| Extended Care She's on her back when I enter, mouth open, eyes closed, gown hiked up, her half naked legs twisted unnaturally to one side. She is as still as death, this woman who is my mother, and just that cool to my touch, but then, before I can go on with this, before I dare think what I am about to think, she opens her eyes. "There's a bug up
there . . . on the ceiling." It's an acoustically
tiled ceiling, the kind where perforated panels fit into an aluminum frame.
Some day I mean to install one like it in my bathroom. "I don't see anything,
Mother." "Right there.
It moved." I play my part and locate a tiny blemish
which we can both pretend is what she has seen. There are no bugs,
of course, not in this clean and continually cleaned nursing home where everything
smells of fresh wax and disinfectant and maniacal daily scrubbings.
After eighty-seven years, my hard-working dirt-fighting German-American mother
finally finds herself in a household free of life's clutter. I help her out of
bed, into her chair, into the bathroom, on and off the toilet. She
says she can do these things by herself but she cannot. Age,
Parkinson's disease, and a series of strokes have left her all but paralyzed.
It's a risky tricky thing getting this heavy woman in and out of a wheel
chair; she wants to stand on her own, wants to prove she can still do it,
and you must let her try, even if your strength be doubled by love.
Erect in her wheel
chair, she again seems her real self, eyes bright, mind clear; I feel as
if I have snatched her from the tomb. "Would you like some salad?"
I say. I've brought my lunch with me, an antipasto from the sandwich
shop in the corner mall. She's been complaining about the salads the
nursing home serves, never crisp enough, never fresh enough.
Institutional food? Anything from the outside seems better, Brown's
Chicken, White Castle french fries, Bob's burritos, even cookies of no greater
distinction than the ones she daily gets here. Her eyes light up for
my salad. The staff often compliments her on her deep beautiful eyes,
she's flattered, pleased, vain enough to boast of it. One by one she
savors the crisp green pepper slices, the bright red tomatoes, "Not like
the stuff they give you here," she says. There isn't much you can bring
a person in a nursing home, not much they need, not much they can use; what
they really want no person alive can possibly provide. It isn't easy for
a new resident to "adjust" to a nursing home. No one ever means to
be here, no one ever means to see a parent in here, but this is life, and
sometimes life leaves little in the way of choices. This is not my
home, she says, this will never be my home; we both know she will never have
another. My mother is a woman
who greatly enjoyed life. There is a picture of her old bowling
team that surfaced not long ago. My mother stands out, sturdy, luminous,
with surprising dark hair and of course those wonderful eyes. "Oh,
we had good times," she says and yes, the face in the photograph seems
to confirm this. There was bowling
at the nursing home last week. My mother laughs. Not real bowling
pins, not real bowling balls, nothing you could take seriously. But
she did give it a try. "Some of these people, they couldn't even lift
the ball." I wonder how ever she did. "Oh, I did. I got
a strike." This is an extended
care nursing home. It's not like the nursing homes you sometimes see
in made for tv movies, beautifully preserved seniors turned out by their
selfish yuppified children, still struggling for life, dignity, and even
a moment of romance. These people are sick; they have lost use of their
limbs, of their functions, of their very minds; they live in wheel chairs,
defecate into diapers, drain through catheters; they clutch at visitors in
the halls; they lie open mouthed and vacant on firm white beds waiting to
die. If you plan on living past ninety, you had best visit here and
see what awaits. My mother will tell
you. She is gladly a story telling woman. She will tell you of
Ida who weighs no more than eighty pounds and dashes for the outside door
five, six, and more times a day, fighting recapture with her tiny fists;
she will tell you of Clara who endlessly chants "I don't know what to do,
I don't know what to do" and while she is telling you will hear Clara for
yourself. My mother will tell you of the new man who throws his food
on the floor because he wants to die, and the Alzheimer woman who appeared
in the hallway wearing only a diaper, and Marie who sometimes believes she
is a lost child in the bus station, and the nameless ninety year old who
lies in bed crying, "Mama, Mama, Mama!" "Confused" is how the nursing
home describes these persons. "They told her," my mother says,
half smiling, "'Where do you think your Momma is?" My mother is gladly
a story telling woman. To visit my mother is to hear her stories, the new
ones the old ones, the ones she has told a thousand times. she will never
tire of the mouse she once baked in the oven "it staggered out with all it's
hair singed off!" or the cat that had kittens in my underwear drawer (for
which she blames me), or the time her sister took a wrong turn on a dark
road and ended up facing a man with a shotgun, her own fault, my mother says.
The nursing home--how she hates it, how she hates the wooden feeling in her
legs, how she hates not being able to maneuver her wheelchair in the halls,
how she hates being lifted on and off the toilet, being given showers by strangers--has
given her a whole new cast of characters. She whom I have not seen
read but one entire book in her life--it concerned Henry the Eighth and his
unfortunate wives--has somewhere learned how to turn the stuff of everyday
living into art. My mother and her stories! My
sister, who is less interested in stories than I am, unfortunately gets to
hear her complaints. I mean to discuss this with my sister someday when we
are all feeling more rational. The positive and practical benefits
of my lifelong interest in the literary arts. Watching my mother gradually
pull herself back into the land of the living, I find myself turning her
toward the pages of the past. In the past were
hardships, hard work, and heartache. In the past were friends, relatives,
neighbors, and acquaintances, all gone now, or old as she is old, tired,
helpless. In the past, almost a century of it, is a world we will never
again see. "Tell me about the
farm," I say. Bark River, Michigan. She was a child there,
one of sixteen. I pretend I can no longer remember the old family house.
"Oh," she says, "I can see it just as clearly as if it were only yesterday."
She enters now through
the kitchen--these Germans are ever kitchen living people--and talks of the
sink with its hand pump and cast iron stove where Grandmother cooked for
sixteen children, she continues into the dining room and the double living
room, notes the downstairs bedrooms, counts the bedrooms upstairs, nine in
all, where people slept two and three to a room leaving some rooms unfurnished
and unused. I don't remember this house that large. How on earth
did they heat it? With stoves, she says. Stoves that went out
every night and had to be re-lit in the morning, this in the Upper Peninsula
where winter is really winter, where snows pile high--she remembers her father
digging a path to the road and the children, on their way to school, following
him "like a row of baby ducks." Pity the one whose job it was to keep
the wood bin full if the mother of these ducks found if it empty in the morning! She remembers another house in Algoma another farm.
She remembers her grandparents, the paternal Kasbohns whom, I vaguely sense,
she sees as slightly cold and aristocratic, the maternal Wagners, seen as
all maternal grandparents are seen, with warmth and admiration. She
speaks of them now, of Grandfather Wagner, "the most handsome man I have
ever seen," and the silky white beard that he would stroke--eighty years
later my mother in her wheel chair pantomimes this gesture, of Grandmother
Wagner who died too young and left only a portrait above the mantle, so beautiful
"I would stare at her for hours." Her untimely death so many years ago
left my mother's mother, only eighteen, with almost as many brothers and
sisters to care for as there were years in her life. No wonder she
married young, a poor escape, followed by sixteen children of her own and
a husband, by all accounts not easy to live with, who died before any of
them were raised. It was a tough life
in those days, even without sixteen children. The Upper Peninsula was
a wild place, I remember it still a wild place in the 30s and 40s, and even
today, behind the brick bi-levels with picture windows and attached garages
that have built up in the old crossroad towns, whole chunks of the U.P. may
still be called wild country, dense trees, dark nights, and empty roads to
travel. In my mother's childhood, the farms backed up to pure wilderness.
Bears are part of her memories, and Indians, and sometimes the two together
as when the bear ate the papoose left hanging from a tree limb while its mother
gathered berries. The old family house
was cold, drafty and primitive; there were kerosene lamps; the toilets were
outside, and people used chamber pots for something more practical than arranging
flowers. My mother remembers years spent getting rid of the bedbugs.
She still talks of how her sister cleansed her bedroom by pouring kerosene
in the cracks of the walls and flooring. "It's a wonder she didn't
burn the place down." But she fondly remembers
the straw filled mattresses and how sweet they smelled when the bedding was
changed, and the pigs that she would not watch getting slaughtered, the horses
that had names like Bill and Nick, and the cows that she and her brothers
would ride which angered my grandmother no little. She remembers the
cats that lived in the barn and begged milk from the milkers, and so do I,
my uncle Ed would squirt a stream of milk straight from cows teat to the
nearest cat's open mouth without losing a drop, this the same Uncle
Ed who talked me into bathing the cat beneath the pump. It was many
years before I favored cats again. My mother remembers
her mother as good woman with a sharp sense of humor who, keeping her complaints
to herself, darned stockings in the dark so no one could see the tears in
her eyes. "Why did you have so many children?" my Uncle Ray asked.
"Why didn't you shoot some of us?" "Would you want to be the one that
got shot?" she replied. She not only raised her own, but took
in an orphan cousin or so and raised them too. I know the stories
Hamlin Garland wrote of nineteenth century farm life are true. That
was a world that still existed when I was a child, and it was a world of
work, work, work and endless work. A city boy, visiting the country
relatives, could only wonder at these people who rose before dawn and never
left the fields and barns except to eat and sleep, whose children of his
own age were already hardened and strong with no time for play. The
Upper Peninsula is not easy farm country, the seasons are short, the
soil rocky, the land better suited for pasture than crop. There were
cows, pigs, dogs, cats, and the great red bull who would start your way when
you cut across the field, and the geese with their strong wings that could
beat a child's legs black and blue. There was the chicken too, remembered
in a story I hear again today, that my mother, fully grown, married, and visiting
from the big city, could or would not hold while its head was being whacked
off. My grandmother tracked down that unfortunate bird and performed the
operation herself. "You're not getting any!" she cried. "I told her
I wouldn't eat it anyhow," my mother proudly says, her dark eyes glowing
with pleasure. "And I didn't!" My mother was born
in l902. We are talking of children who rode bareback on the cows while
Europe bled at Verdun. Seldom does she speak of this war. The anti-German
sentiment that passed for patriotism at the time did not reach a little town
like Bark River, and indeed, what could it have done there? German
was the language of my mother's childhood, of her school and her church,
of her birth certificate, a language oddly lost in the lifetime to come.
"Yes, we spoke German at home." Three quarters of a century later she
cannot recall a word. There
is an old Polish woman in the nursing home who has forgotten how to speak
English. Wheel chair bound, she pushes up and down the halls,
muttering in language of her childhood. At the sight of my mother her
face lights up; they grasp each others hands and speak as old friends.
"She doesn't understand a word I say," my mother will inform me as
soon as she feels we are out of earshot. Communication between
residents of the nursing home is difficult, often impossible. Almost
no one hears well or talks above a whisper; in the lunchroom where an unwatched
television intrudes, I must lean close to hear my mother's words. Then
I feel the frustration she and her friends share. There are six regulars
at her table. For people like my mother it is very important that you
sit with your friends. Lunchroom seating is difficult, wheelchairs clog up
the aisles, and quarrels are not infrequent. Residents no longer in
possession of their wits force their way into corners and aisles with no
exits, a man with a leg brace, nearly blind, reels dangerously
from table to table. Watching these people eat will test your compassion.
Crumbs fall, fragments dribble, substances ooze. Some residents must be fed
by the aids, patiently opening and closing their mouths like obedient children.
Soup is a challenge for everybody. Mother's friend, Marie, rejects that
challenge. "I never ate soup in my life. I'm 96 and I'm not going to
start now." My mother is proud
of Marie's independence, and just as proud of Carl who sits on her left and
eats every drop and bite. "He leaves a clean plate," Leaving
a clean plate, in my mother's view, is an act of virtue, but then so is refusing
your soup. Like all mothers she has no difficulty holding two contrary
opinions at one and the same time. Michael, who sits
across the table, puts me in mind of my father, as he might have been if
someone had squeezed all the meanness out of him. Michael likes to
sing and drum his fingers on the table as if it were a keyboard. "Give
us a song, Michael," someone will say and Michael, without hesitation, will
deliver. My bonnie lies over the ocean. Sweet Rosie O'Grady.
My father had almost reached that stage when the staph burned his life away.
I do not forget our last time together, how he suddenly sat up in his hospital
bed and how we looked directly into each others eyes. His were as pure
and blue as the winter sky. My sister and I hate
visiting the nursing home. She is there every day, and I every week,
and there are things that run through your mind when you enter such a place
that you would rather not say aloud. We talk to other visitors who
have brought their parents here, and it is the same with them. Most
of the visitors are old themselves, in their sixties, some in their seventies,
some with canes and walkers of their own. I'm young, I'm young, you
try to tell yourself, and then, in the hall mirror, you catch a glimpse of
yourself and your white hair. Walk gently now, and try not to see,
in rooms on either side, those people bound to their beds, vacant eyed and
open mouthed, waiting. My mother has no
use for death. Life is her thing. She came to Chicago shortly
after the first world war to work in the homes of the wealthy. It must
have been a bold move, a journey of unimaginable risks; if she experienced
doubts she kept them to herself and does so to this day. Recently I visited
a friend who was staying at a writer's colony in Lake Forest, the first time
I had ever been in that town. I mean to impress my mother with the
wealth I have seen. "You should see how those people live," I tell
her. "My god, you should see those homes." "I worked in one,"
she says. She still remembers the street name. Green Bay Road.
I may have driven right by. My mother did not
find domestic work demeaning; she is not ashamed of the uniform she wore.
She speaks with pride of her employers and remembers them fondly. She tells
of the little upstairs room they provided, warm and cozy and all her own,
and of the friends she made, some young farm girls like herself, some imported
from overseas. Those were the days of full domestic staffs, upstairs and downstairs
maids, cooks, chauffeurs, laundresses, gardeners, a butler. The pay
was good and the work was light--certainly by Upper Peninsula standards.
On free nights she and her friends would take the train into Chicago for an
evening of dancing somewhere on Montrose and, returning, be met at the station
by the family chauffeur. I try to imagine this dancing place, the train
stations, the house on Green Bay Road. In less than an hour we could
drive there. We could drive down Montrose and head up to Lake Forest
and she could do her best to point them out to me. Alas, it is too
late. My mother no longer can be fitted into a car, she must travel
by ambulance, the daring farm girl who left childhood for the big city is
now bound within these walls. Even a trip down
the block in her wheelchair is painful. The welcome sun and fresh air soon
become enemies, the hated room and bed a refuge. Her head hangs helplessly,
drool trickles from her mouth, her bladder is a threat. Public restrooms,
of course, are impossible, handicapped accessible means nothing to a woman
who must rely on a son. It is a relief to return, and you can see it
in her face. Once my sister managed to transport her home for
a holiday--it was an experience neither cares to repeat. In her twenties my
mother bobbed her hair, wore skinny dresses, danced to live music, met and
married my father. One of the challenges of family life is that we,
as children, come into these stories when they are well beyond the beginnings
and must puzzle certain things out for ourselves. My mother and father,
I am saying, did not seem to us children as compatible and we never stopped
wondering what brought them together. Unlike my mother, my father was not a man of stories.
He must have known that very few people got rich telling stories. Art,
in my father's view, was quite simply a means by which lower class people
might become rich. He chose music and why not--his was the heyday of
vaudeville, of Irving Berlin, George M. Cohan, of Red Nichols and his Five
Little Pennies. My father honestly loved vaudeville and never recovered
when movies took its place. "Just shadows on a screen," he sneered,
as good an excuse as any not to take his children to see them. To use his own expression,
he was as Irish "as Paddy's pig." He was born in Evanston where his
father, Irish enough to petition the archbishop for a job, dug graves at
Calgary Cemetery. There, on the shores of cold Lake Michigan, rest
many wealthy Catholic bones, and my socialist voting grandfather's too, but
on the single occasion when we went looking, my father and I could not find
the grave. Because my father did not much tell stories, I cannot tell you
much about his early life. He was one of nine children; his parents
were both deaf mutes--hearing impaired I suppose we would call them today--who
communicated through a sign language that relied heavily upon spelling out
words with your fingers. All of the brothers and sisters could do it, of
course, and we grandchildren learned our fair share. I remember a little
printed card with the letters of the alphabet shown in finger signs.
Armed with this we could speak to our grandparents. Somehow this family
came to live on the north side of Chicago and send all but one of its children
on to college, the exception being my father who dropped out of high school
and ran away from home, or maybe he didn't actually run away, he did not,
as I say, tell many stories. Curiously, these
grandparents who could not hear a sound, possessed a piano which almost everyone
learned to play, my father most especially, and never, until old age and
Parkinson's disease, did he give it up. He was about as good a piano
player as I am a writer, which is to say he was not quite good enough.
Only at his funeral did I learn he had once led his own band and performed
professionally throughout the area. Things of this nature my father did not
find sufficiently interesting to tell his children. In World War One
he traveled around the world and declared it everywhere the same. There is a picture
of him in his navy uniform, as he must have looked at the end of the war.
He should be described as handsome. Movie star handsome. My mother
must have seen him as quite a catch. Only later did she see what she
had caught. It isn't easy to
talk of my father without creating certain misunderstandings. The word
love, I want you to know, was not used much in our household and certainly
never by my father. I knew him, of course, not as the handsome young
man with a bright and promising future, but as an eccentric depression-broken
cynic whose dreams had soured into absurdities. He had lost the only
white collar job he would ever have. While other families were living
on relief, he brought us to a bitter little flat on Western Avenue where
the rent came free while he worked as janitor, shoveling coal into the hopper
just as he had shoveled coal into the boilers of merchant steamers during
the war. He had a string of these janitor jobs, as many as eight or
nine going at once, and he worked from dawn to dark and often beyond.
This was work beyond menial, he had not one boss but a dozen, and he was
a man who took orders poorly. He worked, he played his piano, he threw
his money away at the card tables, he forced his children to take piano lessons
in hope they would someday earn fame, and he engaged in a non-stop war with
my mother that sometimes went beyond words and did not end until age and
disability took the fight out of him. My father died at
the age of 71 in Hines Veteran's Hospital in Maywood Illinois. The
VA people were not too happy to have him there; in their view he plainly
belonged in a nursing home. Everything in his body had collapsed; he
had Parkinson's disease, prostate troubles, kidney failure. Prematurely senile,
he had become a man who got lost in the rooms of his own house. Had
the staph infection not done its work, sooner or later a decision would have
had to have been made, and my mother would have been the one to make it.
Visitors in the nursing
home talk to one another about these decisions. It's not an easy matter
to pack up your mother and tell her, in effect, that this strange and terrible
place will now be her new home. Few people make such a choice willingly.
In many cases it is the doctor who does it for them. The patient is
bedridden, incontinent, often senile, in need of day and night nursing care,
the patient must be lifted, moved, given therapy, drugs and medications, must
be monitored by professionals, cannot ever be left alone. The care
giver at home fights to repay a lifetime of love and sacrifice, and live
up to the ideals of yesteryear, but modern science, you see, does a very
good job of keeping old people alive, and finally the moment comes.
My mother was carried
into the nursing home on a stretcher. My sister and I accompanied her.
There are things we do in this life that are hard, and this is one of the
hardest things of all. She was given a bed next to a woman who had
curled into the shape of a fetus and never moved again, a living corpse,
if you will. Across the hall was a woman who screamed. There are many
such screamers in nursing homes. They scream for momma, they call for
long dead children, they simply make a noise, often the same noise, the same
tone, the same intensity, over and over and mechanically over. "I'm
in an insane asylum," my mother whispered. I speak to other
people, people at work, old high school friends, students and acquaintances,
about the experience. People with parents in nursing homes seem to
seek each other out. Perhaps we should form support groups, but who in hell
would have the time? The stories are all different, all the same. Bitterness,
anger, confusion, pain, sorrow, love, what an awful brew. There are
people who push themselves to physical collapse visiting parents who no longer
recognize their faces, people who drive hours to see parents who simply lie
there and scream. "He was," they will tell you with tears in their
eyes, "the kindest gentlest man . . . " Now he rams his wheelchair
into old women pushing walkers and curses them straight to hell. When you talk to
the residents, those who still think and talk, they will tell you proudly
of their lifetimes of work. Motorman on the old streetcar lines, telephone
operator in the "number please" days, salesman for some forgotten product,
this factory, that office, thirty, forty, fifty years of service, money earned,
money saved, families raised, homes purchased, these people believed in work.
During world war two my mother, like so many other mothers, went back to
work, first canning pickles and olives and chicken for Libby's, a tough assembly
line job paid by a fiendish piece work system that she, of course, made the
most of, then as waitress and cook for a series of restaurants; she
did not stop until those powerful legs, good for so many-on-your-feet years,
stiffened with arthritis. By then money was
not the issue although, as in so many depression era families, for many years
it was the only issue. People today would as soon not hear about the
depression, or, failing that, see it in a kind of pinkly clouded glow, a
gentler, simpler time when people grew close and loved, not so, the depression
tore into people's souls, left wounds that never quite healed, scars that
remained forever. Lacking money, good people became obsessed by money.
If my father and
my mother agreed on anything it was on the need for money. For
my father money meant more than goods, more than services, more than comfort
and security. Naively, he saw money as his entrance to the envied upper
classes, that little he knew of them. One can imagine him growing up
in the shadow of Northwestern University, oldest son of working parents who
were not only Irish, not only Catholic, but deaf and dumb as well.
Those were the days of "No Irish Need Apply" and rumors Catholics stored
weapons in the convents, waiting for the pope to take over. My father--who
once said, "I used to wish that story was true," chose not to go by his given
name, Patrick, but by his middle name, Richard, instead. He would
not have the world know him as "Paddy."
My mother was made of more sensible stuff. She had no illusions, no
foolish expectations that she would ever live as those wealthy families in
Lake Forest did, she wanted food on the table, clothes on the back, a solid
secure roof to keep the elements out. She saw no stigma in the relief
food my father so proudly shunned. Her wildest dream might have been
to one day own a home, the kind of home any good solid American working man
ought provide his family. I remember, instead, our apartments, one
over a tobacco wholesaler with an adjoining rooftop we used as a playground,
the other above a bank. These were commercial buildings with uncertain
steam heat that other tenants held my father responsible for. There
were cockroaches, mice, and yes, above the tobacco wholesaler, rats that entered
from an adjoining poultry house, creatures that eventually joined my mother's
collection of stories. Like all good storytellers, she welcomed their
contributions, if not their actual presence. She especially pleased
by the rat Trixie bit so hard blood squirted on Aunt Gertie's silk stockings,
Aunt Gertie being my father's sister and a character only slightly less eccentric
than himself. Aunt Gertie had gone to teacher's college, and led a
mysterious life seasoned by men; she had two children and no husband, smoked
crimson tipped cigarettes, and taught kindergarten where she kept order by
threatening to flush bad little children down the toilet. I don't think
the blood on her stockings bothered her quite as much as it might have, say,
my Aunt Flo who, according to Gertie, looked beneath her bed every night
for a man, "and never found one!" These Irish relations
slightly appalled my mother. "They let the cat lick from the frying
pan." "They water down the catsup." Never did I see such things
but I must confess my father did take a casual view toward good house keeping,
being capable--I saw this with my own eyes--of barehandedly squashing a cockroach
without interrupting his dinner, an accomplishment I found almost as admirable
as it was disgusting. My mother's frequent cleaning binges brought sneers
to his aristocratic lips. "A human dynamo," he would unkindly quip,
and thus instigate new wars. When he did buy a
house it was an ancient false-front store-front space-heated frame building
right in the center of the famous Western Avenue hill where traffic slid
backwards on snowy nights. A cigar maker occupied the storefront, an
old half-blind woman named Mrs. Hanks, lived in the tiny downstairs apartment;
the upstairs was ours, six drafty rooms that swayed like a ship at sea when
the winds caught hold of the false front. The wonder of this house
was not that it was so miserable, but that my father had been able to purchase
it at all. This was during the
second world war, a time when working people in America were beginning to
get back on their feet. Slowly. I speak of these things because
I want you to know that the money my mother eventually turned over to the
nursing home was not quickly or easily accumulated, it represented a lifetime
of work, of sacrifice, of conflict, the profits of this house, sold when
the new highway went through, of its successor, sold after my father's
death, the pensions, the insurance, all. I read somewhere
that the average nursing home resident becomes a pauper in less than a year.
Lifetime savings which once seemed substantial and comforting evaporate like
water on a hot grill. A very mediocre nursing home costs around
$2000.00 a month; the price goes up if you require extended care, if you
would like a room of your own, if you would like such pleasantries as use
of a beauty parlor or having your laundry done. Medicare does not cover
nursing home costs, nor does your health insurance--take a look and see if
I'm not right--and to qualify for Medicaid you must first spend every dime
you possess. Here is something to think about if you plan on inheriting
large sums from your parents. Poor half blind Mrs.
Hanks who lived downstairs had no nursing home option, no care giving relatives
to watch over her. On several occasions before she died, she nearly set our
house on fire. In the old wooden chest of drawers she left behind I
found newspapers from Germany dated in the eighteen eighties. Doctors
today, I am sure, would have kept her alive a few more years. In this
sense you might say she was lucky. We all want to live
forever--or think we do. My Irish grandmother lived past ninety and
died at home in the care of her daughters. She did not weigh one hundred
pounds. I helped carry her coffin; it could well have been empty.
Small people, in the end, make life easier for those left behind. German women of my
mother's generation saw no disadvantage in growing, well, stout. She
needs some meat on her bones, they would say about young women such as my
wife. My mother, shrunken
now, is still a big woman. Tall, strapping, she could work like a man,
paint walls, scrub ceilings, move heavy furniture, stand at a grill all day,
fight a near even battle with my father--and he was no ninny. Never
was she sick. She laughed at doctors who told her to lose weight, right
into her eighties she laughed, how long after all is a person supposed to
live? People in a nursing
home do seem to live forever. It's an illusion, of course. From
my mother's room I can see the back entrance of a second nursing home that
adjoins this one. One afternoon I observed an old brown station wagon
pull up behind the other home and quietly remove something that was long
and still and wrapped in white. I did not mention this to my mother
who was faced in the other direction, but several weeks later she informed
me that she too had often seen bodies taken out that same door. When a person dies
in the nursing home word spreads quickly among the residents. The lady
down the hall. That old man with one leg. A woman in the other
wing. Sometimes a name. Helen. Irene. No announcements
are made, no services held, but every resident who can know somehow does.
They shake their heads but they do not mourn, if there are tears they fall
from the eyes of staff persons who become surprisingly fond of their charges.
People who work in
nursing homes do not become wealthy. That is a fair statement. One
aid told my sister he was leaving for a better job, a chance to earn eight
dollars an hour, proof I suppose of an adage I call Pekin's Law, the harder
the work, the more unpleasant the task, the less the reward. To help
each resident out of bed, to struggle with her heavy inert body, to bathe
her, dress her, get her into her chair, to get her on and off the toilet,
to wheel her into the dining room, to repeat with the next, and the next,
and the next, to strip the sheets, to empty the bed pans, to carry off the
soiled diapers, to feed the helpless and answer their calls, to direct the
lost, to comfort the confused, to shave the ancient faces and comb the thinning
hair, to turn the bedridden lest they develop sores, to wash and dress these
sores when, as is inevitable, they develop, to do all this and more knowing
all along, as any thinking person would know, that this fate you see around
you may someday be your own, this is not work for the squeamish, nor for
the weak, nor for the impatient and hard of heart and if there is a constant
shortage of help and a continual turnover among the help, this is not the
wonder, the wonder is that anyone would want such a job at all. Before coming
to the nursing home my mother lay on her back, incontinent, catheterized,
unable to lift her head, a tank of oxygen at her side. Night and day---what
difference was there between them to her?--she would call my sister's name,
until my sister came to dread the very sound of it. A pillow must be
turned, a sheet straightened, a cover pulled back, the bed pan positioned.
Trips to the doctor had to be made by ambulance, house calls, of course, having
disappeared along with the youth of my mother's generation. In the nursing home
there is a doctor who makes regular calls. Medicare, subject to its
arcane regulations, pays his fees. A specialist in aging, he tells
my sister, "You can treat the elderly, but there is always something
new to go wrong." In the nursing home,
my mother has regained her ability to sit, even to take a perilous step.
She again can feed herself, her eyes have grown brighter, in her wheel chair
she has at least some mobility. And yet, even as she fights to hold
her life, she sometimes says, "Why couldn't I just die?" Dying is a difficult
tedious business, not a very fine reward for a long hard working life.
Modern science has made it so. People who would quietly have drifted
off in bed now hobble the halls or lie open mouthed with tubes in their veins.
My mother has made a "living will" but do not be deceived, a living will will
not save you from the needles, the tubes, and catheters that will prolong
your last days into weeks and months. There are no rights and wrongs here,
no clear ethical solutions, only good people face to face with eternity.
My mother tells her
stories. She tells of the chicken that caught on her sister's pigtail,
of the bear encountered in the berry patch, she remembers again the
old drafty house that swayed with the wind, the bowling team and the friends,
all dead now, who gathered in the Schnitzelbank Tavern, the brothers, sisters,
neighbors, all dead now, my youngest sister, also dead now, her ashes buried
in the plot that awaits my mother; my mother tells her stories, she
remembers her little dog Jughead, dead now, barking at the toll keeper, the
cat, Hiska, dead now, that ate the feathers off her java temple bird, old
Trixie who bit the rats, all dead now; she recalls her life, and large chunks
of mine, and some of yours too if you have roots in this country's past, the
cars you cranked to start, the milk bottles that froze outside the kitchen
door, the iceman and his tongs, the smell of the old stock yards, the train
rides to the Upper Peninsula, the world war two bomber that flew so
low over our building (were the boys waving at my sister?), her stories and
my stories all mixed together and maybe not accurate and soon enough no way
to check. I see her this day, with her eyes deep and beautiful, we
will have a priest when she dies, not that she wants the prayers or even
believes in the afterlife, but we will have a priest, a young priest, and
she will like that because she always did like young men. There will be other
days almost as good as this, but they will grow fewer and fewer. I
rise, time to go to work, and pick up my gym bag--in it, my gun, my leather,
my uniform shirt and star, did she ever imagine her scrawny son who read
too many books and "ruined his eyes" in poor light, would wind up a cop?--and
I bend to kiss her goodbye. I have kissed my mother more in the last
year than in all my life. We Pekins are not a kissing, hugging, touchy-feely
family, we are staunch and tough and self contained and only occasionally
will you see a tear in our eye. Goodbye, mother, goodbye; no, I never
say goodbye, I'll see you, I say, take care of yourself, I say, and she says
yes. I walk down the hall,
quickly now, past the legless man who clutches at my arm, past the mindless
old woman endlessly beating the tray of her jerry chair, past the bed-ridden
open-mouthed ancients who already have begun the long sleep, past the angry
armless man, I stop and pat old Carl on the shoulder, I do the same for John
K. who recognizes no one, I say goodnight to the nurse at the desk, and then
I am outside, such a simple act, to open a door, to step out, I almost did
not write it, it's so common, so mundane. "He opened the door and stepped
outside." So simple, so easy, so absolutely impossible, and here it
is, the living world, whizzing by on four wheels, the young and healthy with
their Camarros and Grand Am's, the homeward commuters with cigarettes in
their lips, the heavy trucks. I head north on Harlem, fighting traffic,
squeezing around the road repairs, ignoring blasting horns and jabbing fingers,
soon enough I'll be in uniform and getting even with these guys. It's
funny what pops into your head while you are driving, or maybe pops into your
head a year later while you are writing this down, but suddenly I'm remembering
my own time in the hospital and how I spent the night waiting for morning
and the operating room. No sleep that night, only a hundred trips to
the bathroom, and finally, standing at my window, a chance to watch the sun
rise in the east. If you stand very
still and watch the sun rise, you can actually see it move. You can
see it rise over the horizon and actually form its ball, you can see it lift
and grow round, and if you are in a hospital and very aware, you can feel,
somewhere in your ancestral blood, the earth itself turn. The sun moves,
it moves, you can see it move, and then it is up and bright and you can no
longer hold it in your eye. the end
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