Inquisitive Quest

The couple rising from their nights repose at the Days Inn, neither Fran or Gary having slept very well, somewhat concerned about the strangers knocking at their door late that night.  but that didn’t still their morning appetite, the two deciding on breakfast at Denny’s.  checking out, the couple walking the four blocks to the new jersey transit bus station on Landis avenue for an Atlantic City bus, then onto the Port Authority Terminal in New York City.   Their arrival time in Atlantic City was timed perfect, dismounting one bus and boarding another for New York, a 2 1/2 125 mile excursion.  Gary enjoying the vista of the tree-lined garden state parkway as a passenger  having spent a lifetime as a driver.   Notice of the journeys end was given when the iconic skyline of New York City from the Jersey side of the Hudson river came into view

The new York Port Authority building, located between 40th and 42nd street,  the largest bus station in the world,  over 7,200 buses per week line up to take on passengers.  The couple disembarking, Fran back on familiar ground from her youthful ventures to the City,  Gary impressed with the thrive of the New Yorker’s, their attitude of purpose in pursuit of their goals,   Displaying the spirit of America.   The subway entrance to Hoboken being on the same block as grand Central Station,  the name a misnomer,  misled by Hollywood  as it’s not a station stop but the starting and ending of subway lines officially known as Grand Central Terminal.  Gary in no hurry, desiring to see the wondrous architectural structure, the building consuming 48 acres of land,  with two levels below ground, 41 tracks on the first below ground level, with 26 tracks on-the Second.   The structure having started construction in 19 oh 3,  a new additions completed in 1913.  The building consuming many restaurants, shops and galleries,  Gary marveling that the builders of this hundred year old pavilion could never have visualized they were building a prototype of today’s modern Mall    .

The street entrance to the subway was  like entering an underground cavern of walkways,  much to Gary’s surprise, subway tickets were available from a vending machines and even more surprising,  the tickets were only $2.00 per person.    A directory providing  a track number,  the posted walkway signs providing directions to their intended platform.   With the MTA subways arrival Gary entered the train experiencing daja vu ,  it was like a scene from a Hollywood Productions.  It was as if he had done this before, but knowing it had to be caused by a lifetime of viewing movies. The couple seated, crossing beneath the Hudson River, the first stop being the Holland Station in New Jersey.  Exiting with baggage in hand, having made reservations and knowing that the Holland Hotel Motor Lodge was within a four blocks radius  but not sure which direction.   The couple approached a parked cab to inquirer the directions to the Hotel,  the driver predicating an offer to drive them the short distance    .

Checking in, the hotels second floor accommodations were exceptional,  a window view of the entrance to the Holland Tunnel.  Gary somewhat intrigued, watchful of 10 lanes of tunnel traffic  funneled down to two lanes for entrance by single traffic officer.  The room vantage point also provided a river view of the New York City skyline, the stately Empire State Building presiding over that domain since 911,.    Settling in, the couple discovering the facility was without food service except for vending machines and complimentary morning pastries and coffee.  but the inquisition was soon remedied with a burger king a block away    .

A wake up call, morning coffee and donuts before greeting the new York  city tour Bus,  a day long excursion about to unfold.   It was not a surprised when discovering the touring convenience was a retired MTA bus,  the couple seated in the front seat across from the driver.   The two finding themselves in conversation with the younger transit chauffeur,  the driver with his pronounced New Jersey accent proclaiming himself as a boxing enthusiast.  Gary relating his past  indulgence of the sport,  the bus driver expelling the time he was in the ring with Hector Camacho as a sparring partner and winning the session.  Gary coming back with the story of Milo Savage during the fifties,  the only fighter on TV to tell his opponent that his shoes were untied, his opponent looking down,  then blasting him.   Gary smiling to himself, sitting across from the New Jersey bus driver,  the conversation an enjoyable congruous tactility of New Jersey hospitality. The first hour of travel was spent making several stops  acquiring the other twenty members of the tour.   Arriving in New York City, the bus making a brief hesitation at a hotel in Midtown Manhattan to acquire a Tour Guide,  a prestigious black man in his fifties, with a delightful personality mentioning that he was an actor performing in Off-Broadway Productions and had appeared in  many of the Law & Order television programs as an extra.

Their first tour stop, Central Park, the bus halting at Central Parkway and west 72nd across from the Dakota Hotel, the tour guide pointing out that it was where John Lennon meant his demise at the hands of Mark David Chapman.   Disembarking, the tourist group was conducted to the 22 acres of the park lake,  a small portion of the 845 acre Park.   The Guide giving notice of the extensive walking and bridle paths, A  Zoo,  two ice skating areas, an amphitheater, six miles of circular drives and the many conservative gardens,  plus a 106 acre reservoir maintaining a hundred billion gallons of water named after Jacqueline Onassis Kennedy.   the fresh water reservoir decommissioned as a water source as it was no longer needed.  Gary having realization that this was more than a park to the residence,  it represented the privileged city pride of being a New Yorker    .

The refreshing experience concluded, the tour bus stopping at St Patrick’s Cathedral,  the group embarking on an On your own Tour,  the historic landmark  church capturing Gary’s attention.  Entering alone, Fran deciding she would pass on the Catholicism cathedral.   The awe inspiring construction was started in 1858,  but not completed until 18 79,  like so many projects of that era, the civil war, and its aftermath caused a delay.   The visitor experiencing a historical presence walking in this prominent house of worship,  over 5 million people per year entering this realm.   Gary with camera in hand walked towards the sanctuary, experiencing an aura of deity with the  ornamental and august pillars, the darkened lighting providing an ambiance  of sanctity.   entering the sanctuary he was approached being told that pictures were forbidden in this area,  but the epistle was given too late, Gary already had snapped his picture    .

The couple once again embarking the tour bus, stopping at Rockefeller Center,  a 19 building complex started in the 30’s in Midtown Manhattan between 5th and 6th Avenue and 48th and 51st street.  the complex composing 22 acres of Midtown,  the 70 storied Art Deco Rockefeller Plaza Building being erected and the Radio City Music Hall added on 50th street.  Gary mentioning to Fran about having seen the skating rink at Rockefeller Center in several movies and how spacious it looked, especially in the movie Love Story with Ryan O’Neal and Ali McGraw, but in person, the skating rink was just a pittance in size of what was proclaimed on the big screen.  the tour resuming, a journey thru New York City Chinatown, the guide pointing out points of interest.   Entering the infamous Greenwich Village, a discovery point for Bob Dylan, Jimi Hendricks, James Taylor and Barbra Streisand, all with frequent appearances at the Bitter End, the Café Au Go Go, and the Gaslight Café.   The heritage of the village now recognized as an american icon in the chronicles of music History    .

The tour continuing,  Ground Zero,  Gary somewhat disappointed expecting a  temporary memorial dedicated to those whom had lost their lives, instead  a chain link fence and a bleak view of poured concrete where the below ground plaza and terminals once occupied.  The construction site was a cold ambiguous scene to those visitors who had never witnessed the Twin Towers, unlike Fran who had worked in the towers at one time.  Traversing the  final journey aboard the New York City Tour Bus, an excursion to Liberty Park and the Ellis Island Terminal,  the transportation hub from the past.  The Victorian facility built in 1889,  a train station terminal consisting of 20 tracks and 16 boarding station, where upwards of 9 to 12 million immigrants from Ellis Island finally discovered their destiny,  the station discontinued in 1969   Gary observing the boarding platforms and tracks, now overgrown with weeds,  many of the 20 railroad tracks no longer presence.  A 1920 scene resonating within him,  his mind picturing the past, the station bustling with activity, filled with those from abroad looking for an opportunity to find a new life.   Outside the Victorian terminal,  the once used docking area for many of the ferry boats during that earlier era sitting empty  except for the two used by Ellis and Liberty island circle line Tour Cruise

Gary and Fran boarding a Circle Line passenger ferry,  the wind cascading up the Hudson  from the Atlantic giving them the feeling of nature’s presence.  Ellis Island their first destination, the sight a presence of promise to the many that had come before them.   disembarking,  the couple left to sunder and explore this relic from the past on their own.   The luncheon hour having elapsed, finding within this monument of the past a continence of fast food cuisine, the couple partaking of its opportunity. Gary impressed with the displays and pictures from this landmark of American History,  walking the halls absorbing the renaissance of a hundred years, observing and reading the trials of the many who had converged, the inscriptions of past generations finding enlightenment having past thru this wondrous building constructed in 1892,  it’s demise rendered in 1954.,    the building vacated left unattended and deteriorating for eleven years  when a group of concerned citizens took notice and pursued a national museum endeavor,  a everlasting gift to America.

A continuance of adventure,  the couple once again claiming passage on the tourist passenger ferry,  soon approaching Liberty Island,  a scant ¾ of a mile from the departed Ellis Island.   A majestic panoramic scene from their floating endeavor,  the symbol of American freedom, The Statue of Liberty, its 305 foot shadowing presence  enthroning an overwhelming feeling of patriotism.   With the docking embarkation,  the couple journeying to the Liberty Island Museum,  viewing exhibits, absorbing its history,.  In the 16 hundreds,  the 14 ½ acre island was once proclaimed as Oyster Island  because of the perfusion of oysters found by the early settlers.   Gary well aware of the fishing endeavors of the 16 hundreds,  the first Willson arriving and settling with the Massachusetts Bay Colony, Michael Willson born in Dedham Massachusetts in 1644.   Other  names bestowed to the future Liberty Island landmark was Bedloe’s Island,  a private summer residence of Archibald Kennedy, the Earl of Cassilis in the 17 hundreds and later during the Revolutionary and War of 18 12 it became a military bastion named Fort Wood,  its relic finally being dismantled in 1944.

Gary and Fran circling the icon statue,  but because of renovation work they were unable to traverse the stairway within the celebrated monument.  Standing before the Lady of Liberty instilled an everlasting remembrance,  acknowledging the sight of it was an inspiration not only to those who stood in its presence today but to the millions who traveled here with a hope for a new beginning.   Once again boarding the Circle Line ferry returning to the illustrious Victorian Terminal,  the boat docking at one of its no longer used slips.  The Willson’s awaiting their New York City tour bus and a return to the Holland Hotel,  a conclusion of their one day tour of New York City, the purpose of their journey to continue    .

Gary and Fran Finding no rush to check out of the Holland Hotel in the morning,  Gary trekking to the lobby to secure the complimentary pastries, gathering a diet Pepsi for Fran and a cup of coffee for himself.  the couple awaiting Fran’s high school classmate Vicki and husband Sal Mattessich, who graciously agreed to accommodate the Willson’s move, having reservations at the reunion hotel.  The Mattessich’s having driven 380 miles from Hubbard Ohio to attend the Hoboken High School 1966 Class reunion.   Departing the Holland Hotel,  Sal at the helm,  the two couples traversing the highway to Rutherford and the Meadowland Hotel located a mile from Giants Stadium,  home of the National Football New York Giants and Jets.   Gary enjoying the excursion  finding humorous moments during their peregrination,  Vicki administering corrections to Sal’s driving,  whom as a truck driver most of his life was quite able, Sal apparently used to his wife’s-comments,  taking it all in stride.   Arriving at the Renaissance Meadowland Hotel,  their reservations confirmed,  the desk clerk noting Fran’s name,  asserting that a Bob Santangelo had inquired about her,  Bob a Hoboken High classmate    .

Fran’s mother Gladys

Fran’s father whom she was named after – Francis Marion Harriot

Francis Harriot in postal uniform

A somewhat older Gladys Helen Harriot

Hoboken Post Office branch named for William E.J. Harriot changed to Sinatra after the stars demise

Hoboken Post Office Letterhead

The wives huddling together, then informing Gary and Sal they wanted to return to Hoboken, having been years since they traveled down Washington Street, designated 40 years ago as the Avenue.   Fran anointed as a native of Hoboken, espousing from a full-time working mother Gladys  and her father, Francis Marion, whom she was named after and upheld a family occupation as a member of the Postal Service.   Her grandfather William EJ  Harriot a Hoboken Postmaster, the Hoboken Postal Branch named in his honor, but later a casualty of the misaligned passing tributes to Hoboken disavower Frank Sinatra.  The town having currently evolved from its past, the once primary residence of  3 and  4 story walk-up apartments now converted into exclusive condominiums with elevators, Fran discerning that this wasn’t the Hoboken she grew up in

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The travelers stopping at Stan’s Sporting Goods,  a convenience still remaining from the past and with Fran’s return, Gary was now sporting a Hoboken Red Wings hat.  A second stop at the Hoboken Museum, the two couples entering thru the alcove on Hudson Street, a single hostess seated at a desk welcoming them.  Gary perceiving the historic photographs of the military shipyard repair docks from both World Wars.  Posted was a tribute to the once proud Hoboken factories of Lipton Tea,  Maxwell House Coffee, hostess confectionery,  the infamous Bethlehem Steel Corporation and the historic Delaware,  Lackawanna and Western train stations,  all from a past era enhancing this small community of one square mile.   Hoboken  a paramount  contributor to the  commence of the nation, but its industrial presence no longer standing, the town just a footnote of its historic past

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The couples stopping for a bite to eat,  then to attend the high school open house, a large welcome sign posted to greet the returning graduates.  The assemblage filing into the auditorium for a welcoming ceremony from the school officials.  the alumni  dispersing to walk the halls and rooms of memories,  exchanging the anamneses of teachers and specific events of forty years ago.  Gary a meaningful witness to the afterthoughts of those who cherished the past and throes of  youthful exuberance    . The school tour fulfilled, the two couples and  most of the touring group journeying the two blocks to the  high school athletic field,  the Red Wings football team hosting the Emerson Cavaliers.   A special area  cordoned off for the 1966 alumni,  the school band playing the national anthem, the public address announcer presenting special recognition to the attendance of the alumni.   Gary a high school football enthusiast, soon discovered the Red Wings team was in a different league than the struggling  Cavaliers,  a light rain beginning in the second half,  but like true Red Wings fans they stayed to its conclusion,  the Red Wings winning the game 61 to zero,  a gift to the attending alumni.   The evening events coming to a conclusion, Sal and Vicki returning the couple to the Renaissance Hotel and an appreciative night’s sleep,  the morrow reunion festivities awaiting    .

The couple dressing for the occasion,  Gary appropriately in a suit and tie, Fran stunningly radiant in her dress,  the couple perambulating downstairs to the convention center, Gary somewhat surprised at the number in attendance.  The dimmed lighting and music of the sixties resonating,  a free alcohol beverage bar that included champagne and vintage wines was available.   The buffet was unbelievable, including calamari and escargot.    Fran acquainting many fellow classmates that she hadn’t contemplated in years, including Karen Jensen, Fran Sneyers and Nick and Rita Herr.   Gary being introduced to the amenities from Fran’s past, the current Hoboken Chief of Police Carmen  La Bruno and finally Bobby Santangelo making his presence known.  The evening coming to a conclusion with an elevator ride to their room,  the couple weary, but dexterous for their return home    .

The morning dawning,  Fran and Gary meeting again with Sal and Vicki whom generously proffered their transportation to the Newark Liberty Airport,  a Boeing 757 awaiting the their flight home.  The couple for the second time discussing about a stay in Denver for a day,  Fran in the past desiring to acquaint a long time special friend.  John Madden,  whom for over the  past thirty years was a practicing attorney,  their friendship beginning in the 60’s when he was a member of the acclaimed Serendipity Singers.   The prestigious 7 57 lifting off the ground,  Gary able to see the illustrious observance of Hoboken, the island of Manhattan and New York City,  the remembrance of this visit forever leonine,  a memory not to be forgotten.  Reaching the throes of the morning blue sky,  the winged vessel heading westward,  the magnificent view of the terrain passing beneath the expeditious craft,  Gary as usual a sentinel of flight , mesmerized by the flow of the earth’s contour,  its splendor a captivating scene,  the hours passing as an abeyance.

An arrival at Denver International Airport, the largest area airport in the United States, providing landings of over 600,000 aircraft per year,  but not a hub for any major airline with the exception of low-cost Frontier Airlines which caters to only 76 destinations.   The weather was once again a factor for the couple to question a layover with thunderstorms and rain,  electing once again to postpone their visit, the couple boarding their scheduled United Airlines flight and continuing on to San Francisco.  The 737 United flight from Denver to the west coast was one of familiarity, Gary once again affixed to a window,  absorbing the wonders of flight, descending over the north bay area on its final approach,  the 7 37 setting down on runway 10 R,  their journey about completed.   An hour wait before boarding a United Express Embraer 1 20 turboprop craft,  the last leg of their flight.  Again the familiar terrain of the Altamont Pass and the Central Valley coming into view,  their journey to Modesto fulfilled, all that remained was their taxi ride home

Returning to work, Gary having thoughts about their journey east,  realizing that for Fran, it wasn’t just a class reunion, but a Harriot family reunion and a way-stop in life,  to acknowledge the past, recognize the present and  forecast the future”.   Gary having discovered thru the years that One never knows the value of a moment Until it becomes a Memory    .

Colony Park now Country Villa Modesto

Two thousand seven,  Gary’s seventh year at Colony Park,  the 6:30 a.m. morning alarm giving notice of a new day,  beginning to be an adversary rather than a welcomed friend,  discovering with his 66th year of earthly presence,  an inveterate avidity for the 99 bed skilled nursing facility was beginning to wane.  A passing thought,   age might have something to do with it,  but a new energizing contingency coming into focus, Colony Park and all 11 facilities making up Healthcare Management Corporation were chronicled for purchase.  The LLC’s bottom line showing a deficiency,  rumored it was not to any paucity of  CEO Arden Bennett,  but the corporation’s CFO (chief financial officer), having  persuaded the board of directors to purchase additional facilities of which he was a major stockholder, including the Watsonville East and West,  dual facilities,  under state scrutiny for violations and operated at a loss.

.  The clamor of the unforeseen news soon wearing off, the only immediate difference was Brad Kikuta,  resuming his position as an acting Administrator,  engaging Gary to furtherance the cosmetic appearances of the facility, including painting the building exterior.   Gary purchasing a Wagner paint sprayer at Home Depot, being honest with Brad,  mentioning that he wasn’t the best at spray painting,  and not surprised when Brad,  although having never spray painted before, was willing to work with him.   The team intact, Brad spray painting, Gary rolling and brushing the eaves, window frames and other sprayer inaccessible areas.

.  Gary made aware of coming events,  a  detailed analysis of the building and all the plant, medical, safety and  office equipment, plus resident room beds and furnishings, basically a complete inventory of everything but the kitchen sink,  all a requirement for the sale.  The process known as Due Diligence,  included a detailed account of the exact size and physical attributes of the buildings,  even to the point of separating carpeted area from the tiled,  and included opening the fiscal, employment,  state health and safety records for inspection .

.  Thru the years,  Gary having been befriended by the owners of Johnson Rug Company,  Dennis Pankow, his wife Sue and Daughter Kim,  at first employing their company to replace the tile in the resident’s room on a scheduled basis,  but because of the impending sale,  Brad wanting to finish all the remaining resident rooms.  The environmental supervisor  making a decision to do the installation himself.    Gary scheduling the event on mornings when Brad was available, the administrator never-failing to volunteer as a participant after the tile adhesive had cured, and ready to be laid.   Other improvement included replacing the floor tile in the business office,  and removing the age-old carpet in the conference room,  which refused to come up without the use of a motorized carpet scraper that Dennis loaned at no charge.  All being replaced  with carpet squares,  the face lifting of Colony Park,  becoming a reality because of Due Diligence for the prospective sale of Healthcare Management.

.  Country Villa,  the largest privately owned procurer of nursing homes in the State, a Reissman family operation,  with over 50 facilities,  having purchased all the assets of Healthcare Management except for the corporate office in Madera.  A curiosity rising among the department supervisors as to what changes the new company would bring.  During a meeting, Brad assuring all,  the transition would be amenable and he would remain as temporary administrator,  also disclosing,  he was the only Healthcare Management corporate executive ask to remain,  adding he would be assuming responsibilities as vice president in charge of Country Villa’s Northern Region,  which including their newly acquired facilities.

.  Gary being informed his position as Environmental Service Supervisor would no longer be envisioned,  as Country Villa contracted a commercial management company  for housekeeping,  janitorial and laundry services.   Brad ensuring all current environmental service department workers would retain their employment status, and wage seniority as employees with the new company.  Gary’s position,  the only one that was amended, relieved of his management responsibilities, retaining his duty as maintenance supervisor and safety director, and  once again to join the ranks of the hourly wage earners.  His maintenance assistant Ray transferred to the janitorial department to retain employment under the new contracted service company.

.  With the new corporate management changes a certainty, it soon became apparent when 17 assertive healthcare professional advisors from Country Villa’s southern California Corporate office ascended on the new acquisition.   Brad as interim administrator was somewhat candor,  giving the department’s supervisors a briefing about the assets of the Country Villa and the upcoming restructuring  and improvements.   One of the first projects on the agenda was a replacement of the co-generation H vac system installed in the 90’s under the auspicious of Valley Air in Fresno.  Gary having  maintained a good relationship with the Fresno company and their northern area service personnel,  John and Brandon, the two giving Colony Park service call  priority.  Gary was relieved when the H vac  contract for the new system was accorded to Valley Air.   Six weeks into the Country Villa acquisition,  Brad giving notice of another change,  the hiring of a new administrator,  but saying he would still maintain an office in the building,  fulfilling his positions as a Country Villa Vice President for Northern California.

 .    The reality setting in, with a change of venue, the skilled nursing facility Colony Park, renamed   Country Villa Nursing & Rehabilitation Center, now  a member of the largest purveyor of Nursing facilities in California, the  Country Villa Health Service Corporation.    Brad not hesitating to give the supervisors a heads-up on the new facility administrator starting in June.  The incoming administrator would be Rashmi Birla, with past experience as an administrator for Nexion Health in Bayview Texas,  and a prior administrator for the Country Villa Westwood facility in Los Angeles.   Brad making a point that this lady was an Alpha.   Type,  “A”,    on the Jacob Goldsmith theory of personalities,  aggressive,  ambitious,  business like, a competitive and time conscious person. 

 .  She  was married with two sons,  her husband Rajnish, a physician,  having acquired a position with Kaiser Permanente in Modesto.  Colony Park having been a prior training facility for corporate administrators under the tutoring of Brad, the supervising staff somewhat use to being approached by a designated administrator, but at the same time having developed an aura of independence in decision-making with Brad traveling to fulfilling his corporate duties.  With the new administrators arrival,  the only immediate noticeable change was her time schedule,   Rashmi with two young children to ready in the morning, arriving after 8 for the department supervisors 9:00 morning meeting

. Gary recognizing the difference between  Country Villa Healthcare Service Corporation, and Colony Park’s diminutive, Healthcare Management,    Jokingly associating to the department supervisors, when working for HealthCare Management,  they might be deemed as,  big fish in a Little pond,    but with the prodigious Country Villa,  as little fish, in a much  bigger pond.    The advent of improvements to the facility beginning,   Valley Air contractors parking a large semi-trailer with a  100 ton mobile chiller to be used as they proceeded to disassemble the old  absorption A C units cooling tower,  and co-generation system,  installing a new 120 ton system .

. With the new management came other changes.  once a month,  Brad and the department heads would meet at the Gourmet Buffet in the McHenry village shopping center for lunch,   plus if there was time,  a trip to McHenry Bowl for a brief  lane of bowling, all compliments of Brad and most noticeably what  would be missed,  the monthly grill cookout for the employee’s,  which now was limited to a social services activity for the residence.   With the new changes, Gary finding his job less challenging,  no longer responsible for the bulk of environmental service departments.  The fall of 2 thousand 8,  a new enigma presented itself,  a hard decision in the making,  maybe it was time to retire, Gary visiting with Fran, the two agreeing.  Gary keeping Brad and Rashmi abreast of his and Fran’s conversation, but having no time frame in mind,  offering to remain as long as necessary for them to find and familiarize someone to fill his position.

 .   Gary’s first knowledge that someone had been hired was when summoned to the administrator’s office,  Rashmi introducing Tony as his replacement.   He was somewhat surprised Rashmi hadn’t invited him to sit in on any of the interviews.  but accepted the circumstance.  Tony appeared to be in his late twenties or early thirties,  relating  he had worked as the  maintenance man at an apartment complex,  Gary asking some basic questions about his electrical and plumbing experience, not having been present for the interview.   It was soon discovered this personable clean-cut looking replacement possessed  a pretentious semblance, with little or no experience confronting problem consonant of a healthcare facility, Gary hopeful he was a quick learner,  pointing out the importance documentation, recording plant equipment inspections required by the state and the necessity of  a building morning walk thru to grasp the obvious or potential problems for the day

. Raul, a visiting Country Villa corporate building operations coordinator having completed an inspection of the Modesto facility,  approached Gary with a list of state code requirement that needed immediate updating.  Apparently,  Colony Park was exempt from the updates, able to ‘grandfather in’ these technical violations.  The first being the absence of G F I’s.   ground fault interrupter receptacles in the break room, kitchen and 32 restrooms.  The second,  replacing the nonlatching window screens and other minor breaches.  Gary began to notice Tony’s work related initiative was being redirected toward several of the young CN A’s,  somewhat unsure  how to approach the situation as there was a lack of contention from them .  It wasn’t long before Tony’s extracurricular activities became manifold,  mentioning a separation from his wife, and a discovery of him sleeping in his car.  Rashmi apparently made aware of the situation from the nursing staff,  a reprimand was enhanced.   With all that was going on,  Gary coming to the conclusion it was time to give a retirement date, then the unexpected happened.  Rashmi calling him into her office breaking the news,  Tony had given notice,  having enlisted in the Army,  asking if he would remain until another person could be found .

 .     The process enfolding once again,   Brad and Rashmi interviewing for a maintenance person,  but this time the position of Safety Director  no longer included.   A second new hire selected, Alex.  Like Tony,  Alex  had worked as a maintenance person in an apartment complex.  Gary extending his stay another month,  this time determined without fanfare, he would bid a farewell to Country Villa,  a clock to no longer  dictate the start of his day.  He was less than 90 days into his retirement when he received the phone call.  He recognized the voice,  it was Rashmi, asking if he could return and resume his position,  adding that Alex performance was unacceptable,  and she had just terminated his employment.   What could one say,  they both knew the answer, you never say no to a friend in need,  his 6:30 a.m. morning  alarm reset for the third time,  compliments of Country Villa.

.  It was a warm March afternoon at Country Villa,   Gary breaking down the larger cardboard boxes deposited in the 10 yard compactor.  The sun giving notice, a brief handkerchief swipe of the forehead and face remedying the accumulated moisture, only the white kerchief came back baring the red stains of blood from his nose.  Going inside the maintenance shop,  the blood flow continued. With the bloody handkerchief in hand,  he decided to see who was at the nurses station, discovering that Carolyn Hauser, the director of nursing and another nurse was in her office.

.  Entering, Carolyn immediately recognized his predicament,  telling a passing CNA to go to the kitchen and get some ice in a plastic bag as she reached for a blood pressure cuff.   Gary noticing Carolyn expression changed, as she murmured, that can’t be right,  retaking the blood pressure a second time.  Gary curious, asking what the reading was,  Carolyn not immediately answering, reaching for her purse, saying we need to go to the hospital,  she would drive,  then adding,  your blood pressure is 2 10 over 100 21.

.  Doctors Medical Center being only four blocks from Country Villa. In ER his nose bleed remained,  a nurse taking his blood pressure, which had begun to come down.  Gary telling Carolyn,  he could take it from here, but would appreciate it if she would call Fran, and tell her he would be late getting home.  After what seemed like an eternity,  a physician entered the treatment room, the doctor swabbing the inside of his nose with silver nitrate,  stopping the flow.   He was about to leave when to his surprise Fran entered the treatment room,  having taken a cab to the hospital, it was a comfort,  the two walking back to Country Villa to retrieve the car.

.  The 6:30 a.m. Monday morning ritual was normal, Gary was about to step out of the shower discovering his nose bleed from the previous Friday had returned. Placing a call to Country Villa to give noticed he wouldn’t be in, and by chance the previous administrator, now a Country Villa Corporate vice president, Brad Kikuta happened to answer the phone,  Gary explaining the situation. The blood was exiting his nose,  but this time with a vengeance,  telling Brad he didn’t want to call an ambulance, what he needed was a ride to the hospital,  Brad answering,  he was on his way.  Gary finally waking Fran, making her aware of the situation.

.  Entering Doctors Medical Center E R,   Gary signing in, told to be seated, the blood continuing its flow, it seemed like it was taking forever.  he approached the reception counter area once more,  only this time removing the towel,  letting the blood drip all over the counter, getting the attention of the person behind the glass, it worked,  he was immediately taken to a treatment room.  For the second time in three days his nose bleed was stopped, the noon hour having arrived, deciding to walk the four blocks to Country Villa to see about a ride home,  but no sooner had he exited the building,  his nose bleed resumed.  Returning inside, the process of waiting for his name to be called returned, another doctor repeating the same process as the first, halting the bleeding, Gary being told to remain in the treatment room.

.  Time passed  and as before the bleeding once again resumed, only this time requiring suction to prevent the blood from entering the throat.  A third doctor performing a brief examination,  informing him that he was going to be transferred by ambulance to the Kaiser Hospital in Fremont, a distance of 75 miles, as Kaiser Permanente was his HM O.  Placed on a gurney and  moved to the ambulance entrance, surprised to find Fran standing there,  having just arrived by cab after being notified of his impending transfer, looking very concerned.

I.  t became evident,  the A M R ambulance crew hadn’t made very many trips to Fremont as Gary heard one of the EMT’s tell the other, he was at the wrong hospital.   Apparently the driver pulled into Fremont’s 2 hundred 69 bed Washington Hospital instead of Kaiser, but was relieved the hour and twenty minute ride was over.  Placed In a treatment room, introduced to a young lady doctor.   .  He questioned the doctor about the procedure relating that the previous two doctors had used silver nitrate. She said she would be using something different this time, it was medicinal cocaine, that it had vasoconstriction properties, in essence, the cocaine puts a chemical tourniquet on the blood supply to the septum.  With the  procedure completed, the bleeding stopped, Gary relegated to a wheelchair, the hospital unseemly quiet at that time of the night, and just when he thought all was well, his nose once again gave another notice,  as the blood flow once again commenced.  He was beginning to have a concern that he might have to have surgery, the lady doctor returning,  informing him  there was another non surgical procedure,  and an E N T from the Bay Area was on his way to administer it.

.  Again relegated to waiting,  only this time in a semi-darken secluded area seated in a wheelchair,  a night shift nurse finally breaking the solitude,  wheeling him into a treatment room. The door opened, stepping into the room was a short elderly Chinese man wearing a traditional white lab coat,  introducing himself, speaking gingerly about the procedure that would halt the bleeding.  On the treatment table were two 24 inch long packing strips,  saying this might be somewhat painful,  as he proceeded to insert a 24 inch strip into each side of his nostril,  forcing them up into his sinus cavities.  The procedure completed, Gary’s reaction from having tensed up from the pressure and insertion of the packing leaving him somewhat exhausted,  plus the biting reality of the past 20 hours.  The doctor informing him that he would have to live with the packing in place for the next ten days,  but at that moment it was of little concern,  returning home was foremost on  his mind.

.  He was relieved after being told that the hospital had notified his wife, and that she was making arrangements.  Concluding that admittance was totally out of the question,  asking if there was some place he could possible lay down while waiting,  and to his surprise,  his request was answered, a nurse moving him into what appeared to be a darken unoccupied ward room, the bed a welcoming sight. The doctor was right when telling him of the extreme discomfort that would come with the sinus  packing, sleep finally settled in.  He was aroused by nurse with a food tray informing him it was noon, surprised at the hour as well as the food tray,  as he wasn’t an admittance.   Gary surmising was correct, Fran had called his mother,  who in turn contacted his sister Katherine in Groveland, the two finally arriving that afternoon

.  March 26th having arrived, the ten day stay at home with the packing had elapsed, Gary having an afternoon appointment with Kaiser Doctor vijay  Bais  M D,   E N T.   Still somewhat puzzled at the parade of events, a simple epistaxis, better known as a nose bleed,  requiring  5 doctors and two hospitals to halt the flow from a cartilaginous nasal septum.  On his way to the doctors, deciding he would stop at work as a quip,  so they could see his swollen facial disfiguration from the packing, evidence of what he endured for the past ten days.  The expression on the business office manager Joanie Peels face was priceless..

..  Once again returning to work,  a renewed effort being made to retire,  an interview for a replacement was at hand , this time, one with applicable experience.   Scott Hensley having worked at Manteca Nursing Care Center and  also possessed a state contractor license.  Gary took an immediate liking to his replacement, but when questioned about the plant systems and appliances,  he enumerated the Manteca facility had contracted all the equipment servicing out.  Six weeks having passed, Gary satisfied with Scott’s progress, it was time for the 68 yearold to approached Rashmi that his last day would be Friday, May 29, 2009.   His final day was much like most,  keeping busy,  approaching 4:30,  he entered the business office to cede a farewell to Joanie Peel the business office manager.

.  After nine years, Joanie was almost like family, Gary having employed her son Michael and daughter Karen in the past.  Saying goodbye,  he was about to leave, Joanie stopping him,  imparting that he shouldn’t leave just yet,  grabbing him by the arm,  leading him to the closed door of the conference room.  Seated inside was Rashmi and all the department supervisors  and many others, a large cake and refreshments adorning the long conference room table.   Gary was taken aback,  caught without words, the reception unexpected, but the real unexpected gift,  was not just their presence,  but their acknowledgement he would be missed.

The first stop – Rob and Nancy Ft. Worth Home

.  Gary receiving an unexpected call from Columbia,  his 89-year-old mother proposing a trip east to see her great-grandchildren in Oklahoma and Kansas,  Sarah,  Allison, Hollyann and Brennan.   Gary acceding to his mother’s desire, asking Fran to accompany them, but his wife declining saying she would stay home and accommodate the other two members of the family, Sammi and Little Bit.  Gary’s sister Nancy making a very rare trip to conveying their mother to Modesto to spend the night  for the early morning flight.

. The two boarding a Modesto United Airlines SkyWest,  Pratt & Whitney powered twin turbo propped Embraer 120 in the twilight of the morning, this being a third time for Gary traveling on the 30 seat turboprop non-luxurious aircraft.  The morning flight as in the past,  a tour over the wind turbines Altamont Pass,  San Francisco Bay coming into view,  a descent and an alignment with the San Mateo Bridge,  the circumnavigating craft banking right for its approach to SFO, the San Francisco International Airport and a its final quay.

.  Embarking from the Embraer to the  SFO upper terminal  awaiting a 7.56 a.m. departure time for the 1460 mile nonstop journey to DFW, Dallas/ Ft. Worth International Airport.    Commencing a American Airlines 757, their seating arrangement providing Gary with a window seat  enabling an animate visual view from aloft.  The aircraft raising to its cruising altitude of 37,000 ft. on a southwesterly course,  a flight time of 3 ½ hours,  their arrival at DFW expected at 1:45 p.m. central standard time.   Thirty minutes into the flight,  the cabin lights dimmed and a host of  TV screens descending, the in-flight movie to begin.  Gary vigilant,  noticing that everyone seated before him pulling down their window shades.   The interior of the aircraft now shadowed,  Gary, to the duress of many of the other passengers,  the only person to allow the acquiesce glowing signature of nature  to abide,  leaving his window unadorned with a shade,  the blue sky and bright sun giving presence to the majestic lapsing earth below.

.  The Boeing 757 airliner discerning its station at DFW,  the two disembarking  descending to the unsecured lower level,  Gary’s son Rob and his crew cab pickup awaiting for the trip to the recently purchased home on Shady Glen Court in Fort Worth.   Gary very much impressed with Rob’s and Nancy’s home,  although not completely furnished,  the beginning of a showcase, Dad having always recognizing that his son was a perfectionist.  The father  recalling Rob’s youthful days in high school,  when given his grandfather Chevrolet Blazer to drive school,  keeping his namesakes pride  immaculate.

.  Arriving, dad and grandmother introduced to the soon to be family member Nancy, the lady sporting a radiate smile and cascading personality.  The couple having a third member of the family.  a five month old Boxer pup named Lila, another charisma in the family.   That evening another introductory, an introduction to Nancy’s  mother Sanjuana and two younger sisters Daisy and Lucy, the families having dinner at a charcuterie food establishment.   Gary  having been delinquent in having any meaningful time with his son in the past ten years,  partly because of Rob’s military career,  but acknowledging Rob’s forethought for this an analogous introduction to Nancy’s family.

.  The morning finding a decision to journey to Dallas to experience Dealey Plaza, the Texas school book depository and the grassy knoll where circumstances lead to President John F Kennedy  final  destiny.  Gary having prospected this realm 25 years earlier, but a first for Rob,  Nancy and his Mother.  Approaching the upper cemented pillars of the grassy knolls concave, the two couple joined some others mesmerized by a local elderly historian relating what transpired on that monumental day.  The person professing to be an eyewitness to the unfolding events of November 22nd,  able to name those who attested as witnessing the event.  The historian affirming that Lee Harvey Oswald didn’t act alone,  concluding the assassination was a conspiracy and that Oswald was duped,  being the fall guy.

.  The elderly narrator was very convincing in his dialogue,  Gary observing people acknowledging their wallet including his mother contributing a token of gratitude for his mesmerizing discourse.   Gary suspect that this animate elderly person having found a livelihood,  arraying himself on the grassy knoll each day, articulating and describing very convincingly the scene of this historical event,  his narration a profiteering enterprise.   A walk to the Texas School Book Depository Building,  the sixth floor from which Lee Harvey Oswald, according to the Warren Commission’s Report fired the fatal shots,  the entrance and sixth floor now a museum, the cost of observation being $13.00 per person,  although interested, the group deciding against participation.   A sandwich lunch at a local bistro fulfilled,  the four returning to Rob and Nancy home  preparing to leave on  the 3 hour, 200 mile excursion to Gary’s eldest daughter Marlo’s family in Edmond a suburb of Oklahoma City.

.  Rob,  son putting the pedal to the metal,  the crew cab Ford pickup radar detector on guard duty,  the normally a 3 hour journey captured in far less time.  Rob and Nancy  staying  briefly at Marlo’s, desiring to return to Texas, Gary bidding a sadden heartfelt sadden  goodbye, their departure leaving  a hallow emptiness within.

Chris & Marlo

.  Rob putting the pedal to the metal, the crew cab ford pickup radar detector on guard duty.  Gary, Grandma Willson along with Nancy, Rob’s significant other, traveling to Edmond Oklahoma.  Rob and Nancy providing the means for the elder Willson’s to pay a visit to Gary’s daughter Marlo Denton and son Scott.   Arriving ,   Rob and Nancy making an U-turn,   returning to Texas, Gary bidding a heartfelt sadden goodbye.

.  Chris and Marlo’s Edmond residence was impressive, the swimming pool,  its acreage,  the creek flowing below the house, a spacious kitchen and living room, all a workmen’s marvels,  but most impressive was his two Granddaughters,  Allison and Hollyann, both gleaming pyramids to the family.  Settling in for a brief stay, Ally having a weekend rehearsal for an upcoming school event,  Marlo providing dad and grandma a tour of the exclusive private Cassidy School.  The school with its uniformed students,  80 acre lake, spacious grounds resembling a small college campus, the school recognized as one of the foremost educational facilities in the nation.

.  Sunday morning Gary and Grandmother Betty accompanying the family,  with the exception of Chris  who was on duty at the fire station,  to the Edmond Baptist Church.  Gary most impressed with the visiting minister,  the President of Oklahoma Baptist University at Shawnee.   Having heard many latitudes and sermons in his lifetime, this being one of the best.   Accompany the visiting speaker was a quartet of musicians from the University playing and vocalizing an outstanding performance,  giving amplitude to character of this University.   The Sunday afternoon at the Denton’s, found a reunion,  his son Scott,  Lana Norwicki and Gary’s Granddaughter Sarah,  along with Tad Norwicki and his fiancé Kelly whom Gary thought bore a striking resemblance to Jennifer Aniston,  Gary’s mother finally having the opportunity to meet more of the Oklahoma faction of the Willson’s and their lineage.   The following day,  Gary had the opportunity to telephone his Oklahoma City friend of over forty years,  Jerry Willis.   Jerry driving to Edmond,  the afternoon spent with this remarkable guitarist and twice the best man at Gary’s weddings,  the two reminiscing their days as musicians in the 60’s.

.  The late afternoon the four on an excursion,  Chris providing a tour of his work place fire station and   one of a kind national acknowledged  Children’s Safety Village,  complete with a city park,  buildings, streets with traffic lights, the attraction a show place to educate the youth about safety.   Chris broaching the Children’s Village had educational school district’s from throughout the State of Oklahoma, busing their students to this applauded safety inducement.   Before leaving, Chris acknowledging the name Garrett Way,  posted on one of village’s street signs,  a tribute to Gary’s only grandson who joined his Heavenly Grandfather at the age of 12 on April 7,  2001.

.  The night ensuing,  the family enjoying a fiesta meal at a Mexican Restaurant,  Gary discovering why it was chosen,  a group of firefighter’s from another station were seated at an adjoining  table,  this establishment a favorite of these communities guardians.  Another sortie the following evening, the group briefly acquainting the familiar Oklahoma City Brick Town for a short duration,  Chris pointing out its new boardwalk, and the waterway canal that flowed towards the recently name changed North Canadian River, Gary questioning why the state would change this historic rivers name to a new bland non-historical name,  The Oklahoma River.  Before leaving, an introduction to a specialty,  a self-help ice cream parlor, presenting their product not sold by the scoop, but sold by weight, one able to sample a variety of flavors, a scale at the checkout stand providing the cost.

.  The morning found it was time to journey on to Wichita and his daughter Sandra’s.   Gary’s eldest son Scott offering to navigate the elder Willson north on Interstate 35,  the 160 mile trip, a  2 ½ hour venture.   Gary reluctantly having to relate a farewell to his daughter and his grandchildren,  especially Hollyann, her vigor a paramount architecture bringing new meaning to the Denton family.  His departure bringing forth an overwhelming sensitivity of  loss, a realization,  part of his life is missing.

..The morning found it was time to journey on to Wichita and his daughter Sandra’s.   Gary’s eldest son Scott offering to navigate the elder Willson north on Interstate 35,  the 160 mile trip, a  2 ½ hour venture.   Gary reluctantly having to relate a farewell to his daughter and his grandchildren,  especially Hollyann, her vigor a paramount architecture bringing new meaning to the Denton family.  His departure bringing forth an overwhelming sensitivity of  loss, a realization,  part of his life is missing.

..The Birzer home was inviting,  a two-storied structure with a superbly finished basement entertainment and office room with a large LCD screen,  a sectional and Jeremy’s desk.   Great Grandma delighted with Brennan  who was just beginning to walk, knowing that this new-found experience was fun,  his  smile a lively exponent reflection of Jeremy and Sandra.   The morning found Sandra desiring to shop for Brennan,  Gary and his mother about to enter Sandra’s BMW mode of transportation,  when Gary noticed,  above the rear fender of Jeremy’s pickup parked in the driveway,  a bullet hole.   Gary questioning his daughter about the abnormality,  Sandra laughing,  replying she wasn’t supposed to say anything about it,  but during a visit by Rob,  his concealed handgun fell to the ground discharging,  resulting in a bullet hole in Jeremy’s pickup, Gary saying he wouldn’t tell anybody.   

..Sandra with Brennan firmly position in his car seat,  she proceeded to take dad and grandma on a tour of Wichita.  it being almost 10 years since his days of frequenting this majestic city.   The evening found his son-in-law adorning his culinary expertise, providing an outstanding specialty meal,  including an adorning glass of wine.   Jeremy securing a day off from work, entertaining all for a luncheon engagement at a favorite bistro adjoining Old Town,  a pavilion that mimicked Brick Town in Oklahoma City.  Gary remembering when the area was first resurrected from the old abandoned warehouse district and now a showplace.

..With a solemn feeling,  departure time and a return to California having descended,  Gary once more having a feeling of loss, a farewell to the meaningful people in his life.   Jeremy providing transportation in the morning hour to Wichita Mid Continent Airport,  Gary and his mother boarding a United Airlines flight for their return journey to Modesto.   Unlike the Boeing 7 57,  nonstop flight to Texas,  the smaller 7 37 was destined to Denver,  a connecting flight to San Francisco awaiting.  The delay in Denver was short-lived,  but during the escalator travel between gates Gary noticing that his mother didn’t look well.  Questioning her about her medication,  finding that her nitroglycerin patch that she was required to apply at high altitudes was never exercised,  a brief halt was made,  the stubborn matriarch Willson complying.     

..Gary enjoying the flight from Denver, having traversed this journey many time before,  never a monotonous journey,  the scenic view from above an august array displayed below the buoyant aircraft.   A gentle touchdown at the San Francisco International Airport,  a two-hour delay before a welcomed boarding on SkyWest to Modesto.   The traveling couple finding an interesting display at SFO,  an exhibit of the history of gambling slot machines.  The walkway between terminals,  lined with these historical relics from the past.  Both finding the history absorbing,  stopping and reading the placard that accompanied each exhibit.   The short Embraer 1 20 flight to Modesto was enhanced. 

..Upon arrival, Gary expecting  his sister Nancy to meet them and return her mom home to Columbia,  to his surprise,  it was his sister Katherine and husband Donald.  The transient adventure fulfilled,  Gary sad in one respect that it wasn’t shared with Fran,  but happy to be back.  Giving his mom a loving parting hug, thanking her for the time they spent on their journey and their togetherness. His sister and brother in law’s short visit ending before continuing on,  and as they left to return grandma back to Columbia ,  Gary mentioning to Fran,   this was only the third time in nine years that his sister Katherine who lives only 70 miles from Modesto had ever visited,  he guessed she didn’t have much to say.

Fran & Gary’s 2004 VW Jetta

.  It happened on a Sunday afternoon April 8th,  2012,   a 41 year lapse between traumatic occurrences, but the results were the same.  Desiring to have her hair done,  Gary’s wife Fran requesting a ride to Modern Cuts in the Oak More Plaza shopping center just past the Briggsmore crosstown expressway on Oakdale Rd. less than five-minute from home.  Fran disembarking their 2004 VW Jetta at Modern Cuts, Gary mentioning he needed to go Save mart and pick up a few items,  and on his return would park where she could see the car.  Returning from Save mart,  stopping in the Oakdale Road left-hand turning lane entrance to the shopping center,  the two lanes of oncoming traffic was at a standstill, backed up by the traffic light at Briggsmore.  The halted traffic moving just enough to allow the Keep Clear entrance to the shopping center accessible, before stopping again.  A white panel van blocking the view of  the curbside lane, the driver in the van noticing Gary wanting to cross, appearing to look at his passenger side mirror, and then motioning Gary that it was clear to proceed in front of him into the shopping center.

.  The music of the Vince Guaraldi Trio’s “Cast Your Faith To The Wind” flowing from the Jetta’s CD player was interrupted by a sudden impact, the conscious crunching sound of metal on metal and an abrupt change in the cars direction.  In a brief second the Jetta path of entering the shopping center was altered.  In a blink of an eye,  a collision moved the car thirty feet to the left of the entrance coming to a halt on the sidewalk facing the Renter A Center retail outlet store.  Gary realizing what just happened, but at a loss of what had hit him, one second crossing in front of the panel truck, the next second the sound of impact and then facing the R AC building. The Jetta’s engine was still running, as was the CD player.  turning the key off, he attempted to open the door but it refused.  He could see a girl looking at him through the driver side window, asking if he was alright,  replying that he needed her to pull on the door.  Once out, somewhat shaken, trying to get his composure, glancing up Oakdale Road, noticing a group standing by a black Ford Mustang with its front crumpled, water dripping from the radiator.  Walking toward the mustang, a substantial crowd of onlookers beginning to assemble, he was approached by a young lady with a cell phone who said she was the driver, and that she had called 9 1 1 to report the accident and that the police would be responding.

.  Gary still somewhat taken aback from what had just happened,  the unforgettable crunching sound of the impact still firmly embedded in his head, trying to sort out what to do next, deciding to walk down to Modern Cuts and tell Fran, mentioning to the driver of his intentions.  Fran still in the midst of getting her hair done, Gary giving her the blunt news, he had a wreck pulling into the shopping center,  and when she was finished he would be with car waiting for the police to arrive.  A young motorcycle officer arriving, Gary handing him his license, registration and insurance verification, the officer taking them, leaving to visit with the driver and another young lady who apparently was a passenger.  The officer returning,  handing him his papers, and  from all appearance the Jetta would have to be towed.  Gary asking about a tow truck,  the officer stating he would notify Modesto Collision Center.  Waiting for the truck,  Gary surveyed the damage to Jetta, the right front fender and wheel having absorbed the impact, at a glance he knew why the driver side door was difficult to open, in all probability the front end part of the frame was bent, the left front fender pushed back just enough to prevent the door from opening properly.

F.  ran joining him as the tow truck arrived, Gary asking her if she knew their next door neighbor Julie’s phone number, a mute question knowing Fran’s  impeccability for memorizing numbers, then turning to the mustang driver  asking if he could borrow her cell phone to make a call, handing the phone to Fran.  With Julie’s arrival, Gary noticing the tow truck driver pushing Jetta off the sidewalk easement by hand to make his hook up, the Jetta having no problem rolling, Gary thinking “a hopeful sign”.  Once home the reality set in, Gary experiencing an emptiness, the garage was vacant of the Jetta, a feeling of being stranded and the remnants of impact sound still resonating as a reminder of his failure to be more attentive.  The following morning, placing a call to  his AAA  insurance agent on Coffee Road informing J.P. of what had transpired, questioning  him about a rental car,  J.P. assuring him that he would arrange for one to be available that afternoon at the Airport Car Rental, then calling on his neighbor Julie about a ride to the airport.  Placing a call to the collision center to check on the status of the Jetta, being told it would be another day before the estimate would be completed.   The estimate was in, the cost of repairing the damage would exceed an unbelievable $9000,  AAA concluded the cost of was excessive and would settle for $9531.13 minus the $1000 deductible.  The couple making a farewell trip back to the Jetta both dishearten removing some personal items and at the loss of a pristine 2004 Jetta with only 62,000 miles on it.

.  The insurance check arriving on the 16th with a week left on the rental,  Gary beginning to feel somewhat pressured to find a car.  Having bought the Jetta in 2008 from Central Valley VW, was aware of their used car markup, and at the same time questioned the reliability of the numerous smaller used car dealers.  Visiting with his truck driving,  mechanic across-the-street,  neighbor Rob Rodriguez about his dilemma,  Rob offering to help him find a car,  the two visiting several used car lots in Modesto.  It was time to return the rental when his Rob called, mentioning his son Bobby, having  found a 1999 Honda Accord with an asking price of $5000 on the internet that might be of interest to Gary.  Rob stating,  he had called the seller, and from their conversation,  thought it might be worth a drive to Woodward to look the car over,  adding,  he would call the seller to set up a time and place for them to meet.

.  Gary, Rob with his wife Lisa, embarking to Woodland, a town of 56,000, about 25 miles northwest of Sacramento on Interstate 5,  a noon meeting to take place at the Jack In The Box on East Main Street at the I 5 exit. It wasn’t long when a pristine metallic color four door Honda Accord pulled into the parking area, a middle-aged man entering,  introducing himself as Jesse Galindo,  Gary immediately identifying with the name, his good friend at work Val was another Galindo.  The group going back outside, Jesse starting the car, lifting the hood, Gary liking what he saw, the motor was immaculately clean, as was the interior, apparently having  been detailed.  With its  moon roof, CD radio, full power naugahyde leather looking seats, he realized it was an E X.   Jesse relating,  it was bought for his wife in 2005 with the odometer reading of 85,000 miles, and the odometer was presently at 172,000.  He continued that it had been regularly serviced by the Honda Dealer in Davis, handing Gary a large folder with the service, repair and parts records for the past seven years.  Jesse wife Toni arriving, adding a comment, contributing that the car was part of her life and it was like saying goodbye to a friend.  With the signing of the title, Jesse not hesitating to accept a check,  the transacting was consummated.

.  Gary addressing Rob again about compensating him for time and gas, then stating,  that this might sound a little strange, would it be too much for you or Lisa to drive the Accord back to Modesto, that since the accident he was a little gun shy about driving,  especially on the freeway, and for some reason he didn’t feel comfortable.  Rob not questioning, stating that it wouldn’t be a problem, Lisa could follow,  and beside he knew of truckstop on the way back where they could gas up.  Home, the car in the garage, no longer a perception of being a captive without the means to escape,  but the physiological effect of the accidents playing heavy on his mind, his judgement failure having resulted in an unforgiving occurrence.  The impact of the collision, the crunch of metal on metal remained embedded, but the adage  “when you fall off a horse you have to get  back on” came to mind,  recognizing that trusting his judgement would come with time.

Kaiser Permanente Hospital Modesto

Gary having spent a restless October night, the previous day having experienced increasing abdominal discomfort but attributing it to gas caused by something he may have eaten.  Raising in the morning, the pain continuing to increase finding no alleviation with over-the-counter antacids or gas relief tablets. The pain ever intensifying, Fran awaken showing concern, Gary contemplating driving to the hospital, but a new onslaught, he was having difficulty breathing.  The incessant abdominal pain now radiating to his back and  upwards to his chest and lungs, realizing he wouldn’t be able to drive.  Fran asking if she should call 911, Gary now uncertain of what was happening,  as an ex-EMT questioning himself about a possible heart attack although not experiencing any of the text-book symptoms.   Fran dialing 911 asking him what she should tell them, Gary starting to relate about the abdominal pain radiating up to his chest and the difficulty breathing but stopped, just tell them that you think I’m having a heart attack.

Gary watchful as the Modesto Fire Department and the American Medical Response ambulance arrived at the same time, the difficulty breathing and pain continuing, but deciding to step outside as the fire department responders approached with a questioning look.  After a brief explanation, assuring the AMR responders although unsteady and in pain he was capable of walking to the ambulance.  Once there he addressing the gurney, the paramedic beginning the same basic protocol Gary had performed on numerous occasions as an EMT.  The ambulance still stationary Gary questioning which hospital he was to be transported to, the paramedic responding Doctors Medical Center.  Gary vocally adamant that he didn’t want to go DMC, previous experiences leaving him with a detrimental impression of the facility.  Stating that he preferred  Kaiser Permanente, the paramedic relating that it was policy to transport suspected cardiac patients to DMC.  Switching tack a very shaky uncertain Gary reintegrated that his pain had started 24 hours earlier and that he didn’t believe he had a cardiac problem. The paramedic remained hesitant, then began placing EKG monitoring patches on his chest, a decision was in the making. The electrocardiogram taken in the ambulance showing no cardiac anomalies, Kaiser Permanente could be it’s destination.

Ambulance Portable EKG

Arrival, the paramedics transferring their charge to a Triage ER nurse who almost immediately provided pain medication and Gary’s physical world took on a soothing warm glow, the 10 mg. of morphine engulfing the intense pain.  Having spent 20 plus years working in a healthcare environment he was well aware that time to the seriously ill under medication day and night was irrelevant.  The time in the treatment room seemed like an eternity, the ER doctor having visited and when asked about a diagnosis volunteering that he was waiting on lab results.  Gary’s only visitor he was aware of  was when the ambulance paramedic who performed the EKG poked his head in the room mentioning that he was getting off work and just wanted to check on him, which Gary thought was somewhat unusual but later discovered that Fran had checked on him having arrived by Dial-a-ride.   Gary wasn’t sure of the gurney trips for scans, thinking there was three, probably a MRI and CT, but definitely remembers the Ultrasound, the lady technician asking if he had any past abdominal surgery because she discovered what appeared to be anchor pin.  Gary related that he had 27 inches of his colon removed years ago but that was first he had heard of having a pin inside, then she asked when, where and the name of the hospital.

It had to be late afternoon or early evening it was hard to tell with the intravenous morphine being administered every four hours, the ER doctor finally returned to inform him they were transferring him to the third floor.  Gary asking about the diagnosis, the doctor replying Acute Pancreatitis, then  Gary ask about the prognosis, the doctor responding as he left the room, “It could be life threatening”.  The third floor room was comparatively peaceful to the open door noticeable traffic of ER, Gary perceiving that every time he woke from dozing there was a nurse in his room.  Apparently it must have been morning as an elderly doctor looked in questioning how he felt and explaining the seriousness of his condition and like the ER doctor when questioned mentioned that it could be life threatening but not a word about treatment. Having never been acquainted with anyone who may have suffered from acute pancreatitis Gary was pretty much in the dark about the cause and effects with the exception of knowing that it provided the necessary enzymes for food digestion and insulin to regulate the blood sugar glucose.  Lying in bed with a vital monitor and IV he was still somewhat cognizant to what was going on,  giving weight to what had been said so far it didn’t sound very life threatening to him.

IV therapy

The pain never completely leaving but muted by 6 mg of morphine every 4 hours, Gary questioning a concerned nurse who looked in on him every hour asking her if she had any idea what was going on, when a doctor entered the room.  He introduced himself as gastroenterologist and in a matter of fact way proceeded to say the lab amylase and lipase results were at an acute level and the only way to correct this was literally is to give your pancreas a vacation.  We’re going to put you on total parenteral nutrition, you’re going to be NPO, not going to eat or drink anything for the next ten days, your nutrition will be intravenous.  No sooner had the doctor left, Fran entered relating that surprisingly a doctor had called to tell her that her husband was going to be there for a while.  The doctor wanted her to know the reason, stating that some of the test results had come back immeasurably  high and that basically severe pancreatitis of that significance would require intensive care because of possible complications including pulmonary and renal failure.  Gary thought it somewhat ironic the doctor telling Fran but not him, and as she was leaving asking if she should notify his family, Gary not hesitating, replying no, he would rather wait.

Fran’s visit informing him that he was considered an intensive care patient provided an answer to Gary’s question about the frequency of the nursing staff visits.  The ten-day journey beginning, the first thing he noticed was that without meals being delivered to ascertain the intervals of the day, time became totally irrelevant.  The pain starting to subside, the intravenous morphine reduced to 4 mg., the new discomfort prevailed,  the dryness of his mouth and the crusting of his lips, finally asking the doctor if he could at least have some ice chips,  the doctor giving him a look of disapproval but verbally agreeing.  He sot and received permission to use the restroom; given the ok but nursing refused to disconnect the bed alarm which required their summons, it was minor incidents that began to trouble him a sign that he must be getting well.

The doctor itinerary coming to fruition, on the evening of the 10th day a tray arrived the start of a clear liquid diet,  followed by a soft liquid, then a soft food diet.  The IV disconnected Gary elated that he was no longer leashed,  able to move about the room and slowly venture down the hall.  Mentally he was ready to go home, physically somewhat shaky, the bland soft food diet didn’t impress him, aware that his release couldn’t  be prodded, but also aware that he had the final word, but having visited with a representative of the Kaisers Medical Assistance Program, being told his name had been submitted, he didn’t want to jeopardize the possibility of their generosity as he could only assume that the placard amount of his two-week stay would be exorbitant.

On restriction

The day of reckoning,  Fran arriving in the morning riding out with neighbor Rob in the Accord now deposited in the parking lot, Lisa Rob’s wife having followed to provide him a ride home.  Gary was ready,  anxiously waiting on the doctor who for some reason was delayed, giving him time to thank and hug the day shift nurses who cared for him.  The doctor arriving, briefing Gary on  instructions of do’s and don’ts to prevent an occurrence, most of which he had already read in the literature provided, realizing  acute pancreatitis is somewhat of a life style changing event.  It was now a given, a zero tolerance for imbibing all alcohol beverages and its companion, his smoking on again off again habit for the past 55 years. The worse yet to come a restriction on trans and saturated fats and its residual nutritional culprit, butter, bacon and a host of processed foods.  Exiting the hospital thankful for the chauffeured wheelchair ride to the parking lot, Gary acknowledging his doubt about walking that distance and an acceptance that the past two weeks had changed his path in life.