Tuesday, November 14, 2017

Marriage and Care Giving


I look at all the wires coming out of her body, her pale face and the machines surrounding her beeping constantly. I am inside the ICU with my mother who has had a brain stroke. She had been admitted within what is called the “Golden Hours” in medical terms wherein a stroke can be reversed but somehow something went wrong and now she would be a near vegetable for the rest of her life. My wife is outside waiting for me to come out so that she can visit her. Fortunately, she is much closer to her than I was. That was the first big relief. Little did we know this would continue for two and a half years and we would be staring into the future with the prospect of things being status quo.

Ten days later her room at home was a veritable hospital room with a medical bed, IV stand, air mattress, all kinds of pumps. Her 45 year old bed had been dismantled and most of her furniture moved out. Nurses and maids had taken over our house and life with the occasional physiotherapists.  Overnight – our lives had turned upside down.

One thing my friend had drilled into my head – to avoid burn out of the family members and the first step towards it was each person getting enough sleep. That was the one BIG mantra. Next came the changes in the relationship amongst the household people – my father, my wife and I, the latter being more critical of the two. It took us almost six to eight months to settle down, to iron out issues and to ensure that no chinks showed up in the armour. Here are the few things that we learned while dealing with a bed-ridden patient – my mother.

Like I have already mentioned – my wife and I made sure the other got enough rest, enough sleep. We HAD to be honest with each other – mercilessly and selfishly – we decided. If one was not feeling rested enough – the other had to be told and adjustments made. Responsibilities had to be shared and we decided all the running around would be my part of the job and her deal would be to hold the fort at home and manage the nurses and maids (I must admit a woman does a much better job than men in critical situations.) Each had to take occasional breaks – travelling out was ruled out unless it was for a day and within 4-5 hours of drive. Hence each had to make plans to take breaks the way wanted to – going out for movies, occasional dinners, visit friends homes – anything that would take the mind off the home front.

From a man’s perspective – make her feel more special and DO NOT take her for granted. Give her parents the same attention that she is giving to your parents, surprise her (women LOVE gifts specially if it has anything to do with gold and diamonds!) Never ever feel bad or comment if on some days she is more concerned about HER aging parents – in fact encourage her to go and be with them for a week and take off and baby sit your own mother/parents. All of them will be happy. We did have two situations when her father was unwell – once it was severe panic attack and the other a gall stone operation that turned critical. She was hesitant going (she is the only child based in India) and I had to not only persuade her to drop everything and go – I also followed her there for few days for moral support. Off course that ment fortifying my house with additional medical staff to assuage my father’s worry but giving her the freedom to reach out to HER parents was of prime importance. Also, when it comes to taking breaks - don’t be selfish by trying to get more time off than your partner. Be responsible towards your children and share the load equally (we don’t have children but this appears to be common sense.)

Two plus years have been a tremendous learning process for both of us; I always knew she was a giving person but the extent she can go to surprised me. But what turned out to be a revelation was her quick uptake on medical situation – she could have matched step by step the nurses we had and better them even. Maybe she too has learned something out of it about me but I never asked but I am sure she now realises I trust her judgements more than I used to before! One great thing was that we never really had a fight or misunderstanding as far as our role as caregivers was concerned and I think she more than delivered her share of the responsibility – more than I did. There WERE some instances when I had put my foot down on some medical decisions leading to scraps but she consistently proved me wrong. That is when I decided to shut up and LET HER LEAD.

In the end – keep medically important things handy – doctor’s numbers, chemist’s number where you can call and get home delivery. Try and take a short life saving/first aid course. Learn to administer injections and insulin. Do NOT do away with nurses and maids – DON’T expect your wife (my wife works at home and gets a better salary!) to do their work – even if she can, don’t since if she burns out then next is your turn. Keep calm and cool – losing your head will lead to stress and you will pass it onto everyone around you. AND take special care of the partner of the patient – remember, they are going through the real trauma and that too in silence.

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