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Wednesday, March 23, 2011

Being Me - Or One Little Old Lady and Two Dogs Hit the Road

I have a Packing Thing. Packing to go anywhere sends me into a tailspin. I religiously make lists and check and recheck to make sure I haven't forgotten anything and still I’m a nervous wreck. The Packing Thing starts chewing away at me a couple of days before the actual packing is to take place. If ever there were a case for prescribing Valium for little old ladies, this is it.

So, on Saturday morning, I took my dogs to the beauty parlor and came home to - dum-ta-dum-dum - pack for our long weekend on Sea Island. But first I had to shower and wash my curly mop of graying brown hair so it would be dry by the time I was ready to pick up the dogs.

I packed two smallish bags for a short trip, sometimes walking in circles and gnashing my teeth. Don’t ask why I was so anal about a trip that was supposed to be a personal retreat. I don’t know myself.

Did I remember my medicine and my hair fixing stuff? Check. Jeans and boots? Check. Pajamas and a warm-up suit (for walking the dogs and myself)? Check. Toothbrush? And yes, I have gone off without my toothbrush. Check. And so it went. I took my new 3-pound dumbbells in the trunk of the car so I wouldn’t forget them. They are blue, a perfect match for my new workout pants, and I pictured myself walking along Ocean Road while pumping them energetically.

I cleaned Mr. Palmer’s bowl and put him in the box I use to take him on the road, making sure I packed his food. He’s a Betta, dark blue with fabulously flowing fins. Yes, I do take my fish when I am going to be gone for more than one night. I think he likes the adventure of going someplace new. He seems to, anyway. I carefully placed his travel box on the floor of the passenger’s seat and surrounded it with stuff (my laptop and some other things), so the movement of the car wouldn’t splosh him all around and make him seasick. Satisfied that Mr. Palmer would have a smoothe ride, I stumbled back into the house to finish packing and, oh yeah, dress for the trip.

I packed my cooler with three Lean Cuisines, my almond milk and a carton of nonfat half and half. I use those little things you store in the freezer to keep things cold. There was room for a bottle of wine, so I tucked in a bottle of Trader Joe’s Chardonnay. (You just can’t hide class, can you)?

Then I packed the dogs’ bag, measuring food into a big plastic zippered bag so we wouldn’t give out, making sure there were two kinds of treats for them, one chewy kind and one crunchy kind. You would think I were going to a monastery, not to the coast where they actually have stores that sell dog food.

Are you sensing and OCD pattern here?

With everything packed and in its place, I set the alarm, made sure all the locks were secured and fired up the old Lincoln that was Clint’s and started down the driveway. I hit the brakes. Where was the skirt I planned to bring? The tops to go with my jeans? Uh-oh. I turned off the car, went back into the house and found my hang-up things dangling from a hook on the swinging door between the kitchen and great room. I placed them carefully in the trunk on top of my other things and once more got in the car, cranked it up and headed to Petsmart to fetch the dogs and get on my way.

It was a slow and rambling trip from Macon. We took mostly back roads to avoid all the spring-breakers on the interstates. We ambled along through little towns with courthouse squares and past pastures where cows were grazing and fields turned over for seeding. There were old falling-down barns blanketed with wisteria, and acres-wide pecan groves that stretched out on both side of the road. Lots of people out in the country were having yard sales. Though tempted to stop at a couple of them I reminded myself that I am simplifying my life, not looking to clutter it up any more than it already is.

I rolled down the windows to breathe in the perfumed spring air, and Belle pushed her nose out of the half-opened back window to take it in, too. I opened the sun roof and before long, my hair was standing up all over my head.

The trip took about four hours, and I listened to "The Help" while tooling down the road. The Packing Thing behind me, I allowed myself to relax, enjoy the scenery and the book. One time, I pulled over thirty miles outside of Macon to check the trunk. No shit. I really did that. Aside: Don’t read "The Help," listen to it! Four women narrate it beautifully.

I have a sticker on my windshield that gets me on Sea Island without having to stop at the gate and convince the attendant that this wild-haired little old lady with a Boxer and a Lhasa Apso in the back seat of her 14 year old Lincoln Town Car is really a guest of the Smith’s at 502 Ocean Road.

With that behind me, I moseyed down The Drive, taking in the glorious spectacle of the live oaks that line it. With the windows still down, I realized my car was squeaking every time we hit a dip in the road. Shit. The roads on the barrier islands all have dips in them. It’s because the dirt underneath shifts. I worried that Mr. Palmer might throw up in his bowl. I had known for weeks that I needed new bushings but had put off having them installed, and there I was, in one of the three richest zip codes in the USA- squeaking.

So, it was with an abashed smile that I squeaked up to the gate and told the gate keeper at Ocean Forest that I was a guest of the Smiths. He frowned and peered into the back seat at the dogs. Then he shuffled through a stack of passes, not finding one with my name on it. Shit a blue brick! He eyed me suspiciously, and I offered to call Deidra for him. I pulled forward, letting the car behind me pass while I squeaked over every little dip in the road. I stopped to call Deidra. Thank God she picked up. I took the phone to the Gate Nazi, and he filled out a pass for me, handed it to me with an disapproving sniff and gave my car a long cold stare, like he could stare the squeaking out of it.

Before I unpacked the car, I walked the dogs, a silver doggie-doo bag hanging out of each pocket of the old scrubs I decided to travel in. Belle and Honey knew what they were supposed to do, and they did it, me following along with the bags so as not to leave any dog-doo on anyone’s pristine lawn.

I unpacked the car and hauled my stuff upstairs to “my” room. I could have used the elevator, but I couldn’t remember how to operate it. Besides, walking stairs is good for one’s soul, not to mention one’s fanny.

“My” bedroom is the best place in the whole house for enjoying the glorious views of the Atlantic, the Hampton River and the marshes and creeks winding their way toward Little Saint Simons Island. I opened the door to the balcony, stepped out, leaned over the rail, and breathed deeply of the salty air. I felt like the luckiest woman in the world.

I unzipped my bags and began putting my things away. I hate it when my things smell like luggage, so I always unpack as soon as I can. I trudged back downstairs to get my hang-up things so I could put them in the closet. I didn’t even make a drink before I unpacked.

Even I was amazed at what I dragged out of those bags. (Gentlemen, you may want to skip this part). Two pairs of jeans - one black, one blue, two pairs of boots to match the jeans, my workout clothes, two pairs of socks and nine, count them - one, two, three, four, five, six, seven, eight, NINE pairs of panties. There was one pink cotton granny pair, two black satin ones and SIX pairs of nude ones that are not supposed to leave a panty line. (They don’t work). I can't wait to hear what my therapist has to say about that.

What was more amazing is what I didn’t drag out of those bags. Not a bra in sight, of any color or texture. There I stood in my scrubs with a sports top on underneath and not a single real bra to be found. I routinely take two black ones and two nude ones, but oh no, not this time. I didn’t even pack more sports bras. I would spend four days and three nights in the same sports bra. It’s humid on the coast, so I couldn’t just rinse it out every night and hang it on the balcony rail to dry. Not only would the neighbors have a hissy fit, but it wouldn’t dry anyway in all that humidity. I would have to use the dryer.

I had managed to pack a lint brush, a bottle of Rogaine, Honey’s brush, three brown hair bands and one red one, most of my toiletries, two iPods with cords and ear buds, one cord that didn’t belong to anything, but no charger for the iPods or my Blackberry. I figured a way to charge my iPods by syncing them through my laptop and decided to just turn off my Blackberry, but I still didn’t have a single brassiere. What would I wear to Jim’s class in the morning? The sports top that makes me flat as a pancake? I had four turtleneck tees, two short sleeved and two long, and a cashmere sweater jacket that Clint bought for me the last time we were in Scotland that was way too heavy for the weather.

I remembered to bring the little packs of instant Starbucks - one decaf, the other regular - but failed to bring my fiber. I had green tea and sugar free Peeps to snack on. Don’t laugh. They are delicious, but if you eat too many, you’ll get some pretty noxious gas.

Close your eyes, boys.

It was while I was taking inventory of what I did NOT have that I got the first inkling that I just might have, I’m whispering now, a yeast infection. I sure as hell didn’t have anything to fix that. For the love of God, I had brought three Lean Cuisines just so I wouldn’t have to go to the store, just so I could really be on retreat with no outside distractions other than Jim’s Sunday School class. I decided to go to the store after I attended his class the next morning.

Boys. it is now safe to read on.

Making sure that Mr. Palmer was happy in his usual place on the kitchen island, I fed him then made myself a martini with three olives, sat down in front of the TV, and, breaking my promise to myself, turned it on and watched us bombing Libya for a while and tried not to cuss myself out for being such a fruitcake.

On Sunday morning, I showed up late for Jim’s class looking like Johnny Cash in drag and wearing a curly brown wig. I was in black from tip to toe, decked out in my favorite black top (which has diagonal ruffles that camouflaged my flatness) over black jeans with black cowboy boots peeping out from under the hems. My socks were even black. I’m not sure why I think it makes a tinker’s damn what I wore to Sunday School, but something just made me include it in this ridiculous tale. And by the way, when I was driving to church, I noticed that my car was no longer squeaking.

On the way back to Sea Island, I stopped at CVS to pick up you-know-what and found out that you can actually buy sports tops there. I helped myself to three so as to avoid washing anything while on retreat.

The remainder of my retreat revolved around writing and walking the dogs and walking myself. Belle made two escapes, but I managed to hem her up before she could poop on the neighbors’ lawns. No TV, no Blackberry, nothing but contemplative silence in which to think and write and enjoy the splendid vistas across the river to the sea. Okay, okay. I did check my email, but I cranked out two blog posts and this preposterous yarn.

On Tuesday morning, as we crossed the Sea Island causeway headed for Saint Simons and the mainland, I rolled down the windows, opened the sun roof and noticed that the old car was squeaking again. Maybe the Gate Nazi really did stare the squeak out of it...........


© cj Schlottman

Sunday, March 20, 2011

Synchronicity Redux

The view from this house is of the Hampton River, the Atlantic Ocean and Little Saint Simons Island. Last night was a Super Moon, and I sat outside with my dogs and watched it come up over the Atlantic, spilling bright orange ribbons of light over the dark waters of the river. It will be about 20 years before such a moon will be seen from the planet earth, and I hope to be around to see it.

It was breathtaking, this phenomenon of nature. I sat and stared at it, awed by its beauty and grateful for my opportunity to see it here in this place - my friend Deidra’s house on the northern tip of Sea Island, one of coastal Georgia’s magnificent barrier islands.

Today is the Spring Equinox, the tide is high, and a northeastern wind has driven the tidal water up into the marshes, making a large lake of them. When I think I almost canceled this trip, I begin to wonder if things really do happen for a reason.

I am in the process of rescuing a Boxer I met at Kottage Kennels, where I board Honey and Belle when I can’t take them with me. He was shot with buckshot, his ear was cut, and he was eaten up with heart worms when he got to the kennel. He was in a large cage just inside the front door, and there was a sign saying, “I AM UP FOR ADOPTION.” I loved the fact that his tail and ears had never been docked. I looked at him, he caught my gaze, and it was love at first sight.

I asked about adopting him, and the kennel owner said he had completed his heart worm treatment, but that he would not be able to leave the kennel for four to six weeks. His veterinarian wants to make sure he is well enough to run and play with other dogs. His name is Sugar Ray, but I’m shortening it to Sugar. I get that he was named for a boxer, but I deplore that violent "sport."

On Friday, before I began packing for this trip, I phoned Kottage Kennels to see if I could have Sugar this weekend, while I have six days off in a row, thinking it would be the ideal time to integrate him into our home. The vet said he wanted to keep Sugar quiet for at least two more weeks, so, disappointed, I packed my things into the trunk of the car, leaving the back seat free for Honey and Belle, and down the road we came.

This is going to come together, I promise. If I could have moved Sugar into the house this weekend, I would have stayed home. But, through my disappointment I received a great gift. When I am here, I attend a Sunday School class taught by my friend, Jim Gilbert. I don’t go to church and Jim’s is the only class I attend. He puts an amazingly cerebral twist into his lessons and I always come away in a introspective frame of mind. It always leads to self evaluation and research into the Bible verses upon which Jim builds his classes. Today was no exception, and I will be focusing on the the Holy Spirit for a while.

After the class, I walked over to a regular member and reintroduced myself. He is a boat captain for a wealthy Atlantan, and Clint went on fishing trips with him before he got sick. When introduced to John’s wife, I learned that I had cared for her aunt when she died at Pine Pointe. I actually pronounced her dead. John also knew one of our first patients. Then we discovered other threads of synchronicity - friends in common, his Macon friends, my Saint Simons friends. It felt like being reconnected with some of my roots here, and it felt right.

It is right that I am here, giving myself the gift of a small one-woman retreat. If I had stayed in Macon, the Super Moon would not have been clearly visible from my little house. Certainly it would not have been sending out gleaming rays over the river. I would have missed Jim’s very thought provoking lesson this morning and, and I would have missed reconnecting with John.

Maybe things really do happen for a reason?


© cj Schlottman
03/20/2011

Saturday, March 19, 2011

Afraid of Me - An Exorcise?

I don’t know when it happened, but I realized the other day that, at times, I am afraid of myself. Why am I afraid of me? I think this would qualify as one of Rosemary's "exorcises."

I suppose the best example of being afraid of myself is how I felt when I went back to work last year. I second-guessed myself at every turn, scared that I would make a mistake and be judged harshly for it. That’s just one of a list of examples of how my self worth was so wrapped up with Clint. He truly made me believe I was bulletproof.

It happened when I began to write in earnest after Clint died. I wrote and shredded piece after piece, thinking them unworthy, not good enough for anyone to want to read them. There was no Clint to buoy me. Any time I got in over my head (or I thought I was), he was my life vest, the force that kept me afloat. My self-confidence was long in returning.

And there are still times when I’m afraid of myself. It happened again when my job changed, and I began working inpatient hospice instead of home care. I come from an era of nursing when we always checked each other off when giving opioids. So, that’s what I did - and it backfired on me. The other nurses began to think I was unsure of myself, that I didn’t know what I was doing - and instead of talking to me, they told my manager about it. That’s when I got afraid of myself again.

Thank God for Nettie and Karen. They are sisters. Nettie is one of the best nurses on our team, and Karen is the best clinical tech I've ever worked with. They collectively took me under their wings, told me what the others were saying about me, and mapped out a plan for my success. Still I was afraid of myself, but after a couple of weeks of their tutelage, I began to soar, believe in myself. The result has been that I am confident in my work and getting better at it every day.

Self fear, or whatever a psychiatrist would call it, has not been limited to my employment and my writing. After my experience with the MF (Man Friend), I became unsure of myself in social situations. I, who have always been at ease with others, hated being the odd woman out and didn’t know what to do with myself when friends invited me to join them. So, I developed a kind of phobia about going out with couples. I wanted Clint back, still do. He was the other half of us.

But I made myself go, and I also began taking my 82 year old friend, Frances, out to dinner one night every week.

See a trend here? I am conquering my fears of myself. There’s probably a 12-step program for people like me. I’m in recovery! It could happen again and probably will, but I will recognize what’s happening and start a support group!


© cj Schlottman
03/18/2011

Sunday, March 13, 2011

A Day at Hospice House - The Conclusion

This is the final post of a series I am writing about my job. I hope it will serve to heighten awareness of hospice care and answer some questions my readers may have and give them information that they can pass on to others. To begin at the beginning, click here.

My new patient is a heartbreaker, an eight year old with brain cancer. He is here for what we call Respite Care, a time for caregivers to take a breath, catch up on their rest and in general, recharge. His mother will stay with him here, but she will not have to worry about meals or too much company. We will take care of that. It is 12:30, and I have orders for my little boy, so I can get him settled as soon as he arrives.

Checking on my patient in Room 412, I find him again having jerky tremors and wearing a frown. I give him more medicine, then I call his doctor and ask for an order for a continuous drip. This sliding in and out of pain and agitation is hard on him - and on his family. A continuous drip will deliver a metered amount of the drug every hour. I order the drip from our infusion center, and they agree to deliver it as soon as possible.

It’s 1:30, and I have actually had time to sit down and eat my lunch - a diet entrée I brought from home. On this rare day, all of us nurses eat together.

Out again to check on my charges, I find the patient in room 406 becoming agitated again and short of breath, so I give him a bolus of morphine and titrate his pump up by 1 mg per hour, then I give him some Ativan and call his doctor and ask for an additional drip - one of Ativan. I get the order and fax it off to the infusion center. Now I am waiting for two drips.

2:30 and my young patient has not arrived. We nurses are all anxious about his admission. Each in our own way, we dread having young patients. It seems so wrong for them to be dying, never having had a chance to live a full life.

I check on my patients and all is well for now. The drips arrive at the same time, and I am tied up for nearly an hour getting them started. In addition to programming a new pump for my patient in room 406, I must start another subcutaneous infusion site.

3:30 and still no word from our youngster. The phone rings, and when our secretary answers, she quickly hands the phone to me. There has been a scene at the home of our little boy involving his divorced parents. His father has taken him to his house, and his mother has called the police to report his father for violation of their custody agreement. The police have arrested the father and returned the child to his mother. Whew. What a mess.

At 4:30, our little man arrives with his mother. He is hysterical. Hysteria is not uncommon in patients with brain cancer, but this little boy has been torn from his mother’s arms, retrieved by the police and taken to a strange place where all he sees is nurses in scrubs, never mind that we are all dressed in soothing pastels. All he sees is strangers dressed just like all the other strangers who have prodded and poked and in general assaulted him with chemo and radiation and needles.

I shoo everyone out of the room, then I leave myself. These people deserve some peace, and it is my job to make sure they have some.

I tend to my other patients, both of whom are resting quietly.

Then I spend an hour sorting out the medicines that arrived with our eight year old. He has been in hospice care at home for some time, and there are many drugs to sort through. I separate out the opioids and lock them in the med room. The others, I take to his mother so she can administer them to him as she did at home.

Ester, my great friend and hospice mentor, checks on my other patients for me. I didn’t have to ask her. Teamwork is what makes this possible. Without it, we would all sink under the burden of all that this job piles on our heads - frustration, sadness, feeling torn between patients, and yes, fatigue.

Back on my feet, I reclaim my patients and prepare to give report to the night nurses. They will start arriving around 6:30, and I want to be prepared to give them a coherent and factual report.

At 6:45, we count opioids and the count is correct. My flow sheets for continuous drips are in order, so I give report, pass along the flow sheets and other medication records, and prepare to leave.

I drive home in the dark, just as I had arrived in the dark. Daylight savings time will start this weekend, so I can look forward to leaving during daylight on Monday afternoon. My dogs are happy to see me and I them. I feed them and sit on the deck while they play and take care of business.

A hot bath with the jets running in the tub - then off to bed, where I write a little but mostly stare blankly at the TV. 4:45 AM will be here soon after I close my eyes.


© cj Schlottman 03/13/2011

Saturday, March 12, 2011

Steps to Meeting my Goals

My writing mentor, Rosemary Daniell, leads an ongoing writer’s workshop in Savannah called Zona Rosa on the first Saturday every month except August, when we are on sabbatical. The group has been ongoing for 30 years! A wonderful and acclaimed published writer and poet, Rosemary has other ongoing workshops and does guest appearances all over the country, speaking and teaching at writing events, retreats and festivals. She even leads retreats abroad. There is a retreat in Aix en Provence, France, in May. The Saturday group is exclusively for women, and we have members who range in age from their twenties to their eighties.

Learn more about Rosemary and her workshops by visiting her web site - Secrets of the Zona Rosa.

One of the many creative aspects of our group is that, each month, Rosemary gives us a list of “exorcises,” topics designed to keep our writing fresh, creative and real. These "exorcises" are not mandatory, but some very good writing has come out of them. They are designed to keep us writing our truths. They can be very therapeutic. It is from Rosemary that I learned how important truth is to good writing.

So, today I am publishing my “exorcise” here on The Red Sweater.

Here is a sample of a few “exorcises” from last weekend:
“How my awareness of mortality affects my thinking and writing.”
“How my house speaks to my writing.”
“Steps I am taking to meet my goals.”
"Write about the thing you most don't want to write about."

I fell headlong into “Steps I am taking to meet my goals.” A little voice in my head tells me that Rosemary was looking for text on writing goals, but I turned it on its side and went in another direction.

My goal is to maintain what semblance of sanity I have left. Here are some steps I am taking to keep my sanity:

1) After all these months, I feel as though Clint died yesterday, not on June 8, 2019 at 6:33 PM. I was unprepared to be actively grieving 21 months later, but here I am, still on the roller coaster of relative peace followed by reactivation of my grief. Stress at work, stress in my personal life, hearing a certain song, gazing at a photo of us dancing at a wedding, smiling, our eyes locked on one another, his side of the bed, stretching out like the ocean reaching toward the horizon - these are just a sample of the things that can leave me unbalanced, sad, helpless.

My Rx? Work, work, work. Write, write, write, especially in my paper journal. When not at work, I find myself fighting an inertia that is difficult to describe. My house is a mess, my housekeeper has been out for three weeks with a sick child, and I hate housework. I sacrifice in other areas in order to have someone come into my house and clean it for me. But, today I am going to attack this little cottage with my Swiffer products and elbow grease - after I come home from the gym, where I have been going every day I’m not at work. I carry a three pound weight in each hand and walk hills on the treadmill for an hour. That, I am certain is helping me keep my balance.

2) The conundrum that is my son, Parrish - mentally ill, as most of you know. He has been putting pressure on me to come back to Georgia, to Atlanta, where he once lived on the streets and in parks and under bridges. I would rather go to prison than see him back in Atlanta, and I have told him so. Nevertheless, he continues his passive-aggressive attempts to change my mind. He has been in hospital three times since he was here in December, and I believe that all three were attempts to get me to jump on a plane and come rescue him. His last hospitalization happened when he checked himself into the psych ward at University of Miami Hospital, saying he was having suicidal thoughts. He called me to let me know where he was but refused me access to his doctor. Last month it was his back (two failed fusions). He said the doctor wanted him to have more surgery but one more refused to give me access to his physician.

My Rx? I love him from afar and refuse to be drawn into another enabling web with him. I am sympathetic when he calls to tell me his troubles, but I refuse to intervene in his life. I have found that, if I simply listen and refuse to buy into his “crisis du jure,” it mysteriously goes away. His illness makes it so hard to detach from him. I do worry about him, but the stark naked reality is that he cannot live with me or in Atlanta. So, we do the best we can. On April 16, I will fly him to Atlanta, where I will meet him, and we will stay two nights. He will be able to see his oldest friend, Michael. Now he has something to look forward to, and my fervent hope is that it will keep him focused on that and not on his living situation, and assisted living facility which is not optimal. Unfortunately, I cannot escape the belief that, when the weekend is over and he returns to Hileah, he will be in hospital within a week, sad and depressed that he could not stay in Atlanta. It is impossible for him to make the best of things and focus on what he has instead of what he has not.

Sure, these are mental health goals, but I think they are as important as writing goals.

So, Rosemary, this post is for you!


© cj Schlottman 03/11/2011

Friday, March 4, 2011

A Day at Hospice House - Part Three

This is Part Three of a series I am writing about my work. To start at the beginning, click, here.


My patient in Room 412 is a sweet little man who took himself off of dialysis a week ago. It is unlikely that he will live another week. When I arrive at his bedside to do his assessment, he is having dramatic tremors of both hands and arms. He is been medicated with Ativan every four hours, and he is still restless and agitated, the toxins that should be filtered by his kidneys building up in his system.

I manage to get him assessed, then I visit with his very anxious family, his wife and daughter. I wonder out loud to them if our sweet man is in pain, though he denies having any. Thinking about it, I note that his tremor gets much worse if we touch him - anywhere on his body. I suggest to them that we might want to give him some hydromorhone (Dilaudid), which is ordered for him to receive every three hours for pain.

Back to the med room for an injection for him. He has a subcutaneous infusion site, a soft catheter inserted under the skin around his belly button, and when I return to the room at 10:10, I inject the diluted drug slowly and flush the site. I sit at his side, talking softly with the family, and wait to see how the hydromorphone will affect his pain. Ten minutes pass, and he is asleep. I touch his hand, and it remains still. He is snoring loudly when I leave the room.

(Aside, I love subcutaneous infusion sites. They are much easier on the patient, need to be changed less often than IV sites. There is little chance that the patient will pull it out - a win/win for patient and nurse).

At 10:15, later than usual, I open the electronic charts for all three patients, quickly making notes. The doctor has visited, and I check my charts for new orders. There are none, thank goodness, so I slurp on my cold coffee and go back to see about my man in 406.

I find him still sleeping and spend some time with his family, answering questions and encouraging them. We give all of our families a booklet that explains the dying process, but most of them cannot absorb at first reading. I go over the signs with them and encourage them to go back to the booklet and read it again.

Returning to Room 411 to find my little lady having longer periods of apnea. More family is in the room, a daughter and a son and daughter-in-law. I look at her feet. They are cold and mottled and her legs are cool to the knees. Her nail beds a cyanotic, and she is approaching the end of life. More family is on the way. I sit with them and offer support, trying to field questions like: “How long will it be?” “How long can she go on like this?”

Some questions are impossible to answer, but I tell them I believe the end is imminent, that if they want to give my sweet patient permission to leave, they should do it now. Sometimes, patients need to be assured that their families will be all right, and if they need to leave, they can. Hearing is believed to be the last sense to go at end of life, and even though she is now in a coma, I encourage them to talk to her.

They each in turn take her little hand and whisper how much they love her and that if she is too tired to live, it is all right to go to the light.

I tiptoe out of the room and find my little man in Room 412 snoring away. I touch his hand, his arm, his face, and he continues to sleep without tremors. We are all relieved, the family and I, that he is peaceful.

Returning to Room 411, I sit with the family as their dear loved one takes in her final breath. I put my stethoscope to her chest and hear no heartbeat. She is not breathing, and I pronounce her time of death at 11:15 AM. I quietly tell the family to take all the time they need to be with their dear one, to call me when they are ready for me to call the funeral home. They want her to stay until other family members can come.

Back at the desk, there are forms to be filled out, and I enter a death note into my patient’s chart.

Then it’s back down the hall to check on the two patients I have left. Returning to the desk, I learn that I have an admission coming..............For the conclusion, click here.


© cj Schlottman

Sunday, February 27, 2011

A Day at Hospice House - Part Two

This is a continuation of a piece I posted last week. To read the first one, click here.


I scoot over to room 406, and, indeed, my patient is squirming around in bed and picking at the air and his bedclothes. He denies pain but appears delirious. Judging that it is not due to his morphine drip, which he has been on at a relatively low dose for several days and knowing it is too early to give him more lorazepam (Ativan) without a chat with the doctor, it’s time for another approach. Since the morphine and lorazepam did little to calm him, I opt for a dose of haloperidol (Haldol).

Then it’s off the the medication room, where I draw up 0.5 milligrams of haloperidol, dilute it in 10 milliliters of normal saline and grab some more saline to irrigate his subcutaneous infusion site before and after I give the drug. Another nurse is ahead of me, so ten minutes drag by before I can prepare my medication. (Our med room is way too small).

Back in the room, I deliver the medication, flush the infusion site, assure my patient’s son that I will return in 10 to 15 minutes to see what results we get from the new drug.

Suddenly it is 8:30, and I have another patient to assess. She is 72 years old and is in Room 412. She is dying of pancreatic cancer and controlling her pain has been a challenge. Not a large woman by any means, her hydromorphone (Dilaudid) drip has been titrated up to 2mgs per hour, and she is still uncomfortable. I also notice that she has developed end of life respiratory secretions and is beginning to have the dreaded death rattle that some patients have. Again, I table the physical assessment and seek relief for my patient. She can have a bolus (extra dose) of medication, and I push firmly on the top of her medication pump and 2 mgs of hydromorphone is delivered through her intravenous catheter. I can also titrate her drip to 2.5 mgs, and I do that as soon as the bolus has been delivered. Her pain eases, but the secretions are still a problem. I check her chart and see that she has not had any medication for secretions, so I go back to the med room and and draw up 0.2 mgs of glycopyrrolate. I administer the medication by IV push. I reassure her and he family that I will return to reassess her pain shortly.

I dash back to 406 to find a sleeping patient and tiptoe out of the room.

On my way back to Room 412, I stick my head into 411 and find that the patient is having more prolonged periods of apnea and her feet, legs and hands are mottled. Mottling is an irregular arrangement of spots or patches of color on the skin that often looks like brusing and which heralds the end of life. However, some patients stay mottled for several days before passing on, and some patients never mottle. So, I sit with the patient’s husband. He wants to know if it is time to call his family to come see her before she dies. Advise him that it would be a good idea to call them, explaining that I would rather have a false alarm than face a situation when family members and friends were not able to see his wife before she dies. As he pulls his cell phone out of his pocket, I step across the hall to Room 412.

I glance at my watch. It is already 9:30. Two and a half hours have gone by, and all I have done is basically put our fires. I find my patient breathing easier and sleeping. Another assessment to do......click here for the next installment


© cj Schlottman

Sunday, February 20, 2011

A Day At Hospice House

Disclaimer: This series in no way represents real patients. It is a compilation of many different patients and many different situations. Any resemblance to actual patients is purely coincidental. There is no such thing as a typical day in hospice care. Some are busier than others and each individual patient has his or her own special needs.





My eyes flap open at 4:43 AM, two minutes before my alarm clock beeps to wake me. It happens every work day, but I am convinced that if I were to fail to set the clock, I would somehow oversleep. It’s just another crutch in my life.

Honey, my Lhasa Apso, begins to lick my face, and Belle, her buddy the Boxer, walks around to my side of the bed and pushes her nose onto the bed next to my arm, demanding that I pet her, too. There is no resisting either of them, so I haul myself up on the side of the bed and turn off the clock.

The three of us shuffle through the house to the door to the deck and back yard, and off they go, returning quickly, knowing that a dog bone is be ready for both of them. I snap a pod into the coffee maker and eagerly push the pulsing blue “brew” button.

I take my coffee out onto the deck and when the weather is cold, light the propane heater. It has been cold a lot lately. I sit, check my e-mails and texts on my Blackberry, smoke (No, I haven’t completely quit yet), and in general, wake up. I simply cannot wake up and jump into my scrubs and rush out the door. I need the waking up time to center myself. Sometimes I practice a short yoga program to further ground me.

At 6:15, having kenneled the dogs in their playpen, I leave for work. It is dark, not trace of light yet in my neighborhood. I arrive at work at 6:30, 15 minutes early, so I can get some coffee and organize myself for the day. I retrieve my stethoscope from my locker, get out several of the report sheets I have designed for myself, and at 6:45, I clock in and get report from the night nurses.

There are three of us nurses here today, and we have nine patients, so we each take three, trying always to have the ones we had the day before.

As soon as report is over, I make what I call “sneak a peek” rounds on my patients. I check to make sure they are sleeping or at least comfortable if awake. Then I check their charts for new orders and take their medication records out of their notebook and put them in mine. That is when my day begins in earnest.

I begin with physical assessments. Today, I find that the patient, in room 406 (lung cancer that has spread to his liver and lymph nodes) is awake and restless, a little agitated. He is only 58 years old and was a heavy smoker. So, the assessment goes on hold while I get some medication to soothe him and give him some peace. The medication does little to calm him, so I give him a bolus of morphine, which is delivered via a subcutaneous catheter in the skin around his belly button and connected to an electronic pump. He begins to doze. I continue the assessment and enter the data into our system using a computer in his room. He is sleeping when I leave the room.

The patient in 411 (end stage Alzheimer's) is still asleep, and I quietly do her assessment, finding that her respirations are slow, and that she is having episodes of apnea. The expression on her sleeping face peaceful, even childlike. Her husband, who spent the night on the daybed in her room, expresses his concerns about her condition. He is a devoted caregiver who is exhausted, with health issues of his own.

The phone on my hip vibrates. I reassure the husband, reminding him gently that her slow breaths are part of the process, and I walk out into the hall to answer my phone. I learn that the patient in 406 is once again restless and agitated. I check my watch. Only an hour has passed since I medicated him.

To be continued next week......click here.


© cj Schlottman

Saturday, February 12, 2011

Ennui - Again

02/12/2011

What makes a writer avoid writing? For two days, I have been dodging my laptop, haven’t even checked my email or looked to see what Jenny Matlock is up for this week’s Saturday Centus. Thinking about writing a blog post to publish sets butterflies flapping around in my stomach.

Today, I have washed three loads of laundry, walked for an hour on the treadmill carrying a three pound weight in each hand, brushed the dog, attacked my bathroom with the Swiffer vac, washed my hair, picked up yard trash created by the recent winds. I turned on the TV and tuned to the PGA golf tournament at Pebble Beach. All this to avoid writing.

I used to watch golf tournaments with Clint on Saturday and Sunday afternoons. Now, doing so just makes me miss him more than usual, so I did some channel surfing to find something else to keep me company and found, well, nothing. There are dozens of channels to choose from, but I can’t get worked up over programs with names like Lobster Wars or Real Housewives of Atlanta or Cupcake Wars. College basketball holds no appeal for me. Nor does rugby. I finally settled on a tennis tournament, then realized it was a rerun from last year.

I’m certain I should be watching some news channel or other to stay current on the situation in Egypt, or what our congress is up to or how many people were killed today in Iraq and in other places all over the world, but I’m not up to that. So, I chose a music channel called Soundscapes. Clint used to call it the yoga music channel.

Ennui. I’ve written about it before. Trying too hard never solves anything, so, I’m going to stop trying to write and, instead, read some posts from the blogs I follow. Then maybe I'll do some yoga - or not.

© cj Schlottman

Sunday, February 6, 2011

First, Forgive Yourself

“Patients weep when they discover they are their own victimizers and not the victim of others. They weep when they discover they are responsible for their own suffering. As I expose an imaginative, subjective interpretation, their world changes according to their concept of it, their own vision.” Anaïs Nin - Diary of Anaïs Nin, Volume 2, 1934 - 1939

After much anxiety and weeping and self-doubt, I am here to put the story of the Man Friend to bed - forever. There is plenty of blame to go around, and like Nin’s “patients,” I have discovered my responsibility for my own suffering.

I did and said things I should not have done and said, I left unsaid things I should have said, I acted in ways that are anathema to my authentic self, and I am here to own up to it. I have not and will not reveal secrets. That, at least I can claim as a personal victory.

I take responsibility for not getting out of the relationship with the Man Friend last summer when it became obvious that he did not have my best interests at heart, that he was unable or unwilling to forgive me for my mistakes. I knew he was a heavy drinker, (which he admits) and I had been warned by others that he was capable of turning on me without provocation, but I simply did not believe them. I admit that I was so needy and lonely that I allowed him to hurt me on more than one occasion, then took him back. There. I said it. I was weak. I do not blame him for my weakness. I was needy. I do not blame him for my neediness. I’m not weak now. He unwittingly forced me to reach into myself and find the strength I forgot was there.

I have forgiven myself for my mistakes, and having learned valuable lessons about my own weakness and naiveté, as well as my strengths, this is my last post on that chapter of my life.


© cj Schlottman

Happy Birthday, Baby Brother

02/05/11 Saturday Night

Dear John,

You should be 56 today instead of dead, and I miss you as much now as I did when you died in 2000. You should be here to see Walker growing into a man and the artist he wants to be. You would be proud that he is at The University of Georgia, your alma mater. You should see his work and be here to help him along his path to self-discovery. No one knows better than you how hard it is for a young man to grow up without a father.

You should be here to deal with those teen issues that Lisa faces with Wil. You should hear him play his oboe and the the French horn and the piano. He’s in the Atlanta Symphony Orchestra as well as the All State Band. He’s driving!

You would be glad that I spent this afternoon at Zona Rosa. You, who wrote so completely from your heart, would be happy to see me working on doing that myself. You would like Rosemary.

It’s late and I’m spending the night with the Ducks, so I will finish this letter tomorrow. Now that everyone has settled in and I have the opportunity to write down my feelings, I’m too tired to do it. My eyes get so fatigued and my vision blurs after a long day. And yes, I know I am getting old.

Sunday Morning

Last night, after everyone got settled and the bird stopped squawking, I finally got to bed. I didn’t sleep well. Some personal problems that you don’t need to know about are eating away at me, but I will deal with them.

I keep thinking about the time we had together in Memphis during May, where we went three months before you died so you could have alternative treatment for your kidney cancer after the doctors said there was nothing left for them to do but call Hospice. I wish I had known about Hospice back then. I would have encouraged you to take advantage of it. Or maybe not. I didn’t believe you would actually die. I thought that if I wanted you to live, I could will you not to die. Denial is a great psychological defense mechanism, but you could have benefited from Hospice.

The doctor in Memphis put on you a diet that included calves’ brains, and I prepared them for you every morning, scrambling them into eggs. I even found a store where I could find them fresh instead of canned. You were the picture of determination as you forked every bite into your mouth. We went to a formulating pharmacy and bought all manner of supplements for you to take.

Those precious two weeks are so dear to me. We went to the Peabody Hotel twice to see their famous ducks march into the lobby while we had a drink. We went to see Erin Brockovich during its first run and both loved it. We strolled down to Beale street and rummaged through old record stores and both lamented the presence of a Hard Rock Cafe in the heart of Memphis. It just didn’t seem right, seeing it there in the middle of all that musical history.

You were so tired. I remember you being so very tired but determined to live. You napped often but always managed to drag yourself up to go and do something. The only thing we missed was going to Sun Records. I remember when you started to cough up blood and it scared me, the nurse, to death. The cancer was in your lungs and even in your heart, yet you kept going, pushing yourself to go to museums and movies.

We slept together in a king sized bed in one of those hotels that offers a continental breakfast and some sort of packaged supper every night. To save money, we mostly ate there. Those days will forever live in my heart, so scarred now with loss.

Just before Reggie arrived to spend the third week with you, Clint flew in to take me home, and the three of us went to Graceland. I remember how it wore you out, how determined you were to stay on your feet long enough to complete the tour. We even took time to shop for silly souvenirs.

You stayed in Memphis for one more week of treatment during which, you were basically heated up in an effort to kill some of the cancer cells. In late July, you and Lisa and the boys came to see us on Saint Simons. You were actually stronger after your treatments, and I believe they bought you some extra time. Three weeks before you died of pneumonia, you dragged your kayak down the dock and put it in the creek for what none of us knew would be your final ride in it. Determined and stubborn, you refused help from any of us, either getting the boat to the creek or hauling it back up the dock.

You died living, not dying, and for that I am grateful. My only regret is that, when Lisa called me at our friend’s house in North Carolina and told me you had pneumonia and were going on a ventilator, I didn’t leave that minute to be by your side. Since it was already 9:00 PM, and we were in the mountains, I decided to wait until morning. Lisa called me at 2:30 AM to say your heart had stopped beating.

You never admitted to me that you were dying. You talked to Mama and Paul and Lisa about it, but, in your way, you tried to protect me from it. I think you did the right thing. I would not have had believed you, anyway.

Happy Birthday, Baby Brother. Losing you was like losing a child. I don’t have to remind you that, when you were two months old and Daddy died, Mama gave you to me. As long as you lived, I always felt responsible for you and always did everything I could to make your life better. But I couldn’t save your life. I couldn’t make you live, no matter how hard I tried.

I love you, Claudia


© cj Schlottman

Copy editing by Addie Duck

Tuesday, February 1, 2011

Happy Birthday

01/31/11

Happy Birthday, My Darling,

You should be 77 today instead of dead. There are no words to express how I miss you, your touch, your warmth, the way you cherished me, the way you made love to me, the way you sneaked up on me to kiss the back of my neck.

I spent 12 hours at work today, and every time I turned around, I was writing the date on one form or another, constant reminders of the fact that you are gone forever. You would have been proud of me, though, the way I threaded that INT into that old lady’s vein without making her cry. Up until today, I have been able to make the vein but not thread the catheter. It was a tremendous ego boost for me. You probably know that I looked to the sky and said, “Happy Birthday, Poppy,” when I finished dressing the site. It’s hard to believe that I am having to relearn skills at which I was so sharp in years past.

Your last birthday, when you turned 75, we had a party for you with a cake with your picture on it and balloons and confetti, and you got down out of your wheelchair and played with the twins on floor. The others wondered if you would be able to get back up into your chair, but I never had a moment’s doubt. You were a strong willed and stubborn old coot, and I knew we could get you up.

Oh, you should see Abbey and Drew now. They are like two weed eaters buzzing around and leaving destruction in their wake. Shannon handles them so well. You would be so proud of her and the life she is making with her family.

The last year and a half has been the longest and most painful time of my life. No therapy or medication can take from me this emptiness, this sense of being so alone. Work helps, but when it is over, you are still gone and I am still alone.

My social life is pretty much shot, but I don’t want to go into that. You don’t need to know everything. Just know that I have been injured and that I am recovering quickly. I take great strength from my memories of you. I will fix my social life when I am ready.

Under Rosemary’s excellent tutelage,I am writing better poetry these days and there is comfort is that. Sadly, many of my pieces are based on my pain from losing you. I find it hard to write about anything happy or beautiful Maybe one day I will be inspired by a flower or a tree or a smiling baby, that that day will be long in arriving, I fear.

For now, most of what I feel is still tender and sore. I do miss you so very much, so very deeply. I am straining to write this, feeling as though there is nothing to say. So, I’ll just say “Happy Birthday.”

I will love you forever,
Your Fat Girl

Saturday, January 29, 2011

Trust

Last Saturday, I put the silent butler back in it’s proper place against the wall on Clint’s side of the bed. I carefully reconstructed it in exactly the way is was before I undressed it and put it in the guest room. I thought I was ready to live without it, but clearly I was not. Combined with a medication change and the MF’s behavior, I was overwhelmingly sad and anxious and needed my security blanket. I have given myself permission to leave the silent butler in it’s place forever, if that’s what it takes. I may even give it a name.

The circumstances of my life over the last two weeks have me thinking about the power we to give to others. Trust is a powerful thing, and when we give it others, we open up ourselves up to the possibility of betrayal. I still feel the sting of the MF’s cruelty.

But how can we live our lives without trusting others? We would become paranoid and self-involved and closed to the possibilities of the rewards of friendship. To trust another is an act of courage, though I never thought about it in that way until the attack upon me by the MF, when I received the poisoned pen text messages that were so intentionally hurtful.

I took another blow when our mutual friend took his side, became his apologist. I trusted her, and as with him, it was misplaced. She also betrayed me. Will our friendship survive?

I will never know what brought on this monstrous attack because I will never ask. I have cut this man from my life as a surgeon might cut away a tumor. And I feel stronger every day. The sad news is that now I feel a little paranoid, wonder just who I can trust.

In my needy naiveté, I lost sight of what is good for me. I should have broken off this relationship months ago, when he first began breaking dates, lying and in general being an ass. I was so lonely, and because of that loneliness, I made ill conceived choices. For that, I take full responsibility.

I’m 62 years old, and I know I will not change. I cannot live my life not trusting others, and I suppose that means I will forever be at risk of being hurt. I’m glad I am who I am. I can take it. I really can.

This has reactivated my grief just when I thought I was making progress. Now I will start again, and again and again if necessary.


© cj Schlottman

Saturday, January 22, 2011

And Things Get Worse

Those of you who read this blog know that I am having problems working through my grief after the loss of my husband, Clint, nearly 19 months ago. I have taken great strides and I have had some setbacks. I can’t endure another day without the silent butler, and I intend to put it back where it belongs. I had thought to shop for a bookcase to put in that spot, and I will do that, but until I have the bookcase, the silent butler will go back in our room, and I will replace everything that was on it. I feel better just writing that down.

My former Man Friend has lost his mind, become paranoid and psychotic. Last Sunday night, he sent me the most cruel text message one could imagine. I have never been treated like that. Never. He has it in his head that I am trying to take his friends away from him, and in incredibly cruel terms told me to stay away from our mutual friends. He accused me of appropriating his friends and relationships and called me intrusive and said I made everyone uncomfortable. One of the most strange things about this is that he was talking about a group of people with whom we have eaten supper at our club on Sunday nights from time to time. He is not close to even one of them. They are his acquaintances, and he does not have anything approaching a relationship with any of them. One of the women is my good friend.

I have no idea where this all came from. It’s as though his head spun around and did a 180, suddenly and without explanation, stopped being my friend and started to despise me in the most vehement of ways. And it hurt my feelings. This man has been my friend for years. We’ve had a few rough patches like friends do, but I considered him a trustworthy and loyal friend. I did text him back and tell him that he would never dictate where and with whom I would take my meals. I advised him to stay away from the club on Sundays if he doesn’t want to be around me.

Now for the worst part of all. Back when we were friends, the MF and I shared a great friendship with another woman. He has been in love with her for a long time, but she has been involved in a nasty divorce for two years. It is finally coming to an end, so they can start dating soon.

I thought this woman was my friend, but when I read the text message to her, she became his apologist! She never said a sympathetic word or condemned his language. If the tables were turned, I would have worried about her, not taken up for the guilty one. She tried to tell me that I had never officially been invited to join the Sunday group, so I informed her that I had been invited by two of the members who encouraged me to get out because Sunday is a cruel day for me, the day I miss Clint the most. There was no animus between us, but the friendship is over as far as I am concerned. A true friend would have condemned is cruelty, even if she were in love/lust with the man.

I realize this is journaling online, so forgive me, please. I need to spill this out to someone, and you all understand.

One last little dollop of cream on the top: When I was working out at the club gym today, they came in together. I was finishing up and as I was going to the door, I spoke to her (I was raised not to be rude) and ignored him. I realized I had a set of keys to his house that I was going to drop off at her house and decided there was no time like the present. So, I took the keys to her, put them in a cubby hole - she all smiles all the time. As I was walking out, he said in a voice loud enough for the entire room to hear, “I already changed the locks!” Thank God 99% of the people had ear buds inserted and probably could not here.

Think I have been used? Yes. They both used me so they could be together, forever inviting me out to dinner. I was their unwitting chaperone. Now they no longer need me, so he has kicked me to the curb and she has changed into a person who apparently condones his actions.

Live and learn.


© cj Schlottman - 01/22/1011

Saturday, January 15, 2011

The Silent Butler Revisited

01/15/11

On Sunday, January 2, 19 months after Clint’s death, I bravely unloaded his silent butler, stowed away his pants and belts and slippers and moved the silent butler to the guest room. I did so with a matter of fact demeanor, no tears, knowing it was the right thing. I need to move on, and it has been a torturously slow and painful process.

I applauded my courage and was sure I had done the right thing. Then Thursday arrived, and I woke in a pit of depression. I now know that it is called delayed grief reactivation.

Over the last week and a half, I have been tempted to move the silent butler back into my room and reload it with Clint’s things. It needs to stay where it is, appropriately available for guests to use, but when I look at the empty place where it stood against the wall on his side of the bed, I suffer periods of weeping and feeling as though he died only yesterday.

Work days are not so painful, and I am going to request to be scheduled to work on Sundays. They are the hardest, the days when we Poppy and I lolled around the house watching golf or football or tennis on TV. We usually had vodka and orange juice with a small brunch around noon. Then we would take a nap and get ready for whatever game we were planning to watch. Yes, Sundays remain difficult in a striking way.

And I continue to have frequent episodes of excruciating grief, tearing up at the mere thought of him, of how disappointing it is to be mired in this agonizing cycle of healing followed by more sadness.

When Clint died, my therapist warned me that it would be a long process to reach that place where I am more healed than wounded. Her exact words were: “The more you have lost, the harder it will be and the longer it will take.” She was right, of course, but this latest episode has me feeling disappointed and cheated. Part of me wants to move on, but there is a place at my core where I am still holding on, hoping he will return. It is a dreadful infirmity.

Could it be that I was so defined by my relationship with my husband? As years have passed and I cared for my brother and my mother, only to see them die within 2 months of one another, I was the brave one, the courageous backbone of the family. Was I drawing all that strength from Clint, his complete support of me, his willingness allow me the privilege of spending as much time with them as I could carve out of the calendar?

Then he got sick, and I thought I could will him to live, thought that if I unyeldingly wanted him to live, he would. On occasion, I would try to imagine what life without him would be, but I was never capable of believing that one day he would actually die.

Am I not my own being? Am I the other half of Clint Schlottman and therefore only half a person? Where did my strength go if it didn’t leave with him? How am I to go about finding my whole self? Will it ever happen?

No, I am not suicidal. I am far too responsible to do a thing like that. It has never occurred to me to run away from this by killing myself. There has to be another way.

But where is the path?


© cj Schlottman

Saturday, January 8, 2011

Fighting the Slide Backwards

Depression is a cunning bastard. It sneaks up on one when least expected and has its way with you. I find myself in transition from one medicine to another, and this morning, I woke feeling as though an ague had overtaken my body. I even took my temperature as my head was aching and my entire body felt as though I had been without sleep for days, though I logged in nine hours last night. My limbs are fatigued and my stomach is just short of nauseated, queasy enough to make me miserable.

For those who don’t suffer from this cruel condition, it may be news that it doesn’t just affect your spirit. It can make one physically ill also. I shutter to think of working today, grateful that I am at home.

This morning, I forced myself to do some work around the house, but I got so tired, I came to bed and did some computer chores. I am sleepy but unable to sleep.

I’m not really sad, just physically uncomfortable and with an ennui of spirit that has me uninterested in anything. I have both of my phones turned off, having no desire to speak to anyone about anything. My sister-in-law, Lisa, and my nephew, Wil, are coming to stay overnight with me, and all I can imagine is how I will put forth some semblance of normalcy.

I start my new job on Monday (the one I have wished for and am anxious to start) and because we are expecting an ice storm on Sunday night and Monday, I am imagining the worst, fearing driving on the icy roads, wondering if the hospital will send for me if I can’t get out of my driveway. Maybe by then, I will be well enough to view the whole event as an adventure.

I’m attempting to stave this off. I have been writing, doing shitty little jobs that I have put off for months. I’m saving gym, but I am too exhausted to even attempt it. Maybe tomorrow, I’ll wake up as the real me.

I’m going to read some blog posts, something I have been remiss about of late. Maybe that will make my stomach stop hurting.


© cj Schlottman
01/08/11

Tuesday, January 4, 2011

Happy New Year - Changes

My new year is beginning on a good note. One amazing thing that happened is that, one week after accepting a full time job in psych, Suzanne from Inpatient Hospice at Pine Pointe called me to say she had received a resignation from one of her full time nurses and offered me the job! That is always what I wanted - a full time job in Hospice. (I need the benefits, not to mention the money). Funny how it took me taking matters into my own hands for things to work out the way I wanted. I start my new job on Monday, the tenth!

On that day, Tuesday, the 28th, I was in Savannah for a private tutorial with my writing mentor, Rosemary Daniell. We did quality work on some of my poems and set some goals. I came away feeling very good about my poems and fortunate to have such a good teacher. And I’ve been working hard on revisions of some older work, and I have a new poem rolling around in my head.

I spent Tuesday night with my granddaughter, Addie, and her family, so the trip was a double success. We had a late exchange of gifts, and they gave me the most precious wrist bag by Coach. The best part was being with Addie and her family.

I had a watershed event on Sunday, when I, after nearly 19 months, I was finally able to take Clint’s trousers off the silent butler and put them away in the closet. They were the last pants he wore before he went to the hospital for his final visit before coming home with Hospice. I took down his belts and hung them in the closet and wrapped up his Ugg bedroom shoes and tucked them away with his old Birkenstocks. I did it without crying, so the time must have been right. Until then, I wasn’t able to even consider moving those things. I polished the silent butler and put it in the guest room to be used by company.

Changes. Some bigger than others, but changes nonetheless. I feel challenged and energized and less depressed than in a long time.

© cj Schlottman
01/04/11

Tuesday, December 21, 2010

The Child Who Chose Use - Part 4

12/20/10 Synchronicity and Love

I need to write something happy, so I am going to continue my story of Deidra, the Child Who Chose Us. The series starts here.

Poppy and Deidra at at fundraiser for The Red Cross. She was the Nurse-Bartender!

Her marriage to John lasted only about two years. It as doomed from the beginning, but when the divorce was final, she kept pushing herself into a life that included landing a job as Project Manager for a prestigious Savannah construction company - Reeves Worrell - who were doing a great deal of building on Sea Island at the time.

She took on the job like everything else in her life, with confidence and conviction, and in no time she was much sought after and respected for her work.

Her job entailed “walking the jobs” that were in progress. She did everything from boss around the workers to meeting with the clients to consult about all the details of the house - everything from light and bathroom fixtures to roof tiles and how big the pool should be. Where should the light switches go, and how many should there be? The outdoor kitchen? The appliances? She researched and shopped for them all, making trips to Atlanta at least once a week to do research and consult with clients and architects.

In short, she was an ace.

During this time, we learned more and more about one another, and in that knowledge, we found amazing synchronicity. After we sold our big house in Macon when we retired in 1995, and she was a student at Wesleyan College in Macon, she baby-sat for the children who lived there! She was as familiar with our house and our neighbors as we were.

We discovered mutual friends we would never have dreamed of. When she brought her new potential boyfriend by to meet us on July 5, 2001, it turned out that he had been in our house many times. The man who built our house worked for Taylor’s family before he retired. Taylor’s family owned Atlanta Falcons at the time. Then we found out Taylor was college roommates with the son of one of Clint’s colleagues, a surgeon in Macon.

The two eventually married, but not for four years. He is quite a few years her senior and was concerned that she would miss out on having babies and all that They continued date for a couple of years, each dating other people, too.

That all came to a halt when Peter Nedved, who played for the New York Rangers at the time, developed a serious interest in Deidra and began pursuing her. He invited her to South Beach for a long weekend at the Delano, and when Taylor found out about it, he followed her down there!

He and a friend made the trip, and the first person Deidra saw was Taylor, having a beer at the bar. They kept meeting each other in the elevator, and she was forced to introduce him to Peter, who sensed there was more going on than met the eye! She would never abandon a date - even for a man who had followed her 600 miles, but Peter did not know that. They started intentionally avoiding Taylor when at all possible. They had rooms on the same floor, and one morning - and you have to know Deidra to believe this - when Taylor was getting out of the elevator, she was getting in (in her bathrobe) to go to the lobby for Starbucks. She was too impatient to wait for room service. See a pattern here?

More next time.


© cj Schlottman

Wednesday, December 15, 2010

Weekend with Parrish

Weekend with Parrish - December 3, 4, and 5

12/15/10


She doesn’t want to write about this but she knows she must. Her son, Parrish, suffers from a severe mental illness called schizoaffective disorder.

You can learn more here.

He lives in an assisted living facility in Hialeah, Florida. The facility is in a bad neighborhood and at times is not safe. It is all she can afford. How he landed in Hialeah is a story for another time. He is on Medicare and Medicaid disability for his mental illness, but she still must pay extra to make up the difference in his rent and what his benefits will pay. The only advantages he enjoys come from the Florida mental health system, which has assigned him a case manager who makes sure he has health and dental and eye care. They even send him a massage therapist every other week to work on his bad back - the result of a failed lumbar fusion. He periodically must be admitted to the psychiatric unit at The University of Miami Hospital to adjust his medications. His disease is very brittle, and maintaining proper medication levels is a challenge.

In an effort to assuage her guilt about not being able to take care of her son herself, she conducted a experiment - had him come visit for the weekend, thinking it would make life more tolerable for him if he could come home now and then to spend time with her.

The experiment was a disaster, the only good to come from it being her resolve that it would be impossible for her care for him on her own.

He is on so many medications, that he is drowsy much of the time, but when his mania (supposedly being controlled by lithium) kicks in, he perseverates almost continuously, repeating the same things dozens of time. He continuously fishes for compliments with questions like this: “Mama, don’t you think I look good for 41? I don’t look my age at all. Don’t you think I am doing better, acting more sane than last year? I love the new coat you bought for me, and I appreciate it so much. I love my new clogs, too.” And this goes on for hours at a time. He weeps a great deal.

Though heavily sedated, he is unable to sleep, so he wakes her at 2 AM. He wants her to get up and have coffee with him and go outside with him so he can smoke a cigarette. And the perseverations continue - same subjects over and over again.

The next day he wants to know if we are going to call Clint, his stepfather, who has been dead for 18 months. He hallucinates and thinks he is talking to his old friend, George, insists that he has been to visit him that afternoon. He has not left the house without her. He claims to have talked to another friend, which is impossible as she has kept the phone in her pocket. He declares that he will be eating Thanksgiving dinner, which was more than a week earlier, with Lil, his baby sitter when he was tiny. She has been dead for months.

They go grocery shopping at Wal Mart, and he begins speaking Spanish to everyone, including her. She has to remind him that she does not speak Spanish.

She cooks his favorite foods while he sits in the kitchen and talks incessantly - the same old things. He goes off on a tear about how much he loves her and her dogs. A wonderful friend takes them to see Christmas lights on Sunday night, and he seems disinterested.

She struggles to maintain some sort of equilibrium, keep her temper in check. She is exhausted, both emotionally and physically. Her heart is broken to know how much sicker he is than just 6 month ago. She does not know what to do.

On the morning of his departure, he was outside early to drink coffee and smoke. She told him when he arrived that he would not set the security alarm while he was there, so that he could go in and out without having to deal with the alarm code. She knows now that he would not have been able to handle it. As they are preparing to drive him to the airport shuttle to Atlanta, he says, “Let’s go have one more cigarette. Is the alarm on?”

It is a little more than a week later, and he is more miserable than ever. He calls her four or five times a day to tell him how miserable is life is, that he left his wallet on a bench at the park and it was stolen, containing his Christmas money, his new Publix card and his new phone card. She had instructed him to give all those things to the office manager for safe keeping. Is this true, she wonders. Can he be hallucinating again? She finally has to set limits and says he can only phone once a day and only with something positive to say.

She e-mails the ower of the living facility and suggests that her son might need a trip to the hospital for medication management. That was yesterday. She has not heard from her son since.


© cj Schlottman

Wednesday, November 24, 2010

Cupcakes

11/24/10

Thanksgiving is tomorrow. It is 1:00 PM, and she has not yet brushed her teeth or changed from her pajamas, having spent the morning reading and responding to blog posts, then crawling back into bed with her dogs to watch recorded TV shows. She has errands but they can wait. How long can she put off dressing and going out of the house to fetch the cupcakes she ordered for Thanksgiving at the farm? The shop doesn’t close until 7 PM. She has time.

She is sad. She takes her mug of green tea and walks onto the deck, shooshing her ratty old Uggs through wet leaves fallen there. She sits under the canvas gazebo, sips tea, lights a cigarette, looks around at the gloom and light rain.

The tears begin, silent at first, followed by sobs. She bends her chest over her legs and muffles the sound, shaking with despondency, wishing she could scream but afraid of alarming the dogs and the neighbors. She aches with melancholy; she is heartbroken.

Why? She asks herself why she is doomed to be so sad some days. Thanksgiving? Yes, her second without her husband is worse than the first. Last year, she was still numb and in shock. This year, she can feel it all, the loneliness, the emptiness, the heartache of his loss.

But it is more than Thanksgiving. These days happen to her, not so much as before, but they still suck her down into dolefulness, paralyze her into inertia when she least expects it. She takes her drugs and mostly they help, but today she feels herself moving in slow motion, riddled with anxiety, feet stuck to the floor. What is it that she needs to do? Oh, yes, the cupcakes.

She dries her face on the sleeve of her jacket and shuffles back into the house, ignoring the rain, and stands at the kitchen sink, meaning to clean up the dishes stacked there, but she only stares out the window and hurts in every fiber of her being. Slowly, she begins to carelessly load the dishwasher. That slow motion thing again. Her tea grows cold as she labors over such a small task, seemingly insurmountable. The dishwasher is finally running, and she goes back to bed.

Later, after trying and failing to sleep, she once more hauls herself out of bed and begins to dress. She pulls on her scrubs, so like pajamas, brushes her teeth and peers into the mirror at her wretched reflection. A women stares back from hollow eyes. She tries to smile but instead weeps once more, bending over the sink and sobbing loudly.

She lifts her head and scans the bathroom counter with disinterest. It is scattered with cosmetics, a razor, the sunscreen she used yesterday when she walked the dogs, wrinkle cream and leave-in conditioner and two pairs of glasses. There is eyeglass cleaner, hair clips, a bottle of Aleve and one of Ativan. There is the canister of toothpaste, uncapped. In the other sink sits a bag of toiletries purchased yesterday at Wal-Mart. She makes no attempt to create order.

No makeup. Just a perfunctory pass at her hair. What is it that she needs to do? Oh, yes, the cupcakes.

She loads the dogs into the back seat and creeps along the street, out of the neighborhood, past the liquor store, Mama Lowe’s Home Cooking and where they are building the new Burger King. Only one left turn without a light. She glides her late husband’s 1997 Lincoln Continental into a parking space in front of Hello There, Cupcake, flashing smiles at the young women whose new business is clearly thriving. She decides to buy an extra cupcake to eat later and makes a fuss over all the varieties, finally deciding on one called Cinnimon Bun for herself. She departs, cheerfully wishing everyone “Happy Thanksgiving.”

At home, she makes coffee and puts the cupcake on a pretty plate. And looks at it. And looks at it some more. Then she throws it into the trash.


Author’s Note: So, it’s out there. Yes, this was written by the same author only three days after “Sunrise on the Hampton River.” If you suffer from depression, you know that it happens. If you think you are depressed, please get some help.

(Happy Thanksgiving).



© cj Schlottman

Sunrise on the Hampton River




11/21/10



I am spending the weekend with Deidra and Taylor at their home on the northern tip of Sea Island, where the mouth of the Hampton River meets the Atlantic Ocean. The drive into Ocean Forest, their neighborhood, takes you down Sea Island Drive, lined with spectacular houses and even more spectacular Live Oaks dripping with Spanish moss. The terrain becomes more heavily forested as you approach their house, trees hanging over the road.

Across the river is Little Saint Simons Island, a tiny, privately owned wildlife preserve with a small lodge, which can accommodate about 30 guests. Years ago, Clint and I spent a weekend over there in April, when the migratory birds were moving, and with the help of an expert naturalist, increased our bird list by about half.

Yesterday morning, I took photos of the sun rise over the Atlantic, then cast its brilliance over the Hampton River. I watched a Wood Stork soar across the river toward Little Saint Simons, a most magnificent sight. When I walked my dogs yesterday afternoon, we ran across a Bald Eagle sitting on the bank of a pond. When he sensed our presence, he spread his incredible wings and planed off to the other end of the pond. Bird Nerd that I am, I was thrilled at both sightings.




In this incredible house, my room faces the river and the ocean, and I have my own porch from which to gaze out over the magnificent view. Every morning, I have gone downstairs for coffee and brought it back here to write and sit and think and be grateful, both for my delightful friends and their hospitality and the beauty all around.

Taylor and a friend went fishing yesterday morning and brought in some beautiful trout. Deidra took them to the chef at Ocean Forest, who cooked them for our dinner last night. Trout caught in the morning and consumed that night! Chef prepared the three ways for us - sautéed, broiled and very lightly Panko fried. We were in heaven.

Today, we went to a very interesting Sunday School class conducted my Deidra’s good friend and my pen pal, Mr. X. He doesn’t want to be mentioned on the internet, so I am honoring his wishes. Maybe one day I will convince him that all blogs are not created equal!




We lunched at Frederica, which is on the north end of Saint Simons Island and were once again surrounded by natural beauty - marsh views, magnificent Live Oaks, and ponds. We lingered over a second glass of wine, and when we returned home, Deidra and I lay around and played lazy while Taylor went to hit golf balls. I made mushroom risotto to go along with the steaks Taylor grilled for our dinner tonight, and after another relaxing evening, I am preparing for bed.

Tomorrow, I must return to Macon - and reality. I am refreshed and energized and very, very happy.


© cj Schlottman

Tuesday, November 16, 2010

The Child Who Chose Us - Part 3

11/16/10

This is a continuation of a series of post about our wonderful Deidra, the child who chose us. The series starts here.

So, time passed and Dej became a big part of our lives, spending several evenings with us almost every week. We would hear the front door open, and the clicking of her Jimmy Choos on the tile floor, as she called out “Honeys, I’m home!”

She would find us, bestowing hugs and kisses all around, then she would pull out the cocktail shaker and make Martinis for her and me. Poppy always drank a glass of white wine. We would sit on the deck and watch the sun go down and talk and talk.

We often went out to dinner. No John. He always had some excuse. And as time passed and her April wedding loomed, my concern that she was making a mistake galvanized. She even expressed doubts of her own. Three weeks before the wedding, we sat in her Yukon in a parking place in front of a shop where we had gone, and she cried and said she wasn’t sure about the marriage, but that she thought John would change, loosen up and be more social.

Having myself once been young and naive enough to think I could change a man, I knew my words were wasted, but I told her anyway that she had no power to change John, that she could only change herself. I knew my words fell on deaf ears, but I had to say them. I even told her that, if she wanted to call off or postpone the wedding, I would get with her mother and that the two of us would take care of everything.

The wedding took place, and for a while we saw less of Dej. After a few months, though, she, being the gregarious and social being that she is, once more started coming to see us often and going out with us. In spite of repeated invitations, John never darkened our door, and in the two years that the marriage lasted, he only visited her parents’ but home once.

During those two years, we became closer, more in love with this beautiful girl with a loving and giving heart. She became, indeed, the child who chose us. She came to me (Poppy was an emotional coward) for advice and I in turn learned a great deal from her. Never having been very outgoing, she taught me to plunge forward into social situations. I learned to smile from her, and it changed my perspective on life. Because of her, I smile and speak to nearly every person I meet. And they, for the most part, smile back.

Wonderful, isn’t it, to learn such a life lesson from a young person? As I get older, I treasure her friendship and love more and more, and I have made if a point to get to know younger people. One of my best friends now is 12 years my junior. Knowing it’s a cliché, I am going to say it anyway, because it is true. Younger friends keep me younger. Dej dresses me, for God’s sake - or she does her best. She is my fashion police, a challenge for her, for sure, she who wears Manolo Blahniks, trying to do something with me, who live in Birkenstocks and Uggs.

The next episode is here.

© cj Schlottman

Tuesday, November 9, 2010

I Cried Early and Often

The concert in Atlanta on Sunday was beyond my most enthusiastic expectations. On the drive up, Loren, who possesses great musical knowledge though he doesn’t play an instrument himself, gave me a crash course in the structure of a classical symphony. He explained the four movements and how they are connected, so I went into the concert hall armed with new knowledge of how to appreciate classical music.

First, though, we had lunch at the restaurant at Woodruff Hall, were the Atlanta Symphony performs. Loren, ever the carnivore, had some sort of exotic burger covered in bacon and cheese. I enjoyed a wild mushroom quiche, and we split a bottle of Veuve Clicquot. The champagne was divine and set the tone for the entire afternoon.

When Itzak Perlman took the stage, my heart swelled in my chest, and when he began Mozart’s Adagio in E Major, making his violin speak to my very heart, the tears came. No, no sobbing. I didn’t embarrass myself, and I was armed with tissues. He followed with the Rondo in C Major and I continued to weep silently as the music rolled over me, filling my soul.

Music is medicine for the soul, I think, especially classical music that has been touching hearts for centuries. Part of Perlman’s genius is in his ability to make one feel as though he is playing only to you, that you are the center of his energy.

It’s fortunate that I don’t wear much makeup, because the Symphony No. 25 in G minor (The Little G), brought more tears. (Do I really need that Restasis)? Perlman was conducting, and it was clear that every member of the orchestra was giving him his or her very best. He drew them together, and the result was magic. The symphony is not very long, but it is strong on emotion, and he brought it all to each of us. Amazing.

Intermission. A chance to breath and collect myself, ready myself for Perlman to conduct Dvorak’s Symphony No. 9 - the Symphony for the New World, Clint’s favorite. I didn’t hold out much hope for keeping myself together.

But when the music once more began, I was surprised that my tears were fewer. Having heard the recorded version for so many years when Clint played it, it made me miss him, of course, but I came to understand why he loved it as he did. It is he - big and strong on the outside and warm and quirky in the middle. My husband was a symphony!

Tears sting behind my lids as I write this. I miss him so. But I smile to think how happy he would be to know that I had the thrill and privilege to hear his favorite work conducted by Itzak Perlman. I know he is smiling.

© cj Schlottman

Rant

I have a new rant for your reading pleasure. Please go here.

Friday, November 5, 2010

Who's Using Whom?

11/04/10

Two weeks ago, I broke up with my Friend Boy and renamed him my Man Friend - or M-F. Please excuse the double entendre, but it just seemed like the appropriate thing to do.

He rudely walked out of a restaurant where he and Lisa and I were having a late supper. Swine. (Thank God, Lisa had her car). He had been acting petulant and selfish for a couple of months, and that particular action sent me into a fury that I unleashed on him in a text message the next day. Move over, Julia Sugarbaker.

I harangued him about his rudeness, his changing of plans at the last minute, his excessive alcohol consumption, and I told him I could not be friends with someone who was bad for me. I explained that I felt used and taken for granted and that I needed friends who made me feel good about myself. I made it clear to him that he was not good for me. Then I thanked him for helping me get through the first year of my life without Clint, but reiterated that his recent behavior was intolerable to me.

So, there!

Well. After not seeing him for two weeks, and yes, I did miss him, but more like a toothache than anything else, I learned yesterday that we had been seated next to one another at an event this Friday night. What to do? I had not spoken to him, and as per my request, he had not tried to contact me. This could be awkward in about 14 different ways.

So, I texted him that I would be seeing him on Friday night, and that I wanted things to be civil, that he could count on me to be wearing my “company manners.” I said I would be willing to talk, if he were. He phoned me that evening and we chatted about insignificant things for a while - nothing about our problems - and he asked me to go to dinner with him.

On the way to the restaurant he invited me to the Atlanta Symphony on Sunday afternoon to hear Itzak Perlman do a program of Mozart and Devorak! The program consists of Mr. Perlman conducting and performing:
 
DVOJÁK: Symphony No. 9
MOZART: Adagio in E Major
MOZART: Rondo in C Major and
MOZART: Symphony No. 25 in G minor


We had a lovely evening, talked a little about reshaping our friendship and not seeing so much of each other, thinking we had supersaturated our friendship with too much together time.


I was ecstatic! The Symphony for the New Word was Clint’s favorite piece of symphonic music and he played it often, cranked up loud enough to rattle the windows! All I could think about was how thrilled he would be for me to have an opportunity to hear Perlman conduct it. Clint and I only had one opportunity to hear Mr. Perlman perform live, at the Kennedy Center in Washington back in the 1980’s, and it is a once in a life time opportunity for me to hear him live again.

It seems that good things come in bunches, so I reshaped my very important weekend in Savannah to make arrangements to be back in Macon in time to get to Atlanta to the concert. I even bought a new outfit - paid too much for it!

As for my friendship with the M-F, I am only cautiously optimistic. I'm afraid he has problems I can’t deal with in the long term. But, I am going with him to the symphony and enjoy the hell out of it. Maybe I am using him. I suppose I am, but it’s my turn.

We will see. Stay tuned.


© cj Schlottman

Friday, October 29, 2010

The Child Who Chose Us - Part 2

This is a continuation of a piece that was published earlier. You may go to Part One to read it from the beginning, if you wish.



10/27/10 The Child Who Chose Us - Part 2


As we made our way into the shop, Deidra stood up from her desk and, walked toward Poppy (our nickname for Clint), looking somehow elegant and casual at the same time in her grey python miniskirt and silk blouse, four-inch Jimmy Choo sandals clicking across the tile floor bringing her up to a full six feet tall. Her blonde hair swinging, she smiled a smile that made her blue eyes sparkle and held out her hand to shake his.

“You must be Poppy! cj has told me all about you. Do you know how much that little woman over there loves you?”

Then, reaching around his neck as he stooped to accept her embrace, she hugged him and said, “I know I’m going to love you, too!”

Well. Nothing like this ever happened to us, not before, not since. We all fell in love standing in the middle of that shop, surrounded by the stuff that people buy to spiff up their houses - not a typical haunt for a girl like me. I just picked a shop and walked in, and all this happened.

“Come, let’s sit down and chat.”

She patted the slip covered, oversized white sofa I had been eyeing with the idea of buying a pair for the great room.

(Aside: Poppy was generous with everything, his time, money, love - everything. I knew he would buy the sofas if I wanted them, but I also wanted him to meet Dej - her family nickname).

“I came to your house when you were on the golf course with whom cj referred to as ‘that bunch of old geezers,’ and I think it has the best view in the island.”

Clint settled into a the sofa, just the right size for his 6’4” frame, and, business being slow, we were there for a hour. He was, of course, enchanted with Deidra, and he held my hand softly in his as we learned about her family and her fiancé.

Her daddy, Wayne, owns and operates at large farm in south central Georgia, 50 miles south of Macon. He also farms corn, and peanuts and has a small heard of Black Angus cattle. Her mother, Kay, runs the business, brokers the cotton and in general, keeps things running. It would be a few months before we met and discovered how Deidra came to be so beautiful. She has one sister, who at the time, was attending Auburn University. She a beauty, also, but dark and short like her mother. Dej is Wayne’s child, through and through.

Her fiancé, John, managed the Beach Club at Sea Island, and Dej was much enamored with him. But something in the way she talked about him made me worry that she might not be making the right decision.

We left the shop with a promise from her to bring John for a sunset cocktail on our deck later that afternoon. When Dej arrived alone, making his excuses, I knew I was right that something was wrong. She wanted so badly for us to all meet. It would not be the last time he disappointed her. In fact, he never had one drink with us - even after they married.



But this story is not about John..........thank God.

© cj Schlottman

The next installment can be found here.