It had been years since grandma had lived on her own. After the second time they found her on the floor of her bedroom, cold, dirty and barely conscious, her children made the painful decision every child fears. The choices had to be made and not all could agree. Finally, an arrangement was made that she would become a bit of a gypsy. Traveling around the state and country, spending a block of time with each of her children and their families. A seemingly genius way to share the emotional and financial burden.
As time went on, homes were outgrown without the extra soul. My father's shop was quickly renovated into a one room apartment. Complete with two closets, a sink, a microwave and a small refrigerator. There was enough room for her to maneuver about with her walker yet small enough that on her good days she could leave the walker at her bedside and use the furniture as her support. The long concrete hallway to the family room and bathroom served her well with it's smooth surface making her walker easier to maneuver, despite it's cold and unwelcoming appearance.
I would stop by daily in between class and work to make sure she had more than toast and juice for lunch and stay for a chat. We had a decent arrangement; offering her the freedom of her own area of the house with silent supervision from her family. Until the day she fell.
My phone rang as I was sitting in class. With a red face painted with embarrassment, I did my best to slip out of the lecture hall with some dignity intact. As I was approaching the door, my phone rang again. At least by this time I had turned the ringer to silent. As the door clicked shut behind me my mothers voice filled my ear, her worry seeping into my bones, Could I hurry home? What should she do? Grandma was on the floor and cold.
I broke more laws than I knew possible in the 20 minute trip from the university to the scared, fragile frame. It didn't take long to realize something wasn't right. My father had moved her to the bed in an effort to make her more comfortable, despite my urging not to. As she lay there, mortified and frightened, my father excused himself as my mother and I tried to clean her up without inflicting more damage or pain. The confusion on her face was verified when she called me by my aunt's name and her continuous line of questions that were repeated on a 5 minute cycle.
We contemplated how to best get her to the hospital, again while inflicting the least amount of pain on her arthritis laden body. With the suspicion of an injury to her hip and the altered mental status, I made a call to 911. I relayed specific directions to the dispatcher, noting the landmarks that would need to be identified in order to find the winding driveway and the correct house. The local department was a matter of 3 miles down the road so we started to get grandma ready for the transport.
I checked my watch anger rising in my throat as the minutes ticked away. After 10 minutes a first responder appeared in the driveway. I gave a report and let her know that while it wasn't emergent, we were genuinely concerned about her well being but most importantly, that hip. The first responder slipped into the bedroom and assisted in trying to retain as much of my grandmother's dignity as possible. After all, accidents are bound to happen when you spend several hours lying on your bedroom floor. I handed over my list of vitals and gave her my assessment and findings. She laughed nervously when my eyes once again fell on my watch.
30 minutes had now passed and the ambulance was nowhere to be seen. She radioed to the ambulance, giving step by step instructions on how to locate the correct house. As it turns out, the ambulance crew had just stopped at the wrong house for the third time and between there, had traveled across two lawns. Finally, the first responder drove down the gravel driveway in order to flag down the ambulance. Her face almost as red as mine but hers reflecting complete embarrassment.
Finally, the ambulance pulled up to the house unaware of the large concrete pad that would well suit their need for space to turn around. Instead, they made a large loop over through the back yard. Three EMTs filed out of the truck. The driver I knew personally and from that, their tardiness made sense. Another, a man, stumbled out wearing stained and torn scrubs and tennis shoes that looked like they were older than I was. His toes poked through the tips as if to say they were also there to help, you know, for moral support. The third, a tiny woman with librarian glasses that were surely older than I, shook her bouffant hair and glared up at me over her spectacles on a chain.
I recognized this woman as the same who had taught my CPR class not more than a year before. Needless to say, we were not friends in the least as my impatience with the pace of the class did not impress her in the least.
She may have been the shortest of the gaggle of embarrassment, but she surely was not the quietest. The moment her white support shoe covered feet hit the concrete, she was barking out orders to everyone, including me. Her stride, equalling approximately a third of mine, managed to keep up as I strode through the garage to the basement steps, preparing to lead them to my grandmother. As we walked, I relayed vitals and my assessment, hoping to bring them up to speed and save time. I tentatively knocked on the bedroom door, ensuring my grandmother was at least covered before we entered. And that's when she pushed me. Well at least she tried too. Her small hand struggled to encase my arm as she leaned into me and placed her hand on the doorknob. Towering over her by a good eight inches, I turned and glared down at her overly blushed face.
It was a standoff of epic proportions. She demanded to see my grandmother NOW! And how dare we keep her in a closet in the basement. I pointed out, as politely as I could, that despite their meticulously late arrival, she was stable and therefore would prefer to ensure she is as comfortable as possible before strangers descended upon her with the attitudes they carried. I bit my tongue about the closet comment knowing the ugly white shoe would soon find itself securely in her mouth. With the utmost perfect timing, my mom opened the door and we slipped into the bedroom.
Slowly, I explained to my grandmother what was happening as I seemed to be the only person she noticed or cared to notice. I held her small misshapen hand in mine and smiled, trying to let her know everything was going to be fine. Before I could finish my sentence, her hand was pulled from mine, and a cravat was wrapped around it. That face, that repugnant and defiant face scolded me for not knowing better than to get out of their way. This was THEIR patient. While I understood this, they had long lost my trust before they had even arrived.
With much pain and agony she was secured to the board and much to my delight the cravats were removed. With some coaching on my part and the muscle of Tweedle Dee and Tweedle Dirty, grandma was placed into the back of the ambulance for the short trip to the hospital.
Before they ambulance rolled down the driveway I never thought they would find, the bitter little woman, who proudly proclaimed her nursing skills of more than 50 years, did her best to reach her pudgy little finger to my nose as she scolded me with her wagging finger for being a nuisance and impeding patient care.
My only reply was that the only person who should be scolded was her and if she continued to delay transport, I would be sure to add that to the letter of complaint that would be delivered to her chief by morning. With a huff, she spun on her heel, hopped on her broom and headed off with my grandmother in tow.
Thinking back, I try to remember what it was like to be a family member bringing strangers into my home to care for a loved one. I always try to remember what it is like from the other side. So when it comes time to roll out of bed and head to someones emergency, I try to opt for a pair of jeans and not the sweatpants next to them. I choose shoes that will not only protect me but will not portray the image of the lack of caring. But most importantly, I try to remember to tuck my smile into my pocket to be plastered on when my butt leaves the seat of the responding unit. Sometimes I forget these small things and then I remember the other side and I quickly remember that even though I am a volunteer, image is everything, even in the darkest hours of the morning.