Dr. Wolfgang Petri has been my primary source of information over the last few months about what is happening with Paul.  Yesterday he sent me this photo of Paul that he took during his visit with him at his new place of residence on Thursday August 12th.  I was encouraged to receive a picture showing that he is alive and well and illustrating that he seems to be feeling good.  Wolfgang has given me periodic reports of his visits and says that Paul seems content in this new environment though his ability to communicate has deteriorated somewhat and his memory seems to be fading a bit.  Still I am pleased that he looks as good as he does and that he was even able to muster a smile for the picture.  As you will note, he uses a wheelchair to get around the grounds, but fortunately the grounds of the facility look like they are quite pleasant. 

I feel sure that you find this picture of him to be as reassuring as I do.  There is not much other news of note about his health except to say that in response to my queries Wolfgang has confirmed that he isn’t suffering any life-threatening health problems at the present.

It’s been over two months since I’ve provided you an update on Paul’s situation, but to be honest that was intentional.  For a time, things were changing frequently enough that posting timely updates would have revealed more transient details than were necessary or appropriate.  He left the rehabilitation center after two or three weeks and returned to his home on Wilhelmsaue and was reunited there with Maxe.  The nursing staff renewed their regular visits five times a day and they would walk and care for Maxe while they were checking on Paul.  This was a return to the status quo ante prior to his hospitalization for the broken collar bone.  All of us were encouraged that he might be able to maintain that living situation since it means so much to him to have Maxe by his side.

Paul has suffered for some time with a disequilibrium that was the cause of his falling and breaking the bone for which he was hospitalized and that difficulty maintaining his balance persisted during this time at home.  The terrain of his apartment is somewhat treacherous for someone who isn’t steady on his feet, so he needed assistance moving from his bed to his chair and elsewhere in his apartment.  In addition his ability to carry on a conversation continued to deteriorate, despite the fact that his intellectual functioning remains good.

A few weeks ago however he became delirious due to having become dehydrated so it was necessary for him to be re-hospitalized.    At this point it became apparent that if he were to live in his apartment with Maxe, he was going to have to have a live-in nurse.  To hire a registered nurse to live with him in his home full time would have been prohibitively expensive, so a plan was devised whereby Paul would have a live-in attendant and regular visits by a registered nurse.  Before that plan could be ruled upon, it was necessary for Paul to be released from the hospital since the immediate crisis (his dehydration) had been resolved.  Therefore Paul was transferred to a nursing home for the elderly until the doctors and Paul’s court-appointed guardian could meet to decide about the proposed plan.

Yesterday, I received news that Paul will remain at that home “for the time being.”  My correspondent told me that he had visited Paul in the nursing home where he spends a good deal of his day in the bed but that he enjoys having visitors, despite his difficulty in communicating.  Maxe, I am told, has been placed with a family in Wilmersdorf.

While the phrase “for the time being” seems to offer some hope that some other living arrangement may be in the future, I also think there is a possibility that this arrangement will become Paul’s permanent home going forward.  I have been informed that he is still able to read, though he is not able to write of course, so he can receive letters and cards if you wish to communicate with him.  His address, should you wish to visit or write him, is Haus Friedenshöhe, Sigismundkorso 68-70, D-13465 Berlin.

Early this past week, I learned from Stefan Kempinski and Wolfgang Petri that Paul had been moved from the hospital to a rehabilitation center, the Wiechernkrankenhaus, for the next several weeks.  This is not a permanent relocation for him since he’ll only be able to stay there for a few weeks, however Wolfgang reports that he is “doing much better now, since he gets enough liquid and they work with him in a rehab program.”

Once his stay in the rehab facility is over, the group of his friends who are overseeing his care have determined that it would be best if they hire a nurse on a 24 hour basis who will room in his apartment with him at Wilhelmsaue.  While I can imagine that Paul will see having a “roommate” as not too welcome, that arrangement does have the distinct advantage that he’ll be in his own familiar environment with Maxe at his side.  Paul has long said that Maxe was his “only family,” and a couple of months ago he told me that he had decided that he didn’t want to outlive Maxe who is about 12 years old I believe.  A wagging tail apparently does more for one’s spirits than all the medicine Man has devised.

I haven’t spoken with Paul since the Monday before his hospitalization, and I don’t anticipate doing so until he returns to his home.  For any of you in or around Berlin who may wish to visit him, I am told he is in Section 2, Room 53 at the Wiechernkrakenhaus.

Today I received a call from Dr. Wolfgang Petri, who is, just to be clear, one of Paul’s friends rather than his physician, informing me that Paul has been hospitalized due to a broken clavicle that he suffered in a fall.  This fall is just the most recent in a series of falls he has experienced in the last few weeks because of his trouble maintaining his balance.  Lately when he has fallen he has been unable to get himself back up and has had to wait until one of his caregivers comes by to help him get to his feet again.

Wolfgang confirmed something  I also noted in my last conversation with Paul this past Monday that his speech has become very difficult to understand, an almost unintelligible mumbling.  However, he did manage to understand Paul’s plaintive question, “why is this happening to me?”   And he noted, quite accurately I think, that Paul is very depressed.

I regret that I do not know which hospital Paul is in, but Wolfgang has promised to keep me informed when there is any further news about his condition, and when I get that news I’ll post it here of course.  Please keep Paul in your thoughts and prayers.

This is Perry rather than Paul and I must begin by apologizing to those of you who’ve been looking here for an update on Paul’s condition for a long time. I have no excuse, but here it finally is.

I’ve just spent the last 45 minutes on the phone with him, helping him resolve a computer issue that he was having. I was only able to do that because Dr. Wolfgang Petri made me aware of and assisted by installing a program called TeamViewer on Paul’s computer with which I can connect to his system and provide him remote assistance. This application is free for non-commercial use, as it is being used in this case to help a recovering friend who is 4,586 miles away from where I live. I must pause for a moment and reflect on the fact that I think that’s pretty doggone cool. Paul too was very impressed by how well it worked.

Today’s conversation was the longest and most productive he and I have had since his stroke almost a year ago now. He is doing much better, I’m pleased to say. He can communicate reasonably well though he still has trouble with particular words or concepts and his memory is not what it once was. Today I asked his permission to interrupt him when I noticed his beginning to bog down trying to communicate something IF I thought I knew what he was saying. He agreed to allow me to do that, in the interest of having a more fluid conversation, and to not interpret my interruption as being rude. Normally, I give him plenty of time to say things, but for some time now, I’ve been having to reflect what I understood him to have said to ask him for confirmation if I were right, and that has helped us communicate even when he was having the most trouble speaking. He will even occasionally say something like, we’ll I’m not making much sense so let’s put this conversation off until later. That’s easy enough to do, so most of our conversations are for no more than 10 to 20 minutes in length.

Earlier this week on Monday when I spoke with him, he was very concerned about Maxe who was behaving listlessly, causing Paul to believe he was ill. I did not call yesterday because I didn’t see Paul online and presumed he might be attending to Maxe. When I didn’t see him online again today, I called primarily to check on Maxe but of course also on Paul. He greeted me enthusiastically, more or less as someone who was being washed away by a fast-flowing river and had already gone down twice might do. He related his computer problems to me, which was the metaphorical river that was sweeping him away, and we managed to connect via the TeamViewer program, which enabled me to solve the problems. Once we had addressed that technical crisis, I was pleased to learn that Maxe had made a miraculous recovery the next day and was back to his usual barking, tail-wagging self, much to Paul’s relief.

Some of you have asked me to talk about how Maxe was fairing and how his needs were being met. Those charged with visiting Paul on a daily basis walk Maxe frequently, but Paul no longer goes out on Maxe’s walks with him. Paul does leave the house on occasion with friends who stop by and take him to dinner and other outings. To be honest though, I do not have a sense of how frequently those outings take place. People like Wolfgang stop by and visit with Paul and help him with things that need to be done, from his television to his computer. So he isn’t isolated and without company. I can guess that there may be times when he’d like people there more often, but there may also be times when more people are there than he was used to before. When he and Maxe are there alone together, Maxe is often playing the role of a lap robe, keeping Paul’s lap warm while they watch television together.

As Paul’s 86th birthday approaches on March 3, 2010, I’d have to say that my friend and yours has made significant progress in recovering many, though not yet all, of his abilities.

I have just gotten off the phone with Paul and he asked that I post something here on his blog to let you all know that he wishes you Happy Holidays and that he sends his gratitude for all of your expressions of concern and thoughtfulness. He is still seeing his speech therapists at his home periodically and is hopeful of making enough progress that he can begin to respond to your emails at some point in the future. For the moment he is able to get into his email, thanks in large measure to Dr. Wolfgang Petri’s efforts in creating an icon for him that takes him to his Gmail inbox and logs him in automatically. Unfortunately, he still isn’t able to reply to the messages, but he is able to read them and he enjoys hearing from you.

His speech remains a struggle for him because although he knows what he wants to say, he has trouble getting the right word to come out. It is something that he finds “more than frustrating” but he continues to work in the hope that he’ll be able to communicate more fluently in the coming year.

May you all enjoy your holidays and have a very successful and joyful new year.

I have just spoken with Paul and asked him if he were getting any exercise. He said, almost none. I also asked if he agreed with me that it was probably not wise for him to go out to exercise alone, given his tendency to have spells of dizziness and falling. He said that he did agree. I then asked whether those who stop by periodically during the day ever take him for a walk and, to my surprise, he said they did NOT do that as a routine thing.

After one of his recent visits to help Paul with his computer Christian Steinhoff remarked that Paul was not getting any exercise and desperately needed to be doing so. I therefore must apologize to all of you there in Berlin for not having brought this need to your attention before now.

Here’s what I’d like to propose.

If you live in Berlin and can commit to doing so, go by Paul’s home on whatever schedule you can spare and take him for a walk while you’re there. He admits to being painfully slow, so you’ll have to take along an good supply of patience and use it liberally. It shouldn’t take the equivalent of the Berlin airlift to organize a dozen or so friends who live close enough to go by for an hour every couple of weeks and get him up out of his chair and walk around with him in the open air for a half hour or so.

We often say, please let me know if there is anything I can do. Well consider yourself notified of how you can help.

If you’d like some compensation for your help, then let me suggest you tell him you’re there to take him out for a stroll down memory lane and allow him to choose the topic he wishes to repay you with. Such strolls down memory lane have formed the bulk of the content of our conversations through the years and those talks are both unforgettable and priceless to me. They are yours for the asking … and the price of going by to take him for a walk.

This is, of course, a limited-time offer as I’m sure you realize.

Please don’t hesitate to comment below and support this effort in any way you choose. Let’s not resort to having to pay someone to do this, when giving a friend a little block of your time returns such psychic benefits and positive karma to the giver.

Thanks.

As you’ll know if you’ve been following this blog and trying to keep up with Paul’s condition, he was released to go home on 20 July but it was only on 25 August that he finally regained connection to the Internet. Since then there have been a few hitches in sustaining his Internet connection, but those are essentially resolved now.

However, given all that he has gone through with the stroke and the resulting memory loss, he is having to start over, almost from scratch, to regain any facility with communicating by email and surfing the web. Since he hasn’t been able to send out much if any email, he reports that he has stopped receiving messages.

I understand that it is difficult to write continually to someone who doesn’t respond, but in this case I’d like to appeal to you to do so. This drop in incoming email leaves him feeling that people have forgotten him. My belief is that this phenomenon can be attributed to his friends not understanding that, though he can receive messages and read them, he has extreme difficulty initiating messages or even replying to those he receives. So my appeal to you is that you continue to copy him or direct messages to him (at Texas.Paule at Gmail.com) as you would have previously, and when you do write, please understand that he may not yet be able to reply to your message.

Since he has gotten back home, I have found it much more difficult to offer him technical help because of his loss of short term memory and his inability to describe accurately what he sees on the screen. He still has some difficulty expressing himself and of course finds that very frustrating. Yet he says that he’s not getting “any” email. I think that is probably an exaggeration, but I also suspect there is some truth to the observation that the volume of email he gets is off considerably.

He is able to receive calls by telephone or via Skype or Google Talk, and he welcomes those calls. Again though, when calling you should be aware that he moves more slowly than before, so please let the phone ring for an above average length of time to permit him time to get everything organized and pick up the phone. For either Skype or Google Talk, he’ll also have to don a headset which takes even longer. He usually naps between perhaps 1 and 3 p.m. so it would be best to avoid those hours if you decide to call.

Whether he will ever be able to be as prolific a communicator by email as he once was seems doubtful to me. However, he is still around and in the absence of this kind of contact with you, his friends, he feels cut off and isolated. Therefore let’s all resolve to revert our former behavior of copying him and writing to him as before even if we don’t hear back from him as we once would have. Perhaps over time, he will be able to develop his ability to reply or maybe not. At this point, I think it is impossible to predict.

Thank you.

I’m pleased to be able to announce that as of about an hour ago, our friend Paul has access to the Internet again. His old email address, texas-paule@t-online.de, is defunct. Please use the name as listed in the title of this post together with @Gmail.com to reach him. From what you’ve said in your correspondence with me, I’m sure you’re ready to be able to reach him directly again, so have at it.

We are still configuring his setup so that he can handle his email in Outlook rather than having to use the web interface, not that there’s anything wrong with that. (Some problems never die; they merely recede temporarily.) We’ll eventually get it to work I’m sure, because I’ve been able to configure my own Outlook 2003/Gmail connection without any problems.

So for the moment Paul will be using Gmail’s web interface to deal with email. Though it may be a bit less convenient than Outlook, on the upside it does contain the addresses he had accumulated up until his recent medical problems. So for now I won’t make any promises about how quickly he’ll reply, but he should be able to receive your messages and read them without any problem at the Gmail website.

Now then, at long last, you may resume your previous direct relationship with Paul and I’ll tip my hat and step back into the shadow. Thanks for all of your help and for your kind words during this interlude. It has been a pleasure for me to get to know you and to add you to those whom I think of as friends.

Perry

I am pleased to report that Paul is back in his apartment as of July 20th and he is adapting to his new schedule and that of the various caregivers who come by as many as five times a day for one reason or another, to bring meals, to do speech therapy with him, to take care of any other needs he may have. In addition. the two Bachmann sisters, who have lived in that same building with Paul since he returned to Berlin and took that apartment in 1995, are also looking in on him and Maxe regularly.

And yes, in answer to the many inquires you have made about Maxe’s whereabouts and whether he and Paule were together again, they are.

There have been some delays in getting Paul’s TV service restarted and during his recovery his T-Online.de account was closed, but Paul told me that Dr. Moeller who visited him yesterday assures him those things are in the works. When he gets a new ISP therefore, he will have a new email address. However, he still has a Gmail account and can at least receive email at Texas dot Paule at Gmail dot com. Be patient if you write him however, since it may be a while before he’s able to answer your messages, and I find it a major challenge to keep up with his email and my own.

I’m cross-posting portions of this entry from my own personal blog to this one because this one has many more readers than mine and because you, the readers of this blog, are the audience that the new FriendsofPaule Twitter feed is intended to reach and inform. So if you are on Twitter and want to receive progress reports about Paul by all means begin following that feed.

I chose the name “Paul’s amanuensis” for that feed because that is the role I intend to play. I will attempt to relate what Paul wants me to convey to the group so that he isn’t burdened with having to learn the technology in order to communicate with you. The following screen shot shows the first few “tweets” in the window of Twhirl, an application I use for logging into and managing multiple Twitter accounts at the same time.

If you don’t know what Twitter is, this short video will help to remedy that.

If you have any questions or comments, please ask or make them in the comments section.

Update: If you’ll notice in the sidebar at the right, you can see the last five tweeted messages from the FriendsofPaule feed here on the blog. Therefore you don’t have to join Twitter, if you haven’t already, just to be able to see this microblogging feed about Paul. Every time you load this page, you’ll see the five most recent tweets displayed right here.