Going home

The day after my surgery a physical therapist stopped by my hospital room to display my choice of walking aids: crutches, or a walker. I said I was a little worried about the crutches because of the flooring we'd used when we'd renovated the camp: the wood-look floor could be slippery. Since I wouldn't be weight-bearing on the ankle for three months he suggested I take both, and benefit from the added stability of the walker while at the camp. Dave should remove all the area rugs that were now trip hazards.

"So, let's see you use the walker," the therapist said.

"Now?"

Nothing phases these guys. He got me right up out of bed, hooked all my bags to a movable pole he'd push along behind me, and told me to walk to the door and back.

"Relax your shoulders, move the walker forward, and hop toward it," he said. The choreography was elementary—the trick was performing it while my foot felt radioactive with pain. I held it out in front of me where I could ensure it would come to no additional harm.

I am nothing if not determined. When my college dance students would say "I can't do it," I'd tell them their choice of words would not be honored in my classroom. They were, however, allowed to say, "I'm currently finding this movement a challenge," a response that would both improve their humor and result in some added tips and tricks from me. So I had no doubt that I'd make this walk, no matter what. But it wouldn't be pretty. Even before the edge of my roommate's bed I was wracked with the kind of sobs that make relaxing one's shoulders a challenge.

"That's good. That's enough," the therapist said, but he'd told me the door was the objective and I was only two-thirds of the way there. So I pushed through those final few hops before my return trip. This is how surgery and sleep deprivation sap you: just days before I was lifting weights and doing sprint/walk cross-training and swimming quarter-miles, sometimes all on the same day. By the time I got back into bed after this herky-jerky attempt at walking on one leg, I was completely spent.

Because of his practice in the Canadian border town of Ogdensburg, some thirty miles to the west, my surgeon conducted his rounds in the evening. I braced myself when he came in. I knew our country's health insurance philosophy as concerns hospitalizations: cut 'em and turn 'em loose. The summer before, post-Cobra, Dave and I had spent months shopping for affordable health insurance; we now spent half of his monthly pension check on a major medical policy whose attributes my memory couldn't distinguish from the sea of coverages we'd applied for.

All afternoon I lived in dread of being sent home. I even hated to hear how well my nurses and doctors thought I was doing: my vitals were great, my overall health commendable. And I'm thinking, how could I possibly survive the hour's ride back to the camp, let alone the hobble from front door to bed, which was so much longer than the one I'd pushed through that day?

My fate would turn on the words of Dr. Luc Perrier. I was sure my vitals were fluxing all over the place as he made his determination. With that French accent I was unwilling to yet label charming or hateful, he said, "So try to get some sleep tonight and I'll see you tomorrow." Charming it was: because he did late rounds, I'd have another full day to gear up for my next challenge. I let out the breath I was holding and thanked him. As he signed my chart with a flourish he repeated what he said in the ER: "But don't forget to cast me as the handsome doctor who saved your life in your next novel."

That extra day would end up making all the difference.

Making "handicap accessible" camp

We weren't the kind of family to spend a summer vacation pitching tents and cooking over a fire, yet I grew up with a healthy respect for "making camp." Five kids, two parents and an Old English Sheepdog would pour out of two cars and stake our claim to what space we could, divvying up dresser drawers and unrolling bags onto sleeping porch cots. My older sister always claimed the cot nearest the screened-in wall that overlooked the lake; if we knew what was good for us, the rest of us didn't even try. Since youth I was drawn to physical obstacle—I'd wanted the top bunk in the room I'd once shared with my sister—so I chose the cot wedged deep beneath the angled beams. A night during which I escaped whacking my head was a night well-executed.

I'd use these skills when returning to the lake after my ankle fracture and subsequent hospitalization. The day after surgery my departure seemed imminent. Even as I was still hooked up to a variety of bags and machines a social worker stopped by my room to ask if my summer home would allow single floor living for awhile. Thanks to my Lifespan Design Studio friends Doug and Ellen, the answer was yes.

After Dave and I purchased the camp from my parents and determined the best way to save it was to pull most of it down and rebuild, we went back and forth on whether to include a first floor bedroom. It would increase the footprint and the cost, pointed out my eighty-year-old father. "Don't do it for your mother and me," he said. "When we can't do stairs we'll stop coming to the lake." I thought of my grandmother, and the many years my uncle parked her wheelchair on the porch so she could continue to take in the view she so loved. My dad may not want that bedroom, but I did.

Once architect Doug was in on the project, he was all for the downstairs bedroom—so much so that he added a wheelchair-width doorway into the room and another into the downstairs bathroom. Because they embrace the philosophies of universal design, Doug and Ellen encourage the kind of forward thinking that allows people to stay in their homes despite future health challenges. The wall sink I wanted to re-use for reasons of nostalgia, Doug pointed out, would perfectly suit someone approaching the sink in a wheelchair.

I had thanked my dad for his input but told him Dave and I planned to add the downstairs room. "Anyway, you know me—I'll probably use it first, after breaking my leg or something." From then on, no matter where Dave and I slept in the camp, when referring to that room my mother called it "Kathy and Dave's room." It could accommodate my folly, but would never touch her aging.

Six years later, my father now deceased after negotiating the camp stairs until the end of his life, I was facing that exact circumstance. Our foresight made the summer home an even more welcoming environment than my permanent residence in Pennsylvania, a three-floor town home that kept me fit while in full orthopedic health but which now provided an imposing challenge. An added bonus at the camp: my cousin had purchased a classy commode for her aging mother to use while visiting one year and had left it behind "for our use." How we'd grumbled to see it fill up so much of the newfound closet space in our rebuilt camp. It was the first thing I told Dave to set up.

Dave drove home with me strapped into the back seat of our Ford Contour, facing sideways with my leg propped up on a pillow. When we got to the lake Dave pulled onto the lawn so he could deposit me right beside the front porch. He pulled my walker from the trunk, snapped it into the open position, and helped me pull myself from the car.

Now what?

I faced the first of many challenges to come: the step up onto the front porch. I stood there with my walker, the clock ticking—gravity was creating an inferno in my foot—with no clue how to negotiate it.

Now that I've had a bit more experience I think I'd turn the walker around and push down on it while hopping up backwards, but I wasn't feeling like such a monkey that day. The youngster who once loved the obstacle course and scrambling into her cot beneath the lowest beam was now completely stumped by a four-inch step. Through some sort of ugly push-me-pull-you Dave and I got 'er done, but I was already realizing how hard the next few months were going to be. I was so thankful for the design of the camp: bedroom, bathroom, kitchen, porch: everything I'd need, close together on one floor.

As I made my way to the couch on the porch to prop my leg up so I could eat the take-out we'd picked up on the way home, Dave honored my new reality by helping "make camp": one by one, he pulled all the area rugs from my path. Perhaps the opposite of the "red carpet" treatment, but in my new reality, just what the doctor ordered.