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Showing posts with label hospitals. Show all posts
Showing posts with label hospitals. Show all posts

Sunday, February 20, 2022

Rules of Thumb

Napping puppy! Break for puppy mom!


My life these days seems to be governed by rules of thumb. Here are a couple of examples I’m finding especially pertinent:

 

o  For each day in a hospital, expect recovery to take a week. Ten days in a hospital, then, make for a ten-week recovery time.

 

o  A puppy can go an hour between eliminations for every month of age, so expect a two-month-old puppy to be able to last two hours from one pee/poop session to the next.

 

Merriam-Webster defines ‘rule of thumb’ this way:

 

(1)       A method of procedure based on experience and common sense;

(2)       A general principle regarded as roughly correct but not intended to be scientifically accurate

 

Apparently there is no evidence linking ‘rule of thumb’ to legal wife-beating in 18th-century England! 

 

Those words “roughly correct” in the Merriam-Webster definition reminds us that a rule of thumb is not hard and fast. Some patients recover more quickly after hospitalization and surgery, others take longer than the one day/one week rule suggests, and some two-month-old puppies can sleep for five hours at night before waking and needing to go out. There is wide variability in individual cases. Faced with unfamiliar situations, however, as I have been recently, it's helpful to be able to estimate outcomes and adjust expectations somehow, and a rule of thumb gives us a compass, however wobbly, rather than leaving us completely at sea.

 

My analogy above set me to wondering about what kinds of rules of thumb might be applicable to sailors. One I found says, “When in doubt, take the longer tack first.” No doubt sailors will understand what’s meant by that. Here’s another one for deciding how much anchor chain is necessary in a given situation:

 

...So how do you decide what is safe before looking elsewhere to anchor? Traditionally you use the scope – a multiple of the water depth to determine the length of anchor chain you’ll need to use. The RYA suggest a scope of at least 4:1, others say you need 7:1 but in crowded anchorages 3:1 is quite common.

 

A moment’s thought, however, tells you that a static rule of thumb in an environment that can significantly change in different conditions will not sufficiently account for the main forces acting on your boat, namely the wind and the tidal stream....

 

Given that reminder that a static rule of thumb is not sufficient in every situation, sailors will want to read the entire article!


Sunny Juliet taking a brief rest break from outside tomboy play


A kind friend and neighbor (I have wonderful neighbors here in Dos Cabezas, AZ!) did the driving yesterday on my commute to see the Artist in the hospital in Chandler, up southeast of Phoenix, and that same friend and neighbor puppy-sat with Sunny for over three hours so “dog parents” David and Pamela could have a good, long visit in the hospital. Back home in the evening, it was early night-night for me here in the ghost town. Missing my life partner, I chose one of his favorite books, The Count of Monte Cristo, for my bedtime reading but never got beyond the first page. In fact, I had to read the first sentence over several times to get it to sink in.

 



 

On February 24, 1815, the watchtower at Marseilles signaled the arrival of the three-master Pharaon, coming from Smyrna, Trieste, and Naples. 

 

-      Alexander Dumas, The Count of Monte Cristo

 

Would you have been able to name that novel, given the first line?

 

Speaking of the Artist, his birthday is tomorrow, 2/21, and I would be happy to convey birthday wishes to him from far-off friends. Just leave a note in a comment here, and I will read him what you write. Thanks!



Okay, I found the picture I really wanted! Both were taken on the porch at Source of Coffee, in Willcox, AZ, but I love David's laughter in the one below. Now, if only I could remember who he was talking to that day!

THIS is my guy
THIS IS MY GUY!

Friday, February 18, 2022

"Too Much," Part III

 

Sunny Juliet and her cuddly elephant

Another overly eventful week has passed in the life of the Artist and the seasonally retired bookseller, with continued hospitalization and another surgery for the Artist -- who is now well launched into what will be a slow, but we trust steady, recovery this time around -- and, for the bookseller, long hours of waiting for phone calls, taking care of the new puppy, and a couple of all-day expressway commutes to the Phoenix area and back to spend 20 or 30 minutes each time with my darling. With each visit to the hospital, I am struck by the essential and priceless importance of presence, the irreplaceable comfort of immediacy. Cell phones have helped immeasurably in the last couple of months, making conversations possible across distance, but there is no substitute for being side by side, holding hands, and looking into each other’s eyes. 

 

That’s pretty much all I’m going to say today, except for books I’ve read since the last time I listed titles. As you can see, I have spent a lot of my waiting time with reading. That and finding soothing lullaby music on my cell phone to help Sunny Juliet get to sleep at night in her crate. Last night we had cello lullabies, and I couldn’t even read a whole page before I was off to dreamland myself.

 

19. Scott, Ann Herbert. Cowboy Country (fiction – juv.). This is a book for children about the real life and work of cowboys, and the illustrations by Ted Lewin are just marvelous.


Beautiful images!


20. Morrison, Rusty. After Urgency (poems).

21. Airgood, Ellen. South of Superior (fiction).

22. Herman, Michelle. Dog (fiction).

23. Henkin. Joshua. Morningside Heights (fiction)

24. Felsen, Henry Gregor. Two and the Town (fiction - YA)

25. Collins, Billy. The Trouble with Poetry and Other Poems.

26. Singer, Isaac Bashevis. Passions (fiction)

 

Note #1: Two of the novels in this week’s list are books I have read before. Sometimes life’s unexpected curve balls make the comfort of familiar books necessary good medicine.  


Note #2: Overwhelming as life can be, it is still far, far from "too much," and the Artist and I look forward to more, together.


More of this beautiful life together, please!


Friday, January 14, 2022

Much Too Much (Happening)

View from Paradise Valley to Four Peaks in the distance


A friend from Leelanau County, Michigan, called me a few days ago. I forget what day it was. She had been looking for a new post on this blog, and when nothing appeared she began to worry. What was going on? Were we all right? What a loyal blog reader! The thing is (I told her), I hadn’t wanted to put our family news out publicly until we were “out of the woods” and had answers to all the inevitable questions. In the midst of so much waiting and uncertainty, that was part of my way of dealing with things.

 

…Each morning comes along and you assume it will be similar enough to the previous one—that you will be safe, that your family will be alive, that you will be together, that life will remain mostly as it was. Then a moment arrives and everything changes.

 

-      Anthony Doerr, Cloud Cuckoo Land

 

So here is what happened in our lives.

 

 

The Ordeal (or, Life Throws Another Unexpected Curve Ball)

 

Exactly a week after we bid an emotional farewell to Peasy in the morning and then had a last conversation with a dear friend the same night -- Wednesday to Wednesday, that is -- Fate ambushed us again. The Artist, a.k.a. David, woke without feeling in his left hand, and when I asked if he could lift that arm over his head, he could not. So as soon as we could hastily pull our clothes on and get out to the car (he was able to walk to the car, which was a good sign), we were on the road to the emergency room of the little hospital in Willcox, Northern Cochise Community Hospital (NCCH). Before we even arrived, David was regaining feeling and use of his left hand and arm, and the first word to me out in the waiting room was further cause for relief. The relief was short-lived, however, as more tests that same day revealed a serious blockage in his right carotid artery, bad enough that the ER doctors did not want him leaving the hospital. 

 

Everyone knows hospitals are overcrowded these days (with COVID patients) as well as understaffed (partly for the same reason), so it was no surprise that he could not be moved to a regular room at NCCH. None was available. Nor was it a surprise that Tucson Medical Center (TMC), where the ER docs at NCCH wanted to send him, had no available beds, either. So he lay in the ER where he started from Wednesday morning until Friday night. The transfer then, by ambulance, was to St. Joseph Hospital in Phoenix – more specifically (and miraculously), to the world-class Barrow Neurological Institute, where on the following Monday morning he went into surgery for a carotid endarterectomy. 


Good message!

At no time did David have any blurred vision or mental confusion. Speech was unaffected. His wicked sense of humor and quick thinking were and remain intact. When he was released on Wednesday, I was able to bring him back to the cousin’s house, where we could stay in the guest suite together. (Jim, the cousin, also has a wicked sense of humor.) So we were very, very fortunate in more ways than one, i.e., 

 

o  The stroke was a mild one.

 

o  We got him to the hospital within the hour.

 

o  Staff at NCCH were diligent in their testing, and the doctor there told us plainly that he should not leave to go home just because he was feeling better.

 

o  The next shift ER doctor at NCCH somehow managed to get David into St. Joseph in Phoenix – and not only St. Joe but the Barrow Neurological Institute, a world-class teaching and research hospital. 

 

o  I was able to stay with David’s relatives and eventually bring David back here, too.

 

o  The surgeon who performed the procedure was Dr. Michael Lawton, “head honcho” of Barrow. (David’s cousin and wife and their friends could hardly believe he was able to get into Barrow from Willcox – and so fast! – and to have Lawton as the surgeon had their heads spinning.)

 

o  I was able to be with David (no small matter in these COVID days!) in his double room over the weekend and in pre-op, recovery, and in the ICU Tuesday, in addition to his private room on Wednesday while we waited for his discharge (always a long drawn-out affair, as many of you know).

 

 

So all in all, if he had to have a stroke, this one may have been a blessing, revealing as it did a blockage that might well have caused a much more severe stroke if left untreated. And if he had to have major surgery so far from our Michigan home and friends, having it done in a world-class hospital, by a world-class surgeon, was a miraculous piece of good fortune. Finally, as if that weren’t enough good luck, he now has had the luxury of very comfortable recovery time here in Jim and Carol’s home before we undertake the long return drive to our ghost town cabin, which is a little over 15 miles from the little hospital in Willcox and over 200 miles from Phoenix.

 

 

The Different Week We Lived

 

Generally speaking, we are (to use the Artist’s phrase) “joined at the hip” all winter long during our seasonal retirement. It is rare that one of us goes somewhere without the other, and three hours is about the longest separation we experience even then.

 

This past week was completely different from our usual way of life, winter or summer. David was flat on his back for eight days, in two different hospitals and, between hospitals, in an ambulance. Meanwhile, I commuted between Dos Cabezas and Willcox, then trekked to Phoenix, and then commuted between Paradise Valley and St. Joseph Hospital. While I was by myself, navigating unfamiliar streets and heavy traffic in a strange big city, David was being asked his date of birth multiple times a day, subjected to sophisticated diagnostic tests, and monitored every minute. His attempts at sleep were fraught. My nighttime situation could not have been more comfortable, from a physical point of view. Of course we were in contact by cell phone and spent as much time together as possible, most of it waiting for one thing or another to happen.


Strategizing my route

Another sunset from the hospital parking garage


One thing about traveling separate daily roads was that we had a lot to tell each other when together. On Sunday (since nothing much was going to happen that day), I took an afternoon break from the hospital, giving David’s cousin Jim a chance to visit, and I went a short distance away to the Heard Museum, “world's preeminent museum for the presentation, interpretation and advancement of American Indian art….” What a fabulous place! The Art was beautifully displayed, and I didn’t even try to see everything. Sometimes I didn’t even read the information but only stood in front of a work and let its power move me.

Sculpture group outside Heard Museum, Phoenix

If the Artist and I were here in Phoenix for other reasons and both of us feeling tip-top, we would be visiting galleries and museums and bookstores galore, but such was not the case this trip.

 


Reading

 

The Artist’s cousin’s wife, Carol, is a champion reader, beside whom I feel like the rankest of amateurs. She not only keeps lists of all the books she reads but writes up an entire journal page for each book. (She is also a wonderful cook and gardener and sits on many civic boards and committees. A superwoman, in other words.) The first evening I was here, she brought an entire bag of books to my room that she had finished reading and was passing along to me, and by the next day four more books were stacked next to the bag, one being Cloud Cuckoo Land

 

It isn’t often that I am reading a book on the New York Times bestseller list, as I’m frequently years or even decades behind the rest of my fellow book-loving Americans, and in that context I have to admit that I have yet to read Anthony Doerr’s previous bestseller, All the Light We Cannot See. But Cloud Cuckoo Land has been the perfect book for me to lose myself in off and on during the past week. The time span of the story is incredible, and we are not simply flashing back and forward in a single country or family, but hopping from one country to another and even into a future far beyond our own, with a complicated cast of apparently unrelated “main” characters. The only link seems to be the Greek story of Ulysses. 

 

“Stranger, whoever you are, 

open this to learn what will amaze you.”

 

Will Zeno and Anna and Konstance and Seymour and Omeir all be somehow saved by books? By stories? At about the midway point in this 626-page novel, I cannot presume to guess, but I can tell you that these characters have been good company for me during a time of anxiety in my own life.





Saturday, December 15, 2012

Our Precious Time: Families, Together and Asunder

Visiting Indulgent Friends 

Early Friday morning I began composing a cheery post for my blog. David’s imminent homecoming and the indulgence of Sarah’s volunteer dog-sitters toward their canine guest was the occasion for me to put together my thoughts. Here’s what I’d written:

Sarah had her first overnight away from her folks. That’s right, our little five-year-old dog has never before been away from both of us at the same time. If David and I were not traveling together, Sarah always went with the traveler or stayed home with the stay-at-home, but usually it’s been all three of us on the road. She has never been in a kennel since that one night at the Humane Society before we were lucky enough to find her and snatch that four-month-old puppy up before anyone else.

Look at that picture again. She looks pretty comfortable, doesn’t she? It didn’t take long at Bill and Sally’s house for Sarah to find Bill’s favorite chair and appropriate it for herself. He could have ordered her down and onto her comforter on the floor, but he got out his camera instead. Is this girl spoiled, or what? She gets away with it, too.

It has been a very anxious five weeks for us, waiting for David’s scheduled surgery. We stayed overnight at the Munson Manor Hospitality Inn the night before, applauding ourselves for the wisdom of that choice, which freed us up from having to drive into town in the dark in what would have seemed (and did, anyway, even in town) like the middle of the night and took away the worry of possible severe weather and dangerous road conditions. Not that the weather was dangerous, as it turned out, but in December, in Michigan, you never know. And when you already have enough to worry about....

Now all is well. The surgical procedure went without a hitch (there were a few stitches, but not even many of those), and we are all together again at home. This is all the Christmas present I need. My cup overfloweth.

I wrote all this in anticipation, before David was actually home. He was discharged as expected later yesterday morning, and he and Sarah were both happy to see each other again. We were all happy to be together at home once more, but then David wanted to rest in bed and listen to the radio. That’s when we heard the horrible news. Our weeks of anxiety were put into perspective, and our happiness appeared in sharp contrast to the agony and heartbreak of families.

Life happens all around us. It happens relentlessly, unceasingly, all at once. It is—overwhelming. In the best of cases, we have it for only a very short time, on loan. Not to be taken for granted, it is—everything. Who has words today?