Tips For a Good Parent

ABC's of a Good Mom

This is a great reminder for every mother and father who wants to improve on their parenting skills. When I read this, I thought of Susan Ferguson, who is my son-in-law’s mother. Her life influenced so many people. She was a compassionate, professional caregiver as a nurse for many years. I’ve heard about the many kind deeds she did while nursing. Just as important, if not more, I know she was an amazing mother and wife by the way her husband and children revere her. I only met her twice, but I admire her for the positive influence she had on her children, particularly my son-in-law, Eldin. I don’t think she insisted on him eating vegetables, but I’ll bet she did all the other ABCs of a good mom, especially making good memories.

Usually our children live beyond us. Hopefully, they will appreciate and honor us always as a caring parent, just as Susan’s children do her.

 

“Love Ya Back”

ocean-sunriseI knew family involvement was essential for Mark’s traumatic brain injury recovery. I’d been taught in the classes I attended at McKay Dee Hospital the importance of family and how they can provide an awakening cord. Both of our families had been supportive in every way. Mark’s mother and sisters, Karen and Jerrie, who lived several hundred miles away, sent cards and cassette tapes regularly. I played the tapes for him daily so he could hear their familiar voices. They also sent sounds of the ocean and the music he loved. My family visited Mark often, as well as helped me with the children and my work.  I felt the consistent love and warmth nurtured and helped to heal his body, so why wasn’t it turning the light switch on in Mark’s brain? After ten weeks, why was he still in a coma?

Every morning the nurse’s aide and a therapist would dress Mark, talk to him about the day, unplug the feeding tube, put him in a wheelchair and buckle him in for safety. They treated him as if he was awake, just like our family did. With the new-found freedom from the ventilator, Mark was able to go to the gym for therapy. The occupational and speech therapists worked on stimulating his brain with taste and sounds. I was there every morning and anxious to be involved in his care, not only because I loved him, but because the direction of my own life was affected by his recovery. I hoped the sound of my voice would let him know he was not left in the care of strangers. Most of all I wanted him to feel my love and support, which I hoped would help and encourage him to wake up.

The therapist would ask Mark a question and ask him to blink once for “yes” and twice for “no”. Sometimes his response was correct and other times it wasn’t. There were times when there was no response at all. My heart skipped a beat every time he answered correctly.

During his two hour rest time, I’d run home to get some work done and then run back to Western Rehab for the afternoon therapies. Before dinner, I’d pick up the kids, gather a quick meal and together we’d eat and spend the evening with Mark.The kids enjoyed asking their dad questions and anticipated his response with a blink. They read to him nearly every night before we left for the evening. We learned to be a family in a different setting and in a new, supportive way. Christopher and Katie got comfortable at the hospital with the staff and other patients. They especially liked being with the younger patients in the playroom. They brought sunshine to many people there and it warmed my heart to see them making friends with children overcoming injuries and disabilities.

Now that Mark was closer to home, I was able to get more work done. Eighteen months before the car accident, I signed up as an Avon Representative. I worked hard to reach the “President’s Club” sales level in my first year and earned the top new representative for the district. I enjoyed sales and working one-on-one with people, so I planned to continue as an Avon Representative after we moved. I realized it would be easier for me to reach the president’s level of sales in the district I was already established in, so I ramped up my sales efforts. My goal was to reach President’s Club before the impending move, which I accomplished in four months. I had a large order delivered the day of the accident. The items were not individually bagged for the customers, so the order was not ready for customer delivery. I was planning to do that on Monday and deliver on Tuesday. Even in the crisis of the accident, I didn’t forget about my customers who had become friends. My brother, Don, and his wife offered to take my order slips and call each one to inform them about the accident and uncertainty of the outcome. The delivery date was unknown and they wouldn’t be charged if they wanted to cancel their order. Every customer was concerned and understanding of our situation. One customer, who had been an Avon Representative in the past, offered to bag the orders, deliver the items along with new sale books and collect the money for me. Carla and my mom helped me keep my Avon business going while Mark was in the hospital.

Steve, my youngest brother, was in a partnership of a landscaping and property management company. For years I had done the billing for him. I had completed the billing for April before the accident, but my brother, Mick, helped me with May and June. Having Mark so close to home enabled me to work on these jobs between therapy sessions and in the evening after the kids were in bed.

Getting back into a family and work routine was not easy, but a necessity to keep life moving forward. The uncertainty of Mark’s recovery was worrisome and work was a diversion. Talking to healthy people who were living normal lives brought me hope for a life that seemed so foreign now.

Bath bed

The beloved bath bed

Part of my new routine included helping the nurse’s aide bathe Mark. I wasn’t expected to do this, but I wanted to. It was important to me that he knew I was always close by and involved in every aspect of his care. It took two people to slide him from the hospital bed onto the bath bed, which was on wheels. Mark’s naked body was covered in warm blankets. He was secured to the bed with two safety belts, one around his 021chest and another around his legs, for the ride to the “bath” room. The bed was hoisted into a large bathtub with jets. After nine weeks of sponge baths on his hospital bed, he seemed to enjoy being immersed into the water.

One night in July, after his bath, I cut his hair and shaved his cheeks. We were alone in the bath room. All clean and well-groomed with no place to go except into bed, I stepped back to take one more admiring look at him and said, “I sure do love you!”

Ever so softly, I heard, “Love ya back.” His first words in ten weeks and I wasn’t sure I heard them right.

Tears filled my eyes as I moved closer and cupped his cheeks in my hands, “Did you just say love ya back?”

He looked at me and said, “I love you, I love you, I love you.” Each time was slightly louder. I knew he wanted me to be sure of what he was saying and he said it with all his strength.

Exhausted, he closed his eyes. Did I imagine this? No, it was real. I felt his jaw move with my hands and he said it three times, looking straight at me. Without another person in the room, there was no witness. Overjoyed, I wanted to shout to the world that Mark had spoken and recognized me, but I feared they’d doubt me. I didn’t want anyone to squash the joy I was feeling, so I chose not to share this grand news—at least not yet. After helping the aide get Mark back into bed and getting the kids from the playroom, I left the hospital elated, keeping this blessed moment to myself for fear no one would believe me.

Welcome to Western Rehab

The sixty mile ride in the ambulance seemed so strange and unlike the ride I had the day of the accident. I was grateful to be in the passenger seat and not on the stretcher in the back. Both technicians were very friendly and asked lots of questions about the accident and our experience over the past seven weeks. It felt unreal as I talked to them about it. How could all of this have happened to me? Events like this happen to someone else, not me, somebody who is better prepared for it. When would I wake up from this bad dream? A sense of being stuck in it hit me hard.

Picture from http://www.healthsouthutah.com.       Formerly Western Rehab Hospital

Before I knew it we were pulling up to the entrance of Western Rehab. My excitement to finally be there turned to fear, like the first day of elementary school. You can hardly wait to go, but when you get there you realize you don’t know what it’s going to be like. My eagerness turned to worry as the EMT’s unstrapped the stretcher from the ambulance and wheeled it into the hospital. I hadn’t given much thought about what would be expected or how hard and painful it would be until we walked through the doors. Yes, I had taken a tour of the hospital and had met some of the staff before, but all that was discussed on that visit was the details of the facility and their therapy program. My confidence turned to insecurity as we approached the front desk to check in with Mark lying on the stretcher in a coma.

Picture from http://www.healthsouthutah.com. Formerly Western Rehab Hospital

The receptionist welcomed us and said Mark’s room was going to be in the special care unit right in front of the nurse’s station.  She directed us to go straight down the hallway. One EMT pushed the stretcher from the head of the bed while the other guided from the foot. My mother had followed the ambulance in her car and met up with us at the receptionist desk. As we walked by Mark’s side, I noticed a man in a wheelchair with his head bolted to a halo. The sparkling clean, wide tile hallway seemed filled with pain and suffering. I was overwhelmed by what some of the patients were enduring. Sights of treatments for injuries I had never seen before. Would I get used to seeing discomfort, agony and grief? Mark was in a peaceful coma; what would his recovery be like? Am I strong enough to handle it?

As we approached the nurse’s station we were greeted by Rita, a cheerful, friendly nurse who escorted us to Mark’s room. While the EMT’s were getting Mark transferred from the stretcher to the hospital bed, Rita opened the closet door and said, “Bring some clothes for Mark because we plan to dress him every day. He will need loose fitting pull over shirts and pull on pants with high top shoes. Socks and underwear can go in these drawers, along with any other personal belongings you want to bring,” she said as she pulled out one of the drawers on the left side of the closet.  She pointed to the white board on the right side of the closet. “This will be Mark’s daily schedule.” Written on the board was:

Therapy

9:00 am OT – Cheryl

10:00 am Respiratory

11:00 am PT – Leslie

Noon – 1pm – Rest

1:30 pm  Speech – Chris

2:00 pm OT – Cheryl

3:00 pm PT – Leslie

4:00 pm  Respiratory

4:30 pm Speech – Chris

10:00pm Respiratory

Sitting Up

Up – 11:00 am                   Down – 12:00 pm

Up – 2:00 pm                     Down – 4:00 pm

Up – 8:00 pm                     Down – 9:30 pm

Wow, what a busy schedule. How can Mark do all that? At McKay-Dee Hospital Mark didn’t have a set schedule, so I was thrilled they thought he could do it, yet flabbergasted at what seemed unrealistic.  In my mind I could see the doctor at Mackay-Dee Hospital, saying “I tried to tell you it’s too soon.” I pushed the thought out of my head as I remembered my first day of school and the overwhelming feelings of schedules and expectations. However, from the past I’d learned I could adapt, so I silently committed to help Mark in every way adjust to this new schedule and meet their expectations.

I was familiar with the range of motion routine the Physical Therapist (PT) would do with Mark at McKay-Dee Hospital, but I couldn’t imagine why he needed a Speech Therapist (ST) or an Occupational Therapist (OT).

“What will Mark do in speech therapy while he’s in a coma and has a trachea tube?” I asked the nurse as she detached the tube from the portable ventilator to the stationary hospital ventilator and hung his IV to the post on his bed.

“The therapist will come by and explain what they will do in their therapy sessions and the doctor should be in any minute now. Make yourself at home and let me know if I can get you anything.”

I sat in the chair next to Mark’s bed and Mom took one on the other side. I looked at Mark and was relieved that the move appeared to go unnoticed by him. He slept peacefully through the ambulance ride and transferring from the stretcher to the bed. He seemed unaware of his new surroundings. I was grateful to be in our home town of Sandy, UT.

A young, handsome man walked into our room and introduced himself as Mark’s new neurologist, Dr. Wright. He reviewed the reports he’d read  from McKay-Dee Hospital with us and we discussed the  treatment plan. His mannerism was gentle and compassionate. Immediately I felt at ease with him and confident Mark’s recovery was in good hands. He explained Mark would be completing the powerful intravenous anti-biotic in five days and he ordered all therapies to be done in his room until then.

“What will they be doing in respiratory therapy?” I asked, pointing to the schedule.

“The therapist will keep the tracheotomy cleaned and gradually turn down the ventilator, weaning him off of it. The respiratory therapist will help Mark learn to breathe on his own again.”

“What about speech therapy?” I asked.

“They use objects like bells and whistles to try to get Mark to respond to them.”

“Cool,” I said, hopeful and excited. This staff is planning for him to come out of his coma!