Showing posts with label dying. Show all posts
Showing posts with label dying. Show all posts

Monday, April 13, 2009

I Came to Nurse Him to His Death: Sid Straley

The following poems were written by Sid Straley, as she was dealing with the recent passing of her father.  I am very pleased to be able to share them here because they give a clear and beautiful glimpse into the experience of death and grieving.  Understanding how the mind and heart work at times like this can help those of us who grieve, to know that we are not alone in this fog.  This work is also for those who want to help and comfort the grieving, because to help, one must first understand the reality of grieving. 
Thanks to Ms. Straley for sharing this work and the photos that accompany it.  More can be seen on her Stumbleupon blog.

i came to nurse him to his death.

sunday, i sat in the home, holding his hand,
reassuring him, between tears, "we are taking you home."
he whispered to me, "you sound like a little piggie."
i snorted back my running nose and laughed.

monday, his body, half-paralysed,
he demanded tylenol as the ambulance crew
loaded him onto the gurney to make the short journey.
it was the loudest i would ever hear him speak again.

settled at home, tylenol administered, i asked,
"are you in any pain?" he felt the need to define this term.
his reply: "i am not in pain like i hit my thumb with a hammer.
i am in discomfort. my head, my neck, my shoulders.
when am i getting the good medicine?"

rather distressed, he waited as patiently as possible.
he asked again, "when is the good medicine coming?"
he stated, "my body feels all messed up." in a small voice.
a voice that required my ear to press nearly to his lips.

"what is happening to me?"
i answered honestly, as he would want,
"the tumour in your brain is growing. it is shutting down your body.
we talked about this happening. your brain is sending wrong messages
to your body because of the tumour in your head."
he did not reply, but he winked at me. a signal of understanding.

the delivery from the chemist finally arrived. i walked to his side
and announced, "i got the good stuff! hardcore!" he gave me a smile
and a thumbs-up sign. i began the task of drug administrator.
syringes to the correct mL, log book detailing meds and times,
white cranberry peach juice with a bendy straw to wash away
the bitter flavour. his favourite balm to soothe his dry lips.

learning to roll and reposition him. always checking his pain levels.
sitting by his side. holding his one strong hand, his right hand.
trying to understand as his voice faded even more. a cool
flannel applied to his forehead. talking to him about nothing...
about everything. knowing our time together was limited.

tuesday evening, he mumbled...
"fox hunt!" more mumbling...
"ah, what the hell do i know?!?" he clearly pronounced.
he slept, he snored. we sat, in turns,
holding his delicate but firm hand.

my respite would come at 11pm each evening,
the night nurse. i was to rest. i was to sleep.
instead, i stared at the ceiling in the dark.
anticipating the knock on my door.

wednesday, no words. his breathing slower,
deeper, but strong. he still sought us out with
his right hand. waving it in the air until one of us
took hold and stayed with him. sat with him.

voluntary swallowing was no more.
i crushed tablets and mixed them with juice.
syringe to spoon,
who knew how useful that skill would prove to be?
speaking all the while, sliding it deep into his mouth,
waiting for an involuntary "gulp" of his throat.

thursday, his temperature rose to 104F.
the nurses let me know what to expect in the
next 24 hours. medications were precisely dosed,
even though i knew it was almost over.
his hand no longer reached out to us.
it lay calmly on his chest.

i sat. i held his hand. i spoke.
i swabbed his mouth with cold water. i applied lip balm.
at midnight, i told him what he already knew,
but what i needed to say.
"i love you... thank you... you can go now..."

my brother at my door, crying. we sat on my bed for a few minutes,
holding one another. preparing to wake our mother.
we walked down the stairs to her bedroom, both sitting
on her bed and told her, "he's gone."
the three of us sat together and cried.

his death certificate reads "time of death: 6.00am"
it was 4.09am.
i plan to bet the fourth horse in the ninth race.
i can only hope the odds are 13:1.



the back story.

we all took turns with him,
except for her.
she busied herself in her kitchen
as much as possible.

she greeted guests at the front door,
as if it was totally natural
that he lie in a hospital bed
in their formal dining room.

"may i offer you a drink?"
friends and acquaintances shuffled
through the foyer, past him, to the large lounge.
"here is a coaster for your glass."
lord forbid the wood be marked,
sweating, little circles,
shadowed halos, on her tables.

"how is he?" she would ask me.
he was feet away from her, but
she could not go to his side.
i was to report to her regularly.

in manic moments, she would break free
from the safety of her kitchen.
almost run to his bed, hugging him.
his once athletic physique, frail and withering.
kissing his forehead, telling him over and over,
"i love you. i love you. i love you."

she had spent six weeks nursing him.
without our knowledge. she did not
want to "bother" us. this strategy landed both
of them in the hospital for a week in february.
she is fighting her own battle with cancer.
she was "clinically exhausted" - she had
not slept a full night in weeks.

they shared a hospital room.
the staff all thought they were so very cute.
they would argue; they would make nice with one another;
they would behave as they had for
53 years of marriage.


i could not be angry with her.
for retreating to her kitchen.
for smiling to guests as he lie dying.
she was in denial that he was leaving her.
after all these years, she could not face it.

the day he died, she repeated to us,
"how dare he do this to me?!?"
she had always threatened to leave him,
but he went first. he beat her out the door.

it was no longer a competition.
it was a loss. it 
is a loneliness.
an emptiness that she never expected
to grip her so tightly.


Photo Credit- George Poellot



leave of absence, week two - the immediate · Apr 3, 10:23pm

 

 

his body was still warm,

no longer burning with fever.

i stroked the peach-fuzz on his head.

his eyes had been closed for two days.

i gently repositioned his jaw,

closing his silent dry mouth.

 

as my remaining family

shuffled briefly from his side,

seeking out coffee at this early hour,

i quietly recited kaddish over his body.

my traditions would not play

a role in the coming week.

 

nor would his. he was an agnostic.

he had experienced the divisiveness

of organised religion first-hand.

he taught us right from wrong, but

always stressed independent and

critical thought. ask "why?"

 

he could not openly protest as

he had less than a week ago,

as the hospice "spiritual counselour"

had us join hands around his body,

reciting prayers now foreign to me.

i stood next to her. all decisions to follow

would be of comfort to her. within her faith.

 

the hearse arrived to remove the body.

i will never forget earl. the archetype of

funeral parlour employee. his appearance

made me fight off giggles; he was right out

of general casting at any large studio.

in his over-sized black trench coat, head bowed,

he solemnly asked us to leave the room.

it seemed we were only in the bedroom

for seconds. but when we emerged, the body

was gone. bed was stripped, a soft blue cotton

blanket professionally draped across it.

her body shook with more sobbing.

i held her close, supported her,

as i had promised him i would do.

 

everyone else went back to bed.

she and i drank more coffee,

between her crying jags, we began

to organise. the week ahead of us -

a series of events to coordinate.

no sitting shiva for me.


Thursday, December 4, 2008

Ask Judy

Advice for the dying, and for those who care about them.
Judy Bachrach

Award-winning Vanity Fair writer and hospice volunteer, Judy Bachrach, answers readers' questions and offers advice for anyone needing help on the most critical part of life -- a last act that, because of medical advances and early diagnoses, many of us are consciously living out for months and even years.
It is her years of work as a hospice volunteer that compelled her to start an advice column on dying for people facing critical issues dealing with death and dying, often with little support.
"The most common and hardest part of life -- facing and dealing with death and dying -- happens to be the very area where almost no help is offered. Hospitals ignore the problem, friends and relatives often don't know what to do, and doctors seem embarrassed by their inability to keep everyone alive forever," Ms Bachrach stated.
As a funeral director and an etiquette buff, I find Judy's advice to be well researched, thoughtful, and helpful. Her site is a great resource for those of us who realize the need to face up to complicated issues surrounding dying and death.


Here are two of the many compelling questions Judy answers every week.
Dear Judy,
I’ll make this short. My breast cancer has recurred, third time; I am 37. We thought we had it beat the first time around. My oncologist has told me to “get my affairs in order.”
One of my “affairs”: My kids, 10 and 9. What do I tell them? Can I not tell them? What do I tell my mother, who has breast cancer herself, but not as bad as me. The prognosis for me is 100 percent bleak.
Sharon in Illinois
Dear Sharon,
I am so sorry about your recurrence, and sorry as well for your children — and your mother. Obviously, you must tell your mother the bad news at once: she will want to know, and she may be a help both to you and the children now, as well as much later when she can talk to the children about you, and probably (if she is well enough, despite her condition) help care for them as well.
Your children also must hear the truth, and I think they must hear it soon. Euphemisms are not a good idea. Phrases like, “Mommy is going away for a long time,” makes them think, in this day and age, that you are getting a divorce. A friend’s young children — when she told them much the same thing — asked why she couldn’t visit them on weekends.
So tell them you love them and that you are very likely dying. Tell them you have tried everything and nothing has worked. There is nothing else to do. I would also, of course, recommend a kind and thoughtful therapist for the children to see, both now and for later. That’s important. And as many relations as you can muster to be with them.
You haven’t mentioned a spouse, either present or former. If you are — or were — married, or have a steady man in your life, he should be by your side. And he should, once you are finished speaking, be there for them.
Thank you for writing
Judy

Dear Judy,
I have a dear friend with a virus in his heart — cardiac myopathy, I’m told, something I’d never heard of before. For some reason he just hasn’t been selected for a transplant. He’s dying. He lives in New York. I live on the other Coast. He says he’s too tired for visitors, and I think he’s also too depressed and plain sad.
I really do want to see him. I can fly out any time. When I phone, I just don’t know what to say except that — that I want to see him. But I also don’t want to put him out, or act like he has to see me when he’s weak and tired and sad. I don’t know what to say or do when we speak. I can hardly bring myself to call, I feel like crying all the time.
Do you have any advice?
Lucy in Orange County

Dear Lucy,
I am so very sorry about your friend. I know you want to see him once more. But he has made this much clear: he is not ready at this time for visits, even from those he loves. To be honest, he may not ever change his mind.
What you must understand is that his reluctance has nothing to do with his feelings towards you. The dying very often are weak and depressed — and patients with very severe cardiac myopathy (about 20 percent of those who get it) suffer especially overwhelming fatigue, in addition to fever, weakened left ventricular functions and bad chest pains.
In other words, visits, even from those closest to them, are tremendously taxing. Also, and I suspect this is the case with your friend, many are worried they might not be able to welcome guests as they deserve. Sometimes the disease progresses even after the virus is long gone. The immune system keeps on damaging the heart.
So for now, I’d suggest offering other forms of love and consolation. Continue phoning, no matter how difficult the conversations. But when you call, be practical. If he loves movies, maybe you might offer to rent some for him from an online video site. If you know his taste in books, you might buy and send a few. If there are prepared foods he enjoys, these too can be delivered.
In other words help out without making it seem a huge effort. He will know by these gestures how much he is loved and valued. And you will feel useful and appreciated.
Thank you for writing
Judy
for more great questions and spot-on answers, visit The Checkout Line at http://www.thecheckoutline.org/wordpress/category/advice/

Related Posts with Thumbnails

Contact Me

My photo
Funeral service faces a crisis of relevance, and I am passionate about keeping the best traditions of service alive while adapting to the changing needs of families. Feel free to contact me with questions, or to share your thoughts on funeral service, ritual, and memorialization. dailyundertaker@gmail.com

Followers