Living better with Niagara Hospice

I recently spent eight days in ENH due to pneumonia and was sent home with a bottle of oxygen. Once I arrived home, I had an in home oxygen generator delivered and set up. I was now virtually house bound due to my difficulty in going up and down the steps to get into my home. I was limited in the amount of time I could be away from my home due to needing oxygen bottles whenever I went out.

My best friend suggested I call Niagara Hospice. It was a hard decision. I hesitated calling them because I thought that meant I was giving up. I would never give up!

My last experience with Hospice was when my father in law passed away from cancer. Since then, Niagara Hospice has changed their focus. Niagara Hospice has evolved since then to meet the increasing needs of the seriously ill and their families. Their goal is to prevent and ease suffering, reduce hospitalizations and trips to the ER, all while improving quality of life. All this is provided at no additional costs to eligible patients

Honestly, the only reason I even considered it was to help make my care easier for my wife. I thought by having someone else helping with my care, she could take it a little bit easier.

There are several criteria for Hospice to provide palliative care. They include cancer, whether or not the patient is undergoing active treatment with radiation or chemotherapy, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), progressive neurological disorders, advanced Alzheimer’s disease or other dementia, repeated hospitalizations or emergency room visits, breathing problems, depression and exhaustion, sleeping problems or fatigue and late-stage illnesses. I qualified with my COPD, cancer and repeated emergency room visits.

I first called Hospice on Tuesday morning, January 21st. By that afternoon a social worker and an intake nurse arrived at my home. We talked and they evaluated me for their program. By that afternoon they called to tell me I was eligible. That Friday my assigned nurse came over for meet and greet and to get a baseline assessment.

During the first week, a United States military veteran appeared at my door. He brought me a nice, framed certificate from Hospice thanking me for my service. We swapped war stories for a while before he left. A spiritual care counselor also came over to discuss any religious issues or life concerns

On January 28th, an aide showed up to help me with my personal care. She now comes twice a week to assist me with that.

On Wednesday, January 29th I called Hospice because I thought I had a Deep Vein Thrombosis. I have had these before and knew how they felt. Hospice called Buffalo Ultrasound and by noon they showed up with a portable Doppler machine. They verified my suspicion. A script was called in that day and I was started on blood thinners.

On January 30th, I woke up very early in the morning and something just didn’t feel right. I was restless and couldn’t sleep. I felt the oxygen coming out of the nose piece was less than usual. Donna, my wife traced the hose looking for problems. She found a hose that was kinked on the tank that put humidity into the oxygen stream. I had her unkink it and the proper flow was recovered. Because it was 4:30 in the morning I had her wrap the hose with painter’s tape to strengthen it and prevent another kink. Due to the fact it was so early and we had temporarily solved the problem, I waited till later to call. In the morning, we called Hospice to tell them the problem. My nurse contacted the oxygen concentrator company and they arrived later that morning to replace the hose.

That afternoon, being a Thursday, my nurse came for her regularly assigned visit. She tried to flush my port but had difficulty. After 2 tries, she called her office to schedule “the expert”. The next day, another nurse came over and was successful.

Over that weekend, I developed a rash on my leg. I called my nurse on Monday and she came right out to look at it. She called my primary care physician who also came over after his office hours to diagnose the problem. It was decided it was a reaction to some medication. Steroids were called into my pharmacy to combat this reaction. It seems to me that every “cure” comes with it’s own set of problems.

I am now visited by a regularly scheduled social worker who comes over to check on me and see if I have any concerns.

Each and every Hospice representative I met was helpful, respectful and sensitive to my needs and wants. I truly appreciate their attitude and concern. They always have a smile on their face and are very responsive when we call. It seems to me that they are working for Hospice because they really are concerned and it is not just a job. They seem like friends we have had for a long time.

Handicapped parking

On a Facebook group I am in, “Buffalo & WNY seniors group 55 and older” there was a debate going on about Handicapped parking places.The story started with a post by someone that said “I went shopping yesterday at a local produce market. I witnessed a SUV parked on the diagonal lines between the handicapped spaces. There was a sign stating No Parking Anytime. No sticker in the window either. I asked in the store if I could speak to a manager. The cashier asked if she could help so I indicated that maybe they should phone the police. The poor girl gave me a sheepish grin & confessed that the vehicle belonged to her manager…  I was so stunned I just left.”

The post garnered 215 comments in the first 24 hours. One of the first comments was by someone named Rocky who said  ”Nevermind , it’s not your business !!” and somebody else said “I think your a busy body who is just itching for trouble. I agree with Rocky mind your business. Most who have legal handicap stickers do not really need them. This is one of the most abused privileges ever.” (Misspelling is the way they were posted)

I take offense to this. In the interest of transparency, I have a handicapped parking tag due to multiple health problems. Two of which are COPD and Peripheral Neropathy. I am mostly limited to the first floor of my house and rarely get to go out, usually only going out to doctor’s appointments. If it is too hot or too humid, I normally don’t leave the safety of my home that has the air conditioner running because I can’t breathe. If it is snowy or icy I stay home for fear I am going to fall down breaking something. I have fallen or slipped on several occasions, one time breaking my leg.

Someone stated “(This) Frustrates me, too, when someone sits in the car in a handicap spot!! Very inconsiderate of those of us who truly need the handicap spot and one isn’t available.” A person who responded wrote “I’m sure it was only for a very brief time. Maybe (they were) making a bank run or whatever.”

This is frustrating for me also. One of the times I collapsed, I was going to a medical appointment in a building on a main street. All the street parking, handicapped spots in front of the building were taken so I went to the side parking lot.

All the handicapped spots were taken there also, some of them by handicapped mini busses. They were there because the company that owns them was also in the same building. That is where the busses are parked when they were not in use. Because of this I had to park at one of the farthest spots in the lot.

After I had parked, I had to take a long walk across the sun baked, blacktop parking lot causing me to overheat. I had walked within 10 feet of my destination when my body gave out and I collapsed. This necessitated a call for a very expensive ambulance trip to the hospital.  If I was able to get a handicapped spot, I would have made it to my destination without a problem.

For some of us it is the whole difference between being able to shop and not being able to shop. I head out on a “good” day at a time the stores are less likely to be busy, only to find someone parking in the diagonal line area. This prevents me from getting in and out of my car because I need to be able to open the car door wide.

And yes, sometimes it is necessary for me to be out even on a bad day. People only see the cane I use. I see people thinking as I walk by, that I don’t look like I need a handicapped parking permit. But handicapped people are not all in wheelchairs.

According to the ADA, private businesses and public agencies must make available a stipulated number of handicapped parking spaces. They must be a minimum size and have the proper signs. The specified spaces can be used only by people with a handicap windshield placard or license plate that was issued by the state. Handicapped spaces must be located at a location that affords the shortest and most trouble-free route to an entrance of the building that is handicap-accessible.

I had discussions with my doctor about getting a handicapped hang tag for over a year.  He felt I should have one but I saw it as giving in so I told him I didn’t want one. I knew in my heart I needed one but my mind was just not ready to accept that. Finally I broke down and had him fill out the paper work. I then took it to the city clerk who issued a permit.

By the way, if a doctor signs those forms without a viable medical diagnosis to back it up or just to collect payments from Medicare or Medicaid, it is called fraud. A doctor who commits fraud can lose his or her license.

Norb is an independent journalist and blogger from Lockport, New York.