I appreciate the gesture. The ALS clinic asked a local homecare agency to help me. A nurse came and took inventory of all my drugs and nutritional supplements. She took my vitals, and cut short all my small talk. She was efficient. She needed my insurance cards. I asked her if she’d like a copy. She said, “I would love coffee!”
“PT and OT. I don’t think you need a nurse.” These therapists (identities unknown as of yet) would be calling me soon to arrange evaluations. I’ve been through this before. Last year the clinic had a homecare agency send providers to my home. The OT was very professional and truly loved her work and respected the dignity of her patients. I looked forward to her visits. She had a Zen-like quality, very calming, very okay with the moment. We did stretching and range of motion exercises like we were doing yoga. Insurance only approved six visits. Then came the PT. About face! This man did not know anything about ALS. He couldn’t figure out why I needed a PT if I had not been in an accident or had surgery recently. Finally he instructed me to fill a backpack with books, and go up and down the big staircase that leads to the attic while wearing the pack. “Do this ten to twenty times, three times daily.” I told him I wouldn’t need a second visit.
Sunday night the PT who was assigned to my case called me. She had my name backwards. I didn’t bother correcting her. It was 7pm and there was a lot of background noise on her end. She didn’t really introduce herself. She just stated that she would be coming to my home tomorrow, “I don’t know when. Sometime in the afternoon.” I got her to be a little more precise. “Sometime between twelve and one.” Fine.
I dragged myself out of bed this morning and called the agency. “Please cancel the PT.” I told them I didn’t need it. They said the OT would still call me, but they didn’t know when that might happen. Fine.
PT and OT are distant luxuries. I need help caring for my son. That is what I need right now. Nothing else matters while that goes unresolved. I appreciate the consideration from the clinic, but I just can’t add therapy appointments to a plate I can barely hold up now, while the most critical need here is not tended to. I know they meant to help. It’s just not the help I need now.
-kara