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~ Acquired Brain Injury (ABI): from the acute hospital to early rehabilitation – more on: www.CaringforPadraig.org and www.ansaol.ie

Hospi-Tales

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PlanB

13 Wednesday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 4 Comments

Where are the songs Pádraig missed in the last year? Let me know. Put the titles in the comments… 🙂

Anyhow.

It always had to be Plan B.

Even when I didn’t know. When no-one knew. Then.

Because Plan A, that’s the one where we were going to continue doing what we had been doing. What I did when my father died – I was in Cincinnati, he had told me to go, not to worry, on the way back I was sitting on the plane to Dublin when they opened up the doors again and put me on a different plane, to Frankfurt, far enough to take too long. What I did when my sister died – this time I stayed with her until the Sunday before the Monday she died, nothing was going to be the same, life was going to be different, everything was going to change, and then I slowly slipped back as if nothing had happened.

Pádraig was ok today but I want to do more with him because he can. Fun stuff. To put a smile onto our faces. Not the struggle-kind-of-stuff. The ‘I think he’s tiered’ kinda stuff. Not the choking kinda stuff. The routine stuff. Oh, how tired I am of routine! And how much I yearn for it.

Nothing will ever be the same. Never was going to be. In any case.

Did you know that Joni Mitchell wrote ‘Both Sides Now’ when she was just 21?

And I get the urge for going
When the meadow grass is turning brown
And summertime is falling down.

Today’s German Music Tip
Udo Lindenberg, Ich bin der König von ScheiĂźegalien (2004, 1998). You can find the lyrics here, if you can find the song online, let me know – it must be Udo’s only song that is not available on the web…
What’s hot
Plan B
What’s cold
Plan A
The German word/phrase/verse of the day
Insektenhotel

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Priorities

12 Tuesday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 8 Comments

Tags

ireland, public sector salaries

I can’t find the piece of paper where I noted the two news items from this morning that I wanted to refer to. And I don’t feel like looking it up on the internet now. I’m trying to remember.

imagesThe first was that Ireland is now the most expensive country in the world (I think) for childcare. Young families are spending apparently more than 30% of their income on childcare. Not, not because it was more expensive, but because it is not subsidised.

The second one was that the Government is thinking about increasing salaries in the public sector and to cut all the cuts in public sector salaries introduced following the bank bailouts.

I’m working in the public sector and my take-home salary was cut, in total, by about 1/3 following 2008.

But in a country where families cannot afford childcare, where thousands are waiting years for an appointment with specialist consultants, where 100s spent nights on trolleys in Accident and Emergency Departments, where people have to leave the country to find appropriate medical treatment,… what is it, a responsible government should do first?

The sad fact is, they will go out and buy votes by handing out money to the people who’ll then elect them. Nothing has changed and probably won’t ever. It seems to be part of the DNA.

Or will the voters tell them otherwise?

An afternoon with Pádraig which was really good: hair washing, massage, standing bed stuff. All good.

Oh, a few short points:

images(1) I found out yesterday that the salary of an OT is, roughly, 1,800 euro a month in Germany. Consider that you can pay 80 euro an hour in Ireland for therapy out of your own pocket. Now, 5 hours a week (or one a day, Mon-Fri) over 48 weeks (a working year) would roughly cost you in Ireland what a therapist employed full-time in Germany would earn. – Made me think and sounded like a perfect case for An Saol.

(2) There is a real need for a book(let) for people confronted with the tragedy of a catastrophic brain injury. From treatment, to drugs, to devices, to therapy, to food, to … We’re finding out about all this very slowly and with a lot of effort.

(3) Would you help me to put together a new CD for Pádraig with the songs he would have picked up himself over the past year or two? New songs that came out while he had to listen to music stations I picked for him?

That’s all. Good night. And stay tuned:)

Inadequate

11 Monday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 8 Comments

Just watched ‘The Diving Bell and the Butterfly” and wondering whether it was a good idea. The scene in Lourdes sticks to my mind when Celine buys The Madonna. Or when Jean Do feels his memories are fading away. Or when he remembers shaving his father.

Pádraig seems to start living his life. He is engaging more. He seems to take in more. The less drama there is, the more things are becoming routine. I went to see an OT clinic today to see would they do house visits. It seems they do. They promised to call me soon to arrange for trial sessions.

I chatted to them and found out that for the price of 5 hours of OT per week over 48 weeks in Ireland, you’d be able to hire a full time OT in Germany. Made me think.

images1At times I feel such a deep loneliness because the feelings are so intense that you can’t really share them – almost as if I was locked in. Unfortunately, I’ve never been a person to focus on what has to be done, that would make thinks so much easier. More the candle, incense, music, soft light – person. Useless, really, and inadequate in most difficult situations.

2So, I’ll be going to bed hoping that tomorrow will be a better day.

With no fear of inadequacy.

Full of energy.

Dreamboater.

Joyful

10 Sunday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 14 Comments

I was surprised myself that I managed to get up this morning. Just.

Talked to Pat. Talked to and spend some time with Patrick. I had been away just a few days, but I really thought that he was so much better – maybe he just had a good day. Maybe he was really happy to see that I was back (nor so likely) or maybe he had understood that his new car had just arrived (more likely)?

I was ready for a nap at midday, but there was far too much excitement.

So I did a dry run, with an empty wheelchair. And then with myself in it.

When that worked, we went downstairs with Pádraig.

The back entrance
The back entrance
Checking from the side
Checking from the side
Doors closed and ready for lift-off
Doors closed and ready for lift-off
Checking the top floor roof garden
Checking the top floor roof garden
The garden and Café he was not allowed to visit
The garden and Café he was not allowed to visit

It will get better with practice, we told each other. Eventually Pádraig was in his new car and his seat was secured.

We decided to go to the Schön-Klinik to walk the grounds he was prevented from visiting and to go into the coffee shop he could not go into when he was there – to have coffee, Kuchen and iscream.

It all worked out brilliantly. I cannot describe the feeling: to be able to get around in town, maybe to go to Tating for a night. This car will open up a whole new world, a whole new dimension to Pádraig.

And the best thing is: he realises this and was as excited, happy, and nervous as we were.

What an absolutely incredible, brilliant, joyful day!

 

 

Arrived

09 Saturday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

It’s hard to feel any sense of pride or citizenship living in this country when you have a disability. (Rosaleen McDonagh)

We ran for the best seats the moment we got out of the car. Unfortunately, we all had our own opinion about what those seats should look like. Beside the window, but on which side? A table in the middle, but with separate seats or a bench? There were endless options. So we ran off into different directions.

Once each of us had found their own perfect seats and table, we were faced with the challenge to find the rest of the family without giving up the table and seats. So we left our bags and jackets spread out and started to look for each other. Finally, we agreed on just one table and seats, and settled.

Next came the breakfast. Buying the same ‘full breakfast’ would have been the easiest solution, but far too expensive. So we bought a combination of different breakfasts, got another set of plates and cutlery, and shared. In the meantime, I studied the maps.

Today is different. I’m on my own, bringing Pádraig’s new car, so generously given to him by dear friends, to Hamburg.

So I bought my own ‘full breakfast’. Sat down on the first free table I found. Realised that I had no map with me (honestly, who on earth is still using maps these days) and will not have a working internet connection in the U.K. (mmmmhhhh). And started to read the Saturday Irish Times.

Probably for the last time. It’s so depressing.

There is a long account of the case of ‘The Midland Babies’ in the Weekend Review, starting with the assertion that “A series of newborn deaths at Midland Regional Hospital, in Portlaoise, was exposed only through the grim determination of five bereaved families, and some chance encounters.” The article recounts how the families had to struggle, over years, just to find out what had happened to their babies. Some of them spent years trying to encourage the HSE to investigate the deaths, trying to help the HSE with what they knew about their children’s deaths – only to find out, eventually, that the HSE had known the cases and their details all along, had, in at least one case, carried out an investigation without even telling the parents of the dead baby. The truth only came out and HIQA’s investigation only took place because the parents mobilised public opinion.

This is how you get justice, it seems.

Next page: an article by cerebral palsy sufferer Rosalyn McDonagh highlights the love by many in the Irish disabled community for Christy Brown. Now, an exhibition celebrating wheelchair using artist Christy Brown is opening in the Little Museum on Dublin’s St. Stephen’s Green. Unfortunately, the building is a protected structure and has no wheelchair access. Rosalyn writes, “In the case of this exhibition an audience of central importance is being ignored. It is a missed opportunity for diversity and sharing. … On this occasion, disabled people don’t seem to matter. These transgressions are not incidental or accidental. If there’s a climate of disrespect and exclusion they become the norm. It’s hard to feel any sense of pride or citizenship living in this country when you have a disability. Seeing an exhibition like Dear Christy would have put a smile on our faces.”

Disillusionment and frustration instead of smiles on the faces of people who are in such a need of occasions that put a smile on their faces.

Yesterday evening, I met with friends who are helping us to build an extension for Pádraig on the ground level of our house. It was another, just incredible, demonstration of the love and support that he is generating, bringing out the best in so many people. Organising this on our own would have been very difficult. Now, I’ m going back to Pádraig to tell him about the new rooms and all the enthusiasm of the people helping us to get them ready for him.

Pádraig will need to get home. And we all will have to make sure that there will be loads of smiles, inclusion, life. We will have to work very hard to ensure that people with a disability can feel a sense of pride or citizenship living in this country.

It won’t be easy. But worthwhile and worth of true Dreamboaters.

P.S.: It’s 2:57am on Sunday and I just arrived. However, this will still be Saturday’s blog:)

The Doblò, parkt safely in the garage just a few minutes ago, after a 17 hour drive.

The Doblò, parkt safely in the garage just a few minutes ago, after a 17 hour drive.

Boundaries

08 Friday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ Leave a comment

When I see Pádraig getting better, when I see him drinking a little, eating pureed fruit, standing up almost straight in his ‘stand-up’ bed, I find hard to believe what I’m seeing. There is non-stop progress. The way he keeps trying so hard.

Screen Shot 2015-05-08 at 22.44.22Psychologists say that you have to push your boundaries. You have to leave your comfort zones and venture into the unknown. Not only does that give you an interesting and colourful life, even when you’re getting older, they say it also prepares you for that time in your life when stuff happens that realistically you cannot prepare for.

You know you’re getting old when you talk about concepts that younger people do not understand anymore. Like when Pat and I were talking some years ago about our memories of getting a colour TV, and Patrick asked us what colour it was?

You know you’re getting old when young people talk about concepts that you find hard to relate to. Like going into ‘clubs’ and not into ‘discos’. When you see them sitting around a table not talking to each other but posting news onto each others’ Facebook pages.

When you know you’re getting old, pushing your boundaries is especially important because when you’re young, you’re doing it almost by definition.

Nobody was prepared for Pádraig’s accident. But it is because people are pushing their boundaries that we all just about manage to cope. His sisters are doing exams, studying and working hard, with us not being around a lot of the time to help them, even with small things. That they manage is pushing boundaries big time.

The wider family and his friends, and the families of his friends, are doing things they never thought they’d be doing pushing their boundaries: they visit Pádraig in Hamburg, they organise events, they swim, run, and jog, they share their knowledge, expertise, and experience; they take time out to help with big and small things; they are showing a generosity that restores my breath that had almost been taken away by the lack of care and, at times, astonishing ignorance by the ‘system’ and its representatives.

How could we manage to get them to push their boundaries?

 

Doblò

07 Thursday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 4 Comments

IMG_0770Almost a month after my mother, another mother passed away. She knew Pádraig. Her family agreed that she would have wanted that her car, a wheelchair adapted Fiat Doblò, would have been given to Pádraig. This is an incredible manifestation of generosity. – But it doesn’t end here.

In the meantime, I spent the day getting the car on the road for Pádraig. It all took a bit longer than planned, with lots of waiting and hanging around, but now it’s ready to be driven to Hamburg. There were newspapers in most places where I had to wait.

Pádraig was doing well today. His doctor came in for a check-up, the physio did his work with him, only the speech therapist didn’t make it.

Here are two of the headlines and articles that caught my attention.

IMG_0761
IMG_0762

The first is quoting the incredible waiting figures in the Irish health system. The other confirms that the countries offering free or heavily subsidised sports activities to kids are on the right way. The two examples are key areas where the Irish government need to make changes, investments – rather than talking about lowering taxes or handing out the money.

As I mentioned, there is more going on:

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Keep the date!

 

 

Picanto

06 Wednesday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

UnknownThere were some emotions when I drove back to the village where my mother lived for the past few years to return the Picanto to my sister and brother-in-law who had made the car available to us when we arrived in Germany. For the last time in the Ferrari-red Korean racer down the autobahn at the dawn of the day. Thinking all the time that I was going to visit my mother.

Instead, we went to a cemetery to visit and clean up my grandparents’ grave, and then on to my parent’s and my sister’s graves on a different cemetery.

I know people who make a point in visiting cemeteries in the countries they visit because, they say, that’s the best place to go to if you want to find out about the culture of a country.

German cemeteries are showcases of straight lines, immaculate flower arrangements, uniform styles of gravestones, kept really well to show everybody how much you care. When I didn’t pick up the smallest leaf, tear out the tiniest speck of grass from my father’s grave, my mother often told me of her horror when imagining what the grave would look like after her death. Today, I tried my best but am sure that in my mother’s eyes, if she was looking, it was a job very badly done measured against her standards.

Pádraig today managed to pull his leg back into bed when it had slipped out. He also managed to eat well with one of his carers – which is not always a given. The morning was a bit hectic, Wednesday is the day the speech therapist arrives just when the physio is leaving. But it’s a good kind of busi-ness.

German train drivers are on strike today and the rest of the week so I was lucky that I made it to Cologne airport by train and back home just before midnight. I’ll collect Pádraig’s car tomorrow morning. Can’t wait to get it to Hamburg to go on a spin with him.

 

Iscream

05 Tuesday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 6 Comments

Pádraig is learning to make himself heard again. During the night when he is uncomfortable. In the morning when we ‘sing’ along to ‘Colours’, the version recorded in Whelan’s backyard by MaitiĂş and Friends. When he finds it difficult to be lifted into and out of his wheelchair. There is more to come, without a doubt.

He is making progress. All the time. We all believe that he has this magic that keeps him going and us doing things we never believed in our wildest dreams we would ever attempt. He is the reason for people doing the the craziest things, for people opening their hearts, for people joining across the world in love. (Autsch, I hear you say: world peace?)

images1A year ago, a logo therapist tried to persuade Pádraig to have a tiny little bit of ice-cream. In his cell we could only enter with the permission of the nurses, dressed up in protective gowns and our faces covered with big masks. – Today, Pat went out for a walk with Pádraig in the sun into the park beside the stream passing by an ice-cream parlour where she bought an xxl “Kugel” for him with a wafer all of which Pádraig finished with ‘gusto’.

I’ll be off tomorrow for a few days. First visiting my sister and family, returning the Ferrari-red Korean Picanto full of memories and abandoned hope and plans. Getting a late night plane back to Dublin, getting the new full-blooded Italian Doblò. Emptying sheds and kitchen for the building work soon to be started. Driving back via England across the seas and through tunnels under the sea. The best part of 20 hours. Loads of time to think…

 

Food

04 Monday May 2015

Posted by ReinhardSchaler in Uncategorized

≈ 4 Comments

I don’t know how many people I’ve asked whether there is a cook book for persons like Pádraig. They looked at me as if I was from Mars. Even the dieticians. Their answer was: just go into a supermarket and have look at the dairy section. All the soft stuff.

Nice one, but it ain’t as easy as this. There is stuff that ‘bonds’ badly with the chemistry inside a mouth that isn’t used to food anymore, an environment that produces phlegm, stuff that is difficult to swallow. Milk products are part of this range. On the other side, there is other stuff like ‘Apfelmus’ (stewed apple) or mashed carrots or broccoli that is easy to process and easy to eat. This stuff, in a way, by-passes the bad chemistry or, maybe, neutralises the phlegm (or mucus). – So, why isn’t there a guide, a cook book, pointing all of this out, telling those of us who need to know, what we should be cooking?

There is another issue I’ve been thinking about. Where there are limited resources, people tend to do whatever they can to get access to those resources. Once they’ve managed, they’re happy. Bu if they shared their knowledge and thus facilitated other people to get access to the same resources, they would even be happier.

The new, foldable Vojta-table

The new, foldable Vojta-table

Today, a new miracle arrived: a full-blown brand new Vojta-Table. A therapy table, so big, it just about fitted into Pádraig’s room, and only because we deduced that his wheelchair could be parked in the hallway.

Food, and food for thought.

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