A Trip by Ambulance

She crawled down the hallway to get to the living room

That dreaded call from across the street came in around nine on Saturday night. Mom relayed right away that Louise fell in her room and couldn't get up. She crawled into the living room and called out to my mother, who couldn't hear her from the other end of the house.

Louise couldn't get back into her wheelchair, yet, refused to go to the hospital insisting that she was fine. In her bedroom, I asked her to demonstrate that she could transfer from the bed to the wheelchair and back. She was able to do that, so I went home. I live across the street.

By Sunday morning, Louise was too sore to get out of bed. I dialed 911 and she was taken by ambulance to the hospital where she was admitted. She had a painful injury to her left ankle that had fusion surgery in 2007, and her left knee was bruised. They found she also had a urinary tract infection. After she arrived in the emergency room, a bruise appeared on her chin following the line of the cervical collar that had been placed on her during the ride.

Louise is a non typical 93 year old female who lives at home with her 88 year old sister. She dresses herself, prepares daily noon meals of sandwiches and washes dishes by pulling herself up to stand at the sink. She routinely maintains her own personal hygiene, showering and shampooing unassisted, performs toilet transfers, makes her own bed and takes care of her cat.

Feb. 11, Tuesday 4 pm - Patient was transported by ambulance from Lake Point Medical Center to a Skilled Nursing Facility arriving around 5 pm. Assigned to room 505 B.

Upon arrival at GH, patient was evaluated by Gladys and Rose, Nurse Techs who removed her street clothes and put her in a hospital gown for the initial assessment of her condition. Personal clothing (including nightgown) was available at the time of arrival provided by Niece who accompanied the ambulance. Clothing was placed in patient's dresser and closet. Dinner was provided. Patient fed herself and had a good appetite completing most of the meal. Bedside commode was positioned next to bed. Staff was briefed on patient's personal history prior to injury.

Feb. 12, Wednesday 10:30 am - Upon my arrival, Patient was found in bed still dressed in a hospital gown. After a discussion with the Nursing Supervisor, patient was helped to the bedside commode where she was seated with the door to the room left open in full view of hall traffic. Upon direct questioning as to the course of treatment and reason for remaining in bed, patient was seen by Occupational Therapy representative, Sara, who immediately responded by assisting in getting the patient dressed in street clothes and taking Patient to the Exercise room for evaluation. :)

Feb. 13, Thursday 11:45 am - Patient was located in the dining room following Occupational Therapy where her relatives (Niece, Sister and Friend) joined her for lunch of soup, Chicken Tetrazzini and pineapple cake. Patient's appetite was good and she fed herself without assistance. Visitors remained until 2 pm. :)
4:30 pm Niece received a frantic call from the nursing staff at the request of patient who was agitated to the point of tears asking that I return to GH. She was already in bed and had been dressed in a diaper (not pull-ups) and was extremely distressed by this action of the staff as she is able to use the toilet if assisted in making the transfer. :(

Feb. 14, Friday 10:00 am - Valentine's Day. Patient was located in the Occupational Therapy area with electrodes attached to her left ankle. She had refused her breakfast, yet when offered, drank a large glass of milk fetched from the kitchen. Kitchen staff was very accommodating even offering a banana. Patient had been showered and her hair had been shampooed. :)
3:00 pm Family members returned to find patient in distress, searching the closet for additional "pull-up" underwear. Staff informed family that patient was not to put on disposable underwear unassisted. (Grabbed them out of my hand and put them back in the drawer.) Patient was extremely tired and tearful, having difficulty in expressing her concerns. Visitors departed approximately 4:30 pm with patient stating she would eat the evening meal in her room.


Feb. 15, Saturday 11:45 am - Patient was located in the "Small Dining Room" seated at a table with patients who lack the skills to feed themselves or communicate verbally. Patient was in tears and visibly shaken by this development. Her hair was in disarray and uncombed. I moved her to the "Large Dining Room" where the patient fed herself unassisted after recovering her composure. She explained that someone had "fed her dinner" the previous evening in her room. Patient stated that the staff did not make eye contact during the meal, instead concentrated on a device held in the staff member's lap while distractedly shoveling food into the patient's mouth. Later, she rang and asked that the room lights be turned off along with the TV. Lights were turned off and TV was left blaring all night. :(

Following lunch, I asked a tech to assist in helping patient to the bathroom where staff member continued a conversation on her cell phone during the transfer from wheel chair to the commode. Patient was dropped from 6 inches above toilet where she landed on the seat and was left in my care. Tech did not return to assist patient back to wheel chair. I assisted with the transfer back to her wheel chair and in performing personal hygiene needs: hair combing, teeth brushing and washing of dentures not done earlier in the morning. :(
4:45 pm Patient was assisted in reaching the phone after 6 rings. She was tearful and tired and said, "Sometimes I don't even want to go on."
7:00 pm Patient answered the phone and seemed somewhat calmer, had been showered and was dressed for and comfortably in bed.

I called to report my concerns to the nurse on duty (Beth) who was compassionate and understanding and listened to my account about lack of respect and dignity being demonstrated by the recent developments. Monday I will make a report to the Facility Administrator. There is a distinct difference in the weekday staff and the weekend staff who operate with little administrative supervision.

Community Attendant Program To The Rescue, Eldercare Blessings

I'm reminded of Pearl S. Buck's story, The Good Earth, in that I've been afraid to praise the benefits of the Department of Aging and Disability or DADS, as they're known, for fear of jinxing the program. At long last, following a lot of hoop-jumping, the ladies in my care are getting the help they need to remain living independently at home. Being homebound, according to their Medicare Advantage plan's definition, is that leaving  home is a major effort. That definitely describes the ladies across the street, who at 88 and 93, still maintain their own daily activities but neither own a  car nor drive. Thankfully.

With that independence comes other disadvantages like trying to cook meals, which has become a dangerous activity to someone in a wheelchair who is legally blind from macular degeneration. And to her younger sister, it is a matter of concentration, along with sense of smell and hearing, which seems to be lagging at times. Recently, a grease fire in the kitchen nearly sent the pair to well, we'll just say they were both fortunate that in a moment of clarity the flaming pan was moved to the nearby sink without harm. It was a real eye-opener for me.

Truly, I'm in denial about my Mother, who for the last twenty or so years, has remained so vibrantly active and able, not retiring until she turned eighty. Now as her skills diminish, I'm grateful that they have qualified for Home Health Services Care. With the two ladies living together, their combined allotted hours gives them a Community Attendant who comes five days a week, eight hours per day.

The real difficulty has been the inconsistency of schedule for the attendant since the middle of November when the program started. First, we had the Thanksgiving holiday, then a flat tire, then Christmas, then New Year's, then the stomach flu (out for 8 days) for which we remain grateful was not shared with the patients, then several days of ice and road conditions making travel too dangerous to come. If things ever settle down, it will be a lot better for the ladies who are fond of a predictable routine at their house.

The strange part is the element of coincidence (?) in the attendant's name. It has been strangely validating to be assigned a wonderful and enthusiastic twenty-one year old named Joe. Yes, a lady named Joe. I thought I was the only one with a name spelled like a boy. Other than my fictional character in The Pub novel I'm writing. Hmm. Strange. She's blonde and sweet, a young mother who takes pains in being creative with the meals she prepares for my Mother and Aunt. And what a major relief it is to have her help.

Good rice. It is good rice.

Signs in the Neighborhood

Driving past this feed store reminded me of the old place that used to be at the four way stop sign in Murphy Texas. No longer in business, their bait sandwiches have gone the way of the buggy whip.



Bait Sandwiches? Stop in at our deli.

Murphy's Bait and Tackle was demolished and replaced with a strip center containing a Lowe's, a Chick-Fil-a and a Chipotle restaurant mixed in with other stores.

I circled back through Lucas after finishing an errand that took me down this crooked and woodsy back road in the first place. Stopping just long enough to capture a photo of their sign, I figured it's only a matter of time before places like this one disappear completely.

Christmas Decorations

Putting away the boxes of Christmas decorations made me want to purge my rampant collection of holiday decor. A couple of trips to the trunk of the car and once again, my boxes fit neatly into the cupboard beneath the stairs. I knew exactly where I was headed with the donations.

Of course, it was somewhere that I would likely bring home more stuff than I dropped off.

The trip held no exception to the truth about giving; it makes more room for treasure. This vintage punch bowl was discovered at The Samaritan Inn in McKinney Texas.

Oh yes, one more item to find room for in the overflowing cupboard. The old pressed glass pattern brought back days of Christmas in the sixties and was simply irresistible. We traditionally served red punch poured into dainty little glass cups with handles way too small for anyone's fingers. The recipe was prepared with ginger ale, Hawaiian punch and pineapple juice cooled with ice cubes of frozen fruit juice. My sister was in charge of ladling at our house, hard at work at here at her duty post.

Perhaps when the right festive occasion comes along and punch is required, I might find a use for this set of elegant glassware. I can imagine filling it with a colorful holiday beverage. Forget the paper cups, I enjoy using real dishes.

Venturing Out - Day Five of the Ice

After a week of hunkering down behind battened hatches, I ventured out to drive on the neighborhood streets yesterday.

 It was staggering to see the volume of damage to the trees along familiar trails and to find that my trees were not the only ones affected by the storm.

The biggest tree in the backyard sustained the most damage, an  Arizona ash planted back in the early 1990s when we first moved out here.

 

The roads were like an ice palace with frozen sculptures at every turn. Even a speed limit sign provided a visual point of interest with its ice sheath slipped down to reveal an icicle fringed skirt.

Watching ducks swim about on the icy surface of the chilly water, the small pond by the RV Park was reminiscent of a favorite story from the movie, "Fried Green Tomatoes".

It was good to get out.

Major Ice Storm Hits Dallas Area with a Vengeance

Temperatures in the Dallas Metroplex took a turn dramatically downward this week. Taken by surprise after Tuesday and Wednesday's temperatures ranged in the high seventies, Thursday night temps would bring in more than just cold weather.

Opening the back door to let the dogs out a few minutes before sunrise Friday am, I found a nasty surprise in the backyard. Our two mature trees, which usually form a balanced pair on either side of the porch, were bent over double with limbs and leaves dragging the ground. In the dim light of morning it was difficult to see the full extent of the damage.

The all-night tinkling of freezing rain Thursday evening left a major change on the neighborhood creating an icy world of crystaline sculptures of the landscape.

Limbs of trees we planted in the early nineties are snapped off as if they were tiny twigs, held in position by a thick coating of ice.

 

The Popcorn Tree has suffered loss of at least 4 major limbs snapped off as if by a giant hand.

 

 

The yard was like a brickyard of spikes piercing upward through the thick coating of frost. As Tony tried to walk, the frozen concoction remained stiff and unyielding. His legs and feet slipped and slid as he tried to make his way to his favorite spot.

 



 

 

 

 

 

Today, the ice remains as seen in the photos as temperatures have remained below freezing. Some of the ice melted during the day yesterday and refroze last night creating a world of black and slippery ice. Even truckers from the north were saying they'd never seen anything like these road conditions up north. We really do things BIG in Texas.



And the Blind Shall Show Them the Way

Small miracles happen every day if only we pay enough attention to see. The other day, I was dashing out of the front door to run errands, when I noticed something very important missing from my car keys: half of the key ring with all Mom's keys was not attached to the ring.

The first thing I did was panic. I viewed a mental picture show of all the places I'd carried the keys recently.

The Post Office? Yes, I'd stood in the parking lot talking with a neighbor in the previous days, keys in hand. I could see my hands gesturing wildly as they sometimes do, while a view from the side camera catches the arc of the keys flinging out of my hand landing in the gravel lot somewhere beyond. As I sensed this was the place to find the missing keys, I drove immediately to the cement building that serves as our postal facility and discovered it was Veteran's Day and the place was closed. Next.

The recycling facility? Oh, please, not that. Don't make me crawl through that huge green dumpster, please. I'll search there only as a last resort.

The driveway? That morning I'd carried the trash out to the street and taken my house keys with me after being locked out by Tony one time, well, more than once. Tony is our Labrador and my constant companion.

Tony standing guard over Cookie

So I walked up and down the driveway a few times, which for most people is like a walk around the block in the neighborhood. After a few trips from the porch to the road I was ready to call it quits so I drove over to Moms and mentioned that I had misplaced my keys, trying not to draw attention to the fact that it was their keys I'd lost -- That would have been a no win situation.

Anyhow, as I'm carrying on with Mom about the latest whatever she says, "Oh, by the way, Louise found the keys." Louise, who's recently passed her 93rd birthday and who's lost most of her vision had found the keys which I'd searched for most of the morning. She had located them on the couch in their living room, nestled underneath the quilt where I hadn't bothered looking.

My sanity was held together on a neat ring in Louise's trembling hand where the keys to the Post Office Box, the front and rear doors, dead bolts and gate key were clipped together all safe and sound. Taking the keys in hand, I danced the dance of joy, gave her an enormous hug and one to Grandma to make it even and another round for each of them.
I waited for some deep voice to announce from the clouds..."And the blind shall show them the way...". Nothing like that happened, but a big white "X" streaked its way across the bright blue sky as I made my way back toward the world of normalcy.

Which made me think of Indiana Jones who said, "X never, ever marks the spot."

Amazing. And so is Louise.

Fire Hazzard

Last Friday when I called Mom to see if she wanted some homemade soup, she said, "No thanks, I'm making creamed beef with gravy. I was delighted that she had the energy to prepare a meal since she's been so tired lately. Whenever I call, I seem to wake her, although she denies that she was sleeping. "I'm just resting," she always tells me, "just lying here with my eyes open."

Saturday when I took them over the soup I'd promised, I noticed the vent hood of her stove had black scorch marks across the front that wouldn't come off when I tried to wipe it down with cleanser. "What happened here?" I asked.


Vent hood scorch marks

"Oh, that happened a couple of days ago," she told me.

I knew better, having been there Thursday to deliver their weekly groceries and some KFC for their dinner. I asked how they liked the chicken and whether she'd remembered to serve the cole slaw which I'd put in the refrigerator as it was too early to eat dinner. Nope. It was still in the fridge.

I returned to the issue of the scorch marks and asked her again what happened. She'd turned away from the frying pan (with it on High) while looking in the fridge. A huge fire had engulfed the ground meat while she wasn't looking. I was speechless for about two minutes while I sat and tried to think of what to say. This is my Mother, and yet I'm the one who's always lecturing. Finally I found the words.

"I'm just glad you are both okay," I told her. "Things could have been much worse," I said trying to keep the fear out of my voice.


The vent hood in the background

"Well, there are two doors to get out of," she informed me somewhat defensively. Thank the Lord that she'd reacted quickly and moved the pan into the nearby sink. Her words sent a cold shiver through me. I was proud of her quick thinking and yet . . .

With Louise in a wheelchair and Mom on a walker, it would take them too long to get out of the house if things had gotten worse; the stuff of nightmares. Just the week before, we'd had a major fire two blocks away which burned through the night. Last night, a special report on emergency preparedness in case of fire aired on the news and I thought about the Ladies across the street as I do often when I can't sleep.

Things That Go Pop In The Night

The sound of sirens in our neighborhood is never a good sound. The first thing that comes to mind is the elderly ladies who live across the street, my Mom and her ninety-three year old sister. Of course, out here, that's about a city block away. I ran immediately to the front window to see which street the ambulance would turn down, wondering how quickly I could get dressed and get over there if need be. What I saw from the front window of the house was a firetruck making its way down the main drag that separates our homes.

When I looked over in the direction of Grandma's house, my heart nearly jumped out of my throat. There were bright yellow flames that reached above the tree line between us. The night sky was lit up like a white cloud at sunset, with orange tongues of fire reaching even higher than the neighboring homes. I couldn't tell exactly how far away it was so I woke J and he drove over there to investigate. In the meantime, three more firetrucks had screamed their way past our house and turned right on the streets that lead in the direction of Mom's house.

It seemed an eternity before J returned in the truck pulling up the driveway slow as Christmas. My first thought was that he had gathered the ladies and brought them to our house and while my mind worried whether he had rescued Sugar, their cat, I saw that he was alone in the truck. Running outside to meet him at the driveway, I flooded him with inane questions that were self evident by that point.

He groggily let me know that the fire was two streets away and that he had stopped to talk to neighbors, who at that time of the morning, were still up and outside watching the volunteer fire department trying to extinguish the roaring inferno.

The morning after

All they knew was that they were playing video games when they heard a loud pop. When they went outside to look, they saw their neighbor's home engulfed in flames. They dialed 911 but the fire had already been reported and help was on the way.

This is all that remains of what was once someone's home. Perhaps the most disturbing part is seeing the dog houses in the back. Still, I remain eternally grateful that it was not at Mom's house and that they slept peacefully through the night. I whispered a prayer of thanks and went back to bed.



Watermelon Easy Cubing

It just wouldn't be July without a watermelon cooling in the fridge. Of course, the fourth of July has passed and soon August will be in full swing so this seedless watermelon will probably be the last one I cut and cube this season. I've discovered a way to prepare the melon that is easy for me and makes the fruit disappear quickly. Here it is in picture form.



Step 1) Cut the melon lengthwise down the middle and turn it cut side down on a cutting board

Step 2) Make horizontal cuts across the fruit from one end to the other and separate the slices

Step 3) Turn one section on its side and make a cut between the rind and the fruit to separate the rind from the good part

Step 4) Cut the block of fruit into one inch strips lengthwise and then across

Step 5) Using a flat spatula is an easy way to scoop up the cut pieces

Step 6) Place the cubes into an airtight container and continue on to the next slice. Repeat.

I like to cut up the rinds and add them to my compost bin for next year's garden soil.

Easy peasy!





The Drought Hits Closer to Home

The morning's surprise when I went out at 7 am to feed Brian Williams the cat, was to find a utility truck parked fifty feet into the front yard.
For the past few days, the utility sub-contractors have begun to use our property as a staging area for their trucks as they perform telephone pole inspections on our street. We have watched their "progress" as they've inched closer and closer to the heart of our privacy.

Today's encroachment resulted in an unfortunate event: an 18 wheeler, laden with telephone poles ran over and broke the main water line that feeds into our house.



At 4:35 pm, I contacted Farmer's Electric Company (FEC) to let them know their trucks were parked along the front of our property where our water meter is located. And sure enough, within moments after two trucks drove away, the water flow in the house diminished to half its normal flow. We have NO water. That's right, supper is cancelled, forget flushing the toilet and my thirsty tomato seedlings will just have to wait as the first triple digit heat of the season courses through the Dallas Metro plex.

I immediately called the Special Utility District (SUD) to let the water supplier know. Unfortunately, their office closed at 4:00 pm. So I dialed the emergency number and reached a very courteous worker, Terry, who promised to do a drive-by and check out our pipes. And he did, within minutes of my call. Sure enough, he announced that the main water pipe was broken.

Coincidentally, on today's NBCDFW News at 5

A short while later, I received a call from the sub contracting company who apologized for the inconvenience and suggested we call a plumber. After several emergency calls to various plumbing companies, at this very moment, there is a plumber (Cowboy Plumbing) working on fixing the damage. Of the many plumbers I called, they were the only ones willing to put in the effort outside the standard 8 to 5 work day. The bad news is it is now 2:00 am and he's still out there trying to repair the pipe.

It's been a day for minor disasters, starting off with me losing Grandma's credit card when shopping for her groceries this morning. Then J broke off the key in the front door lock and later the knob broke off Grandma's washing machine.

All in all, I'm still grateful. Things could have been worse. When I finally drift into the slumber chamber and seek a little rest, I'll have much on my mind about today's events. When it rains, it pours. Or not.

Off for a Sunday Morning Drive

Living in the country has many advantages, one of which is the proximity of the old time neighboring communities. In just a few short miles and within minutes, I can be immersed in landscapes that take me back to a simpler time; a place where railroad tressles, onion sheds and grain silos dot the neighboring fields.

Downtown Farmersville Square

Two of my favorite places to spend a weekend morning include Princeton and Farmersville, Texas.

Today I set out early, heading north on one of Texas' picturesque highways to Farmersville's Historic Downtown Square.

To the right is a glimpse of the park adjacent to the Onion Shed pictured below. Today's unseasonably cool temperatures in the low 70s are the perfect pairing to a stroll through the grounds.

The Onion Shed and entry to Audie Murphy Trail Head

The Onion Shed is where Farmersville Farmers and Fleas monthly produce market is held. I missed yesterday's festivities, when the locals bring their handmade goods, vegetables and crafts for sale and display on the picnic tables under the tin roof.

Recycled Playground Equipment

South view of town

Although it is a colorful display that I've participated in as a one-time vendor, I enjoy the quiet on a Sunday morning when the local crowd is absent.

None of the merchants have opened their stores as most wait until after noon when church is out.



Main Street early on Sunday morning

This is Main Street where my favorite Antique Store is hidden away among antique buildings, many in the process of restoration. Its proprietor knows me by name and greets me with each visit, inquiring about my mother who is her age, yet the two are worlds apart. She brings baked goods and serves coffee and Mimosas to the visitors who patronize her store. Doris, at 87, has just completed the renovation of her building where a variety of consignment booths are housed, dedicating the building to her late husband.

Farmersville Visitor's Center - Chamber of Commerce



Galvanized horse troughs and farm supplies

Scenic Overlook - View of Lake Lavon

The journey on the return trip is refreshingly familiar as I gaze off into fields lining the road and stop at a Scenic Overlook.

Now it's time to head home and wash the produce purchased at a familiar stop in Princeton, Sally's Produce. I came away with a nice assortment of summer squash, green snap beans, tomatoes and a canteloupe along with a beautiful jar of red rasberry jam, the basis for a Rasberry Walnut Vinegrette dressing I'll serve on spinach salad. Sally wanted to know how to prepare the dressing, and I share my recipe while butterflies land softly on the produce resting between us.

All in all, it was a lovely trip.