Monday, August 25, 2008
The surreal world of knowing the end is coming - and what it really means
While at home, I spent hours upon hours talking to both my dad and sister on the phone and relaying information from my moms doctors back and forth. My dad and sister have a very basic and "sheltered" view of life and really didn't want to hear too much information. I had to translate what the doctors had told me and kind of candy coat it for them, while at the same time dealing with my own internal feelings with the whole situation.I remember my dad calling me one morning from the hospital freaking out. He said my mom thought he was against her and was in an evil plot against her with the Hospice nurse. My mom had begun to become paranoid and was having her own hallucinations associated with the whole end of life process. I remember trying to explain to my dad that this was normal and she really didn't think that. It was another one of those hard conversations I had to get through to be the "man of the family" and support my dad and sister. They still never really understood. It was this point where I remember the Hospice nurse had given us a book on the end of life process and the different stages of dying. I told my dad that he needed to read it to understand what my mom was going through. He resisted and was afraid to read it.
Going back in history a little... Growing up, I was raised to be responsible. I had to do the chores in the house, clean up after myself and when I got into trouble, I was held accountable. When young, I lived in fear of the dreaded wooden spoon that my mom would use to spank me if I got into trouble. Later on, the fear turned to the yard stick... You get the idea. I have no regrets about how I was raised and how it made me turn out as an adult. I think my parents did just about everything right in my upbringing as I feel I am a successful and responsible adult. My sister on the other hand - that's another story. She was raised with the "can't do anything wrong" type of upbringing. I remember watching her do things that broke the rules and was never held accountable. She got away with everything and she knew it. My mom was more of the disciplinarian with her and did hold her accountable on occasion, but my dad would never discipline her. Needless to say, as a young person (five years older than my sister), I had a lot of resentment for her. All through high school, I remember not speaking to her or wanting to be in the same room with her at all. This relationship was finally repaired after I left for college. We actually became very close and she would come over and visit me at college for days at a time. On another note, however, my sister did not turn out quite as good as I did. She barely graduated from high school, had no ambition for college, and lived at home for several years after high school. She hung out with the stoners and smoked pot a lot - something I had never touched... Moving on to my dad - he was always different. He was a very like-able guy and always had friends, but he was very goofy. He was scatterbrained and had a hard time keeping his thoughts in one direction. He had childhood polio when he was young and spent 18 months in an iron lung before the polio vaccine was discovered. I don't know if this caused him to have some mental defects or not, but I sometimes wonder what was going on with him... Looking back now, I can completely see that my dad thought of my little sister as a princess that gave him comfort and my mom as the rock of the family that kept everything together. My mom was an amazing cook that cooked dinner every night, cleaned the house, did the banking, did the laundry, etc. My dad and sister were completely spoiled by my mom and never really developed a sense of how to take care of themselves. Yea - my dad took care of himself before he met my mom, but at this point, they had been married for 39 years, so he had completely forgotten everything. Back when my mom was first diagnosed with cancer, my wife had a talk with both of my parents and told them that my mom had to start teaching my dad how to do the laundry and how to manage the finances. My dad freaked out and ignored it... Toward the end, my mom finally did teach him how to do the laundry... But as I move on through this story, I specifically remember asking my mom financial questions and she would tell me that she'd show me later... |
After spending several days at home and going to work to catch up on all of the important things I had been missing, I really needed to get back to help my dad and sister out. I kept forgetting my sister had a baby now that wasn't older than a week or two. While at work in the middle of the week, I decided I needed to email my aunt that was married to my uncle (my moms brother). He had died several years earlier of lung cancer and her and my mom remained close throughout her own cancer treatment. I emailed her on September 12th and let her know about the terminal condition my mom was in. Within the next day, she had called me at work. It was the first time during this whole process that I really broke down while talking to someone... and it was at work!
She said she was going to drive to the hospital and see my mom. She and I talked after and she volunteered to help out the family with taking care of my mom if she were to make it back home under Hospice care. I thanked her and could not be more grateful for even the offer.
Needless to say, I ended up packing up my bags once again because we found out on Thursday, September 13th, that my mom would be discharged to her house over two hours away the next day. Because my dad was staying with my sister, I needed to arrange to meet with the medical supply people at their house to help set up my moms bed and other supplies.
I left home early in the morning on the 14th and started my almost four hour drive to my parents house again. All I can remember of this drive was the fog my head was in. I was in another world and wondering if I'd have the strength to get through what I was about to go through. I have never been a real religious person, but I can now tell where people call on higher powers for strength and guidance. I remember breaking down at one point and praying that I could make it through this. After a few minutes, I remember feeling a warmth around me and got a surge in energy that motivated me to continue on with my drive - really amazing!
When I got to my parents house, I needed to clear out the family room for where we would be putting her bed. I remember my head filled with memories of growing up there. Actually - my mom had grown up in the same house as well, so it was perfect that she was coming home to finish out her life. I had a sense of relief about me that I had never had before during this process. As I had said earlier, there was an option to have her stay at the palipative care center next to the hospital. I was highly in favor of this so we could transfer the responsibility of caring for her off of me and the rest of the family. At this point, however, I was happy with the decision to bring her home.
I spent a couple of hours cleaning the house up and waiting for the medical supply van to pull up. When it did, they delivered a bed, oxygen machine, oxygen cylinders, and various other supplies. He gave me instructions on how to run everything and how all of the settings worked on the bed, the oxygen machine, and the rest of the supplies.
Since it was a Friday, I began to worry that my mom would not get home in time to have a hospice nurse meet us. I was under the impression that hospice would be here during most of the time. After calling the local hospice agency, I was floored to find out that they only come out a couple of times per week and that we could call anytime to an advise nurse. It wasn't a huge deal, but here I was again, feeling like I had to take on the whole thing on my own.
Finally, at around 4:00pm, I got the call from my dad that the ambulance was in town and they were about 15 minutes away. My dad was in his car following the ambulance and my aunt was behind them. My aunt had met my dad in the hospital and helped him get my mom discharged and into the ambulance. What a lifesaver!
When the ambulance pulled in, I felt a sense of fear and relief. I was afraid of what we were about to go through and I was relieved for my mom to be finally home where she wanted to be. I just knew we had made the right decision and were able to fulfill one of my moms last wishes.
When the back door of the ambulance opened, I saw her laying there with her oxygen tube in her nose and saw her face light up for the first time in weeks. She was happy to be home and was relieved to be where she was comfortable. The ambulance attendants helped bring my mom to the bed that I had set up in the family room and I turned the oxygen machine on and helped get her all set up.
By this time, it was late in the afternoon and I had yet to hear back from hospice. I put another call in and was finally able to talk to someone. I let them know that my mom had arrived and they give me the whole rundown on the program. They let me know more about how my mom would only get visited once or twice a week by a registered nurse and once or twice a week by a nurses aide that would be able to bathe her and get her cleaned up. They said someone would be by on Monday to do the initial intake on my mom... I know it isn't a big deal now, but I remember being very upset that I had to wait three more days to finally see someone in the home that would be able to help us with my mom.
I got a call later that night from the nurse that was assigned to my mom and she said she knew my mom and she lived about 10 minutes away. She said she would be by the next day to do her initial assessment of my mom. What a relief. Although we had my aunt and sister there, I was still overwhelmed at the thought of taking care of my mom in such grave condition.
At around 7:00pm, my dad got a call from my parent's lifelong best friends. They were on a camping trip almost six hours away and said they had just pulled into town to see us!!! My dad immediately broke down crying. What a nice gesture for their friends to sacrifice their camping trip and drive for such a long distance to see us! They said they were staying in a hotel room in town and would be up in the morning.
That night, I slept outside in my parents travel trailer. My sister and her husband and newborn baby slept upstairs in my old room. It was a nice break to get outside of the house and get some fresh air and be by myself. I was able to call home to my wife and daughter to check in on them and let my wife know the latest news on the drama.
The next morning, I remember coming into the house and seeing my mom sitting up in her bed and was drinking a glass of cola. It was the first thing I had seen her drink or even take into her body in a very long time! She was pretty coherent and was very happy to be home. I still remember the sound of joy she would make as she was drinking her soda. She did spend most of the time sleeping, but when she was awake, I tried to spend every single minute I could with her and help her in any way I could. When she did wake up, she said she only wanted cola. I gave her a glass of coke with a straw in it and she drank almost the whole thing! It really made me feel good to give her something that made her happy.
Later that morning, my parents friends pulled into the driveway. These people are the most amazing people I have ever met in my life - besides my own parents. The wife walked to my moms bed and knelt down besides her and began talking to her. I was overjoyed with the sight of how she was talking to my mom. I remember her telling my mom that she didn't have to be in pain anymore and that she could let go and be in a much better place. She kept repeating this and I remember breaking down and had to leave the house to give them more privacy.
After she talked to my mom for a while, she took me outside to see how I was doing. We had a great talk, from what I can remember. It was a tough talk, but one that I needed to have. She let me know the importance of needing to keep this whole experience balanced and that we couldn't all be there for each other the whole time. She reminded me that I needed to take turns with my sister and that we would all get burned out if we were there 24 hours per day. I agreed and decided that my sister would probably not be going anywhere anytime soon and that I should probably take a break for a few days and head home.
I left several hours later and found out that my parents friends had left not too long after me. They were apparently camping with some other friends and left them there - six hours away! They did need to get back. It was more of a trip for them to come pay their respects to my mom and say their goodbye's and give my dad some moral support.
I spent the next few days at home with my family and at work. It was a good few days, but knew I needed to get back to see my mom and help again very soon. During this whole last month, my daughter had just started kindergarten and my wife was working part time, so they had not been able to come over to see my mom and help out at all. I decided I would head over on Wednesday and my wife would follow over on Thursday after my daughter got out of school so she only had to miss one day.
Brief background on my wife. She is a registered nurse and has a much different view of the world than me or my family does. She worked in a trauma ICU in a trauma center for a couple of years and had seen a lot of death. Her different view on death was a very good thing, looking back, and I knew that my mom wouldn't be with us much longer.
I remember my wife walking into the house and looked at my mom for the first time in a couple of months. My mom was sleeping, so my wife just walked right past her and up the stairs to our bedroom. I followed my wife to say hello and she turned around and was in tears. She said she didn't know that my mom was in such bad condition and that it just caught her off guard to see her like that. After seeing her laying there without her wig, everything had sunk in for her. My wife and mom were pretty close and my wife shared a lot of her feelings with her over the years, so there was a special bond there. I remember telling my wife it was okay and I was at peace with everything. My daughter, being four years old, on the other hand, was oblivious to everything. She hugged my mom and held her hand a couple of times and only asked me once or twice why grandma's hair was so short. I remember telling her that it was because she was hot and that she cut it short to stay cool.
That night, my aunt took the night off because my wife was there. She went home and my dad took his turn to sleep on the couch out by my mom to help with administering her medication throughout the night. My wife and daughter decided to sleep in my parents room that night to be close if my dad needed help in the middle of the night.
Fortunately, the night went well and my dad only had to get up a few times to give my mom her pain medication. It was a nice night sleep and I was finally sleeping with my wife and daughter and I was together with everybody that I loved most in the world.
Welcoming the End
The Early Days After
Treading Water
Over the course of the next several months, it seemed I could barely keep my head above water. Here I was coming out of one of the hardest years of my life and I still felt like I was drowning. I had done some reading about grieving and the grieving process and got it narrowed down that a typical person mourns from anywhere from six months to 18 months.
I believe the whole experience had pulled my family closer together and had broke down some barriers that I really didn't pay any attention to before, but on the other hand, I started to see things I didn't like; particularly with my dad and sister. Many of these realizations had come about with a little help from my wife, who has a very keen sense of finding problems in just about anything. This isn't a negative thing, more, it is her way of paying attention to the minutest of detail.
It seemed as time went on, I thought I was doing okay, and other days, I wasn't. It was really frustrating deep down inside to know that I had lost my mom and nobody really acknowledged it. Sure, we all talked about her and had very fond memories of her, but there was never really any closure. I didn't know what to do. I remember one day going through a rough time and my wife asked me what was wrong. I told her that I was just having a tough time that day in dealing with my mom. Her reply was pretty shocking. She told me I just needed to get over it and that I needed to go to counseling! She was tired of being ignored over the past three years and that she had sacrificed so much of her life so I could take care of my mom and family, she wanted me back. She wanted me back to how I was before my mom got sick.
I'm not one to think quick on my toes, but if I were, I would have lashed out back at her for that comment. Even looking back on it now, I still think it was uncalled for. My wife is a type A+++ personality and I'm a type B-- personality. Opposites attract, right? Well, with her personality, she is always going and never has time to stop and smell the roses. She has high expectations of everybody around her; her parents, her brothers, our daughter, me, and mostly herself. Given this, I knew it was just her personality, but did I deserve to be talked to like this given my circumstances? I didn't think so at the time, but looking back even deeper, I'm sure I could have tried a little harder to acknowledge her and everything she had sacrificed during this difficult time.
Something that I think could have helped my family, as well as most people is acknowledging the deceased. As Americans, it seems that we don't have any value system in place to honor those that have left us. Other cultures around the world have a grieving process that is healthy and deals with the loss. Besides being a gluttonous, materialistic, and goal driven society, we don't take the time to honor those who are gone. I think it would help to look at other societies and cultures and learn from what they do to mourn and grieve their loved ones. Yes, it may be inconvenient, but it is healthy and productive. Having something like this may have helped me get through this time and have my wife be more understanding of just those "days" I was in a funk.
Needless to say, there were some internal struggles between my family, my wife, and I. I was the rock that stood up during my mothers final months and pulled out family together, but unfortunately, was not the rock at home to be there for my wife. Because of this, I think there was some resentment from my wife every time I mentioned something my family did or wanted to do.
My dads birthday and my parents anniversary were one day apart in January. I remember my sister wanting to get together the family and friends for a dinner in the city. It was scheduled for a Sunday night at an Italian restaurant at the end of the same weekend my wife was scheduled to go to the mountains to spend time with one of her best friends from high school. Because I would be at dinner on Sunday night with my family, my wife would be coming home to an empty house and would have to put my daughter to bed. My wife was not happy about this at all and forbid me from going to this dinner.
Why would she put her foot down on such a thing? I asked her and she said that it was stupid that my family was getting together for a dinner for my dads birthday. Why did she have the right to judge if it was right or wrong to have a birthday dinner? Her other reason was that I didn't tell her with enough notice that the dinner was happening. What did it matter? She was going to be gone anyway! Her argument was that she had a tough time giving our daughter a bath and putting her to bed. She was going to be tired after a weekend away in the mountains and didn't want to deal with it when she returned. To this day, I still have no idea why this was such a big deal!
We were on our way over to see my dad and sister and her family at my parents house one weekend when this topic got brought up again. My wife told me that there was no way she would let me go to this dinner. I told her it was very important for me and that I would be going. She then gave me an ultimatum that if I was going to go, she would be canceling her weekend with her girlfriends because she could not handle our daughter on Sunday evening. Well, that was not my favorite weekend, and my family saw some qualities in my wife they had never seen before. She treated me poorly and yelled at our daughter a lot and had no patience whatsoever. My dad and sister kept bringing up the subject of the dinner with my wife in the room and I said I couldn't make it. They said I had to come and there was no reason I couldn't come. My wife stepped in and said I was just too busy and that I couldn't make it. When we were going home, we had a vet appointment for our cats that afternoon. I remember we were running just about on time, if not a little late. I went outside to start up the car and it didn't start. We had a dead battery. My wife came unglued!!! She started yelling and created a huge unnecessary scene that my dad and sister still comment on today.
Getting back to the dinner... As the week approached for the dinner, my wifes friend called and canceled the weekend up in the mountains. I forget what it was about, but I think it was because of a snow storm or something and that they wouldn't be able to make it up. Because of this, my wife gave me the "go-ahead" to go to the dinner. To make a long story short, I made it to the dinner, had a GREAT time visiting friends of the family I hadn't seen in years, and my uncle, who I have only met a couple of times in my life. It was a night that I am very glad I was able to be a part of. Unfortunately, however, my wife still uses this dinner as ammunition any time my dad or sister want to do something. She still puts her foot down that their ideas are stupid or aren't communicated in time and that she is still mad that she had to cancel her weekend with her girlfriends and miss the weekend in the mountains. Wait a second? Didn't she say that the weekend was canceled earlier? She sure did... I don't even argue that point anymore - it's not worth it.
I know I got off track a little bit there, but thought I'd point out one of the many rough points we went through. On top of the stress of having just lost a parent, we were also facing some rough economic times with our house. Making headlines around the country was the fact that the long lasting housing bubble had finally popped. Many bad loans were given out by the banks and people could not afford to pay them, leading to records in foreclosures. We were caught in there somewhere. We did have a loan that it turns out we won't be able to afford when it goes from "interest only" to "principal and interest" in just over a year.
My wife, being the task oriented and goal driven person that she is, set out to work with the bank to see if they could adjust our mortgage or do something to help keep us from going through foreclosure. This was a very stressful time for her and I. I wasn't aware 100% of what was going on, but I did know that the news was always there talking about the problems. My wife had always handled the finances, and even did an excellent job in getting me out of debt when we moved in together after college.