Most get-well pages start with the ward. This one starts with the map, because in Simi Valley the map decides everything else. The city has exactly one hospital: Adventist Health Simi Valley at 2975 North Sycamore Drive, up off Sycamore on the north side of the 118, and it handles a great deal of what a valley of 125,000 people needs — the emergency department, surgery, maternity, the ordinary admissions. What it does not handle travels, and the direction of travel depends on the problem. East over the Santa Susana Pass on the 118 lies Northridge Hospital Medical Center on Roscoe Boulevard and West Hills Hospital & Medical Center on Medical Center Drive, which is also where the Grossman Burn Center sits. South-east down De Soto is Kaiser Permanente Woodland Hills on De Soto Avenue, and along the boulevard, Providence Cedars-Sinai Tarzana on Clark Street. West, by way of Moorpark and the 23, is Los Robles Regional Medical Center on West Janss Road in Thousand Oaks, the larger hospital on the Ventura County side, with its east campus in Westlake Village. Out at the county seat is Ventura County Medical Center on Hillmont Avenue. Children with anything serious generally go further still, to the paediatric centres in Los Angeles. So before you choose flowers: find out which building, and which unit inside it.
The Sycamore Drive campus, in the detail that saves a runner twenty minutes. It is set back off Sycamore with medical office space around it, and the front visitor entrance is not the same door as the various suites on the site — so the useful instruction is the unit name plus the room number, not the department. Give us both and the flowers go up on the first attempt. One thing worth settling before you order at all: patients can opt out of the facility directory, and plenty here do, in which case reception is not permitted to tell a courier whether they are in the building. That is the purpose of opting out, not an obstruction. Get the room from the family rather than expecting us to find it, and if nobody will give it to you, put the order on the house they are being discharged to and have it standing there when they walk in.
Here is the thing this valley does to a get-well delivery that other cities do not, and it has nothing to do with hospital policy. Four of our five benches are on the far side of a ridge — Canogapark Florist at 7144 Owensmouth Ave, Woodlandwarner Flowers at 21212 Ventura Blvd, Abbey's Flowers at 22037 Ventura Blvd, Asunshine Florist at 5909 Kanan Rd. in Agoura Hills — and the run between there and a bed in Simi Valley goes up over the pass or the long way round through Moorpark. In July, August and September the inside of a delivery vehicle on that climb at two in the afternoon is an oven, and the arrangement that arrives limp did not fail on the ward, it failed in the van. The fix is the booking rather than the bouquet: take a morning slot, and ask for stems that do not sulk in heat — carnation, stock, alstroemeria, lisianthus, hardy chrysanthemum, gerbera, solidago. Soft open blooms and hydrangea do not survive this particular commute in summer.
What actually gets turned away at a nurses' station, and why each refusal is reasonable. Anything in the lily family goes first: the anthers shed a rust-coloured pollen that transfers to a gown or a pillowcase and does not wash out, and the perfume fills a two-bed room where the person in the other bed has no way of leaving it. Height and footprint come next. The over-bed table is contested square footage — a water jug lives on it, so does the handset, so does the call button, and so does lunch at noon — so the arrangement that earns a place is squat, bottom-heavy and not glass, because glass tips the first time somebody slides a tray across. Fragrance is third, enforced hardest on the units where nobody can walk out of the room to escape a smell: intensive care, surgical recovery, any bay with an infusion running. Latex balloons are the surprise. They are refused as an allergy matter at campuses right across this radius, so the balloon comes off at reception and only the flowers go up. Mylar travels. If the unit is oncology or intensive care, call the floor before you order and ask what they will accept today — the answer can change by the week.
Now the address most people should have chosen in the first place. Simi Valley's admissions do not stay in Simi Valley, and the person having the worst fortnight is often not the patient. When a bed is at Northridge on Roscoe or at Los Robles on Janss, the spouse or the adult daughter is driving the 118 over the pass, or the 23 down to the 101, twice a day for two weeks — parking, cafeteria coffee, the same twenty-minute climb at dusk. A vase on that person's kitchen table in 93063 or 93065 does more good than one more arrangement on a windowsill the patient vacates on Thursday, so decide who the gift is really for before you choose the address. The same logic covers outpatient work: a procedure over the hill that sends somebody home by mid-afternoon does not want flowers that day, it wants them two or three mornings later when the adrenaline has drained out and the house is quiet. And for any home delivery here, remember what this valley's sun does to a west-facing step after three — book it before the heat, tell us who is certain to be in, or nominate the neighbour who can take it indoors.