When I was a very small girl,I became acquainted with the term "outlaws". My Uncle Artie coined the term to refer to the men & women who married into the Siegel family. He told my mom that they weren't inlaws, but outlaws. The Siegel family was large so there were lots of outlaws &cousins. My Siegel grandfather &his brother married my Siegel grandmother &her sister( a lot like twins marrying twins) so all of us were proficient at figuring out who was a first,second,once removed etc cousin. Unfortunately I never had the pleasure of knowing my Siegel grandmother as she died suddenly at a tragically young age. My grandfather remarried. Her name was Fan. She was an outlaw I guess but I knew very little about her. I assume she is the one who oversaw the huge spreads of food when the family gathered in their house at 205 Church Street. There were tables laden with everyone's favorite foods. Along with the various varieties of fish,bagels & salads there was always some Rice Krispies for my sister.
We used to have family reunions while my grandfather was still alive. They were held in a park in Lancaster,Pennsylvania around the time of my grandfather's birthday in June. They were large gatherings with many active children running around. I remember barbecues but I don't remember anyone in the family who could do that. It must have been catered. Some of the cousins have talked in recent years about resurrecting the reunion, that would be much fun. Some of my cousins I have not seen in 10 years. This is my fault I know for living in Arizona and not Massachusettes,NewYok,New Jersey, Maryland Pennsylvania or Virginia.
Unclet Artie as I said coined the term outlaw, so he will be the first I talk about. He was so funny,loving and he genuinely liked other people especially children. He always had something funny to say. He never lost his Brooklyn accent so the jokes always sounded funnier because of his delivery. He danced with all of the little girls at weddings& Bar Mitzvahs. He let us put our feet on top of his shoes while we danced. He had a nickname for me. I was "Pammy from Miami". ( I wasn't but it rhymed & it was funny so I loved it). Uncle Artie worked at the Pentagon. We always wanted him to tell us what he did there. Some of us were convinced he was a secret agent of some kind. When he explained what he did it never made any sense. I was sure he was under orders not to tell anyone about his top secret job. I still don't know what he did Maybe someday his kids will tell me.
At least one of the outlaws came with a partner & that would be Aunt Maureen. Aunt Maureen was beautiful (inside and out) & vivacious. To make her entrance into our family even more exciting, she brought her parents with her. I apologize that my memories of her dad are fuzzy, but I think he was the pet wrangler in that family. Àunt Maureen's mother was a force of nature. She too was beautiful. Her name was Aunt Reggie. She was exotic (at least to me). She had a British accent. She taught us how to get the best suntans (while it was still OK to get suntans). The secret was to mix iodine & baby oil, slather yourself up & then sit with a reflector aimed at your face. Both Aunt Maureen & Aunt Reggie were born to be married. They were also never say die matchmakers. They were always dressed impeccably( they also offered fashion advice). I remember Aunt Maureen &Uncle Charles stopping by our house in Illinois on their way back from their honeymoon. They were a lesson in newlywed romance. You could see the love in the air. If any of my cousins have a picture of their wedding party, I was a flower girl. I had to stand still for the longest time during the ceremony & I was gently reprimanded by my mother afterwards because I had been sliding my foot back & forth. I have a bracelet that was a gift to me for being in the wedding that I still treasure & wear. I'm pretty sure it was before Uncle Charles & Aunt Maureen's wedding that the infamous "locked door freak out"of my mom occurred at-- I think it was the Waldorf in NYC. We had connecting rooms. One of us cousins locked the connecting door leaving a bunch of us kids alone in an upper story room with wide open windows. I dont know how we got out, but no one fell out the window. I was honored to be present when Aunt Maureen remarried after being widowed, it was a beautiful wedding in her Japanese garden. I'm so glad Morris Tischler made her happy.
Unfortunately, Uncle Peter is a far away memory, but certain things are imprinted in my brain. He was kind, warm & soft-spoken. I remember loving him so much it hurt. He & my Aunt Anne brought me a native American doll from Oklahoma. Uncle Peter was a physician with, I'm not sure what it was called then, but something along the lines of "Indian health Services". Maybe one of the Ball children can let me know what it was called. He left us much too soon.
If Aunt Maureen came with a partner, then Patricia came with a whole posse. Patricia married my youngest Uncle, so she is only about 10 years older than me. She felt too young to be an Aunt& really wanted to just be called Patricia, but I could never do that. These days skipping the "Aunt" has been easier. She was (and is) beautiful & sophisticated. I looked up to her. She brought along her parents, sister, a few cousins& the most glamorous aunts ever. They were all gorgeous & very well put together. The Siegel family definitely needed their infusion of (I hate the word, but...) CLASS. Patricia & Uncle Stanley took me along to an outstanding cultural experience(Mikhaiĺ Baryshnikov). Sorry to report that no matter how impressed and excited I was, I could barely stay awake due to some late night teen shenanigans the previous night. I don't even remember what the shenanigans had been. By the way Patricia heard of Ravi Shankar before I did.
Aunt Selma was mysterious to me. First of all she never seemed to age. I had a couple of firsts at her house. One of those things was caviar. Oh my goodness, I've been addicted ever since. Aunt Selma also offered fashion advice. I was slow to find my style. I think I needed all the advice I could get. I remember show tunes always being on the stereo. I've been addicted to those ever since also.
I have one last Siegel outlaw & that was my Uncle Myer Nathan. He was a quiet sweet man. Maybe he wasn't always quiet. Maybe it was just when he was surrounded by Siegels. He had a lot of extra family responsibilities due to my Aunt's poor health. From my vantage point he did a fantastic job. I know his children loved him very much.
I had one outlaw on my mother's side of the family. Uncle Bob was a character, not a laugh out loud character, but just very unique. He was an entomologist & taught at St Lawrence University. He had no patience with us kids who were afraid of "bugs". He had a very distinctive voice. I can still hear it. I wish I could see his reaction to a local business here in Tucson "Uncle Bob's Popcorn".
I know some of these memories may be &probably are romanticized a little. Unless I made an outright mistake I ask my cousins to let me keep my fantasies. I also know that everything wasn't always "hunky dory". I know not everyone always got along, but I also know everyone loved one another. I left out someone's 2nd marriage cause it didn't work out & I figure that's not my busines to write about .
Thanks got to Uncle Artie for the outlaws joke. It stuck in my mind all of these years &gave me the idea for this post.
Addendum: My cousin Ellen messaged me on Facebook this morning. She said she liked this post &ŕeminded me that Aunt Reggie's husband's name was David Hayman. She also said it was OK to talk about her stepfather Ralph Klein. Yes, for a while at least my aunt's name was Anne Klein. Ellen told me that Pat(Patricia) used to refer to "Ralph Klein time" as opposed to Siegel time. Ralph liked to stick to the schedule like my dad did. They were prompt/ready to leave at the time they said they were leaving. The Siegels had famously long goodbyes which always put us behind scedule. Thank you Ellen.
Thursday, April 30, 2015
Tuesday, April 28, 2015
WE DON'T LIVE IN OREGON (caregiving part umpteen and a half)
Interesting to read my last post again. The interim has been almost chaotic. My mother has had an infection that required her to be admitted to the hospital for IV antibiotics . She then went to rehab for 2 weeks to try to regain her strength. She is now home and healthy though not yet back to her strength and abilities she had before this infection started. Looking back I realize this had probably been going on for at least 6-8 weeks. She is now receiving home heath. There are therapists, nurses & aides coming & going. I am grateful for the help. It won't last forever, but I will try to make the most of it now.
The day my mom went to the hospital was Friday April 3. Her condition deteriorated throughout the day. I was in touch with her Primary Care Provider who was less than helpful. I've blogged before how dismissively they have responded to my concerns, suggestions &questions. I had had it with the symbolic condescending pats on the head they gave me. However I thought we had finally come to an agreement to respect one another's voice. WRONG . I was trying to prepare for the first Passover Seder that night while monitoring & helping my mom. Thank goodness for the wonderful Charlotte who was here to help for part of the day. I won't detail the phone calls back & forth with the PCP at this time , but the gist of the message I got was that I was overreacting. She almost , but not quite told me to give her 2 aspirin & call her in the morning. Just before the third cup of wine at the Seder I called the home health nurse for advice. She told me to take her to the emergency room. The rest of the family agreed & I called an ambulance. The severity of what was wrong assured me we had done the right thing. The PCP called me the next day to see how my mom was. I told her she was in the hospital. She seemed genuinely shocked, but of course offered no apologies. (I think lawyers must teach a class to them titled " Never Aologize").
The reason I am blogging on this subject is that this is instead of an angry letter to the PCP. I don't have to worry about saying it just right, I can just express myself without endless drafts of a letter I would probably never send. I was ready to fire the PCP, I just hadn't made a final decision. On the 15th I received a letter from the PCP firing my MOTHER as a patient. I was angry but not entirely surprised. Frankly what made me the angriest was that she had kicked us to the curb before I had a chance to do it to her. What can I say? One of my least attractive traits is that I don't forgive or forget.
Her letter to me looked like it had been written by an attorney. (I really have nothing against attorneys, but realize this is my second snarky remark about them). It said they were giving us thirty days notice because they could not meet the family's expectations. Damn straight! This was the most honest thing she ever said. My expectations include listening to me as much as I listened to them. I expect that they respect my religious / spiritual beliefs. I expect that my mother be treated no matter her age. I expect infections to be carefully treated. I expect not to be subjected to hockum about weird diet fads & their proselytizing about Oregon's assisted suicide law. My mother has been seeing this PCP & her nurse for about six years. The first time the nurse came to our house she said my mom was on her"way out". I expect them to respect my requests that we not talk about death in our house. My mom wants to live. She has said it over & over & may she live for a long time to come. I expect them to know that a medication should be discontinued because of certain lab results. I expect an honest recounting of recent health problems my mother has had. (A hospitalization 3 years ago was a result of my mom's sodium getting to a dangerously low level while under the PCP's watch. The PCP continually refers to that hospitalization as being because my mom was constipated-She was but that's not why she was admitted to the hospital). Why did I put up with this nonsense ? My mom liked her & I thought by being vigilant I could keep the PCP & her nurse on top of things. All I did was irritate them.
I'm not considering it now but if I ever do decide to sue them, it may be for religious discrimination as much as malpractice. Jews just don't talk about death especially in front of the patient. They questioned me frequently about my Healthcare power of attorney & advance directives. I told them repeatedly that the I WAS my mom's POA,presented proof & more than once explained to them my mom tore up her advance directives over 10 years ago after she saw the effect they had on us as a family during my dad's final illness. They didn't seem to understand the difference between a power of attorney & advance directives. We didn't fit the cookie cutter mold of their expectations.
I would be less than honest if I did not mention that I made a huge mistake with these providers by letting professional/personal boundaries disappear because for a while I thought they were our friends. When you are greeted with a hug, sometimes your good sense goes out the window. I won't cross that line again.
By the way, I had a new excellent doctor for my mom within 48 hours. When I talked to their intake person, I was open what had happened with the previous provider. I expressed my philosophy & was assured that it was their philosophy too.
One last jab at this (I almost said crackpot but that would be wrong wouldn't it?) woman is that I think the attorneys didn't tell her to never leave an angry, incoherent voicemail. I'm never erasing it.
The day my mom went to the hospital was Friday April 3. Her condition deteriorated throughout the day. I was in touch with her Primary Care Provider who was less than helpful. I've blogged before how dismissively they have responded to my concerns, suggestions &questions. I had had it with the symbolic condescending pats on the head they gave me. However I thought we had finally come to an agreement to respect one another's voice. WRONG . I was trying to prepare for the first Passover Seder that night while monitoring & helping my mom. Thank goodness for the wonderful Charlotte who was here to help for part of the day. I won't detail the phone calls back & forth with the PCP at this time , but the gist of the message I got was that I was overreacting. She almost , but not quite told me to give her 2 aspirin & call her in the morning. Just before the third cup of wine at the Seder I called the home health nurse for advice. She told me to take her to the emergency room. The rest of the family agreed & I called an ambulance. The severity of what was wrong assured me we had done the right thing. The PCP called me the next day to see how my mom was. I told her she was in the hospital. She seemed genuinely shocked, but of course offered no apologies. (I think lawyers must teach a class to them titled " Never Aologize").
The reason I am blogging on this subject is that this is instead of an angry letter to the PCP. I don't have to worry about saying it just right, I can just express myself without endless drafts of a letter I would probably never send. I was ready to fire the PCP, I just hadn't made a final decision. On the 15th I received a letter from the PCP firing my MOTHER as a patient. I was angry but not entirely surprised. Frankly what made me the angriest was that she had kicked us to the curb before I had a chance to do it to her. What can I say? One of my least attractive traits is that I don't forgive or forget.
Her letter to me looked like it had been written by an attorney. (I really have nothing against attorneys, but realize this is my second snarky remark about them). It said they were giving us thirty days notice because they could not meet the family's expectations. Damn straight! This was the most honest thing she ever said. My expectations include listening to me as much as I listened to them. I expect that they respect my religious / spiritual beliefs. I expect that my mother be treated no matter her age. I expect infections to be carefully treated. I expect not to be subjected to hockum about weird diet fads & their proselytizing about Oregon's assisted suicide law. My mother has been seeing this PCP & her nurse for about six years. The first time the nurse came to our house she said my mom was on her"way out". I expect them to respect my requests that we not talk about death in our house. My mom wants to live. She has said it over & over & may she live for a long time to come. I expect them to know that a medication should be discontinued because of certain lab results. I expect an honest recounting of recent health problems my mother has had. (A hospitalization 3 years ago was a result of my mom's sodium getting to a dangerously low level while under the PCP's watch. The PCP continually refers to that hospitalization as being because my mom was constipated-She was but that's not why she was admitted to the hospital). Why did I put up with this nonsense ? My mom liked her & I thought by being vigilant I could keep the PCP & her nurse on top of things. All I did was irritate them.
I'm not considering it now but if I ever do decide to sue them, it may be for religious discrimination as much as malpractice. Jews just don't talk about death especially in front of the patient. They questioned me frequently about my Healthcare power of attorney & advance directives. I told them repeatedly that the I WAS my mom's POA,presented proof & more than once explained to them my mom tore up her advance directives over 10 years ago after she saw the effect they had on us as a family during my dad's final illness. They didn't seem to understand the difference between a power of attorney & advance directives. We didn't fit the cookie cutter mold of their expectations.
I would be less than honest if I did not mention that I made a huge mistake with these providers by letting professional/personal boundaries disappear because for a while I thought they were our friends. When you are greeted with a hug, sometimes your good sense goes out the window. I won't cross that line again.
By the way, I had a new excellent doctor for my mom within 48 hours. When I talked to their intake person, I was open what had happened with the previous provider. I expressed my philosophy & was assured that it was their philosophy too.
One last jab at this (I almost said crackpot but that would be wrong wouldn't it?) woman is that I think the attorneys didn't tell her to never leave an angry, incoherent voicemail. I'm never erasing it.
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