I woke up at 2:48am, then tossed and turned until 4:40, when i decided to get up and make use of the time I was burning up in bed not sleeping. I was ‘rehearsing’ my day over and over in my mind, as if that would prove my day to be productive. I ate late snacks after a healthy dinner. I stretched my limbs for several minutes, and tried to get off the floor without using my arms. This move was one I had read would be one predictive of longevity. I rocked back and forth as if that would work to hoist my stiff joints into action.
“This is magical thinking,” I murmured to myself. Goal 1: Get off the floor without using arms. Maybe today I will drink water throughout the day like the acupuncturist recommended. Maybe. Or, I’ll make coffee and savor it all day, switching to tea for my evening therapy sessions.
Story is so present for me currently. My home/personal life, work life, and caregiver life are wrought with tangled stories. I am always writing in my mind, but only in my work life do the stories get their proper attention. Goal 2: Write. For myself. For healing, joy, humor, or for no reason. I aim to record the mundane things I notice along the way each day, and write to get myself out of the funks.
My mother fell Monday afternoon, as she was walking out of the bathroom. I was there, and watched her body descend in slow motion, like an ice skater in a distorted horizontal twist. She fell into the hallway, her head hitting the molding of the door across the hall. “OW MY HEAD!” She lamented. I froze for seconds, whipping through the rolodex of options for elderly people when they fall. Memories arose from my father’s horrific hospital experiences. Shall I call EMS and risk the same outcome? Send her out of her comfort zone to have to quell her anxiety and consistently reorient her? She had a large goose egg on the back of her head, but otherwise seemed okay. I helped her sit up, and she sat splatted on the hallway floor to weigh in on what to do next. She initially balked when I mentioned calling EMS, but eventually said, “this is a big bump. I guess somebody should look at it.” Inasmuch as taking her out of her familiar zone is risky, I thought of Natasha Richardson, the beautiful actress who took a fall when skiing, and died of an epidural hematoma two days later. I called EMS, and the ambulance arrived in short order. They looked mom over, gently and stated because she was on a blood thinner, it would be good to have her evaluated. We decided to send her to the closest hospital, which does not have a trauma department. My father had triple bypass there in 1995, my mother had hips and knees replaced in the early 2000’s, and even Bentz had been for pneumonia a couple of times. The fire department was summoned to help her up, as mom’s lower leg edema impacts her mobility. She favored one hip, and I took note to share with the physician. I grabbed a few snacks, including her ‘circle sandwiches’ (pinwheel sandwiches from Publix) and she was off.
I arrived first, and checked in with the desk. “They’ll call you back when she gets here,” the admin informed. Since one can see the ambulance bay from the tiny ED waiting room, I saw them pull up and her little gray head go by the window. Less than a minute later, the door opened, and I thought they were coming to get me. No, they had actually popped mom into a wheelchair and were opening the door to roll her into the waiting room with me. “There are no rooms right now, the attendant remarked. I could not make sense of this. It’s an emergent situation, why would I have sent her in an ambulance, then? Eventually we were called into the triage room, not much bigger than our galley kitchen. Mom in her wheelchair, me, nurse and doctor were ‘too many cooks’. They asked a few pertinent questions, and I shared what happened, including the leg weakness upon standing. The doctor took a less than 60 second cursory look, and wagged her legs back and forth in the chair. “If something were broken, this would be painful, and she would be yelling.” Ok, I buy that, and we were sent back out to the waiting room to be called for a head CT.
We sat and we sat in the waiting room. SInce MSNBC wasn’t playing on the tv, mom wasn’t able to fix her focus, so she developed a few catch phrases for orientation. “we have a great view! It’s a beautiful day out there”. As the time stretched, the cycles started.
Mom: “Now is my car in the parking lot?”
Me: “No, I drove here. You came in the ambulance. My car is parked way over there- you can’t see it from here”
Mom: “Oh okay. Well I’m about ready to go back home. I don’t think anyone knows we’re out here.”
Me: “Yes, it seems like that, but they’re very crowded today.”
Mom: “I’m going to go up to the desk and ask them how long it’s going to be.’
Me: “Well, they don’t really know. They just get messages from the nurses and doctors.”
Mom: “It’s been a long time. We’ve been here a long time. I might just go up and ask them how long it’s going to be.”
Finally, she was summoned to the CT scan, and then another wait and wait after for results and discharge. All was clear, thank goodness, so we gingerly squeezed her into my Honda Civic for the ride back home.
Of course that’s not the end of the story! The leg pain continued, and she became fearful of falling again. I called her orthopedist, who scheduled an MRI for the following Tuesday, but in the meantime, she had to slowly eek her way around the house.
The beauty of dementia: she has no recall of the event, and after a few days became more confident in her mobility. We’re going for the MRI, which will set her back, but again she’ll hopefully return to her baseline, or close to it.