Weg

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images“Weg” is a really interesting German word.

It’s a bit like Chinese – depending on how you pronounce it or make it sound, it means different things.

If you pronounce it ‘vague’ it means ‘way’ or ‘path’, whereas if you pronounce it ‘veck’ it means ‘gone’. You can see the connection between the two words –

Well, today we went ‘veck’. It almost felt like abandoning Pádraig. Not one of us, the two of us left the hospital. Two nurses had come in and told us, in their really nice but firm way, to ‘get lost’ for a bit, catch a breath of fresh air, and go ‘die Füße vertreten’ (‘stretch our legs’ – funny how it’s ‘feet’ in German and ‘legs’ in English).

Pádraig had been really good during the night. Even when we turned him in the middle of the night, when he usually takes a bit of time to settle back down, he had no problems whatsoever. By now, we knew the nurses a bit, and the nurses know Pádraig.

So we left the ward and looked for the way down to the ground floor.

Big signs to the elevator. No visible signs to the stairs. Just the emergency exit signs. No encouraging here to ‘stretch your legs’ or ‘Füße’ vertreten. – When we had walked downstairs and I turned around to see how I would find the stairs back up again, it was even more difficult: you had to go into the Blood Transfusion section and from there take a side door… incredible.

So I walked Pat to the car. She wanted to do some washing and then start to pack our stuff for the big move. We agreed. I should go straight back to the Pádraig.

When I got back to the room, Pádraig had been washed, the nurses had changed the bed linen, and they had positioned him very very comfortably on his side, breathing great, no bother. It was really good and re-assuring to see that he had been good enough to get trough  all this, which is hard work for him, with the help of the nurses.

Then my phone rang and Pat told me that her key would not open the door to our apartment anymore. – Three hours later, I had been at the apartment, called an emergency locksmith, and had waited in the cold hall of our apartment building for him to open the door. I had expected what you can see every night on the telly: a few sophisticated tools, a try or two to find the right implements, and then ‘click’ when the door opened. Instead, it tool a full hour with drill, ‘pulls’ and what not. Really, really noisy – and no sign from any of the neighbours. The couple that passed our door and went up the stairs never even blinked… When got back to the hospital, it was dinner time.

Tomorrow is another big day for Pádraig: he’ll have an operation to close the hole in his neck. It has almost closed already by itself and got smaller and smaller over the past few days but it’ll need a couple of stitches to be on the safe side.

After this, his tracheostoma will be history!

After that, it’ll be a really really busy week. In the meantime, the three of us continue to hang out in this small room with the friendly staff and pretty good catering – but no beds for us, instead declining chairs and uncomfortable mattresses on the floor. But we are grateful. Really, really grateful.

Because Pádraig is on his ‘vague’, ‘veck’ from institutional care.

Glass

I’d never thought about it. At least not much. Have you? About water?

Well – if you’re living in Ireland, you just about might, but, largely: you open the tap and out it flows. You put a glass under the tap, wait until it’s full. You take it up to your mouth. You drink it. No big deal.

Today it day 4 post-tracheostomy time.

Pádraig gave it a go. Just a few days ago he was trying small sips of water, first with a spoon, then in very small quantities from a glass. He’d managed, but with difficulty.

Today, he finished a glass of water. (There were a few drops left a the bottom, but we won’t worry about them…) What a first!

It is really amazing to see the difference that the removal of the cannula has made to his ability to swallow. He’s getting breakfast (some creamy things like thick yoghurts), lunch (a hot meal), and dinner (another hot meal). He’s not finishing any of them – but neither would I: the quantities are humongeous. But he’s is really digging in and eats maybe up to half on what is on offer – it also depends a bit on what is on offer:)

We are still staying with him all the time. Especially when we turn him from one side to another, he always needs some time to adjust to the change, and before he find his breathing pattern again. We are learning how to help him with that. It can take a few minutes, but so far he’s always found it. Once he’s settled down and we found the best position for his head, all is well. It’ll take time for him to really get back to ‘normal’ breathing but with his head control (very very slowly but) improving, his full trachea being used again for breathing in, and breathing out, after a year and a half, with his swallowing not being interfered with by this plastic tube next ‘door’ in his trachea, with improved tasting and smelling, with all of this, Pádraig is taking a huge step towards connecting with the world and all its wonders (that we take for granted far too often) again. The past few days have been so amazing: to see the progress he is making, but also to be in a completely strange place, getting meals delivered to the door, leaving the trays outside in the “Schleuse”, the small room between Pádraig’s room and the outside world, where you put on your masks and stuff, looking out the window into other windows, seeing the rain and the storm passing over and, sometimes, into this small square that separates his room, his window, from all the other rooms, the other windows, the other patient, of whom we see shadows behind orange-coloured curtains, only sometimes a face, a bit of the furniture, the same as in Pádraig’s room.

Today, we made a list of what we need to get to the new apartment over the next week to be able to get him going. It’s a lot, it’ll be an incredibly busy week, it’ll be exciting and busy and I feel tired already, even if I don’t think about it. But it’ll be brilliant and amazing. And there will be the operation on Monday, stitching up what is left of the hole in his neck.

And then -if all goes well, and there is no reason why it shouldn’t, Pádraig will be living with us again in just nine days… after more than a year and a half.

And just a year ago, he was here in the UKE too. But how different that is from where he is today!

60 hours

UnknownMy head is spinning and tired as it hasn’t been for some time.

Pat and I slept in Pádraig’s room, with big echoes in my head of Cape Cod Hospital where staff were really accommodating and allowed us to be with Pádraig all day and all night. Just that this time we’re not half as worried, but full of hope and excitement, in a good way.

60 hours after decannulation, he is doing really well. He’s not yet safety over the hill, but he’s getting to the top.

Here is the plan: on Monday, he will have surgery to close the hole in his neck on the outside – it already closed by itself on the inside. On Thursday, most if not all of his ‘stuff’ will arrive at his and our new apartment, including lifter, bed, etc. We will get everything fixed up over the weekend. On Monday, he will move in with us – whether he wants to or not:)

There are a few questions about the days in between, but they’ll all be answered in good time, I’m sure.

In the meantime, several offices are helping us to organise 24 hour care for Pádraig at home. 24 hour care. Around the clock.

These past days have been the most un-nerving, the most stressful, but the most wonderful days in my life. Things are happening at lightning speed.

And Pádraig’s cannula is out of his trachea for 60 hours now. 60 hours.

You couldn’t believe how incredibly wonderful it is to hear him breathing in and out, in and out, in and out, during the night, calmly. And how incredibly wonderful it is *not* to hear the monitors, alarms, *not* to check the ‘vital parameters’ non-stop, worried. Worried? What about!

60 hours. The first 60 hours of many more to come!

Raus

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In a Dream. Boat.

Pádraig is still going strong. With the hole in his neck closed.

When I went to pack Pádraig’s stuff today, I went to his room. I opened the door and found the room empty.

I asked and no-one knew. Then I found his wheelchair covered by a large plastic sheet. On the chair were, in plastic bags, held together by some ties, his possessions. What an end to so many months. There was no good-byes, except with one nurse. I did get an opportunity to say thank you and good bye to the people that helped and supported us and Pádraig for more than a year. It felt a bit like an eviction

Tonight, we’re back in the UKE, bunking in Pádraig’s room. It’s quiet.

Tomorrow morning, we’ll have a meeting with doctors to plan Pádraig’s release from hospital.

Oh – thank you, Colm and KILA for sending what looks like an excellent CD. Couldn’t listen to it yet, but it looks fantastic!

Tracheostomy

Out.Unknown

Can’t believe it.

Back in UKE since 7am.

Will stay here with him for the next few days and nights.

It’ll take some time (and maybe some stitches on Monday) until we’ll know for sure but so far he can breathe ok with the hole in his neck closed of and the cannula removed. We didn’t expect that to happen at all. But we’re over the moon – and sooo tired.

So keep your fingers crossed, the candles burning, the prayers going, and your enthusiasm and energy floating up the stream. In the Dreamboat!

What happened today and how it all happened took my breath away. This has been one of the most amazing days of my life. If this all works out the way it looks, I’ll do something big. Any ideas?

Dreamboaters

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It’s an important day today.

600. There have never been so many people on so many trolleys in Irish hospitals. There aren’t even any trolleys left anymore so people sit on chairs with their drips in corridors. Beaumont. Beaumont cancels all surgeries (except for urgent cancer cases) to deal with the overcrowding. What a day. What a day.

It’s Nollaig Bheag, it’s Nollaig na mBan.

It’s the day of the epiphany.

The three wise men, the three kings, must have been dreamboaters. Because they had a dream. Because they recognised when something extraordinary happened. Herod had asked them to tell him on their way back after they had delivered their presents where they had found this new born king so they he too could go there and worship him. The dream had told them to go straight back home and to by-pass Herod. This turned out to have been their wisest move (and remember: these were the three wise men!) because worshipping the new born king was the last thing on Herod’s mind. We all know that he’d had quite different plans. These dreamboaters didn’t cooperate with the king.

It’s also the day, the Pádraig joined us, for the first time!, humming, in rhythm, and with his own voice, a bit out of tune it must be said (there is always hope!), when we played him the song we always play him before we leave in the evening: John Sheehan’s Marino Waltz with the Dubliners. It brings memories of the time Bord na Móna was running a great advertising campaign using this song. They ran it for the first time in 1986. A time we were on blankets and cushions on the floor in front of an open fire, really warm in front, really cold at the back – the fire just didn’t reach there.

We’ll be in the hospital tomorrow for 7am. Appointment for 8am in the outpatient department of the UKE’s TNE-Policlinic where they will check whether it is, in their opinion, safe to try and take out his tracheostomy.

Put a candle in the window. Send Pádraig your energy, friendship, strength. Send the doctors all the wisdom they need to take a decision for Pádraig. Make them believe. Make them, at least for the day, dreamboaters!

561

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UnknownYou wouldn’t believe how confused I feel at times. For all sorts of different reasons.

Imagine. For more than a year spending the best part of the day under a blue-ish apron, behind a large face mask that just about allows you to breathe, and putting on semi-sterile gloves on several times a day. Almost all of the time in one single room with one or two, on occasions some more, other people. Not allowed to go for a walk, except down this ginormous corridor towards the tiny roof garden with its thirteen steps in each direction. Pushing Pádraig in his wheelchair up and down, changing the direction of the ‘turn’ at the end of the thirteen steps so that neither him nor yourself gets dizzy from turning and turning and turning around in the same direction.

Unknown1Imagine. Being in Hamburg. Working with people around the world. Listening to Irish news. Having to think about which language to talk in to people.

Imagine. Making choices so hard, they make you cry. When you ask yourself: what am I doing? Why am I not doing only and absolutely definitely nothing else than the important ‘stuff’ and in a moment getting all mixed about about what is important.

561 was the headline figure on tonight’s Irish news. It’s the record number of people on trolleys today, a day that nurses threaten to go on strike because hospitals have become so unsafe that 70 year olds spent nights on trolleys with some of the patients just falling off their trolleys.

Turns out that Dr Tony O’Connell, director of acute hospitals with direct responsibility for trolley waits, has resigned his post after less than nine months and is planning to return to his native Australia, apparently because his wife got a good job there. Hhhmmm.

561 in a country with a population the size of a large city in the developed world.

If that wasn’t bad enough. The next piece of news was the Minister of Finance saying that he is planning to lower tax.

I don’t get it. Something somewhere here is fundamentally wrong.

Pádraig’s discharge from the Schön-Klinik is taking shape. There will be a number of meetings this week to plan the details.

imagesWednesday, of course, will be the day of his trip to the UKE’s outpatient’s department to assess his tracheostomy or better: to assess the chances of success of a removal of his tracheostomy. In the meantime, we keep practicing. In the mean time, Pádraig is making huge efforts to convert each ‘first’, each ‘personal best’ or ‘PB’, from the exceptional to the every-day achievement.

We’re playing the Dreamboat to him. We’re travelling down this stream together with the other Dreamboaters. We’ll get there. This boat will swim!

Note

imagesPádraig was in good form today. Of course, it’s all and always relative. I am sure he answered “Hallo” to me when I came in and after I had said ‘hallo’ to him. But then again, you can never be sure. Nothing is ever certain. Maybe it never was.

You have to look at the bright side. Of Life. And believe.

Two things, not directly to do with Pádraig’s situation, but connected to it, happened today.

One was that I found a concert on youtube. A tribute to Joni Mitchell. I was looking for and listened for a few minutes to one of the most beautiful albums ever recorded: Joni Mitchell’s “Ladies of the Canyon” – which will always remind me of a New Year’s Eve party in Dortmund, it’s a long story… but no-one wanted to listen to this new album I had bought just a few days ago (if you’re old enough, you probably know the feeling…). So I had to wait until mid-night when everybody had gone down onto the street to welcome the New Year with fireworks. Finally, I was on my own at this party, put on the record, and the volume to max. From the third floor, standing on the windows wide open looking down onto the street, I listened to Morning Morgantown, Big Yellow Taxi and Woodstock. – All of a sudden, I was not here, but there. For a moment. Full of hope. Strong. On my own. You don’t know what you’ve got ’til it’s gone… I wish I had a river I could skate away on… you turn me on, I’m a radio…. (To be honest, not much has changed since – I’m still listening to the music on my own:)

The other… I found a note Pádraig had written to me some time before my 50th birthday. In this note, handwritten and in German, he tells me that I was getting ‘old’ –  he put ‘alt’ in inverted commas, as in ‘old’ but not really ‘old’. He was being kind to me. So, as I was getting ‘old’ – close to 50 – he gave me some advice.

The advice was to hand in the job, buy the boat I always wanted to buy. and do what I always wanted to do before it was getting too late to ever do it: sail around the world. He had it all figured out. It would probably take a year. He was getting out of school, Laura could take some time off, Pat would get a sabbatical, Maria would be on her transition year. Someone would be able to sail away with me. Maybe all of us could go together on this sailing trip.

Of course, we never went, I never quit the job – though I managed to blow our family’s annual holiday budget sailing across from Halifax to Belfast and on to Dublin the year I turned 50. Years ago.

Today’s German Music Tip
Rio Reiser – Junimond – Live-Konzert 1990 in Stuttgart
Hab dich flussauf- und flußabwärts gesucht
What’s hot
Keep searching, keep traveling, make friends
What’s cold
To be sure
The German word/phrase/verse of the day
Der Gender-Krampf verhunzt die deutsche Sprache

HappyEnding

imagesOrson Welles once said that “if you want a happy ending, that depends, of course, on where you stop your story”.

What does that mean? How do you know when to stop the story? When are you happy enough to stop it?

Pádraig today had his biggest smile for a long time when Maria was talking to him. He so enjoyed listening to her talking about people, music, and life. How much he enjoys life. Normality.

Otherwise, all was quiet today. A normal day. For Pádraig. Eating. Drinking. Breathing. Going out. In the rain.

The new year has started. I am still planning. Wondering where the year will take us. Is it worth planning? Certainly not for a year.

But Socrates had a point – you could loose a lot of time fighting what exists when you’d be much better of building the new. An Saol on the Dreamboat. In 2015.

We won’t stop the story here. We’ll hang in. For the happy ending.

Today’s German Music Tip
Ulla Meinecke – Junimond (Abschied von Rio Reiser)
Rio Reiser was the singer of the German rock band ‘Ton, Steine, Scherben’, and died at age 46 in 1996.
What’s hot
Happy
What’s cold
Ending
The German word/phrase/verse of the day

Keine Macht für Niemand!

Three

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imagesIt kind of happens every winter, around Christmas and the New Year. It’s this headache, maldito.

Does this happen to you?

First there is the ‘Endspurt’, the last mile, to get everything out of the way and done that needs to get done. Then there is a bit of panic preparing for the big days. Then I slow down, finally – which is the time when I always plan to get ready for the next year. But almost every year, when I slow down, my body decides that this is the time to call in all the favours of the past year.

It kind of withdraws support and goes into maintenance. Which is when the headache starts. And which is when I should be staying in bed for a few days.

Then I blink and guess what? The New Year is there. The ‘quiet’ time is over. Mayhem starts again. To a level where I don’t even notice the headache anymore.

Unknown1The hospital is quiet these days. Not much happening.

Today was another first: the first day, Pádraig got ‘solid’ food three times a day: breakfast, lunch, and dinner. Minced and pureed, totally and completely soft, but he ate it, the way food should be eaten through the mouth. If he keeps this going, we’ll ask to reduce the liquid food he’s getting through the PEG, and reduce it again, and again…. until there won’t be anything to be reduced.

Today’s German Music Tip
Clueso, Stadtrandlichter
Ich fahr heimwärts, jetzt dauerts nicht mehr lang.
What’s hot
Mayhem
What’s cold
Headaches
The German word/phrase/verse of the day
Das is’n alter Hase! (Never realised how funny the expression ‘alter Hase’ is until someone here used it the other day.)