That works in life, baseball and medical decisions. After all, one needs all the facts before considering where to go next.
The As pulled off an amazing win (thank Chapman’s home run with two on in the bottom of the ninth). Unfortunately, I left at the end of the eighth. Just too much to do on top of freezing in the windy stadium.
Backing up now to the morning – BART + the N-Judah. With the potential for being able to spring George either tomorrow or this weekend, the nurse coordinator had scheduled the mandatory teaching sessions. So there was the dietitian, the pharmacist, the infusion service (going home with a line to continue IV meds is much better than hanging out in the hospital.)
[Aside. Back in the old days – 1970s for example, it was absolutely unheard of for a patient to be receiveing IV therapy outside a hospital environment. Admittedly, we didn’t have the fancy micro-chip computer pumps that are the standard today, – but the idea that anyone would provide care that was normally within the provenance of nursing or medical care just didn’t occur to anyone. There wasn’t much change through the 80s and into the 90s. Several outside influences came into play – law, policy, cost – and the attitudes of what could be done at home vs. hospital changed drastically especially once we entered the era of “managed care” and “utilization management.” Besides spawning an extensive industry of home health care, a significant portion of care was shifted from health care professionals to family members. What, in some ways is really surprising, this didn’t include laundry, bed linens or food, unlike much of the rest of the world. Which takes us today. People go home with draining woods, central lines, and occasionally the need for infusions around the clock. None of which are seen as requiring “skilled nursing care” if a family member can be instructed.]
Now it is a matter of waiting – to see if his blood counts are stable over night so that we can blow this popsicle stand tomorrow. Somehow the staff seems to think that hanging out over the weekend, even if I have to drive him over every day would be more than satisfactory. Me? I want George home. But the prospect of having to drive over twice a week is daunting enough. Extra trips? The thought makes me shudder.
Anyway, I still have to stop at the grocery store tonight, sort out a few things at home and otherwise get organized.