A psychological sandwich

I am my mother’s daughter. When I was in my early twenties, when I first began to develop a will of my own, when I first discovered the thrill of rebellion and quietly thumbed my nose at my mother’s religiosity and what I then saw as her prudery, and began to favour the company of men – what I have called my ‘promiscuous’ years – my mother took to writing me letters.

My mother writes letters still even though we live less than twenty kilometers apart. She writes to all her children as a means of stating her case.

My mother’s letters to me are ‘psychological sandwiches’. They begin with protests of her love for me. The middle carries the sting. What do you think you are doing? Who do you think you are? Behaving so loosely with men. Where are your morals?

Then she might end the letter with a short vignette: her memory of me as a little girl in a yellow jumper and tartan skirt, after she had come home from hospital with my new baby sister, when I was less than two years old and had been left in the care of my godparents, the Kaandorps, for over a week.

In her letter my mother remembers me then as the little girl who threw herself into her mother’s arms and wept for the sheer joy of being together again. If only, my mother writes, if only she could give to me now the things I needed then. It is as if she wishes that I had never grown up, that I had never entered into the world of adulthood, of conflict and of challenge. If only I had stayed little, then our bond might be secure.

I have been reading Nancy Miller’s Bequest and Betrayal:memoirs of a parent’s death, a book about adult children who write about their parents after death. Are these memoirs eulogies, songs of praise for parents now gone, or are they betrayals of parental secrets?

I suspect I could not write about my father as I do now were he not dead. Now he is dead, I am safe.

Will the way I write about my mother change after her death? My mother in my mind has undergone so many metamorphoses, from the woman I adored as a small child to the woman I became scornful of, though not in adolescence, even in adolescence I felt protective of her and needy, to the frail old woman she has finally become, of whom I feel protective in a different way. It took a long time before I dared to feel critical of my mother in any way.

It was later in my life, in my twenties and thirties when I had embarked on my analysis, only then did my image of my mother start to crack. Only then did I come to feel critical of her, for her religious intolerance, her manipulative tendencies, and her tendency to pretend that all is well when it is not.

I have my mother’s name, all three names, Elisabeth Margaretha Maria. It is a Dutch tradition to name the second daughter after the mother, and the first daughter after the mother’s mother, a tradition that again alerts us to the significance of mothers in a woman’s life.

I did not name my first daughter after my mother or any of my daughters directly after me, but my husband insisted and I agreed to the idea that they should all have my name as a second name. Equality you might say. Their first names however belong entirely to them.

Even now I can imagine my daughters writing in the future about what it means to them to each share their mother’s name between their first and last names.

In my family of origin, we each bear the name Maria, another tradition, religious this time, a means of asking the Blessed Virgin Mary to look over us all. All except the oldest, who again according to Dutch tradition was given his father’s name in its entirety.

When we were little we laughed at the fact that even the boys carried the name Maria in their collection of personal names, Simon Peter Maria, Franciscus Wiro Maria, Michael George Maria and Gregory Paul Maria. Such odd names they seemed to us growing up in Australia in the fifties and sixties when most people’s names were Celtic and Anglo Saxon with the odd immigrant name from the Mediterranean or Europe thrown in for good measure.

Names matter, they are identifying features, they become part of our sense of ourselves and of our identity.

In the days when I fancied I might write a book in which I had hoped each of my siblings might contribute a chapter, I also imagined a paragraph on each of us, suggesting parallels between our first given name and the way in which our name reflects our personalities.

As usual I am running off into too many ideas, too many ideas to follow. One leads into the other and the track becomes unwieldy. It is difficult to back track to where we have come from. Sorry.

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.