You can say goodbye to your dignity here.

I long for this fracture to heal. I long to have my leg back again. Last night as I lay in bed and flexed my good leg up and down, I wondered that I could have ever taken my legs for granted before. How much I need them.

The house is a mess. The carpet needs vacuuming, the sink needs a wipe, the bench is cluttered with things that should long ago have been put away. I wish I were able to rise from this couch and like Mary Poppins snap my fingers and every out of order item would return to its rightful place in cupboards, behind doors, under benches and the room might shine again.

But I cannot. The best I can do at the moment is turn a blind eye. My children, my husband help as much as they are able. Mostly they are gracious in their helpfulness, but from time to time the strain tells on them, too. They get grumpy at all the extras they must do in order to keep this ship afloat.

It is a small thing in the scheme of things, a broken leg, and yet it has derailed my life. Then I am reminded of all those worse ailments and I want to scream for the banality of these thoughts.

My scalp itches for want of a wash. My hair feels drack, the curls on each side cling together and the back of my hair is flattened from lying too much on a pillow. Not that I spend my days in bed now. For the past two days I have taken up residence on the kitchen couch, the one that sits under the bay window and looks out into the garden. It is the place I moved to, almost by instinct, when I first came home and it is where I now choose to sit.

The red bricks in the garden are slick with rain. The pin oak is yet to come into bud. Last year the catkins were already dropping at this time but we have seen a better winter this year; a winter that can be called winter, cold, wet and rainy. A winter that takes away all the delights of summer and replaces them with the cruel necessities of life – the rain water to turn the drought around and relieve us – at least temporarily, of the fear that we here in Australia will eventually run out of water.

This morning I read an article in the New York Times – thank you, Mim – about delirium in the elderly, delirium induced through the experience, not simply of surgery with all its intrusiveness, but in some instances simply on the basis of the hospital experience itself.

My cup of tea this morning is a disappointment, not enough milk in it and I do not want to ask my husband for more. Not used to multi-tasking in the way my daughters are, he tackles one job at a time, and they pile up to the point where he feels persecuted and I become even more so. I become reluctant to ask for all the tiny things that make my incarceration on this couch less unpleasant.

It strikes me from the New York Times article that it is this, this restraint and constraint, the unfamiliarity, the sense of helplessness that must fuel dementia.

I fear I have become an old stick-in-the-mud preferring the quiet of home to the hurley burley of life outside. What it is to be trapped inside a body that refuses to function as it once did?

Apart from the occasional purple iris that stands tall above the otherwise bare shrubs there is not much colour outside. The white arum lilies have popped up in abundance along with a few white magnolias. Arum lilies are funeral flowers. The whiteness adds a touch of austerity. My daughter has thrown out piles of withered flowers, which she took home a week ago from the formal. These are mostly in oranges and yellows, still colourful against the black soil, but they lie inert on the ground and reinforce the sense I have of winter time and of death and decay.

I tell myself every day that this time will pass. This enforced immobilisation and that I should make myself enjoy it. At least I can write. At least I have access to the Internet and to my blog and fellow bloggers. At least I am not alone. I have my family. But I hate the transformation I detect in my own usually confident and competent self. I hate the way I can no longer take charge of a situation and get things rolling. I resent the way I cannot tidy my own house, not that I do so much of that these days, but at least before I broke my leg, if the fancy caught me, I could in fact get up the momentum to wipe the benches and put away dishes and clothes.

My older sister visited yesterday and reminded me of what it was like when we were children. In those days she did all the housework, ostensibly because our mother worked away from home for money, but more so, I think now, because our mother did not like house work herself and her oldest daughter was driven to try to create some sort of order in an otherwise chaotic household.

So my older sister took it upon herself – or was she asked, or required – to do all the washing, the cooking and cleaning, a veritable Cinderella. She took on all my mother’s tasks including my mother’s relationship with my father, but that is another story and one to be glanced over, as it might offend.

I ask myself why it should offend. Why is it possible to write in a blog about all manner of disturbing events in life, and not feel the inhibition that I feel should I mention my older sister’s role in my family as my father’s wife?

It is a secret. Role reversals such as these are kept secret because they are outside of the natural order. My sister told me, as much as she did these things, she did them under duress.

One day my father was home sick in bed. He called for my older sister. He needed her help to get to the toilet.
‘Do not be frightened of my penis,’ he said to her. My sister did not want to look at his penis. She could scarcely bear to touch the body of this six foot three man who leaned on her heavily as she steered him to the toilet.

This memory came to her after I had asked her a series of questions about what it had been like for her when we were children.
‘All the times when our father walked around the house naked’. I remember this too, the sight of his aging, naked body.

Why is it that children find it hard to see their aging parents naked?

In the hospital, as the nurses wheeled Elsie back to bed after a shower on the shower chair, her nightgown hung loosely down across her knees but bunched up around her waist at the back. I watched her stout and naked torso glide past me, stuck like a pink pudding on the base of the wheelchair, mottled with cellulite.

Why should it disturb me so much? Is it because we hide our bodies from one another as we age, such that the sight of the creased and wrinkly skin is reduced to the face, the wrists, the ankles only? When we see the full figure of aged nakedness, is it a reminder of the garden in winter, the bare trees, the sense of death on the horizon.

I do not know. I only know that the sight of Elsie, part naked in her wheel chair, caused me to want to cast my eyes away, just as I wanted to look away as she vomited into the green kidney dish hour after hour. A line of black stuff belched from her mouth and I thought of a film I had seen as a young woman, a film by Federico Fellini, The Satyricon. To me this film is all these human indignities.

‘You can say goodbye to your dignity here,’ Lois said to me when I protested at the possibility of having a young male nurse help me with my shower. No, I was not yet ready for that. As it was, I needed help only to drag the green plastic rubbish bag up the length of my leg and seal it with tape to keep out the water. Once ensconced on the shower chair I could manage the rest by myself. I did not need this bright young man to see me naked, to wash me down, to cause me to feel like an object under his averted gaze.

It is the objectification of one’s self and one’s body that disturbs me. The dehumanisation in medical treatment, as in childhood sexual abuse. The one is designed to help, however much it might fail, the other to exploit.

She sees things that are not there

Cabrini Hospital, Sunday.
I sit in a chair beside my hospital bed, my foot propped up on a stool, elevated with a pillow. I cannot get access to the Internet because the server for Cabrini hospital cuts out from time to time and now at nine in the morning is one of those times.

I sit opposite a woman named Doreen, the bane of my life since I arrived here, not only my life, but everyone else’s in this ward, staff and patients alike.

A few days ago, Doreen had a hip replacement that went wrong. It popped out and they needed then to repeat it. Two anaesthetics in close succession. Doreen came out of it all with a new hip and a load of dementia.

She talks to herself incessantly, loud angry conversations.
‘Annette,’ she says, ‘Annette get me out of here. Annette, they’re trying to kill me. Annette they want to cut me into pieces.’

My usual supplies of compassion dwindle. Like the other two women in the ward after Doreen has gone on for an hour or two, particularly in the evening, when we are trying to doze off, we start to chastise her. We know it is useless. She cannot understand. Her mind is not her own. But her incessant shouting and calls for help leave us desperate.
‘Why don’t you just shut up,’ Elsie says. But Doreen uses the insult as further fuel for her delusions. We three other women in the ward are part of the conspiracy to keep her imprisoned. We are her jailers. We must be her jailers, Doreen tells us because we refuse to unlock her from her cage. We refuse to unlock the metal bars that imprison her on either side.

We talk to Doreen almost as an instinctive response to a voice that calls out and she responds because ours are voices in her ears, but she does not know to whom she calls.

I watch a new drama unfold as Doreen demands to go to the toilet. The nurse with the aid of a four-pronged stick tries to get her there but Doreen will have none of it.
‘I can’t get my balance.’
The nurse cajoles.
‘You’ve walked all your life,’ she says. But Doreen refuses. Back in bed, they fetch Doreen a pan.

Doreen, according to her daughter, Annette who visits in the afternoon, has been a strong and independent woman all her life.
‘It’s the anaesthetic that’s done this to her. She’s not my mum anymore.’ Annette turns her head to hide her tears.

Elsie is nauseous for some unknown reason. She has broken her pelvis. Her bed is diagonally opposite mine and I cannot avoid the sound even as I can avert my eyes. Two and a half kidney bowls of vomit, later and Elsie slides further down the bed, her face pale with pain and effort.

Between Doreen’s raving and Elsie’s vomiting, I am ready to scream.

Cabrini, Monday morning.

Doreen has just instructed a nurse to make a phone call to her daughter. Her memory absence is selective. She knew the phone number but needed the nurse to dial for her. She also has macular degeneration and spends a great deal of time plucking at imaginary threads in the air. Her fading vision combines with her paranoid delusions. She sees things that are not there.

Elsie and Lois discuss their belief that although Doreen talks about her son John, he does not exist. She has two daughters only, Annette and Trixie.
‘All I need now is to hear that that woman, Julia Gillard, gets up. That’ll fix my day.’
‘You can’t trust the media,’ Lois says.
‘But when it comes to someone stabbing you in the back or robbing a bank, who can you count on?’ Doreen chimes in but the other two ignore her.
I stay out of the conversation. I cannot bear to add politics to the mix.
‘If only they’d say you can stop voting once you reach a certain age,’ Elsie says. She resents compulsory voting. She resents change. She resents the idea that a left leaning government might retain control. It’s enough to set her vomiting all over again.

Each night they put Doreen in the corridor so that we others can sleep. From eleven last night was quiet. Quiet until 5am when they came in as usual to take blood pressure, temperatures and fill out their report forms. A typical hospital story.

Doreen is 82, Elsie is 84, and Lois the oldest at 86 has had a successful hip replacement.

Is this the future to which I might look forward?

‘Touch wood I’ve never had a broken bone,’ Lois says, and nods at my leg in plaster.
‘Neither have I,’ Doreen says, ‘but I’ve had a broken heart.’ It sounds almost poetic until Doreen begins to rant again about how ‘I got kidnapped and they dumped me here.’
‘You’re here so they can heal you,’ Lois says. ‘None of us wants to be here.’
‘They doped me. That’s why I’m like I am,’ Doreen insists.

No Temazapan for me that first night because my doctor, whom I had not yet seen, did not prescribe it. Painkillers only. I am off the painkillers, though they keep offering them to me, but I cannot get to sleep.

The night nurse, who alternates between the strict school madam full of prohibitions and injunctions and a kindlier soul, broke the rules and gave me one on the second night. I had cracked finally. The lights the constant chatter and the noise. I burst into tears, which I tried to hide from her, but even in the half darkness she must have seen.

I can imagine my medical notes – ‘patient distressed and agitated’. If my distress enabled the help I needed to get to sleep that night, so be it. Simply asking did not help.

Last night I felt like one of the three mutineers, determined to stand my ground in my bid for sleep against the constant onslaught of Doreen’s raving.

Cabrini, Monday afternoon.

Annette, Doreen’s daughter, arrives. Once again she goes through the painful process of trying to orientate her mother.
‘I’d rather die,’ Doreen says. ‘Don’t touch me. Who are you?’
‘I’m your daughter, Mum. You’re just floating around in your head, having one of your fuzzies, You’re just not yourself.’

Annette and the nurses encourage Doreen to eat and to walk. She refuses.

Three staff test Doreen’s ability to put her feet on the ground. They confer.

As the day progresses Annette finally begins to get some sense out of her mother. Doreen talks about nightmares that have felt so real she believed them to be true.

Midafternoon and the grey suited doctor arrives.
‘What have you been up to, you naughty girl,’ he says to Doreen. ‘Why didn’t you keep your legs in place? And where did that wedge go to? It’s supposed to stay between your legs.’

He draws the curtains around Doreen, while Annette stands outside. I cannot hear his words to Doreen only mumbles.’ The doctor draws back the curtain and turns to Annette,
‘She’s hallucinating.’ His tone is one that suggests accusation and disbelief.
‘We’ll just have to put the hip back in again.’

The doctor leaves. Annette turns to me.
‘Did you hear that? He blames Mum. As if it’s her fault. And now more surgery. Look what the last two times have done to her.’

It matters not. The doctor orders a psycho-geriatrician. He will keep a check on Doreen’s mind post surgery. He will review her medication.

That night after a third bout of surgery Doreen sleeps in the ward. She is sedated and snores loudly. I use earplugs and beg for yet another sleeping pill. I do not need or use them at home. But hospital care calls for drastic measures.

Cabrini Hospital Tuesday Morning, Home ward bound.

The doctor finally arrived to visit me last night after a two-day wait. He checked the results of my CT scan and has decided to keep the cast on for ten days to give the bone – my tibia – time to heal. If it moves, I will need surgery.

So at the moment I am home here on a couch, trusty laptop on my lap, my leg propped up and hoping that my tibia does not move.

I am free of pain, unless I move in particular ways and free of painkillers with all their side effects. I am more able to think, but I am unable to move with any vigour.

Judging by the experience of the other women in my ward I have little to complain of, except perhaps for what the future might hold should I be lucky enough to live that long.

No doubt this applies to all of us.