MEDICAL TRIAGE

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Know how it feels to be very old?  

Imagine this: You’re living in Milan. You’re a fairly healthy eighty-eight year old.  Then the virus gets you. Symptoms of Covid-19 appear: Fever, extreme fatigue, difficulty breathing. In other words, difficulty staying alive on your own.

Into the hospital with you. Ordinarily, they’d intubate – stick a tube down your throat and attach it to an apparatus called a respirator that would breathe for you while doctors had a chance to work on the underlying disease and you could breathe again without help. Except now, during this tidal wave of respiratory need, the hospital doesn’t have enough respirators. Your doctors have to decide who should get a respirator and who should go without. In other words, who should live and who should die. Who would get the respirator? Grandma (meaning you)? Or the mother of four young children? Guess who they say they must choose.

According to news reports, that was the situation in Milan last week. I don’t live in Milan. I’m in Princeton, New Jersey – on the East Coast of the United States.  But the tidal wave has reached us. And I am eighty-eight years old. I have two other strikes against me, as well: underlying coronary disease (which my own doctors are managing very well, thank you), and a compromised immune system (thanks to a hospital infusion of contaminated blood in 1969). So I’m particularly susceptible to the virus. If it reaches me, I will almost certainly not be asymptomatic.

Like all my contemporaries, I recognize that the number of years left to me are limited – how limited still uncertain.  Like all my contemporaries, there are memory lapses (in my case small ones, mostly of names – and thank goodness for Google). Like all my contemporaries, the body is stiff in the morning, there are minor aches and pains that come and go, prescription meds to swallow with breakfast in the morning. But I live in a residential community where the median age is 82, in a town that skews heavily to college professors and senior executives of pharmaceutical corporations, none of them spring chickens. So on a day to day basis, I don’t really feel so old. Until now, when I read the news from Northern Italy. What being old means has finally come home to me. It means that in some previously unimaginable circumstances –to a “decider” who is someone else, not me — I’m expendable.

Expendable?  Me?

That’s what it feels like.

Well, I really don’t think it will come to that. For one thing I am very well protected physically, in a fortress of a building where the resident trustees have taken every precaution that can be taken and then some.  (More of that perhaps, in a later post.) And our state governors, if not the elected leader of our country, are aggressively preparing for the apex of the catastrophe. Many doctors have also spoken out on the nightmare scenario in Milan last week; the determining factor here would not be who’s a grandma but who’d be likely in any event to die of some other condition within the next half a year.

How do I end this gloomy post?  With determination to go on living for as long as I can.

Keep safe. Be well.  More later.

MEDITATION ON FLOWERS

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I bought myself some flowers...to cheer myself up..I was the one who bought them. It wasn’t an impulse purchase.  Last Sunday afternoon, I deliberately walked to the flower shop a few blocks away.  So how could this large arrangement of fresh flowers feel so wrong when unwrapped and on the coffee table?

I never used to buy myself fresh flowers. Before Bill, I was working in downtown Boston all the time, and nowhere near a florist. I certainly could have picked up reasonably priced bunches of multi-colored flowers at my suburban supermarket on weekends just before checking out with a cart of groceries. But they somehow always looked unreal to me, and cheap.  Besides, when would I have enjoyed them, or even have had time to change the water? I always seemed to be at the office.

 Afterwards, it was Bill who brought them home.  Always for birthdays and holidays,  more often for no reason at all.  In fact, it was unusual for there not to be a clear glass vase of fresh flowers on the coffee table in the family room where we spent most of our time when downstairs.  (The clear glass was my choice; I disliked opaque containers for fresh flowers.)  When they began to wilt, my frugal tendency would have been to nurse them along a little longer. He would insist on throwing them out. Then he would add “Buy flowers” to his daily list of things to do.

 He especially loved sunflowers.  If they were out of season, he chose lilies, preferably yellow or orange ones.  He never really spent a lot. Three stems, or even two, would do for him, with as much greenery as he could persuade the lady florist to throw in for free. (He had a way with ladies.)  When very occasionally persuaded to bring home roses because they were more romantic, they were yellow.

 My favorite color is red.  (You can see it in the chairs we bought together.  He chose the designs, I chose the reds.)  This made for a certain amount of mild dispute about flowers.  Once he did yield: a dozen red roses on my birthday.  I received them with great enthusiasm, hoping to encourage repeat performances.  No such luck, even though I generally expressed somewhat less warmth than he would have liked for all the yellow, or orange, or yellow and orange it fell to me to arrange in one of our two clear glass vases.

 As for the sunflowers, when we began life together they were my special bête noir.  I had never liked the ubiquitous Van Gogh that shows up in all surveys of French nineteenth century painting. And I particularly disliked the large brown centers and short little petals of the sunflowers themselves. They just didn’t look flowerlike to me.

 Unfortunately, at various times — either before he met me or surreptitiously afterwards — Bill had acquired about twenty stems of artificial sunflowers. They were to tide him over, I suppose, during those periods when there was a dearth of live ones.  Some were close replicas of the real thing, down to the big green leaves.  Others, more fanciful, were white and red, as well as yellow, with larger-than-real petals and colorful smallish centers.  He also had a secret cache of objets d’art in the depths of his large office closet, from which he produced three containers in which to put nine of the fake sunflowers. (Three, three, and three.)  These, after much discussion, found their way into our bedroom, to the top of the piano, and onto a sill in his office. Some of the others   appeared in the finished basement in still other containers I’d never known he had, although we’d been together for over eight years at that point.  The remainder of his sunflower stash I found thrust into the back of that capacious office closet when I was staging the condo to sell it; they were still waiting their chance to come into the light.

 It should come as no surprise I kept them all after he died.  Death changes the value of everything.  In retrospect, I was sorry I’d made a fuss about them.  It wasn’t such a big fuss, but still.  How much I would rather have had him back with all his nutsy sunflowers, actual and artificial, than live alone in a sunflower-free apartment!

 Bill’s fake sunflowers are therefore flourishing again at WindrowsThree sit in my office window:fullsizeoutput_c08 Three are on the bureau next to what I still think of as “his” side of the bed:Bill's sunflowers in the Windrows bedroomThree of the most fake adorn the all-purpose table in what the Windrows architect  designated as the “dining” area:fullsizeoutput_c0a The rest are stuffed into a red (yes!) vase that sits in the living-room window:fullsizeoutput_c0c But even with all the manmade sunflowers artfully placed here and there, up until last week my “new” apartment (not so “new” anymore) still had no fresh flowers in it, if you don’t count the two white orchids given to me on my most recent birthday by people I’ve met only in the last year. Yes, I put the orchids on my living-room windowsills away from direct sun, and yes, I keep them going, as recommended, with three ice cubes in each pot once a week. But to me they’re something else:fullsizeoutput_c0fArt objects maybe. fullsizeoutput_c0eNot what I think of as “fresh flowers” though.  And what’s a home without real flowers?

 About some things I’m quick.  About others not. A while ago, during a burst of sporadic early morning exercise, I passed Monday Morning, an upscale flower shop in Forrestal Village a few blocks from where I live. In the window sat a huge water bucket crammed with bunches of large-faced sunflowers, their big brown living centers turned avidly in the direction of the sun.  $7 a bunch. Instead of going right into the shop as Bill would have done, I walked on by, with a smile of course – thinking how he might have run amok inside and bought two or three bunches.  (One summer he gave my older son a dozen huge sunflowers in thanks for having invited us to visit in Southampton. It was hard to find a vase large enough to accommodate them all in the rented summer house.)

 It took me two weeks of staring at the empty surface of the black glass table in front of the sofa. That was two weeks too many. By then only a few bedraggled sunflowers with little faces remained drooping in a small bucket at the back of Monday Morning, far from sun. Poor sunflowers. (I know: pathetic fallacy.)  And now they were priced at $5 a stem, a deal breaker.

 But I had come out for flowers and I’m stubborn. So what did they have in the big window water bucket this week? There was a twenty dollar bill and a credit card in the back pocket of my jeans and I wasn’t going back with nothing.

 What they had, in more than one bucket, were bunches of red blooms that looked to me sort of like petunias but weren’t. That tells you how much I don’t know about flowers. Almost everything looks like petunias to me. Except sunflowers and lilies and orchids. (And pansies and daisies and carnations: I know what they look like too.) There were also bunches of carnations in all colors, including not only red, but yellow and white and red-rimmed cream.  And also many bunches of greenery, some in thick-leaved silvery green, others with dark green spikes and feathery fronds. $10 a bunch; 3 bunches for $20. All very fresh and perky.

“What color do you like?” asked the saleswoman, closing in for the kill.  “Her chairs are upholstered in red,” said a Windrows acquaintance helpfully; she had come out with me for the walk to Monday Morning and was now putting in her two cents.

I kept eyeing the yellow carnations“Can I mix yellow with red?” Bill had always said you can mix anything with anything, and I always disagreed.  Except now death had intervened.  “Not really,” declared the saleswoman decisively, ending discussion.  “Try these.”  She pulled from the water a bunch of red-rimmed white carnations and pressed them against the bunch of dripping wanna-be red petunias she was already holding.

“Isn’t that nice?” she asked rhetorically.  “It will go perfect with your furniture.”  Really?  What did she know?  But it did make a third bunch of the spiky greenery free. And the greenery might help the flowers.  And the carnations were a kind of orange.  If you squinted.  I wielded the credit card, the acquaintance peeled off for a cup of coffee,  I walked back to Windrows alone with a tissue-wrapped armful.  Literally an armful.

 Which meant I now needed a very large glass vase. There was one, at the back of a high kitchen cabinet, which had come into my possession fifteen months before, when Bill died. It then contained an expensive condolence arrangement.  Bill wouldn’t have liked this vase, even if condolences on his death had nothing to do with it.  It was beyond large, and had a “fancy” shape.  As I trimmed each stem and placed it in the vase, trying to mix red-rimmed carnations with red mystery flowers, I knew the whole enterprise had been a mistake.  Why had I bought so many? Why had I listened to a saleswoman who didn’t know what was in my heart? Did I even know what was in my heart? What was it I really wanted? By the time I had forced the spiky greens in around the edges, and placed the completed arrangement in the center of the black glass table (see top of post), I was hating it.

 Maybe it would look better if I sat on the sofa?  Not really.  fullsizeoutput_bedHow could I make it look the way fresh flowers used to look on the family room coffee table before Bill died?   I moved the vase off center and considered:

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(Sophie had no aesthetic opinions to contribute here. However, as I had awakened her with all my fussing, she was plainly planning to taste the flowers when I finally went away and left her in peace. As there’s never any way I can stop her from doing most of what she wants to do, and since I was already disheartened by my purchase, I had no problem with her plans.)

The table was just too bare.  In the condo, there used to be a large shiny black ceramic bowl that looked like a giant ashtray on each of our two coffee tables, one of them next to the glass vase that held the fresh flowers of the week. The bowl in the family room had a bright yellow inside surface and the one in the living room a bright red inside surface. Occasionally Bill would switch them around — “temporarily,” he said — to see if they looked better that way. I didn’t really care which was in which room as I privately thought they were both extremely unattractive (although clearly some designer’s idea of decorative “art”) and hoped for a long time, without success, that they would fall out of favor when Bill acquired something new that needed table space.  It goes without saying I got rid of them both when downsizing.  Now my eye was missing them.  Why hadn’t I kept at least one?

What I had kept were two small black bowls of his — partly because they didn’t remind me of ashtrays but mostly because they didn’t take up much space. One was lime green inside, the other orange.  I put the orange one next to the oversize vase of red and red-rimmed flowers and pushed it around a bit until it seemed to settle itself on a diagonal to the vase.  It was much smaller than the shape in my memory, but it was all I had. Maybe with Bill's orange dish near it?To cover more table top, I added a third object — my black-bound Kindle, representing the piles of books that used to accumulate wherever Bill was sitting.

A little more mess? And the flowers pulled up higher?

Then I pulled the flowers out of the vase as far as I could — to give them air and free them up a bit.

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Bill would have said, “Enough already.  Leave it.  It’s fine.” And he’d have been right. This was as good as I could do. Let’s face it: I’m neater than Bill ever was.  I can’t leave messes of books and papers around, even to simulate the feeling that he’s still here.  My books are on shelves, my papers in files, magazines in magazine racks.  I was ying, he was yang.  Or vice versa.  That’s why our flowers looked the way they did. And why mine look like this now that he’s gone.

The bottom line here?  When these have lived out their natural life, I’m buying more. No one’s going to talk me into red ones next time. I’m going for yellow. Not necessarily sunflowers, although I’m not ruling that out. And definitely not too many, even if “many” is a bargain.  They’re going to have to fit into one of my own two much smaller rectangular glass vases.

Next time I’ll also know that buying flowers, even yellow ones, won’t be like bringing him back for a while, or making the place where I live like home.  It’s just as close as I can come to it. And that’s something.

 

 

AND THEN…

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I can’t tell you what happened after I drove away from the Princeton hospital in the middle of the afternoon on May 6 because I don’t remember much about it, other than that I kept swerving erratically as I turned the wheel and was repeatedly honked at.  I suppose I survived because the honkers were also good drivers.  But I did manage to get myself back into my own driveway behind Bill’s red Honda, and then into the house through the garage door, carrying the hospital plastic bag containing everything he had had on when we had checked him in seven days before.  I couldn’t unpack it.  I just put it down.  It was all I had left of him.  It would still smell of him.  And I had to save that until I could cry.

Just then I couldn’t cry.  I sat on the family room sofa to call my two sons to tell them it was over.  They must have said the right things, each in his fashion, but I don’t remember what they said.  Did my voice shake? It must have.  I don’t remember.  Then I must have used Bill’s phone, which had a reduced overseas rate plan, to call his oldest niece in Israel and afterwards his Swiss first wife, mother of his older son, in Geneva.  His niece, who is a psychotherapist, was very kind. I do remember the kindness of her voice, but not her words. It was something about now I had to take care of myself.  His first wife (who speaks English and also likes me) was so matter-of-fact that I actually do remember what she said. It was that she was sorry but after all he had lived a long life, and I had my sons. She also invited me to visit if I ever come to Switzerland.

After that, I must have fed the cats and petted them and petted them.  They knew something was wrong.  Bill hadn’t been home for a week and I was clearly not myself.  They kept rubbing their furry cheeks against me in an unusual display of either affection or distress. I cleaned the litter boxes, and forced myself to drink an Orgain, of which there were over a dozen left in the fridge for Bill.  (Orgain is a somewhat more nutritious, and expensive, version of Ensure, that last nutritional resort for people who have difficulty eating enough).  I was numb.  I put my checkbook in my purse for tomorrow and went upstairs with the sole thought that I had to get some sleep because the next morning I needed to drive to the undertaker, who would have by then removed the body from the hospital — to pay him for having done that and for the cremation that would follow.  We had some old sleeping pills in the bathroom cabinet, but I was afraid to take one, or even half of one, lest I not wake up in time.  I stayed in bed all night, but if I slept I don’t remember it.

The undertaker was professionally solicitous. Sleepless and still in a state of shock, I resented it. He didn’t know me, he didn’t care about me, he was really only interested in my business — which he was going to get anyway because he took care of 90% of the dead in Princeton (as he was quick to assure me when I inquired).  I particularly resented his oily deference and lowered voice when, after obtaining the requisite information for the death certificate, and learning that I had no interest in buying any of his pretentious urns, he informed me that the fee for having removed the body and for the cremation would be $3,000, payable before I left.

Does anyone haggle in such circumstances? Did I really have any viable option?  Deciding it might be more prudent to hold on to cash for the time being, I kept the checkbook out of sight and gave him a credit card in payment.  My mother’s identical cremation in Palm Springs, California, sixteen years earlier, had cost slightly over $300.  I asked him what he charged people who couldn’t afford the fee.  He said if they could prove they were being supported by the state, there was a reduced price, which they could pay in installments.  He also said because his establishment was in the center of town and he needed a lot of space in back for mourners to park, his real estate taxes were very high. He was sure an educated, professional woman such as myself would understand.

The educated professional woman who was allegedly myself didn’t understand much at that point, but she did understand that in a money economy, everything costs.  Even dying.  However, she didn’t have time to brood about it.  There were many other things to attend to.  I had to finalize Bill’s affairs. As important, or even more so, I needed to decide what to do about the condo, which was both too big and too expensive for me to maintain by myself past the end of 2016.  The best time to try to sell it was soon, because people with young children who were looking to buy in Princeton wanted to do it in time to register those children in the Princeton public schools before the beginning of the school year.  So if I were going to sell, I had to get it staged and on the market by early July.  But first, I had to get myself back in shape to function.

Easier said than done.  Bill died on a Friday.  By the following Monday, I felt — felt physically, in my nearly 85 year-old body — as if I might be dying too.

WORDS FROM THE WISE

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Because it’s good blog etiquette to repay visits, I occasionally find myself at the blog of a twenty-something.  That’s a surprise.  When I began, I thought a blog with “Getting Old” in its title would be of interest, if any, only to boomers and beyond.  Apparently not always so.

The other surprise, which comes after I make an encouraging comment during the visit, is that the reply invariably expresses gratitude that someone with so much experience and wisdom has said something favorable.

Oh my!  Living a long time does, I suppose, provide some experience of what worked, and what didn’t, in one’s own life.  Which the person who lived the life can learn from or not, as the case may be.  But “wisdom?”   [The word always makes me think of Confucius.]  It’s what you think other people have when they’re older than you.

As my father used to say, “I have news for you.”  There isn’t any such thing. The only wisdom we oldsters might possibly offer the young (if they asked, which they don’t) is, “Don’t be such a damn fool.”   But who’s to say who’s a fool?

So lacking any wisdom of my own, even after all these years — I have looked elsewhere to find it for these younger visitors who expect it of me.  Looked — to be specific — in The Beacon Book of Quotations by Women, compiled by Rosalie Maggio. (Beacon Press Boston © 1992).  I guess I sort of agree with most of the ones I’ve chosen. Well, sometimes I do.  But not always. That’s just the way it is with wisdom. Sometimes it applies, sometimes it doesn’t. And sometimes, who knows?  Holler when you’ve had enough.

[On Experience]

“Experience is what you get when you’re looking for something else.”  Mary Pettibone Poole, A Glass Eye at a Keyhole (1938)

“Experience is a good teacher, but she sends in terrific bills.” Minna Thomas Antrim, Naked Truth and Veiled Allusions (1902)

“A rattlesnake that doesn’t bite teaches you nothing.” Jessamyn West, The Life I Really Lived (1979)

“Experience isn’t interesting till it begins to repeat itself — in fact, till it does that, it hardly is experience.”  Elizabeth Bowen, The Death of the Heart (1938)

“I have come to the conclusion, after many years of sometimes sad experience, that you cannot come to any conclusion at all.” Vita Sackville-West, In Your Garden Again (1953)

[On Complacency]

“Unhurt people are not much good in the world.”  Enid Starkie. In Joanna Richardson, Enid Starkie (1973)

[On Dying]

“She’d been preoccupied with death for several years; but one aspect had never before crossed her mind: dying, you don’t get to see how it all turns out.”  Anne Tyler, Dinner at the Homesick Restaurant (1982)

[On Concealment]

“There is nothing that gives more assurance than a mask.” Colette, My Apprenticeships (1936)

[On Life]

“Life itself is a party; you join after it’s started and you leave before it’s finished.” Elsa Maxwell, How to Do It (1957)

“Life seems to be a choice between two wrong answers.” Sharyn McCrumb, If Ever I Return, Pretty Peggy-O (1990)

“It begins in mystery, and it will end in mystery, but what a savage and beautiful country lies in between.” Diane Ackerman, A Natural History of the Senses (1990)

“You are dipped up from the great river of consciousness, and death only pours you back.” Dorothy Canfield Fisher, The Bent Twig (1915)

“Life offstage has sometimes been a wilderness of unpredictables in an unchoreographed world.” Margot Fonteyn, Margot Fonteyn: Autobiography (1976)

“It’s not true that life is one damn thing after another — it’s one damn thing over and over.” Edna St. Vincent Millay, in Allan Ross Madougall, Letters of Edna St. Vincent Millay (1952)

“Life is something to do when you can’t get to sleep.” Fran Lebowitz, in Observer (1979).

“That it will never come again / Is what makes life so sweet.” Emily Dickinson (c. 1864), published in Bolts of Memory (1945)

“Life is better than death, I believe, if only because it is less boring, and because it has fresh peaches in it.” Alice Walker, “Only Justice Can Stop a Curse,” In Search of Our Mothers’ Gardens (1983)

[On Lovers]

“The absolute yearning of one human body for another particular one and its indifference to substitutes is one of life’s major mysteries.” Iris Murdoch, The Black Prince (1973)

“In a great romance, each person basically plays a part that the other really likes.”  Elizabeth Ashley, in San Francisco Chronicle (1982)

“Secretly, we wish anyone we love will think exactly the way we do.” Kim Chernin, in My Mother’s House (1983)

This was life, that two people, no matter how carefully chosen, could not be everything to each other.” Doris Lessing, “To Room Nineteen,” A Man and Two Women (1963)

“No partner in a love relationship [whether homo- or heterosexual] should feel that he has to give up an essential part of himself to make it viable.” May Sarton, Journal of Solitude (1973)

[On Lying]

“Never to lie is to have no lock to your door.” Elizabeth Bowen, The House in Paris (1935)

[On Marriage]

“The deep, deep peace of the double-bed after the hurly-burly of the chaise-longue.” Mrs. Patrick Campbell, on her recent marriage, in Alexander Woollcott, While Rome Burns (1934)

“The very fact that we make such a to-do over golden weddings indicates our amazement at human endurance.  The celebration is more in the nature of a reward for stamina.” Ilka Chase, Free Admission (1948)

“A man in the house is worth two in the street.” Mae West, in Belle of the Nineties (1934)

[On Memory]

“Sometimes what we call ‘memory’ and what we call ‘imagination’ are not so easily distinguished.” Leslie Marmon Silko, Storyteller (1981)

“I think, myself, that one’s memories represent those moments which, insignificant as they may seem, nevertheless represent the inner self and oneself as most really oneself.” Agatha Christie, An Autobiography (1977)

[On Men]

“The only time a woman really succeeds in changing a man is when he’s a baby.” Natalie Wood, in Bob Chieger, Was It Good For You, Too? (1983)

[On Survival]

“Misfortune had made Lily supple instead off hardening her, and a pliable substance is less easy to break than a stiff one.” Edith Wharton, The House of Mirth (1905)

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That’s about it for today.  Which one did you like best?  Let us know.

Don’t ask me which I like best, though.  I vote for cats.

“Dogs come when they’re called; cats take a message and get back to you.” Missie Dizick and Mary Bly, Dogs Are Better Than Cats (1985)

 [Ed. Note: Dogs are definitely not better. Just different.]

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