It's been a wild .... how long has it been?

I've been so incredibly busy and stressed, I haven't had time to do an update other than a short Facebook post. So here's the news: 

Mom and dad were reunited June 20 when she was discharged from Mercy Rehab. It was the first time they'd been in the same room for a month. 

I'd say it was a sweet reunion, and I guess it was, to a point; they were able to hold hands. But it was amidst the smells and chaos of a nursing home, under the cloud of her being discharged from daily therapy in a pristine environment, robbed of her motorized power chair (first because INSURANCE, then because they had to "approve its use in the facility" to make sure she didn't mow someone down in it, but meanwhile it was the weekend when that evaluation couldn't happen), so she was stuck in a bed, couldn't physically push a call button, was at the mercy of an under-staffed staff ... shared a room with her husband who has slept in a recliner for decades but was now confined to a hospital bed and so was therefore uncomfortable and snored all night ... not to mention the facility itself was ... lacking cosmetically, to put it kindly. 

Now that I had them in the same room, I could contemplate the next steps. It was obvious they weren't going home, but were they to stay there, at a skilled nursing facility? or transfer to a different, hopefully nicer one? does one exist? or was assisted living a possibility? 

I put out a request for input from the community: what places aren't terrible?? [what a low bar.] Which should I avoid? What should I look for? I only had experience with one local facility (where my grandmother stayed), and that's in West Virginia and much closer to my parents' home than my own. I knew it was a small, charming place, full of caring, attentive people, and that mom was happy with her mother's care there. So it was a at the top of the list, despite its distance. 

On a whim, I reached out to a place I knew of because Audrey's orchestra had done a performance there. Fortunately, just days before, a double-occupancy room appropriate for a married couple became available. I arranged a tour, just so I could examine it with the fresh eyes of a potential resident/family. I'm sure there was a bit of bias because it's so close to me and SO much nicer than the nursing facility, but I felt an immediate peace and hope that it was a place in which my parents could live comfortably. 

We could have put down a deposit and taken our time, moving them and their furniture in when we had it all arranged and supplies purchased ... but given our dissatisfaction with their location (and really, when it came down to it, the tipping point was one obnoxious nurse), it seemed the best option was to yank them out and plop them into the new place. 

So that's what we did. 

I keep saying "we," but ... truthfully ... it was me. Audrey was in Colombia, Ezra was in Belize (she's home now, he returns tonight). The aides, who have been staying with my dad almost 24-7 since mom's accident -- and with both of them since they shared a room -- packed up all their belongings. The new place sent a transport van, and two days after my tour, in the pouring rain, they were moved into their new apartment.

Celebration Villa is a small (60-ish bed) assisted living facility. It's 20 minutes from my house, set back far enough away from commerce that most people don't know it exists, but moments away from virtually any shopping/food we could need. The staff has been wonderful, getting to know my parents gradually and showing great concern in making things work best for all of us. It's only their second full day here; the room is chaotic and not set up the way it will be eventually. But they're here, they're safe, they're cared for, and they're together. 

The aides still come to help ... eventually that will subside as everyone gets more comfortable with the new environment. They have been a godsend, training staff everywhere how to best transfer dad, how to know if he's having a good or bad day, making sure mom has her Jolly Ranchers and lip balm :) . She has her powerchair (still fighting with insurance, but what else is new?), and despite much grip and dexterity deficits can drive it with ease, change her positioning to suit her, and even comfortably nap if the mood strikes. Dad has his recliner from home, his neck pillows and blankets, and seems to be enjoying the food here so far :) He got a peanut butter and jelly and cheese sandwich today (blech! lol). 

So that's the update. If you would like to send a "housewarming" card, the address is: Celebration Villa, Room 337, 104 Pappan Business Drive, Beaver Falls PA 15010. You can always visit, although I'd give it a few days or so while everyone settles into a routine and knows when visits would work best (we also don't have the room set up for guests yet). 

Updates! Things and Stuff!

I can tell I haven't blogged lately by the "what's going on" texts I get :) Thank you all for reaching out/checking in. 

How's mom? Mom is in good spirits, all things considered. She's determined to make the most of therapy and is making progress. The PT/OT people at Mercy are wonderful. She has an adaptive hand device that allows her to feed herself. SHE PAINTED THE OTHER DAY. She still has to wear the Cone of Shame, and hates that very much, but she's able to take it off to eat and bathe. A brief respite. As far as what she's regained ... that's all in question. From what I can gather, she has no torso control/strength, is reliant on the hoyer lift for transfers, and no bowel/bladder independence. But she can drive her motorized chair with her good hand, has been able to make and receive calls on her cell phone, and participates in everything offered in therapy and community events at the hospital. However, she's set to be discharged June 20 ...  

How's dad? Dad had an "episode" of extreme extremity swelling and high blood pressure. Retention of fluids is not cause for immediate concern, however the combination with blood pressure led me to have him admitted to be sure there wasn't something else more serious going on. The doctors seem to think that even if his condition "is/is a result of congestive heart failure", the fact that he has no history means that even if the symptoms are indicative of CHF, he's in no imminent danger (people live with/manage CHF for years). It's one of those things (HEART FAILURE!) that sounds more dire than it actually is? I guess? This is a new area for me, so I'm learning and trusting doctors at this point. 

After an agonizing trip to the local ER, he was transferred to a different hospital with a much shorter wait time, was admitted and received diuretics and BP monitoring. After sorting out his BP medication (he was basically asleep for 3 days) (it's always a conundrum, because he runs LOW - for him, "normal" BP means he's likely to pass out if he's raised), he's alert, chipper, and back to his normal self. He has been discharged to a skilled nursing facility as of last night, and we'll begin the "settling in" process this week. 

How's Ezra? It was a challenging day, Friday, when Ezra's loaner car battery died and the key was stuck in the ignition, I was at The Ranch (my parents' house) and there was no food in the house. But my neighborhood rallied, got him jumped and fed, and in the pouring rain (indoor ceremony), Ezra walked the stage and received his diploma. It was such a blessing to have dad's aides covering him at the hospital so I could celebrate and enjoy my amazing son's big moment. 

How's Audrey? LOVING life and living large in Colombia. She sends me pictures I cherish. It's sometimes hard to explain what she's doing there, but here's my attempt: it's a summer work study project. There is a group of them there. Audrey is interviewing residents of Medellin about their perspective on the drug wars / cartels / Escobar era. Amidst her research, she hikes tall mountains, goes on coffee tours, feeds alpacas ... I'm so thankful she's getting this amazing, immersive experience. (I'll be requiring her to make a comprehensive post about it when she returns, lol). 

How's Rachel? Ah, that depends on the day. The last month has been ridiculously stressful. Most days I'm in "what's next/planning mode", and some days I completely melt down or sleep the entire day. It's been a lot. I'm blessed with an amazing family - parents who have always loved one another deeply, care about MY wellbeing, and cherish their grandchildren. I'm blessed with caring, considerate, do-anything friends, who have covered me and backed me up and encouraged me and expressed their concern. I'm working (blessed with a mobile, work-from-home job), coordinating care for both parents, gradually cleaning/clearing their home, and trying my best to "be there" for my kiddos (although they do make it easy). There's still quite a bit in front of us in terms of decisions and medical issues, but the fact that everyone is pleasant and helpful eases that burden. 

How are we? One day at a time - that's all we can manage. No one, no matter the circumstance, knows what tomorrow holds. All we can do is keep a positive attitude, and as my dad is wont to say, "don't let the turkeys get you down." 

What does the non-caregiving part of caregiving look like?

I get overwhelmed a lot. Sometimes I think I'm being silly. Other times I have documentable evidence of how a day can go in terms of Doing All The Things. This has been one of those days. 

It's 130p. This is what I've done so far today, starting at 8: 

Work: Paola - caseworker call: coordination of work meeting at 5 today

Eric - Txt: hello!

Tanya - txt: care of cats

Laura - txt: backyard maintenance discussion, checking in

Sandy - txt: planning to visit mom, picking up items

Sandy visit

Kathy visit

Work: Trevor - txt: caseworker coordination of meeting at noon today

Work: Zoom meeting (5 people). Created plan, sent plan to participants

Work: printed/responded to teammate's email

Work: documentation of 12p meeting

Work: responded to caseworker email regarding different case

Work: Kate: caseworker calling to update on family situation, different case

Rick - call: checking in (mom accidentally called him) (was on the phone with mom; sent email reply)

John - email: planning in-person meeting this month. emailed updating on current status of things.

Mom - call: discuss therapy, care, future plans, etc. working with tech to make it easier for her to call / answer her cell phone directly

Nurse - call: attempting to talk to mom

Nurse - call: returning call

Lisa: home health boss, asking about July's schedule. Future plans? Is she coming home? is he going somewhere? [I HAVE NO IDEA]

Ezra - talk, txt: going to dentist, need a check, plans for today and tomorrow

Ezra: at the dentist. plans there changed. Payment arrangements. 

Newish aide - talk, advise on meds, food, supplies

Norma: txt: how are you? (in hospital)

Abby - pastoral care call and txt 

Amy - txt: do I need more boxes? 

phone tree - call: trying to get a refill for dad's medication (his neurologist left, practice closed and the pharmacy closed and his script is running out)

UPMC person - call to figure out above

UMPC person 2 - left message to hopefully get something done in THREE DAYS? and to check back with (new) pharmacy to get a refill/new script? Will need to follow up on that 

Dad: random questions about things I don't even have time to brain and sometimes the questions themselves don't make sense but he's trying to make conversation so I try to be patient

I have a rash. 

I haven't eaten yet. I'm still in my jammies.

It's really humid. I need a shower.

I haven't been home in 5 days. 

Graduation is Friday. It may rain. 

That is all. 

(also, that's not all - both my parents' cars are in shops for repairs ($$), Ezra is driving a loaner car around in the meantime. The contractor will be back Friday to finish up some things around here that need to be repaired (we need 2 new fan/lights in the bedroom, new switches around the house), and there's always something else to add to that list (the kitchen drains are acting up), as well as some things at my own home that need to be addressed. I still need to get back to the ortho (appointment had to be rescheduled) to confirm that I don't need to be wearing the boot for my broken ankle. I should do PT for my ankle. That's not going to happen any time soon. Still stiff, still hurts. Yesterday the cable was out, and it took many phone calls (AI and phone trees, yay) and time and such to figure out that it's just that a breaker was off from when the contractor was here working on some electrical things). Mom wants me to call dad's doctor to have him authorize PT and OT come in again to be sure he doesn't "lose" what he has in terms of mobility and such. I've never gotten the chance to clean up my porch following my house being repointed, so the furniture is still covered in red dust. I haven't spoken to a case manager at the hospital to find out what they're thinking in terms of rehab continuing past June 20th, if that would be there or elsewhere, etc. The house here is still filled to the brim with Stuff and Things. I haven't gotten the mail here in a week, so I need to check that to see if there are any bills/whatever that needs to be taken care of. Same for my house, obviously. No idea what mail awaits me there. Mom wants toothpaste tube squeezy caps and a roller thing for the tube. Dad had trouble eating his cake-and-cream whatever cup of dessert. He's out of olive-and-cream cheese spread. 

That's not all, but it's all I'm bothering to type out right now. I think I'll have some cheeseballs.

How’s Your Mom? How’s Your Dad?

Just checking in, really. 

Things are pretty much status quo at the moment. 

On the home front, I continue to clean and clear things, little bits at a time. I don’t mind it, really … there’s just SO MUCH. Bank statements from 2010. Things tucked and stashed and stored in every available space. It’s just a lot. Not much cleaning I’m doing is urgent, but it needs to be done eventually, and right now I’m just chipping away at things with an eye on making more usable space.

Dad: same-same. He spends his entire day in his recliner. To be honest, he doesn’t really mind that (as far as I can tell). If the weather would cooperate, we’d go out and sit on the back deck … but he leans toward cold always, so that can be unpleasant and not worth the effort. A warmer June would be awesome. 

His aides are freaking amazing. Going from 2x day 9-1 and 5-9 to 24-hour coverage has meant shuffling around for the boss, extra shifts for the helpers, and trying to coordinate his care to fill in for what mom was responsible for during the times no one else was here. They keep good notes, they all have great attitudes, and they’ve come to know my parents personally, which I appreciate very much. It’s something that comes over time, and while it’s possible to have at a “facility,” this is a different relationship. It’s special. And that’s not lost on me. 

Mom: tired. Therapy daily (one day off a week). She’s able to do some surprising things - move her legs and feet (she can’t feel it but she can brain and do it), pull toward herself with her arms (cannot push well/at all), drive her motorized chair with her “good” hand (which doesn’t grasp, but does obey commands). The big one - as people know in dealing with quality of life, is “bowel and bladder”. These are not independently handled. So … that’s a thing. 

One of the therapists called last week and said her Discharge Date (dun dun DUN) is slated for June 20. Obviously that’s subject to change, depending on her progress, but perhaps they don’t foresee any more progress after that point? Maybe it’s a hard line for insurance? Anyway … The therapist pointed out that at her current level, she will need 24-hr care. 

So.

There it is. 

Will she improve between now and the 20th? Likely to some degree, albeit a mystery. 

Will she be discharged to a quality facility who will work with her and she will continue to make strides? Possibly? Perhaps? Hopefully? 

Will she ever return home? 

No one knows. 

If you’re reading this and have gone through similar situations (as SO many have), you know that this means Big Decisions Time. 

Is it time for both of them to go somewhere? If she’s able to return home, that doesn’t mean she can go back to things the way they were before … meaning she’s not backup for the caregivers. Does she come home and HE leaves? 

Thankfully, finances aren’t particularly a deciding factor. 

Then again, that might make things easier. 

How are we? In a pickle, really. And so it goes. 

Hope is a Beautiful Thing

Yesterday’s visit went very well.

I had every reason to dread it. It makes sense.

But I shouldn’t have. 

Mom is in good spirits. She is able to maneuver a motorized chair with her semi-good hand. She can’t feed herself, but the staff there is marvelous (of course) and are taking excellent care of her. 

She was very thankful for the lotion, jolly ranchers and chapstick … staples of her daily life! Some comfort from home. Also a stuffed sheep and some blankets and a YipYip I scored from a local artisan.

She’s uncomfortable/has some pain; her left arm hurts (we think she may have fallen on it), she has to wear the Cone of Shame (they take it off for meals - bonus!). 

Her mind is as sharp as ever. She was all about telling me where the backup supplies are in the house, and reminding me about what items were in the fridge downstairs that should be used up. 🙂 

Mose important: she has a great attitude about rehab. She said repeatedly that she is willing to do whatever they tell her to do. A fellow patient, who also fell, arrived at Mercy immobile. He’s now walking. It was a poignant retelling. He said, “I don’t know what your faith is - I’m a Catholic and my wife is Presbyterian.” Mom said, “I’m Presbyterian.” He said, “well trust in God and these folks.” 

She has a lovely view of the South Side, the river, the trains. 

We (of course) still don’t know what the future holds, but I was so encouraged by the visit. I’m glad I went. 

Control, Distraction, and Guilt

I am the coordinator of chaos.

I am the doer, updater, list maker, cleaner, problem-solver, thinker. 

It affords me the opportunity to avoid the most painful role: daughter. 

The truth is, I’ve been very busy, attending to things at my parents’ home, making sure my dad is cared for and spending most of my time here decluttering, organizing, cleaning, updating everyone on mom’s condition and dad’s needs. I’ve sorted most of the papers (bills! receipts! recipes! pay stubs! greeting cards! 2010 church committee meeting minutes! owner’s manuals! planners! medical documents! tax records! Oh my!), removed 10+ boxes of books for the library sale, decluttered cabinets and drawers, ordered supplies for dad and the home, stocked the kitchen, cleaned up the laundry room, the bathroom, the dining room, my bedroom … producing countless donation boxes and bags of trash. I’ve hired a contractor to make repairs around the house. 

I’ve been to see mom once. 

I have excuses aplenty - there is so much to be done here; I want to clear the space for both of them, and the caregivers - if mom is returning, she needs to have more access to things than the clutter allows. Pathways need to be more clear for the caregivers to see after dad. If neither of them can stay here for medical reasons, all of this will need to be done anyway. 

And yet: I haven’t sat down to chat with my dad. 

I haven’t been in to see mom since before Audrey left for Colombia and she went along. 

The truth is, I dread it. 

I could blame PTSD with hospitals and vigils therein. I’ve done all this - camping out in a hospital room / waiting room, doing what I can to make the patient comfortable, watching as therapy does its excruciatingly slow work. I could point out that in addition to caring for both parents, I have a son graduating in 2 weeks, and his needs to consider. I could blame my job for keeping me busy during business hours. 

Ah, but the truth is: I dread it. 

I dread seeing my mother in her current state. I’m avoiding the conversations and sadness about how things are at the moment. How we have no idea what she’ll regain, and how her life will look going forward. How I’m so incredibly sad about all of it. How we balance hope with reality. She’s not a complainer. But I KNOW how hard this is going to be, and none of us can predict the outcome. 

I dread it. 

Here, I can busy myself with things that “need” to be done. I can preoccupy myself with administrative duties and zone out with YouTube. 

And feel guilty all the while. 

I love my parents so very much. It’s so incredibly hard to see them both in their current situations. Every time I have a happy thought about the past and their healthy selves, I shudder and bring myself back to the present. 

Because it hurts. 

And I’m tired. 

Tomorrow I’ve resolved to go see mom. I don’t want to.  

The way things are …

 It’s been quite a few days since that dismal update. My apologies. 

How are things? 

I came to dad’s to stay the weekend. He had been having “off” days - lack of interest in eating, Just generally being “down”. The caregivers were concerned. 

Over the weekend, his spirits were improved, he has been eating and transferring well, and all goes relatively smoothly on that front. A blessing. 

Eric and I spent the day Saturday doing some cleaning. When I say cleaning, I really mean decluttering. I’m trying to clear things out so there is more space and things are more easily done on all fronts. So it was all day going through baskets and bins of things … tedious, but in the long run will help a great deal. Anyway, it took all day to get the dining room mostly cleared out.

Unfortunately, Saturday night I came down with the flu.

Sunday I spent feverish and holed up in a bedroom, terrified of spreading cooties. Two of the caregivers already have/had this. Obviously spreading of it would cause a helper shortage, and God forbid DAD gets it. And so I hide.

Today I am feeling much better - still a fever, but I’m hopeful to be out of bed today and move toward “normalcy”.

How is mom?

In short, she’s about the same, in most respects. She’s still in the ICU while they stabilize her BP, but they feel they are getting closer to having that controlled and sending her to a “regular” room.

I spoke with her this morning. She still has pain all over - neck, arms, shoulders, back. Then again, that’s sensation, right? So that’s a bummer but not a bad thing and not unexpected. 

The buried lead: SHE FELT THE PRESSURE OF THEM TOUCHING HER FOOT. She’s been able to make her legs move, albeit slightly. But having sensation is NEW and I find it encouraging, even if it doesn’t mean regaining use. Her upper body is weak and pained, and remembering she is still in a neck brace, she is very limited. She cannot grasp with her hands, although she can move her arms.

So that’s about where we are. The next few weeks will see her moved to a new room and possibly then transferred to rehab. It will see Ezra graduate high school! and take a trip to Belize. Audrey returning from Colombia. It will have me hopping locations from Hookstown to Beaver to Pittsburgh. It will mean being an emotional support to … well, all the people. 

There are so many bright spots and blessings throughout this hardship. 

The aides who come to dad’s place, caring for him so well and maintaining the home as best they can by “winging it” to cover what mom always took care of. 

The ICU nursing staff, who are taking good care of mom. She has no complaints. 

My boyfriend, who has bravely entered into Support Staff role for his “new-ish” “adopted” family.

My son, who is the most empathetic, steadfast, helpful, mature young man. He’s made countless trips and done so much work here for them and for me … we could NOT have done this without him. 

Lastly - all of you. Asking how you can help, checking in, helping me cover things and take care of tasks to get a little off my mother-of-all plates. If you’ve messaged and I haven’t responded, know that I have seen it and appreciate it and when I get the chance hope to personally respond to everyone. 

What can you do at the moment? 

Pray for mom’s recovery, however that looks. 

Visit them both; mom is fine with visitors, and when she’s moved to a regular room she’ll have her phone and will be happy to take calls. I won’t be able to see her daily, even when she’s moved to rehab, given dad’s situation and having my own home and things to attend to … so any contact from people she knows will be very much appreciated by both of us. 

Every now and then I may put a call out for help with something … I guess just stay tuned. I don’t know what the future holds (isn’t that an understatement?!) but having gone through “things” before, I know that “stuff” comes up. That’s about all I can predict. 

Much love to you all.