Sunday, 17 April 2016

The Dance of Life

Please accept my apologies for being silent for over a month. Life has been a little complicated in the past few weeks. I went to the West Country on the 5th of March to do some work with members of our Exeter office, with the intention thereafter of spending Saturday with my mother and sister in Somerset, as an early Mother’s Day celebration.

It turned out not to be the joyous time that we had envisaged, although the Sunday will probably always rank as my most memorable Mother’s Day. On waking on the Saturday, I went to say “Good morning” to my mother, only to find that she was running a high temperature and was clearly very unwell. She had seen her doctor on the Thursday and been put on antibiotics, so my first thought was that she was having an allergic reaction to the tablets. As the local surgery was closed, I dialled 111 (the UK number to ring for urgent healthcare needs) and, after a succession of calls throughout the day, was given an emergency out of hours appointment at Yeovil Hospital in the late afternoon. By this stage my mother was no longer able to talk coherently, her pulse was racing, her extremities had turned a deep lilac in colour, her eyes were tinged yellow and she was breathing in short panting gasps. When we arrived at A&E the hospital was heaving - there were people on trolleys, lying on the floor and using make-shift beds formed out of chairs and tables. Being the main local hospital, with a wide catchment area, Yeovil is constantly in demand. The pressures on the National Health Service were clearly apparent. Because we had an emergency appointment with specialists, we were seen swiftly and I have only praise for the way in which staff treated us and how they coped in such demanding circumstances.

My sister, who lives with my mother, is mildly autistic and, if it had just been the two of them at home that day I suspect the situation would have been very much worse  - my mother was too ill to call for a neighbour and my sister did not appreciate how dire the situation had become. As it was, that first night was grim - my sister and I sat vigil beside our mother, as tubes and wires were placed into her and machines bleeped.

Understandably, this was very distressing. I acted as translator to them both (although neither was able to fully comprehend what was going on) and I also needed to provide necessary information to the medical staff (things like my mum has only one kidney, as certain medicines or approaches needed to be avoided). When it became clear that my mother would be in for a while (she had sepsis and suspected pulmonary embolisms), I had to figure out how best to support my sister - she was distressed by the hospital environment but also by the fact that our mother was so ill. 

Home is a haven and she needed to recharge, but still have regular access to the hospital. I will remain ever thankful to an amazing local taxi driver called Phil who drove my sister to and from the hospital on a regular basis, always calling me to confirm that he had her on board or that she was safely home. I was able to feed her in the hospital, so I knew she wouldn’t starve, and she was given much needed time with our mum without the constant stress of being in the environment. Over the next four days we were moved from ward to ward (Yeovil Hospital was suffering a severe shortage of beds). My mother was semi-delirious and kept clawing cannulas out of her arms. 

One awful night, after listening for hours to the howls and maniacal laughter of a fellow patient, she became convinced that a nurse was trying to kill her and fought fiercely, in what she believed was a struggle for her life; I suppose in a way it was. It was very distressing. Yet I was just an observer - the brave and dedicated medical staff cope with these pressures and complications night after night. I hope having me there made life a little easier for us all. There were times when I could take the strain or be a source of comfort or information. My work colleagues were brilliant and let me contribute remotely - I devised the HR business plan and budget from the hospital floor, during quiet periods while my mother slept.

Although the staff were supportive of enabling me to remain with my mother (in contravention of visiting hours rules), the hospital was noticeably traditional in the way it was structured and run. With the exception of a junior doctor who helped with admission, all the doctors and consultants we met were male; many of the radiographers and ultrasound specialists were female. 

Almost all of the nurses and care assistants were women, although two men stand out, one a Spanish nurse who had come to the UK because employment opportunities were non existent in his home town. He was bright, observant and proactive, and the other was a chap called America, the night-time care assistant in the ward where we finally settled, who had a skill for making people smile. (As a side observation, an anticipated effect of “Brexit” is likely to be the potential return of many European workers who are adding value here, indeed talking to recruiters and Mark Beatson, the CIPD’s Chief Economist, there is already a reduction in applicants from Europe while people wait to see how the UK votes in the referendum.) 

Given the noticeable gender bias within certain roles in the hospital, it was hard not to ponder why people step into stereotypical positions and work. It is true that male nursing numbers are increasing (in the UK 1 in 10 nurses is now male, compared to 1 in 100 just fifty years ago), but in Yeovil there was a very conventional divide. Is it due to societal attitudes and implicit association that individuals feel steered to take particular career paths? If you are interested in this (and discovering your own latent attitudes) I encourage you to take a few of the IAT (implicit association tests) devised by Harvard University as part of the  Project Implicit research and studies - I surprised myself by how much I tend to prefer the young to the old - something I must watch out for.

Whilst in hospital, it was interesting (if slightly depressing) to see that the NHS can be as siloed as any other organisation, but warming to experience the power of collaboration. My mother’s consultant was a cardiologist, because the clots in her lungs were putting pressure on her heart, and he was very focused on clinical treatment within his area of specialisation. It was Tom, the excellent physiotherapist, who raised the issue that the sepsis had clearly impacted my mother’s cognitive functioning as well as mobility. Infected blood often inflames and contaminates parts of the brain as well as organs. He brought together specialists from across a range of disciplines (speech and language, respiratory, memory and mobility) to see what could be done to improve her quality of life going forwards. Tom was a perceptive force of energy, able to connect people within a bigger picture. I will always remain grateful to him.

I am pleased to report that my mother is now back at home. She needs daily care (we have twice daily visits from qualified specialists - mainly women. Richard and Emma stand out for the way they conduct themselves and communicate). I will continue to spend most weekends and some weekdays in Somerset, but the worst has passed. I doubt my mother will ever be the lady she was six weeks ago again (I suspect she will never drive, go shopping or attend regular lectures and concerts), but she is content and not in pain. My sister has been amazing and, as she is excellent at routine, she is the “nurse” responsible for ensuring that daily medication is taken at the correct times. I am trying to figure out a sustainable future for us all. It is good to be reunited with my family in London - this was the first year that I have not seen my own children on Mother’s Day or been with them at Easter. I am resuming more of my old life (including writing again). It’s good to be back.
On Wednesday night I attended three world premieres - a trio of stunning ballets. In most circumstances, a triad of dances wouldn’t form the basis of a business blog, but there was something unusual about these pieces: each was choreographed by a woman (namely Aszure Barton, Yabin Wang and Annabelle Lopez Ochoa). 

The concept was devised (and all the dances commissioned) by Tamara Rojo, the Lead Principal Dancer and Artistic Director of the English National Ballet, the company that performed the pieces as the triple bill at Sadler’s Wells. Rojo realised that during her 20 years as a professional dancer, with a respected international reputation and recognised flair, she had never performed in a ballet made by a woman. Women have shone in choreography in the past - I live round the corner from the former home of Lilian Baylis, who resurrected the decaying Sadler’s Wells in the 1920’s, by engaging the choreographer, dancer and teacher, Ninette de Valois, to found a ballet company. My husband loves the work of the late German choreographer Pina Bausch and I have been astounded by pieces by Crystal Pite. Even now Isadora Duncan, who both shocked and inspired at the turn of the last century and remains as famous for her gruesome death as her revolutionary choreography, is hailed as the Mother of Modern Dance. It would be tempting to pontificate on why there is a sudden dearth, but, to be honest there are enough comments circulating in the dance and theatrical press on that subject. What interested me, having seen the three performances at Sadler’s Wells, was the way in which they seemed different from dances I have seen choreographed by men.

There was an amusing twist to the front cloth, designed by Grayson Perry, which depicted a central female character surrounded by three thoughts (one for each ballet) whilst situated in a landscape made up of phalluses. 

The cloth was a nice touch - a resurrection of a long theatrical tradition (Pablo Picasso designed cloths for Diaghilev) - they help an audience settle, with a teaser image that hints at what’s to come. I suppose I should not have been surprised that two of the three ballets interpreted the stories of famous women: Medea from Greek mythology and the Mexican artist Frida Kahlo (both heroines suffered unfaithful husbands and had to cope with physical and emotional torment). It was not the subject matters that made the dances unusual, it was the impact and manner in which the dances came across, with some moves (such as the depiction of a miscarriage and the unappeasable pain, centred in the stomach, caused by infidelity and the sinuous effort of trying to break into a group) that resonated strongly - is that because I am a woman?

We live in an often male dominated environment - especially at work. The past few weeks have made me think about gender, the attitudes and impact of others in the workplace, in society at large and how good or poor most businesses are at trying to understand and appeal to their employees, contacts and clients. Now that my mother is on the mend, she is beginning to notice such things, she has become modest and uncomfortable at a male carer offering her a strip wash. I am oddly reassured to see her responding in this way, but it makes me think...

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