The Hokey Cokey

After spending much of the summer in hospital my grandfather was sent back home again about three weeks ago with a “home care package” put into place to look after him. Two healthcare visitors four times a day to get him up, clean him, feed him, put him back to bed, etc. Not ideal but as he has adamantly refused all suggestions of going into a nursing home (which I don’t blame him for) this was the only option.

The family had reservations over the proven effectiveness of this package but had to roll with it.

Some of you will be aware of the logistical nightmare that ensued just getting a hospital approved bed and a key safe installed into his home to make this package viable.

Over the last few weeks the carers and the hospital – for all they have my admiration for their hard work and dedication – have slowly driven me up the wall with their continually mounting requests for my grandfather.

I’ve had phone calls and found notes requesting a microwave, a washing machine, a new razor, new trousers and shirts, new underwear, drinks beakers with lids, plug extension cables, etc, etc...

I don’t begrudge any of these items. Plainly they are necessary to make looking after my grandfather easier and therefore to make his life more comfortable. What I do begrudge is the assumption that I can just drop everything instantly to get it all sorted out. But I shall let that go. In the bigger scheme of things it is not important.

On Wednesday I visited my grandfather at lunchtime as usual. He wasn’t right. I’ve noticed him slipping away mentally for a few months now but Wednesday was the worst I’d seen him. He was very confused and wasn’t even sure who I was when I first arrived. He also kept talking about a parade that we’d watched that very morning on a bench over the road. Well, I needn’t tell you that there is no bench over the road, there was no parade, I’d been at work all morning and my grandfather is 80% blind.

I felt a huge sadness settle over me.

Even without having worked in a nursing home for 10 years in my twenties I know this is the beginning of the end. My gran got this way just before she died 5 years ago... spending most of the time asleep the mind drifts in and out of memories and dreams and everything blurs into one long stream of semi-consciousness.

He is loosening his grip on the world one finger, one thought at a time.

I dropped off the purchases I’d made on his behalf, made a note of the new requests, made sure he was comfortable and, at the end of my lunchbreak, headed back to work. I left a note for the carers who were due to visit in a couple of hour’s time detailing my concerns at how confused he appeared to be.

At 5.45 that evening I had a call from one of the carers to say that they’d found him sprawled on the floor. In his confused state he’d tried to get up out of his chair – possibly forgetting that he can no longer walk very well – and had fallen onto the wooden surround of the fireplace and hit his head. He was now back in hospital once more. Thankfully not too badly injured – the cut to his head was very superficial. He’d been very lucky.

A flurry of contradictory phone calls then followed from the hospital and various family members. The hospital seems to be big on spreading misinformation. He was coming home. He has a urinary tract infection. He has a chest infection. He has a chest infection but the doctor isn’t aware of it. They were keeping him in. They were releasing him. They were keeping him in for observation due to irregularities in his heart scan. On and on. And around it all the hospital’s bizarre reluctance to go into too much detail or to give out too much specific information over the telephone.

What? In case Al-Qaeda are listening in and might be tempted to recruit my grandfather as a suicide bomber? He wouldn’t have the strength or the mental wherewithal to press the detonator let alone have the physical strength to walk anywhere with half a tonne of explosives weighing him down.

By Thursday morning, once the dust had settled, they were all finally singing from the same hymn sheet. They’d admitted him to a ward and are going to keep him in for “a few days”. They’re giving him antibiotics to combat his various infections (their records of which seems to be alarmingly ephemeral) and are doing their best to correct his very low potassium levels.

So he’s “safe” for a few days at least.

But to be honest I’m wondering if he’ll ever come home again. Even if his physical health ever allows it, mentally he is already in the next room.

Just A Small Sample

I had to remove a little bit of me and insert it into a plastic tube last night.

A part of me that has been succoured on my blood and the food I intake daily. I’ve walked around with it. Slept with it. Worked hard and played hard with it (according to my old school Principal’s motto).

And then this morning I dropped it off at the Doctor’s reception desk without even a fond farewell or a by-your-leave. We didn’t even exchange a hug.

Abandoned. Orphaned. Destined for some white coated scientist’s lab... Some Uni post grad who’ll dissect it, analyse it, microscope it and then... gulp... see if something grows on it. I have sent it out into the big wide world with neither my protection nor my blessing.

Well. It was beginning to be more trouble than it was worth. And at the end of the day dodgy toenails are notoriously hard to love.

Over the years it had become ridged, thick and ugly looking. More like a dog’s dewclaw than a toenail. By and large I ignored it. I clipped it along with its brothers same as usual but bestowed no special fondness upon it.

I was a bit ashamed of it really. Least said soonest mended.

But then the discoloration began. A dark browniness. A yellowing. A muddy blackening of parts.

It was undoubtedly a dirty protest.

An ignored child seeking bad attention.

It was a foolish manoeuvre because now things have been set in motion that I just can’t stop. The doctor requested a sample. A clipping. I had no choice but to separate us.

It all now depends on the lab results which could take 5 to 8 weeks to come back. There’s a possibility that it is merely dystrophic / atrophic growth – I can’t remember exactly what she said as I was hypnotized by the small wooden airplane that was hanging down from her ceiling on a wire. If that’s the case there is nothing she, the doctor, can do. I’ll just have to live with it and embrace my ability to climb tall trees in my bare feet. Think of the fruit I could gather for my kids!

But there is a real possibility that it is a fungal infection. Something unwholesome living off the fruits of my body’s labour. If that’s the case then it’ll mean 3 months of medication. What exactly I don’t know. But she mentioned “possible side effects”. Again, what I don’t know. And I didn’t think to ask. Curse that damned airplane!

I’m betting it’s not a sudden ability to climb walls with my hands and feet and swing from skyscrapers with webs that I can magically produce from glands in my wrists.

It’ll be constipation. Or sleeplessness. Or itchiness. Or all three.

*Sigh*

Take care of your toenails, people, before they take care of you...

Embarrassing Bodies

Believe it or not the photo above has not been Photoshopped by me; it is a genuine publicity shot for Channel 4’s new series of Embarrassing Bodies.

Karen and I caught it by accident on Wednesday night and promptly wish we hadn’t.

Now, I’m not a prude. I’ve seen my fair share of questionable acts and physical performances that would make a professional voyeur gag on his binoculars but let’s not discuss my surfing history here.

This show had Karen and I heaving.

It was grotesque. It was macabre. It was unforgivingly gynaecological. So much so I felt I ought to be wearing a pair of rubber gloves and squeezing a speculum.

The basic premise of the show is simple. Members of the public with a varying assortment of embarrassing conditions (everything from verrucas, lax sphincter muscles and prolapses of every shape, form and orifice) visit one of the show’s three doctors – on camera – to display their poorly dangly bits to all and sundry in an attempt to help the rest of us overcome any embarrassment we may feel about our own spots and blemishes. The fundamental ethos of the programme is good: don’t put up with it – grasp the nettle by the horns (or the scabs) and get it sorted out by your friendly neighbourhood doctor. Don’t let embarrassment ruin your life!

Fine.

But do we really need to see a prolapsed cervix up close and personal in grindingly red HD ready Technicolor?

And the poor man having a catheter inserted down his jap-eye... was the macro lens really essential?

We just didn’t need to see it. It added nothing to the show. It enhanced my viewing pleasure not a jot except to provoke in me the same feeling of revulsion I sometimes get when I pass a butcher’s shop window early in the morning.

It was simply too much.

The programme was more like a training documentary for would-be surgeons than an inoffensive and informative programme that everyone from little Tommy to his granny could happily watch of an evening without retching up their freshly masticated oven ready meal.

Have we become so self-obsessed as a species that we now need to commission reality TV shows about our bottom malfunctions and our toe fungi in our overriding desire to probe every single avenue and biological cul-de-sac of our scatological existence?

And this was on a full hour before the 9 o’clock watershed!

No warning. No cautionary voiceover. Just wham bam here’s my spam.

Geez...

To finish, my final thought is this: surely you can’t be that embarrassed if you’re prepared to let a Channel 4 technician plunge his camera mount so deeply inside you that your pelvic floor effectively doubles as a lens cap?

Embarrassing bodies my arse!