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After Chanukah

Twice she slid down her chair during the initial minutes of our conversation. I adjusted her back and placed a small blanket on her lap. Her eyes were fixed on some point on the floor and saliva dripped from the side of her mouth. I repeated her name several times. Each time she nodded at the familiar sound, but made no attempt to respond. A fly crawled about the edge of her right hand, then flew to the window and glided up and down against the glass. Mrs Greenberg, expressionless and unperturbed, had not moved since I had repositioned her.

But where had she gone? Just a few months before, Mrs Greenberg had been one of the most active residents in the home. On the verge of becoming a nuisance to others, she habitually rounded up the more complacent members of the community for the daily hour of bingo or sing-along.

I still remember our first conversation. Mrs Greenberg fidgeted in her chair and nervously contracted her deformed fingers. Her head shook rhythmically, lightly balanced on her neck. With cautious curiosity, she squinted her eyes and looked me over. She had undergone surgeries to spare her vision, but all the colors were gone by now. My features were never more than a shadow to her. Eventually, she learned to recognize me by my eyeglass frames, and whenever I came to visit, her thin and tremulous fingers would study the contours of my face. First, she would graze my stiff, straight hair. Like the stroke of a paintbrush, she would sweep down the sides of my face, joining her hands at my chin. With an almost fluttering motion, her fingers would rise, reach my nose, and finally arrive at my glasses.

“I will never forget these glasses. You are the only doctor whose glasses I can reach without raising my arms. The right size for a person, I would say.”

As she leaned forward for a closer examination, I noticed a balding spot on the crown of her head. She had tried to cover it with a wig, but kept putting it on backwards and finally gave up. She seldom smiled during our conversations.

“Have a candy,” she offered.

“No, thanks,” I replied.

“What is the matter? Afraid to touch something offered by an old person?” she insisted.

“Nothing of the sort. I am not fond of sweets.”

“How about a Coke? It is kosher, you know.”

“Thank you. I am fine.”

“Oh, don’t be too particular. Have a candy. I want you to have something.”

It was so early in the interview to be in such a stalemate. I chose one of the sour drops and the conversation moved on.

Childhood was not so far away. Flailing her hands in the air with enthusiasm, as if we were playing charade, every building in Brooklyn was drawn by her fingers in the space between us. She possessed a vivid and meticulous memory of her old neighborhood. On occasion, she would close her eyes, take a deep breath, and tell me she could still smell her mother’s goulash, left to cool on the countertop near the potato dumplings. It was a close community, and people were mostly pleasant, with the exception of a few odd characters. And there was her classmate Myrtle Rosenbaum.

“Myrtle was a real pain in the you-know-where. Yes, her father had an in with our rabbi, so she got a hand-signed quote of the Torah, which her father put inside her mezuzah. She made sure everyone in class knew about that. Oh, for heaven’s sake, Rabbi Levy ate at their house on Sundays quite often. But what were we to do? We could not afford as plentiful a table. So he ate there. A religious man has to feed his family somehow, and if it means signing a piece of paper for a little girl, so be it. Myrtle routinely announced her father’s business success. His jewelry store was doing quite well. Rosenbaum and Sons, I think. Yes, that was the name.”

“Why did you not get along with her?” I inquired.

“She was very condescending and flippant toward the new immigrants. My family had just arrived from Poland. Myrtle made fun of our accents and our clothes. She made sure that one felt awkward around her. That was so long ago now. I hope the Almighty, blessed be His name, will take care of her wherever she might be. We probably have rooms that are very similar to each other.”

 

 

I heard more details of her personal story during subsequent visits. Harold, her only son, had moved to Houston because of the oil business. He had prospered in the early days. She moved from Brooklyn to live near him. The grandchildren would be near by. The climate was warmer and more comfortable for her arthritic bones. New York had become intolerably crowded and violent. Too many blacks in her old neighborhood.

“Those days were wonderful, but then…” she stops in the middle of the sentence. Her voice turns sullen and melancholy, “The oil business went sour. Harold became anxious and withdrawn. He was unable to cope with the collapse of his company. The day before Chanukah, I forget the year, he went down to Galveston and shot himself. My God! My God! He took his own life. They were lighting candles in the synagogue. The family had planned to buy him some gifts. Instead, I had to rehearse and say the Kaddish.”

After Harold’s death, her daughter-in-law decided to move back to New Jersey to be near her family. Mrs Greenberg had no one to go to. She stayed in Houston. It really made no difference now where she lived. With the passing years, she began to have more difficulty caring for herself. Her vision loss accelerated. Her arthritis became painful and deforming. Her finances got tight. Her loneliness was a vice around her heart. There is nothing so horrible as dying alone, she said. She moved into the nursing facility in 1989.

We decided early on that we would read from the Torah and the Prophets whenever I came to see her. A thread to keep her connected to her past, I thought. The routine lasted for a couple of months. At each session, her attention span shortened, until I had to re-read passages several times. With the passing of the weeks, I began having trouble keeping her awake. I do not know just when it began to happen, but it was during one of our reading sessions that I noticed a dreamy look in her eyes. A demeanor that seemed focused on some far away place. Her personality was undergoing a reverse metamorphosis. The butterfly I had met that summer was now retracting into her cocoon. In this process of retreat, Mrs Greenberg would often startle me with some piercing exhibition of emotion. They were mixtures of random laughter and despair. Once, as soon as I greeted her, she rose from her chair, and stretching up her arms, she screamed, “Chanukah! Chanukah! Is it Chanukah, yet?”

“Doctor,” she pleaded gripping my arms, “do you believe in the ressurrection of the dead? Where is Harold?”

I fumbled for words. From some hidden place in the subconscious, I remembered a passage from the book of Daniel and that is what I read to her, “As for you, go your way to the end. You will rest, and then at the end of days you will rise to receive your allotted inheritance.”

Before the last sentence was read, she had retreated into silence. I tried asking her about her thoughts, but her replies were neither relevant nor coherent. Twice she asked me if I knew the doctor who had promised to visit her. I was unable to convince her that I was that person. The bridge of our friendship had collapsed. Esther Greenberg was gone. She had left that nursing home through a flight of dreams. I was unable to see her down to Earth again.

Our final session was coming to an end. I took her hands into mine, but any vestige of familiarity was gone. I made one last effort to feed her some chocolate shake, the only thing that she would accept. She remained frozen and hunched in her chair. I crouched beside her and tried to decipher the direction of her gaze. Outside her window, we both looked at the darkening sky.

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Yong Lam, MD
San Diego
California

Issue
The Journal of Family Practice - 50(12)
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Topics
Page Number
1087-1088
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Author and Disclosure Information

Yong Lam, MD
San Diego
California

Author and Disclosure Information

Yong Lam, MD
San Diego
California

Twice she slid down her chair during the initial minutes of our conversation. I adjusted her back and placed a small blanket on her lap. Her eyes were fixed on some point on the floor and saliva dripped from the side of her mouth. I repeated her name several times. Each time she nodded at the familiar sound, but made no attempt to respond. A fly crawled about the edge of her right hand, then flew to the window and glided up and down against the glass. Mrs Greenberg, expressionless and unperturbed, had not moved since I had repositioned her.

But where had she gone? Just a few months before, Mrs Greenberg had been one of the most active residents in the home. On the verge of becoming a nuisance to others, she habitually rounded up the more complacent members of the community for the daily hour of bingo or sing-along.

I still remember our first conversation. Mrs Greenberg fidgeted in her chair and nervously contracted her deformed fingers. Her head shook rhythmically, lightly balanced on her neck. With cautious curiosity, she squinted her eyes and looked me over. She had undergone surgeries to spare her vision, but all the colors were gone by now. My features were never more than a shadow to her. Eventually, she learned to recognize me by my eyeglass frames, and whenever I came to visit, her thin and tremulous fingers would study the contours of my face. First, she would graze my stiff, straight hair. Like the stroke of a paintbrush, she would sweep down the sides of my face, joining her hands at my chin. With an almost fluttering motion, her fingers would rise, reach my nose, and finally arrive at my glasses.

“I will never forget these glasses. You are the only doctor whose glasses I can reach without raising my arms. The right size for a person, I would say.”

As she leaned forward for a closer examination, I noticed a balding spot on the crown of her head. She had tried to cover it with a wig, but kept putting it on backwards and finally gave up. She seldom smiled during our conversations.

“Have a candy,” she offered.

“No, thanks,” I replied.

“What is the matter? Afraid to touch something offered by an old person?” she insisted.

“Nothing of the sort. I am not fond of sweets.”

“How about a Coke? It is kosher, you know.”

“Thank you. I am fine.”

“Oh, don’t be too particular. Have a candy. I want you to have something.”

It was so early in the interview to be in such a stalemate. I chose one of the sour drops and the conversation moved on.

Childhood was not so far away. Flailing her hands in the air with enthusiasm, as if we were playing charade, every building in Brooklyn was drawn by her fingers in the space between us. She possessed a vivid and meticulous memory of her old neighborhood. On occasion, she would close her eyes, take a deep breath, and tell me she could still smell her mother’s goulash, left to cool on the countertop near the potato dumplings. It was a close community, and people were mostly pleasant, with the exception of a few odd characters. And there was her classmate Myrtle Rosenbaum.

“Myrtle was a real pain in the you-know-where. Yes, her father had an in with our rabbi, so she got a hand-signed quote of the Torah, which her father put inside her mezuzah. She made sure everyone in class knew about that. Oh, for heaven’s sake, Rabbi Levy ate at their house on Sundays quite often. But what were we to do? We could not afford as plentiful a table. So he ate there. A religious man has to feed his family somehow, and if it means signing a piece of paper for a little girl, so be it. Myrtle routinely announced her father’s business success. His jewelry store was doing quite well. Rosenbaum and Sons, I think. Yes, that was the name.”

“Why did you not get along with her?” I inquired.

“She was very condescending and flippant toward the new immigrants. My family had just arrived from Poland. Myrtle made fun of our accents and our clothes. She made sure that one felt awkward around her. That was so long ago now. I hope the Almighty, blessed be His name, will take care of her wherever she might be. We probably have rooms that are very similar to each other.”

 

 

I heard more details of her personal story during subsequent visits. Harold, her only son, had moved to Houston because of the oil business. He had prospered in the early days. She moved from Brooklyn to live near him. The grandchildren would be near by. The climate was warmer and more comfortable for her arthritic bones. New York had become intolerably crowded and violent. Too many blacks in her old neighborhood.

“Those days were wonderful, but then…” she stops in the middle of the sentence. Her voice turns sullen and melancholy, “The oil business went sour. Harold became anxious and withdrawn. He was unable to cope with the collapse of his company. The day before Chanukah, I forget the year, he went down to Galveston and shot himself. My God! My God! He took his own life. They were lighting candles in the synagogue. The family had planned to buy him some gifts. Instead, I had to rehearse and say the Kaddish.”

After Harold’s death, her daughter-in-law decided to move back to New Jersey to be near her family. Mrs Greenberg had no one to go to. She stayed in Houston. It really made no difference now where she lived. With the passing years, she began to have more difficulty caring for herself. Her vision loss accelerated. Her arthritis became painful and deforming. Her finances got tight. Her loneliness was a vice around her heart. There is nothing so horrible as dying alone, she said. She moved into the nursing facility in 1989.

We decided early on that we would read from the Torah and the Prophets whenever I came to see her. A thread to keep her connected to her past, I thought. The routine lasted for a couple of months. At each session, her attention span shortened, until I had to re-read passages several times. With the passing of the weeks, I began having trouble keeping her awake. I do not know just when it began to happen, but it was during one of our reading sessions that I noticed a dreamy look in her eyes. A demeanor that seemed focused on some far away place. Her personality was undergoing a reverse metamorphosis. The butterfly I had met that summer was now retracting into her cocoon. In this process of retreat, Mrs Greenberg would often startle me with some piercing exhibition of emotion. They were mixtures of random laughter and despair. Once, as soon as I greeted her, she rose from her chair, and stretching up her arms, she screamed, “Chanukah! Chanukah! Is it Chanukah, yet?”

“Doctor,” she pleaded gripping my arms, “do you believe in the ressurrection of the dead? Where is Harold?”

I fumbled for words. From some hidden place in the subconscious, I remembered a passage from the book of Daniel and that is what I read to her, “As for you, go your way to the end. You will rest, and then at the end of days you will rise to receive your allotted inheritance.”

Before the last sentence was read, she had retreated into silence. I tried asking her about her thoughts, but her replies were neither relevant nor coherent. Twice she asked me if I knew the doctor who had promised to visit her. I was unable to convince her that I was that person. The bridge of our friendship had collapsed. Esther Greenberg was gone. She had left that nursing home through a flight of dreams. I was unable to see her down to Earth again.

Our final session was coming to an end. I took her hands into mine, but any vestige of familiarity was gone. I made one last effort to feed her some chocolate shake, the only thing that she would accept. She remained frozen and hunched in her chair. I crouched beside her and tried to decipher the direction of her gaze. Outside her window, we both looked at the darkening sky.

Twice she slid down her chair during the initial minutes of our conversation. I adjusted her back and placed a small blanket on her lap. Her eyes were fixed on some point on the floor and saliva dripped from the side of her mouth. I repeated her name several times. Each time she nodded at the familiar sound, but made no attempt to respond. A fly crawled about the edge of her right hand, then flew to the window and glided up and down against the glass. Mrs Greenberg, expressionless and unperturbed, had not moved since I had repositioned her.

But where had she gone? Just a few months before, Mrs Greenberg had been one of the most active residents in the home. On the verge of becoming a nuisance to others, she habitually rounded up the more complacent members of the community for the daily hour of bingo or sing-along.

I still remember our first conversation. Mrs Greenberg fidgeted in her chair and nervously contracted her deformed fingers. Her head shook rhythmically, lightly balanced on her neck. With cautious curiosity, she squinted her eyes and looked me over. She had undergone surgeries to spare her vision, but all the colors were gone by now. My features were never more than a shadow to her. Eventually, she learned to recognize me by my eyeglass frames, and whenever I came to visit, her thin and tremulous fingers would study the contours of my face. First, she would graze my stiff, straight hair. Like the stroke of a paintbrush, she would sweep down the sides of my face, joining her hands at my chin. With an almost fluttering motion, her fingers would rise, reach my nose, and finally arrive at my glasses.

“I will never forget these glasses. You are the only doctor whose glasses I can reach without raising my arms. The right size for a person, I would say.”

As she leaned forward for a closer examination, I noticed a balding spot on the crown of her head. She had tried to cover it with a wig, but kept putting it on backwards and finally gave up. She seldom smiled during our conversations.

“Have a candy,” she offered.

“No, thanks,” I replied.

“What is the matter? Afraid to touch something offered by an old person?” she insisted.

“Nothing of the sort. I am not fond of sweets.”

“How about a Coke? It is kosher, you know.”

“Thank you. I am fine.”

“Oh, don’t be too particular. Have a candy. I want you to have something.”

It was so early in the interview to be in such a stalemate. I chose one of the sour drops and the conversation moved on.

Childhood was not so far away. Flailing her hands in the air with enthusiasm, as if we were playing charade, every building in Brooklyn was drawn by her fingers in the space between us. She possessed a vivid and meticulous memory of her old neighborhood. On occasion, she would close her eyes, take a deep breath, and tell me she could still smell her mother’s goulash, left to cool on the countertop near the potato dumplings. It was a close community, and people were mostly pleasant, with the exception of a few odd characters. And there was her classmate Myrtle Rosenbaum.

“Myrtle was a real pain in the you-know-where. Yes, her father had an in with our rabbi, so she got a hand-signed quote of the Torah, which her father put inside her mezuzah. She made sure everyone in class knew about that. Oh, for heaven’s sake, Rabbi Levy ate at their house on Sundays quite often. But what were we to do? We could not afford as plentiful a table. So he ate there. A religious man has to feed his family somehow, and if it means signing a piece of paper for a little girl, so be it. Myrtle routinely announced her father’s business success. His jewelry store was doing quite well. Rosenbaum and Sons, I think. Yes, that was the name.”

“Why did you not get along with her?” I inquired.

“She was very condescending and flippant toward the new immigrants. My family had just arrived from Poland. Myrtle made fun of our accents and our clothes. She made sure that one felt awkward around her. That was so long ago now. I hope the Almighty, blessed be His name, will take care of her wherever she might be. We probably have rooms that are very similar to each other.”

 

 

I heard more details of her personal story during subsequent visits. Harold, her only son, had moved to Houston because of the oil business. He had prospered in the early days. She moved from Brooklyn to live near him. The grandchildren would be near by. The climate was warmer and more comfortable for her arthritic bones. New York had become intolerably crowded and violent. Too many blacks in her old neighborhood.

“Those days were wonderful, but then…” she stops in the middle of the sentence. Her voice turns sullen and melancholy, “The oil business went sour. Harold became anxious and withdrawn. He was unable to cope with the collapse of his company. The day before Chanukah, I forget the year, he went down to Galveston and shot himself. My God! My God! He took his own life. They were lighting candles in the synagogue. The family had planned to buy him some gifts. Instead, I had to rehearse and say the Kaddish.”

After Harold’s death, her daughter-in-law decided to move back to New Jersey to be near her family. Mrs Greenberg had no one to go to. She stayed in Houston. It really made no difference now where she lived. With the passing years, she began to have more difficulty caring for herself. Her vision loss accelerated. Her arthritis became painful and deforming. Her finances got tight. Her loneliness was a vice around her heart. There is nothing so horrible as dying alone, she said. She moved into the nursing facility in 1989.

We decided early on that we would read from the Torah and the Prophets whenever I came to see her. A thread to keep her connected to her past, I thought. The routine lasted for a couple of months. At each session, her attention span shortened, until I had to re-read passages several times. With the passing of the weeks, I began having trouble keeping her awake. I do not know just when it began to happen, but it was during one of our reading sessions that I noticed a dreamy look in her eyes. A demeanor that seemed focused on some far away place. Her personality was undergoing a reverse metamorphosis. The butterfly I had met that summer was now retracting into her cocoon. In this process of retreat, Mrs Greenberg would often startle me with some piercing exhibition of emotion. They were mixtures of random laughter and despair. Once, as soon as I greeted her, she rose from her chair, and stretching up her arms, she screamed, “Chanukah! Chanukah! Is it Chanukah, yet?”

“Doctor,” she pleaded gripping my arms, “do you believe in the ressurrection of the dead? Where is Harold?”

I fumbled for words. From some hidden place in the subconscious, I remembered a passage from the book of Daniel and that is what I read to her, “As for you, go your way to the end. You will rest, and then at the end of days you will rise to receive your allotted inheritance.”

Before the last sentence was read, she had retreated into silence. I tried asking her about her thoughts, but her replies were neither relevant nor coherent. Twice she asked me if I knew the doctor who had promised to visit her. I was unable to convince her that I was that person. The bridge of our friendship had collapsed. Esther Greenberg was gone. She had left that nursing home through a flight of dreams. I was unable to see her down to Earth again.

Our final session was coming to an end. I took her hands into mine, but any vestige of familiarity was gone. I made one last effort to feed her some chocolate shake, the only thing that she would accept. She remained frozen and hunched in her chair. I crouched beside her and tried to decipher the direction of her gaze. Outside her window, we both looked at the darkening sky.

Issue
The Journal of Family Practice - 50(12)
Issue
The Journal of Family Practice - 50(12)
Page Number
1087-1088
Page Number
1087-1088
Publications
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