As I’ve told here before, on Tuesdays I ride down to Clinton to visit my sole remaining grandparent, Mama’s mama, my Granny Ima. When I arrive, the residents of Granny’s wing are in a rough circle overlooking the activity room. One or more non-vocal clients, like Granny, will often be over to the side, which I admit annoys me sometimes, but I’ll save that for later. I’ll make my rounds and speak to the ladies and dispense pats and hugs where they are welcomed and try to avoid some of the more “exuberant” ones before I sit down to give Granny the weekly update. It’s during these interludes I made my observations on how mobility, lucidity, and family may replace popularity, desirability, and money, but mean girls are still mean girls even in a nursing home and the hierarchy among these elderly ladies is every bit as rigid as any pecking order one would find in a high school or middle school cafeteria.

First, I’m sure you’ve noticed I mention “ladies” exclusively. That is not without purpose. The only creature less common in a nursing home than any gender of Hispanic is a male. At Granny’s, the ratio of men to women is – from my rough and unscientific observations – about fifteen women to each man. In the five years of Granny’s residence, I’ve also only seen one male nurse. It’s a safe bet the wings of NHC are fairly awash with estrogen, or would be if most of these ladies were not past the days of estrogen production.

What few men are around circulate in an entirely different manner than the women. The three I know the best — Mr. Joe, Mr. Jack, and Mr. Ralph — generally keep to themselves off to one side. During activities, they will line up wheel to wheel together on one side of the room looking for all the world like junior high boys at a sock hop earnestly hoping to not be asked to dance. Mostly, the women leave the men alone. I can’t say with certainty exactly why, but I suspect, given the lengths of the marriages I’ve heard bandied about among the ladies, they’ve just had enough to do with men to last a lifetime.

The ladies do have a pretty clear caste system among themselves, however, and the first criteria is mobility. Only two of them are able to walk unassisted for any distance and it’s obvious they are objects of envy. I can only imagine how sweet it would be to those who are Depends clad and wheelchair bound to be able to rise at any moment and tend to nature’s call alone and removed from the tyranny and interference of some whippersnapper CNA. Unfortunately, just because only two ladies are ABLE to walk unassisted, it does not mean others ATTEMPT to walk unassisted, often having forgotten the atrophy of their legs or — in some cases — the complete lack thereof. I don’t pass a day with Granny without hearing a “personal chair alarm” go off at least once as someone — usually Mother Gault — forgets she is no longer able to stand unaided but still wishes to give walking the old college try.

That brings up a second criteria in the nursing home pecking order because sound legs do not always undergird a sound mine. For instance, one precious lady — Ms. Stoddard I think she’s called — is one of the “easy walkers” and can stroll anywhere she wishes; unfortunately, she usually sits silent and pensive and a casual observer would wonder why until he or she heard her ask — often for the tenth or twelfth time that hour — “Where am I?” She, like almost all of the ladies lucid enough to realize their situation, usually wants to know the same thing when a nurse tells her, “Honey, you’re at NHC in Clinton,” and that is, inevitably, “Well, when do I go home?” Whenever I hear her or any other lady ask that plaintive question, my composure always suffers and once again I feel shot through with guilt that I have to drive to visit Granny instead of simply walking down the hall to her room.

Still, I do go to see her every Tuesday and my beloved Aunt Pearl goes every Wednesday. Having two regular family visitors assures Granny’s place in the hierarchy of the home and keeps her safe from drifting to the bottom. I can’t tell you how many of the ladies I have come to cherish as if they were aunts or elderly cousins sit day by day waiting for a family member who never comes. In some cases, I realize a family is unable to provide for the care needs some of the ladies present and some, like 102 year old Grandma Cleo — Granny’s roommate — have, by process of attrition, outlived any family who could come to visit. Still, in too many cases, these loved ones are more “inconvenient” than “invalid” and as sad as it is to say, our society doesn’t place a very high priority on its elders anymore.

Lest my brush seem too broad, though, not all of the ladies could be called mean girls.  Each week, I receive a fairly detailed report from two of the brightest ladies about Granny’s activity each week and they keep me up to date on how she is being treated by the staff and the other ladies and for that, I am grateful beyond description. For every former cheerleader who sneers at a fellow patient’s inability to move a wheelchair unaided is another kind heart who will wheel over to tuck a blanket around a sleeping comrade. The criteria may change, but just as high school was its on special kind of Hell and winnowing ground, so to is the nursing home a crucible of sorts where under the heat those whose spirits are most golden shine through.

Love y’all, and keep those feet clean!