Wednesday, September 12, 2012

Alzheimer's

I went for a walk this evening. Only an hour, nothing extravagant. I like to try to stay in the moment and use it as a way to let stuff go. I walked by an older couple. He was yelling at her, then tipped over the recycle bin and yelled at her when she said they were out because the trash collection is in the morning. "Alzheimer's," she said as I passed. "I had guessed that. My gramma had it." "Tell everyone our business," from the recycle bin. She started telling me how she was waiting for the sheriff. He was trying to get the car keys and take off on her. He was refusing his meds. She asked what happened to my gramma. I explained about the broken hip and forgetting how to walk after surgery. How old? 72. He's 78. Nicest man you ever met, but you wouldn't know it now. Nuclear engineer. Yea, it's so hard because you can see them right there, but it isn't them anymore. I didn't mention diapers or the times gramma took off naked down the road. The sheriff should be here soon. I guess we're heading for that, too. But, maple wood is the county home and that's $6000 a month. What would I live on? I don't tell her that my grandfather had deeded the house to my aunt several years before this or he would have lost it in the spend down. I don't tell her he went from a proud farmer to a broken old man. I tell her that he found a way and that the rules may be different now. I wish her well and she walks back to check on him. I walk away knowing I lied and that she is going to lose her husband and her possessions by degrees. As the sheriff car passes me about a mile up the road, I sigh. The Four Noble Truths run through my head and I really wish the Path were shorter, for her sake.

Saturday, September 08, 2012

Confirmation

Medical doctor on responding to medical codes on a psych floor: "We walk to your codes. They were medically cleared in the emergency department before they were admitted, so we figure they are just playing possum."
So, that dead guy in room 3 was faking? And the woman with the stroke (turns out the e.d. missed that when they screened her for cognitive and motor changes), and the one with respiratory failure (she had actually just been medically cleared and admitted about an hour before the code), and the one with the infarc... Really?
The frigging system sucks. Label them once and neglect their needs forever.
I tell no provider who has no reason to know that i have depression and ptsd. I refuse to give them grounds besides the "peri-menopausal woman" card to dismiss everything i say.
My job stresses the hell out of me, but i can't walk away while the system still labels everything they say and feel as a symptom. We are all humans first.
Hearing that doc spew confirmed that i have a lot of work left to do.