Tuesday 31 January 2023

The Lessons And Rewards Of 2022 (Whilst Trying To Get My Head Around 2023)

Michael and I would have to be the most unpunctual couple on the planet. Tearing along Marshall Road en-route to Whiteman Park for our first doggy date, I was mightily relieved to receive a call from Michael that he was running late...and he only lived in the neighbouring suburb! We both try really hard to be punctual and sometimes we succeed, usually with all the preparation of a major military manoeuvre, along with much gnashing of teeth and temper tantrums from both of us.

Fortunately, our family and friends are aware of our tendency to be late (or very late) and often give us additional leeway or they downright lie about the expected time we are due to be somewhere. The fact that we do not like being woken by an alarm always adds to our stress, because a designated hour for rising means we have a schedule for the day. Think of us affectionately tomorrow as we have to leave home by a quarter to eleven (in the morning!) in order to attend a couple of appointments along with the completion of the shopping. Ye Gods.

Before Middle Age entered my life, I was often quickly and efficiently decisive. In some ways, I had to be. Our Autistic Superstar Alex was involved in an intensive home programme for two and a half years, with individual therapy sessions, play, pre-primary, physio and OT and day care for additional socialisation. Routine and organisation ruled. I don't regret our efforts for one minute. Alex has grown up into a positive, loving, friendly, considerate and eager young man and I am incredibly proud of him. Maybe that's why I enjoy the luxury of consideration now as I am confident in Alex's abilities to participate in  an ordinary life.

Hence, I have taken all of January to truly cogitate over the past year and arrive at some interesting and surprising conclusions.

2022 will be remembered as a year Michael and I spent more time that we would have like in medical facilities. We are the full bottle on hip and knee replacements, painkillers good, bad and ugly, the erratic nature of care in and out of hospitals and the relief of compassionate and effective treatment. We have discovered post operative delirium, the results of trial and error with medications, the nervous anticipation of approaching hospital stays and really appreciated our home upon our return.

However, these stints were all the means to an end. After hobbling our way across Queensland last July and August, we were determined to be firing on all cylinders come our next winter expedition. We plan to depart for our beloved Murchison, Gascoyne, Goldfields and the Pilbara come the beginning of June, visiting old favourite and a few unfamiliar destinations.

A most unexpected event, the installation of our bathroom railings, has led to a whole new confidence. They have been exceedingly useful during rehab but they also provide us with day-to-day reassurance. I have had an URTI this week (an upper respiratory tract infection - not COVID thankfully) and have felt a bit ordinary at times. To stand in the shower with the warm water cascading over me with my eyes closed has been just wonderful at clearing congestion and I only had to rest my hand on the railing to feel completely safe. Stuff the idea that bathroom railings are for the aged and inform - we revel in their presence!

Similarly, the shock of Michael being eligible for an ACAT Assessment early in 2022 has led to ninety minutes of domestic assistance once a fortnight for a minimal fee. To have our bed changed, the bathroom and loo cleaned and the floors vacuumed and mopped is almost heaven - and I that don't have to lift a finger every second Wednesday - and is right up there with clean knickers straight out of the dryer. Once more, we are so bloody grateful for these services.

A year of relationships with family and friends has had its joys and setbacks. We had been delighted with our divine grandchild, Miss Imogen Ivy and of course her fabulous Mummy and Daddy. We look forward to the arrival of Immy's sister Pumpkin (her current name) sometime in March. Cal, Bron and Imogen provide us with the magic of our own extended family and we savour every moment we spend with them.

Alex, aforementioned as the Autistic Superstar, is embracing life with all his natural enthusiasm. Named Employee of the Year as a Cafe Attendant at Paraquad, he has an extremely full and social life that certainly leaves Michael and I looking like a pair of fuddy-duddies. He continues to have health challenges - early brain bleeding was confirmed, keratoconis required treatment; he is waiting for treatment for a hernia and a sleep study, but the biggest confirmation was that Alex has never had an intellectual disability. To discover that his intelligence is normal shouldn't feel like a big deal but it does, both to me and to him. Thanks to Neurosciences, we now know that his frontal lobe damage and Autism is responsible for his need to process thoroughly the world around him. Throw in his fabulous Support Worker/Advocate/Life Facilitator Pascal and we see Alex more frequently as they drive up to Beverley once a month or so.

Lastly, but not leastly, the East End Gallery continues to astonish and excite us. We opened the Gallery on Australia Day for the coming year. I immediately set work to rejuvenate the main Gallery and Giftshop over the weekend. Along with the heat and a multitude of marvellous guests, we all coped with my self inflicted chaos and the result, although I was absolutely shattered, is possibly the best look for our art space ever. Come and view for yourselves. 

My husband Michael is my best friend, my soulmate, my partner in crime and my fellow adventurer. We genuinely enjoy each other's company, laugh every day and share a wide-eyed fascination and appreciation with our home, our animals, travelling and the art we both love.

Roll on 2023!

 
The family - Chop in full flight...

 
Mister Geriatric himself - Pip...

 
Our beloved Stella...

 
Immy and Bronwyn...

 
With Daddy...

 
With Grampy...

 
With her lunatic Nanny!

 
Our courtyard...

 

 

 
Courtesy front bench!

 
Our summer routine - Michael watering under Dory's gaze...

 
Gallery to Giftshop -

 
 "TapDance" - Sarah Leulf





 

Friday 20 January 2023

Welcome To Heavenly Beverley - Crime Capital Of The Known Universe!

Such a lazy Friday afternoon. This time a week ago, I was sound asleep in our wonderful, familiar bed. Since then, I have been slowly formulating my post knee replacement regime, to include exercise, rest, great food and the odd vino. Yesterday, our jaunt to the Big Smoke was a tad too ambitious. Seeing my surgeon Kon Kazacs and getting the thumbs up that I am on the right track plus a delicious Vietnamese lunch probably was enough. Throwing in the supermarket, Avon Valley meats, a chemist and the bottleshop was, most definitely,  a Bridge Too Far. Absolutely knackered by the time we had unpacked, I ate some jelly for dinner and hit the sack with pain relief and ice packs. I awoke this morning fully refreshed after a twelve hour snooze, ready for a spot of housework and rejoining the human race... 

Which includes continuing my amused observations of the media's five minute frenzy with Heavenly Beverley's drug bust and aftermath.

Firstly, I thoroughly enjoyed the the delicious irony of last weekend's headline and the special investigation that was plastered all through the Sunday Times/Slimes, which was all about Beverley (except the actual property was located at Mt Kokeby). York, officially the "oldest inland town" in Western Australia has tended to  lord this position over Beverley since both towns were established. York has been home to festivals, events, shows and perhaps a touch of superiority. Yet, York has been beaten to the title of "Weedbelt" (!) by our wonderful, historic, beautiful, arty and obviously drug riddled Heavenly Beverley. 

Now the Sunday Times is not known for its journalistic excellence and certainly the report lived up to its fabulous reputation. Take the images splashed across the double paged spread, for example. The photograph of Beverley's award winning Heritage main street is overshadowed by a "Locality of Mt Kokeby" sign. The map shows the position of the farm between the town and another district, the Dale. The photographed locals were a hoot - two elderly blokes enjoying a beer at the Freemason's Tavern in Beverley, nowhere near the location of Marijuana Central. The crop photos could have been lifted from any other story and the photographs of the property just showed they were not the tidiest of residents.

But the publicity is still exquisite, and from this Blogger's point of view, fabulous for Heavenly Beverley. That the crop operation was substantial, the dried product fairly weighty and that the culprits were discovered all adds to our fame and fortune. The protagonists were obviously not terribly bright and according to one proud resident, their unmasking by the heroic coppers means that Beverley is once more safe from the scourge of Organised Crime!

Amongst the crims' classic failures was the belief that one can hide in the country. As outsiders, they were noticed, time and time again. Their questions about water, the frequent delivery of additional water, the presence of a monitored pine plantation on the property and that the Beverley Soaring Society flight paths are right over the top meant that they could not possibly remain invisible for too long.

The dust has started to settle after this sensational expose. Beverley's only other recent criminal activities  was the burglary of the local IGA supermarket and damage to the Top Pub, which also injured a staff member. We are, contrary to some opinion, not the regional den of vice that may have been construed by the newspaper article.

However, in my humble opinion, Beverley's fame needs to be nourished and expanded. My dream of a Meerkat sanctuary continues to bob around inside my head. Added to my growing collection of Meerkat statuettes is Matilda, my Christmas brooch given to me by the divine Jan George. I try to wear Matilda most places so she broadens her view of the world.

Needless to say, Matilda will be joining us on our Northern adventures later in 2023. In the meantime, donated Meerkats would be gratefully received at the East End Gallery to become the founding pioneers of our sanctuary.

Till next time!

PS the East End Gallery officially reopens for 2023 on Thursday 26 January.

 
G'day Kon!

 
Really, truly!

 
Maybe this is a bit over the top...
 
 
Roxy, Stella and Smudge on a playdate at the oval...  

 
Vincent Street, Dope Central...
 
 
  
 
Our local expert criminologists! 

  
 
The secret location!
 
  
 
The house...

 
Somewhere...
 
  
 
Matilda, Beverley's next superstar!
 
 

Sunday 15 January 2023

Half Truths And Contradictions

Sunday afternoon in Heavenly Beverley. We have been home since Friday lunchtime. Just thrilled to be back in Station House again after five days in the "hotel style" environment of Hollywood Hospital.

My bruising is now "coming out". Interesting shades of colour from yellow to black stretching from my groin to my ankle. Bit stiff but still feel in control of my situation with Michael's help. So different from last time.

Here is the perfect opportunity to thank my beloved husband for attending to situations above and beyond the call of duty. I have stopped being so critical and he has responded with alacrity. Our roles have been reversed, which hasn't been easy for either of us...

In addition to being at my beck and call, he has -

  • taken over shoving a capsule down Piddling Pip's stinky mouth twice a day.
  • cleaned up the usual bodily fluids that Pip normally leaves on the lino all in his day's work.
  • cleaned up other bodily fluids that Chop the cat choose to deposit on our bedroom floor. Quite revolting...
  • following my instructions regarding animal treat management.
  • cooked or prepared meals repeatedly!
  • only pleaded for the odd fag from Paula.
  • waited patiently as I move at a snail's pace around the house or to the pub.
  • fetched and carried when asked.

Believe me, ladies and gentlemen, when I propose Michael for sainthood. He deserves a medal...

Now that the remaining brain fog has receded from my skull, I shall launch forward into a few more irritants that revolve solely around promises made by Hollywood Hospital and the staff versus actual delivery of useful information and services -

  • "hotel-style room service" didn't mean nice napkins, fine china, well presented hot and tasty food and drinks, timely delivery or even what was ordered. If Hollywood continues to promote this as a genuine advantage to other hospitals, then they need to lift their game. Please see the hospital website for their claims...
  • "individual dietary requirements" only exist in the fantasy of the patients' glossy brochure and in the bowels of the kitchens. I had stated this issue clearly prior to my admission. My expectations of lactose-free milk on the ward was not actually fulfilled for three days...Holy diarrhoea Batman!
  • instructions such as not having a pillow under my knee in hospital changed to having my knee elevated above my heart on discharge. Huh? By the way, a supported knee is so much more comfortable. This contradiction was nonsensical.
  • practical assistance such as using a sash to help me raise my operated leg independently was only given to me on Day 3. Prior to that, raising my leg had caused me huge anxiety due to pain fears.
  • directions such as not getting out of bed without nursing assistance is all well and good if bells are answered in a timely manner. I kid you not, if I had waited for my nurse, I would have soiled the bed. Every time. How's that for maintaining and reinforcing patients' dignity?
  • allergy confusion - when I was admitted, I was tolerating Palexia/Tapentadol for pain relief at home. Fast forward to my final morning and I had received all the anaesthetic drugs, fluids, meds to bring my blood pressure up, a regional pain block, IV antibiotics, blood thinners, anti inflammatories, not to mention milk with lactose that probably gave me the shits! I had been visited by Chuck Chunder on multiple occasions, had altered perceptions and intense fatigue. The Palexia and another opiate were swapped for Targin and Oxycodone (which I have only used once). Panadol Osteo is the other ingredient in my pain regime. So, what drugs am I now allergic to? How the f@#k would I know?!
     
  • the Mystery of Medications - apart from the fact that all my standard meds were locked away, with most of the nurses clueless as to their names and effects, my vitamins were not given to me once and Panadol Osteo was withheld for longer than clinically necessary. On my last night, I was informed I would be having my Targin and Panadol and 8pm and then at 8am. After I protested, the Panadol was adjusted to be given at 6am, which simple mathematics will confirm was 10 hours between doses. The instructions for Panadol Osteo state 2 caplets can be given every 6-8 hours. Pain management, one of the hospital's primary concerns following joint replacement surgery, was not executed well in my instance. The final disappointment was being given uncoated aspirin and additional Somac when I had actually requested coated aspirin on discharge. *Sigh*

My previous plaudits towards the hospital and staff still stand and now extend to Jake, who helped Michael and I with our myriad possessions on discharge, the ever patient food handling assistants, Lee the cleaner and the maintenance chap who fixed the manhole cover and replaced a bulb. These are the mostly unsung heroes and heroines who improved the quality of our hospital stay.

Private hospitals charge a premium rate and ought to provide better care, services and outcomes for patients. But touting about "hotel-style" facilities is a bit much. Please just provide the best possible treatment for patients without promising  unrealistic expectations. 

What has happened to nursing care? Last night, at the pub of course, former nurse Janet, current remote nurse Martin and I pondered this situation. Perhaps some of the past archaic practices of nursing - such as focusing on patients' comfort and well being have been lost and urgently need to be reinstated. Nurses treating each of their patients as individuals, working to each patient's plan and assisting each other in a coherent team would be a great start.

 As they stand, I shall be avoiding hospitals at all costs in the future. They are not places I wish to frequent.

 

  

Welcome to Hollywood Hospital, where your needs will be met...

 

 
What being in hospital often feels like..


 

  

 

What pain feels like...

 

 
Other complications, which are often preventable...

What I needed on more than one occasion! 


Sorry, but I had to add a bit of levity!


 
Other useful additions to a hospital bag...
 
 
 
Interesting chart...

 
I agree with this mantra as well...

 
Surely team and patient centred nursing will provide better outcomes and support for all.



However, NOTHING beats this!

Saturday 14 January 2023

The Myth, The Reality, The Expose!

 Who remembers the early heady days of "60 Minutes", the excruciating and continuing tabloid journalism of "A Current  Affair" and that laughable mix of news and current affairs that was the ill conceived "National"? There have also been quality and consistent productions such as "7.30", "Four Corners", "Insight" and "Australian Story". Note that the public broadcasting services seem to have produced more fact and less farce - coincidence? I think not.

The fabulously dreadful current affair shows have, fortunately, birthed a legion of satirical, hilarious and cynical programmes and performers, the scripts bitingly close to the truth. Who hasn't appreciated "Utopia", that mimics the complete lack of any progress in government agencies and by their staff?  Earlier incarnations included the "Gillies Report" and "Frontline", with skits aplenty on shows like "The D Generation" and "Full Frontal". Exquisite characters were created by Rob Sitch, Marg Downey and the glorious John Clarke (with able assistance from Brian Dawe) and left us laughing at the staged poncing and preening of those presenters and their mignons. 

I was enjoying a sentimental trip into the past this morning, remembering Marg Downer in her power shoulder pads and big hair, all supremely in seeming control. During this journey down memory lane, I was also contemplating how to express the bouquets and brickbats that I wish to toss in the aftermath of my most recent hospital stay.

The problem is, that as a Blogger, I find I am not taken seriously if I become all earnest and careful and choosy of my words. That isn't particularly my style anyway. So how can I persuade any audience to think and react and remember and want to change the status quo, rather than responding "what can I do about any of this. I am just one person..."

If we all read and nod and agree and become even a tiny bit frustrated and aggrieved, maybe real change is possible. The public health system is groaning under the weight of preventable diseases, baby boomers and lack of foresight. But what about those of us with Private Health Insurance, who have paid premiums since Adam was a boy, expect better and still are short changed.

Time for a good old-fashioned EXPOSE, I say!

In the brochures, Hollywood Private Hospital looks welcoming and accommodating, with "trial room service" as a feature, large and airy rooms, decent bathrooms, permitting patients to have a support person/boarder on site (once you struggle through the bureaucracy) and world class care. They were the carefully stage managed myths that I was delighted to expect. The reality was somewhat different, so in no particular order, here goes... 

  • the airconditioning was either freezing or stuffy. We needed socks, which we had, and cardigans, which we didn't.
  • what is wrong with these people? Patients need blankets, not crappy coverlets.
  • the patient's whiteboard, which was supposed to be used by nurses to note their names, time of medications and observations, for information, was only used by one nurse. Vale Isabella.
  • the bathroom was not well designed. I did not have enough room to sit on the loo and wipe my arse. Trying standing over a loo after a knee replacement and try to mop up.
  • the man hole in the bathroom was hilariously left open at a jaunty angle for three days.
  • the towels are thin and not fit for purpose.
  • all medications are locked away for "safety". Most of the nurses had no clue about the names of my meds, so I provided the information as they doled them out. Because I had no idea when my pain meds were supposed to be given, I became cranky and augmentative.
  • the care lurched from "call us if you need anything" and waiting up to half an hour for attendance to having a nurse wake me out of a sound sleep, not introduce herself and tell me to take the tablets. I was disoriented in the extreme - this occurred one evening.  
  • Appearances were deceiving...the menu was still mass produced in the kitchen, still arrived cold and overcooked and was often a bit of a lottery if we would get what we ordered and whether our trays would arrive together.
  • the promised lactose free milk was a furphy on the ward and had to be ordered specially.  When we did receive some, it then duly disappeared from the nurses' fridge on our last morning.
  • the bed tables were distinctly wobbly, aged and uncooperative. The bathroom cabinet had warped with water damage. The siting of the doors into the room and the bathroom was hopeless - they would routinely collide with each other.
  • having vomiting and diarrhoea over two days really was the icing on my cake of woe.

And now some compliments -

  • the Acute Pain Team were wonderful, approachable and compassionate. There is nothing elegant about sitting on a shower seat in distress without a stitch of clothing on me. They attempted to ease my discomfort, provide me with hope and give me information.
  • the physio Olivia was a girl knight in shining amour.
  • many thanks to Isabella, Marlene, Tayla, Rebecca, Alannah and all the nurses and assistants who attempted to make my hospital stay as stress free as possible. Those who considered me a pain - (they were also probably correct) , may need to just think about their responses as I was frightened and anxious much of the time. Perhaps there needs to be continuing education about talking to patients such as myself!
  • Kon Kozacs has given me a fabulous new knee. Currently day 5 post op, I am in a far better position than I was first time around. 
  • the junior doctor, Michael,  who moved my drip after the bloody thing beeped continuously has my undying gratitude.
  • the regional pain block, aside from the occasionally pinging! irritation, was an absolute godsend.

And the postscript? I am so grateful to be alive and recovering. Our winter expedition is now the silver lining less than five months away. And next time that I see Cal, Bron and Immy, I won't look like I am one foot from the grave.

I slept for four hours yesterday afternoon, and apart from a few restless moments, well overnight in our own bed.

How good is that?!

 PS I am never going to hospital again (if I can possibly avoid those places!).

 
Oh, such wonderful memories...

 
Marg Downie - incognito -

 

 
The incomparable John Clarke 


 Big hair and power clothing are back - "The Newsreader" 2022

 
Dawn view from my room - I edited out the entire roof!

 
Last afternoon - trying to warm up in the sun...

 
I almost look like I'm enjoying myself!

 
Look what grew right next to me. It started as a wart on my arse...

 
When are we getting out of here?!

 

 


Sunday 8 January 2023

Piddling Pip Rides Again!

Pip is our geriatric Jack Russell. He turned 17 years old in August, that equates to around 84 - 88 dog years of age. As an elderly citizen of this world, he has a number of health conditions, including dodgy heart valves, cataracts, poor hearing, numerous bumps and lumps and a chesty cough due to fluid build-up. He relies a great deal on his nose to guide him around, sleeps most of the day away and is on a myriad of medications, including for heart failure, excess fluid and pain from arthritis. He also has fish oil added to his dinner, along with Plaquedent, a seaweed concoction designed to help keep his teeth clean.

Pip's reign has rivalled that of Queen Elizabeth II. A fostered dog from Best Friends Animal Rescue, he arrived to live with us as a companion for Sascha when I began my new career of Education Assistant. Apparently, Sascha was howling in my absence, so I decided to organise her a companion. She was a Weimaraner, but I knew I could not afford another nor did my duplex have enough room. Jeanne, the owner and principal at Best Friends was passionate in her placement of her animals into what she considered very good homes, always at the advantage of the animals. Thus, I was interviewed as to my suitability to become the new owner of ten month old Pippin. I was then "on trial" for two weeks before my final assessment. I must admit I was very concerned to prove myself as a worthy owner for the Jack Russell puppy.

Pip fell in love with Sascha on sight. He was less enamoured with Ruby, Michael's eccentric Beagle and always on acquaintance-only  terms with Ruby the cat. Sascha and Pip's adoration lasted until her death, then he grudgingly tolerated being the Beagle's companion. Seemingly on death's door after that canine mischief maker's passing, he revived with the arrival of Stella in August 2019. He also assumed giving respectful passing acknowledgement to Chop, Madame Cat's successor. 

Having been mistreated, Pip was highly anxious when he first came to us. I didn't touch him or even look at him on his first day. When he voluntarily sat under my legs that evening, I knew he felt safe. Extremely suspicious of anybody entering the house, but particularly men, we gave him anti-anxiety meds and barricade the front door. for the safety of visitors.  A fabulous judge of character, I should have heeded his assessment when he bit the Sicilian Sociopath twice. When Michael first arrived on the scene, Pip voluntarily jumped into his lap - a feat he had never displayed with any other man.

Pip experienced extremely rude health for the vast majority of his life. Just as well, because he liked to bite or attempt to bite vets with incessant growling, indicative of rage. He scared one junior vet half to death, but is most famous for using diarrhoea  as a weapon of mass destruction against Graeme Penno, the most mild mannered vet I have ever had the good fortune to meet. Having had himself and the treatment table pelted with pooh, Graeme only showed minor irritance, and at the vet nurse he was summoning, rather than Pip. His exact words were "I don't often ask for help, but when I do, I need immediate assistance!"  Pip was duly bathed and returned to me, butter not melting in his midget alligator mouth.

Since then, Graeme has had the last laugh. Pip is now docile and can be handled with not a growl to be heard. Pip had an appointment with Graeme last Wednesday, as I was concerned a couple of off days, involving diarrhoea in the house might be pointing at his imminent departure from this earth. As Graeme not too delicately inserted his finger up Pip's bottom to check if his anal glands were still swollen, he noted that Pip was a senior dog with a few ailments, but none of which would kill him this week. Having discounted anal gland cancer, he explained that dogs of his age were likely to have a couple of mediocre days each week. When and if Pip had more bad days than good days, then a re-think would be reasonable.

Pip was delighted to return home on Wednesday afternoon, after a bottom wash (do they have bidets for dogs?) a nail clip and an eye clean. Yesterday, we loaded all three dogs into the car and took then for a jaunt to our oval. Stella exploded with pent-up glee, charging across the grass with as much energy as she could expend. Roxy ran around too, but with more dignity, whilst Pip trotted at his own pace, covering about half the oval to the beat of his own drum.

Is piddling still a problem due to his diuretic medication? Absolutely, hence we often have squares of paper towel in various spots on the lino, rather like the floor has had a shave similar to that of Norman Gunston. Are we furious or unhappy when he lifts his leg right next to us? We ought to be, but we usually cope with a short gnashing of teeth followed by chucking Pip out the screen door.

Piddling Pip lives to fight another day. I shan't be surprised if the little sod makes it to Onslow with us in July!

On a sleepy afternoon in Heavenly Beverley -

 
 Chop

 
Pip
 
  
 
 Ring-in Roxy
 
  
 
Stella and Pip
 
 
 
 Even the humans are lying down!

 
Stella having a chat!
 

 
Roxy is still a bit shy...
 
 
 
Pip (2015)

 
As a puppy, he was pretty active...
 

 
The original Three Stooges...
 
 
 
Madam Cat, another Ruby!
 
 
Pip (2019)

 
 With Stella (spring 2019)