Hospital scenes

He arrived alone, a thin man in a white shirt with light blue checks, the top buttons undone. He matched the shirt with shorts and slippers and his hair was uncombed.

Had he fasted? the radiation therapist asked. Yes, since 6 am. That’s more than 3 hours, she said, so we can see you next.

When he finished, he told the therapist he had a fever every afternoon. He declined her suggestion to see the doctor on duty.

You can call for an appointment with your doctor anytime, she said. You don’t have an appointment now but you can call and make one if you need. The number is on your card, let me show you.

I have so many questions. The shirt was too loose, was it someone’s discard or was it his own shirt and he’d lost weight? Does he have family? Does he know how ill he is? How does he cope? Who made the appointment for radiation therapy? Why doesn’t he have another appointment?

On another day at the clinic, there was another old chap. I slowly realised he was actually chaperoned by two nursing home staff who sat far apart from him.

He looked like any other patient waiting his turn except he echoed what he heard in a soft, high-pitched voice. When the nurse called a patient’s name, he would repeat the name in his falsetto. When the appointment board chimed, he would echo that too, “Bing Bong!”

I can still hear him, “Bing Bong!”

So Lucky!

Mom had to visit the Emergency department one night, as she wasn’t doing so well and needed something stronger than oral antibiotics. Fortunately, the hospital was working well, and we were being seen by a doctor within half an hour of arrival.

He was a young doctor, and even if he wasn’t, he spoke as though he was very young and haven’t seen much of the world. After we told him what the problem was, he turned to the electronic record and was apprised of Mom’s multiple issues.

“Wow!” he breathed, “Aunty* has been through a lot! Do you know how lucky she is to be alive? The condition she had, you know, many people die of it. She’s quite lucky!”

I couldn’t stand it. “Well,” I said, “we take good care of her. And you’re lucky we’re not suing the hospital for missing the condition in the first instance.”

Young man, it may be your first time seeing us, but we’ve been to the hospital countless times, and if we didn’t know better, Mom would be a lot worse off.

Having said that, I’m very pleased with the treatment at this hospital for Mom all these years. Whenever she’s admitted, I get daily updates from the ward doctor, a medication check-up call from the Pharmacist on duty, and a post-discharge follow-up call from the nurse. Most times, things go right. Yet, I believe more than ever that the patient and family must take overall charge and not leave it to the “professionals” alone. Patients are living longer and with more complex and complicated conditions. We just have to help ourselves.

 

*Aunty is a generic way for addressing older women by respectful younger folk in our region.

Forgotten, in a manner

Mom was admitted to hospital for a brief illness, and I was visiting her.

“Hello, how are you today?”

“Hello. My daughter just went off.”

I wasn’t expecting that. “It’s me. I’m your daughter, Mom.”

She looks uncertain, and then, “No,” she says, “My daughter, she just went over there. Can you go and get her?”

I knew she had an earlier visitor, but hadn’t realized she thought that person was me, or so I hope, if she still remembers she had a daughter like me. So I decided to go along, “Oh, she’ll be back in a while.”

It’s really strange and unexpected.

At home, we never go to Mom and ask her, “Do you know who I am?” We assume all is fine if we get a cheery Good Morning! or Hello! The routine exchange of greetings, the signs of familiarity, the ease with which Mom navigates to her regular chair; surely all is well.

Or maybe the problem isn’t Mom, but me. Maybe I’m forgettable. Really.

I once went back to a workplace after a gap of a year. There were a few familiar faces at work that day, but they could not recall me. “Did you work here before? When? Really? No, we can’t remember you” they said. It gave me a turn and my heart pounded. I had a fleeting thought of “Twilight Zone” and then I wondered if I had caused offense and was being purposely “forgotten”.

On thinking back, I think it could be because I was task focused and did not get to know these colleagues personally, or they were task focused and did not see me. Or the turnover of staff was so high that those who stayed did not bother to keep track and remember those who had left.

Whatever, I think I can accept being forgotten. It’s the forgetting I’d rather not have.