The New Patient

Afternoon Tea
Welcome to Willow’s weekly coffee and tea garden. My name is Paul, I’ll be your barista today. I’m happy to see you have come for a cuppa and a chat. Please come into the garden and make yourself comfortable. Willow has put out the cushions on the chairs and set the table under the canopy so we can have a cuppa and chat. As usual, I’d be pleased to bring a pot of whatever beverage you prefer – we have a wide range of teas and coffees to satisfy our world-wide readership. Also available is a large selection of spirits for addition to your cuppa or in its place. We can relax amongst the flowers while we discuss the affairs of the week both personal and/or worldwide. How has your week been?
Friday evening I walked into dialysis in a good mood – humming under my breath. I was early and my chair was empty, which meant I could take my time and arrange the chair and sheets and pillows to my liking while I got ready for treatment. My regular position is adjacent to the nursing station and admin area. They will often line up in-patients on stretchers or wheelchairs next to the desk and tonight was no exception. Most times the patients are either lost in their own thoughts, asleep or in pain. Tonight as I walked by the station a gentleman on a stretcher called out to me and asked if I was a dialysis patient. I answered in the affirmative and walked over to lean on the desk next to him. He asked how long I had been a patient and I told him 8 years. He told me that this was his veryfirst dialysis. He was in his late forties and had an air of authority about him. He showed me the perm catheter they had installed for dialysis – the usual starting point for new patients. I showed him the scar where my original perm cath had been installed, and then my fistula. I asked how long he would have to be on dialysis (some patients have temporary treatment during times of kidney infection or other issues) and he told me he was a permanent patient. He wanted to know about the treatment and pain control and worst side effects. I, in turn, emphasized that the dialysis personnel, nursing and admin strived to make the unit feel like a safe place for the patients and he should speak up if he had any concerns or questions or felt any pain. I could feel that he was understandably nervous and I worked to assuage his concerns. I tried hard not to lie to him and simultaneously not to alarm him. And he was asking questions about far future events – questions that made it clear to me that he didn’t quite get this yet. Dialysis treatment is not a fix for a problem that puts things back on course- dialysis is an alternative to death and so there are continual and recurring issues that pop up like dominoes falling. The train of his life had just made a turn at a switch and would never again be on the original track – as much as he could temporarily still see the original track, he would never return to it.
Would you like another cuppa while we chat? Perhaps a sweet? I hadn’t really noticed my change in attitude over the years as I slowly came to realize that what happens next isn’t really important – what happens now is the most important. Focus on now and everything else will eventually work out. When I spoke to Ken, it was like looking back in time and speaking to myself 8 years ago. It was an interesting conversation. I had always griped about the doctors and staff not being open about warning of the coming future, but now as I stood in front of this frightened man who was seeing all his life’s plans and his future change, I couldn’t help but edit my own words to remove the coming angst. There was no way that in his frame of mind he would have been able to properly process those words. I wonder, does that make me hypocritical? Here I was doing thevery same thing that I most detested in others.
The nurses came to roll Ken to his dialysis and one nurse, Tau, quipped that I should write a book. I teased her that I would be sure to include the night she hit the back of my dialysis machine with a stretcher, breaking off a water line and creating Lake H (H is the dialysis unit). She laughed so hard she turned beet red. Ken and I exchanged good-byes, leaving me thoughtful. I hope that I gave him some small amount of peace about his coming life without omitting too much or alarming him. It’s a fine balance. I learned a lot about myself in that conversation with Ken.
On that note, that’s about all we have room for this week, so it’s time to settle in with another cuppa and enjoy the garden. Sweets anyone? Please join me in thanking Willow for her invitation to tea. We are all honored that you dropped by today to visit. I hope you’ve enjoyed yourself and the conversation and please look around at Willow’s other posts while you’re here. Willow is over there serving her guests and chatting it up. Let’s go see how she is today. Have a great week. We look forward to seeing you back here for sweets and beverages of your choice again next week.

Homemade Pink Cupcakes Await a Birthday Tea at School for a Young Girl’s Sixth Birthday Photo by : Belinda Borradaile
If we were having Coffee Original idea from http://parttimemonster.wordpress.com/
And of course the
IF WE WERE HAVING COFFEE: WEEKEND COFFEE SHARE
over at Part Time Monster and Gene’O’s