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Showing posts with label care home. Show all posts
Showing posts with label care home. Show all posts

Friday, 27 April 2018

Respite

“I’m going to get a jug of cold custard and pour it down the front of those ridiculous trousers!”
Lin, who usually handles our travel documents, gave me my passport and boarding card at the departure gate in Birmingham Airport. She was embarrassed to be seen with me in my comfortable overlarge jeans, held up by braces, which nearly fell down, when security told me to check them separate through the metal detector.
“I’ve bought priority boarding”
“So you won’t have to be seen in my company?”
“Exactly” ... though I knew she wanted to ensure her hand luggage with our picnic for the journey stayed with her, rather than going with mine in the hold.
Once aboard, before heading for a seat rows away from me – she will not pay Ryanair to choose seats - Linda handed me the prosciutto and cream cheese sandwiches she’d made in the night. I’d enjoy them with a paper mug of coffee drunk through a mesh fed with plastic sachets of milk, ten miles over the Dolomites, peaks laced with snow.
Almost midday, our flight landed - oops - with a bang before swiftly settling. My guess - a Boeing pilot new to Kapodistria not wanting to use up its short runway. At Corfu, surrounded by hazy mountains, I placed my hand flat on the apron’s hot concrete. We collected the car from Yianni, drove over to shop at Lidl by the airport, parking under one of their shades. With essentials - milk, butter, fresh veg - we drove familiarly north.
“Easter’s early. The Kokykias are still coming into blossom. Last year it was near 1st May. They’d almost finished”
Lin dropped into Kaizanis supermart at Tzavros for feta. We stopped at Emeral to have ice creams in cones. Bitter choc for me. Pomegranate and melon for Lin.
In the village, mid-afternoon, none but the cats saw us descend the shallow steps from Democracy Street, bumping and carrying our luggage. Into the cool dry house. Switch on electricity, turn on water faucets – one behind the apothiki under a metal cover, the other under the veranda with a pressure gauge.
“Cup of coffee?”
“Yes” and a cup of tea for me.
Beds all made; all as we left things last year, but for a little more winter growth of weeds in the garden, and the lower path to the bus stop filled with greenery awaiting my sickle. Despite the rainy winter there was the tiniest amount of leak-water in the plastic tray we’d left in our bedroom.
A few days later. Easter Saturday. in the crowded forecourt of Ag Georgios for midnight rejoicing, Lin and I stood with candles lit from the altar’s candle held by Papa Evthokimos. Minutes later, fireworks and shots.
“Xristos Anesti” “Alethos Anesti!”
“Kronia Polla” “Kronia Polla”
Η Ανάσταση ~ Resurrection

Following the village band playing happy tunes, we strolled home down the steep slope from the church. I marked a new candle-flame cross above our other porch, the first one, after ten Easters, having no more room for them.
We sat together upstairs. Lin jumped up on hearing sounds outside
“That’s them!”
The family had stopped their car to off-load children and baggage at the top of the steps. Down came Oliver and Hannah holding their own small suitcases, descending slightly edgeways, one foot ahead of the other.
“Careful on the steps, you two” I call from the balcony.
Their beds are made up. The stair gate in place.  Pajamas, loo, wash, teeth...
“Just one story!” and so to bed
The Sea of Corfu from Ano Korakiana 

Two years ago - February 2016 - we were enjoying a weekend at Rock Cottage when, early in the morning, we still in bed, Linda got a phone call from her mum.
“I’ve fallen over in the kitchen. Think I’ve broken my wrist. I can’t wake Arthur”
From a 100 miles away Lin phoned Staffordshire ambulance service. Dot was taken to Staffordshire General. We returned to Birmingham. Lin visited her dad at home in Cannock, took him to see Dot and brought him home to live with us. Arthur has never owned nor driven a car so Lin, as she has whenever in recent years her parents have been ill - Dot with a cancer in her cheek and Arthur in his eye - both brilliantly cured by the NHS -  ensured her parent’s transport to and fro between hospitals in Staffordshire and South Yorkshire, consultations, shopping and home.
This time, with her bad wrist, Dot should have been out of hospital in under a week, but norovirus struck - not her, but many other patients. We could neither collect Dot nor visit her. She was, through this ill-chance, unnecessarily bed-ridden for 3 weeks, as the infection played cat-and-mouse in her ward, recurring over and over just as an imminent ‘all clear’ was reported by phone. Dot at 93, unexercised, became unable to walk. I now know, with hindsight and the experience as a subject for research into sarcopenia in humans over 65, the swiftness with which lack of exercise lessens muscle strength.
Lin got her mum to a care home not far from us in the Black Country ‘to get her back on her feet’. This brief rehab was working. Lin visiting every day with Arthur and sometimes the grandchildren. Then Dot came down with pneumonia - rife in institutions. She was moved by ambulance to Sandwell General. Arthur, stoic and mostly silent, would have a stilted phone conversations between chauffeured visits by Lin to see his partner of 70 years. One early morning, at our house, he fell over trying to get to the commode in his bedroom - having refused his daughter’s help; his wish for independence, and keenness not ‘to be a bother’ amplifying his dependency. I heard him groaning through his door. Commode tipped on the floor. An ambulance took him to the same hospital as Dot, where, in days, he had a hip replacement, but, after three more days, descended into an amnesiac mist, brought on in part by pain and perhaps anaesthetic, and came down with hospital pneumonia. A day later, Lin had an early morning phone call
“Come quick”
When we arrived at the hospital Arthur was dead. Lin and I saw him, kissed his brow where his body lay still on his bed curtains around, then, with the duty doctor, went to break the news to Dot on the same open ward corridor.
Throughout the time - 45 years I’ve known them – my in-laws have been inseparable; dependent on each other; proudly independent as a couple, grandparents to Richard and Amy. Dot, stoic as her husband, released two tears at the news. Still ill, she could not be at Arthur's funeral - short and truly sweet, just ten close relatives at a 15 minute ceremony in Perry Barr Crem followed by a lunch at Toby’s Inn; flowers from our garden, picked at the last minute, placed on Arthur’s simple coffin. He was 98.
Lin found a care home in the north of the city, smart and efficient at over £1000 a week, paid for by the NHS. Dot, from hospital, arrived at Aston Court the day after her husband’s cremation. After this second stay in a hospital bed, she was again unable to walk, though just able to stand.
She was visited daily by different members of her family, but despite Lin’s best efforts at pressing the care home, especially the visiting physio, her mum remained confined to her bed with, now and then, time in a wheelchair in the lounge or dining room. She’d forgotten how walking worked. Her mind intact - she read, sang, did puzzles, watched TV and chatted to her nurses and visitors, planning, she’d repeat, to get back home which she believed was just outside her bedroom window. The home allowed Oscar dog to visit. He would jump on her bed and lick Dot’s face. As well as Lin and Amy and Richard and the great grandchildren, Dot’s niece Barbara with daughter Janice were regular visitors. I less so. Climate controlled, expensive, spotlessly clean, salubrious, quiet even muffled, with lot-bought neo-impressionist French landscape prints – poppies, contoured fields of perfect blue – hung along tope carpeted corridors lined with uncontroversial wallpaper, the place wreaked of my civilised abandonment, oozed rebuke for my selfishness.
At Sandwell General Dorothy had been catheterised - probably more to ease the work of her carers, than essential. Walking patients are at risk and hospitals fear litigation. At Lin’s request the catheter was removed, but Dot remained incontinent, her carers tending to her needs in bed. It was now that Dot began to speak of wanting not to have to wake up every morning. Prescribed antibiotics for a chest infection, she would appear to swallow her pills. Lin would find tablets secreted among her mum’s sheets.
“I don’t need them” Dot would repeat.
Lin and I brought her to our daughter’s home over Christmas. Asked after lunch what she wanted for a present Dot muttered, with a wan smile, “Knock me off”.
Dot and her great grand-daughter out for a meal

In November 2017, after she had been there 17 months, a meeting was held at the care home. Linda and I were in Ano Korakiana. As anticipated, the review was to decide whether Staffordshire NHS Trust could continue to pay for care, or whether this should be handled by Staffordshire County Council’s Social Services, who would seek funding from the family. Our daughter, was at the meeting, attended by an NHS manager and nurses who looked after Dot. Later Amy phoned her mum. The NHS, as Lin expected, would no longer pay for Dot’s care. The decision would be rubber-stamped in January 2018. Dot’s future care could be paid out of her inheritance, such as it is, or Lin, on her mum’s behalf, must make ‘alternative arrangements’.
“I can build ramps” I said
“Yes” said Lin “and we can clear the sitting room at our house, put in a bed and all that’s needed, and have a visiting and occasional llve-in carer service.”
Dot can hardly stand, let alone get about, but she could at first be gently moved from bed to wheelchair and from wheelchair to car and back.

She could feed herself but her care must involve washing and therapy to deal with the risk of sores from spending so much time lying down, as well as 'going to the loo and all that'.
“But we would be handling the finance not a local authority”
Now should be payback for all the National Insurance Dot has paid through her long life, but what’s been paid out so far for her care in old age and disability, can no longer be paid, and the state wants to draw on her savings.
Dot seemed to be on the edge of a twilight zone; coming and going, rallying into occasional cheerfulness, collapsing into waxen grief. Arthur had now been gone over a year and a half. At the time she first went there, staff had her down in the admission paperwork for ‘End of Life Care’. Lin pointed out that that was not the case, that her mum might yet recover mobility and we could bring her to our house.
“I knew the NHS wouldn’t continue funding” said Lin, “Mum’s situation didn’t meet their criteria”
On 17th January our drawing room had become a bedroom for Dot with extra heating, a commode, TV and remote, a patient turner – a gadget that helps the bedridden to stand and transfer from bed to wheelchair and back, books. bedside light and over-bed table and a button that rings a buzzer in the kitchen next door. I had made a wooden porch ramp, enhanced by a short aluminium extension bought on eBay. I hung a ribbon notice over the front door ‘Welcome home, Dot'
Then Lin collected her mum, the care home nurses helping Dot from bed to car. Once home I helped lift her from the car, Dot reaching up to grip the top rim of the car door, then turning ever so carefully – "I’m worried I’ll take a tumble” -  until she could sit again in her unfolded wheelchair. The ramp was imperfect, but after testing with help from children, seemed good enough to wheel Dot into our house and up to our kitchen table.
“Cup of tea?”
"Yes please"

Over several weeks we formed a routine of movement between kitchen table – where we always eat and talk and work – and the sitting room made into a bedroom. Dot made small sighs, mumbling unconsciously and repeatedly to herself, which, when she dozed, became an iteration of the phrase “Help me, mummy. Help me, mummy. Help me, mummy...”
We would chat with her. I sat beside her recalling times around family photos in a pile of albums and from the computer.
“That was when we were on the beach in Brittany. Remember that time we lost Amy? She wasn’t lost, it was us losing her. There’s you and Arthur on a bench on a sunny day. Who’s that?”
Anse de Guillet, Brittany - June 2007

Dot was forgetting names, even mine. Later we got to joke about her absent mindedness.
“She’s always been daft” says Lin
“Who’s that Dot. That’s me! What’s my name?”
“Charlie” she says with a cheeky grin
“Who’s that then?” I ask, pointing at Richard who was visiting as he often does
“Don’t be silly, I know who that is. He’s my favourite”
“So what’s his name?”
“I know who he is”
“Tell us his name or I get out the electric cattle prod”
“Not telling you”
Later in the albums and on the computer I name people and places, hoping to help her fading memory. I think she knows, but she can’t always summon a name.
I read avidly 'Our Island Story' when I was 10. Now Dot enjoys reading it at our kitchen table

Irritated with her daughter for insisting she go out of the house to spend a couple of hours on two or three days a week at community centres Lin had found at Oscott and Great Barr, Dot, truculent, said she would be reporting her daughter to her “doctor friend”… “He used to be an ombudsman”
“What are you talking about, Mum?”
“Yes. He’s my friend. I’ll tell him”
We were looking at ramps on the internet. Discussing different types.
“You don’t need to bother with them” says Dot “I’ll be out of here next week. I’m going home”
“How, mum?”
“I’ll be off”
Every morning when Lin tends to her, assisted once a week by a visiting carer for a bed wash Dot says sorry for “being such a bother”... “I wish I wouldn’t wake up in the morning”
Registered with our local GP, her doctor said to Lin not to force Dot’s medicines on her – prescriptions for another chest infection.
“If she won’t take them, she won’t”
I was thinking of the Hippocratic oath; the part where a doctor swears they will ‘not strive officiously’ to keep a patient alive. Lin solves the problem of Dot disappearing her tablets by getting liquid antibiotics. I get a sense that such subterfuge would not be approved by the doctor, though the law and current rules forbid thinking, let along practising this way. Lin and I discuss this.
“Mum said to me this  morning, ‘I want to die. I want to be with my Arthur’ ”
“It’s no surprise, Lin. They were together for 70 years.”
Dot helps prepare Sunday lunch
When we do get Dot, laboriously, to one of the day care centres – at St Mark’s Community Hall, Oscott Community Centre - she enjoys herself. Eating at a shared table, having cups of tea, with others of the same age also disabled, doing light exercises in a circle of chairs, playing games including Bingo. The people there are kind and outgoing, both the carers and other old people. The cost is minuscule.
But our hopes of getting Dot on her feet again, with just the scrap of independence that would allow her to make it on her own between bedroom and kitchen to, perhaps, make a cup of tea or a sandwich, have dwindled. As she’s brought, laboriously, from car to chair and back, her legs have a life of their own, just functioning, with her grip on the car door to stand for a second as she turns from one seat to the other”
“I’d never have believed she could be so heavy” I said to Lin
“I know”
“She’s a beloved sack of potatoes. God help me from becoming like this’”
 “Top me if I do” says Lin “Mum wants to die. Nothing we do to entertain her is sufficient consolation to raise the will to walk. We’ve been to the markets, to the Chinese New Year Festival, out for meals…she almost begrudges our care, as I probably would.”
Oliver shows Dot pictures on the computer

When we take her out she can enjoy herself

Lin had worked to surround us with other help, two neighbours, one himself a carer for his brother with progressive MS, said they’d be happy to drop in to do errands if we should be away. The caring group Helping Hands sends the pleasantest young woman, who lives near us, to wash Dot and help Lin turn her in her bed. The district nurses visit – briskly. Once a GP came, when Dot was coughing badly. Paramedics followed at his request and whisked Dot to hospital in their ambulance. The paperwork that came back with her the next day defined her as being ‘unwell’.
“I’m not sure what that was about” said Lin.
If we were to be away she and a colleague will come in the morning and evening to get Dot up and put her to bed, wash and handle her incontinence, changing nappies, emptying the commode if it were used. We explored having a two-way camera at Dot’s bedside to have talk and vision from anywhere in the world.
When Dot developed a more serious chest infection we could no longer get her out of bed. Almost continuous the quiet chanting of ‘help me, mummy…let me go” and groans, almost of irritation, as though we are interfering, when we turn her to change a bed pad or draw her helpless body back up to her pillows.
The children visit as do Barbara and Janice. Oliver, nearly 6, came on Dot’s 94th birthday to present his great grandmother with a card he’d written himself. He made Dot laugh aloud, playing with a silly monkey programmed to chatter and, now and then, emit a mechanical raspberry.
Oliver brings a card for his great grandmother's 94th birthday

“She looks now and then at the tele’” said Lin “but it’s no more than moving wallpaper. She’s not reading now or doing puzzles, yet every now and then she’ll sing a song like she used to with the children, and she can still recite the ‘Wreck of the Hesperus’"

It was the schooner Hesperus, 
      That sailed the wintry sea; 
And the skipper had taken his little daughtèr, 
      To bear him company. 

Blue were her eyes as the fairy-flax, 
      Her cheeks like the dawn of day, 
And her bosom white as the hawthorn buds, 
      That ope in the month of May....

With Lin and I she runs through the story of young what’s his name - Albert - and the lion at Blackpool zoo ...
They didn’t think much to the Ocean:
The waves, they was fiddlin’ and small,
There was no wrecks and nobody drownded,
Fact, nothing to laugh at at all.

 “the stick with the horse’s head handle…and poked it in Wallace’s ear…you could tell lion didn’t like it, cos giving kind of a roll he pulled ... dum de dum …. and swallowed the little lad whole!’”
“I’ve made up my mind” says Lin one morning, a few days before the flight still not cancelled “I’m putting mum back in the care home. They’ve got a room. Three weeks respite. We’ll be in Greece when the family’s there over Easter. I’ve got a flight back on Ryanair for £14. You can stay on.”

After three weeks Lin flew back to England; a flight from Corfu at six in the morning.  We were at the airport at 4.30am. I waited a moment to check the flight was on time, then drove to the hire car compound, unloaded my folding bike and pedalled via back lanes, lit by my torch, towards the city.
Email 24th April: Dear Lin. Heard your plane arriving and I think I heard you leaving. I guess you’ll be touching down any moment in Birmingham
After dropping you off I couldn’t resist a cycle tour of the empty city. I left the car at the deserted compound and headed for SaRocco Square via dark back lanes, dogs barking now and then. Then along the Liston, down Theotoki to the harbour where a ferry was disgorging trucks - still dark. Then back up Theotoki to the bus station for coffee and croissant and wait for my bus. Two people - me and another - all the way to the village.
The 08.30 bus from the Green Bus terminal stays on the Paleo Road instead of turning right at Tsavros. Then opposite the Casa Lucia turn at Sgombu, it turns right and heads up past many narrows and tight squeezes past vans and trucks, past the Strapunto turn, past Luna D’Argento, into the village on the lower road before coming to our stop from the west. At 9.00 (timetabled arrival in AK) my bus was just passing Technomart at Gouvia! I walked in the morning heat up the path to 208. Cup of tea and sending this from Piatsa then a list of things to do….spray trees, prepare shutters for touching up, plant your cuttings….XXXXXXXXXXXXX  S
Our emails crossed on the day Lin arrived in Birmingham:
Lots to do here too. Sorted the post. I've won £25 on the premium bonds. I opened one of yours marked 'Important', but it was just a Temple Bar dividend notice (£5.25), so I need it for your tax return. The only interesting mail you've got is a largish, gold envelope - maybe a late birthday card? Just washed and disinfected the cat litter tray and swept up the litter round it. Shan't do much more today, 'cause I'm shattered. And cold! L x
On my own in the village
I have a list of jobs, starting with painting the shutters on three windows...the first batch have been sanded, filled where the sun's dried cracks, treated with preservative primer, undercoated and finished with Corfu green gloss.

While the family were here Oliver and I walked up one of the rough tracks from the sea to Ano Korakiana
Thanks to neighbour Thanassis Spingos, who runs the village website, for a photo of Oliver, holding my hand, as we walk behind Mayor Fokion during the Easter Monday procession around Ano Korakiana.

*** *** ***
Back to the future - July 2018 As the weather grew warmer and the days longer it seemed that Dorothy rallied, became less morose, seemed to take more pleasure from life
Great granddaughter, born 2014, and great grandmother, born 1924 in our kitchen in Handsworth this July

How I hope it may be for me was captured in a lithograph by the Spanish artist Goya. He writes beside his self-portrait as an old man, rheumy-eyed, walking with the help of two sticks 'Always Learning'

'Aún aprendo' Francisco Goya aged 80 in 1826

Friday, 24 November 2017

First world problems

Arthur Rackham - an illustration from Peter Pan in Kensington Gardens

Magpies leap around inside the frieze of black branches at the bottom of the garden. Unruly wind stirs a medley of orphan leaves; stripping the trees of the few that remain, reminding me of infancy. Some I’ve gathered on our front lawn where a few rainless days will dry them, so I can run the mower over them, bagging their grated remains to join the compost on my allotment or use them for mulch, food for worms.
John comes to the door with Dieter, who rolls, delighted, in wet leaves. Oscar joins him barking welcome to “walk time” in Handsworth Park.
The weather’s mild. Lin complains “it’s cold” so now I start inroads on the logs I cut and split in summer; lighting the wood stove in seconds – top-down – the warmed flue whistling, wind drawing up the first flames, crackling, roaring. I’ve worked through my in-tray since we came home. On recommendation from CS, improver and restorer of houses, I brought in Wayne and Barbara of Genesis to clear all our roof gutters. Booked an eye test to check a small cataract in my left eye, made appointment for a flu jab,  and for the dentist; filled in the form for my 126th blood donation, confirmed an appointment with Mr Martin Sintler at City Hospital to assess me for an operation on the inguinal hernia I developed in August.
On Monday, recruited from the 1000elders, I kept an appointment with Dr Benoit Smeunink at QE Hospital to be briefed, and sign consent forms, for participation in the ‘Bed-Rest Study’ in the New Year – official title Exercise 'prehabilitation': A novel intervention to protect against disuse-induced muscle atrophy and sarcopenia in the old
The drift of government policy is to keep those of us who might otherwise be reliant on the burdened NHS, healthy and fit until we drop painlessly and naturally - what ever that means - dead (like in the movies!). The main killers of the elderly are heart disease, cancer, chronic obstructive pulmonary disease, strokes, Alzheimers, diabetes, pneumonia, flu, nephritis - a kidney thing, septicemia - and there's another list of illnesses that contribute. The whole population is susceptible to the same dangers, but getting older increases susceptibility, hence so much research on reducing the ill-effects of 'slowing down', and in this case, being confined to a hospital, and worse, to a bed, after a procedure. How can I avoid sarcopenia, or worse, cachexia?  Like an old horse, once I lie down, the chances of getting back on my feet lessen. The vet can gently finish off a horse, but I could be bed-ridden, with occasional wheel-chair forays, for an unpredictable age.


Other things, vexing in their banality; long spells sitting in our kitchen half-heeding recorded phone messages, pressing handset keys between sales talk, wrestling gently with human respondents working to a script, striving to sort confusion between energy company Npower, who we’ve left, and energy company Solarplicity, who we’ve joined, about gas and electricity supplied to Rock Cottage during what appears to be a difference between the two companies’ switch-over dates and their use of estimated meter readings as against the actual readings they were sent by me - an issue also described as 'cross metering' or 'erroneous transfers'. Solarplicity says switch over was 3rd Aug for gas and electricity. Npower says it was 2nd Aug for electricity and 17th Aug for gas, and insist this is confirmed on the 'national data base', an entity I can't even find on the web, but which may be the National Meter Data Base or could it be the Meter Point Administration Service (MPAS)? I'm being mailed court order threats from Npower – on and off the most complained-about of all energy companies in Europe -  in pursuit of gas and electricity bills for whose payment I have dated receipts. The sums involved are under £5. The transfer process began mid-July 2017. Over these four months consider the cost of our time and their time pursuing this ageing company-made error. Result of our time (Lin and I share this sort of chore) on the phone so far? Agreement by Npower to stop phoning (they even phoned us in Greece) and mailing demands – until the dispute is resolved.
24/11/17 Your reply from npower. Your account number:12601** Code: E1*T. Hello Mr Baddeley. Thank you for contacting us about your account. I am sorry to learn that you have not received a resolution for your complaint. I am aware from reviewing your account that this is still ongoing. Our Complaints team is working on resolving this for you and I have made them aware that you have contacted us again about this issue. Rest assured, Mr Simon Baddeley, we will be in touch soon. Your unique reference number for the complaint is 12601**47, please quote this should you wish to speak to our Complaints team directly on 0800 316 9328. They are available from 8am to 6pm Monday to Friday and 8am to 2pm Saturday. If you prefer, you can email complaints@npower.com. Thank you for your patience in this matter, Mr Simon Baddeley. I am confident that this will be resolved for you shortly. Kind regards Chris Thewlis, Customer Services Director, Customer Services
‘Our’ (No! ‘your’) problem according to Solarplicity - another 25 minutes on the phone - is that the sums involved are too small to ‘raise a dispute’, which means we can’t recruit them in stopping Npower in their system’s automated tracks. Fascinating as a symptom of the times, this tiresome ‘first world problem’ vexes but doesn’t worry me. If it ends up in court – unlikely - I shall, as both of us have in the past, enjoy telling this well documented fiasco to a court. (We’ve never lost a case). There are places where, in a different world, I might be trying to get Linda out of solitary confinement based on mistaken identity, or travelling to the Hague to bear witness against Ratko Mladić for the murder of our child.

29/11/17 Email from npower, to back up a phone call from the company, that looks to have sorted 'our' problem:
Unique Reference Number: 10157***   Dear Mr Baddeley. Further to our telephone conversation this afternoon, I can confirm that in line with our agreement, I have now removed the outstanding gas balance of £28.47.
As I have been unable to contact Solarplicity directly with regards to the closing meter readings, I have confirmed that we could either continue to contact your new supplier and re-agree a new final meter reading. Alternatively, we could remove the balance however, no further amendments would be made to the final meter readings.
You have confirmed that you would be happy for me to remove the outstanding balance without agreeing a new meter reading with your supplier. Therefore, I have applied a credit balance to your account today and this leaves nothing to pay. 
I can confirm both your gas and electricity accounts have now been closed to a £0.00 balance.
If you’d like to discuss this with me, please call me direct on ****etc Kind Regards, Bev Young, Specialist Advisor, Executive Liaison Team
* * *  * * *
A meeting was held at Dot’s care home the other day. Anticipated this last fortnight, it was to determine whether Staffordshire NHS Trust could continue to pay for my dear mother-in-law’s care, or whether this should be handled by Staffordshire County Council’s Social Services who would seek funding from the family. Amy, our daughter was at the meeting at the care home, attended by an NHS manager and nurses who look after Dot. She phoned us to say the NHS, after 17 months at the care home,  would no longer pay for Dot’s care. We await a rubber stamp to this decision after which we have about 6 weeks to continue paying the care home out of Dot’s inheritance, such as it is, or make alternative arrangements.
“I can build ramps” I said to Lin
“Yes” said Lin "and we can clear the sitting room at our house, put in a bed and all that’s needed, and have a visiting and occasional live-in carer service.”
Dot can hardly stand, let alone get about, but she can be gently moved from bed to wheelchair. She can feed herself but her care must involve washing and therapy to deal with the risk of sores from spending most of the time bed-ridden, as well as “going to the loo and all that”. Now should be payback for all the National Insurance Dot's paid through her long life but what’s been paid out so far, for her care in old age and disability, can no longer be paid, and the state wants, now, to dip into her savings. Arthur, her husband of 70 years, died in April 2016 at 98. She’s regularly visited by her grandchildren, her niece Janice, and Lin and I and the grandchildren, and also Oscar dog, who is welcome at the care home.
“I knew the NHS wouldn’t continue funding” said Lin, “Mum’s situation didn’t meet their criteria”
Just before we left Corfu, there came a message from Epirus asking if it was true that XX, a mutual friend we knew had been ill, was confined to a care home in Perama. We made some enquiries, located the place and visited - a 15 minute walk across the causeway from below Kanoni. I promised after our visit to write to him, care of another friend, he being without phone, radio, tape player, books or computer (not wanting them even when offered)...adding that I'd put the letter on the internet to ensure that, one way or another, he'd get to read it, or, at least, have it read to him:

xxxxx
House of Elderly Care
Perama Gastouriou,

Dear Xx

I’m sending this via our friend Yy, who promised to bring you and, if necessary, read you this letter. I’d prefer to hand write, but the letter may be easier to read, typed. I’ve used larger than normal font; your description of me as ‘distinguished’, as I sat at your bedside, being a measure of your disability.
I’m so glad we met you again just before we headed back to England.  Despite your circumstances, you entertained us for two hours with the same thoughts and words that marked our first acquaintance.
We’re back in Birmingham after three days in Venice, chased up the Adriatic, from Igoumenitsa, by a gusting gale. 
Passing the Karaburun Peninsula, on Anek Line's F/B Asterion, before a southerly gale

Those big ferries are floating warehouses with noisy accommodation. They clang, echo and rumble, almost ignoring the sea. We snoozed in armchairs, among truck drivers.
As our ship approached Fustina, the clouds pealed back, revealing distant peaks across the horizon – snow-topped Dolomites. Lin and I roamed the lagoon by water-bus. On Torcello we ascended the restored campanile of the island’s Byzantine cathedral. 
Up the campanile of Santa Maria Assunta 
A young man at the ticket office said we could ascend the tower, but its belfry was open only “to priests and children under 6”. Only at the top, having breached this rule, and admired a sunlight panorama of marsh and water from the vertiginous belfry, did we grasp the Italian leg-pull. “Only priests and small children! Ha!”
Venice sparkled. One afternoon, we sat in the sun at Pellestrina, a village on the narrow lagoon spit, sipping coffee and local wine, hearing the sound of Adriatic surf from over the mighty sea wall that protects the city and its islands.
Back in England we’re working through in-trays; the largest challenge - arranging to move my bed-ridden mum-in-law from her care home, for which the NHS will no longer pay, to a room in our house, which will be equipped with kit and care brought in to help us out, leaving Lin, when I ask her if we can be in Corfu for next Easter, saying, of our next flight, already paid, “I hope so”.  Lin’s mum has been a wonderful grandma. Like you, it’s not good to see her bedridden. She’s without her husband of 70 years, who died 17 months ago. These things are tests of character. Mine not hers.
There’s junk mail, bills to be paid, and jobs to be done – like cleaning out house gutters. The wood I collected, sawed and split last August is feeding a wood stove in the kitchen....Lin and I are working on your escape plan. We’ve got you faked papers, cunning disguises and skeleton keys, and a scooter that will be left near the end of the causeway to Kanoni, where you will be met - password ‘λοιπόν’ - and escorted to a safe house until the hue and cry has died down. Love, Simon & Lin XX
Ernest Hemingway with the sculptor Toni Lucarda on Torcello 1948 (Archivo Cameraphoto Epoche. NYRB Oct 2017)


On Torcello - we crossed the ditch on the planks


The other side of the sea-wall at Pellestrina


On Pellestrina - a long narrow strip of an island at the edge of the Lagoon of Venice

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Simon Baddeley