From day one at Doctors Hospital, Huguette had private nurses twenty-four hours a day. The nurse on the day shift, assigned randomly to Huguette in the spring of 1991, was Hadassah Peri. She would work for her “Madame” for twenty years, becoming, it seems probable, the wealthiest registered nurse in the world.
Doctors Hospital was not the place that a New Yorker with a lifethreatening illness normally would select. It was better known as a fashionable treatment center for the well-to-do, a society hospital, a great place for a face-lift or for drying out. Michael Jackson had been a patient, as had Marilyn Monroe, James Thurber, Clare Boothe Luce, and Eugene O’Neill. The fourteen-story brick structure on the Upper East Side of Manhattan, between Eighty-Seventh and Eighty-Eighth streets by a bend in the East River, gave the impression of being an apartment building or hotel, with a hair salon offering private appointments in patient rooms and a comfortable dining room where patients could order from the wine list if the doctor allowed. When it opened in 1929, it had no wards and no interns, allowed no charity care, and included hotel accommodations for family members of patients. In its early days, it was often used as a long-term residential hotel or spa, and finally in the 1970s it added modern coronary units and intensive care.
Huguette checked in to a room on the eleventh floor with a lovely view down to a city park and Gracie Mansion, the Federal-style home that is the official residence of the mayor of New York.
After living mostly alone at home for so many years, now Huguette was in a hospital with its constant noises and staff coming and going. At first she was a difficult patient, swathed in sheets and refusing to let anyone see her. A nurse wrote in the chart that she was “like a homeless person—no clothes, not in touch with the world, had not seen a doctor for 20 years, and threw everyone out of the room.”
A week into her stay, Huguette was evaluated by a social worker, who filled out the standard initial assessment. The patient, just short of age eighty-five, was scheduled for surgery to remove basal cell tumors and to reconstruct her lip, right cheek, and right eyelid. She had been “managing poorly at home—reclusive—not eating recently” and was dehydrated. Her only support system was her friend Suzanne Pierre, “helping with her affairs,” and a maid—no family. Her mental status was always awake and alert, but she was skittish: “Patient refused to speak with social worker. Patient has not been to doctor in many years—had refused medications in past. Patient anxious and uncooperative at times.”
Her plans after treatment? “Spoke with friend, Mrs. Pierre—feels patient will need convalescent care in facility but does not want to go to nursing home which she feels would be depressing. . . . Patient may need to go to a hotel with a nurse to recuperate.”
As for financial problems, “none noted.”
Huguette did not move on to a hotel. Within just over two months, she was an indefinite patient, a tenant, with Doctors Hospital charging her $829 a day. Eventually the rent rose to $1,200, or more than $400,000 a year.
Huguette had a series of surgeries in 1991 and 1992, with Dr. Jack Rudick removing malignant tumors and making initial repairs to her face. She was healthy, though she still needed a bit of plastic surgery, especially on her right eyelid. “It is not necessary,” she told her doctors. “I am not having any surgery. I don’t like needles.” She was not badly disfigured by the cancer. And there might have been another reason, Dr. Singman speculated. “This she has steadfastly put off,” he wrote in her chart in 1996, “I presume to avoid the final treatment and then possible discharge home.”
A board-certified specialist in internal medicine, cardiology, and geriatrics, Dr. Singman assured her that she could have round-the-clock nurses at home, and he would visit daily. “I had strongly urged that she go home,” he said. She was, however, “perfectly happy, content, to remain in the situation she was in.” When one of the first night nurses kept urging her to move back home, Huguette fired her. In the end, Dr. Singman accepted her decision, writing in her chart in 1996, “I fervently believe that this woman would not have survived if she had been discharged from the hospital.”
Dr. Singman’s backup, internist Dr. John Wolff, said he agreed. Huguette “was so content and so secure in the environment. There’s no question in my mind that’s really where she chose to be.” He brought her flowers on her birthday and liked to stop in. “She was a lovely woman, and we would talk. Her mind was clear. There was no confusion about her. Very warm, gracious, sweet, gentle, interested in other people, independent, guarded.”
Huguette was hardly ever sick. She refused to take a flu shot—she didn’t believe in medicine, she told her nurses, and felt that “nature should take its course.” Her only persistent medical issues were mild: osteopenia, a decrease of calcium in the bones not advanced enough to be called osteoporosis; a slightly elevated systolic blood pressure (150/80); and two nutrition issues, a mild electrolyte disorder and a mild salt depletion. Her illnesses passed quickly, usually with her refusing antibiotics. She had a bout of pneumonia, the seasonal flu, and a surgery to check out a suspicious lump that was benign.
In other words, from age eighty-five to well past one hundred, a stage when most people need elaborate pillboxes marked with the days of the week, Huguette was remarkably healthy, requiring no daily medications other than vitamins. Yet she was living in a hospital.
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Dr. Singman said Huguette at first was “extremely frightened” of new people. She refused most medical treatments unless her day nurse, Hadassah, was there to hold her hand and talk calmingly. Hadassah and Huguette had a bond from the beginning, with Hadassah able to read Huguette’s feelings and help her overcome her distress. When they couldn’t reach Hadassah, the other nurses would sometimes pretend that they were talking with her on the phone, telling Huguette that Hadassah said that she had to eat now or she should allow them to check her blood pressure.
“You have to convince her,” explained Hadassah later. A small, compact woman with warm, dark eyes and black hair flecked with gray, Hadassah described patience as the key to her chemistry with Huguette. “You have to explain it to her, you have to educate her who is coming, what is that for—at times we have some difficulty.”
Hadassah Peri was born Gicela Tejada Oloroso in May 1950 to a politically prominent and eccentric family in the Philippine fishing town of Sapian. Gicela received a nursing degree before immigrating to the United States in 1972. She worked first at a hospital in Arkansas, then moved to New York in 1980. She passed her New York exams as a licensed practical nurse, then a registered nurse, and started working as a private-duty nurse. Born a Roman Catholic, she had married an Israeli immigrant and New York taxi driver, Daniel Peri, in 1982, converting to his Orthodox Judaism and using the name Hadassah Peri, although she didn’t change her name legally until 2011. Even today, she is a bit embarrassed about her English, though it’s quite good, despite some confusion over pronouns: “Madame love his favorite shoes.”
When she was assigned to Huguette, the Peris owned a small apartment in Brooklyn. They had three children born in the 1980s, two boys and a girl.
Private-duty nurses are temp workers, always hoping for a long-term assignment. Taking a day off means having a replacement nurse, one who might step into the regular role. So despite the Orthodox prohibition against working on Saturday, and despite having three school-age children, for many years Hadassah worked for Huguette from eight a.m. to eight p.m., twelve hours a day, seven days a week, fifty-two weeks a year. She was up and out of the house before her children left for school and home close to bedtime. It would be several years before she took a day off. Hadassah was paid $30 an hour, $2,520 a week, $131,040 a year, but she described her self-sacrifice for Huguette as extreme. “I give my life to Madame,” Hadassah said.
Copyright © 2013 by Bill Dedman and Paul Clark Newell, Jr.. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
