Anniversaries

One year. Fifty-two weeks. Anniversaries come around like that. They start with, "One week ago..." or "One month ago..." but eventually the weeks and months become a year, and we sit and wonder where the time went. How can it have been so long? How did it go by so quickly?

A year ago, life was going on as usual. Jim and I were newlyweds - just nine months into our marriage. We were happy, busy, doing things we'd always done. I had just returned from a trip South with my sister, visiting my niece and her family, doing some genealogical research, visiting my cousin, whom I hadn't seen for many years. Fun. Life. Living. Loving.

Oh, we were concerned about Jim's recent health issues. He'd had a trip to the ER while I was gone, and he'd just had an echocardiogram and spent 24 hours wearing a Holter monitor, but he felt pretty good and was doing his usual Jim stuff - taking care of the yard, the house, working crossword puzzles, anticipating his upcoming fishing trip to Alaska with his son.

I'd just visited my doctor, complaining of pain in my left leg. He'd ordered x-rays, given me an injection for sciatica, and told me my hips looked really good and would last me the rest of my life. I was looking forward to the next day's lunch plans with my son, so I could see his new offices.

See, life goes on, and we think it will go on forever. Even when we're old enough to know better. Even when our plans, our whole lives, have changed in the blink of an eye many times before. We put things on our calendars - Drew overnight with Gran; Jim's neurology appt.; Fort Stevens for clamming; Jim & Mike's Excellent Adventure; Rodeo weekend - and we think that means that those things will happen.

But in the blink of an eye, a perfectly healthy woman with hips that will last the rest of her life, can fall from the back of a truck and break one of those "perfect" hips. A man with so much to look forward to - a much-anticipated trip fishing with his son, enjoying the achievements of his grandchildren, traveling to far away places with his wife - can have a stroke, a series of strokes. Suddenly, the calendar reads, "Cancel Fort Stevens," "Cancel attorney," "Post-surgical follow-up," "Physical therapy."

"Care conference for Jim."

A year ago. Just a year ago. Or a lifetime ago. All depending on how you measure time.

Bittersweet

It seems that so many of life’s blessings are mixed, filled with both joy and sorrow, gain and loss. Tonight feels that way to me.

I’m excited that early tomorrow afternoon, Ben will arrive at the door of the rehab center, ready to take me home to return to a life briefly interrupted by the events of the past two weeks. I’m elated that I’ve improved enough to be considered able to be home, taking care of my own needs. I’m also a little nervous about not having the safety net of a team of dedicated professionals who are as close as a small grey button, should I need assistance.

I walk quite well with both walker and cane, and although the walker feels more secure, I’m gradually transitioning to the cane except when I’m out among people. The walker gives me more protection and provides a greater visibility in crowded places. I can take a shower by myself, as long as I use a shower chair, I can manage all of my personal care, and I’ll have a tray attachment on my walker for carrying coffee and food from kitchen to dining area. It all sounds so mundane, but it feels so enormous to be able to do these things after hip replacement surgery less than two weeks ago.

Why, then, is there sorrow? Well, I will leave behind a group of wonderful people here at Marquis Care at Vermont Hills. They have helped and encouraged me, they’ve cheered my achievements, listened to my fears and worries, provided shoulders to cry on – quite literally on a couple of occasions – asked always about Jim, provided comic relief, and have, in just a few short days, become like another family. Julie, Lynette, Nicole, LaShaunda, JoAnna, Angela, Cheryl, Angelica, Debbie, Lisa – all names that recall faces and kindnesses I will never forget. Although I have jokingly referred to this place as “The Old Folks’ Home,” it truly has been a place of rest and refreshment for me, as well as a place of rehabilitation. It fits none of the stereotypes of nursing homes, being instead a place where people care – and it shows.

And the greater sorrow for me will be returning home without Jim. He has been discharged from hospital and is undertaking his own rehabilitation at a place much closer to our home. A place where I will be able to visit more often, and a place that will help him recover and return to our interrupted life.

I’m optimistic that he won’t be there long, but each day apart is its own kind of sorrow. I miss him and I know he misses me. He has come from a far place to where he is today, and there is still much work to be done. He has some trouble with words and he’s undertaking the job of retraining his right hand. But my Jim is a man who has never shirked hard work, and there’s no reason to think this time will be different. I’m so thankful that the man I married last summer knows who I am, who our children, grandchildren and friends are; I’m thankful that he can carry on a conversation; and that the weakness in his right side isn’t major or permanent. Things could have been so much worse.

But when I sit on the deck tomorrow afternoon – and that’s in my definite plans – I will feel incomplete. My joy at being home will be tainted by longing for my Jim to be with me. But soon, very soon, he will join me on the deck, we’ll admire our glorious red rhododendrons, our azaleas, fuschias, vine maples – all the beauty that our beloved home offers us. And we will resume our interrupted life together.

What really happened!

On Monday, April 25, I fell out of the back of Jim's truck. Although that may not sound like a big deal, let me rush to assure you that falling from a height of about four feet onto an asphalt parking lot and landing full force on my left hock, with only minimal fall interference from the left hand and arm, can be a very big deal indeed.

Jim hovered over me for several minutes, asking if I needed an ambulance, while I struggled to assess just how badly I was damaged, and whether I did need an ambulance or not. After a few minutes, with a light Oregon rain falling on me, I told him that I thought I was okay, and that I just needed some help to get into the truck. I didn't feel able to actually get up onto my feet, so I crawled the length of the truck to the front door, where I used the door to pull myself up, and Jim helped me haul myself up into the seat. As he climbed into the driver's seat, he continued to worry that we should call 9-1-1, while I reassured him that I thought a broken bone would hurt a lot worse than I seemed to be hurting. We drove home, I dragged myself up the stairs to our bedroom, climbed painfully into bed, took some heavy-duty drugs, and slipped into an uncomfortable sleep.

From then until Friday morning, I managed - with lots of rest and drugs - to get around the house, eat the occasional meal, watch some t.v. in the family room with Jim, and even do my laundry. Although I was in pain, it seemed better each day, and I was a little more mobile each day. Briana even brought Addison and Drew over for a visit on Thursday, and we had quite a nice time. I was pretty sure that things were healing and I was lucky to be doing so well after a nasty fall.

Friday morning around 7:00 a.m. I made my way downstairs to find my Jim apparently still groggy from sleep and not making much sense. After trying to get him to respond, I made the decision to call 9-1-1 -  the best decision I've ever made. When the EMTs arrived, they told me that they thought he was having a stroke and should go immediately to the hospital. After arguing with Jim for a while, I called his son Mike, and Jim finally agreed to go. He left in the ambulance, and I followed about 30 minutes later in my car.

When I arrived at the ER at the VA Hospital, I parked and struggled to get out of the car. Finally, I grabbed my lower leg and bent it enough to get my foot past the doorsill. I heard a couple of popping sounds, and my whole field of vision went white as I experienced the worst pain I've ever felt. After several minutes, I attempted to put my foot on the ground and stand up. When I did, it felt as if there were nothing under my foot, and I almost passed out from the pain. After hanging by my arms between my car and the one parked next to me, I was able to flag down a very nice man who grabbed a wheelchair and wheeled me to the VA Emergency room. Mike and Christina were already there waiting for Jim to come back from an MRI. I saw him for just a few minutes, and Christina wheeled me across the Skybridge to the ER at Oregon Health & Science University. After waiting what seemed an interminable time, I was x-rayed and told that I had broken the neck of my left femur. Apparently it had been broken when I fell of the truck, but wasn't displaced until I bent my leg, at which time I completed the circuit. The treatment: a full hip replacement.

I saw Jim again briefly that afternoon, and early Saturday morning I was wheeled into the operating room for a four-hour surgery.

For the past few days, I've been recovering from surgery and visiting Jim each day, thanks to the cooperation of the two hospitals and the strong arms of Mike to push me in a wheelchair. Jim has been in and out of the neurology ward and ICU, and we've been told variously that he's had three strokes - or maybe two strokes - that he's had a heart attack and that there either is or isn't a blood clot in his heart that may or may not be feeding clots to his brain. He has traveled in and out of coherence, and has been happy to see us or unable to recognize us. It's all been very frustrating, but he's being cared for by lots of good, well-qualified people.

Tonight I am in a short-term care facility about 7 miles from Jim, where I will spend the next couple of weeks learning how to take care of myself without dislocating my new titanium hip. Jim is resting well and will be returned to the neuro ward from ICU as soon as a bed opens for him - hopefully tomorrow. I will be able to visit him each day, by utilizing medical transportation. Each time we are able to spend a few minutes together it's revitalizing for both of us. And each day I am thankful all over again that I told Jim I didn't need to go to the hospital when I fell; he would have been home all alone at a critical time on Friday.

We have been blessed with the love and care of so many of our family and friends who have visited, run errands, sat with us during difficult times, retrieved things from our house, bought clothes (mine had to be cut off of me), and who have just generally provided loving support during what has been a difficult 10 days. We hope that we're both on the road to full recovery, but recognize that there are still some unknown waters ahead. Together, and surrounded by love, we will face them!