Archive for November, 2013

Scooting around

SV_kneescooterI returned to work this morning, from my armchair. My computer is set up as if I am in the office, no one would know, except my office mates. But many of the people I work with aren’t in the Cambridge office anyways, so no difference to them.

After two meetings and some review work I noticed my flagging energy half way through the day. I had set myself some goals, things to complete, emails to read, to send, documents to read and phone meetings to attend, as if I hadn’t had a significant operation; funny how I fooled myself.

Axel has returned to his usual schedules of errands and doctors’ visits to deal with the various body parts that need expert attention and so I spent a good part of the day alone. I am well equipped now to take care of my needs, with my scooter and its basket full of necessities: a phone, a cup of tea or coffee, a water bottle, Tylenol or a piece of fruit.

The crutches are retired except for duty once I am upstairs where there is no knee scooter and I hobble around the old fashioned way.

I have requested a handicap placard for my car so I can park in handicap spaces or at parking meters for free, at least for the next few months. With icy winter weather coming our way I don’t want to be parked far from indoor spaces or scoot long distances. Traveling with my scooter is the next challenge, one I will tackle on my birthday 8 days from now.

Long tunnel, some light

I am settling into my new dependent lifestyle. I need help with just about everything as I can’t carry stuff from one place to another, nor get up and down the stairs without someone spotting me. I settle into a chair and then make my wishes known: an extra sweater, a book, my computer, a cellphone, food. Axel collects everything I need and tries to make me comfortable; a most wonderful personal attendant!

Yesterday my knee walker arrived which is giving me great freedom. I scoot around the house with great ease. The handy basket below the handlebars allows me to transport some stuff from one place to another and be just a tiny bit less dependent.

I took my last pain pill before I went to bed and hope that indeed it was the last one. Progress. I also had had my first shower this morning – the long road to normalcy has started: 12 more days with the clunky temporary cast. I will get the slimmer full cast as a special present on my birthday. I hope I get to choose a design. Then 40 more days till that one will be taken off. It seems long but the days go fast. I am hopeful.

Every morning I have to inject myself with a liquid that keeps my blood from clotting. I religiously follow the 7 AM ritual: hand washing, alcohol rub, stab myself, press and release the plunger. Axel’s cousin Erik died of a blood clot after ankle surgery some years ago; we were the same age then, early fifties. Once I have my full cast on I can switch to aspirin. I look forward to that milestone.

I took two full days off from work and left an automatic message to that effect. But still, colleagues ask me when I will answer my email again. Monday I go back to work, from my armchair.

Friends have visited, bringing books, food and puzzles. I completed the fun part of the 1500 piece puzzle and then folded the whole thing up when only black and white pieces, hundreds of them, were remaining. I am doing this for fun, no point in doing the not so fun part. Now I am free to prepare for my coaching exam in 2 weeks and pick up my rusted Dari for my upcoming trip to Afghanistan.

Upright still

And now it is the eve of my surgery, scheduled for tomorrow morning 8:30 AM. I walked through the house looking for things that required me to be upright on two legs and that had to be completed. Ah, the Christmas mustard making. Two bowls of mustard seeds marinating in wine and vinegar demanded attention – if not processed now they’d marinate into slime I feared. It’s a job that no one else in our family has even attempted to finish. I processed those batches and am good to go for at least a first distribution next month.

Our friend Isabella the Reiki Master will join us to get me utterly relaxed into the operating theatre. She has done this some 4 years ago before my rotator cuff surgery with great success.

At home everything is ready: the crutches by the door, my knee walker/scooter procured on eBay and on its way, the pain pills and the blood thinner in pre-dosed injection needles on the counter, the recliner upholstered and tested, and, a present from Axel, a cute little bamboo lap desk to hold my iPad mini. All that’s left is a healthy meal (chard with lentils) and a good night sleep.

A hundred in between

uncle_charles_104We spent the weekend admiring our grandson in Western Massaachusetts. He is obsessed with the moon and is lucky he can see the moon just about every night. But shiny bright round things are also included in the broad definition of what constitutes moon. he can hardly babble about anything else.

His English vocabulary is expanding fast and I can sometimes understand him, not quite as good as his parents but nearly recognizable. His Dutch vocabulary is following at a slower pace but his mom is helping to reinforce the new words. It is terminally cute when he says with a straight face that a plane overhead is a ‘vliegtuig’ and his cup with milky tea a ‘kopje thee.’

On Sunday we all piled in one car and drove the two and a half hours to Fairhaven on the South Shore to congratulate Axel’s uncle Charles (his mom’s youngest brother) with his birthday. Youngest brother sounds a bit funny for someone who has turned 104. He is the only survivor of that generation.

Faro’s entrance in the parlor of the old peoples’ home where Uncle Charles’ party was held was no less than spectacular and brought down the average age in the room by a few decades. Everyone’s face lit up. And Faro, being the sunny child he is, obliged.

There was live piano music of old tunes people could sing along with, there was cake and coffee and pie. And then there was Uncle Charles with a golden crown that had a piece of paper pasted onto it with the number 104. A local newspaper photographer snapped pictures of four generations and busily wrote down family relationships to understand who was who and get the captions right.

Tessa drove down from Dorchester, a mere 45 minutes away, and joined in the fun, with the extra benefit of having some time with her nephew. When we parted it was dark and rainy. The two and a half hour back was a little much for all of us but especially for young Faro who could only be distracted so much with songs and looking for the moon (too cloudy).

We spent another night in Easthampton and then I drove home to start cleaning my desk to allow for a stress-free recovery, while Axel and Sita had a business call in a nearby town. Axel bused in at the end of the day.

I picked him up at the Boston bus station for a dinner party at a colleague’s house in Cambridge to welcome colleagues from Kinshasa and Pretoria. It made for one very long but very productive day and a wonderful weekend.

Invaders

A fungus infection on my left foot is jeopardizing my ankle operation. The to-be-operated-limb has to be without any blemishes, punctures, infections and what not. The nostrils also have to be free of staph bacteria. Infection control in hospitals is a big deal. Stories about flesh eating and uncontrollable bacteria that roam around hospitals are also real and very scary. Occasionally one makes it into the news and everyone talks about it. I don’t want to hear anything about these things, not in general and especially not now.

My pre-op nostril swab proved positive but not with the resisting kind. An antibiotic cream should have killed the invader by now. The nurse told me that many people walk around with these bacteria in their noses, sometimes for years, until a hospital admittance procedure finds them and roots them out.

Several visits to three different nurse practitioners and finally the doctor himself let to an aggressive campaign to get rid of this fungus that’s been living on the bottom of my left foot for months now. I am taking antifungal pills to combat the affliction from the inside and a cream from the outside. The program seems to be working and I cross my fingers that the remaining 4 days will do the trick so I can show an unblemished left foot to the surgeon on Wednesday.

Plan B, if I get rejected for surgery, is not very appealing – requiring a postponement of surgery to deep into spring because my travel agenda is full until mid-March with trips to Afghanistan, Uganda and Malawi. Postponement will complicate my life big time. Shoo fungus shoo!

Getting ready

The blurry week is over, finishing with my pre-op visit to New England Baptist Hospital, located in an elevated part of Boston we never knew about. The views are magnificent if you are lucky to be on a top floor near a window.

It was the most thorough pre-op examination I have ever had, including nose swabs that detected unwanted bacteria – part of an aggressive infection control campaign I have not seen in other hospitals. “We were the first to do this in Boston and our infection rate has gone way down ever since,” said the nurse proudly. I like that; hospital infections scare me.

Our stay in 167 Water Street B&B was part of a barter arrangement for Axel’s graphic design services. It included a three course meal at David’s and, after a good night sleep, a full breakfast with the other B&B guests, visitors from Vermont.

A glorious long weekend allowed for some yard clean up – putting the asparagus bed to bed, pruning the raspberries and removing the frozen tomato and basic plants. But the kale, pak choi and chard are still going strong.

I finished the upholstery project and my recliner chair is now ready for my post-operative period. I am checking things off my to-do list that require two legs. recliner as new

I also handed in all my course requirements for my coaching certification – awaiting word for my final exam in the next few weeks that will, if passed, earn me the title of certified professional coach. The real coaching work of co-workers will start soon after. It’s been a very demanding and fulfilling journey that I started a little less than a year ago. At the time I was not sure I would be able to manage the 225 hours in training.

Blur

Faro_PAK_oiltruckAfter landing at Logan, and completing my Pakistan trip, I have been busy. First there were Sita, Jim and Faro, surprising us wit heir presence for a night. What better homecoming than that! I got to hang out with Faro for a couple of hours, and distribute gifts: for Faro the Pakistani oil tanker truck and pointy Aladdin slippers and for Sita a block printed table cloth. I tumbled into bed around 9 PM (6 AM Pakistan time) and sunk into a deep and dreamless sleep.

No one but me understood why I got up at 4:30AM and drove to work, to hand in my reports and then meet Axel later in the day to close on a home equity loan that will help us pay for a oil-to-gas conversion that will hopefully pay for itself in the end.

Then off to an MSH event at the Institute for Contemporary Art to take advantage of the nearby American Public Health Association Annual meeting and showcase our organization. Axel and I took advantage of this event and Sita’s job in Boston to celebrate her 33rd birthday that we all missed, including Sita herself, on assignment in Edmonton. Tessa had reserved us a table in a nearby restaurant. Dinner started at 9 PM, another late night. Axel drove me home while I slept in the car and transitioned barely conscious to my bed around midnight. A late night well worth it. I have come to love those family dinners where I can be generous from my unused food allowances from the trip.

Wednesday was another blurry day with required attendances in and out of the office: meetings, phone calls and a mid afternoon pre-op education session at the doctor’s office that was utterly wasteful of my time. The long wait in a depressing waiting room full of morbidly obese men put me back on the road in a bad mood, exactly at the hight of the rush hour. By the time I came home I had logged more than three hours on the road, coming and going.

The plan had been for Axel to drive us both back to Cambridge to celebrate the presence of a former colleague from Japan who was attending the public health meeting. This time our good judgment prevailed – we sent our regrets, put on our Jammie’s and settled down in front of the TV. I drifted away before the movie was over and went to bed at a decent hour.

And now I am in DC for all day meetings which will mean another late night what with my plane landing in Boston at bedtime tonight. Tomorrow more pre-op stuff requiring another trip into Boston at rush hour to make sure I am fit for surgery. Only then, it seems, can I finally land for a restful weekend that includes a stay at our friends’ B&B in Newburyport. Hallelujah!

Retched

I am using my stops in Amsterdam to see a new crop of small children born to my nieces and nephews over the last year. This time the stop was in Amsterdam where a mini reunion was organized for me: one 5 month old, one 22 months old and my brother and his wife, grandparents to two in the meantime. Thanks to Skype and Facetime we were able to loop family from Easthampton and Brussels into the noisy event.

Relying entirely on the strength of my horse pills I participated a little too enthusiastically in the food fest that was based on my recommendations and would have been hard to resist – an odd combination of coffee, homemade cheesecake, raisin bread with old cheese and raw haring. Something I came to regret a bit, many hours later.

I returned home in the weekend traffic, worsened by large hail chunks, winds that shook my little Fiat and raindrops that splashed with such force on my tinny roof and windshield that I could not hear myself think.

And now I am preparing for the homestretch. I have to repack to fit in the gifts of books and Saint Nicholaas candy and the licorice that has to come home. For that I have plenty of time as I am three hours ahead of this time zone and woke up at 5 AM. May be the early wake up was triggered by worrisome GI activity. The horse pills I took the last 2 days were leftovers from Axel’s trip to Nigeria and expired about half a year ago. Will I finally find out how serious you have to take the expiration dates on medicines?

This makes me think how odd it is that at an airport like Amsterdam (or any busy airport for that matter) I have never seen anyone retching over a trash can or simply on the floor. You’d think that the odds are significant that some of these millions of people have consumed contaminated food or water in the last 24 hours and a certain percentage must be in the early stages of pregnancy, and some fall in both categories. I wonder whether ground and airline staff have been trained in how to handle these unpleasant aspects of travel?

Westwards

Having stopped the explosive activity in my GI tract with horse pills, I was able to travel in peace from Karachi to Dubai to Amsterdam where I took my allowable rest stop.

I left Sheraton land for the airport earlier than the bell captain suggested, not wanting to add stress to my exit from Pakistan. I learned soon enough there was another reason to leave speedily: the young chief of one of the more active Al Qaida parties was mowed down by a drone in the northern region of Waziristan. This news was conveyed to me through a whole bank of newspapers neatly displayed in the airport lounge where I wiled away these extra hours before boarding time.

The lounge was the only one that ordinary mortals could join temporarily for small change, rather than requiring high bank or miles account balances. I was a cheap client, drinking only tea and coca cola.

The trip to Dubai was smooth and short, the trip to Amsterdam long and bumpy and the long walk between terminal 3 and 1 in Dubai endless and painful. Both flights had all seats filled, may be not surprising for a weekend flight.

In Amsterdam I arrived before 7 AM and, reluctant to call my hosts on a Sunday morning before 7 AM, I placed myself across from the opaque arrival doors at an airport café and watch family and friends cheer and cry as long or short lost relatives and friends appeared from behind the doors. At that hour of the day all the long haul flights come in from Asia, Africa and Latin America. It is wonderful to watch this reunion business. A large red machine next to the door allows one to print welcome home banners for a price, adding to the festivities.

I arrived in Holland in weather than can be seen or inferred from the Dutch masters, heavy and fast moving clouds, rain and a stiff wind. For the Dutch no reason to stay indoors–the large lake across S’s house was full of windsurfers racing at tremendous speeds across the lake. It is one way of making lemonade out of lemons – at least for a certain subset of the Dutch population.

The power of pan

One evening we ate in the Pakistani restaurant, one of about 4 choices we have to eat in the hotel. The Pakistani restaurant is the most lusciously decorated, not surprisingly. There is an open kitchen, probably not the usual thing for a fancy restaurant but to give foreigners a glimpse of what happens in the kitchen. You can peek at how naan is made for example.

The waiters are dressed with turbans and embroidered jackets. We are whisked to our seats as if we are royalty. We are both small eaters and ordered two dishes which came with twice as many accompanying dishes, including achar (lime and mango steen pickle, raita and plum chutney, plus shrimp chips and nuts).

After dinner we received a bracelet made from jasmine blossoms and rose petals strung on a metal band by the pan man. Pan is an after dinner concoction that you find all over South Asia. It consists of a leave rolled around various spices, supposedly as a digestive. I have eaten pan in Bangladesh and India and Nepal, so why not try the Pakistani variety.

My travel mate removed the mouthful of leaf and spices as soon as we were out of view but I bravely or stupidly chewed and swallowed everything, an act I came to regret. I have good reason to believe that this led to a serious 36 hour (maybe more) GI breakdown. For 24 hours I didn’t eat as my body expelled everything that went in. I had no appetite and lost my energy quickly. Our Pakistani colleague immediately went out and bought me Oral Rehydration Solution which is the only thing I took in, to replenish the lost electrolytes.

Despite my reduced energy, which put me a bit on the sidelines, we completed the workshop. Our participants were happy and appreciative, some because it was the best orientation they could have wanted as a new employee and others because they now have allies around specific topics or understand better some of the technical aspects of the organization’s work.

Our Pakistani colleague left first, returning to Islamabad a few hours after the completion of our work. The two of us remaining checked out the Lebanese restaurant for our last dinner. It is run by a real Lebanese cook. I spoke with him in a mixture of Lebanese and Dari but he understood me. He left 40 years ago when he saw the writing on the wall in his homeland. He appears to have done well, with his larger than life picture on the advertisements for the Sheraton’s cuisine. We must have disappointed him, ordering only 3 mezzeh dishes and not even finishing them. I am still pecking at food like a sparrow. We had the leftovers doggie-backed for my lunch today. If I had been in better shape I would have missed the Lebanese wine.

My Johns Hopkins colleague left in the middle of the night for Baltimore and now I am the only one left, tying up loose ends and reviewing the contents of my mailbox until my long transit begins in about 2 hours.


November 2013
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