so there is no problem. Besides, we’ve learned to be grateful for human beings who are pleasant and cooperative, having experienced the alternative the first night we were here. There was a 26 year old male who didn’t like being intruded upon by another patient, and expressed (repeatedly) his dislike of women talking – obviously, he meant women doing anything – and during the night, he cursed Vickie, who was caring for Sasha, and kept cursing until he fell asleep He was probably in pain, having crashed his motorcycle, and he also was probably the only son of a gangster who had taught him to spread fear and panic wherever he went, in order to get his way, and the son was only trying to emulate Daddy and didn’t know any better. The nurses who had come in contact with this future crime kingpin made clear their joy at his transfer to another floor, although they tried to be discrete, and we were more than happy to find him absent when we returned the next day. It was a thankfully brief reminder of the fact that we, ourselves, live in a community (worldwide) full of really good human beings, kind and compassionate and loving and possessed – one and all – of minimally destructive dark sides. Of course, I mean all of you.

Love and Blessings - Ann

Ann’s Update: 24 Dec 2010

Dear People Here, There and Everywhere,

Continuing the story of next week’s skin-graft surgery: As I told you last time, they (the Medical They) were wanting to do the procedure next Wednesday, but it turned out they couldn’t get a reservation at the hospital (I assume all the surgical rooms were filled, or something), so the new date is Tuesday, the 28th of December, at around 10 a.m. Sasha will go into the hospital the night before — Monday evening, the 27th — timing his arrival to avoid the nurse’s shift change, which happens at 7 p.m. Which means we’ll get him there around 8 p.m., when the nurses are fresh and relatively non-grumpy. This state of being is always helpful when one is a new patient (also fresh and non-grumpy). Especially when the patient (in this case, Sasha Shulgin, in case you’re losing track ) has a tendency to correct people’s English grammar, as well as to create puns of widely varying degrees of acceptability. The English grammar thing is invariably the same mistake, no matter what or where the hospital, and Sasha can always depend on a nurse, or orderly, or — for that matter — a doctor, to make that mistake: ”Why don’t you just lay back and relax, Doctor Shulgin (or Sasha),” or some version of the same thing. Sasha’s response is instant and enthusiastic, “LIE, not LAY!” Almost always, this exchange takes place in a hallway, with Sasha on a moving gurney, surrounded by cheerful escapees from English 101. Being fresh and presumably well-slept, these angels of mercy always thank him for correcting their error, while I do my part, lifting my voice just enough to be heard by The Professor on his fast-moving gurney, “One of these days, Sasha, you’ll correct the Wrong Person, and then, you’ll be S-o-r-r-y!!!!” What I should say, of course, is “Next time, My Boy, wait until AFTER THE SURGERY before you insult the surgeon or the surgeon’s girlfriend.”

Oh, well. (Sigh.)

The skin-graft is not guaranteed to take, unfortunately, but we hope and cross all available fingers and toes. All I know is that They will position his left leg in the air, or at least higher than his heart. This position will be held by the left leg for most of six days. Since elevating that leg under normal circumstances always causes Sasha extreme pain, the surgeon plans to do some kind of temporary nerve-block, as well as giving him interesting amounts of I.V. Dilaudid (or Dilauded? Deluded? Never mind.) This plan helps alleviate my considerable panic at the thought of what might otherwise happen. All of these medical procedures seem to be a constant battle between the rocks and hard places, an unending effort to keep the patient steady on his high-wire — particularly when the patient is an older human, beset by several quite different physical problems all at once. What may require a thinning of the blood (trying to avoid a stroke) may work directly against a tendency to intestinal bleeding — et and also cetera. And to think I actually spent several decades wishing I’d become a doctor! Holy Smokes, Batman!

What will happen when Sasha leaves the hospital, none of us know(s). We’ll cross that whatsit when we come to it.

That’s it for tonight, my friends. Stay safe, have a really happy holiday, and sleep late. Ann