The title of this blog is what Rob said would be a good title for the posting this week. I think being “clueless” is what happens after 23 weeks in a medical environment, but overall he is doing great, so no worries. As you can see, Rob is doing really well being home again.
We have a nice rhythm together at home, and Rob gets the stress free rest he needs to deal with the coming week of rehab. We are also having a blast just being together! We are sometimes staying up a bit too late, but we have some really nice slow and lazy mornings, and I think it makes up for it.
We watched our first movies together this weekend. Up until now, Rob has not been able to relax and watch a movie or listen to a lot of music because it was too distracting. That is now changing, and we are both having a nice time just chilling out and doing a lot of nothing, but something. Our first movie was the “The Velveteen Rabbit” (thanks Rob V.). I wanted to watch something low stress to start with, but what I realised is that it was more about “me” not handling stress than Rob (yes, I even cry at sappy commercials these days!).
On Rob’s request, we then watched “Rainbow Bridge”, a Jimi Hendrix film, and Rob was in his element and loving it. On Saturday night I asked Rob what film he really wanted to see, and I was a bit surprised that he said “The Day After Tomorrow”. I would have never thought that would be his first choice for a film, and it’s interesting to see what he finds interesting after all of this. Again, I had a harder time handling the stress than Rob did – please, no more walls of water devastating people and freezing them in their tracks!
We are also trying to make his weekends good for his therapy. Rob did about 10 transfers (2 way) on Saturday. You can’t imagine how much work that is for him, but he keeps at it and is a real trooper. Needless to say, we are both getting more fit with this situation, but somehow you only see it in Rob, regardless of the physical exercise for both of us. Probably all of that extra cream, butter, etc. I put in all our food burns off in him much quicker than me. Still, we both feel more fit than we have in years, both physically and emotionally. A situation like this is definitely a wake-up call on basic nutrition and health. I really see that Rob’s intestinal problems started quite some time ago, but luckily we have the chance to make things better now.
Going to the pub on Saturday afternoon has been nice for Rob, and also some quiet visits from friends. We really enjoyed listening to some nice mellow music, Arthur Ebeling a Dutch rhythm ‘n blues guitarist, that Rob received as a gift from our neighbour Joost (thanks). Slowly Rob is getting back in touch again socially, and although he needs to take it slow, he really likes to sit and chat with friends again. We think in the coming weeks he will be able to go out more and maybe even go listen to some live music soon.

On Sunday we had fun making chocolate chip cookies for the nurses at Heliomare. When he was in intensive care I made them for the nurses sometimes, but we have not had the chance to do it together. It’s nice to be able to thank the great nurses he has at Heliomare, and wonderful that Rob could do it himself. I feel that he is in safe hands with kind and intelligent care. Thanks also to the great care-package from Les with the cookie sheets that actually fit in the oven — awesome!
Rob goes back-and-forth to Heliomare with a volunteer taxi organisation that have been just wonderful to us. These kind hearted souls make sure he comes safely home on Thusday and then back again on Sunday evening (an hour plus journey each way). It helps when you can sit and have a coffee and chat with someone who does this because they have a good heart. They all have been fantastic, and I don’t know all their names, but here is a picture with Nico tonight. Thanks guys – you are all wonderful! It’s always hard on Sunday’s to say “goodbye”, and as you can see from Robert’s face, it is very hard for him to go back.
Rob has a really rough few weeks ahead of him. We are having a hard time understanding the bigger plan for his rehabilitation. We sometimes feel that they base their plan on a calendar, rather than Rob’s actual situation or the possibilities. They seem to base his rehab on the average, not also taking into consideration his other medical situations (3 surgeries) outside of the strokes. For example, I think Rob was in “stasis” for 2 plus months, when the normal flow of his body stopped, and therefore he has a wider window for recovery than they might think possible. Rob is becoming very de-motivated by some of the negativity of therapists, and I am shocked that he sometimes hears what is not possible for him, before they have even tried any therapy. We are both getting very tired of having to fight every step of the way. The “politics” of getting care are sometimes more stressful than the actual situation he is dealing with!
They also don’t give us the bigger plan – only weekly “roosters” of his therapy, which change a lot. We know they are trying their best, but we sometimes wish they would go “outside-of-the-box” more, look at the bigger picture, and try more before making decisions about what is possible or not. I think we will get there in getting him what he needs, but it seems to be a constant struggle…
I think Rob could really use any boost he can get these next couple of weeks. They are going to be putting his left leg in plaster “gips” to help straighten it out. As you can imagine, it will be *very* unpleasant for him. Please feel free to telephone him at Heliomare in the evenings on his mobile (after 5:00 p.m. Holland time): +31 (0)62 033 3064.
While writing this post I got a call from Rob after his return to Heliomare. I really think the stress is becoming to much, because he had a “black-out” in the taxi on his return. He is safely in his room now, but clearly we have to do something to help him. Rob’s sister and parents and I are working on a formal letter to try to get him the full care that he needs and for them to lower the negative stress that is clearly causing him great harm. We only hope it will help… If not, we will need to find better solutions that fit for Rob and his situation.
Please keep Rob in your thoughts, as I know it really helps. We are all doing the best we can, but every little bit extra helps.

Dorien,
If you are reading this, I wanted to also let you know that your response came at a very bad time. I reacted a bit too strongly, but didn’t have the technology to fix it after I posted it.
Please know your kind thoughts are very much appreciated, it was just a really shitty week of everyone trying to tell us why Rob was not getting what he needs, for one reason or another, with none of them making sense.
– XXO, Ellyn
Hi Dorien,
I’m shocked by your response. Nice try to fob off mediocre Dutch medical care on language. I’m sure there are some right wing Americans who also believe in denying health care to people with a foreign partner — is that what you are saying? I don’t think so, and think that you mean that you have to fight the bastards all the way….
Robert J. Pit is asking for care that he is not receiving. Even with his father and sister writing letters in perfect Dutch, we get nowhere. They are simplistic, nihilistic, and just plain anti-therapy for anyone who does not fit neatly into a box.
It is absolutely clear why this medical system works the way it does — because people in this society accept it, don’t question it, and thus perpetuate it. Bad care is bad care, and I should not need to speak a language well or be intelligent for my husband to receive it.
You confirmed my worst fears when you say that “Heliomare is the best place in the country for him to be”, because that makes it obvious that this is the best that The Netherlands can offer, which I already suspected. Pretty sad.
I now know I have to bring him home and take him out of this country for a proper diagnosis and plan for his rehabilitation. We have never received even that here, and I am afraid for him, you, me, and anyone else who may need proper care here. A stroke is a stroke in any country, language, etc. Why should The Netherlands be so different?
Sorry for the harshness, but this response, like much of what I have seen lately, has completely knocked me off my feet.
Ellyn
Don’t try to explain it in dutch my dear. Get someone else to do that for you and be an whirling derwish about geting heard.
You see, your dutch is perfectly fine for someone who speaks good english. To a nurse or gym teacher whose english is ´highschool´, you sound like someone less intelligent than your truly are. There is no depth to their undertsanding you.
It’s not easy to say this, but language is the barrier in getting understood.
Heliomare is the best place in the country for him to be, but slowing them down can be necessary. As I know from someone who also rehabilitated there. Just slam on the brakes, stop all action and don´t let them proceed till YOU feel everybody is on the same page.
Good luck!
XDorien
As i read your last I was reminded of a experience I had in rehab. Actually there were several. On the first day I couldn’t pee (they had just removed the catheter that morning) They went about their day and finally by the evening I was in so much pain I was really raising hell. They came in with a ultrasound device check the contents of me bladder, only problem, they could find it. I was so full that it didn’t fit in the normal location, it had slid down my leg!
A couple of days later I was passing out every time I stood. Finally I called my cardiologist in tears asking for help. He came in took me off all the meds, gave me a bolus of blood and fluids and I was fine. Except all the screwing around had cost me a week of rehab.
I came to realize that rehab people forget what you have been through and treat you like your at camp or something, Your not there to play croquet, your are there to relearn how to live, at your own pace! Maybe you need to have some of Rob’s medical people intervene and help the gym teachers (Ellie, you may have to translate what I mean) understand that he did not have a knee replacement or other quick procedure but that he needs slow strengthening, not a track and field coach. It took him 23 weeks to get there, they might need to exhibit some patience and give him some time to come round a bit.
I love you guys, Rob is there someone from your days in ICU (Ellie?) that can help to reset their agenda a bit? Call for help, anybody?
–
Love you, Brad
El – Keep on doing what feels right for BOTH of you. It’s hard going I know but considering what you’ve already gone through, this may only be a bit of a “bump in the road.” Hang in there!
Rob – Please don’t lose heart – you have so many people pulling for you and wishing you well! Maybe your “American mom” needs to come and have a few words with someone there!
LOVE TO BOTH OF YOU (AND JANSEN TOO OF COURSE) -I REALLY MISS ALL OF YOU!
Couldn’t say it any better than Michele and Isabelle already did…keep faith, Rob and Elly, we love you!
Tanja & kids
Ellyn, It seems that getting what is best for those close to us is always a struggle. But never give up. I always believe we know what is best for those close to us. You are very intelligent and can think. You will have to be persistent and even pushy and don’t worry about hurting anyone’s feelings. Your intuition and wisdom will guide you and life will come to your aid. It is hard, but in hindsight you will find you have done the right thing. Strength, Wisdom and Courage and our love, to you both.
It is heartwarming to read how you are slowly picking up life again and are enjoying each other’s company! It saddens me though, to read how the people who should have his best interest at heart, are not really capable of actually giving it… that’s frustrating. I am sure things will be all right in the long run though: you seem to have a lot of really good friends and kind spirited people around you and that says and means a lot! You’re in my heart and thoughts.
warm regards,
Isabelle