I realized this morning as I looked over at the bedside table that I’m currently reading two books that, for lack of a better word, bookend my perspective at the moment. For one, I’ve been reading Being Mortal by Atul Gawande, which addresses end of life care. It’s one of those books that comes along right when you are going through a season that matches a book like that. It feels like a revelation to read it, but at the same time, you realize what it is doing is affirming what you already knew was true in your heart. It’s a tough read, and it makes me look at my own mortality, which is both depressing and a relief. But it encourages me to keep looking for things that make Vernon happy and comfortable as long as he is here (which could be a lot longer…or not.) It also illustrates how too much medical assistance doesn’t actually increase one’s quality of life, but may hinder it instead.
The book I’m currently reading to Vernon at dialysis is one that was given to me shortly after Vernon’s accident, but I wasn’t capable of reading it till now. It’s called “The Brain that Changes Itself.” This book contains stories of remarkable scientific breakthrough in brain plasticity. Vernon finds it very interesting to listen to, but he doesn’t relate the stories to himself. That’s how it is with brain injury, I suppose. Every single neurological deviation is different in people so sometimes it’s hard to compare and relate. But the fact that Vernon can enjoy it causes me to finally read it myself. And it is mind-expanding to look at hopeful scientific horizons, even if they are treating differing ailments than his. The human brain may indeed be the final frontier!
So you see…this is where we are: bookended by learning to live with inevitable deterioration of the body and the surreal optimism of staying curious. It could go either way, but its unlikely either will happen in a moment. Either way, its a long slog. Preparing oneself for the haul means keeping all of this in mind. The trick is learning to keep my emotions in the middle of the swing set.
I think the spring weather is helping though. And the longer days. It feels like I have more time to get everything in. More energy anyway. I went to visit Vernon five times this week, but somehow I managed to get to my regular workouts, take the kids to and from school and lessons, and sort of keep my house clean. So…progress! Vernon has been more tolerant of his time at dialysis this week…I think the extra time on the mat and increased oil is helping.
Here are two more bookends, to sum up this season—Vernon resting and Justine holding a butterfly in the Kindergarten garden.
At the moment, I think Maki and I have the most in common: we are right in the middle of these two, and we are both having to reflect on the separation of past and future, hope and acceptance. It’s not a BAD place to be…and I often refer to it as escaping the Matrix. Perhaps hope and acceptance aren’t so different than I thought. Maybe we are capable of containing more reality than we used to. Anyway, it’s a trip.
(Taken by Justine)
On another note, I went to the care plan meeting at Mesa Verde yesterday. It has been a good six months or so and a lot of doors have been closed since then. Of course, its all in the asking. Sometimes it takes a long time before I realize I can rephrase the question and maybe get a different answer. I asked if Vernon would be allowed more exercise, not physical therapy, but something more simple like time on a stationary bike for twenty minutes with the help of an RNA. I believe this is within his residential rights, but I also know his schedule and mood swings can intimidate the staff and so these things have slipped over time. I think it might cause him to be more naturally tired and will also benefit everyone who cares for him. Maybe he won’t need to spend his time in bed climbing up and down from it and maybe he can be more comfortable for his dialysis sessions. It certainly couldn’t hurt. And I think he is ready for at least that little bit of time on a bike. After all, he’s been a cyclist most of his life.
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Allison,
Dear fight for what you think is best for Vern because you are the one to do that. Seems like this might help him in a lot of different ways. Got a e-mail from the Hospice that I volunteer for today and it was telling about a class in end of life that would be very helpful to me as well as you. Let’s just prayer about it and somewhere along the way we will get it all together.
Becky
Awesome, Allison
some wonderful photographs Allison ..and some interesting reading too…..so pleased you had a word about keeping Vern active .. he needs to be active as is possible ..as he was in his life before !!..cycling?? WOW!! just what the doctor ordered??!!!
xx lots of love and hugs to you all..extra big hugs to vern when you next see him xx..and Happy St Georges Day dear brother xx
Wow, that’s genius to suggest that he has some exercise to get around the issues of no ‘physical therapy’!! I’ve been wondering for a while now if a stationary bike or something he can peddle might help him strengthen his lower leg muscles. You make a very good point that it would help tire him out, and make it easier to cope with the long dialysis treatments.
PS(Is there any possibility of volunteer pet-therapy at the facility? Sometimes having a visiting therapy dog or cat to interact with can help calm and engage patients)
Well, I went to the facility today and no word from the people in the PT staff. I told the social worker she can expect me to be a squeaky wheel since this is within his basic rights. And yes, they do allow pet therapy there…people have their own that they bring to family members but I haven’t seen a program that gets them to everyone.
You’re absolutely right to expect that he should be getting some exercise…it amazes me that they haven’t provided this from the get-go. Good on you for tackling this!!