Monday, November 29, 2010

The Slow Lane

As you all know, Beth is back at home adjusting to life in the slow lane--doesn't come easy for someone like her! It definitely is a combination of ups and downs. Today, she cooked her breakfast and then did the dishes and was wiped for the rest of the morning. She tried to cut back on her morphine a few days ago but it was too soon, so she still takes the recommended dosage. She naps as much as she can and takes one or two walks outside--yesterday for 46 minutes--per day. She is coming up against some frustration around her limitations and her inability to do certain things. Often, she waits for Matt to get home to either get something for her or perform a task. She says that she is having to work harder to keep her spirits up and her attitude in the positive realm, and that that definitely came easier at the beginning of the process. I can appreciate that--at four weeks and counting, it must be getting seriously old by now. But the way I see it, it's only a matter of time before she'll be doing stuff like running endlessly along beautiful, pristine beaches and conquering canyons in a single bound. In the meantime, she's doing some writing, some visiting, some self-care, and a lot of resting up for the day when she's ready to be back out there with the sun on her shoulders, doing what she loves most...


(Even though this was taken years ago, I imagine the title of this photograph to now be: "Beth, on the Road to Recovery")



Wednesday, November 24, 2010

My first week at home

Since Linda is en route to Maine today to spend Thanksgiving with her family and children, I offered to write this post. I still find writing challenging, mostly due to the pain medications I am on. I can't find the right words or stay focused long enough to fully express myself. That's hard for me. It felt wrong to not have a post before Thanksgiving. So, I will give it my best shot-
To my community of support, please know that every note, email, gift, prayer, thought and assistance continues to help me. I feel carried and held by many.
Since I've been home, I took my first shower alone and washed my hair with my right hand. Courtesy of the Elk's loaner program, I have a sturdy shower chair and bath bar to keep me steady and upright. My entire week of meals were provided again by dear friends. I have been able to prepare two breakfasts for myself. Otherwise, I still rely on Matt to heat my meals and do the dishes. At least he does not have to use his camping stove anymore! I am walking twice a day. Yesterday, I managed to stay out for 30 minutes. I loved feeling the warmth of the sun on my face, hearing and seeing so many birds head south and feeling the beat of my heart. I am sleeping soundly now compared to the two hours a night at the hospital. Putting myself down to sleep gets easier every day as long as I have my body pillow ready to support my left side and the blue ugly doll under my left armpit. Getting up continues to be challenging.
Mostly, I spend my days resting. It takes a long time to do any real kind of work as in pay bills. I am learning how to pace myself. I struggle with not being able to bend over or stand up very long. I broke down in tears this morning when I realized I had finished the roll of toilet paper and would not be able to replace it myself. I would have to call Matt who was already on his way to work. A few hours later, flowers from work arrived to lift my spirits.
Next week is a big week. I see four different doctors to find out how well I am healing and what to expect in terms of my recovery.

Every day, I acknowledge my gratitude for being alive so tomorrow will be no different except I will think of all of you and feel my gratitude for the multitudes of ways my heart has been touched and altered.

Thursday, November 18, 2010

Parallel Lives: The Story of Stephen King's 1999 Accident by Stephen King


I wasn't a fan of Stephen King's until I read his non-fiction book On Writing. It's one of the best books I've ever read on the subject and a lot of it has stayed with me over the years. A few years back Beth listened to the audio version while on a road trip and she and I talked a lot about how insightful King is--and what an excellent writer he is. In it, he writes about a terrible accident he was in when he was hit by a car while walking. Many of you know that Beth is in the nascent stages of her own book and, like King, her writing has been derailed by her injury. Just today I was thinking about the similarities in their stories, and so looked it up again to check it out. I thought some of you might be interested in it. It's a long excerpt, but pretty fascinating. And King, whom I always spurned as a B-grade horror writer, tells a compelling, layered, and deeply felt story. The lesson? Never judge an author by his genre!

**************************************************************************

When we're at our summer house in western Maine, I walk four miles every day, unless it's pouring down with rain. Three miles of this walk are on dirt roads which wind through the woods; a mile of it is on Route 5, a two-lane blacktop highway which runs between Bethel and Fryeburg.
The third week in June of 1999 was an extraordinarily happy one for my wife and me; our kids, now grown and scattered across the country, were all home. It was the first time in nearly six months that we'd all been under the same roof. As an extra bonus, our first grandchild was in the house, three months old and happily jerking at a helium balloon tied to his foot.
On 19 June, I drove our younger son to the Portland Jetport, where he caught a flight back to New York City. I drove home, had a brief nap, and then set out on my usual walk. We were planning to go en famille to see The General's Daughter in nearby North Conway, New Hampshire that evening, and I thought I just had time to get my walk in before packing everybody up for the trip.
I set out on that walk around four o'clock in the afternoon, as well as I can remember. Just before reaching the main road (in western Maine, any road with a white line running down the middle of it is a main road), I stepped into the woods and urinated. It was two months before I was able to take another leak standing up.
When I reached the highway I turned north, walking on the gravel shoulder, against traffic. One car passed me, also headed north. About three-quarters of a mile farther along, the woman driving the car observed a light-blue Dodge van heading south. The van was looping from one side of the road to the other, barely under the driver's control. The woman in the car turned to her passenger when they were safely past the wandering van and said, 'That was Stephen King walking back there. I sure hope that guy in the van doesn't hit him.'
Most of the sightlines along the mile of Route 5 which I walk are good, but there is one stretch, a short, steep hill, where a pedestrian walking north can see very little of what might be coming his way. I was three-quarters of the way up this hill when Bryan Smith, the owner and operator of the light-blue Dodge van, came over the crest.
He wasn't on the road; he was on the shoulder. My shoulder. I had perhaps three-quarters of a second to register this. It was just time enough to think, My God, I'm going to be hit by a school bus . I started to turn to my left. There is a break in my memory here. On the other side of it, I'm on the ground, looking at the back of the van, which is now pulled off the road and tilted to one side.
This recollection is very clear and sharp, more like a snapshot than a memory. There is dust around the van's tail-lights. The licence plate and the back windows are dirty. I register these things with no thought that I have been in an accident, or of anything else. It's a snapshot, that's all. I'm not thinking; my head has been swopped clean.
There's another little break in my memory here, and then I am very carefully wiping palmfuls of blood out of my eyes with my left hand. When my eyes are reasonably clear, I look around and see a man sitting on a nearby rock. He has a cane drawn across his lap. This is Bryan Smith, 42 years of age, the man who hit me with his van. Smith has got quite a driving record; he has racked up nearly a dozen vehicle-related offences.
Smith wasn't looking at the road on the afternoon our lives came together, because his Rottweiler had jumped from the very rear of his van into the back-seat area, where there was an Igloo cooler with some meat stored inside. The Rottweiler's name is Bullet (Smith has another Rottweiler at home; that one is named Pistol). Bullet started to nose at the lid of the cooler. Smith turned around and tried to push Bullet away. He was still looking at Bullet and pushing his head away from the cooler when he came over the top of the knoll; still looking and pushing when he struck me.
Smith told friends later that he thought he'd hit 'a small deer' until he noticed my bloody spectacles lying on the front seat of his van. They were knocked from my face when I tried to get out of Smith's way. The frames were bent and twisted, but the lenses were unbroken. They are the lenses I'm wearing now, as I write this.
Smith sees I'm awake and tells me help is on the way. He speaks calmly, even cheerily. His look, as he sits on his rock with his cane drawn across his lap, is one of pleasant commiseration: Ain't the two of us just had the shittiest luck? it says. He and Bullet left the campground where they were staying, he later tells an investigator, because he wanted 'some of those Marzes-bars they have up to the store'. When I hear this little detail some weeks later, it occurs to me that I have nearly been killed by a character right out of one of my own novels. It's almost funny.
Help is on the way, I think, and that's probably good because I've been in a hell of an accident. I'm lying in the ditch and there's blood all over my face and my right leg hurts. I look down and see something I don't like: my lap now appears to be on sideways, as if my whole lower body had been wrenched half a turn to the right. I look back up at the man with the cane and say, 'Please tell me it's just dislocated.'
'Nah,' he says. Like his face, his voice is cheery, only mildly interested. He could be watching all this on TV while he noshes on one of those Marzes-bars. 'It's broken in five I'd say maybe six places.' 'I'm sorry,' I tell him - God knows why - and then I'm gone again for a little while. It isn't like blacking out; it's more as if the film of memory has been spliced here and there.
When I come back this time, an orange-and-white van is idling at the side of the road with its flashers going. An emergency medical technician - Paul Fillebrown is his name - is kneeling beside me. He's doing something. Cutting off my jeans, I think, although that might have come later.
I ask him if I can have a cigarette. He laughs and says not hardly. I ask him if I'm going to die. He tells me no, I'm not going to die, but I need to go to the hospital, and fast. I ask Fillebrown again if I'm going to die, and he tells me again that I'm not. Then he asks me if I can wiggle the toes on my right foot. 'My toes, did they move?' I ask Paul Fillebrown. He says they did, a good healthy wiggle. 'Do you swear to God?' I ask him, and I think he does. I'm starting to pass out again. Fillebrown asks me, very slowly and loudly, bending down into my face, if my wife is at the big house on the lake. I can't remember. I can't remember where any of my family is, but I'm able to give him the telephone numbers of both our big house and the cottage on the far side of the lake where my daughter sometimes stays. Hell, I could give him my Social Security number, if he asked. I've got all my numbers. It's just everything else that's gone.
Other people are arriving now. Somewhere a radio is crackling out police calls. I'm put on a stretcher. It hurts, and I scream. I'm lifted into the back of the EMT truck, and the police calls are closer. The doors shut and someone up front says, 'You want to really hammer it.' Then we're rolling.
Paul Fillebrown sits down beside me. He has a pair of clippers and tells me he's going to have to cut the ring off the third finger of my right hand - it's a wedding ring Tabby gave me in 1983, 12 years after we were actually married. I try to tell Fillebrown that I wear it on my right hand because the real wedding ring is still on the third finger of my left - the original two-ring set cost me $15.95 at Day's Jewelers in Bangor. That first ring only cost eight bucks, in other words, but it seems to have worked.
Some garbled version of this comes out, probably nothing Paul Fillebrown can actually understand, but he keeps nodding and smiling as he cuts that second, more expensive, wedding ring off my swollen right hand. Two months or so later, I call Fillebrown to thank him; by then I understand that he probably saved my life by administering the correct on-scene medical aid and then getting me to the hospital at a speed of roughly 110mph, over patched and bumpy back roads.
Fillebrown assures me that I'm more than welcome, then suggests that perhaps someone was watching out for me. 'I've been doing this for 20 years,' he tells me over the phone, 'and when I saw the way you were lying in the ditch, plus the extent of the impact injuries, I didn't think you'd make it to the hospital. You're a lucky camper to still be with the program.'
The extent of the impact injuries is such that the doctors at Northern Cumberland Hospital decide they cannot treat me there; someone summons a LifeFlight helicopter to take me to Central Maine Medical Center in Lewiston. At this point my wife, older son, and daughter arrive. The kids are allowed a brief visit; my wife is allowed to stay longer. The doctors have assured her that I'm banged up, but I'll make it.
The lower half of my body has been covered. She isn't allowed to look at the interesting way my lap has shifted around to the right, but she is allowed to wash the blood off my face and pick some of the glass out of my hair. There's a long gash in my scalp, the result of my collision with Bryan Smith's windshield. This impact came at a point less than two inches from the steel, driver's-side support post. Had I struck that, I likely would have been killed or rendered permanently comatose, a vegetable with legs. Had I struck the rocks jutting out of the ground beyond the shoulder of Route 5, I likely also would have been killed or permanently paralysed. I didn't hit them; I was thrown over the van and 14ft in the air, but landed just shy of the rocks.
'You must have pivoted to the left just a little at the last second,' Dr David Brown tells me later. 'If you hadn't, we wouldn't be having this conversation.'
The LifeFlight helicopter lands in the parking lot of Northern Cumberland Hospital, and I am wheeled out to it. The sky is very bright, very blue. The clatter of the helicopter's rotors is very loud. Someone shouts into my ear, 'Ever been in a helicopter before, Stephen?' The speaker sounds jolly, all excited for me. I try to answer yes, I've been in a helicopter before - twice, in fact - but I can't. All at once, it's very tough to breathe.
They load me into the helicopter. I can see one brilliant wedge of blue sky as we lift off; not a cloud in it. Beautiful. There are more radio voices. This is my afternoon for hearing voices, it seems. Meanwhile, it's getting even harder to breathe. I gesture at someone, or try to, and a face bends upside down into my field of vision.
'Feel like I'm drowning,' I whisper.
Somebody checks something, and someone else says, 'His lung has collapsed.'
There's a rattle of paper as something is unwrapped, and then the someone else speaks into my ear, loudly so as to be heard over the rotors. 'We're going to put a chest tube in you, Stephen. You'll feel some pain, a little pinch. Hold on.'
It's like being thumped very high up on the right side of the chest by someone holding a short sharp object. Then there's an alarming whistle in my chest, as if I've sprung a leak. In fact, I suppose I have. A moment later, the soft in-out of normal respiration, which I've listened to my whole life (mostly without being aware of it, thank God), has been replaced by an unpleasant shloop-shloop-shloop sound. The air I'm taking in is very cold, but it's air, at least, air, and I keep breathing it. I don't want to die. I love my wife, my kids, my afternoon walks by the lake. I also love to write. I don't want to die, and as I lie in the helicopter looking out at the bright blue summer sky, I realise that I am actually lying in death's doorway. Someone is going to pull me one way or the other pretty soon; it's mostly out of my hands. All I can do is lie there, look at the sky, and listen to my thin, leaky breathing: shloop-shloop-shloop.
Ten minutes later, we set down on the concrete landing pad at CMMC. To me, it seems to be at the bottom of a concrete well. The blue sky is blotted out and the whap-whap-whap of the helicopter rotors becomes magnified and echoey, like the clapping of giant hands.
Still breathing in great leaky gulps, I am lifted out of the helicopter. Someone bumps the stretcher and I scream. 'Sorry, sorry, you're okay, Stephen,' someone says - when you're badly hurt, everyone calls you by your first name, everyone is your pal.
'Tell Tabby I love her very much,' I say as I am first lifted and then wheeled, very fast, down some sort of descending concrete walkway. All at once I feel like crying.
'You can tell her that yourself,' the someone says. We go through a door; there is air-conditioning and lights flowing past overhead. Speakers issue pages. It occurs to me, in a muddled sort of way, that an hour before I was taking a walk and planning to pick some berries in a field that overlooks Lake Kezar. I wouldn't pick for long, though; I'd have to be home by 5.30 because we were all going to the movies. The General's Daughter , starring John Travolta. Travolta was in the movie made out of Carrie , my first novel. He played the bad guy. That was a long time ago.
'When?' I ask. 'When can I tell her?'
'Soon,' the voice says, and then I pass out again. This time it's no splice but a great big whack taken out of the memory-film; there are a few flashes, confused glimpses of faces and operating rooms and looming X-ray machinery; there are delusions and hallucinations fed by the morphine and Dilaudid being dripped into me; there are echoing voices and hands that reach down to paint my dry lips with swabs that taste of peppermint. Mostly, though, there is darkness.
Bryan Smith's estimate of my injuries turned out to be conservative. My lower leg was broken in at least nine places - the orthopaedic surgeon who put me together again, the formidable David Brown, said that the region below my right knee had been reduced to 'so many marbles in a sock.'
The extent of those lower-leg injuries necessitated two deep incisions - they're called medial and lateral fasciatomies - to release the pressure caused by the exploded tibia and also to allow blood to flow back into the lower leg. Without the fasciatomies (or if the fasciatomies had been delayed), it probably would have been necessary to amputate the leg. My right knee itself was split almost directly down the middle; the technical term for the injury is 'comminuted intra-articular tibial fracture'. I also suffered an acetabular cup fracture of the right hip - a serious derailment, in other words - and an open femoral intertrochanteric fracture in the same area. My spine was chipped in eight places. Four ribs were broken. My right collarbone held, but the flesh above it was stripped raw. The laceration in my scalp took 20 or 30 stitches. Yeah, on the whole, I'd say Bryan Smith was a tad conservative.
Mr Smith's driving behaviour in this case was eventually examined by a grand jury, who indicted him on two counts: driving to endanger (pretty serious) and aggravated assault (very serious, the kind of thing that means jail time). After due consideration, the District Attorney responsible for prosecuting such cases in my little corner of the world allowed Smith to plead out to the lesser charge of driving to endanger. He received six months of county jail time (sentence suspended) and a year's suspension of his privilege to drive. He was also put on probation for a year with restrictions on other motor vehicles, such as snowmobiles and ATVs. It is conceivable that Bryan Smith could be legally back on the road in the fall or winter of 2001.
David Brown put my leg back together in five marathon surgical procedures that left me thin, weak and nearly at the end of my endurance. They also left me with at least a fighting chance to walk again. A large steel and carbon-fibre apparatus called an external fixator was clamped to my leg. Eight large steel pegs called Schanz pins run through the fixator and into the bones above and below my knee. Five smaller steel rods radiate out from the knee. These look sort of like a child's drawing of sunrays. The knee itself was locked in place. I entered the hospital on 19 June. Around the 25th, I got up for the first time, staggering three steps to a commode, where I sat with my hospital johnny in my lap and my head down, trying not to weep and failing. You try to tell yourself that you've been lucky, most incredibly lucky, and usually that works because it's true. Sometimes it doesn't work, that's all. Then you cry.
A day or two after those initial steps, I started physical therapy. During my first session, I managed 10 steps in a downstairs corridor, lurching along with the help of a walker. One other patient was learning to walk again at the same time, a wispy 80-year-old woman named Alice who was recovering from a stroke. We cheered each other on when we had enough breath to do so. On our third day in the downstairs hall, I told Alice that her slip was showing.
'Your ass is showing, sonnyboy,' she wheezed, and kept going.
I came home to Bangor on 9 July, after a hospital stay of three weeks. I began a daily rehab program which includes stretching, bending, and crutch-walking. I tried to keep my courage and my spirits up. On 4 August, I went back to CMMC for another operation. When I woke up this time, the Schanz pins in my upper thigh were gone. I could bend my knee again. Dr Brown pronounced my recovery 'on course' and sent me home for more rehab and physical therapy. And in the midst of all this, something else happened. On 24 July, five weeks after Bryan Smith hit me with his Dodge van, I began to write again.

Wednesday, November 17, 2010

Beth's Address and Quick P.S.

Some folks have contacted me to ask where they can send things for Beth, and she wanted me to put her home address up:

Beth Davis
228 South Cleveland Ave.
Louisville CO 80027

Also, Matt called to say she was home and she went up and down the stairs with her boot cast on but no cane or any other assistance. Woot woot--it's only a matter of time!

Tuesday, November 16, 2010

Homeward Bound

Today Beth got the official notice that she will be sent home tomorrow at 4 p.m. to continue her healing on her own turf. How great is that? Her posse is busy gathering things she will need for the transition, like a shower stool, a back rest, a recliner (thanks, John!) and a cane. She said that today was the best day she has had since the accident; when she woke up this morning she could really feel the healing energies at work in her body. It's a long road, but it gets shorter every day.


It's time to wind down this blog--Beth has asked that I post weekly updates, and I will do so starting next week for a while, and then that will be that. Thanks for coming along on this ride and for all your words of support, love, caring, and encouragement for Beth--it has made an incredible difference in her journey back to health. 



Love After Love
by Derek Walcott


The time will come
when, with elation
you will greet yourself arriving
at your own door, in your own mirror
and each will smile at the other's welcome,

and say, sit here. Eat.
You will love again the stranger who was your self.
Give wine. Give bread. Give back your heart
to itself, to the stranger who has loved you

all your life, whom you ignored
for another, who knows you by heart.
Take down the love letters from the bookshelf,

the photographs, the desperate notes,
peel your own image from the mirror.
Sit. Feast on your life. 

Monday, November 15, 2010

Call for Recliner--Done! That Was Quick!

It looks like Beth may be sprung from BCH tomorrow or Wed. latest to head home for the final phase of her process. She's just too "able" to be in there, even though she has a lot of healing left to do. One thing she is looking for as she makes this transition is a recliner--the La-Z-Boy style with the flip-up footrest and reclining back. Does anyone have one/know of one that might be looking for a good home in Louisville for the next couple of months? Beth would prefer not to buy one for such a short-term investment unless absolutely necessary. Please let us know.

As much as everyone is impressed with Beth's rapid-fire progress, she still has a long way to go. Her pain level is high and she gets easily overwhelmed and fatigued. She is going to need continued support in this next phase, and many thanks to all who are offering their time, their help, their cooking skills, and their general shoring up--none of it goes unnoticed and all is deeply appreciated.

Sunday, November 14, 2010

Two Weeks Ago Today

I realized today as I was heading over to the hospital that it was two weeks ago that Beth had her fall--what a long way she has come since then. Today she did stairs on her own, test-drove a cane, and was released to "independence" from 8 a.m. to 8 p.m. (doesn't have to call a staff member to help her get around). Freedom can't be far away.

I know you're all on tenterhooks wondering what ended up happening on the hair front. I went back yesterday afternoon and resumed my combing and dousing and tugging. We were finally reduced to one angry rat's nest about a tenth of the size of the original host, and Beth had to undergo yet another surgical procedure--this time with my nail scissors. Suffice to say that she was left with an (almost) full head of beautiful locks by the time our session was complete.

Beth has really noticed the positive impact of the notes, cards and comments she has received since this whole adventure began, and would love to keep hearing that chorus of encouragement if we have the time to sing it. She draws a lot of strength and determination from our belief in her power to heal. Feel free to comment here, or if you want a less public forum to drop her a note, her address at the hospital is:

Elizabeth Davis
Boulder Community Hospital, Room 408
1100 Balsam Ave.
Boulder CO 80304

And speaking of being grateful for support: sincere thanks for the kudos about the blog--I really appreciate the feedback.

I hosted the toasting circle at Beth's 50th birthday party three years ago and read a poem as part of my piece that night. I had recently undergone a huge life change, and this poem was my touchstone during some pretty dark nights of the soul. I thought at the time that it was also a good one for Beth...

...but these days, I think it's even better.


The Journey 
by Mary Oliver

One day you finally knew
what you had to do, and began,
though the voices around you
kept shouting
their bad advice --
though the whole house
began to tremble
and you felt the old tug
at your ankles.
"Mend my life!"
each voice cried.
But you didn't stop.
You knew what you had to do,
though the wind pried
with its stiff fingers
at the very foundations,
though their melancholy
was terrible.
It was already late
enough, and a wild night,
and the road full of fallen
branches and stones.
But little by little,
as you left their voices behind,
the stars began to burn
through the sheets of clouds,
and there was a new voice
which you slowly
recognized as your own,
that kept you company
as you strode deeper and deeper
into the world,
determined to do
the only thing you could do --
determined to save
the only life you could save. 
 

Saturday, November 13, 2010

Gratitude

It is with such a warm heart that I sit down to write this post this morning. I just had breakfast with Beth--the first time in a while that we've eaten together!--and the first time in a loooonnnnggg while that I've seen her in Boulder. The minute I entered Boulder Community's doors and walked along the slate entrance tiles, I had a good feeling. (I'm guessing that it helps that it involves a five-minute commute from home with the blue sky and the mountains in view the whole time!) Then seeing her in her room, with the green and yellow paint scheme, the art on the walls, the comfy easy chair, the almost-view of the Flatirons, the sun pouring in her window--and you really get the feeling that she is home. The healing is just oozing out of the place. And as great a job as they did in Denver, they are focused there on trauma and fixer-upping. Now she is in a place focused on care and on getting her home. It feels so right.


After Beth and I ate our oats, we got down to the real reason I was there today: the rat's nest she has been cultivating for the past 12 days, formally known as her hair. OMFG. That girl has serious dreadlocks going on. I came armed with a plus-size bottle of leave-in conditioner (at first I was putting a little in my palms and working it in; by the end I was just dousing her in it) and a wide-tooth comb. Yes, I took photos before  starting because I knew she would never believe that her head could actually look like a study in modern art. I spent 45 minutes on it and each lock freed was a massive victory. We didn't get through the whole thing because the occupational therapist came in to prep her for a shower, so will tackle it again later. The OT had to "waterproof" Beth beforehand--ankle, toe, arm, clavicle, chest tube site--with plastic but there was still some skin left over to clean by the time she wheeled her off. 


Beth had some great rest last night and seemed really settled and ready to tackle what is ahead; wonderful, because her dance card is full these days. She has minimum 3 hours of therapy per day--physical and speech (the speech part is just to check for possible neurological damage, of which there appears to be none, but they have to make sure). She has to get dressed every day and start living more "normally" than she has been. No more slumming it in her open-backed gown. They will be teaching her how to shower, walk stairs, do things around the house, etc., so that she can be released to her home without any professional assistance (except Matt, of course--the consummate professional assistant these days!) Her nurse talked about upping her pain meds somewhat, because unless her pain is low-grade she won't be able to do the therapies. And also starting to use ice as part of her healing.


Beth and I have been talking a lot about gratitude lately, and how much we truly have if we only are willing to focus on what is there, instead of what isn't. I have been doing some research on the science of gratitude for a project at work this past while (funny how these things always seem to converge), and I read an essay the other day in which the author said that her practice of gratitude is such that before she opens her eyes in the morning, she thanks her bed for a good night's sleep. It flows out from there. Another woman, sitting with her dying mother who was in pain, asked her how she was feeling and her mom said something along these lines: "I can see the roses in the garden. The sun is coming in the window. And I'm having a delicious cup of tea with my daughter. Sometimes, you get it all."



Friday, November 12, 2010

Welcome Back to Boulder

They should be loading Beth up right about now into the ambulance for transport to Boulder Community Hospital, in-patient rehab. Her chest xray was clear and she is outta there! More details to follow...

Thursday, November 11, 2010

"This Accident Is the Best Thing That Has Ever Happened to Me"

Beth shared something with me tonight that really stopped me in my tracks. She had originally written just to say thank you, and this is what it became:

"I feel so blessed, and deeply grateful for the outpouring of love, support, sacrifice, and care. Please convey this in the blog. I feel a level of gratitude I have never known. My heart has been cracked open. I am connected to the hearts of so many. Energies in the universe are healing me. There is no way I am doing all of this on my own. This accident is the best thing that has ever happened to me in my life. It has ripped away the veil of a reality that is unimportant and put in its place a reality I have yearned to know. I can no longer be the Beth I was and if this is how I get to become the new Beth (and who that is I don't know yet) then I consider myself blessed and fortunate. 

I don't know if this makes sense to you. I hope so."

Grab a Cold One for a Good Cause

Here's something cool: the Walnut brewery has brewed up a batch of Mountain Rescue Ale, and tonight is tapping night in conjunction with a fundraiser for Rocky Mountain Rescue--our friends who brought Beth down safely, and quickly, from her fall. FREE FIRST PINT between 6 & 6:30 as the evening kicks off. Cheers!

http://www.rockymountainrescue.org/walnut.php

Disconnected

I visted Beth this morning and, let me tell you, Room 239 is like a subway station, with people coming in, going out, interrupting, prodding and poking, asking the same questions over and over, and generally creating chaos. No wonder she's too fried for visitors. I hope rehab is a more peaceful ride!

The big news of the day is that the chest tube is out. The med student we were talking to was saying that Beth's chest xray yesterday looked fantastic, with the pleural effusion on the R side gone, and just a little fluid left on the L side. They will take another chest xray in a couple of hours and if she is still clear, then she's cleared for takeoff to Boulder. The surgical PA came in to discuss that air pocket in her lung (pneumohydroseal?) that they're still concerned about--he said it's the biggest one he's ever seen, surely a dubious distinction--and said that there's really nothing they can do about that except see if the body resorbs it and hope it doesn't get infected. He said it usually shows up in car accident victims from taking a big breath in right before impact, as Beth likely did right before she hit the ground. Urgh.

Beth looked better than I've seen her in this entire process. Her eyes were bright and we had a few laughs about some of the things she said when she doing those shots of Fentanol last week. It was great to see her smile and feel her rushing back into herself again. While I was there she got up without help, grabbed her walker, and wheeled herself off. She says she's getting restless and ready to do more--doesn't that sound just like her? Her rash has abated somewhat and the new pain meds seem to be doing the trick; she's at a "4" on the scale, with most of it centered on that L side that got such a walloping. This afternoon she is looking forward to a sponge bath--or, maybe a shower now that the tube is out--and a fresh gown. Life is good.

Not sure when she'll be moved to Boulder, but tomorrow could be the day we've all been waiting for...

"Go into yourself,
and see how deep is the place
from which your life flows."
~Rilke

Wednesday, November 10, 2010

Leaps and Bounds

Just got a great update from Matt about Beth's day. Holy. He actually said she is moving "with ease" and now buzzing around with her walker without any hovering from him or the nurses. Ambitious as ever, she tried to convince him to let her try walking without it and, although tempted, he held his ground--and she held the walker. Probably not a great day for a fall! Crutches come next. She slept four beautiful, uninterrupted hours last night--heaven!--and the CT scan this morning showed a fully inflated lung, without any more trapped air, so the punctures have healed. They plan to take the chest tube out tomorrow and, all going swimmingly, move her to Boulder on Friday. Yippee!


He also asked me to let all of know how touched Beth is by the cards, drawings, gifts, and blog messages she has received during these last 10 days, and how each one lifts her spirits. She says, "I feel the power of love and prayer and appreciate how important it is to be there for one another. It is the community that has come together from all over on my behalf that has shown me how deeply connected we are and the power and love of that connection." 


Amen, Sister.

Calendar Suspended for Now

You may notice that the calendar has been removed from the sidelines--it's a temporary measure, and one that Beth decided would be best for the next little while until she is healthier. A group of us are still coordinating food and various logistics/support for her, but she has asked that visitors sit tight until she feels more up to, well, visiting. She looks forward to seeing everyone when she is a little stronger. When that happens, I'll post the calendar again.

More later on how she is faring today once I get caught up with Matt.

Tuesday, November 9, 2010

The Art of Movement

In his message tonight Matt said, "I don't know how far Beth traveled today," suggesting a lot of distance was covered. Talk about music to the ears! He said she is really moving around a lot, and today is the first day she stopped using the nurse for assistance on her journey with her rolling walker from chair, to bed, to hallway, to... bathroom! Yes--they took the catheter out today, and any reader who has ever experienced that lovely moment in life can truly appreciate the unique joy of greeting the toilet like a long-lost friend. The doc visited and said, depending on the CT scan in the morning, that they may remove the chest tube TOMORROW, so that is the one last link in the chain holding her in Denver. They have to monitor her after they remove it, but even so she could be back in Boulder in a couple of days, likely at the Mapleton hospital (she told me last night she couldn't wait to get into the pool there.)

I really have a deep sense that Beth is going to be one of those miracle recovery stories--she has come so far in such a short time. If you see her rolling her walker up the Sanitas trail on Saturday morning, be sure to give her a high-five on your way by!

Thinking About Beth on a Rainy Afternoon...

Welcome Difficulty
by Rumi

This being human is a guest house.
Every morning a new arrival.
A joy, a depression, a meanness, some momentary
Awareness comes as an unexpected visitor.
Welcome and attend them all!
Even if they're a crowd of sorrows, who violently
Sweep your house empty of its furniture, still,
Treat each guest honorably.
He may be clearing you out for some new delight.
The dark thought, the shame, the malice,
Meet them at the door laughing, and invite them in.
Be grateful for whoever comes, because each
Has been sent as a guide from beyond.
Welcome difficulty.
Learn the alchemy true human beings know:
The moment you accept what troubles
You've been given, the door opens.
Welcome difficulty as a familiar comrade.
Joke with torment brought from the Friend.
Sorrows are the rags of old clothes and jackets
That serve to cover, and then are taken off.
That undressing,
And the beautiful naked body underneath,
Is the sweetness that comes after grief.

Monday, November 8, 2010

Reduced Visiting Schedule for Now

Beth has decided to cut back on visitors for the next few days, as she is now really keyed in on her healing, so she has requested that there only be two visitors per day and that they sign up for 10 and 12. It's tough because while she loves seeing people, she is noticing how much it drains her and she is very focused on getting the chest tube out and getting back to Boulder soon to rehab there.

Jack and I visited Beth tonight in her new set-up on the ICU floor. She is in a larger room with fewer alarms and beeps and screens, but just as many tubes and wires. She turned out to be allergic in a full-body-rash way to the meds she was on, so they switched her to Lortab and Delotid--jury's still out as to whether or not they will work for her. Her pain is pretty high still but she walked three times today--amazing. When I was there she moved from the chair to the bed and it was so good just to see her standing up. A lot of the swelling in her arms and legs has gone down and she is much more alert than she was when she was sipping on that potent cocktail delivered by epidural. We got her tucked in for the night with Karla's yummy blanket and all the pillows arranged just so--hoping for a night of dreamless rest and more milestones reached tomorrow...

New Digs: Room 239

Beth was indeed moved from her old haunt at the end of the ICU area to another room on the ICU floor, which is quieter, and Matt said she slept better last night than she has for the last couple. Also, the trauma doc indicated that they may take the chest tube out in the next few days, in which case she could be transferred to Boulder. As much as we've all been enjoying exploring the various routes to the hospital in Denver and trying to figure out which one makes the most sense given the time of day... it will be great to have our girl back in the 'hood--for a lot of reasons other than traffic! She had another CT scan this morning which showed increased inflation of the lung and there is less fluid being collected from the chest cavity. Her oxygen was decreased from 4 liters to 2.5, so things are really looking up in this second week of her recovery.

Matt also said that Greg Norton, a member of Rocky Mountain Rescue and the first person on the scene of the accident, visited Beth today. Thanks, Greg, for all you did in getting her stabilized and to the hospital. We are so grateful for all the efforts of you and your team on her behalf!

Letter from a Friend

One of my colleagues took a few swim lessons with Beth earlier this year. Other than that, he has spoken to her once or twice when she and I have met up for lunch at my office. Although he doesn't know Beth well, he was moved to write her this letter, which I read to her on Saturday. She was so touched and inspired by it that she asked if I would put it up on the blog because she felt that it could help other people, too. I asked him, and he agreed. So here it is. Thanks for sharing your words and your eloquence, Carl!

***************************************************************

Dear Beth,

I am so sorry to hear about your recent mishap and want you to know that my heart goes out to you. I’ve only taken a few of your swim classes, but in that short period sensed that you have a kind heart and a big soul. (And Linda might have mentioned some of your kind attributes also. ;) After hearing the news, and following the blog, I have thought and felt much about what you are going through. I wanted to throw out some words in hopes that they might help. Please take care and be strong.

I’ve only read / heard stories about your lifetime career of feats and accomplishments. But I get the feeling that you have the will to take on any obstacle and enjoy overcoming it. You have worked and struggled harder than you ever thought was possible. You have trained your mind, body and soul to endure immense pain, to keep moving when your body screams to stop, and to win. Not to defeat others. But to find you. To truly see who you are. You have seen that beautiful, quiet space that exists between pain and happiness, success and compassion. This is a glorious place that few people know.

And now you have been thrust into what probably feels like the world turned completely upside-down. It is the beginning of the hardest challenge / obstacle that you have ever faced. The course unfolding in front of you winds through strange and scary landscapes, the equipment cold and unfeeling, the language bizarre to say the least, and your training beyond excruciating. But don’t forget, please don’t forget, this is what you have trained for. You have been here before. You have looked out over the chasm and felt the pain and fear that you are feeling now. Remember, your mind, body and spirit know what to do. They have overcome this chasm before. They know hope, and they know how to heal. They know how to find their way back to that glorious space.

And in time you will also begin to see through all of these new markers. The street in front of your house will take on the dimensions of a football field. Every little success will transform into a massive accomplishment. You will rejoice over things that you once took for granted. And most importantly your new heroes will become the world around you. It will be the woman in the grocery store at midnight, bags under her eyes, getting her medicine. You don’t hear cheering or clapping, but if you look deeper, you will see the immense crowd reflected in her eyes. Friends, loved ones, and sometimes even total strangers. And that smile you give her, will be the best medicine she has ever been given. After all of these illusions melt away, you will find that beautiful space again. But this time, since you have changed and grown and endured, you will stay in that wonderful space. That is when you will know, we are all here with you. I look forward to seeing you in the pool and out on the trails again soon.

Carl

“You can survive 30 days without food and 3 days without water, but you won’t last 30 seconds without hope.”
Sean Swarner (First cancer survivor to summit Everest)




Sunday, November 7, 2010

"Something Better" (with thanks to Mary Oliver)

Matt checked in a while ago to report a "very good day." He said that when he arrived at the hospital Beth was already sitting up and had a good breakfast. He had been advocating to get them to remove the soft cast on her left arm--from palm to shoulder--because she had developed an angry rash underneath it and since the surgery is done, it seemed superfluous. They took it off today and Beth was much relieved. And then... drum roll... wait for it: Beth walked about 20 feet down the hall to the center of the ICU and back to her room. I can't even imagine the strength, will power, motivation, determination, rising above, and pure cojones that took. It just seems that that kind of attitude and grit is going to contribute hugely to her recovery. Matt said he also planned to get her outside for a few minutes of sunshine in the afternoon. We all know how much it means to Beth to be outside in nature; if it can't be the Sangre de Cristo mountains, the Pawnee national grasslands, a pristine lake discovered on a day-long hike in Montana... then let it be the hospital parking lot with the roar of Colfax nearby--amazing how everything gets redefined and reassigned in these circumstances, isn't it? The last piece of good news was that they planned to move her to another room on the same floor late today to reduce the amount of nighttime disturbance. The ICU is super noisy, with people constantly coming into your room, various machines beeping, endless conversation among caregivers, and a general sense of being "on" all the time. I don't know if that means she is out of the ICU (fingers and toes crossed) or if she's just in a slightly different location, but let's hope it bodes a night of sweet dreams for Beth, and that she sleeps "as never before"--at least in the last week.




Sleeping in the Forest 
by Mary Oliver

I thought the earth remembered me,
she took me back so tenderly,
arranging her dark skirts, her pockets
full of lichens and seeds.
I slept as never before, a stone on the river bed,
nothing between me and the white fire of the stars
but my thoughts, and they floated light as moths
among the branches of the perfect trees.
All night I heard the small kingdoms
breathing around me, the insects,
and the birds who do their work in the darkness.
All night I rose and fell, as if in water,
grappling with a luminous doom. By morning
I had vanished at least a dozen times
into something better.



Saturday, November 6, 2010

Transitions

When I got to Beth's room this morning, she was sitting in her chair looking glumly at some scrambled eggs and toast. We got rid of that pronto and replaced it with steel cut oats and chopped pear from my bag of tricks. She had had a rough night and it turned out to be a rough morning as well. They took the epidural out and are trying to figure out her pain management with pills--Percoset and Oxycontin--by mouth. It's a terribly difficult transition. Beth is really feeling the pain of her ribs, which everyone has indicated is the worst, as well as all the healing that is happening in virtually every other area of her body.

She felt a little better after she ate and we were able to talk more. I managed to get her teeth brushed, her hair braided, and some letters read to her. She said the messages and letters are like "the treats on the top of the cupcake, the fun stuff," and that they mean a lot to her. Please feel free to drop her a quick note of encouragement if you have a moment, either here by comment or by mail. She is counting so much on our circle of support to help her through some of the darker days ahead.

They took her down for a CT scan a bit later. Her chest tube had started to increase its output yesterday, and they weren't sure why. (The tube is collecting fluid that is gathering in between the lung and the chest cavity.) The scan showed that there is an additional area where fluid is gathering, so they are monitoring her for infection by watching for fever as well as doing cultures and checking her white blood cell count. There seemed to be a little uncertainty about the precise location of the new pocket. If they think an abscess is forming there they will need to take surgical measures, but that is the worst-case scenario and they are hopeful it won't come to that. At this point they couldn't say more. She does have a low-grade fever.

In terms of the medical detail, let me say up front that I'm not a medical person so if I've gotten info wrong, I apologize. This is as much as I could glean today.

In other news, a few of us met last night to talk logistics around food and visitors. In accordance with Beth's wishes, we have decided to scale back the visiting hours, particularly in light of her new level of pain and discomfort. You can sign up on the calendar to visit her at the times listed between 8 and 2. If you do visit her and she isn't able to interact well or it seems like too much, it's fine to just give her your best wishes and take off. Please try to "read the environment" and do what is best, depending on how she is feeling. She loves having people come and really enjoys the support, but these next few days could be particularly challenging until they figure out the pain meds for her.

Please send your loving, healing thoughts her way for a more peaceful night and the same for the days ahead.

Friday, November 5, 2010

Standing Room Only!

Matt just called me with The Daily Update, and Beth has had a big day. The PTs came in a while ago and got her to stand up. She managed to put weight on both feet (she has one of those velcro boot things on the foot they operated on) and to stand for a few minutes. Her legs were shaking so much that she said she felt like a newborn calf. Aw. She shuffled around the room a bit and then they set her up in a chair by the window, where she was opening cards and gifts, looking at her altar, snacking on a muffin, and enjoying being a more active participant in the world. She reported no pain at all in her pelvis/hip/sacrum, so that bodes really well for no further surgeries.

When the docs came in today they again saw no bubbles in the lung fluid, and said there is just a part of the left lung remaining to inflate, so that is going better than I realized. She still needs to get rid of some of the nasty junk in there when she can cough it out.

Matt and I talked about food, as her appetite has returned and she is doing her best to avoid the hospital's offerings. We're trying to figure out how that can be managed over the next week or so. More on that to follow. Karla and Steph are hosting a "Team Beth" meeting tonight to go over some important aspects of her care in the short- and long-term, so we may be reaching out in the next little while for support with making/delivering food and other things. Keep you posted.

All I can say about our newborn calf is... Holy Cow! (Sorry. Clearly couldn't resist.)

Thanks Anika! re: Anyone Available Tonight from 8-10?

Anika will be with Beth tonight--thanks so much for the quick response! Please ignore the request below...

***********************************************

Matt just asked me to post a request for someone to sit with Beth tonight during the 8-10 slot, or even for the early part of it (she gets really tired in the evenings). He stays all day with her and greatly appreciates a break in the evening so he can replenish. If anyone can come, please comment after this post or call me at 303.998.6132 before 4:30 and I will contact him.

Waiting for PT to show up and try to get her standing today--will let you know how that goes when I have news...

Thursday, November 4, 2010

From the Hospital Trenches

As I drove down to Denver this morning to visit Beth, I felt acutely aware and grateful for things I don't think about enough; good health, moving freely without pain, seeing the glorious fall colors against the sky. Amazing how a situation like the one Beth is in really focuses the mind.

Beth now has three titanium plates permanently inside her: clavicle, ankle, arm. The docs (along with their obligatory trail of residents, nurses, and nursing students) came in to round on her while I was there and answered some questions. She still has the epidural for pain but they will be taking that out in the next couple of days because they don't want to risk infection at the site. She controls that herself with a button; in addition, they have weaned her off the other IV pain drip and transitioned her to Percoset pills to manage the pain in her extremities. (Apparently the epidural manages pain in the central body area.) Once she is released, they will need to have figured out the proper pain-management cocktail for home, so this is the beginning of that next phase. They made her cough and watched the fluid they are collecting from her chest tube at the same time. Today is the first day they haven't seen bubbles in it, which is what they're looking for. Yay! That means the puncture is starting to close up. They asked her about pain in her legs and pelvis but she couldn't really answer--she's still pretty numb. They talked about the possibility of getting her to stand in the next day or two. Beth, the model patient, perked right up and said, "Do you want me to try now?" Negative--they thought maybe she might need the assistance of some experts with that!

They also talked about the sacral fracture and whether or not that will require surgery--they can't tell until they see how much pain she is in when she actually stands. Seems like if we can put a man on the moon and invent the Internet that someone should be able to determine if she requires another surgery or not on that. Just sayin'.

In terms of the longer horizon: they think she will be in the SICU for another few days, and then out on the hospital floor for several more. It will depend on how quickly she heals: the chest tube has to be removed before discharge. So she has a ways to go yet.

The nutritionist came in and asked Beth about her appetite (zero) and if there were anything on the menu she was tempted by. Beth asked what was organic and was told none of it. Hmmm. Matt and I immediately started talking about options to bring from home, like homemade broth, organic yogurt, etc. He is on it and plans to start tomorrow with some healthy options for her. She did eat a few small spoonfuls of Yoplait but it was definitely work to stay with it.

Her friend Alan was working in the area, so he stopped by to say hi, which was great. I shared with Beth some of the messages I've received -- keep them coming, they really feed her -- and gave her some kisses on her forehead I had stored up from other friends (and their pets). There seem to be the beginnings of an altar on her table, and I collected up some of the small objects people have brought and put them on a ceramic tray. Feel free to add to it if you wish. As I left, again feeling intensely grateful for my working arms and legs and lungs and everything else, Matt was getting Beth to do her breathing exercises, which are exhausting for her but essential, and cheering her on: "You're doing great, lovey... one more!"

Wednesday, November 3, 2010

A Girl We Know and Love... in Her Favorite Place to Be



Second Surgery Complete

Matt called a few minutes ago and said the surgeries went well, nothing unexpected. They repaired both the clavicle and the ankle as planned and there were no surprises. Beth is back in her room but still hasn't woken up. He plans to stay with her until about 9 tonight, or at least until she is coherent/cognizant of his presence. Three cheers for Matt! He is really holding up the side. How great for Beth to have such a rock to shore her up during this challenging process.

I don't plan any further updates tonight, unless I hear any new details. I'll check in again after my visit to her in the morning.

Visitor's Calendar

Thanks Karla and John for setting this up. The Yahoo calendar to coodinate visits to Beth is now up and running--look on the sidebar on the left of this page and you'll see the instructions on how to use it. There is no longer any need to email Karla to set up appointments. Happy visiting!

Timing for Surgery Today

Matt just checked in and said Beth was very talkative again this morning, and was wondering when she would be able to drive again. That reminded me that last night she said to me, "I guess I won't be going to work tomorrow!" and then talked about how she had been wanting to take some time off, and now she can. Amazing what a positive attitude can do, even in a situation as serious as this one. He has been reading notes and emails to her and she continues to feast on the support--thanks to everyone for all you are doing on her behalf.

Matt said she is scheduled for surgery at 1:00 p.m. to repair her left clavicle and her right ankle. Will let you know how that goes when I have more info. Please keep her in your thoughts as she gets over this next hurdle. I am envisioning some kick-ass healing on the other side of it!

Tuesday, November 2, 2010

Seeing Beth Tonight

Matt called earlier to report in on Beth's day. She had had a really good morning but things were a bit tougher in the afternoon. Her lung function was down again and Matt said a number of specialists came in to check it out and figure out what to do. The nursing staff really worked on Beth to get her to cough and expectorate, which she eventually did, but it was very painful and took a lot out of her. Once she managed to cough out some of the junk, she was able to take in more oxygen, which is what they are looking for. That left lung continues to be a big concern.

Jack and I visited her tonight. She was pretty tired. She wanted to talk about the accident--how she and Karla had finished after having a glorious day, they both rappelled down, and when Beth got off the rock and was pulling the rope down, it got stuck. She free-climbed back up to get it and almost made it, but was feeling pretty "off center" and like the rock wasn't too stable. She was just about at the rope when she slipped. In her mind's eye, she sees herself falling. She said Karla was incredible and never lost her cool. She also talked about Rocky Mountain Rescue and how awesome they were in getting her on the litter and into the helicopter. 

Beth also wanted to talk about what a blessing it is that so many people have reached out and how much they want to do to support her. That is a really big piece for her and she really feels the abundance of that. I know it's hard for us because there's so little we can actually do and so much we wish we could do. I fed her ice chips and put some Vaseline on her lips. Read her the cards on her table. Small stuff. Her right hand was as many shades of mauve, green, blue, purple, and yellow as I've seen. 

Her surgery is tomorrow morning, although they still weren't sure of time. We left as the night nurse was taking her temperature and checking the levels on the various fluid bags. Another night in the SICU. As nice as they all are: let's get her out of there, as soon as possible.

Background of the Story (Plus Hospital Details)

I just received an inquiry from a friend of Beth's who got my note about the blog, but didn't know what was going on because he hadn't received Matt's note from earlier. Ouch. That can't be any fun. I have copied Matt's email here in case anyone else experiences the same thing. Still perfecting the system...

********************************************************************
As some of you may have already heard, Beth was involved in a climbing accident Sunday in Boulder Canyon. While her injuries are not life threatening, Beth sustained severe trauma throughout her body and will be in the Surgical Trauma ICU at St. Anthony Central Hospital in Denver for the next several days as she undergoes several surgeries to repair fractures in her upper and lower body. Fortunately, Beth did not sustain any head trauma. I was with Beth Sunday night and yesterday and I can see and feel that her spirit and mind are strong. She underwent surgery last night on her left arm and all went very well.
Please send Beth your best wishes, prayers, and positive thoughts to help her along as she begins the long journey of healing and recovery.
Please forward this message to those friends and associates that I may have missed in this email.
For those interested in sending a get-well gift to Beth in the next several days, it should be noted that the ICU prohibits live flowers.
Please use Beth's full name: 
Elizabeth Davis
The hospital address:
St. Anthony Central Hospital
TSICU Room 259
4231 W. 16th Ave.
Denver, CO 80204
Future changes in Beth's room number will be provided in the blog.
I apologize if you have received this email several times.

Thank you for your support and consideration,
Matthew Frank