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A GOOD AGE: A Tale Of Extraordinary Devotion

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  • A GOOD AGE: A Tale Of Extraordinary Devotion

    A GOOD AGE: A TALE OF EXTRAORDINARY DEVOTION
    By Sue Scheible

    The Patriot Ledger, MA
    July 17 2007

    Elsa Hart was the full-time caregiver for for her husband, Vartan
    "Varty" Hart, who died at home last week. (Patriot Ledger file photo)
    The Patriot Ledger

    Elsa Hart has spent nearly every minute of the day for the past five
    years taking care of her disabled husband, Varty. A former jazz
    musician, he had a massive stroke in 2002 that left him unable to
    speak and paralyzed on his right side. She insisted on bringing him
    home from a nursing home and setting up around-the-clock care in
    their modest house, turning the former living room into their bedroom.

    Last Tuesday, she woke up, looked over at the empty pillow on the
    hospital bed next to her bed, and thought, "This is the first time
    in 50 years that I have woken up and won't see him."

    Varty Hart died last week at age 85 at home. He and Elsa, 71, shared
    a story of extraordinary devotion. As the full-time caregiver, she
    endured hard physical work, emotional stress, and occasional sleepless
    nights. It is a task she and many other spouses have performed quietly
    across the South Shore.

    Sometimes they recognize each other: Once when Elsa was buying a
    special dietary product at a pharmacy, a woman came over, patted her
    arm and said, "You're a caregiver, aren't you?" She knew the signs.

    It was only with the help of their two sons, Christian and Eric,
    and others that Elsa was able to keep her husband at home against
    great odds.

    Last December, she called The Patriot Ledger after reading an article
    about a new state program that pays family caregivers for their work
    but does not include spouses or parents.

    "I love my husband and I don't mind doing it, but I could use some
    help here," she said.

    She hoped her sharing her story might prompt legislators to change
    state law to allow spouses to be paid as caregivers in some cases.

    Since then, she had a small stroke herself that affected her vision.

    The state policies have not be changed.

    About two weeks ago, she called in hospice when it was clear her
    husband was in pain and was failing. "We thought we might gain a
    few pain-free months, but a week later, he was gone," she said the
    day after he died. "Even though he had been ill for so long, I am in
    shock. I am sick to my soul."

    Varty (his birth name was Vartan Haroutunian) had a life of quiet
    accomplishment. An Armenian from Everett, he received the Distinguished
    Flying Cross when he flew 37 missions during World War II as a first
    lieutenant in the Army Air Forces. He told his sons how he had used
    the stars to navigate and lead his squadron to safety when the leader
    had taken the wrong course. Then he attended Boston Conservatory of
    Music, played tenor sax in several bands, including the Herb Pomeroy
    Band, played at the Newport Jazz Festival, at the first jazz concert
    at the Isabella Stewart Gardner Museum and the first jazz festival
    on Boston Common. He was manager of the Jazz Workshop in Boston and
    that's where Elsa met him - she was 18, he older than 30.

    She had studied classical violin, played in Boston Junior Symphony
    and became interested in jazz. She traveled with Sam Snyder's Water
    Follies as a synchronized swimmer for three years before she and Varty
    married in 1957. When they started a family, he left the music business
    for more regular hours as the manager of two local Star Market stores.

    After his stroke, Elsa, who had once worked as a nurse's aide, took on
    the around-the-clock care. The state Office of Elder Affairs provided
    aides who helped several hours a week. "If they would pay me something
    for my care, I could hire someone for a few more hours a week to get
    out myself," she said.

    If Elsa had not been willing to care for her husband at home, he
    would have cost the state a lot more money in nursing home care.

    Al Norman is executive director of Mass Home Care, an elder advocacy
    group that represents 30 agencies in the state.

    "There are three programs that help some family caregivers, but a lot
    of elders don't know these programs exist," Norman said. "There is no
    real publicity about them - the state has no money for marketing. It
    is all by word of mouth. There is no state strategy, no Web site
    you can go to and see the info. We hope Gov. Deval Patrick will do
    something about that."

    The personal care attendant program, the largest of the three, is
    for Medicaid (MassHealth) recipients only. It pays people, including
    adult children but not spouses, to provide care for someone who is
    disabled or ill at home.

    "Someday we'll overcome that prejudice against spouses," Norman vowed.

    The adult family care program, also exclusively for MassHealth
    recipients, has a level 2 payment for people 16 and older who
    need extensive help to stay at home. Family members may be paid as
    caregivers but spouses are not included.

    The third program, Caring Homes, pays caregivers of people 60 and
    older who are not eligible for MassHealth but the budget and the
    numbers are very small.

    "This is an issue that needs a lot more attention," Norman said.

    DRUG COST HELP: The state's Prescription Advantage program, which helps
    many seniors pay for prescription drug costs under Medicare Part D,
    is now open for enrollment year round, instead of for just two months.

    The change took effect this week after Gov. Patrick signed the
    state's 2008 budget. The legislature had proposed that people 65
    and older be able to enroll anytime during the year if they met the
    eligibility criteria.

    Advocates said the change makes enrollment easier by eliminating any
    waiting period. To enroll, call 1-800-AGE INFO (800-243-4636) and
    press "1" for application and enrollment information. You can also
    call South Shore Elder Services at 781-848-3910, Old Colony Elderly
    Services at 508-584-1561 or Hessco Elder Services at 781-784-4944.

    SCHOLARSHIPS - Nine area residents won scholarships from the
    Massachusetts Long Term Care Foundation to further their education in
    the long-term care field. The foundation selected 62 recipients from
    its member facilities in the state. Local winners include Larissa
    Alves of Brockton, Cynthia Chetwynd of Weymouth, Philip Doherty of
    Marshfield, Donna Flaherty of Milton, Dale Gordon of Kingston, Barbara
    Koufos of Plymouth, Suzanne Lydon of Hanover, Deirdre Marchetti of
    Marshfield and Maureen O'Connor of Quincy.
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