Monday, July 30, 2018

More Precious than Gold




Find a group of middle aged women. It doesn’t matter where. They are easy to find – their kids are grown and flown. These women form tight bonds and gather in groups: happy hour, chick flicks, fire pits, beach condos, thrift stores, and book clubs. Any clique, anywhere. Find them and ask “Do you sleep?”

The answer is no. The answer is always no.

Hot flashes, monkey mind, snoring husbands, back aches, all wreak havoc. Every night. The deep and delicious velvet black rendezvous with the Morpheus, God of Dreams is a thing of the past. Instead, they twist, they turn, they watch the clock, they get up, and they lie back down in a synchronized dance that defies race, weight, socio-economic level.  Sharing the moniker “women of a certain age” they move in endless permutations from east to west coast – a plague of sparking gray cells and twisted sheets in the dead of the night.

I’m a member of that club and over the last few years, for various different reasons. The reason du jour is a chronic cough that has appeared to strut its stuff like a greaser with a cigarette pack under his white t-shirt when the lights go out. AT LAST my intrepid ENTs have focused on a solution – a new medication to throttle back my cough so I can sleep– that takes time to titrate up to the optimum dose. And last night, I found myself suddenly there. I took my pills as directed and waited the required hour and settled into the well worn bed and soft sheets in the spare room, where I have decamped until I conquer the cough. I got into bed, turned off the light, and….NO COUGH. I felt a comfortable drowsiness and immediately drifted off to dreamland, sighing in pleasure and contentment.

Thirty minutes later, I roused, thinking I’d heard something. I listened, heard silence, and slipped under again. Within five more minutes I heard my name over the baby monitor perched on a nearby bookshelf. I snapped to attention, like a well-sprung mousetrap, jerking upright in bed, heart beating, and adrenaline screaming “ALL SYSTEMS GO!” I sped downstairs to find my mom sitting on the edge of her bed, looking miserable.

Mary Frances is no gold brick. If she admits she is experiencing physical discomfort, then SHE REALLY IS. Born of a time when one didn’t complain of physical ailments, she tends to keep things to herself. She was experiencing shortness of breath, a tightness in her chest. I found her nitroglycerin and called 911. EMS was shortly dispatched and arrived in force – the red flashes of their vehicles bright against the ebony of the night. Five first responders crowded into mom’s small bedroom, reassuring her and assessing her. They knew their stuff, things were looking okay, but a ride to the Big House was in order. So they took Mom, in nightgown and bedroom shoes out onto the porch, where they carried her down our front steps sitting on her walker. (My heroes!)  They loaded her on a stretcher, lifted it into  into their rescue squad and disappeared into the night.

I gathered a bag of her  belongings and ran upstairs to dress and grab a few of my things. Sleep was a distant memory. It was 11:00 pm. (My pugs DID NOT EVEN WAKE UP. Five strangers came into my house and took my mother away, and they only rolled over at the small interruption to their sleep.)

Soon I was valeting the car, and entering the bright lights of the Emergency Department. And then Night Watch began. That, too, is a common experience. Test, and wait and draw blood and wait. Contact family and wait. Distract patient and wait. Mom was alert and compliant, though her age and fatigue could be seen in her pale face and puffy eyes. She received excellent care, her team moving in their own special dance from curtained nook to curtained nook. Mom was wheeled to Xray, wheeled to CT scan. Doctors and nurses, a ballet of movement and thought as her team investigated her complaint.

And dare I say Mom was …awake. Very awake. And as the hours passed and I felt fatigue set it, she resisted it, refused to have the lights dimmed or to lie down and rest. So we talked – I read all the Ogden Nash poems I could find on my phone. And we talked until we were too tired to talk, 3:00, 4:00, 5:00 am. Still she resisted sleep. More blood work, more waiting, more test results, more doctors…and still Mama sat upright. I pushed my hard wooden chair back against the wall, angled my head under the “sharps” box and rested, praying I wouldn’t fall asleep and fall out of my chair. My eyelids had weights pulling them down, my head tipped back in sleep and I jerked awake again and again.

After about 30 minutes of quiet time, there was talk of admittance, then talk of observation. Mom began to tell everyone in a half-joking, half-serious tone “I’m leaving.”  As final test results came back negative, and doctors and nurses from the day shift appeared, the plan to send her home with a cardiac follow-up soon crystalized.  We were relieved and appreciative. Her chest pain had disappeared hours ago, and other than an elevated BP, we were good to go. It was 10:30 am. We had arrived at midnight.

I got a third wind and was able to help Mom dress and get to the car. We were exhausted and grateful as we drove home. 

Back at the ranch, we had a small brunch and all I could think of was going to sleep. I had visions of Mom snoozing soundly and me tiptoeing up to my own bed. I was so sleepy, I was nodding off while I worked on the Jumble as Mom polished off a good meal. When the last crumb was consumed, I looked at her with great expectations and asked “Mom, let me help you get settled down for a nap.”

“A NAP?” she exclaimed. “I don’t need a NAP! I’m going to read!”


EPILOGUE:
Mom got comfortable with her book and I got her a cold drink. She settled in for a read. I snuck upstairs and sank into the bed. I fell immediately into a hard sleep. And then…. about 30 minutes later, the phone rang and when I answered, I heard my Mother-In-Law’s voice over the line: “Hi, Jackie, I just called to see how you are doing? Have you been able to sleep? ”