Total Pageviews

Friday, June 1, 2012

does anyone have a sharp pencil?


It is not yet 09:00 and I am blogging.  There’s your first clue.

At 07:20 Rich is awake and agitated.  Alert and oriented?  He’s 2 for 3.  A bit confused about location.  He wants medication, he wants answers and he wants out of here.  I get him calmed down, and while we’re waiting for the nurse to bring his medication, he looks me square in the eye and clearly asks

“Why are you pushing me to die?”

  …….here in round 334 of this tremendous bout, we see the contender, slowing a bit, but managing to stay off the ropes….not quite as fast with her footwork, and we’re noticing some hesitation on her dodge and weave…….   OOOooooh, ladies and gentlemen, she just took a terrible blow to the jaw….blood and sweat sprays across the ring……looks like her knees are buckling…….will she go down?…….can she survive another 10-count? ………..wait, wait……she’s staggering……she bounces off the ropes…..staggers back to  center ring……..ladies and gentlemen……unbelievable……the crowd would be on their feet but they’ve all gone home……

“I’m sorry, Richie.  I thought you wanted to ‘go’.  I’m not pushing.”

“Yes you are.

“Sorry, Captain.  I misunderstood the orders.”

“I don’t need you pushing me around here,”

One of the Voices says, “Alrighty then!  We’ll head on down the road.  See you at the funeral home!”
While I remain silent.

He tells me, less clearly now, that he’s working on a Plan.  I ask if I can help; he tells me to stop pushing him.  For a split second I think “yeah!  my work his done.  I can go.”

His eyes are getting glassy, words increasingly slurred.  Familiar ground for me.  If there’s anything I know well it’s how to communicate with a falling down drunk and this is close enough.  (Thank you for that skill set, Mom and Dad).  

He tells me he’s working on a plan….take a few days….working on a plan….what is this place?……
He wants water.  He closes his eyes.  He raises his head and looks around the room, lays back and 
closes his eyes.    “…not sure how to do this…..makin’ a plan…….be about a week……..”

As of 18:00 on May 19, 2012 my husband pulled several threads out of our Tapestry.  Since that time he has not told me he loves me, he has not called me Pupshn.  He will not maintain eye contact once he recognizes it is me.  He continues to flow politeness, gratitude and boons upon all who enter his room.   For me there are only requests and directives. He reaches for everyone’s hand but mine.  

STOP RIGHT WHERE YOU ARE.      DON’T YOU DARE PICK UP THE PHONE TO CALL ME.  

Because if one more person tries to comfort me by reminding me that “you know Rich really DOES love you.  You know you can’t take in anything he’s saying now.”   blah….blah….blah…..  I swear to god I will throw up on your shoes.  And if you’re not standing in front of me, I will navigate my way to your closet and I will throw up on ALL our shoes.   

 I’m not stupid.  I know.  Sometimes knowing a thing just don’t make it better.   If that doesn’t make it clear, then I guess  you just have to be there.

There are two.    2.      TWO  people on this planet who are allowed to advise me on what I’m experiencing and how I’m processing this and they both have the decency and common sense to offer that advise in the form of a QUESTION.   They are my ground control    Unless you have received a message from Alanis Morrisette,  Ben Affleck, Matt Damon, Chris Rock AND Alan Rickman, please assume you are not one of the TWO.  I do however greatly appreciate all other kind words, prayers, well-wishes, blessings, hugs, and wisecracks directed at or about me.  Keep ‘em coming.  And it’s okay to tell me I look tired.  You can tell me I look like shit.  I’m the kind of warrior that takes no offense if someone comments on my war wounds.  Please don’t feel obliged to state the obvious.  Not only do I not require your directives to eat, sleep, take care of myself, the volume of such directives has reached critical mass.  I assure you.

I would, however,  appreciate it if you’d let me know if I failed to properly wipe my nose, if I’ve gone a bit too far past bath time; if one of my cowlicks is out of control to the point of distraction; if my fly is open; if there is toilet paper clinging to my shoe or waistband;  or if I’m starting to scare people.

Actually, just about everything that comes from those close to us has been greatly comforting.  My knee-jerk with the shoes a-la-vomit comes from the occasionally friendly intention gone awry and for those I will spare their shoes, but I am at the point where I will retort with “Really?  Ya’ think?!?!”  

Those at greatest risk are the complete strangers who have mysteriously acquired the Right to interject themselves into my marriage and interrogate me on my flight plan.  

Doctors’ signatures for hospice were not yet illegibly dry on the paperwork when there appeared at the doorway of Rich’s room in ICU a hospital chaplain.  At his heels was a junior hospital chaplain.  I assume she was his junior because he talked, she listened, and occasionally he looked over his shoulder at her with a look that I read as “see how nicely I did that?”

The first time he appeared my eldest son had the bad luck of being in the best position to intercept him before he could come in the room to see me.  Joe was polite, explained this was not a good time,  family was not in need of outside spiritual counseling because we already had that covered.  All of this was relayed to me shortly later because I asked, quite certain that I had caught the scent of a religious figure head in the  nearby vicinity.

Thirty minutes later I am standing outside Rich’s door to give him the private visit he had requested with two people.  Lucky me, here comes the chaplain.  I must have been wearing a sign that read “The Wife”.  He zeroed in on me like a starving mosquito.

This guy had to be at least in his sixties.  He introduced himself to me as “the chaplain” --(no names please) and said  “and YOU are?”

“The Wife.”

His mouth starts moving, there are sounds---something about being alerted that the patient is going to Hospice and this is the service they provide.   I thank him very much but we have that service covered, and he responds with  “and the Patient’s name?”

“The Richard.”

He’s talking again, like he’s explaining all the many things I’m ignorant of…  Like what CCO means, and what the word hospice means……   I try to stop him a couple of times with assurances of my deepest gratitude and most desperate wish that he not trouble himself further, and we most certainly have all of this covered.

He talks over me.  Apparently it is absolutely critical that he is convinced that I “know the proper words to use with Richard at this time”, because he refuses to let that question to me go unanswered.

Family and friends are leaning against the walls outside his door. I decide it best I not make eye contact with any of them, because any second now the Death Ray may start shooting from my eyes.  I stop eye contact with The Chaplain because I don’t know what state penal code has to say about murder by ocular death ray.  I stare at his tie, certain hat he believes I am hanging on his every word.  I’m trying hard to maintain calm and prevent harm, but this is reaching the level of the absurd, and another two failed attempts to assure him of the sanctity and privacy of our marriage is dragging me towards anger.

Out of the corner of my eye I can see that my brothers Irish complexion has gone fire engine red, I know he’s coiled, waiting only for my signal.    I almost want to ask the chaplain where he got his training, because that’s some shit that needs to be investigated.  I’m aware of my brother’s readiness, I’m aware of the shock and disbelief that has descended like a fine mist in this hallway.   Unfortunately none of this is enough to block the receptors in my weary little brain that are still able to receive and process the words that are coming out of The Chaplain’s mouth.    My responses are no longer necessary.  He continues to fill the air with the most self-righteous, holier-than-thou, vaguely Biblical, thoroughly putrid, saccharine-coated load of crap that I have been forced to listen to since I was nine years old  and got dragged to a tent revival meeting so a pentecostal preacher could scare the evil out of me and save my wretched soul.
Maybe my grandmother was right.  She always told me the strawberry mark on my forehead was the Sign of the Devil, proof I had evil in me.  That would explain the beacon I am for all persons with higher training in certain religions.

I am frozen.  Except for one teeny, tiny muscle under my left eye that must have twitched.  All the sign my brother needs.  I’m staring at the floor, but in a nano-second before it happens, I know my brother is about to spring forward.  In the next nan-second I perceive the beginning of his propulsion towards the Chaplain and then….

This is one of those times when it is SO helpful to have a son who has ten years of experience as in inner city cop with SWAT training.  Now I’m aware that Joe has been watching this pot simmer, assessing, waiting, on the ready.  Instantly he is blocking his uncle’s trajectory, facing the Chaplain, calmly and politely explaining again everything he explained thirty minutes ago.  

The Chaplain ignores him like I’m the only one in the hallway and continues on with his interrogation of me…

One of the Voices says with a Yiddish accent, “Would someone PLEASE show this poor, dumb, asshole the way out of town?”  Once in a while I wish I wasn’t the only one who could hear the Voices.

A truly good cop is never out of uniform.  I watch Joe gently take the Chaplain by the elbow that will pivot him away from me.  “Sir.  You and I are going to step down the hall here and talk.”  IN uniform I think Joe might have gotten him a little further down the hall with a bit more ease.  But it was far enough that others could close ranks around me.  I could  hear Joe’s gentle yet firm voice like he was on the scene of a potentially volatile domestic.  Tense, precarious, but in the right hands still hope that no one would have to go to jail.  

I feel myself starting to tremble from the flood of relief, anger, awe, and something gushing from my open, gaping wounds…  The next few minutes were a blur, then I was re-focused.

After such an event you need a de-briefing.  It helps.  Trust me.  Two, maybe three times I needed to hear what others present saw and heard.  I needed them to tell me that I had not behaved poorly and they understood my perception of the event.  I needed vindication.

So here’s another TIP you can take from this blog.  I don’t care if you’re admitted for a head cold.  When they ask you on admission about your religious preferences.  “None”  is NOT the best answer.  Tell them something, anything that assures them there will be an official of YOUR religion  in control of your spiritual care and feeding.  The answers “none”, “atheist”, or “agnostic” creates an uncomfortable void that they WILL find a way to fill and correct.  Final warning.   I’m just saying’.

Short time later I am told hospice has a bed and transport is scheduled within the hour.  

Everyone wants to assure me that if the poor, dumb bastard shows up again they will take his learning to the next step.  I rear up on my hind legs and let it be known that if he comes back I will be the one to handle it.   So it is said.   So it shall be done.  I detect a glimmer of fear move across faces like The Wave in a stadium so I explain.

I get a glimpse of that man entering my space and I will totally ignore him as I call the nurse and ask her to please call Security.  Why?  Because I guaran-fucking-tee you that nothing any of you say will kick him as hard in the ass as a call to hospital security with a complaint  from family that they are being harassed by the hospital Chaplain.   I didn’t work here three-plus years without learning a few things.   This ain’t my first rodeo.

In no time this circus is packing up and ready to move on to our next destination.  I’m almost disappointed I won’t get the chance to kick this guy in the nut sack..  I shall content myself in the knowledge that he will pray for us. Pray that Jesus will unlock my cold heart and damaged soul that I might see the Light and be guided to Salvation.  Praise the Lord..

No, really..  There’s more,

Two days into the Pre-Paradise of hospice and I’m just getting comfortable when….  I step out of Rich’s room to give him a private visit with the person(s) at his bedside.  Ten steps round the corner to one of many lovely family rooms.  There is my brother and Alicia.  Sanctuary!

Think again.  There is a man sitting at the table in a a dress shirt and tie with an important looking notebook open in front of him and he’s taking notes, and clearly Christopher and Alicia are fueling his rapid scribbles.  

Fuck.  Double Fuck.

I will try to place this in a nut shell smaller than a cocoanut.

This is the hospice Social Worker.  I’m thinking a serious cringe is in order but Chris and Alicia seem calm and this guy, introduces himself as Dennis.  Dennis the Menace.    Because his name IS Dennis but he’s here to perform a task that the Government requires be done in order for the hospice facility to maintain their license.  “So I know I’m a Menace, but just a couple of forms for me to complete and then I won’t bother you again.” 

I love forms,  Just hand it to me please and I promise I will fill it out and turn it in before the end of the grading period so someone can determine if I pass or fail.

It doesn’t work that way.  He has to do official Social Worker stuff.  Thank you, Jesus, Chris and Alicia have already provided the fodder for most of the blanks so all that left are the blanks that can only be completed by information from The Significant Other/Family Member in Charge.  Fuck.  That’s me.

I’m not going to enjoy this but as a nurse I understand government/insurance demands, and he’s actually being quite pleasant about it.  I could almost like this guy.  The Facts about Me are pretty painless and easily recited.  This ain’t my first rodeo.  Just as I get comfortable with the game I know so well, he deftly guides me into his assessment of Me, Rich and this current Situation.

Hang on, maybe this guy can sling the same shit with a different spin.

Three questions later and I am no longer mildly amused.  Either Dennis’ questions stem from  zero background information, OR (and I’m going with option TWO)  If you have the soldier recount the battle enough times he will be magically cured of his PTSD.    Dennis.  you disappoint me.  Game On.


One of the Voices is whispering in my ear, “float,  just float.  Try not to scare the man.”

I float.  I try not to prepare split second responses meant to sound “normal”, but only sound canned. sound normal as you satisfy his government form and make him go away.  I suspect I am facing a worthy opponent.  I relax enough so that he can see I am relaxed.  I allow what I can only hope is the appropriate text book amount of emotion.  I am sucking energy from Christopher and Alicia like a junkie.  The anticipated questions of my relationship with Richard begin.  Dude, I would be more comfortable recounting for you the details of my distant memory of our wild hot monkey sex, than give you one tiny drop of the current intimacies of our last three years together.   I offer a meek smile, wondering if his skill set is adequate to read in my eyes how desperately I want him to shut the fuck up and go away.

But he’s so nice.  He’s so calm and easy and unobtrusive.  He’s Polite.  I love polite.   Feel like cutting you some slack, Dennis.

He wants me to tell him about Richard.    Oh.  You’re good, Dennis.  “he’s magical,” I say with reverence.  Yes, he’s heard that from everyone.  He knows about my birthday party.  He’s got specific information that can only come from certain sources and I know those sources.  My move.

“Well, there you go.  You know everything there is to know about  me.  And Rich. And our “Situation”.  Just sorry you didn’t get to know him for yourself.”        Because then I might not be dancing backwards in high heels.

We both dodge and weave.  Quite a lovely dance.  I am crystal clear  that he is Fred Astaire, and I’m just Ginger Rogers in high heels and dancing backwards.

Every question is couched in apologies and explanations and I’m feeling this guy is not a bad egg.  

Next item the government requires.  He has to present to me that there are services available to help me through “This”.   I feel the urge to channel Lewis Black--a one hour stand-up on “This”. 

There are   Counseling Groups.  Only I can hear my brother stifle his laughter, knowing that my knee-jerk response is “I wouldn’t join any group that would have Me as a member.”  I explain I am not a group person.  At this point even I can tell I have driven too hard a point on assuring one and all and the heavens above that I have a phenomenal support system (got the lingo going) and really, really, truly, I’m okay.  Got my peeps.  I’m close to assuring him that I am crying the correct amount of tears and expressing the healthy level of anger and fear.  And I swear to you on all I hold dear and sacred that my calm comes from the socially acceptable reliance and faith in the One True “God” most acceptable in this small sector of a Judeao-Christian society dominating this hemisphere on this planet.  Are we Good???   Can I go now?

Then he asks me if I plan to take Richard home.   Shit .I was SO not prepared for the whiplash resulting from THAT question.  Or you fucking stupid?  Deaf? Clueless?  Still working your government form check boxes? Or you still don’t get where I’m coming from?  Are.  You.   Kidding me….?

I might have laughed out loud.   “No.  We’re here for the duration.  Next stop funeral home.”

Shit.  Fuck.  Damn.  Wrong answer.  

He’s explaining and apologizing for the question but I’m listening to the Voices.  Breathe, float, breathe, float.  I have now disconnected and the conversation has drifted into what I pray is a satisfying end for him and his government form.    Nearing the Finish Line, I’m so relieved that I begin to gush gratitude and praise on all things hospice--nurses, doctors,  the staff, the volunteers, the gardens, and just when I reach the point of praising the light fixtures in his room one of the Voices channels Pyett and pulls me back by the scruff of my neck.

I grew up believing in the Nature of Life.  The mystical, basic, simple acts of Birth and Death.  I grew up with an understanding and reverence for the basic right to Privacy.  Bah-zinga!!

I’m at an age far enough removed from Birth that I can’t help you there.  An age that brings me to center stage with Death and I’m here to tell you that it is no longer personal nor private.  It is a play in which you are neither the author, nor the director.  You are merely an actor on the stage, and only… ONLY if you’re lucky will someone hand you a script so that you know your lines and the basic plot line.  Improv is a very exhausting way to spend each waking moment, no matter how good you are at it.  And I’m not that good at it.  

You might want to NOT be the next person to ask me if I need anything.  Because what I need and may request is a sharp pencil.  So that I could thrust it into my eye.  I’m thinking a sharp pencil in my eye is about the ONLY adequate, welcome distraction from this high-heeled, backwards, Ginger Rogers flowing, glowing dance through the fucking shit-storm bureaucracy of the natural act of dying.  








Thursday, May 31, 2012

sometimes you have to be there


You can hear about a thing, and have it pictured in your mind.  And maybe the picture in your mind is a perfect portrait.  

Sometimes you just have to be there.

I’ve been to hospice facilities before as a visitor.  I was impressed.  Hospice is dreamlike in it’s perfection and serenity.   Visiting hospice is like standing on the sidewalk peering into a beautiful restaurant.  You can stand there for hours and think you know.    I assure you,  you will never fully know hospice until you are the decision maker for the person in the bed.

There’s nothing more I can say.  You just have to be there.

Day three in transitional paradise.    His brother relieved me last night because I learned that I cannot sleep in this place.  I tried.  At this point I can only tolerate so much tranquility.  Every time sleep grew near I found that I was listening to his breathing.  No thoughts, no tears, no worries.  Just listening to his breathing until I fell into it’s rhythm and drifted with it.  Startling awake at the occasional absence of breath sound, darting to his side, holding my breath….and then he would breathe again.  And the cycle would begin again.  Over and over, all through the night.  That is pretty damned exhausting.

Yesterday he had some nice visits, but his energy and wakefulness was half what it was the day before.  They give him medicine for pain and anxiety every time he asks.  This afternoon he sleeps between requests.

Now and then a tear slides down my face, usually brought on by seeing someone else struggle with Rich’s condition.  Other than that, I haven’t cried in days.  

I don’t know what he’s holding on to.  

It is surreal to be in this spa-like setting sitting beside a hospital bed, the white noise of his oxygen mask, the ever shifting rhythm of his breathing, wondering where my husband is.

Late in the evening of our first day here I opened the french doors and stepped out into the garden.  The grounds here are beautiful in the daytime with winding paths, waterfalls, bird feeders and bubbling fountains.    At night it is magical.  The lighting along the paths is so perfect it’s easy to pretend that a handful of stars have been scattered about, hovering just above the plants.   In the daylight I can’t see any wires or lighting fixtures.  Maybe they ARE stars.

He seems to have taken a turn since I got here this morning.  It’s a far greater struggle for him than it was yesterday.  His words are weaker and harder to understand.  There’s still an occasional wisecrack.  He tells my brother he’s looking forward to whoring with Benjamin Franklin and chuckles.  He smiles every time he opens his eyes and sees someone, struggling to bring them into focus.  He tells the nurse he’s sorry for bothering her when she brings his meds.  He asks me what this place is and why are we here.



He says he wants to go.  I tell him he can.   He tells me  he’s on the edge of a cliff.  I tell him he can fly.  

He tells me I have to get behind him and I ask him why.  He answers, “so you can push me.”





Wednesday, May 30, 2012

No more plans


Remember that plan we had ten minutes ago…. well, about that.

Sunday I learned that Rich had not forgotten my birthday in the hailstorm of all he’s dealing with.  He planned, and with the help of some amazing people, managed to surprise me with a beautifully catered meal served on china, linens and crystals.  He had a card for me an a beautiful gift.

I was overwhelmed.  It was lovely.  And for right now that’s all I can say about that.

I went in to see him Monday morning bright and early.  He was tired, but rightfully still glowing from yesterday’s accomplishments.  I shaved him.  He took a break to rest up for a bath.  He slept for quite some time.  I sat comfortably in my chair and watched him, thinking and feeling more than I can offer here.

We had a nice quiet visit with two of our best friends.  Gradually he became out of breath, and we both dismissed it to the swelling, the talking, and he just needed to get rest some more.

Later in the day his struggle took a sharp turn, we called the nurse.  She did a bucket full of nursing in 45 minutes; called in another nurse to double check, called the doctor; and gradually Rich returned to a comfort level that prepared him for a good night’s sleep.  I went home.  It’s been a tough weekend and after that fluke of a five hour nap I’ve gone back to a maximum of 3 hours a day of snooze time.

I sat on my couch with a cup of tea and a book in hopes of winding down and getting some sleep. The book wasn’t going to work because I’ve got three cats crawling all over me, purring louder than my thoughts.  Purrs that translate in English  “Where is HE?  Where is HE?  Where is HE?”

 Maybe a hot shower, maybe a glass of wine with my own best friend….  My cell phone rings as I’m heading to the shower.  I have to come back to the hospital.   The breathing problem returned only worse.  It’s time.  Come now.

Sadly, I did not count the number of times I said “fuck” from hanging up my phone to hitting the square silver button to gain access to the magical glowing hallway that sucks me down the lovely wood floor to the end of the second hallway to his room.  

Fast forward, because really, that’s what it felt like.  People in the room,  discussions, nurses on phones, his brother trying to bring me up to speed and as I finally enter his room I see he’s on a re-breather mask, connected to a pulse ox and the furniture has been moved.  Oddly, it was the moved furniture that gave me full perspective--he’s going somewhere.  Soon.  And probably quickly.

But first, a word from the sponsors.  Yes, another chest x-ray.  He’s gotten one daily for I have no idea how many days, but today’s a bonus and we’re going to do another one.

My head is spinning because “we” talked to Rich, and then we talked to the doctors, and then we turned everything over to THE Palliative Care Doctor.  But when I query all of the other medical experts in control, the question of “what does Dr Petrus say bout this?’  is met with,  well,  Hmmm.  Fucking nothing.  I can’t even find out if the palliative care doctor knows what’s going on.  

I’m trying to focus on Rich, I’m trying to assess the insanity around me, I’m trying to get information.    My whole life I’ve had a near phobia of drowning.  Not so much anymore.  

My first clear, insane thought was “did I call Pyett?”  Even now I can’t remember at what point I made that call.  Was it on the way back to the hospital?  Was it in the hallway outside Rich’s room?   Not sure.  But not long after I got there,  he and Mike Lewis were there.  Rich’s two best friends from high school.  Suddenly I felt safe.    Two people who had the picture but hadn’t drank the Kool-aid.  More importantly Pyett had once saved my butt from an almost assault charge so now I’ve got the both of them.  Yee-hah.  No matter how this rolls, I won’t go to jail and all these people will end their shifts without experiencing physical harm.

For two hours I listened to a scary level of plans, confusions, changes of plans, starts, stops, if-then statements to beat the band.  

At some point Dr Peiffer was there.  I was startled because 1) PCPs don’t go to the hospital (except for that special visit on Saturday for Rich)  and 2)  she was in scrubs with her official white coat over it just like residency days, and it was nothing like a quiet Sat afternoon visiting a friend.  She was fully present, professional  and  ready to enter the fight.  I’m thinking I need to give Pyett and Lewis a heads up that there might be two collars they have to grab back from misdemeanor assault.    Before I can do that Lynn appears.  

Minute by minute this tiny microcosm spins out of control.  I’m picking up on things, but I’m too sleep deprived to trust my Spidey Senses.  I catch random glimpses of the people I trust.  Each of them seems calm, like they know their lines and they’re just waiting for their cue.  
There are too many people and shit is happening too fast and none of it is what we had planned this morning.  None of this sounds like palliative care.  I cannot get anyone to tell me who’s in charge here and why isn’t Dr Petrus writing these orders??

On the periphery I catch Dr Peiffer every now and then.  She’s talking to people with her big white, shiny  grin, but I know when that grin is not “happiness to see you.”  Before I can process that she might be going way too far out on a limb for a hopeless cause, there’s another Doctor of Something telling me what is JUST ABOUT TO HAPPEN, and do I have any questions.   Spinning, spinning, spinning and not burning a gawd-blamned calorie!

So much happened in that small space until I was walking down hallways behind Rich’s bed with the staff navigating our way to MICU.  Confession:  other than Lynn and Dr Peiffer, I can’t remember who was really there and who I just imagined was there.   More time and more words and a blur of faces until finally I am curling up into a hard chair beside Rich’s bed trying to hold his hand without dislocating my shoulder against the side rail of his bed.  The last time I looked at the clock it was 02:30.  AM.

Next I looked at the clock it was 05:15.  AM.  Multi-colored monitors glowing and beeping, two IV pumps pumping away and a bi-PAP mask on his face forcing air into his lungs through a big tube with lots of noise.   

Ground Control to Major Tom……

When I took this mission as his wing man I was sort of hoping we were going to keep it within the Earth’s atmosphere.

He wakes up.  He can’t talk because of the mask.  One labored word at a time he tells me “I…didn’t….think…make…..it…..through……the……night.”  I tell him, “neither did they.”

At some point shortly, Dr Petrus appears, and he looks pissed. His expression makes feel a bit hopeful.  I don’t know the man, but I’ve had almost three hours of sleep so my Spidey Senses are tingling.  He flat out tells Rich what’s what, explains why where he is at now is not in his best interest, offers a plan and Rich nods agreement.  I try to keep myself from gushing gratitude.    Short time later the nurse lets me know that orders are written and I need to call everyone I want to be at bedside because our window of opportunity is small.   Once the orders are executed he may go quickly, but comfortably.  They’re not sure if there’s an available bed at hospice, and they don’t think he’ll survive the transport.  I’m all about letting Rich believe he’s coming home like he wants.

Part of that palliative care Plan was to take Rich off the bi-pap that was forcing air into his lungs sufficiently, and putting him back on a re-breather mask that was less sufficient but more comfortable and would allow him to communicate during his remaining time.  So guess what happened….

Once Rich could talk, his breathing got easier.  People stepped in softly, prepared for his last moments.  Rich being Rich, he took center stage and held court and kept the room laughing.    All of these wonderful people know how to let Rich be Rich.  It seemed a well-choreographed musical--the only music being the background noise of the MICU.  It flowed so beautifully that I felt comfortable enough that I could slip away to the restroom down the hall and puke my guts up.    There was only one unwelcome interloper, but the whole incident was shielded from Rich and it will require it’s own special blog post.  There were a few unexpected visitors but that will also require it’s own full blog post.


Fast forward--hospice had a room, doctors felt Rich was safe to transport.  I had a two hour window to go home, shower, throw a bag together, livery the pets and meet him at hospice.

I managed to accomplish all I needed to do during my break and I hit the road, feeling peaceful, strong and refreshed.  Until about fifteen minutes of driving when I suddenly realize I’m heading towards the hospital.  Totally wrong direction.  At the point I’m at, I don’t know how to “get there from here.”  So I have to turn around go back home and start from that position.  I’ve got a clear map so I’m not panicking.  I didn’t panic getting stuck behind a school bus.  I didn’t panic at each long red light.  I did not even panic when a fender-bender caused a 15 minute delay.  

I didn’t panic until I turned off the road I’m familiar with onto a road that I’m not familiar with and realize that my cataracts are so bad I can’t read any of the road signs.  I’m struggling so hard with my vision that I don’t answer the first two incoming calls.  I answer the third call because I accept that I’m lost and my two daughters-in-law navigate me in.   Bah-jezzus.H.Kryste.  No wonder Rich is afraid to leave me.

I make it, butterflies in my stomach as I step out of my car and prepare to enter a whole new world.