My oldest friend is back in the hospital. Fourth time in three months. One was a trip to the ER and then home, another was an emergency visit to a walk-in crisis center, then there was a four-day stay to get her anxiety/depression meds evened out, and now she's in the hospital because her blood pressure/heart rate were very low and her A1C was sky high.
Part of the problem is that she's on Medicare/Medicaid and is at the mercy of the healthcare system. Part of it is that she doesn't do the recommended aftercare. It overwhelms her. She becomes too exhausted to make and organize the appointments required to manage her bipolar disorder/diabetes/urinary tract infection/heart disease.
I had hopes that with this hospitalization, we had turned a corner. She was more communicative, starting a text chain to let us know how she's doing. The photos she attached were disturbing – she looked so old, so grizzled, with an oxygen tube. But she seemed comfortable and upbeat. As though she's finally getting answers to what has made 2025 such a challenging year for her medically. I was happy to learn that she consulted with the hospital chaplain. I believe the most important and intimate relationship any of us will ever have is with God, and I remain convinced if my friend leaned into her spirituality more than her search for knight to rescue her, she'd be happier and more content.
Today, though, the text chain was full of red flags. She's about to be discharged, which makes her happy. But she doesn't like Dr. Gwen, the hospitalist assigned to her case. She insists Dr. Gwen interned under Joseph Mengele. I'm afraid I know where this is going to lead: she's not going to pursue the prescribed aftercare because she doesn't like Dr. Gwen. She's going to say that Dr. Gwen makes her feel bad about herself and her situation and she just doesn't need this. That's why she stopped seeing her urologist – his staff was rude and frustrating. As I pointed out to her, that decision didn't bother her urologist one whit but it did contribute to her UTI spiraling out of control. She didn't respond to this observation.
I can't help my oldest friend. She's on the path she is on. I will however, answer every text she sends, pray and worry about her, share whatever wisdom I have with her.
But I can be there for her daughter. I have known Jenna since before she was born. I know how hard it is to be the daughter of a mom who is failing. These hospitalizations have contributed to a flare up in Jen's colitis, and she's going to be in a different hospital herself on Monday, getting a colonoscopy.
So I send her regular texts, letting her know I am thinking about her and I attach silly, cuddly animal pictures. I mailed her an "atta girl" postcard. I took her to dinner when I was in LA for the TCM Film Festival. I can't save my friend, but maybe I can be a support system for her daughter.