Thursday, February 28, 2013

Thirteen Days at the Inn

This memoir was written by La Calavera's sister Angie about her time in Oregon helping our brother Bill in the early days after his bone marrow transplant. Enjoy!

I am sitting on a plane in Portland, Oregon. I am so happy to be going home after thirteen days as Bill’s caretaker while he is recovering from a bone marrow transplant very far from his home in Bend. I am giddy with excitement as I will be seeing my husband, dog, cat and friends after being away for so long. There are stories to tell…

At once, I am overcome with emotion as I reflect on what the last thirteen days have meant in my life. Although I volunteered to go and help Bill as he recovers, there was so much more to the experience than that. I did not keep a daily diary, so I will not be able to recall each day, but that doesn’t really matter to me at the moment. The culmination of the entirety of these days is what caught me by surprise as I sit in seat 28G on my way back home.

At first I thought that I’d be cooped up in a room with Bill while he slept all day, but it didn’t turn out that way at all! The guests at the Inn all had stories of their own, and over the next thirteen days I got to know many of them well enough that we exchanged email addresses!

I arrived around midnight on January 26. It was the only flight of the day for Hawaiian Air – I had miles… At first, I was going to catch the shuttle and drive Bill’s car, but that didn’t work out, and we ended up sharing the cost of a rental car. The rental car was a 2012 Ford Focus – my son, Alan has just ordered a 2013 Ford Focus to replace the one he bought when he graduated from college in 2000; driving it made me think of him. The drive to the Inn in the dark was challenging, and Bill’s knowledge of the Portland area was limited, but I did arrive without any wrong turns (well except for going the wrong direction on the freeway, but I figured that out and corrected it before I called Bill for directions) and began my time at the Inn. Upon my arrival, we chatted for a short bit and I rolled out the cot which would be my bed for the next thirteen nights.

I knew before I arrived that Bill would be sleeping a lot, and at the doctor a lot, so I brought a project with me to fill in the gaps. I had cut squares from the plastic needlepoint canvas I got during my last visit to help Bill when he was still in Bend in November, and got letter/number patterns online. At first I was going to make capital letters and sew six squares together into blocks for my granddaughter, but I later thought it would be too hard for Luisa – I later decided that I would make ‘tiles’ – maybe lower case letters on the reverse side, and bright bold colors as the background. It was my mission, and ended up being the afternoon conversation piece at the Inn among my new friends.

I set up my daily crafting at the window side of the kitchen table and spent each spare minute of the next ten days working on my granddaughter ‘project’. The Bill project came first...

On my first Sunday morning, I tried to get my bearings and figure out how the rest of my stay would unfold. The first of many of the guests I would meet was Linda. She was 61 years old and lived in a low income retirement home in Downtown Portland. There were some renovations going on at her apartment and she chose to stay at the Inn instead of the hotel that was offered by the apartment complex. She was unhappy about most of what she thought was being done there. In fact, she seemed to be unhappy about everything. She wanted to know everyone’s business, and did her best to make sure everyone knew hers. She was a busybody knowing everything about everyone staying at the Inn. She seemed unhappy and was judgmental, but she was helpful telling me the ‘rules’ and what to expect. In spite of this, we kind of were friends; I even took her out shopping on her last day, because she didn’t have a car. Consistent with her behavior, she had no interest in exchanging information for the future. It was she who introduced me to Dr. Joe. Everyone at the Inn seemed to agree that there is always ‘someone like that’ and accepted her as she was.

I think it was that first Sunday when Rogerio wandered in – quite a bit later than when he was supposed to – he had lost or misplaced his documentation in Dallas (or some Texas airport) and missed his flight. He was from Brazil, and I learned that he was going to stay for a year. His pleasant nature did not reveal his knowledge – his demeanor did not command respect. Later, I found out that he was a professor at the university in Sao Paulo, Brazil, and his reason to be in Portland was for post-doctoral studies. He had no phone with which to call and announce his arrival so I loaned him mine.

That would be when I met Mike – the innkeeper – for the first time. A little bit disorganized, happy-go-lucky, fun kind of guy. Mike was not only the owner, but for the time I was there he was also the breakfast maker, laundry doer, story teller and chauffeur. He wanted everyone to be happy, whether it was the one night guy looking to get into the medical school – the one night person having a job interview – the week long person using the place until they could find their own long term place – the out of country travelers there for a week or two or three, and even those like Bill, recovering from a lifesaving procedure. He was there for everyone, and related well to us all.

Bill was in a sleeping mood when I arrived, so I sat in the kitchen near the window and made my letters. Linda came around and asked questions and made sure I understood her miseries...

I met Christina on Sunday, too, I think. Another post-doctoral visitor from Brazil doing study on how eye cells communicate with each other. A young, energetic and very driven woman – I liked her right away. It is her goal in life to cure blindness! Though she and Rogerio were both from Brazil, they did not know each other before meeting at the Inn. By the time she left, they were friends! Not a love story, but a story nonetheless.

It may have been that Sunday that Linda introduced me to “Dr. Joe,” by that name. I didn’t really believe that his name was Dr. Joe as he was clearly Asian, but everyone called him that, so I just did it too. He was a Plastic Surgeon from Taiwan. Language was a barrier, but he used his time at the Inn to engage people in conversation so as to improve his English language skill. He was a refreshing and seemingly innocent soul for his 46 years of age. It became a daily ritual to engage in conversation with him – just for the great fun of learning about him, his job and his home.

It was probably also that very first Sunday when I met Glenda for the first time. A genuinely beautiful woman in her early 70’s who had been thrust via emergency medevac transport because of her husband’s medical emergency (blood infection?) into her place at the Inn. They live in Medford, Oregon. She’s a retired flight attendant for United Airlines; I didn’t get what her husband, Murph, did before he retired. They arrived the day after Bill’s bone marrow transplant. He in intensive care, and she at the Inn.

I don’t recall when I met Kelsie. She pretty much kept to herself, didn’t join the group for breakfast, and always ate a microwave dinner. She will be a physical therapist with her MD in May of this year. A delightful young lady from... maybe Pennsylvania? She called home daily and usually had earphones when we saw her in the morning and evening. Occasionally, she would be in the kitchen without the earphones, and whichever of us that were there would engage her in conversation. She had the brightest orange jacket that she would wear while walking to and from the Inn. It kept her warm and made her visible to cars. We did not worry for her safety while walking!

Then there was Anna too. I’m writing this late, and I don’t recall where Anna came from or went to, perhaps somewhere on the East Coast. We had few conversations, but when we spoke, she was nice. She will be a Doctor of Internal Medicine soon; she also will receive her MD in May. She will still need to fulfill an internship before she can apply for Board Certification and begin her own practice.  At one point in her schooling, she was offered the opportunity to ‘close’ a surgical procedure, which she wanted to do. Unfortunately, she poked herself with the suture needle (went through the double gloves and drew blood). The patient had hepatitis C, and she underwent months of testing to be sure that she had not been infected with that disease. Fortunately, she did not get the disease, but it affected her vision of the future. It was early enough in her schooling that she was able to shift into the specialty of a non-surgical Internist.

So those are the main players in this situation that became my thirteen days at the Inn. There were others... the occasional person staying one night for a morning interview at the medical school, or the other one night guests applying for jobs. Or even the Dr. that flew in for one day to teach a class...

On Monday morning, Bill had an appointment for an infusion at 8:30 am. The hospital is very close to the Inn, but the hill is very steep. Mike, the innkeeper, was making breakfast for the guests. “What will you have?” he asked. A happy jovial guy who really wanted everyone to eat a good breakfast! I hadn’t thought about eating – I was there to make sure that Bill got to the hospital. Mike would have none of that... “How do you want your eggs?” Sausage was already cooking and the potatoes he boiled the night before were being shredded into the pan.

“Thanks, but I don’t have time to eat. I need to get Bill to the hospital for his infusions...”

“You eat,” he said. “I’ll take him down.”

Really? I had only just gotten there, but I was finding out that the Inn was a special place.

After the infusions for that day, Bill just wanted to sleep. I parked myself back at the kitchen table to work on letters and numbers for my granddaughter. I was at the point where I really needed to find a JoAnn or Michaels (wonderful crafting stores that don’t exist in Hawaii) to get the extra canvas for the backs of the ‘tiles’ and the bold and beautiful yarns to stimulate Luisa’s senses. Bill was up the next day and needed groceries. It was by accident that we found the JoAnn’s before we found the Safeway (Bill’s money for groceries was in the form of a gift card from Safeway). I was happy that I was able to get the things I needed to finish my very time consuming project. I began to worry that I wouldn’t finish all the squares in time to mail it from Portland...

From that point on, as the days blurred into one another, my project became a conversation piece. As the tiles were finished one by one, the guests at the Inn would come to the table and monitor my progress!

RGB and Y (Red, Green, Blue and Yellow)

I found the great colors, but the yellow background made it too hard to see the white lettering in artificial light. Looked great in the sunlight, but didn’t really work inside. I had to undo my trial piece and needed to find the store again to find the purple/violet yarn. It turned out to be a gorgeous color.

RGB and V (Red, Green, Blue and Violet)
 
 

Breakfast during my thirteen days turned into a very enjoyable morning routine. As the guests would go off on their way, I got to know Linda better, and when she would go out for her walk, I had the chance to talk story (as we say in Hawaii) with Mike – the Innkeeper. He had sadly lost his wife to cancer only about two years ago. He went through a daze after her death, and was getting his life back together. Even has a girlfriend now! Mike and his doggies were great! His girlfriend kept her distance from the ‘business’ but was assisting with shopping and occasionally interacted with the guests. Her doggie, a little shih tzu, was a guest favorite!

Nancy, who was the manager and the brains of the Inn (and a great help to Mike) had left rapidly in early January as one of her five sons was very ill in Southern California. It turned out to be a rare variety of Lymphoma which was very hard on their family. She returned to her job at the Inn just two days before I left, so I did not get much time to know her.

Linda (the complainer) was the constant during my stay at the Inn. Early on she commented that the spot I had adopted at the kitchen table was really ‘hers,’ but even though I offered to move, more than once, she eventually found another spot that suited her.

I went with Bill to the doctor appointment on Thursday. He told the physician’s assistant about how tired he was, and the guy just looked Bill in the eye and said, “Did you just have a transplant??” As if to say that sleep was a good thing for now. I wouldn’t argue with that...

The breakfast gatherings were good, and the stories developed during those thirteen days.  Rogerio had found a place to stay for the next year and would be leaving the Inn shortly. The young doctors, Christina and Anna were going to go home. Their last night, we stood in the kitchen with Glenda, whose husband had gone from bad to worse. He had a feeding tube and hadn’t been able to get out of bed since early January when he was brought in. He couldn’t speak and had very recently stopped communicating with blinking his eyes. “The infection in the heart valve,” Anna explained to Glenda, “cannot be reached with antibiotic treatment. It will need to be replaced.”

Glenda stood there, taking it all in, and said that he – her husband – would have to be the one to decide whether or not to have the open-heart surgery. She was so genuine in her belief that he – not her – would ultimately make that decision.

All of us prayed for Murph.

Time passed quickly now. Rogerio moved out. Christina and Anna left. Of the original people, Kelsie (who has pretty much kept to herself), Dr. Joe, Linda and Glenda remained. And of course, my brother, Bill. A steady stream of new faces, a few men came to interview for the medical school as students... in one evening and out the next day... The Rheumatologist there for one night to teach a class the next day...

On Saturday, Bill was finally feeling up to some time outside so we went to the zoo. It’s all happening at the zoo! (It’s ok to hum the tune in your head...) The experience of the zoo was somewhat disappointing. Most of the exhibits were closed, and there was even a sign on the bird exhibit saying that they had flown south for the winter. (I bet they were at my house in Hawaii!) We did see the famous Lily the baby elephant. It was good to get him out in the fresh air. We invited Dr. Joe to join us, but he rejected the opportunity. (That was the word he used to say “thanks, but no thanks...” “Say no, that’s reject, right?”)

The halfway point of my time at the Inn came and went. It had been a long week, but there were many more days to go. I wasn’t finished with the alphabet and numbers, but there was certain progress not only in my project, but with my brother Bill. I began to realize that Linda, Dr. Joe, Glenda and Mike were monitoring my progress with my project, and commenting on the value of the project I had undertaken. It was long and time consuming, but I was driven to finish, and they all had encouraging words!

Days passed. There were routines. Linda would have her daily walk and return by around 4:00 pm. But she would be leaving on Wednesday – my day eleven. A new person, Bobby, moved in with her husband who would undergo his second knee replacement on the same knee. Ugh. They were both police officers and lived on a farm somewhere past Pendleton, Oregon. I learned that she was the only qualified person in the town to take finger prints from a cadaver. I promised to never go there... Haha, just kidding!

Mike the Innkeeper was the morning fixture and breakfast mattered; he was always happy and encouraging everyone to eat breakfast... Kelsie would grab a yogurt and banana and walk down the hill in her bright orange jacket. Dr. Joe usually made his own oatmeal concoction and leave around 8. Linda didn’t really eat the food that Mike made – I really don’t remember her eating breakfast at all... Glenda would eat what Mike prepared. Breakfast was a good bonding time.

Bill had entered into a sleeping ‘funk’ and while I would check him constantly for fever and rash, he was always ok – just tired.

My time at the Inn, and being Bill’s caretaker was ending quickly. I sat at the end of the kitchen table with my letters and numbers and my laptop and was generally up until around midnight – chatting online with my Facebook friend Connie, (I was now two hours earlier in the time zones) and visiting with whomever should wander in at whatever time. This night, something seemed to be missing.

“Have you seen Glenda?” I asked out loud – “She’s usually in by now...”

She came in very late that night. “They had to intubate him today... he couldn’t breathe.”

Dr. Joe didn’t come in at the usual time either. Finally he arrived at midnight – full of excitement at the surgeries he had witnessed. We chatted for a while as he wound down from his day.

Linda didn’t have a car – just took the bus or walked wherever she had to go. She had mentioned that she would not like the toilet seat that they were going to install in her renovated apartment. “The cover caves in,” she said. I knew what she was talking about, and didn’t figure she was the type to carry a toilet seat on the bus, so I offered to take her out on Tuesday to get a new toilet seat for her renovated apartment. I knew she’d be leaving on Wednesday. We chatted, but she kept her distance. I hoped she would like her renovated apartment...

I was focused on finishing my project, but always took time to engage with the guests. They were becoming friends in the most unusual of circumstances.

On Wednesday morning, it was done. The very late night before I had only made it to ‘8’ but the morning saw the completion of the 9 and the 0.
 
 
 
 
The finished alphabets!

I packed it all up and took it right away to the post office in the Pearl District. I was beginning to know my way around. I was proud of my accomplishment, but sorry that Bill didn’t see it before I packed it up and sent it off. He was doing ok – no signs of rejection – just tired a lot, but not participating so much.

So I went to the Post Office to mail off the project. Bill just slept. Linda left on Wednesday, and I spent a good amount of time with Glenda and Dr. Joe that evening. Glenda was telling us about how her husband had a miraculous recovery and was even up and out of his bed! After being semi-comatose for the last two months, he was breathing and talking on his own!  It was exhilarating to hear that news, and we hugged each other.

After she retired for the evening, Dr. Joe wanted to talk. Talking helped him to get a better understanding of the English language, but he was always somewhat clinical about that. Like the time I came in and said, “Hi Doc!” His ears heard, “Hi Dog.” He thought that was disrespectful, but knew I wasn’t like that so he tried to clarify what I said. It took a lot of words, but he finally got it!

It was fun talking with him as he wanted to be better at speaking English and he constantly questioned us in the effort to get better. That was fun for me and Linda as we challenged him at every opportunity... He is a plastic surgeon in Taiwan. We asked him, “Have you ever had a patient that you thought was too beautiful to undergo the surgery that you perform?” Haha, he laughed and maybe even blushed! “Yes,” he said.

At one point I asked him about other surgeries he had performed before going into his specialty. “I was in the industrial district – there were amputations.”

“What? You had to amputate people’s limbs??”
 
“No, they came in with their fingers on ice.” (He demonstrated a guillotine motion over the four fingers on a hand.) He is from Taiwan and has a very heavy accent. His English skills are less than his surgeon skills but he wanted to share. If you know someone from Taiwan with English as a second language, you will recognize the sound of the -a after a word... “You only need two fingers” he said as he demonstrated the thumb and any other finger. “We try to attach all, but not always work... Two fingers is enough.”  He explained that with two fingers you can “put-a on your clothes, you can eat-a some-a food, you can wipe-a your ass.” Haha, we just laughed!

On Wednesday, Jonathan moved in. He was from Canada looking to spend three years doing post-doctoral studying about how genes – or was that neurons – in the brain communicate. The goal of that study is to develop better medications.

As I hear the very wonderful news of Murph beating the odds and recovering, my heart is warmed. “We were all praying for you,” says Dr. Joe as he pulls up an image of Buddha on his phone.

It dawns on me that I have spent thirteen days with the most unlikely of company. People who make miracles happen, people who want to make miracles happen and people (like Bill) who are miracles happening.
 
 
Angie and Bill at Multnomah Falls. Bill wrote of this little trip, “It was a
rare day with mostly good weather. We saw many of the other falls
as well as Vista House, it was a lovely afternoon.”

Bill wanted steak and a baked potato for our last meal together in Portland. When I returned from the shopping trip, Dr. Joe was there – almost frantic – “where were you? I wanted to see you before you left!” Glenda had a card for me with an owl piece inside. Bill and I had spent the day at the Vista House and the Columbia River Gorge. Just beautiful country. And there were waterfalls!

It was time for me to leave. Bill will be fine. Glenda will make it home to Medford with her beloved Murph, Dr. Joe is on a plane right now heading home to Taiwan via Tokyo, and I’ll be arriving home in Honolulu in just a little while.

All of these experiences with this random group of people will help me to see life in a different way in the future. I was surrounded by genius young people who will change the world with their dedication to the sciences, and regular people facing extraordinary circumstances.

Within the walls of the Inn, no one was better or worse than another; there was a magical understanding. These are the experiences that define life. These thirteen days at the Inn will forever be a part of who I am, and I am grateful.

Aloha O’e to Portland. Thank you for the memories.
 
Angie Chinen, February 8, 2013

*************
 
Postscript: It turns out that “Dr. Joe” was really Dr. Chou. Sounds the same! We have exchanged emails since I returned. Also, Rogerio will be staying at our home when he comes in April for a conference at our convention center in Hawaii. We will be happy to have him as our guest!