Extension 147
Part 1
by
Jynaki
Disclaimer: The physical descriptions and characteristics of the people in this story may remind you of someone especially when dealing with the effects of aging and Alzheimer's Disease, and Long Term Care. But they are truly all my own. This tale came from the depths of my own bizarre imagination. The only real character in this entire work of fiction is Thumper. She is real. She is my baby. She signed her rights to me for a rawhide.
Violence/Language Disclaimer: This story does have scenes of mild violence and/or their aftermath. It does contain bad language and the characters refuse to wash their mouths out with soap.
Hurt/Comfort Disclaimer: This story has some parts that may be deemed as such.
Love/Sex Disclaimer: This story depicts a loving relationship between consenting adult women and may contain scenes of explicit intimacy (tastefully done I hope). If you are under 18 years of age or if this type of story is illegal in the state or country in which you live, please do not read it. If depictions of this nature disturb you, use your back button and choose something else.
Acknowledgement: A whole lot of gratitude and thanks to Pam, my beta-reader. Thank you for your time, effort, expertise and wonderful insight on this project to make it happen.
Synopsis: Former World Kumite Karate Champion and zoologist Pax Kattapolous Baldwin returns home after more than twenty years of family rejection to face a brother she detests and to forget the nightmares of a tournament that nearly took her life. She meets Teela Pheamster, her mother's Social Worker in a long term care facility. Teela is a woman torn between the responsibilities of her past and the desire for a future with Pax. Before their relationship can develop, each must contend with family, friends, and jilted lovers.
Comments can be sent to the bard at, Jynaki@aol.com
Chapter 1
Teela Pheamster leaned back in her chair stretching the knots that seemed to
have knitted into a ball between her shoulder blades. She had been bent over
the chart for the past hour reading medication orders and nursing notes.
That was the easy part. It was deciphering the physician's progress notes
that gave her the most trouble and caused the headache. Hmm, after being
here so long you'd think I'd have this down pat by now she marveled.
"Why have you suddenly changed Duane Rikker? Why are you alternating between
lethargy and fully awake and combative. Let's see."
Teela flipped through the large notebook chart studying the information on
the pages. She loved this part of the job; the detecting, finding out why
someone was changing. Next to actually getting a chance to talk to her
resident, the social worker loved solving these sorts of mysteries.
Teela immersed herself in the chart that told who Duane Rikker was from a
medical point of view. She did not hear the initial knock upon her office
door. The louder banging got her attention. She looked up to see a CENA
standing in her doorway.
"Teela, Marcia Hallorian is refusing to have her bath and take her afternoon
medications. She keeps repeating that she does not need medications that she
is allergic to them. She is not herself today."
"Oh really. Why is that?"
"She is swearing at everybody. She says that she just returned from Hawaii
and did not take them while she was gone. So why take them now?"
"I see. Did she have a good time?" the CENA looks at her confused. "In
Hawaii, did she have a good time?"
"Teela, I don't think she has been anywhere."
"Did you ask her?"
"Why? She never left."
"And did you tell Marcia that fact?"
"Yes."
"And how did she react?" Grinning knowing full well how a demented person
would react when their reality was challenged. You people will never
learn.
"She hit me and called me a stupid fat ass."
"I am sorry to hear that. Now what do you think would have happened if you
talked to her about her trip to Hawaii? Ask her what she did while she was
there?"
"Why? She confused today. Yesterday she was clear and could remember
everything. She is just being mean."
"Aaahhhh. Not true. Listen. Marcia has what's called Lewy Body Dementia. It
stems from her Parkinson's Disease and her underlying demented the
difference is, is that the person generally alternates between being clear
and being confused. They also have very clear and vivid hallucinations. So
ya see. Marcia is not being difficult or mean. She truly believes she came
back from Hawaii."
"I think I see."
"Okay. Try this. Go back to her room. Start up a casual conversation with
her not about what you want her to do. Don't mention that at all. Let her
turn the subject around to her vacation. Ask her questions like you would
one of your friends. After she starts feeling comfortable with you sneak in
and ask her to help you to do whatever. As far as the medications you can
try and say the doctor wants to make sure she is okay since she has returned
from her trip and would like her to take the medications for a few days to
make sure."
"But that's lying."
"Not really. That's preventing the resident from getting sicker if she
doesn't take her medications. If I remember correctly, she has a lot of
cardiac ones she needs, not to mention her Parkinson's meds. She truly needs
those or she will start freezing up again. Besides, this population puts a
lot of stock in what the doctors say. We just use it from time to time."
"If she hits me again...."
"Either A - leave her alone and have someone else re-approach later. Or B -
move out of the way quicker."
Teela snickered at the look on the CENAs face. "Come on I'll help ya." She
stood an tapped the CENA on her shoulder. "But I can't go in the room. She
calls me The Gestapo."
Teela followed the CENA out into the hall. She had worked at Appleway Rehab
and Convalescent Center for the past ten years as a Social Worker. The ARCC
as it became known to everyone was a 160 bed Long Term Skilled Care
Facility. It boasted a high family satisfaction rate of nearly 94% and has
had fewer than 3 citations on their annual state inspection for the past 6
years running. Two of those years, the ARCC received a Citation Free Survey.
This helped to boost marketing and revenue.
But Teela called it home. Sure she had offers to work in other facilities,
but there was nothing like the camaraderie that she found among the staff of
the ARCC and the patients that lived there. It was a rare thing indeed for
this industry to have a truly open line of communication among the major
departments that provided direct care and interaction with the families and
the patients. That would include the Nursing and Dietary Department along
with Social Services and Therapy. It was a rare thing that everyone was
working towards the same goal for the residents and could cross departmental
lines easily. So long as the other department knew what was happening.
Things generally ran smoothly.
Moving towards Marcia's room, Teela greeted several of the residents she
passed by name. No one should be ignored. Even if she couldn't recall their
names or if they were a fairly new admission to the ARCC, Teela said hello
to them with a smile or a wave.
She stopped outside of Marcia's room and listened to the interaction between
the CENA and Marcia.
"I told you I am not taking no pills!" the graggy voice drifted into the
hall. "So you can just get the hell out!"
"I am not here to make you take any pills, Marcia. I just wanted to come
back in and make sure you were not mad at me."
"Well I am."
"I'm sorry. What can I do to get out of the dog house?"
Teela nodded in agreement with the CENA's response. It's not the line of
conversation I was thinking of, but it might work for her. She turned
and headed back down the hall to her office when the page overheard called
her name to call extension 190. What do you want Kat? I know I don't want
another admission today. I have had two already.
"Hey Teela."
"Hi Charles. How's things going today?"
"Hopefully better in a little bit. I get my new leg brace from therapy
today."
"Hey that is good news. You have been waiting for that thing for a long time
now."
"Yeah I know. Once I get used to it, my kids say that I can go back home."
"I hope you do Charles. I'll be pulling for you."
"Me too Teela, See you." He wheeled himself up the hall from where Teela
just came.
Watching him, Teela hoped that he achieved his goal. So far Charles had been
through three braces and none had been effective in making his mobility
sufficient enough to consider independent living. Making it back to her
office and into her blue office chair, Teela lifted the receiver and noticed
that in that short span of time that she was gone, her message light was
blinking.
Teela sighed heavily and dialed the number to retrieve her voicemail.
"Hello Teela, this is Shelton Parmer, Great Nephew and guardian to
Barbara Mulder. I will be leaving town in an hour and then will not return
for a week or so. I wanted to touch base with you before I left. I believe
you are more familiar with my Dad. When He passed away, care and custody was
handed to me. I have the documents from Probate. So I wanted to speak with
you. I will be at home for the next hour. I hope that you will call before
then."
Then there was a call from Kathryn Faullman, the Admissions or intake
Coordinator. She deleted both messages as Kathryn Faullman walked through
her office door, grin plastered across her face. Teela sighed. She
recognized that grin.
"What do you want Kat?"
"You have an admission."
"Awww come on! It's after four now and I leave at five. I have a tee time at
six Kat."
"Well I would do it but my son Sean has a ball game at 5:30 and I have to
take him."
"Well what about Eerie Warden. Why can't she do it?"
Kat snickers at one of the many nicknames that Teela and Nica gave to their
immediate supervisor. Eerie Warden was a play on her real name. Erin Barden.
But she often acted like a warden with Teela and Nica as unintelligent
prisoners of her Social Services Department at the ARCC. In fact, Teela had
more knowledge than she let on. Kat often wondered why Teela did not apply
for the Director position when it was open a year ago.
"Eerie' s husband has a dinner planned with his bosses this evening and she
is cooking."
"Her husband really likes her huh?"
"Guess so. At least twice anyway. They have 2 sons."
"Must have been a power outage both times." she scoffed and found Kat
giggling along with her. "Is Frank going to allow overtime? Of course he's
not. Silly question."
"Maybe you can off-set your hours later in the week. He'll go for that."
Walking through the door came Clarabelle "Bell" Vleiken. She was being her
usual pleasantly demented self and mumbling nonsensically. She was a woman
in her late seventies, with ever slipping knowledge of who she used to be.
She found the strings on her shirt more fascinating as she lightly tugged on
her shirt.
"And there she is. Hi honey." Belle briefly forgot stretching her shirt and
made her way over to Teela for a hug.
"Hi Belle. You're looking swell."
"Thank you honey. You like me?"
"Yes Belle. I like you very much."
"Okay." She then carefully took a seat next to Kat and mumbled to herself.
"Look Kat. It's not that I'm complaining about staying late and doing this,
because am. But I already have six hours of overtime this week. At this
rate, I will not even have to show up on Friday to work."
"And that would be a bad thing?"
"You want to contend with Eerie?"
"Good point. Listen, just do the necessary signature pages. Tell the family
that they will be able to finish tomorrow. They have been waiting at the
hospital for this to happen since 10am this morning. So they are tired and
probably will be grateful for less paperwork."
"I could do that." Teela cringed as her telephone beeped. "This is Teela."
"Teela. Elizabeth "Liz" Lipps is pestering Andrea Butts again and Liz won't
leave Andrea's room."
"What have you tried?"
"We told her to leave and she won't."
Teela sighed loudly, "I'll will be right there." She turned to Kat. "I don't
believe it. It has been non-stop today. Is there a full moon or something?"
"Could be."
Belle suddenly stood. She looked down at Teela's desk and decided to grab a
handful of the business cards sitting in the black holder. Teela smiled
watching Belle exchange her used Kleenexes, by putting them on the desk and
then walks out.
"Fair trade huh?
"She thinks so."
In quickly walked a CENA carrying a small item wrapped in paper towels.
Without a word she handed Teela the package and the white Broken Report From
along with it, giving her a sheepish smile and leaving.
"Great!" At the denture in 3 pieced. Quickly dialing the dietician, "Hey
Dawn, FYI, I just got Denise Julier's broken dentures. You might want to
check her for a change in food consistency." She returned the receiver. "Can
you place her on the dental list?" Kat nods. "Good, okay give me the info on
my new person. What's the name anyway?"
"Lee Riddell, 85 year old........" Kat told her the brief history.
It wasn't long before Teela found herself walking down the hallway again
heading this time to Andrea Butts' room. As she passed by one particular
room, she noticed an unfamiliar woman sitting at the bedside of Maureen
Baldwin. I know recognize generally everyone who visits. The majority by
name. But I don't recognize her. I can't really see her very well, but
still, I wonder who she is. That's alright. After Liz and Andrea, I'll stop
back by and see. Feeling that her plan was a good one, she continued on
to her destination.
Teela got to Andrea's room. There was Liz still insisting that her husband
quit being lazy and to get out of bed. Poor Andrea Teela thought
sadly. She is just smiling, not even phased that she is being referred to
as a man. She heard the CENA's frustration and that she was arguing. Big
mistake.
Knocking on the door, "Excuse me. But you can't argue with someone who does
not possess reasoning skills."
After what seemed liked eternity, Teela was finally able to coax Liz into
going to another room with the CENA. Following behind them, Teela literally
ran into one of the physical therapist, Marcia Konclin.
"Here you go Teela. Saves me a trip to your office." Marcia handed her a
piece of paper and kept walking down the hall.
"Wait. Is this was for real. Marcia?" Marcia nodded not fully understanding.
"Will Finger is adamant he wants to leave tomorrow."
"There is no way we can get things prepared for tomorrow. It's unrealistic.
It's so late in the afternoon already. We have to contact the physician for
approval and scripts. Does Cassandra know about this?"
"No. She's gone for the day."
"Oh great." She threw her hands in the air in disbelief. "Then you break it
to her in the morning. I can't start anything on this right now. I have a
new admission waiting for me." She ground her teeth this has got to be
the worst cotton picking day ever.
On her way back to her office, she stopped and knocked on the door to
Maureen Baldwin's room. Maureen was asleep and the strange woman was gone.
On the over bed table in a clear vase stood a fresh rose and a card. Being
nosy, Teela moved to read the card. It was signed Love P. Whose P?
Curious, Teela stopped a passing CENA who was working the hall and ask if
she knew who the stranger in Maureen's room was. The CENA replied she
thought it was her daughter. That she had seen her there before the past
couple weeks but usually at night after supper.
She returned to her office full of inquisitiveness. Pouring a small cup of
coffee from her steel thermos Teela checked her watch again. She quickly
dialed Shelton Parmer. While it was ringing, she reached behind her to grab
the three-ringed binder labeled Admissions. Opening it and flipping to the B
tab, she easily found the face sheet for Maureen Baldwin's Admission,
including her Initial Social History and the Privacy Disclosure Form. Each
listed only three names. Two sons, and a daughter-in-law. Hmmm, no
daughter listed. I wonder why? She is probably on the outs with the family.
That's not too uncommon.
"Hello?"
" Shelton, this is Teela Pheamster, your Aunt's Social Worker at the ARCC."
"Yes Teela."
"So you are heading off for a holiday I see."
"I wish it were. My wife's mother fell ill in Pennsylvania, and we are going
there to see her."
"I am sorry to hear that. I hope things will be alright for her."
"So do we Teela. Thank you. I have just taken over the care of my Great Aunt
within the past two weeks.
"Sometimes, we get busy doing things Shelton, and time gets away from us. I
do recall your Letter of Authority coming across my desk recently."
"I am feeling guilty for not maintaining contact with her over the years
until now. So I want to do the right thing. But when I visited last night,
she seemed quite agitated. Like something was wrong. Now I question if I
should leave town now or stay and find out what is going on with her."
"That's what we are trying to find out as well Shelton. This self abuse
started about a week ago really. So did her profanity. Up until then she was
very mild, pleasant, cooperative not difficult at all. So she has us a
little baffled as well."
"Why is she doing this? I really am concerned."
"It could be a number of things actually."
Teela took the time to explain to Shelton basic concepts concerning his
great aunt's dementia. She loved teaching newly diagnosed families about the
disease. Sometimes she had to subtly sugar coat the more devastating
characteristics or changes in personality and behavior. But for the most
part, she loved getting them to understand that their loved one was not
doing things on purpose or out of spite for them or the staff.
"Well I heard they put people on strong medications to keep them drugged."
"Shelton, sometimes using medications can be effective. But it is not my
first choice. I prefer to rule out any medical changes that may be happening
and possibly causing the changes in Barbara. If her lab work or cultures and
stuff come back negative, then we can talk about using those types of
medications. I don't want to start her on something she may not need in the
first place. Alright? I think I may even put her on the list to see the
dentist and to get her ears checked.
"Really? I never thought about that?"
"Well, let us work on her and see what we come up with. You and your wife
focus on your mother in-law and having a safe trip. We can call you at the
emergency numbers he gave her if anything drastic were to happen with
Barbara."
"Are you sure."
"Pretty much. We'll call you if we need to."
"Okay then. Thank you."
Sighing she shook her head to clear her focus. I did start out with an
agenda to finish today. I should have known that was a mistake. She
grumbled and returned to the Rikker chart. The telephone buzzed again. It
was Kat. She told her that the ambulance with Lee Riddell pulled into the
parking lot. Teela glances at her watch and then to the ceiling as if
praying for strength. She closes the chart and begins to clear some working
space on her desk so that she can do the Admissions contract.
**********************
In the parking lot of The ARCC, the object of Teela's curiosity sat in her
pick-up resting her head upon the steering wheel. Twenty year old wounds
reopened and pierced through her heart once more. She clutched frantically
at her heart as her wails filled the cab of the truck. Not since Jen, had
she allowed herself to feel this deeply and experience the agonizing pain
that ripped beyond the soul.
She wept for her mother, a mother she had no other choice but to walk away
from more than 20 years ago. A mother so intolerant and narrow-minded that
she told her only daughter she regretted giving birth to her. The person she
loved looked upon her as a stranger 20 years ago; she had a selective vacant
stare then. Now she had that stare, but it was not her choice.
"She didn't know me the n; she does not know me now." she sobbed.
Pax Baldwin finally calmed and her composure slowly returned. She merged
into the traffic. It's going to be okay. I never really stopped
loving mom. It was the other way around, but we can work with that now. I
hope.
"Thanks to Damian I at least know where you were and what happened, mom. He
was loyal. All those letters over the years, I knew what was going on in the
family even if I wasn't apart of it. I may not have answered, but he kept
writing. I love him for that." Then her mind switched to her older brother,
Zander. Prick! She snarled.
She finally pulled into the drive of her rental home. I have to stop
letting him get to me. He's not worth it. She chastised herself.
She didn't want him to bother her anymore now than he had for the past 20
years.
Pax kicked her shoes off at the door. She walked into the sparsely furnished
living room and pushed the button on the answering machine and before
continuing on to the kitchen. Listening to the messages mostly from
telemarketers wanting to get her opinion on a poll for this or that issue.
"I've got to get my name on that list." she grumbled.
The next messenger was a female. She would recognize the voice of Celeste
across a crowded room. That was not a good thing.
"Hi, lover. It's me, Celeste. We are set for dinner with Mona and Jenny
tonight. They are just so excited to meet you. I have told them all about
you. Anyway, I will be at your place at six to pick you up. I miss you. Oh I
almost forgot. Wear your blue polo shirt; it goes fabulously with those sexy
eyes you have and the khakis. Don't forget those cute loafers too. Bye
love."
"Ooh great" Pax said, looking at her watch while growling and grinding her
teeth. "Two dates and she thinks she owns me."
Chapter 2
Teela completed the Admission contract for Lee Riddell in record time. Now
she stood on the third hole, at the gold course with her best friends Jo and
Boney. Teel normally preferred to walk the course for great exercise and to
releases the frustration and hardship she experienced in any given eight
hour period at the ARCC, but not tonight. Tonight, Jo and Boney insisted
that she have an electric riding cart because they were getting one.
"Well you were right Jo. Getting a cart is faster, especially when there
aren't too many people wanting to golf. "
"Well the old biddies on the Wednesday night league are so rude, they scare
most people away" Boney chided.
"This is true" Teela agreed. "They are nasty to people sometimes."
"Hey Teela, maybe you'll end up with some of them where you are. I'm sure
someone is going to break a hip out here."
"Boney. You are just too terrible for your own good." her wife scolded her.
"You married her Jo. Now you're stuck with her."
"Not stuck with me, Teela. More like stuck to me sometimes. Huh babe?" She
blew her wife a kiss.
"Eeewww. Must you two always do that?"
"Do what Teela?"
"Be lesbians in public." she chided her friends.
Jo looked to her wife and winked, "Yes we must. It keeps us from drying up."
"Yeah. Speaking of drying up, when was the last time you went on a date?"
"You can be so crude, Augusta Jean Bonniker."
Teela laughed as her she watched her friend coil and hunch her back. She
hissed menacingly towards Teela clawing at the air.
"Why must you tease my hillbilly so Teela? You know she hates that."
"Because I can." she laughed.
"Still, speaking of drying up." Boney continued in stride.
"What she means is, is that a friend of ours wanted to know if we knew any
nice single lesbians she could meet, and we thought of you."
Teela sighed knowing that her friend meant well. They were looking out for
her as always. The last four people who happened to be their single friends
that were extremely nice.
"Jo, Boney listen carefully. I am not interested."
" You haven't even heard anything about her. How can you say that you are
not interested?"
"Easy. Watch my lips. I am not interested." she pronounced each world with
exaggerated lip movements.
"Very funny."
"Tanesha is very pretty. She has an athletic build because she exercises all
the time. She has a doctorates degree so she is very smart." Jo praised.
"And she is chocolate like my Jo." Boney smiled proudly goosing her wife.
"I am not interested in her eulogy Jo. I am not interested in anything about
her."
"Is it the black thing?"
"That does not bother me Jo, and you know better. I have a busy life as it
is. I have the house to take care of and Thumper. I do my gardening and
reading. It's quite full really."
"Sounds like filler to me Jo." Boney chimed in.
Jo looked down the fairway and saw that the person playing alone and behind
the foursome ahead of her had replaced the flag and finally moved onto the
next hole.
"But what do you do for companionship Teela?"
"There is nothing that a companion can do for me that I cannot do for
myself." she replied smugly, watching her friend tee up her ball. "Besides,
I have Bess to consider."
Jo focused on her swing and teed off. Seeing that the ball sailed straight
down the fairway, she turned back to her friend. "That is admirable of you
Teela, to continue to care for Bess, but you cannot continue to punish
yourself over her."
Teela approached and teed up her ball. She had grown weary a long time ago
of this very conversation with her best friends. It was getting old. She
swung the club with all the frustration she felt. It was just enough to land
close to Jo's drive.
"I don't consider caring for someone you love as a punishment."
"Ordinarily no, but these are unusual circumstances are they not?
"I am not interested in dating anyone Jo. End of discussion."
It was wishful thinking for Teela. Being tag-teamed by Jo and Boney when
they had an idea trapped between them, they could be doggedly persistent.
That was exactly what they were being regarding this person Tanesha. They
never ended singing her praises through the third and fourth holes. Teela
deliberately opened the face of her club and took her stroke. The shot was
to the far right and away from her friends as she went in search of her
ball. It's going to ruin my score but damn, I needed a break.
Justifying the shot made her feel better.
As the threesome finishing the fourth hole and rounded on the fifth, they
saw the two carts lined up waiting to tee off and someone standing with a
pull cart. Teela was the first one to pull up to the area but stopped far
behind the woman playing alone. Jo and Boney finally pulled to a stop
besides Teela and look at one another slyly.
"Oh my gosh, is that you Tanesha?" Jo exclaims.
Teela snapped her head looking between the very pretty black woman and her
friend. Her eyes narrowed at Jo who pretended not to notice the daggers
flying through the air at her. I'm going to KILL HER. And her hillbilly
wife too. I should have known they were up to something. Just you wait. This
will not go unpunished. Teela began to plot her revenge.
"Yes, it's me, Johanna," The woman smiles a toothy grin at her.
"Why what in the hell are you doing here?"
"Ahhh playing golf, I think."
"Well, Boney, will you take a look who we ran into. It's Tanesha. We were
just talking about you with Teela. Now we've run into you. Amazing."
"Truly amazing." Teela voiced dryly. Coincidence my ass Jo. You are so
dead meat.
"Well, Tanesha, you've met my Boney before haven't you."
"Yes I have. How are you?" she shook Boney's outstretched hand again.
"And this is Teela. Teela I would like for you to meet Tanesha Evans."
Jo I would like for you to meet my foot going up your butt! "Hello
Tanesha, nice to meet you." She gave her most courteous smile and took the
hand offered. Tanesha grinned at her with instant adoration. Oh great.
Now she thinks she has just hit pay dirt. I am going to go to jail for a
double homicide tonight. I just know it.
"So how is your score so far?"
"Great. I always cheat when I am by myself." she chuckled.
"Well let us make an honest woman out of you. Why don't you join us Tanesha?
Teela is riding alone and won't mind sharing her cart. Would you Teela?"
"No not at all Jo. Not at all." There, those knives had to have landed in
your chest, Jo. You saw me throw them. "Come on Tanesha, I'll help you
strap your bag in."
Being as graceful as she could manage under the conditions, Teela spoke with
Tanesha and found out that she did in fact work with Jo at the Community
Center as a psychiatrist. Stealing glances when Tanesha was not looking,
Teela found her to be pretty. Her features seemed to be a blending of both
the white and African-American races. Her skin a smooth Carmelite color,
full lips but not overly pronounced, hair in long braids surrounded small
but distinctive cheekbones. Her eyes were nearly almond shaped, and were a
hazel color that changed from light brown to dark. Too bad I am not
interested in dating anyone. She chided herself.
At the same time, Tanesha was checking out her impromptu golf partner. She
watched the gentle sway of slender hips as Teela approached and swung her
club. Her eyes twinkle when she smiles. She is very pretty with those
ruby lips and firm breasts. They are being restrained rather tightly aren't
they? She is intelligent, witty. I really like her in addition to her
attributes. Tanesha you are such a dog. Naw more like a snake.
Silently snickering.
At the end of the round, Jo and Boney put their clubs away in back of
Boney's pearl colored Escalade. Tanesha unstrapped her clubs and walked to
the next row over to her car. She was stowing her gear and thinking of a way
to ask Teela for a date.
"Well ladies. Thanks for letting me join the round with you. I think it
saved all of us a lot of time."
"That's no problem Tanesha." Jo chimed in and raised a suggestive eyebrow at
Teela.
Teela saw the look her friend gave her, but she was not biting. Although,
she does have a very nice body. Nice muscular, tight thighs. Can't blame a
girl for wondering what she would look like naked. More importantly,
I wonder if the look and texture of her nipples are different than what I
was used to. God can you be anymore crude Teela. Jo and Boney are right. I
need to get out more.
"Hey, it's only eight. Would you like to join us for a quick bite?" Boney
offered seeing the unheeded hint her lover threw at Teela.
Tanesha's gaze was fixed on Teela. She couldn't tell how to read her face or
her reaction. "Thank you Boney, but no. I do have a few things left to do
before the night is out. It was very nice to meet you Teela. I hope we can
meet again sometime soon."
As soon as Tanesha got into her car, Jo whirled on Teela. "Are you crazy? I
could see the sparks flying from the cart out there."
"Jo."
"Go get her number Teela before she leaves the parking lot."
"For the last time, Jo. I am not in the market to be dating."
"Bess again."
"Yeah, Bess."
Boney looked between her lover and her friend then grinned widely and said,
"Just think Teela, if you two start dating, you'll be T-N-T. Imagine how
explosive that could be." Jo slapped Boney on the back of the head.
"Only you Boney." Teela laughs at her rubbing her head. It does have
possibilities. But I am not about to tell Jo that.
*******************************
Later that night, Teela lay upon the couch, the belly of Thumper her dark
caramel colored Staffordshire Bull Terrier was her pillow. Together they
were watching the home movies from five years ago. Teela and a 3 month old
Thumper were running and playing in the back yard of their home.
The video camera panned from a gangly dog to that of Bess, manning the grill
as her major responsibility.
"See that Thumper. Bess always had to tend the grill. Next to you, it was
her baby. I just came in somewhere down the line most of the time. Oh but
remember this girl?" She pointed at the screen as Teela saw herself and
Thumper stealing a hot dog from the grill and running. Because she was
filming and running backward, the jostling of the camera made for dizzying
footage.
"Ooh here comes Bess' favorite part Thumper." Teela giggled watching herself
fall over backwards into the kiddy pool. They had purchased the small pool
for Thumper. On extremely hot July days, the dog could sit in it and cool
off. "Yeah, Thumper, you never liked to get wet, so why did you push me into
the pool?" She craned her neck to look at the sleeping dog. "I ended up
using the thing more than you did."
She watched the screen as Thumper grabbed the Water Willy between her jaws,
shaking her then small head ferociously. Bess entered the shot and was
cooing at the dog looking down quizzically at the plastic toy. Hearing
herself chuckle into the mike, Teela began laughing in real time as heard
Bess squeal and Thumper bark their dissatisfaction when Teela turned the
water flow back on. They were instantly soaked. Hearing herself bark on the
screen, got Thumper the pillow growling in warning.
"Awww what's the matter girl? Don't like being the brunt of jokes do ya?"
Thinking that she had enough abuse for one night, Thumper wiggled telling
Teela that she wanted up. "Spoil sport. Can't take a good joke."
Thumper stepped down off the couch languidly and stretched. She looked at
her mommy and then ambled her way into the kitchen.
"Bring back a pop will ya? Earn your keep dog."
She turned back to the screen. Her mood melancholy. Now they were at
Nettles, the women's campground in the lower Northern part of Michigan. The
trailer they had purchased was being moved into place. Always the director,
Bess was instructing the men on how she wanted the trailer placed on the
camp site.
"That was a great first year. We were so happy then. Our own little family.
Right Thumper?" She glanced into questioning hazel eyes. "I wonder if you
miss her as much as I do sometimes."
Teela felt the tears slowly roll down her cheeks. Longing for those days to
return was futile, and only brought loneliness closer. It was the family she
missed. She wrapped her arms lovingly around the thick muscular neck of the
Pit bull and buried her face in the short fur.
"If it wasn't for you T-Dog, I don't think I could have survived." Thumper
half barked her agreement. "Tomorrow is Thursday and for a couple of hours,
our family will be together again." She clutched the sagging jowls in her
hands. "Tomorrow we go visit Bess. Your mom always seems to light up when
she sees her T-Dog. Doesn't she girl?" A loud firm bark resounded from
Thumper.
Teela quickly scrunched her face and closed her eyes and mouth as her T-Dog
gave her a sloppy wet kiss from the chin to for head. She thanks her and
felt the coldness of the red nose nudging her cheek. T-dog quickly left the
room heading for the kitchen. After a moment, she gave a tiny yelp, not even
a bark. that was what Teela liked about Thumper. She hardly ever barked.
Unless there was a knock on the door, she was sassing back, or when she ran
the vacuum cleaner. Then, she only snapped and nipped at the front of the
machine.
"Ooh no. It is too late for a T-r-e-a-t. You only kissed me thinking you
would get one. Well you guessed wrong. Come on, let's go to bed."
After turning out the lights and double checking the door locks, she and
Thumper made their way upstairs. In the bathroom, Teela washed her face and
brushed her teeth. She reached into the small container on the back of the
toilet and handed Thumper one of her breath and teeth cleaning cookies.
Thinking it was another treat, Thumper never had a problem with the mint
smelling goodies.
Teela finally lays her head down upon the pillow only to bounce upright to
check the alarms again. Once satisfied, she pats the opposite side of the
bed. Hearing her cue, Thumper jumps onto the empty side and immediately
began pawing her own pillow. It was her favorite one with the puppy paws all
over it.
Thumper finally dropped onto her side, back to Teela and her feet stretched
out. She gave a heavy, weary sigh.
Teela laughed and turned out the lights. "Had a hard day did you dog?"
Chapter 3
Teela and Thumper turned into the drive marked Pine Ridge AFC home. Each
time she pulled in, Teela marveled at the wonderful landscaping with
beautiful flowers and expertly trimmed bushes. It was the best home in the
area she could find and still keep Bess close. She had looked at so many
until they began to blur together. Teela finally began asking her colleagues
in the field what their recommendation were for Adult Foster Care's. Several
had suggested Pine Ridge.
First, Teela wanted to know about their reputation. She found out that not
only did they have an exceptional one in the industry, but that it was run
by a couple former Long Term Care Director Of Nurses turned State Surveyors.
With that, Teela was confident and reassured as to the quality of care they
would provide. She was just thankful that Bess had invested in Long Term
Care Insurance as a part of her Health Care coverage through the airline not
to mention her pension. If balanced just right, she should have enough money
to pay for Bess' care for another 5-6 years at best. Sure, there were lesser
expensive places that could provide for what Bess needed, but she was not
ready to risk it. She knew as well as anyone that being private pay opened
up a lot more options when it came to the Long Term Care Industry.
Feeling a little guilty as she did not make visitations last week, Teela
hesitated a little before getting out of the car. It was unavoidable. It was
'strongly suggested' by Eerie Warden that she attend a marketing dinner at
Ramoni's for Heartfull Home Health Care and Hospice. They were actively
marketing to the ARCC for an in-house Hospice contract.
Nica had a date and Eerie Warden would only attend these things if they
contained some level of prestige. So she was it. For three hours she smiled
and networked with the other Director of Nurses or Care Coordinators from
other facilities and hospitals in the tri-county area. A free meal was a
free meal, and she did not have to cook, but it would mean not seeing Bess
on their scheduled night.
"Okay girl. Settle down now. I can't get your lead snapped on if you keep
flitting around like that. I know that you are excited."
Teela latched the retractable lead through the metal hook on the back of
Thumper's blue chest harness and they emerged from the car. She braced for
Thumper's initial pull as she only has a very short line with which to work
with. Thumper was prancing all about her short area while Teela opened the
back door of the car. She was balancing the jumping arm with the lead with
grabbing the small white bag and the bouquet of lavender and white
carnations she brought for Bess. They were her favorite.
They entered through the large white double doors of the ranch style
building. All of the private or semi-private rooms were located on a single
floor. It was a great design since the general population was elderly with
the exception of one or two younger like Bess. Teela and Thumper stepped
into the small vestibule and through the sitting area or lobby. It was
pleasantly decorated with floral curtains and furniture. Cherry wood end
tables and book cases invited visitors and resident alike to stop, relax and
enjoy themselves reading or conversing.
By now, Thumper had channeled her excitement and walked obediently beside
Teela. They walked through that room and into another monstrous area that
contained only the nursing station. Much bigger than the ones to which she
was used to at the ARCC, the imposing circular nurses' desk sat in the
middle of the floor. The high sides and top were cherry veneer that shone
brightly beneath the fluorescent lights. There was a counter on the other
side of the cherry veneer that ran the circumference of the desk where the
nurses actually did their writing. Built-in chart racks held the clinical
records neatly labeled in four different sections. There were at least four
telephones, at the station and a multitude of nursing paraphernalia
scattered about from stethoscopes to portable blood pressure machines.
Forgotten records were opened to the progress notes section and an
overturned cup of pens that had spilled out.
Shooting off in different directions were four brightly lit halls in festive
colors to appeal to the eye. Each was distinct in their major color scheme.
When she had initially arrived for a tour of the place, it was the
cheerfulness of the staff and the atmosphere to which she was drawn. Each
hall was named after a street. Teela loved that concept. It took away the
institutionalization that most of the larger Adult Foster Cares tend to
assimilate. Maple Street, Elm Street, Oak Street, and Pine Street extended
off of the desk making it easy for a person at the station to simply look up
and scan the streets. Each street contained 12 private or semi private
rooms. Because some of the bathrooms connected between rooms, one side of
the street was generally for males, the other for females. Couples rarely
roomed together at Pine Ridge.
Teela spotted her favorite nurse coming down Pine Street and smiled. Annie
had been there the day Bess was admitted. She was a very kind and
compassionate nurse who went the extra mile to help a family or resident.
Teela felt she was an ideal for the nursing profession.
"Hello Annie. How are things?"
"Hi Teela." She bent down towards the dog. "And how is Thumper today?" In
response, T-Dog rolled over on her back wanting her belly to be rubbed.
"You have no shame, do you dog?" She grinned. "So how is Bess today?"
"Bess has a bit of the sniffles, but she is generally alright." she
commented from the floor where her hands were busy stroking the shameless
animal. "Ooh those are pretty." She said indicating the flowers.
"Bess' favorite. I brought us in some fruit punch. Can you we get some cups
and ice?"
"Sure Teela. I'll bring it to her room when I'm done making this note."
"Great. Thanks." Satisfied, Teela turned and headed down Elm Street. Teela
giggled and looked down at her companion, "You know Thumper, Bess hates
scary movies and for her to be living on Elm street it's kind of funny. She
would have a conniption fit if she knew."
They stopped outside of the door marked "5." She delicately touched the 5x7
picture upon the door. A smiling Bess at the campground sitting at the
picnic table playing Scrabble. Only Boney's elbow and right side of her body
could be seen, but it was a good picture of Bess. The filthy Australian
Outback hat she loved so much was tipped back on her head and her black hair
flew wildly sticking out of the sides. 'The dirt adds to the coloring and
characteristic of the hat' Bess used to say to justify it's continued
existence and keep it out of the trash. Teela thought smiling. Then she
remembered. It was the last time they were there as a couple before the
stroke.
The one large bedroom was Spartan in furnishings with a dresser and mirror
against the far wall. On the surface were Bess' favored trinkets, pictures
of her Thumper, Teela, Boney and Jo. On the wall were other eight by tens or
five by seven's Teela had enlarged for Bess' room including a copy of Bess
standing in the control tower at the airline where she used to work and one
from the trip they took to the Bahamas six years ago. Two recliner chairs
were placed in front of the TV/VCR combo sitting on the TV stand, a small
end table placed between them.
Bess was lying on the bed with a colorfully knitted lap blanket thrown over
her. Uncertain if she was sleeping, Teela spoke, "Bess?" The figure on the
bed lightly stirred. Stepping to the side of the bed Teela waited for her
eyes to open before touching her. She didn't want to startle or frighten
Bess coming out of a dreamscape.
"Bess. You're best girl is here to see you."
After calling her name few more times, sleepy gray eyes blinked open and
focused on her. Teela waved at her lover. The right eye slightly drooped
along with the right side of her mouth. They have not been bright since the
stroke. She missed their sparkle. She gently sat down upon the bed.
"Hi sweetheart. It's Teela and Thumper. We've come to see you." She smiled
and slowly reached out her hand to brush some of the wooly hair back from
her face. We've missed you and wanted to see how things are going."
Teela gazed upon the confused dull gray eyes and then slowly bent over and
gave her girl a kiss upon her forehead. She does feel a little warm. I'll
need to tell Annie when she comes. Teela tapped the side of her leg
loudly and soon the brown head appeared by her side. Teela watches Bess eyes
twinkle in an instant and her lips turn upward into a crooked half smile.
The left side of her face and body was unaffected by the stroke, but Teela
knew when her girl was smiling and apparently so did T-Dog. Bess reached out
her left arm and wrapped it around the dog's neck. Thinking that it was
welcomed, Thumper proceeded to bathe Bess in kisses.
"Did you have a good nap?" Teela knew there would not be a verbal response
as the lifeless eyes stared back at her. The smile turned back into a
tilting flat line.
She set Thumper free from the lead to wander around the room as she always
did. Even though she has been here hundred of times, Thumper had to check
out every scent and piece of furniture each time. Teela stroked Bess' hand
and watched Thumper investigate. After a while, she finally slumped in front
of the doorway, sighing heavily from the exertion.
"So, I thought we could watch a movie tonight, but I bet you have to go
potty first. Don't you?"
She stood and went to the door. Tapping the dog on the side with her foot
and she lazily stood and moved to Bess' side again. Thumper sat on her
hunches not phased by Bess' hard pats on the head. You are truly an
amazing dog Thumper. Teela thought to herself. You seem to know that
Bess can't control how hard she pets you and it's okay. Isn't it girl?
Teela stuck her head out the door, seeing Annie and calling to her for some
help. Annie came and Teela told her what she wanted to do. Teela stood on
Bess' left. Annie brought over the modified roller walker. There was an arm
stray with a cloth-covered handle at the end. When walking, Bess' affected
right arm rested in the tray and was loosely Velcroed in place. The handle
or short pole at the end was so that her fingers could wrap around to help
her steer it. She retained a surprising amount of strength and regained
mobility in her right leg. Although she limped, she was still able to walk
smoothly for the most part.
Together they got Bess upright but her nose ran immediately. Teela used a
Kleenex to clean her nose then kisses her on the forehead.
"Ok darlin' let's get you up and to the bathroom." Once upright, Teela
chuckled. "Ooh Bess, you have such
a lovely hairdo this evening." Her hair was imitating Don King and sticking
straight into the air at all angles. The lower half of her hair was
plastered straight down causing an obvious open spot in the center of her
cranium. "I do wish I could invent something to prevent bed head. Don't you
Bess?" She chuckled trying to smooth the unruly mass.
"You would make a fortune." Annie snickered.
"We'll fix it after you get out of the bathroom. Ok?"
"Okay Bess. We want you to stand on the count of three." She gently took
Bess' left hand and placed it on the walker making sure her fingers had a
firmly wrapped grip. Annie placed her arm underneath the elbow of the
partially functioning right. "Ready?"
Bess' face instantly darkened and she removed her left hand from the walker
and began to using it to lightly bat at Annie. Annie immediately stepped
away from Bess.
"Now Bess. That was not a nice thing to do to Annie." Teela gently scolded.
"She needs your help to get you to stand. Then you can go to the bathroom."
Bess batted at Teela's leg several times. Teela stood there not budging.
"You can hit me all you want Bess, but we still need you to stand and go to
the bathroom."
"She has been doing this for a few days now."
"Is it all the time or what?" She felt her social worker mode rising above
the role of lover.
"No, with standing and moving really. She gives us this evil mean look
though."
She chuckled, "I know the one. I used to get it all the time I called it the
'I'm not amused' look."
"Once we get her up and moving, she stops. I think we need to look at her
Tylenol."
"That's a good idea, but she may just not be feeling well too."
"True."
"She hasn't hurt anyone has she?"
"No. She just slaps a bit."
After another try and some more slapping, Teela and Annie got Bess standing.
Annie took over and led
her into the bathroom, closes the door.
Straightening the bed, Teela listened to Annie talking to Bess, smiling as a
result of Bess' occasional "Shit" her favorite word now and then. She turned
on the TV and sets it for the VCR. Scanning the VHS tapes stored below in
the cabinet, she selected what she knew was one of Bess' favorites,
Mothra. In fact most all of the tapes in her collection were about some
sort of Japanese monster. Teela chuckled; it was one of the endearing things
about Bess. She found Bess' taste in movies bizarre but fun.
Bess had a huge collection of the monsters, mostly the Godzilla's from 1949
to 2004. So many hours I had endured watching Godzilla eating nuclear
energy, destroying Tokyo or fighting another man in a monster
costume, but you did love laughing at their special effects didn't you baby?
How many times had you laughed at those toy models until you nearly choked
on popcorn? I almost dreaded you discovering a new movie, because that meant
I had to watch them with you. She turned the VHS movie over in her
hands. Oh you were near tears when we watched Godzilla finally get
heartburn and have a meltdown. I wish those days back now and can't have
them.
Teela was lost in her reverie and didn't know that Bess and Annie had left
the bathroom. Annie helped Bess get situated in the recliner.
"Thanks for your help Annie." She kissed Bess on the fore head. She was
greeted by a smile from Bess. "Okay ladies and canines, today's movie is a
classic. " She leaned over Bess and snapped the brightly colored clothing
protector around Bess' neck.
Teela placed the Tupperware bowl of Butterscotch pudding in Bess lap. She
positioned her right arm around the plastic bowl to secure it in place. Then
she placed the spoon in Bess' left hand. If she had to be thankful for
anything about her lover having a stroke, it would be that it occurred on
her right side. Bess was naturally left-handed. She would have had
tremendous difficulty learning to eat with her right given the amount of the
cognitive damage she suffered.
Teela sat beside Bess alternating between looking at her lover and the
little twin fairies pleading for the gigantic egg to be returned. Teela
gently lifted Bess' left hand, extending the index finger and placed one of
then petal shaped butter cookie on her finger. It was Bess ritual: take the
cookie, place it on your finger and nibble around until it nearly fell off.
Only now, Bess lightly bit the cookie and removed her finger before she bit
it in half and shoved the other half into her mouth. Every second cookie,
Teela would encourage her to take drink of the fruit punch. Teela helped her
with the straw and then would wipe her mouth. They settled in to watch the
movie.
Thumper eased to the door and poked her head out looking at Annie and
another nurse. Thumper slowly sneaked out the door and down to the women.
"I see Teela and Thumper are here."
"Yeah, can you tell?" Said a nurse laughing at the dog seeking attention.
"Have you told Teela about Bess?"
"No and I am not going to tell her. Neither are you. Teela and the other two
women are the only ones who come and visit with Bess. If I told Teela that
Bess cries when she leaves, she might not come back. Being a social worker
in a nursing home, she will understand that Bess gets upset and distressed.
It will only make Teela feel guilty. She may even stop coming. Where would
Bess be then? At least we can still calm her down afterwards. So what would
be the point?"
Chapter 4
It had been sometime since Teela was able to get to the nursing station and
read the daily reports for her unit. However she knew the critical
information: who was sent to the hospital, who had behavioral problems the
night before, and if there were any changes in her patients' psychiatric
medications. The remainder, she would glean from her unit partner and RN
Cassandra.
As of this morning, she had two rehab discharges to schedule and plan. More
importantly this morning Teela wanted to sit at the nursing station and do
some much needed charting. Even though her office was behind the station,
the walls would start to close in on her.
Concentrating on the progress note, Teela did not see Steve Preminger
approach the desk. He was an elderly man of 82, thinning white hair and
oversized yellowed teeth. He smiled his usual lecherous grin and banged his
fist upon the desk. Teela jumped in her seat and placed her hand over her
pounding heart.
"That is not funny Amanda." she said to the snickering floor nurse.
"I know. He scares the crap out of a lot of us doing that. He can be sneaky
and quiet when he wants to." Teela looked into the grinning face. "We want
you to know that he has been pinching the CENAs' butts when he passes by,
and he has been making sexual comment, especially during toileting."
"Well his son did say that he liked the ladies in his younger days."
"But he's old Teela."
"He's regressing Amanda."
Steve easily engaged Teela. He took her hand in his and giggled pointing
towards her breasts. He intermittently smacked the counter with his fist.
"You are quite the naughty boy now aren't you? How is your eye Steve?"
Steve's reply didn't make sense to Teela, but he held still so that she can
take a closer look at the dark purple and black bruising above and alongside
his right eye. "How has his gait been lately Amanda?"
"Steady since he fell three days ago, but Teela you have to do something
about him. He is getting worse." He thwacked the desk top again. "I think
his Depakote dose should be increased."
"That is not a solution." She smiled taking her hand back from Steve's.
"That's just covering up the problem."
"So what do we do then?"
"Look at what's behind the behavior problem."
"He's got dementia. When the psychiatrist is coming back in? Can't he be on
the list to be seen? If not he should be."
"Saying he has dementia doesn't mean that's the reason for everything he
does or doesn't do Amanda. That's not being fair to him or to anyone for
that matter." She turned to the young nurse. "Amanda, you've worked with me
how long?"
"Couple of years."
"And is jumping to increase drugs the first thing I do in cases like this?"
"No, but it would be quick and it would keep him from getting into the other
ladies rooms. He is constantly going in there and jabbering at them. Some of
the women are getting pissed at him."
"I can understand that. Really. But riddle me this Batwoman...."
"I hate it when you say that." Amanda grins.
"Because you know what's coming. You increase his Depakote and he is a
wanderer. What do you think is likely to happen?" Amanda realizing, chooses
not answer. "He may fall and then what? We are dealing with possible
fractures or worse. You know I'm right. But no, that is not how I work."
"So All Knowing One, then what?"
"Aahh haa! This is the fun part of the job."
"Fun?"
"Yes. We get to become detectives. Since you like those CSI shows and stuff
you should be very good at this." Amanda scratched her head wondering what
she is talking about. "Get his chart and I will be right back."
Teela went around the station and started to guide Steve down another hall.
Amanda watched the bizarre little social worker talking and laughing
animatedly with Steve. They finally came to a door with a large sign
announcing The Improve Room.
There were six other resident's in the room in various states of activity
from folding towels to thumping through magazines or doing a puzzle. Teela
greeted the CENA and briefly filled her in on Steve needing something to
keep busy. Once she saw that Steve was occupied, she quickly left the room
closing the door quietly behind her.
Nearing the desk Teela overheard Amanda giving Erin Barden her opinion on
Steve. Erin Barden
straightened to all of her five foot four frame and rested her hands on her
hips. Her pageboy hair style did not have a strand out of place.
"Maybe it's time to ship him out." Erin concluded.
"That is not the answer, Erin. He is not at that point yet." Teela did not
want to send another person to the geriatric psychiatry unit at the
hospital.
Erin narrowed her gaze at her social worker. "Why not? It is apparent he is
unmanageable. He is sexually inappropriate with others and that is
increasing as well. From what Amanda here tells me he is invasive and
frightening the women who's rooms he enters. That to me sounds like he
should be in a psych unit."
You little devils spawn I would love to stick your ass in a psych unit.
Teela's silent retort resulted in a pleasant smile on her face to address
her supervisor. "I don't believe sending him to the geriatric psyche unit is
the answer when we have not ruled out other probable causes for his
behavior." Making her way around the desk, Teela stretched to her full
height, loving the extra two inches she had on Eerie Warden. "That has
always been first line of intervention, as you should know."
Erin thinned her eyes until they were slits beaming up at Teela. Her lips in
a severe, tight line. Why you impertinent little bitch! Erin's mind
screamed. Just you wait. "Well I truly hope that you are right Teela.
But know this, and Amanda you are my witness. If he gets hurt or causes
someone else to be injured, you will be responsible. If there is not
improvement in his behavior in two days, then he will be shipped out."
Erin desperately wanted something for filler to put in Teela's employment
file. She had been waiting and looking for the past 3 months but no, Miss
Goody blonde bitch kept out-smarting her. Soon you will slip and I hope it's
a good fuck up.
Understanding the threat all to well, Teela shook her shoulders and
attempted to refocus her thoughts on Steve. She wished that Erin would find
someone else to pick on. She was getting very tired of having to keep an eye
looking back over her shoulder all the time. Teela could only guess why she
was the Target of the Month. Despite their dislike of one another being
immediate from the moment they were introduced, Teela was a strong advocate
for the patients at the ARCC under her care. Erin, on the other hand was a
'Bottom Line' social worker.
All too often Teela had seen Erin sacrifice what was decent and beneficial
to the resident for what would benefit the ARCC instead. Here, they
frequently clashed In addition, Teela knew that she was considered at top
pay for her classification and degree. In a privately owned Long Term Care
Facility, that could be costly. Budget studies were already underway and she
was well aware of how the game was played. After all, she has survived ten
years thus far.
"All righty then. First thing to do is find something that may help him
without increasing drugs. Now, generally he should be redirected back to the
Improve Program."
"He does not want to stay in the room with the group."
"Then we find something else to divert his attention and occupy him. We need
to call on Activity Department and see what they can help with."
"What is wrong with him besides dementia?"
Teela flipped open the notebook and scanned. "He has Alzheimer's, Prostate
Cancer, and an Myocardial Infarction or heart attack. So given that, he was
in a coma for about a week according to the Health and Physical report.
However, his family says that he has always been into the ladies. Has been
married 3 times."
"I do not see why she needs to know this. That information was not
necessary," Erin scolded.
"It is helpful because 3 marriages may say something about his attitudes
towards women in general. The heart attack may attest to whether there is
enough oxygen continuing to get to the brain. Sometimes lack of oxygen can
cause increased confusion, or in the case of Steve, more confusion and a
change in his behavior. The cancer, may be active or still dormant, I can't
recall, but there may be some pain there at any rate. So let's take a look."
Looking through the chart for clues Teela and Amanda looked back over
Steve's past two weeks. Amanda was on her second day back from vacation, so
she could not tell if there were any changes in him. While reading they
discovered that Steve had started Duragesic 50mcg, a strong pain medication
patch, about a week and a half ago because of his Arthritis.
"Now why would he start that?" Holding her page, she turned over to the
nursing notes and reads the entry for that day and several before and after
that time period. "Steve was grimacing and limping then. He received Tylenol
Extra Strength for a while but it was still not doing much." She read
further, "Then Vicodin for a few days, but he had nausea with that. Then
started Duragesic last week. Hmm..." Could be that. "What if he is
having a side effect of the Duragesic? It's a guess, but what if the fall
was also related to him using it? Amanda, can you interpret his labs results
for me?" Looking at the recent blood reports from the lab.
She turned the tab to the Lab section and slid the book towards Amanda
pointing "Everything looks okay. No problem with hydration either as BUN
level is okay."
"What about a recent urine analysis?"
"No. There has not been one."
"Okay, let's do this then. I will update Cassandra, run it by her and see if
she agrees to talk to the physician and ask to him rethink using Duragesic
or at the very least to try a lower dosage. Second, let's ask for a urine
analysis just to make sure nothing else is going on." Peaking in the office
beside hers and not seeing Cassandra, she said "I'll catch her later. She is
always flittering about here somewhere. Then we will go from there."
Amanda clearly saw the look upon Erin's face. Oooh Teela you are in for
it. You know she does not like to lose. "Okay Teela. I think you may be
onto something, I'm just not as confident as you are though."
"Can't hurt now can it?"
Not liking loosing the upper hand, "Teela, let's go to my office and look at
Steve's Behavior Logs to see if those interventions are the same on his care
plan and to see if they are working." She turned to go, Amanda sighed and
Teela looked after her compelling herself not sneer.
"Don't worry Teela, I'll be here with the saline solution to clean the bites
when she is done."
Chuckling along with Amanda, Teela said, "Thanks, I will need that and
stitches probably."
Sometime later, a tall blue eyed woman dressed in khaki pants and shirt
approached the desk to speak to Amanda. "Excuse me. Can you tell me how
Maureen Baldwin is doing? She looks a little peaked to me."
Amanda looks at the woman and smiles. "If I can ask you who you are?"
"Pax Baldwin. Maureen's daughter."
"Just a moment please." Amanda quickly located Maureen's chart in the rack.
"I'm sorry, I don't
recognize you. But then I just came back from vacation."
"Well that's quite alright. I'm only return back to town myself. I've been
gone quite a while."
Opening the book, Amanda turned to the form for which she was searching,
"I'm sorry, Pax, but all that I can tell you that she is doing fine."
"Oh. Well is she receiving any kind of therapy for walking? How she was
doing with that?
"Pax, I am truly sorry, but I cannot legally tell you anymore than that. You
name is not listed upon the Privacy Disclosure Form and because of it, I
cannot give you specific details about Maureen's care."
"Well can't you write my name on there and then tell me?"
"No. I can't, but a Zander or Damian Baldwin can. They have her Powers of
Attorney."
"I see."
"If you have any questions, you can speak to her social worker, Teela
Pheamster can help you. She went to speak with her supervisor, but her
office is there behind me. She would be able to explain it further."
"Maybe I will. But right now I have to get back to work."
"Oh, where do you work?"
"At the zoo. I'm a zoologist there."
"Ok. Hay a nice day then."
"Thanks."
Teela finally returned to the desk, to have Amanda informs her about the
woman claiming to be Maureen Baldwin's daughter. Teela walked down the
hallway and saw Maureen in her bed sleeping. Knowing the mysterious woman
had left, she really didn't expect to find anyone there. But as before, in a
vase on the over the bed table was a single rose. She then turned and headed
back to the desk resuming her place with charting.
Teela had just settled back into the chair when she heard a throat clearing.
Looking up, she saw a man looking down upon her. She smiled in greeting at
the minister. "Hi John, how are you doing?"
"Marcella told me that the nurses are refusing to give her medications, and
her legs are hurting her desperately." Marcella's son-in-law replied with
worry.
"It is probably the other way around, John. She does that from time to
time." Pointing down the hall to the nurse that is standing by the
medication cart, she said, "I'll tell her and ask her to come talk to
Marcella when she is finished."
"Good enough. Thank you."
Before she could move, Teela heard her name on the PA system to call
extension 190. She dialed Kat's number and waited for her to pick up. "Yes
Kat, what do you want?"
"Do you remember Will Finger?"
"Sure I do. He just went home."
"He is at the hospital ready for a bed."
"Oh you are kidding me! Did we not tell that man and his daughter that he
was not ready to go home so soon."
"Yes we did. But, he went to get off his riding lawn mower yesterday morning
stumbled and fell, fracturing his hip. His repair surgery was last night and
he should be ready for discharge tomorrow afternoon at the latest."
"Am I going to get him or Nica? We both have male beds open."
"I assumed that you wanted him since you and Cassandra are familiar with
him."
"I knew you were going to say that. Sure." She took a step around the desk
before a CENA came running to her. Oh what now? I am never going to get
anything done. I chose the wrong profession. I should have been a baker or
something.
"Teela, do you still have those lower dentures that were turned in from the
laundry two weeks ago?"
"Yes."
"I believe they belong to Henrietta."
"They are in my office in the tall file cabinet, third drawer, marked with
the date. Let me know if they belonged to Henrietta so that I can mark it
off her list and get her name etched in them." Only another four sets of
teeth to find a home for.
***************************
Teela entered the nearly empty break room long after the usual period when
lunches were taken around the ARCC. It was sometimes much nicer that way,
and definitely much quieter. For company, there were only two CENAs and
herself in there. They called to her to grab something and to come join
them.
.
"Hello Louanne. How're the kids?"
Louanne Marshanucci, a thirty two year old single parent, supported herself
and her two children, Tamika her 9 year old and Mario the 7 year old. She
said, "Starting a food fight in the school cafeteria."
"Oh no."
"And then trying to sneak out. But enough about me. What about you Teela?
Any new conquests yet?" She playfully shoved the other CENA watching Teela
blush. Must have been good if it makes you blush still."
"Why does it seem everybody is interested in my social life lately? Besides,
Louanne, you should know better than to even ask."
"Oh Teela. You should be out there knocking the women dead in their heels."
The other CENA nodded in agreement. "Like the one I saw today. She looked
really just the type for you. Wearing a uniform of some kind. Tall, had to
be 6ft. at least, dark hair, very good looking."
"And what makes you think she is my type, Louanne?"
"Just a hunch. But she was very cute. Got some scars on her face though."
"What counts most is on the inside. That is if I were looking."
Louanne smiled and said to her, "Just think about being a squirrel and
climbing up that tall tree." She makes a squirrel face and chattering sound.
The break room echoed with uproarious laughter.
"Now honey," Louanne continued, "if that was a tall black beautiful man
walking down the hall like that, you know that I would make a point of
introducing myself."
"And what about David?"
Louanne guffawed, "David is back in jail. His ex-wife, that low down bitch,
is trying to press assault charges against him because he gave her a little
push when she was standing on our porch over the weekend. I was right there
and he gave her a little tap." Louanne demonstrated on Teela. "A couple
hours after she left, the police came and arrested him."
"What is going to happen?"
"I do not know. He has only been out for 3 months this time. Who knows?"
"Hey I heard this morning that Selky is being sent out."
Grateful for the distraction to her thoughts. "Why?" Wondering what Nica's
resident's did.
"Selky is so terrible with her hitting, yelling, crying, wandering and not
resting. They don't know what else to do for her. She bit an aide yesterday,
and kicked Erin in the shin. I guess she finally gave Nica the okay to
transfer her to gero-psych."
"I knew that Nica had recommended to send her two days ago but Erin said
that they were not doing enough. She kept telling Nica what to try."
Nica had talked to Teela about Selky and how Erin was over riding the
decisions she was making on the case. The things that Erin was 'strongly
suggesting' that Nica try were generally not relevant for Selky, nor were
they feasible to do with only so many CENAs available. Teela had wondered
why she had not seen Nica all day. Gero-psych admissions are so time
consuming and often difficult to coordinate. It involved getting the
physician on-board to agree and finding an open bed in one of the two
available units in the area. The worst part can be in dealing with the
family.
Teela finished her sandwich and began to leave. As she got to the door,
Louanne called to her, "Steve will need more tennis shoes and underwear. He
keeps ripping the elastic bands off the ones in his drawer and stashing them
under the mattress."
Teela laughs. "Maybe they can make an art project for him to do with the
elastic bands. I'll talk to Activities and see what they can do."
"By the way, if I see the tall tree lady, I'll send her to your office."
***************************
"Good shot Teela." Jo exclaimed watching the little white ball sail through
the air and land on the fringes of the green to the left of the pin.
Teela bounced happily, and kissed her 3 iron. Challenging her friends to
beat that shot. This was her favorite hole on the entire course. She could
usually make up a stroke or two to tie Joe and Boney. It was the remainder
of the holes that she hated. From the tee, it looked as though she could try
to putt for birdie. This was good.
"One of the guys at the plant was trying to show off to the new girl today."
Boney told them. "He decided to lift a crate of clams packed in ice." She
was mimicking a burly man hoisting a heavy crate. "Then goes to take a step.
Slips and sprays the clams and ice all over the dock." She cackled.
"Was he hurt Boney?"
"Just his pride. He was so embarrassed, that he simply picked up the little
slippery things and walked off not speaking to the unimpressed girl at all.
Not only was his pride hurt, so was his manhood because the crate dropped
right onto his lap."
Jo laughed. "He'll be sore for a week."
Teela joined Jo. "Just as good as a cold shower."
Boney, approached the tee and tried to stifle her laughter to concentrate on
hitting the ball. As she swung she connected under the ball and popped it
flying high into the air and hooking to the right. Boney watched her drive
plop behind a tree. "Damn!" She swore aloud to Teela's silently cheers.
"Speaking of cold showers" Jo tossed out. "Have you taken any lately Teela?"
"Karasi." Teela whined at her smirking friend. Teela used her first name
only when she did not want to answer a question and Jo knew it.
Still smirking, she approached the tee for her shot. Placing her ball upon
the University of Michigan tee, she aimed its matching ball towards the pin.
Teela was amused at her friend. She was the ultimate alumni today, sporting
her school colors flagrantly dressed in University of Michigan shorts,
t-shirt and visor. She was proudly displaying the presents her wife
purchased for her, including the matching U OF M pro golf bag, tees and
balls.
Teela leaned in Boney direction and whispered, "Nice gifts Bone. Must have
been a big dog house you were in, huh?"
With a wide Cheshire cat grin she said, "Never seen one so big."
Without a practice swing, Jo wound up and released her swing. She connected
solidly with the ball as they all hear the certain "ting" of her titanium
club head hitting the ball. Jo smiled. She loved that sound. All three
watched as the ball sailed through the air and landed 3 feet to the side of
Teela's.
"Damn, Jo." Teela grumbled then, "nice shot. I guess." She looked at Jo who
smiled and kissed her 3 iron as well.
Jo and Teela stood by their respective balls waiting for Boney to figure out
how to get from behind the tree and onto the green.
"So, what are you going to do with the remainder of your life?"
"Keep making a difference. Why mother?"
"You know what I mean Teela. I only want what's best for you. We both do."
"We've had this conversation a million times already Jo. Give it a rest."
"Tanesha is crazy about you and you have not even gone on a first date yet.
She asks me almost every day if I have spoken to you." They heard a loud
curse and turned to see Boney duck and then wildly swinging her club,
muttering to herself. They watch her walk back several yards to where her
ball bounced off the tree trunk.
"Jo, I have not even spoken to her. We are not going out and that's that. I
do not have the energy to commit to more than one day at a time. Work is
getting busier with the open bed will come a rash of admissions and then I
will be even busier. It will be impossible to focus on anything else. Jo, I
barely spend time with Thumper these days."
Jo snickered, "Is there something about you and Thumper that you would like
to tell me? I am a psychologist. I think I can help. The first step is
admitting it."
Boney's ball bounced upon the green and then off to the other side into the
fringe.
"You may be my friend, but you are also a pervert." Teela shook her head and
addressed her ball with her putter. Focusing, she tapped the ball and
watched it roll and stop just outside the cup. She jumped up and down in a
tantrum while her perverted friend just laughed.
Boney walked up on green giggling, going to Teela's ball and lightly batting
it back to her. Jo approached the ball with her pitching wedge.
"Taking a risk aren't you?
Jo looked up and said, "Some risks are worth taking." She focused on her
ball. Lightly she chipped the ball onto the green and it rolled in. She
grinned at Teela, "Told ya so."
"Bite me." she grumbled to Jo and Boney, who were hysterical with laughter.
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