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Broken hip number 3

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Re: Broken hip number 2

Unread postby JJ » Thu 28 Feb 2008, 07:34:32

$this->bbcode_second_pass_quote('Shannymara', 'I') mean it when I say I can't imagine what this is like for you and your family. It's too far outside my range of experiences so far. All I can tell is that it's horrible in many ways, and I'm sorry for you and your family.

I am curious what your father would prefer you all do, and also what you wish you could do if you weren't constrained legally and circumstantially, if you feel like talking about it.

I didn't know one of my grandfathers, and the other died suddenly of a heart attack. Last year when he was dying of lung cancer my dad (79, also a heavy combat vet) asked me to kill him if he was going to linger on in pain more than a couple of days. We were lucky it didn't come to that. I think (but I'm not certain) my mother would rather die than be in a nursing home, unless it was one for rich people like the one my grandmother lived in for the last 3 years of her life. But that's different, because she was really living. My other grandmother died in a more typical nursing home, where I would also use the word "inmate," but I was living abroad and didn't see her during those years, which is why I can't identify more with your own experiences.


our industrial society has no use for the young or old...when I first was married my (filipina)wife came to look at the nursing home at which I worked....she was horrified....
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Re: Broken hip number 2

Unread postby Heineken » Thu 28 Feb 2008, 11:02:31

$this->bbcode_second_pass_quote('Shannymara', 'I') am curious what your father would prefer you all do, and also what you wish you could do if you weren't constrained legally and circumstantially, if you feel like talking about it.


Shanny, his basic position, ever since the first hip fracture last fall, is that he's "going to get better," and therefore doesn't need to be in a nursing home. He did get a little better, returned home . . . and promptly broke his other hip (and almost fractured his skull; the bruise covered half his face).

He has some dementia. I don't think his grasp of reality is sound anymore.

I'm all for dying at home, but as I see it, choosing that route means making certain compromises. For example, you can't be at home and expect to live forever, unless you're J. Paul Getty and can afford to turn your home into a hospital ward.

The house is no longer an appropriate setting for him. The doors into the bathrooms are too narrow to admit a wheelchair. There are stairs and bumps. He's forgetful and pigheaded. He might try to walk unsupervised. My mother is old too and cannot take the stress and burden of caring for him 24/7. Nor can I.

Finally, we have to look ahead a bit. It's very likely that his general condition will deteriorate rapidly. For some reason this is a standard pattern in old people who have broken a hip . . . not to mention TWO hips.

I have offered to bring him home for periodic brief (day) visits, but he himself rejected this because he said he can't deal with the trauma of going back to the nursing home.

I understand his anger and fear. To me, being permanently in a nursing home is a state only marginally different from being dead.

He had his chance to avoid this when he still had control. If you wait too long, you lose control over the setting, method, and timing of your death. (My copy of "Final Exit" is his old copy, ironically.)

He waited too long . . .

For me, I've chosen the somewhat arbitrary age of 77. Gives me 25 more years, if I'm lucky. That's long enough.

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Re: Broken hip number 2

Unread postby Ferretlover » Thu 28 Feb 2008, 11:41:30

Sorry about this situation, Heineken.
Do you have any photos of favorite times in his life that you could put in his room?
How's your mom taking all this?
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Re: Broken hip number 2

Unread postby Zardoz » Thu 28 Feb 2008, 12:33:00

Really sorry that you and your folks have to go through this. You're one of so many I know of who are suffering the same plight. It's always very hard on all concerned.

Consider your dad lucky that he has you. So many in situations like his are essentially on their own. Think of what it would be like for him and your mom without you.

Hang in there.
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Re: Broken hip number 2

Unread postby Heineken » Thu 28 Feb 2008, 20:17:22

Thanks again, all you peak-oily angels . . .

I am so sad. I keep thinking back to earlier times, keep seeing him and me doing things together, building stuff. Keep seeing the signs of his life around me. Hearing his bad jokes and pithy quotes.

I guess this is a kind of mourning.
"Actually, humans died out long ago."
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"Things have entered a stage where the only change that is possible is for things to get worse."
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Re: Broken hip number 2

Unread postby CarlinsDarlin » Thu 28 Feb 2008, 22:48:08

It is a type of mourning, Heineken. I am so sorry for what you're going through. You and your mother both. During the last year of my father's life, I watched him turn into an old man. From being a hunter, outdoorsman, craftsman, extremely active person, he turned into an old man. That's the only way I can explain it. It was, I think, almost as hard for me to watch him deteriorate physically, knowing how hard it was on him not to be able to do the things he loved, as it was to lose him. I understand your pain.

I still run my fingers over the flintlock muzzleloader, bowie knife, and other items my dad made, remembering that the oil from his own skin is what keeps them shiny to this day. I still remember his laugh and so many things we did together. I know how you feel.

You still have your dad, though. The circumstances are not ideal, but he is still with you. Spend every minute you can with him and make some more memories. Even though you think they won't be good ones now, when he is gone, you will cherish even these. My dad's last words to me a few hours before he died were, "Love you too, babe." That's a treasure, even though it was so hard, and I knew it was his goodbye. Cherish your time with your dad.

You're in our thoughts.
Kathy
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Re: Broken hip number 2

Unread postby Heineken » Fri 29 Feb 2008, 09:19:20

Lovely advice, Darlin.

We need to cherish the time we have with our loved ones . . . and the limited time we have with ourselves. The two are related in ways I never before realized so strongly.
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Re: Broken hip number 2

Unread postby pedalling_faster » Wed 05 Mar 2008, 19:07:23

$this->bbcode_second_pass_quote('Heineken', 'S')hanny, his basic position, ever since the first hip fracture last fall, is that he's "going to get better," and therefore doesn't need to be in a nursing home. He did get a little better, returned home . . . and promptly broke his other hip (and almost fractured his skull; the bruise covered half his face).

He has some dementia. I don't think his grasp of reality is sound anymore.
...
Let me know if I'm violating the CoC and I'll shut up.


i went through a similar experience with my father about 12 years ago. he died in 1997 at about age 87. he was lucid till about age 86.

one morning he had a fainting spell, and hit his head. i remember watching him, he had hit his head in a location where, every time his heart beat, there would be a little geyser of blood up on his noggin.

in the commotion of getting him to the ER, he never got breakfast. he was back to normal as soon as we gave him some juice. i had to ask about 12 times for an IV glucose drip.

looking back, i wish i had taken him swimming once my Mom ran out of patience and put him in a home. i visited him, but that's not the same as taking him swimming.

sitting in a home thinking, "i'm going to die, my family abandoned me", like some Fortran loop from hell, that's a tough thing to have as your primary focus.

i suggest the exercise, in a form that is compatible with recovering from a broken hip, because i have the feeling that it can reduce the symptoms of dementia. i checked with a retired general practitioner doctor about this, he sort of agreed. i asked if it would reverse dementia. he was reluctant to use that term and said it would reduce the symptoms of dementia.

if i could do it over again with my Dad, and he was recovering from a broken hip, i would take him to a pool and do the Aquacise class with him. the actual exercise is, you use your arms and propel your self the width of the pool, in water deep enough so his legs don't touch the bottom, wearing a flotation vest.

if it's a warm pool and he does a full half hour to hour, he will sweat. if you are there with him, and he manages to extract a pleasant experience out of it once the strangeness has worn off, he will have something different - and better - to think about when he's sitting in his new domicile.

your dad sounds cantankerous enough that i get the impression he is still mentally active. one of my father's favorite subjects of conversation was mistakes he thought i had make; when he stopped being critical, it seemed refreshing at first, till i realized it represented a lessening of his faculties.

anyway, i think if you could persuade your dad to do some appropriate water exercise, he will get to a point where he says things like, "did you see the Tits on that instructor ?"
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Re: Broken hip number 2

Unread postby cynthia » Fri 07 Mar 2008, 04:00:01

I shall send good thoughts your way every other time I see a Bluebird. (and they are doubly back, so you are well covered).
End stage life issues are not pretty and we must experience them in the moment.
You are dealing and doing well from what you have shared so far.
Thanks H for all you bring to the PO forums.
The feedback to this thread is helpful as I deal with my aging parents.
Loves,
cynthia
PS To Heineken: How is your mom coping with the change?
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Re: Broken hip number 2

Unread postby Heineken » Fri 07 Mar 2008, 11:12:43

Thank you Pedalling and Cynthia for your kind thoughts.

Yesterday the nursing home called and told us Dad had been moved to Richmond's VA med center (which has treated him for his PTSD and other problems for many years, with me as the "ambulance" driver).

He was in some sort of catatonic state, unwilling to speak, eat, or move, and apparently deeply suicidal.

Yes Cynthia, you're so right, the end of life can be very messy indeed, and my dad seems determined to make it as messy as possible. I have tried to persuade him to graciously submit to reality and adapt to the nursing facility, but he just won't. I offered to bring him home for day visits once a week, but no dice.

I'm disappointed in him. The bravery he showed in combat in WWII is nowhere to be seen.

If the only alternative for him is rapid death then I will have to try to bring him back home, whatever the consequences for him, me, and my long-suffering mother.
"Actually, humans died out long ago."
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"Things have entered a stage where the only change that is possible is for things to get worse."
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Re: Broken hip number 2

Unread postby mercurygirl » Fri 07 Mar 2008, 15:05:20

Sorry to hear about your new difficulties. Surely, if his VA benefits pay for nursing home care, they will cover some in-home care alternatively? If the solution is to bring him back home, that would help immensely.

Wishing you all well.
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Re: Broken hip number 2

Unread postby Ferretlover » Fri 07 Mar 2008, 15:25:51

$this->bbcode_second_pass_quote('Heineken', 'Y')esterday the nursing home called and told us Dad had been moved to Richmond's VA med center (which has treated him for his PTSD and other problems for many years, with me as the "ambulance" driver). He was in some sort of catatonic state, unwilling to speak, eat, or move, and apparently deeply suicidal.
I'm disappointed in him. The bravery he showed in combat in WWII is nowhere to be seen.


Oh, I don't know about that... Others, rather than him, now control every aspect of his life.
Seems to me that deciding when HE wants to go out is a pretty brave thing to do.
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Re: Broken hip number 2

Unread postby Heineken » Sat 08 Mar 2008, 01:15:04

Dad is back in the nursing home, the crisis over for now. The details of what happened in the psychiatric unit are unclear.

Today we called Dad and told him he should come home when the doctors say it's OK for him to do so. We said we'll just cope as best we can for as long as we can. Dad was ecstatic.

At least he has something to live for now, the poor dear. I can't take away his hope.
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Re: Broken hip number [b]3[/b]

Unread postby Heineken » Wed 26 Mar 2008, 23:07:07

This is an update for those who have followed this little tale of woe, and have had such kind things to say.

My dad fell in the nursing home and broke a hip for the THIRD time.

I had begged the goddamned nursing home not, under any circumstances, to let my dad attempt to walk unassisted, but my pleadings were apparently ignored. And sure enough, he fell again and broke a hip again.

He was ambulanced to the McGuire VA Med Center in Richmond, and admitted.

It is a complicated fracture, located close to the previous fracture on the femoral neck. They can't operate yet. He is in traction as they attempt to reposition the ends of the femur more favorably for surgery. He's on a morphine pump and oral oxycodone, but he says these take only the edge off the pain. He says he can feel the ends of bone moving whenever he moves.

The surgeon seems to feel that an artificial hip isn't an option, which suggests to me that Dad's femur isn't substantial enough to receive one. I'm no expert, but that seems like a bad prognostic sign.

What a nightmare. I feel so sorry for him and so helpless. Sick to my stomach, really.

Whatever happened to tanned, fit, black-haired Dad of 40 years ago? Time. Time. Time. The leveler of us all, and of all things.
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Re: Broken hip number 2

Unread postby gampy » Wed 26 Mar 2008, 23:21:53

Surgery at your father's age is probably very risky. Just the anaethesia will more than likely leave him off much worse. My grandmother had the broken hip, surgery, and then straight to the old folks home, and then death from pneumonia. All within about a 6 month time span.

Tough break for you and your Dad, Heineken. Good luck, and you have my prayers.
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Re: Broken hip number 2

Unread postby threadbear » Wed 26 Mar 2008, 23:29:31

$this->bbcode_second_pass_quote('PenultimateManStanding', '')$this->bbcode_second_pass_quote('jasonraymondson', ' ')
They are both far superior men than I
I don't know what to say. Yeah, those old dudes were strong and brave. Maybe, when the chips are down, we'll rise to the occasion.


No offense, PMS, but I don't think strong and brave are adjectives I'd use, without qualifying them. A lot of men of that generation had a list of neuroses as long as their arms, and weren't particularly loving or caring human beings. I think men have actually improved and in their own way are a lot braver and stronger than their own fathers.

Heineken, So sorry to hear about your Dad. I would have posted earlier, but I was away, and didn't see this thread.

Your dad is lucky he has someone to visit and care for him, and actually do the work of putting him in a senior facility. I don't know what more anyone can expect. I fully expect to be the crazy old eccentric who is found hunched over my computer, dead, someday, years from now, without anyone even knowing about it. Perhaps I can start a "rent a family" agency, like they have in Japan, for just such an occurrence. :)
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Re: Broken hip number [b]3[/b]

Unread postby threadbear » Wed 26 Mar 2008, 23:35:24

$this->bbcode_second_pass_quote('Heineken', 'T')his is an update for those who have followed this little tale of woe, and have had such kind things to say.

My dad fell in the nursing home and broke a hip for the THIRD time.

I had begged the goddamned nursing home not, under any circumstances, to let my dad attempt to walk unassisted, but my pleadings were apparently ignored. And sure enough, he fell again and broke a hip again.

He was ambulanced to the McGuire VA Med Center in Richmond, and admitted.

It is a complicated fracture, located close to the previous fracture on the femoral neck. They can't operate yet. He is in traction as they attempt to reposition the ends of the femur more favorably for surgery. He's on a morphine pump and oral oxycodone, but he says these take only the edge off the pain. He says he can feel the ends of bone moving whenever he moves.

The surgeon seems to feel that an artificial hip isn't an option, which suggests to me that Dad's femur isn't substantial enough to receive one. I'm no expert, but that seems like a bad prognostic sign.

What a nightmare. I feel so sorry for him and so helpless. Sick to my stomach, really.

Whatever happened to tanned, fit, black-haired Dad of 40 years ago? Time. Time. Time. The leveler of us all, and of all things.


So sorry to hear this, Heineken. I guess the staff can't possibly keep that close tabs on everyone...but it's no excuse. They should hire more staff. Life is such a joy, such a pain, and ultimately so humbling, because we are all subject, as you describe, to the levelling.
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Re: Broken hip number 2

Unread postby threadbear » Wed 26 Mar 2008, 23:41:40

$this->bbcode_second_pass_quote('JJ', '')$this->bbcode_second_pass_quote('Shannymara', 'I') mean it when I say I can't imagine what this is like for you and your family. It's too far outside my range of experiences so far. All I can tell is that it's horrible in many ways, and I'm sorry for you and your family.

I am curious what your father would prefer you all do, and also what you wish you could do if you weren't constrained legally and circumstantially, if you feel like talking about it.

I didn't know one of my grandfathers, and the other died suddenly of a heart attack. Last year when he was dying of lung cancer my dad (79, also a heavy combat vet) asked me to kill him if he was going to linger on in pain more than a couple of days. We were lucky it didn't come to that. I think (but I'm not certain) my mother would rather die than be in a nursing home, unless it was one for rich people like the one my grandmother lived in for the last 3 years of her life. But that's different, because she was really living. My other grandmother died in a more typical nursing home, where I would also use the word "inmate," but I was living abroad and didn't see her during those years, which is why I can't identify more with your own experiences.


our industrial society has no use for the young or old...when I first was married my (filipina)wife came to look at the nursing home at which I worked....she was horrified....


In the Phillipines, I bet people are ALLOWED to die a more natural death, without all of the goddawful contraptions that keep people going to the point that they are no longer mobile. If my father is unable to move or walk, I'm sure as heck not going to attempt to get him in and out of bed! Christ!
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Re: Broken hip number 2

Unread postby Heineken » Wed 26 Mar 2008, 23:49:21

I suppose this is just about the final move for Dad in life's game of chess.

If he has surgery, it will be in a very weakened condition, coming off two previous hip fractures, two operations, and five months in nursing homes with terrible food.

He's a tough bird and has beaten the odds before (including against the Wehrmacht), but I can feel the end closing in, this time. One broken hip in an octogenarian is serious enough, but three?

On the phone he was still talking about "coming home." And saying semi-crazy things, like he wanted his shoes, his clothes, and his Chapstick.

In a way he's very lucky, to have all that free medical care. At least he's getting good drugs. Me, I don't even have health insurance. I don't resent this disparity, I merely note it as a sign of the times (or at least, of MY times).
"Actually, humans died out long ago."
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Re: Broken hip number [b]3[/b]

Unread postby Heineken » Wed 26 Mar 2008, 23:55:08

$this->bbcode_second_pass_quote('threadbear', 'S')o sorry to hear this, Heineken. I guess the staff can't possibly keep that close tabs on everyone...but it's no excuse. They should hire more staff. Life is such a joy, such a pain, and ultimately so humbling, because we are all subject, as you describe, to the levelling.


Yah, they should, but that would affect the BOTTOM LINE, wouldn't it?

The food in these places is unbelievably bad. Another way to maximize profit is to feed the inmates what you might throw out to a pig.

The nursing home was named the "XXXXX Convalescent Center." How can you convalesce on a diet like that? Broccoli overcooked to the point of colorlessness. A glob of greasy congealed reconstituted potatoes. You know, that sort of crap.
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