Catch-up #3: Margie's latest injury - how it happened

The day began well. You will recall that I had stated that I wanted to sleep ten, 20, perhaps even 40 years, with Margie at my side. As it turned out, I only slept for about six hours, but it was a pleasant six hours, there, in bed, with my wife snoozing soundly beside me, Jimmy, the black cat, curled atop my shoulder and Pistol-Yero, the tabby, coiled up alongside my ankles.

After I arose, I still felt extremely tired, because one cannot push himself for as long and hard as I have done, sleeping as little as I have slept, even going 40 hard, physical hours with no sleep at all, with no catch up, and then recover with six hours of sleep - no matter how pleasant that six hours might have been.

But I was not worried. I had not taken a day off since June 13 - when  Melanie and I took our little hike up in Hatcher's Pass - but I figured that I would now take two or three days off and I would nap, rest, walk and bike ride at will.

So I got out of bed, looking forward to a pleasant day, and went into the living room where I found the expectant mom, Lavina, looking quite pleasant and cozy herself, cuddled up on the couch with two cats and her iPhone.

Back in Anchorage, Melanie was about to close a purchase on a house with a basement apartment. Margie wanted to go in and help her move. I wanted to do nothing but lay around and be lazy, but she assured me that I could lay around and be lazy at Melanie's new place and watch everyone else do the work.

I did not believe this, but I decided to go in, anyway.

I regret that decision. If I had stayed home, I doubt that Margie would have taken her fall. It is not that anything that I did directly caused her to fall, but by going to town, I created a different dynamic for the day then if I had stayed home. 

Had I stayed put, Margie would have arrived on the scene a few minutes later than she did, for I drive faster then she does. The jackets that she carried down the steps would have already been taken down. They would not have blocked her vision. She would not have missed that extra step just after the turn out of the stairwell. She would not have fallen.

I do not blame myself; I just wish that I had stayed home to be lazy. Then everything would have turned out differently.

True, there is a tiny possibility that things would have turned out even worse - say, for example, that Margie might have collided with a big moose in a terrible crash with a much worse outcome, but this is a remote possibility and I do not believe it would have happened that way.

I think she would now be healthy and happy, rather than in misery and pain.

But I did climb into the Escape with her, I did take the wheel and I did drive toward Anchorage. Even before we left Wasilla, a freight train came rolling by, headed towards Fairbanks.

I was thrilled to see it and shot a frame of the engine as it rolled past.

Not long afterward, the caboose rolled past, too. I could not allow such a momentous event to pass by unphotographed.

After we drove into Anchorage, we headed toward the Duck Downs apartment that Melanie would soon vacate, but less than a block before we would have arrived, we came upon Melanie and Charlie driving away in his pickup truck. So we followed them to the house. I was amazed to see it, for it was much bigger and appeared to be nicer than I had expected.

The people that she was buying the house from had not yet moved out of the top floor and so she and Charlie planned to carry the few things that they had loaded into the back of the truck down into the basement apartment. They would then wait until another day to do anymore moving.

I explored the apartment, determined that if I go bankrupt and lose this house (a continual worry of mine for the past 27 years - and always with considerable justification, especially right now) that it would suffice until I could publish a best-seller and put us back in the black.

I then climbed back up to see what I could carry down and, as I approached the truck, saw Margie carrying some jackets. That was all she intended to carry down.

I grabbed a couple of pairs of cross-country skis and then headed back toward the house. As I neared the top of the stairwell, I heard Margie shriek. Then I heard her cry in that desperate, painful, pitiful way that she had when she had fallen in the street in Washington, DC.

"Dad!" Melanie, who was with her, called from the lower doorway. "Come quick! Mom's hurt!"

I found her lying on her tummy, crying, and screaming out in pain.

We talked, she calmed down, rolled onto her back. She then decided that, although it hurt, she was okay and just needed a few minutes to pull herself together. She pulled her right knee up and then tried to do the same with her left.

This caused her to scream once again. She could not bend that knee.

I knew then that we had to get her to the emergency room.

It was a struggle, accompanied by much screaming, but we raised her from the floor. Charlie then picked her up and carried her in his arms up the stairs and to the car.

As we tried to figure out how to get her into the car, Jane, the woman who Melanie is buying the house from, showed up with a wide strap of webbing and announced that she was a physical therapist and has a great deal of experience hoisting hurt people about.

So she put the strap around Margie's waist. I went to the other side to help pull her up from the driver's side as Jane and Charlie hoisted her into the front passenger seat.

Melanie came with us as I drove Margie to the emergency room at the Alaska Native Medical Center. Lisa met us there. Eventually, we got Margie into a wheelchair and then inside, where she was sent to X-ray.

We were relieved to learn that she had not rebroken her kneecap fracture from January. My first thought was that this meant that she would be fine - just sore for awhile - but I was wrong.

Denise, the physicians assistant who examined her, told us that, judging from the extreme pain Margie was suffering, there must be ligament damage. An x-ray cannot look at ligaments. It would take a CAT scan. Before this could happen, she wanted Margie to go home and get some bed rest for about one week to give the inflammation that had caused her knee to swell to watermelon size to subside a bit and her pain to ease.

She expected Margie to be laid up for a total of about six weeks.

Denise examines Margie's leg.

Margie in excruciating pain. To help her deal with it, Denise asked what kind of pain killers Margie had been prescribed for her original knee injury. Our minds went blank, so she started reading off a list of pain meds, until she came to Tylenol-Codeine. 

We both remembered Margie taking those, so that is what she prescribed. What we had forgotten is that this came later - hydro-codeine, a more powerful painkiller, was what had come first.

As it would turn out, Margie would need all the pain-killer power she could get. She was also prescribed Motrin, to help reduce the inflammation.

We picked up the drugs from the pharmacy and then left, Melanie riding with us, Lisa following. Margie could not take her drugs until she ate something, so we stopped at the Taco Bell on Muldoon and placed an order for a bean burrito.

As we progressed through the drive-through toward the bean burrito (and a few things for me, as well), I looked in the mirror and saw this little dog behind us.

As for what lay ahead, well, hell. That's what is has been - hell. 

I must say that the US Indian Health Service and the Alaska Native Medical Center has been of great benefit to this family over the decades. Great benefit. They have my gratitude.

I trust that in this case, they will yet prove to be of great benefit, but as to what was about to come, they failed my Margie. If their job is simply to read what is written down on paper and follow procedure, then they succeeded.

But if their job is to look at a real, injured, human being and then do all that they possibly can to minimize the pain and suffering of that individual, then they failed miserably - and it is Margie who has had to bear the misery.

Comments

[MissSunshine]

My sister is recovering from minor, but painful, surgery and says hydro-codeine makes her nauseous and unable to keep down food, so they changed her prescription to Darvocet, and she felt MUCH better.