Showing posts with label pulmonologist. Show all posts
Showing posts with label pulmonologist. Show all posts

Monday, August 18, 2014

Report from Pillville: the pulmonologist, the vascular surgeon, the ultrasound, the foot doctor, and it takes a village...

See these birds? They hang out in a flock. Genius.
My mom's pulmonologist fired her today. That's right. When she arrived here two years ago she was still smoking, still taking breathing treatments that were required after a bout of pneumonia or something, still sleeping with a C-Pap, skinny as could be despite all the good food at my brother's house, and she was still somewhat frail from her lung cancer surgery that had occurred three years earlier. A year and half off cigarettes, she sleeps with oxygen, but that's it. She no longer needs a pulmonologist.

And that wasn't even the best part of the day. When we got home from the doctor, my friend Paula was making carrot ginger soup. That's right, I came in the door, and the kitchen had someone else in it making food, and my house smelled delicious. (And right now, this very minute, she's pouring us wine and bringing me chocolate.)

Tomorrow might go less well. My mom is having some leg pain, so the vascular surgeon is working her in. Later in the week, there will be an ultrasound of her neck because of her coughing fits which originate from a mysterious tickle in her throat, not her lungs. The ENT doc is stumped. Then next week, it's the foot doctor. Keep in mind, it's foot doctor number 3, and she doesn't particularly like him either. No matter how it goes, we won't come home to the smell of soup, and I will be pouring my own wine, so it can't possibly be as good as today.

I would like to belong to a flock. A village. A cooperative of old women taking care of their even older mothers. Or maybe I'd like to be a bird.

Thursday, April 4, 2013

Tossed in the Deep



We've had the talk more than once in the last week. How she hopes she falls off her chair like her father. Dead before he hit the ground, probably, she says. Not left to suffer for weeks like her mother. Heart beyond repair, but kept alive in the hospital without any prospects. Certainly not like her mother's mother. Bedridden at home. Not well cared for by her daughter-in-law. Not even washed until my grandmother went to wash her.

She wishes California were a right-to-die state, she says. Like Oregon or Washington. She was upset by this article in the L.A. Times. Says the man should have made it look like suicide. Held his wife's hand to the gun.

While all of this talk of death and dying, of mercy-killing or perhaps murder might seem morbid, I find that it diffuses the tension. It comforts me, in a way, to know that I know what my mother wants (not that I have any plans to wrap her hand around a gun.) It comforts me to know that she has an advanced directive. That she trusts me to be her medical power of attorney.

Sometimes she says she wants to go home to Iowa to die. Let me know, so I can get plane tickets, I say. Then we both laugh.

My mom is doing great. But she's 88. At her check-up with the pulmunologist yesterday, he told her he'd see her in four months. Thanks for stopping by, he said. Now he had to go take care of some sick
people.

There have been some big changes since she stopped smoking. The icky gross smoker's cough is gone. She seems less in a fog in the morning--literally and figuratively. When she quit, C said the thing that amazed her the most was that her grandmother was focusing on the future. There's always a future until the very last moment--which is something not every young person sees when they look at an old person.

But mostly, I'm thankful for the present. Though it's easy to let that gratitude slip away when things are difficult. M coming for the weekends, visits from friends and the man who loves me are pure sustenance. And I try to remember to read "Well" and The New Old Age Blog. There is so much information on health, caregiving and aging there. It's weird, this fractured family life that's prevalent in our society. When my daughters were babies and I was struggling with getting the hang of breast feeding, I remember thinking how odd it was that I hadn't actually seen anyone breast feed a baby. I haven't seen the day-to-day of helping an old person manage life either. But here I am doing it.

I suppose I might have learned to swim by being tossed into the deep. But I'm glad for those summertime classes. For steady hands under me while I floated. For the cajoling to put my head under the water. For gradually learning to hold my breath longer and longer, and eventually to stroke smoothly and turn my head, taking in the power of each lung full of air.


Wednesday, December 12, 2012

Report from Pillville: the vascular surgeon, the pulmonologist, the cardiologist, the endodontist

Chill. It's pretty much good news.

 I might have busted out a bottle of champagne tonight after the crown fell off of my mom's tooth that has the root canal in progress. No pain is always a reason for celebration, right? I did call the dentist (the regular dentist and not the endodontist) and explain to him that we'd just finished dinner --which meant that I'd polished off two glasses of wine and  could not drive the 20 miles to the endodontist--even if he would see us. No worries, the regular dentist said. She's not in pain because the nerve on the root canal tooth is out of commission so, call us at 8:00 a.m. and we'll work her in tomorrow and cement the crown back on.

Earlier today we had a post-carotid artery, post-echocardiogram follow-up with the cardiologist. Yes, there's a slight amount of plaque in the carotid. Yes, there's a bit of leakage in two heart valves. Blood pressure and heart rate are fab. All over condition is summed up as stable. Hooray for not smoking.

At some point this week (geez, is it only Wednesday?) we also had a follow-up with the vascular surgeon. He's happy with the outcome of the procedure my mom had on Nov. 1. Her feet and legs look better and feel better. She's walking better. The ultrasound shows increased circulation.  Hooray for not smoking.

I have no fucking idea when, exactly, but sometime very recently we also went to the pulmonologist--who, himself, is 80 years old. A charming man. The office is housed in a quirky cottage with office staff so nice that I feel like I should show up with donuts or a fruit basket or a tray of Starbucks peppermint mochas with extra whipped cream. Her lungs sound fine. Better even. Hooray for not smoking.

Cardiologist and pulmonologist follow-ups are in four months. We don't see the vascular surgeon until June. Holy shit. I'm going to have to start writing again. I mean like really writing and sending work out because now I'm actually going to have time to read those rejection letters. I've decided that henceforth all of my mom's appointments are going to be scheduled for Mondays and Wednesdays. Preferably these will also be the days when teeth fall out, and hearing aids get lost, and we run out of gin. Because I'm going to try to remember how to write--and I'll need Tuesdays, Thursdays, and Fridays to figure that shit out.

photo credit: Sam Kunz