Tuesday, December 7, 2010

You Can Go Home Again

BrookeBlogCANGOHOME12-6-10.doc  [posted 12-7-10]








            You can go home again—but sometimes it’s not as easy as that sounds.   The move from South Davis back to our home on M Street has been a mixture of elation and challenge.  Three or four episodes stand out in the middle of six sometimes calm, sometimes chaotic days, though we couldn’t narrate them all here; suffice it to say that things are, uh, getting better.   Home is sweet and there are many friends, but also many other folks: from the home care agency, from the durable-medical-equipment company, from the air company that supplies oxygen, not to mention our own staff, cobbled together from a curious range of folks who are turning out to work as a coherent team—though, we must admit, a fully functioning well-oiled care machine is still a good ways in the future.  It has been very, very lively, to put continuous commotion in its most positive light.


            But there are some surprises.   Our house has been inspected for adequate disability adaptedness no fewer than four times, three by the various hospitals that Brooke has been in and once by an independent nonprofit that specializes in accessibility issues.  We’ve also received impressive amounts of expensive, high-tech equipment—a fancy ventilator, a suction machine, an oxygen concentrator, a nebulizer, a humidifier, etc. etc.  They’re all in the bedroom, ready for whatever respiratory needs might come up.  But, despite all the various inspections and our own long experience with this house, no one seems to have thought about the electrical outlets we’d be trying to plug these items into.  Turns out they’re two-prong, ungrounded outlets, and there are only a couple of them in the bedroom.  Imagine the tangle of outlet multipliers and extension cords, stuffed down by the baseboards where you wouldn’t necessarily notice them—until one sharp eye did.  Fortunately, we found an electrician who came within 20 minutes (!), and by today we’ve come all the way up to code.


            On the darker side, Brooke had a dream yesterday morning that also speaks to coming home.   He’s had many, many dreams over the past two years; the vast majority have had to do with some kind of movement of the legs—skiing, skating, walking, running. In nearly all of these dreams, the objects associated with the leg movements have been defective—the skis are broken, the skates are warped, or he has had some kind of limp making him walk way out of balance, and so on.   In all these dreams, however, he has never fallen, and even in the most precarious situations he has managed to stay upright.    These dreams are an obvious reflection of his paralyzed condition, but a condition still seen as only partial.  A few other dreams have involved blissful swimming, or diving off a platform 74 feet high and landing like an Olympic diver in the water below; these dreams don’t involve limitation at all.   Both kinds are surely compensatory dreams, reflecting the wish to be whole again, and not broken.  

Yesterday morning, however, Brooke had a dream that he says was truly strange and frightening, perhaps reflecting not only a kind of farewell to his previous hospital experience but the terror of coming home, even though he’s been aiming for home for so long.  Perhaps emerging from the deepest layers of his subconscious, he dreamt that he was a female tigress confined to an extremely claustrophobic room on some kind of death row, along with many other tigers and tigresses, waiting to be executed for reasons he could not understand.  (Shades of Kafka, someone remarked.)  The room was stiflingly hot, and at one point his jailor or perhaps his hospital attendant came into the room, and he pleaded with her to open the tiny window behind him to give him some air. A slight breeze entered the room, but that alleviated the suffocation he felt only to a minor degree.  He could envision the rooms and their other condemnees stretching down the long corridors of this death row.   He began to emerge from the dream, but was still in it, and he called out to the respiratory therapist working that night, help help, help.  Only gradually did her actual features begin to form in his eyes.  She asked questions like, what’s the day of the week?  Do you know what your name is?  Where are you?   But he was still trapped in his dream and could not escape from its grip.  Only gradually did his own room—the bedroom he had slept in for the past thirty-three years--become recognizable, and then only very, very slowly.    During this whole concluding part of this dream/wake experience he kept slipping back from external to internal reality, a subjective reality that appeared no less real than the world, so to speak, outside himself.    


We’ve played with interpretations of this dream.  Brooke says he doesn’t want to go into it—let the dream speak for itself, but it’s clearly a dream about confinement, limitation, what it’s like to be paralyzed in a home in which one once ranged freely about, and of course the fear of impending death.   Peggy’s reading:  it’s about a tigress, a figure of major, elemental power.    This is a dream about coming back into power, part of what coming home involves.  


What’s it like to be at home, after two years and two weeks away?  There are losses: there never seems to be any time to listen to all those enormous books on tape the way there was in the hospital, in between interruptions for vital signs, cough assist, cathing, and so on:  everyone who works for us here is here just for Brooke, the only patient, and always has time for him.  Of course, these longer interactions are a gain.  There are losses in efficiency: we have to check and doublecheck everything that’s done for Brooke, and train each other as we go. But there are gains:  training visits from the home care company; they also send an absolutely wonderful physical therapist who rolls Brooke around on the mats, doing trunk work never imagined earlier, and a great occupational therapist and a bath aide who, to our amazement, actually admires our homemade shower chair:  instead of plumping for the $2800+ conventional medical shower chair we didn’t think would be covered and is furthermore bulky, ugly, difficult to store, and institutional-looking, we’d fashioned our own out of a reclining lawn chair fitted out with four casters on the bottom ($100 for the lawn chair at REI, and $50 for the high class casters).  (There’s a tiny part of the larger story here about the high cost of health care, something we’ve been learning a lot about.) 


There are even new realities in social life.  Friends have been dropping in, sometimes bringing food, and it is wonderful to see them and to have it be so much easier for them to visit here than to trek up to South Davis, though they recognize that exhaustion can set in pretty quickly.  Just the same, we all recognize the progress that comes with being home and the respiratory and physical progress that is still occurring: no longer having to conform to a hospital schedule; being able to be up in the chair for many more hours a day, doing quite demanding physical therapy, to be able to look out the window into the garden, and, most Brooke-like of all, being able to converse with all sorts of people almost all day.  It might sound limited, but it’s really pretty good.


It’s late at night as we write this.  He’s falling asleep, but he says, wryly, adieu, dear audience, we bid you adieu temporarily, while we catch our breaths. 

We’re catching our breaths, in more good ways than one.




Elisabeth said...

Home has to be the best place in which to recover, including that home made chair you describe and the one to one individual attention that's available outside of the institution.

I'm intrigued by the dream. It sounds as though it could be interpreted in so many ways. I suppose, it being Brooke's dream, he might be the best judge of its meaning for him, the rest of us can only speculate.

Long may his progress continue.

ed ranney said...

Brooke, Peggy,

So great to get your post on the return home - congratulations on managing it all, so many things to attend to, reorganize, and on top of all these, the incredible dream that speaks of so many things and brings Brooke so close to all of us. It seems rooted as much in ancient themes (puma cult of the andes is just one) as in the current personal challenges. Indeed, a positive, powerful force, truly emblematic of Brooke and his energy. No wonder the intense mixing of internal/external realities.

These days are certainly intense, great that you're keeping track of them so closely while dealing with all the practical issues, and many friends coming and going - difficult I'm sure not to overdo the latter in spite of its importance - but I am so glad to know of all this activity and anxious myself to have a chance to be with you when the right opportunity appears.

much lover to you both,

Trevor said...

Howdy Brooke and Peggy,
I am a student of Prof. Trimble at the University of Utah. Peggy came to our class several weeks a go and gave fantastic insight on this blog. Reading the section about Brook's dreams got me thinking about whenever I've wanted something extensively I always notice it more in society. I remember when I was young wanting a new horse trailer and it seems like I noticed a new shiny trailer every time I was on the road. Recently I always notice couples holding hands, yet I haven't cognitively decided that I want to be in a relationship, but I still always notice couples! It made me wonder if Brooke now notices things that he never even realized he longed for. Or if he only has time to think of things he longs for in his dreams. Both of your resilience is exemplary.
-Trevor Blanchard

Literarysnob said...

Dear Professor Hopkins, I am so sorry to hear of your accident. I took one of your American Lit classes at the U. I have had to drop out of school due to health issues. I also needed to move into an apartment that is handicap accessible. Life takes drastic turns at times. I was hoping to become a college professor but instead I now just spend my days reading and enjoying literature. I understand how life does change in a moment and I know that the new challenges you are facing are difficult. I have found that living with a disability difficult but now living where not much is expected from me has removed a lot of the pressure I had on me prior to the move into this facility. You are very fortunate to have Peggy to help you through these tough days. Keep up the good work and I will keep following your blog.

I wish you both the patience and the strength to find your new place in this new life you are embarking upon.