5 Hours in the Emergency Room

Sitting in the ER on the day before a holiday can be frustrating. Truth is, it can be frustrating anytime, any day. A visitor tends to notice the small, bothersome things, like debris on the floor or black scuff marks on the wheels of the gurney. The patient, on the other hand, notices only the delay in getting the proper care or pain medication that they are screaming for at the moment.

The constant bleeping noise of the blood pressure monitor, left running while the patient is taken to some mysterious location for CT Scans and Sonograms becomes the heartbeat of the room.

The wail of other emergency transport vehicles sounds loud as they echo down the deserted hallways, first a siren, later only flashing red and blue lights before the transport team makes their way past us to one of eighty rooms in the ER.

A lonely housekeeper pushes the hospital equivalent of a Swiffer down the linoleum tile. I almost asked when our room will be swabbed as well, but I didn't. Instead, I concentrated on the blaring volume of the TV where the soap opera plays its own version of drama. My companion, the patient's mother, stares without blinking at the screen catching up on her stories so she can relay updates to her daughter when she returns.

Minutes tick by on the clock in the room, the hands moving ever so slowly as we wait for some sort of results or decisions. After an hour, I go out in search of my missing friend.

"They said she'd only be gone a few minutes," I tell someone kind enough to stop.

"Oh, the techs have no idea how long it takes," the radiologist informs me as I'm pacing the halls under the x-ray sign. "I'll find out what happened to her." He asks her name again. I tell him.

At that moment, a door opens and they roll her back to the same location on the dirty floor of the ER room where it rested before. Someone else comes in the room with the same questions that have been answered a number of times. I wonder what is the point of entering data into the computer when no one can find it again.

The doctor on staff, who's substituting for the regular doctor who's on holiday, who is filling in for the patient's primary care physician, asks if my friend has an Advanced Directive and a Living Will. Although expected, this brings to light the severity of the situation and the possibilities of the outcome.

Five hours of staring at the photo on the wall opposite the ER room, the nurse finally tells us that a room assignment has been made. They roll the patient down the hall, with a brief stop in front of the nurses' station to add Dilaudid to the IV drip We follow the gurney through two buildings and up an elevator to the south wing on the fourth floor where we settle into an ice cold room, thankfully, a private room with a window, where the questions resume with a familiarity that is unnerving and redundant.

"What is your name and date of birth?"
"Do you have an Advanced Directive? A Living will?"
"What is your level of pain on a scale of one to ten. A ten?"
"What prescription pain medications do you take at home?"

An hour later, the shift changes and the night nurse comes in with the same list of questions. By now, we're preparing flash cards with the answers to save energy.

My friend is in Stage IV of Pancreatic cancer, unable to eat, barely able to walk, and each question answered requires serious effort at speaking. We turn the air conditioner setting warmer from 65 to a more pleasant 75 degrees, take our positions on the hard folding chairs provided and wait.

Beach Therapy Please

Tomorrow my best friend will face the hardest day of her life. She's scheduled for an appointment at the cancer center to find out what options she has.

Our days go way back in time, way back to working in a hair salon, sitting for our real estate exams, climbing the corporate ladder, each trying to be a good step-mother to our ex's only child. We've faced hardship and joy together over the decades and now, she faces the hardest times ahead.

I think of her comforting me during my darkest days and realize there's no comparison to what she must be going through. Even now, in these days of bad news, P.E.T. scans, emergency room visits, missed diagnoses and pain, she keeps reminding me that God is in control. She is assured that He will do what's best for her and help her get through whatever lies ahead.

The last time I saw her, I couldn't believe my eyes. She was thinner than I had ever seen her. She has always battled extra weight, up thirty pounds, down ten, up twenty, down five. Now, she tells me she weighs only a few pounds more than I do. Down a hundred.That's not necessarily a good thing.

We've shared a week together on the beach at her timeshare right on the Gulf nearly every September since 1988. The memories we made won't fit into any photo album. There are thousands of scenes in my mind, captured along the way. Seagulls soaring, dolphins swimming, surf roiling, Hurricane Gilbert, poolside chats, beach strolls, sangria toasts, apple strudel, Beach Boy Video and precious time together with no cell phone anywhere near.

We've spent thousands of hours sharing personal issues, dilemmas, new jobs, joy, unemployment, stories of our past lives and loves. She has truly been a sister to me and a genuine friend in thick and thin. Time for some beach therapy.

I'm thinking of her today and praying.

Corporate Obscurity

It was toward the end of a dozen years with a multi-billion dollar corporation that I found myself on a list of employees whose value to the company had come into question. The unfortunate group was assigned to a "special project," which may sound like something desirable that would distinguish or redeem us. Not so for the corporate professional whose contributing days had run their course.

Each of us knew this was a make or break situation. We were in the pool given a monumental task that we knew was destined for failure. There was minimal chance that when the task was completed that success would lead us to a new position within the company. We were living in limbo land.

There were participants from many departments of various levels, grades, and specialties, yet, despite our wins in the past, we now faced that dreaded outcome: "separation from the company" which would end our careers.

Still, most of us took on the responsibilities with chins held high, our stiff upper lips pursed into dogged expressions, and our noses planted firmly on the grindstone.

Our job was to inventory company assets scattered through the facilities of its outsourced transportation company and find discrepancies in the millions of dollars of equipment that had gone missing from the books. For the best part of five weeks, we traveled from city to city across the United States serving in the heat of blistering warehouses in Atlanta, Boston, New Jersey, Florida and other, more obscure towns.

The members of our team, for the most part, grew closer through our mutually shared yet unspoken knowledge of upcoming doom. Each of us hoped somehow to distinguish ourselves in some creative way and regain our misplaced importance to the corporate entity. Our futures depended on making the right impressions with those token "safe" employees who joined us from time to time to interject a sense of validity to our efforts. If only we could make the right connection, impress the holder of an open personnel requisition, perhaps befriend someone who could keep us afloat in a top-heavy, overburdened ship with excess cargo.

The rumors of upcoming layoffs floated among us in the evenings when we gathered for the dinner meal. Those were times when the most desperate tried their hardest to find a listening ear, to work out some deal to keep themselves on the payroll. Doomed alliances were pushed to the limit by intense competition for any safe place left within the organization.

As we toiled in our unaccustomed manual labor roles of the temporary assignment, we brushed elbows with Vice Presidents and departmental leaders whose objective during their brief tenure among us was assessment of team members.

As the hours, days and weeks passed, the stays at adequate but less than luxurious hotels continued. We sweated, washed our clothes in motel laundromats, ate take-out food, sang songs and whistled while we worked, and grew as close as our tenuous situation would allow. When we concluded our round-about inventory tour, our diverse team members returned to their respective home bases and awaited our fates.

To our immense surprise, the project was deemed an unqualified success. We located and documented millions of dollars of elusive inventory and turned our ill-fated mission around. Many were able to secure jobs in new areas within the company. Our assignment became a test of our adaptability to change. Those who were able to embrace the uncertainty and plow through were awarded a cash bonus and handed an engraved plaque of recognition by the Senior Vice President.

It was a memorable moment in the trial by fire of the corporate worker.

Salad - 50 Ways to Lose Your Blubber

Trying to lose a few pounds at my age has become a real challenge. Two years ago I decided to lose ten pounds. I'm not discouraged. I've only got twenty more pounds to go. "All I had was a salad." Go figure.

This is a favorite with Iceberg lettuce, chopped Roma tomatoes, drained black beans and sliced fresh strawberries. Where I've been going wrong is with the dressing. If you read the label, two tablespoons is an average serving with 140 calories. I usually quadruple that amount. (I may be underestimating a bit.) This week I decided to try something different. I've been using Balsamic Vinaigrette mixed with Zesty Italian Lite dressing and I've lost two pounds.

This was lunch on Monday: Iceberg lettuce, chopped celery, sliced baby carrots, chopped beefsteak tomatoes and dressing. What's missing is the mountain of cheese that I usually shred over the top of this "low-fat" meal. Of course, I've skipped the Simply Dipped Nutty Buddy ice cream cone afterward, too. How droll.

For variety, I tried a salad with rolled up deli turkey, 15 calories per slice, and rather than the entire tomato, I used only half. What a sacrifice!

This one's also a favorite of mine made with baby spinach leaves, deli turkey and half of an avocado. I like to sprinkle a little lemon juice over the top to keep it from browning too quickly. Usually, there's no danger of that since it's gone in 60 seconds. Just kidding. It usually lasts three minutes while I watch an episode of Snapped: Killer Couples or Lt. Joe Kenda on TV.

Here's another way to use up that Costco-size Hillshire's Farm Deli Turkey in the economical five-gallon tub. I back-slid on this one and added shredded cheddar cheese, but to make up for it, there's fresh grapes. So I'm good, right?

Okay, here I'm really falling off the wagon with this tuna salad and its high calorie mayonnaise. Please help me, I'm falling. Down one pound and back up two. Aaaccck!

Getting better all the time with these added black olives, half a boiled egg, Garbanzo beans (for protein) and two rolled up slices of deli ham at 25 calories each. Oh, don't forget the Roma tomatoes and the half cup of Ranch Dressing.

Now, you're cooking. Avocado, black beans, grilled chicken breast, Roma tomatoes over Iceberg lettuce. Yes, now, that's a meal in itself.

But wait, what about the dressing?

Venturing way out on a limb with Artisan type lettuce, otherwise, same stuff, different day. Black beans, Roma tomatoes, boiled egg, hold the salt - I'm on a diet. Ah, never mind. What good is an egg without salt?

This is even better. Tuna with no mayonnaise, sliced baby carrots, baby spinach, Iceberg lettuce, paprika. Uh oh. Giant bowl.

Really branching out now. Adding diced Bell pepper, rolled ham with Swiss cheese, boiled egg, Spinach and Iceberg lettuce. Feeling happy. Have a nice day. Ok. Google won't let me add more images so that's it for now. Eat healthy. Drum roll. Here's Paul Simon, 

50 Ways to Leave Your Lover.

5 Things to Make a Trip to the Emergency Room Easier

When the phone rang at ten pm on a Sunday night, a quavery voice said, "We've had a little accident over here." These few words can send the adrenaline pumping. The first time we got that call, we rushed over to check on Mom who said she'd fallen. She'd crawled from her living room to the bedroom to use the only working phone. The other one broke with her fall. We wondered if we should call an ambulance or just drive her to the hospital to get checked out. We made the wrong decision.

We learned the hard way that it's dangerous to move or transport an injured person. Worse, when we arrived at the emergency room there was a long wait behind others who either looked worse or had arrived by medical transport. She spent a couple of uncomfortable hours on a hard xray table before the doctor arrived at the small town hospital. Mom was admitted with a broken hip.

Another call came on the morning of New Year's Eve before seven am. Mom asked for help getting a shower explaining that she had fallen during the night. She lay on the bathroom floor until morning. The tone of her voice indicated something was very wrong. I should have called an ambulance immediately. Instead, we bundled her up against the January cold and drove her to the emergency room. Again, bad move. The hospital was operating with a skeleton crew due to the holiday. We waited in the ER eight long hours surrounded by patients who were coughing, sneezing or vomiting.

During that time, the staff would not allow Mom to have even an ice chip until the doctor examined her. When her name was finally called, the doctor launched into a lecture about the patient being seriously dehydrated and running a fever. Imagine our response.

When the time comes to go to the hospital, the arriving paramedics will ask about the patient's  medications, their allergies, and medical history before the current emergency. 

Emergency Go Bag

Ambulance drivers want to take the patient's insurance and identification cards with them on the way to the hospital. Giving them a photocopy can avoid the loss of the patient's original cards. Gathering copies of all this info in one place ahead of time can help reduce some of the stress. 

1. Make a copy of the patient's Medical Insurance Card, front and back. It has the phone number, policy and member's identification number. Put the copy into a Go Bag dedicated for emergencies.
2. While at the doctor before an emergency grab two of their business cards; one for your wallet and one for the Go Bag.
3. Create a list of other important phone numbers in case your cell phone battery dies during the wait. You'll want the numbers for their doctors, their minister, out-of-town relatives, friends and neighbors who might be concerned.
4. Make a list of prescription medications showing the exact dosages and the frequency taken. 
5. Add a list of known allergies or reactions to medication taken in the past and a list of over-the-counter medicines taken routinely.

When my husband went to the hospital for surgery, he was taking a lot of prescription medications. Rather than try to remember them, we made a list of each medication, its exact strength and dosage frequency. Several printed copies of this list went into the Go Bag. The admissions staff, nurses and doctors were grateful not to have to write it all down by hand. For example:

It's often necessary to provide info about previous hospital stays and the outcome, and whether the patient was admitted, along with a list of all surgeries the patient has undergone.

• Prepare a List of previous surgeries, the types and the dates, such as,  Appendectomy - 1975; Left Hip, Replacement Surgery - 1991

It's a good idea to ask the patient for this information ahead of time. If they're confused or possibly unconscious you'll have the list available.

Most of the following items are optional for the Go Bag, but they're handy and easy to pick up at the dollar store.

1. A small tablet for notes and instructions once the doctor arrives.
2. A good book for long waits at the hospital and to avoid the germ laden, out-of-date magazines in the waiting room.
3. Bottled water and packaged crackers or cookies. When your wait is long you'll be glad you have this. It never fails, if you leave the room for a minute to go to the cafeteria, that's when a medical person comes in with an update.
4. Cup of instant soup or protein bars.
5. Wet wipes and travel size hand sanitizer.
6. Tissues for tears or runny noses.
7. A new toothbrush and travel size toothpaste. This is for you.
8. Packets of sugar or artificial sweetener, salt, pepper, and plastic spoons. Sometimes a vending machine has food but there are no utensils or condiments available.
9. A clean pair of cotton socks to wear in those cold waiting rooms at the hospital.

If you drive your friend to the hospital, bring along any medical equipment they use. When Dad became critically ill after chemo, he refused to go in the ambulance. We drove him to the emergency room and in our haste, left his portable oxygen at home. The ER was overflowing and he had a dreadfully long wait before they finally admitted him to intensive care. Every gasping breath without his oxygen was a nightmare.

If your friend is admitted and you want to talk with the attending doctor,  sometimes they make their rounds near midnight so you could be waiting a while. Once you've invested hours waiting for X-rays, blood work and other stuff, you'll want to know what's going on.

In the hopeful possibility that your senior is not admitted, you'll want to bring their walker or wheelchair when you follow the ambulance to the hospital. They'll need these when they're released. One final tip just in case you lose the ambulance you're following. Ask the paramedics where they're taking the patient so you'll arrive at the right hospital.

Taking a few moments to assemble a few items into a Go Bag can reduce some of the anxiety that goes with any trip to the hospital. The best hope is that you won't ever need to use it.

On Becoming Your Parent's Guardian - Role Reversal

When our parents seek help on small tasks they've easily handled in the past, it can come as a surprise. The indecision creeps in slowly on little cat's feet starting with hesitation over making minor decisions about things they've handled effectively for years.

My mother asked, "How much rice goes in the pot and how long should I cook it?" I gently reminded her that she'd cooked rice for many more years than I had.

Small tasks became more difficult as time passed. In a way, being asked for advice from a parent was flattering. What I didn't know was that the tide had begun to turn; the child was becoming the parent one small step at a time.

Things went along smoothly as our new relationship emerged. I became more of an equal to someone who had always shown authority and control. This awesome responsibility is not to be taken lightly. It arrives with its own baggage, setbacks, and joy. Friends my age shared that they'd been also called upon to provide advice to parents.

My best friend shared the frustration she experienced when trying to persuade her mother to use her supplemental oxygen like she's supposed to. Another friend tried to convince her mother to use the hearing aide she clearly needs. She shared the frustration of constantly having to repeat herself to her mother. How familiar it seemed to be interrupted mid-sentence by someone who years ago said, "Not now, Mother is speaking." But the shoe is suddenly on the other foot.

Aunt Lou at 94

A stay-at-home mom of the fifties, my mother began her mid-life career with little or no employment experience. She left nurse's training to get married in 1945. After her thirty-year marriage ended, she took vocational training and embarked on a career as a Certified Nurse Assistant at the age of fifty.

Suddenly she asked for advice on dating, grocery shopping and apartment hunting, advice she'd provided me in the past. Mom's new life as a single, sole-provider spanned the next thirty years. Her experience of taking a job outside the home added skills, confidence and a sense of accomplishment. On her eightieth birthday, she officially retired from a second career as a Teacher's aide.

Reality struck when Mom went into the hospital for a month. Although I'd always been a co-signer on her checking account, it became my job to manage her bill paying. Looking over her checkbook register revealed a level of forgetfulness. There were unpaid insurance bills and past due notices tucked away in drawers.  Thankfully, Mom was glad to be rid of the responsibilities of balancing the bank account and paying the bills.

Driving soon became another challenge when she reached her eighties. With diminished reflexes and increased fragility, it was no longer safe for her to be behind the wheel. She no longer felt confident on the road anymore. It is the opposite of the day we first got behind the wheel of a car in our teens, a life-altering decision which makes a senior dependent on others for their basic needs to get to doctors' appointments, pick up groceries, or even visit a neighbor.

What a relief it was when she turned her car keys over without being asked. Not everyone is that practical when the time comes to stop driving and this can be a source of friction for concerned relatives.

The two sisters, well into their 90s, still functioned independently in so many important ways although living in a  skilled nursing home due to health, vision, hearing and memory impairments.

One thing remains certain in our relationship. It is the unshakable friendship of my Mom, my true friend. She is a blessing and reminds me in so many ways that I'm the lucky one. They both make me proud

The Carriage Driver by Michael Friedman - Book Review

The Carriage Driver

Versatile author, Michael Friedman, writes from the heart about things that matter. In his book, The Carriage Driver, a collection of stories about the afterlife, he captures the hearts those who believe as well as those who only hope there is life after death.

His tales identify possible choices for each of us as we pass through the veil of darkness and our bodies outlive their usefulness. He presents options where we pick our new lives as we move out of this physical realm and into the after world. His tales provide possible answers to the eternal question: What if?

This gathering of stories incorporates individuals from all walks of life carrying on their hopes and dreams and moving them to the next level. Some arrive at The Castle for a sumptuous dinner; others conduct a symphony, perform an original musical masterpiece, paint a work of art or ride off into the sunset of our dreams. 

As the author explains in his Preface, “This work presents the instances where a person's life has led to a promised land.”

This book is one that the reader will turn to time and again with the passing of time as we long for the comfort of a future for ourselves and our loved ones. The closer one gets to our ultimate demise, we ache for a place, as promised in the Christian ministry and other religions, of "many mansions" where we might choose a resting place on our continuous journey. 

These beautifully written and uplifting stories provide insight into what might await us as we cross over into the unknown and pass through eternity. Peppered with wisps of poetry and driven by our favorite steed, Nuelle, we ride together into the storm as we face the future.