Re: [TMIC] REHABAMEN !!!!!!
Janice

From: Dalton Garis 
Sent: Wednesday, January 05, 2011 1:36 PM
To: Janice Nichols ; Kevin Wolfthal ; Akua ; [email protected] 
Cc: Brooks Garis 
Subject: Re: [TMIC] REHAB

In response to our discussion of American nursing homes and rehab centers:

I remember going to the nursing home to say good-bye to my grandmother of 103 
years of age.  I had to move to Texas for work.

She was very sharp while she could still read, until at aged 102, the cataract 
pealing surgery changed her nervous system and did not improve her vision.  
After that, she couldn’t read about Nixon and his cronies and she lost interest 
in things.  When I saw her the staff had shifted treatment for her from some 
level of respect to simply tying her in a wheelchair with a crapper pan under 
it, keeping her doped up all day, nodding her head this way and that, so she 
wouldn’t be any trouble for maybe eight hours.

My grandmother, who used to be so fierce well into her 90’s she had us all 
scared and paying attention, now like a baby with grey hair, “on the nod” from 
the dope they gave her.  I put my hand on her dear head and said some prayers.  
Then I had to go; our mother would see her during the months to follow.  She 
died at 105.  That was in 1989.

I can’t adjust to the disrespect they show to the old and disabled in America.  
Some of it America brought on itself, with all those notions of the nuclear 
family and labor mobility.  Like most of my friends when I was a kid, we lived 
in a house with three generations in it, the grandparents in their rooms on the 
second floor, my parents down the hall, and we kids in another room.  Back then 
people were able to hang on to jobs, or if not jobs, at least stay with the 
same company.  The company had a personal relationship with the worker if he or 
she was lucky and the company was good.  But there were good companies then, 
who tried to keep things going and all their labor force in work as long as 
possible.

But my wife and our daughter lived in Florida after moving from Texas; and our 
mother was in Massachusetts, my sister and her family were in New York, and my 
brother’s family lived in Connecticut.  My cousins’ families were in Colorado.  
My wife’s parents were in Vermont.

Now I live in Abu Dhabi.  My present and future wife, Qian—her parents are in 
Chengdu, central China.

When did America stop being a family and start being a team?  Teams are 
different than families.  Teams bench the weak ones, and when they don’t 
improve, or are no longer capable of playing the game up to snuff, they are let 
go.  Families, on the other hand, nurse the weak back to health and business, 
raise the little ones, and take care of their old, who have now become unable 
to compete as before.  Nursing homes would be staffed by our own neighbors, who 
take care of Mrs. Johnson because she taught some of the staff in fifth grade; 
and Stan Kopek mowed our lawns and was a vet of the Pacific Theater in World 
War II.  Any complaints would arouse the interest of the Congregational 
Church’s Reverend, the Baptist Church’s pastor, the synagogue’s Rabbi, or St. 
Bridges’ Catholic priest maybe.  They’d have a few words with the nursing 
home’s management and that would take care of it.

American management and our government now think of themselves as a team, with 
the people representing an inexhaustible source of interchangeable workers that 
can be added or subtracted at will, who do not represent any responsibility for 
the firm in terms of the workers’ family needs.  I don’t have a warm and fuzzy 
feeling for Team America.  Sounds too much like living as the people in that 
old movie, Metropolis, had to live.  That’s why our nursing homes pay staff 
starvation wages a lot of the time, who don’t generally have the interest of 
the patient on their minds.  That is why our nursing homes literally stink, in 
my opinion, and because the patients are total strangers.

As an economist, I played around for years on a model of the US economy where 
the firm “adopts” a family when they hire a worker with a family.  This means 
that the firm must take responsibility for the family’s welfare, and needs to 
think about what happens to the worker’s family if he or she is terminated; 
that it must figure out how the family is to be supported while the worker gets 
another job.  Naturally, there is more government support for businesses and 
families in such a world, and taxes would be higher.  But we pay it all out 
anyway, one way or the other, don’t we?  I could never sort all the problems 
and the costs of all those contingencies, and had to give up on it.

I have a promise from my Chinese wife that we will go back to her home town of 
Chengdu when we get old.  The care is technologically far less developed and 
pretty rough there.  Many patients die because they receive the wrong blood or 
from some other mishap.  But maybe that is not so bad when compared to being 
kept alive in the terminal stages until all the family’s accumulated assets are 
cashed in to pay for doctor and hospital bills, and there is nothing left now 
for the children's’ future needs.  And the personal treatment can be better in 
China since the old are respected more there, and the people, the young, and 
the government, support them.  I’ve seen it.  Hopefully it will still be there 
in about 15-20 years or so from now.

Dalton

Abu Dhabi, United Arab Emirates
Office: +971-02-607-5070/5297
Mobile: +971-50-668-5760-- 




--------------------------------------------------------------------------------
From: Janice Nichols <wlmailhtml:[email protected]>
Date: Wed, 5 Jan 2011 11:44:12 -0600
To: Kevin Wolfthal <wlmailhtml:[email protected]>, Akua 
<wlmailhtml:[email protected]>, <wlmailhtml:[email protected]>
Subject: Re: [TMIC] REHAB
Resent-From: <wlmailhtml:[email protected]>
Resent-Date: Wed, 5 Jan 2011 09:44:12 -0800

Kevin, you did all you could for your mom - don't beat yourself up about it. 
I would imagine there was I shift that was sloppy with patients and the 
others were pretty good.    This was something
you could not help.             Janice


-----Original Message----- 
From: Kevin Wolfthal
Sent: Tuesday, January 04, 2011 3:36 AM
To: Akua ; wlmailhtml:[email protected]
Subject: Re: [TMIC] REHAB


I am furious when I think about how my Mother was treated in rehab after
her stroke.
She was allowed to fall out of her wheelchair at least 3 times that I
know of. They
refused to belt her in the chair even though she was paralyzed on one
side. When I
called a nurse once to ask how my Mom was doing she said: "why are you
worried
about her, she's old...". I am NOT kidding!
When my Mom was brought home for hospice, she was black and blue all over.
The hospice nurse was wondering why, so I told her, "because the rehab
let her
fall out of her wheelchair three times". My Mom passed away on her one day
back home.
I will do anything I can to avoid that kind of "care". I wish I could
have done
more for my Mom.

Kevin






Akua wrote:
> The closest I came to hell on earth was in rehab. I was allowed to fall 
> twice. I was given the wrong meds daily for nearly two months, I was 
> insulted and demeaned.  I remember the nurse entering my room and finding 
> me crying  -- I was in awful electric pain --- and she  told me I 
> shouldn't be crying. She often brought he son to work. I wrote her  about 
> her gross insensitivity and she apologized.
>
> I worked hard to learn how to use the sliding board to get in and out of 
> bed-- it was so so hard, and frightening, because an idiot had let me 
> fall, but this mainly
> because if you couldn't get up, you wouldn't be attended to.  Now that I'm 
> home,
> I understand one of the basic challenges the idiot didn't address-- 
> the wheelchair slides on a polished, linoleum floor. I have a bathmat with 
> grips by my bed now, so my wheelchair, doesn't slide..... this is just one 
> of a zillion things they could have taught or worked on or shared or 
> presented to  or for me and didn't. And this was rehab, to ready me for 
> life on my own as a paraplegic: worthless.
>
> One of the friends I made there was immobile without assistance, although 
> unlike me, she was not paralyzed. She was left on her bedpan
> for an hour. I had passed aides chatting at the station, ignoring her 
> buzzer, as i wheeled down the hall to see her.....
>
> I wrote the board and management and met with management. I met with the 
> dietitian twice, who quit about a month after i left. She told me that she 
> was unable to get me the food that with restore my health ( fresh fruit 
> and vegtables,  fish, whole grain breads, baked potatoes).
>
> I kept in touch with several friends I made there who were still there 
> when I left, because we all knew the importance of having people call.
>
> Only the cleaning staff helped. They advocated and interceded. I'll never 
> forget one man who  came and prayed for and over me.
>
> An investigation began when I and several other patients lost over 50 
> pounds. The few visits I had, folks brought food. Staff ate or discarded 
> my (good) food.
>
> So, while I don't know about  the hip pain, I can relate to the soul pain 
> of being in a nursing home.
>
> It was like being in prison. There was a courtyard allegedly for  getting 
> air--- the door was always locked. I was awakened, whenever they felt like 
> it, seldom consistently. Hellish to be awakened at 5 a.m. to have blood 
> drawn by  unskilled phlebotomists. Privacy was seldom observed
> I remember always asking for doors or curtains to be closed.
>
> If Cindy needs calls, I'm more than willing. all other things being equal, 
> being in a nursing home is awful.
>
> Akua
> -- 
>
> http://www.healrecover.blogspot.com
> http://www.akualezli.blogspot.com
> "When I despair, I remember that all through history the way of truth and 
> love has always won. There have been tyrants and murderers and for a time 
> they seem invincible but in the end, they always fall - think of it, 
> always."
> Mohandas Gandhi


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