Monday, October 16, 2017

Leftie Power

After breakfast 2 days ago, my father suddenly lost his ability to walk, was breathing rapidly, and looked odd to a sharp-eyed aide at his facility. One hour later my brother alerted me that Dad was on the way to the Scripps Hospital ER. Then things got weird.

Despite being within the 3 hour window to receive TPA, a clot buster that reverses damage, Dad refused treatment due to potential side effects such as brain bleed. A neurologist called to ask if I wanted to overrule his decision since I had healthcare proxy privileges. We agreed that despite his age and condition, he was mentally competent, so I respected his choice. That was hard - if it were me I would have taken it. He was stabilized and I felt comfortable taking a flight later in the day. (Side note: once again, Alaska Air waived all fees and upgraded my seat. That’s their policy for a family medical crisis.)

I talked to my father at 6 pm and noticed a slight vocal slur. Arriving at 11 pm, I was greeted by a full code alert with a medical team rushing in to treat what they thought was a second, potentially fatal stroke. His words were garbled nonsense and all systems were failing. I slept in his room and watched the team in action, while convincing Dad not to rip out his catheter. After more CT scans, MRIs and cognitive testing throughout the night, they determined it was temporary brain swelling and would resolve. It did. By 8 am Sid was ready for a meal, talking a blue streak, wondering why everyone looked so concerned. However, his right leg was paralyzed from the knee down. I started planning for wheelchairs.

Fast forward to this morning, 48 hours post stroke. I found Dad raising and lowering his leg, wiggling his toes, saying “look, everything works again!” Huh? Well his body doesn’t quite function like it should, but he made incredible progress. The man is a 95-year old diabetic with cardiac, orthopedic and pulmonary issues. What happened?

Sid is stubborn, he’s a survivor of many challenges, and was born a leftie. As a child he was whacked (not by nuns) and forced to write with his right hand. That was a common practice for his generation to “fix” a defect. He became ambidextrous; his brain practiced “neural plasticity” for decades to follow. I know that left-handed people, about 13% of the population, are over-represented among musicians, creative types, and chess players. I was stunned to learn that lefties recover from stroke damage faster and better. And lefties trained to be righties may have special brain powers that no one understands. I’m a leftie, by the way - feeling pretty lucky about that right now. While this factor may be irrelevant to my dad’s evolving recovery, I’m concluding it isn’t all due to excellent medical care, high dose aspirin and prayer.

I knew that Sid was back on track when I got a call from the speech therapist this afternoon. I was at Costco chasing down lost hearing aid parts. Dad made her reach me to request a hot dog delivery, extra sauerkraut. She had to whisper as it obviously didn’t meet nutritional criteria. He got extra insulin and a wink from the nursing staff.

One of the hardest parts of this surreal chapter was telling my father that Harry, one of his dining room buddies, died during surgery a few days ago. He teared up and we talked about the pain of watching loved ones die with no logic. That conversation was extremely difficult for me.

Dad will soon be discharged to spend time in the rehab unit at his community; he’s been there 2 times already for recovery from falls. His friends are across the courtyard, he will be welcomed back to a caring environment, and he may even get a private room (flowers over the years for staff has paid off). I ordered bacon for his breakfast, since he’ll be returning to a kosher cocoon. I’m very proud to be Sid’s daughter.