Chapter 19
This is not how my dad would want to live. This was his worst nightmare and what he was fighting so hard against when I brought him to Texas. The nursing staff no longer even gets him out of bed on weekends and during the week, when they do, it takes four people to get him up, dressed and into a wheelchair where he slides in and out of sleep. I have to help him and put a stop to this now.
That night after my visit, I discussed my father’s condition at length with Mike and the kids. Everyone agreed that my father no longer had any quality of life. I told them that I thought it was time to talk to the doctor about stopping my father’s feeding tube feedings. Everyone agreed that it was probably past time.
Monday morning, I called Doctor Maxville from work and asked what were his thoughts on my father’s condition and when he would/should/could be placed on Hospice. His comment was basically that he didn’t understand what had kept my father hanging on so long, other than his feeding tube and in his opinion, Hospice (removing the feeding tube and making my father as comfortable as possible) was the next logical step in his care.
I totally agreed. I have never understood the mindset of those who would put a beloved pet out of their misery, but force an equally, if not more loved, human family member to linger on for years and suffer an inhuman existence. I thought that when this time came, I would be sad, but I’m not. I don’t really feel much of anything at all actually. Does this make me callous? I grieved for my dad years ago while he was in my house losing his mind while I watched. I knew then that the person hurling expletives at my children was NOT my dad and he was essentially dead and gone then. But I should feel something, shouldn’t I? Maybe I will once it’s all finally over. This entire process does strengthen my resolve to head to Oregon should I be diagnosed. It’s almost over, Dad. I promise and this time, I will keep my promise.
Doctor Maxville told me that he would set the process in motion, and have the Hospice people get in contact with me to start things moving. Thank you so much.
Several years prior, I had started chatting in a chat room for the radio show, The Pugs & Kelly Show, which I am a regular call in nuisance, and writing a comedic advice column blog on Myspace. Most of the things that I had shared up until this point had been mostly fluff, but I had written a little bit about what was going on with my life and my dad. Like with my previous online friends, everyone was very responsive and it was great to know that I was not alone.
The next day, the Hospice Chaplin called and said that he would come by my house later that evening to speak to me about the procedures and bring paper work for me to fill out. Wow, that was fast.
He was very nice and none judgmental, which I had been partially afraid of. He said that he had been through the process with many families and understood. He then told me that he would go and meet with my father and that he would have the head nurse, who would be placed on my father’s case, call me as well. I thanked him and he left. The next day, my father’s case nurse called me to say that she would be going to meet my father. She then asked if I would meet her there. I told her of course, set up a time, and then told my boss what I needed to do. The next day, I met with the nurse and after chatting about my father and her actually meeting him, she told me that she understood why I had asked for Hospice to come in and told me what a strong, good daughter I was for having the courage to make the decision. I sure don’t feel like either. I feel horrible that I let him down somehow. I originally promised him that I would NOT put him into a nursing home. I broke that promise in six months. I then promised him that I would bring him home. I only did that for ONE day and that was after several years. Not letting him suffer like this for years may be the ONLY thing that I may be able to do right.
The nurse then told me Hospice’s standard procedure is not to harm, but to lend comfort to their patient’s final hours. I explained to her that I knew all about Hospice having dealt with them with my Mama Moore. She told me that she had some paperwork that would need to be taken care of between Hospice and Doctor Maxville, but as soon as that was done, which should only take about a day, then the process would get started. Again, thank you.
I thanked her for all of her help and then stayed awhile to visit with my father. I told him what I was doing, but I got no response. I did catch him staring at me at one point, I mean actually looking at me (which he would do from time to time) but as soon as I turned to directly look at him and speak to him, his eyes would glaze over and he would be gone again. I’m so sorry, Dad. This is almost over.
That day, for some weird reason, I decided to take a short video of my father and his condition on my cell phone. Two days later, I hadn’t heard anything from anyone, so I called Hospice to find out what was going on. I was told that my father had been admitted to the Hospice system and that his care would now be monitored regularly by a Hospice staff member, but the order to stop the feeding tube feeding had not been given by Doctor Maxville. When I asked why, I was told that I would need to ask the doctor directly. I did just that. When I asked Doctor Maxville what was going on, he told me that he was afraid that I was not “ready” for the decision, so instead of stopping the tube feedings all together, he had decided to cut back on one of my father’s feeding, “to see if that will help nature to take its course.” WHAT!?!? Cutting back his feedings takes him from four 3000-calorie G-tube feedings per day to three. This is something I have been asking you people to do ever since he became immobile a year ago!
I explained to the doctor that I was indeed fully aware of what I was asking and prepared for its outcome, having done the same thing for my grandmother several years before. It was as if I hadn’t spoken at all. He just kept talking about what a difficult decision this was and how he understood how hard it was and that he didn’t want me to do anything I wasn’t ready to do. Hello, is this thing on!?!? What the hell are you talking about!?!?!
I was flabbergasted. I didn’t understand why the doctor had suddenly changed his position and didn’t know what to do. I think I just kind of said, “Okay” and hung up the phone.
I don’t understand. How can the doctor just change HIS mind about this? I had prepared not only myself, but the kids and my dad the best I could for this to be over soon and now he has decided that I’M not ready! What the fuck!?!? This is MY dad and this is not how he would want to spend his days lingering for God knows how long, probably in pain. He could live like this for years and I promised him I wouldn’t let this happen! Now, what do I do?
I called the Hospice Chaplin, since he had seemed to understand my motivation. In talking to him, he seemed as confused as I was and said that it might be a legal issue. He told me that Doctor Maxville might be afraid of the legal ramifications of stopping my father’s nourishment in the nursing home. I asked him if he had any suggestions. He told me that he would talk to the case nurse and have her call me. I thanked him and hung up.
It was several days before I heard back from anyone. In the meantime, I walked around confused and frustrated. I felt like I had failed my father, yet again. To help sort out my feelings, I blogged about the situation on my “Myspace” page. With the help of Dan, one of my Myspace friends, I added the video of my father that I had taken with my cell phone to my blog, so that people could see the condition that they were forcing him to live in. The response was overwhelmingly positive to the position I had taken.
My father’s case nurse finally got back to me and told me that in her opinion, Doctor Maxville was indeed being motivated by a fear of repercussions by the state should he stop the feedings. She suggested that I allow them to cut back on the feedings as they suggested for a few months and see what happened. She also said that in her opinion, cutting the feeding wouldn’t do anything and my father could and probably would remain the same for a very long time, but it would probably be best to let some time pass. I agreed and went back to my regular weekend visits; biting my tongue as I watched my father’s tremors continue to get worse.
Over time, there were a myriad of different small treatments given to my father: to reduce fevers, suction mucus build up, medicate the unexplained tremors away, clear up conjunctivitis, just to name a few. All of which, I reluctantly agreed to in the hopes that someone (nurse, doctor, social worker, someone) would go in to care for my father and see what I saw when I visited him weekly: a helpless, miserable, shell of a man wasting away in his own filth.
September 4, 2006, I called Hospice to try and again plead my and my father’s case. (Let him go peacefully now, instead of wasting away more over time until something truly painful takes hold of him to kill him.) I hadn’t seen nor spoken to the head case nurse again since the first few weeks my father had been placed on Hospice. When I called, I was informed that there had been a new head case nurse put on my father’s case. I spoke to her and low and behold, she had no idea of my wishes. No one had ever communicated to her that I was not the person asking for sustained care. WTF!?!? How could she not know? The whole point of Hospice is to help people to pass with grace and dignity.
You might think this was just a small oversight on one person’s part. A small bit of miscommunication, but I know that it was not. This nurse was not the first person over the past few months that had had the exact same reaction when I made my wishes known. It seemed that none of the people who DID know my wishes felt the need to share them with anyone else. Why? I have no idea and frankly, I don’t care. All I know is I’m pissed and I’m about to throw down the gauntlet. I am done playing these people’s games with my dad’s life!
I set up a meeting for later in the week with all the powers that be (except the state agency people, who had been an altogether different nightmare). Okay Leslie, the plan, throw a royal, NYC, Chicago, angry, black woman tantrum during said meeting. If that doesn’t work, I’m pulling out the big guns (I’m calling the media which Mike works for so I WILL get coverage), which may backfire, but I don’t know what else to do.
Before the meeting, I had a long conversation with my kids about what may or may not happen as a result of the meeting. I told them that if I did end up having to go to the media it might get ugly, not only for me but for them. I explained how some people might feel that I was trying to go against God’s wishes and that people might call me horrible names and/or say mean, nasty things about me, possibly to them. Both my kids were pillars of strength and conviction. They said that they didn’t care what people said because they knew that I was doing the right thing and they both wanted to say so on camera. I told them both, “thank you” and that I really appreciated their support, but I would not allow them to be put on camera for this, MY fight.
The nurse finally called Tuesday night at about 8:30 and I missed the call. So I called her the next day. She told me that she was getting ready to walk into a meeting with the Hospice social worker and other Hospice powers that be to discuss the meeting with the nursing home powers that be and the social worker would call me as soon as the meeting was over. You are having a fucking meeting about scheduling a meeting!?! Are you fucking kidding me!?!?
I got no call that day from anyone.
I called Hospice the next day to speak with the Hospice social worker and….
SHE HAD NO IDEA WHAT THE HELL I WAS TALKING ABOUT!!!!!!
I know that I shouldn’t have been surprised, but come on.
So I explained, AGAIN, what had been going on and what I wanted. In response, she pulls out the “God Card” on me!
SW: “Do you believe in a higher power?”
Me: “Yes, I do, but my father didn’t.”
SW: “Well, then do you believe that God will take your father in his own time?”
Ha! I was ready for this one!
Me: “Actually, I believe that God made my father unable to eat, which would, in turn, kill him. So in your line of thinking, I believe that the doctors are circumventing God’s will by force feeding him and keeping him alive.”
SW: “Oh, um. Well, don’t you think it would be cruel to stop your father’s feeding and just let him starve to death?”
Me: “Not to be rude, but if this was my dog, I would have the PETA people crawling up my back for torturing my pet by keeping him alive. I think it is cruel to keep my father going by force-feeding him. He could live like this for another 15 years, like Ronald Regan did. My father would not want this. Yes, I know when you call my father’s name he is still sort of in there, but so what. This is no life, and certainly NOT the life that he would have wanted. I’ve already been through this once with my father’s mother 3 years ago. I had to make this decision for her, because I took over guardianship for her when he got sick. I know what I’m getting into.”
SW: “Oh, well, then you need to speak to your father’s doctor.”
Who’s on first!?!
After I hung up with the social worker, I called Doctor Maxville and reiterated my wishes… total 180 BACK to agreeing with me that stopping the feeding IS the best course of action. I feel fucking crazy!
Doctor Maxville said that he would look into a Hospice facility to move my father into that does not have the legal problems that the nursing home might, if the feeding was stopped while he was there. If THAT was the issue all along, why didn’t you just say so, instead of pretending that you were concerned about my mental health, which you have not helped in the least with all this nonsense!?!
I got a call late Friday from the new D.O.N. at the nursing home. She began by telling me that she just got informed of my wishes for my father. UGH! She then said that she has been the attending nurse on several cases just like my father’s, so she does not have an issue with removing the feeding tube. Okay, what’s the catch?
Me: So I won’t have to move him to a Hospice facility after all?
Nurse: Well, I didn’t say that. That certainly could be an option.
Me: Trying to keep from screaming. So what is it that you are saying?
Nurse: Well, we need to schedule a meeting with the doctor and the Hospice people to determine if your father fits the criteria to do this.
Oh, for the love of God you have got to be kidding me!?!?
Me: What criteria?
Nurse: Well, that is something that we will have to discuss at the meeting. You do realize that nothing is going to happen immediately.
You mean like the five months it has taken to get this far is immediate!?!?! I am so glad I am not white, because I would be bright red with rage right now and that would clash with what I have on!
I went on to try and ask more questions about this meeting, but she just kept getting more and more vague if that were even possible.
We went around in circles discussing the best time for this meeting for another two or three minutes. Finally, we set it for Wednesday at 10 a.m. We hung up. I went back to work. Ten minutes later, the phone rang, it was the D.O.N. The Hospice people who had told her any day and time for the meeting was fine, told her when she called to give them the appointment date and time, that tomorrow at ten wouldn’t work. Fuck me with a rusty shovel!
We finally agreed to set the meeting for the next day (Yes, 9/11) at 10 a.m. And I still had no idea what they might be willing to do.
So, now, I have finally come full circle. This all started on 9/11/01. So, five years to the date, I will find out my father’s fate, or go public. The gods have a really fucked up sense of humor sometimes.
While the rest of the country memorializes this tragic day in our country’s history and contemplates the effects of foreign terrorists, I am again outside it all. I am again alone, wrestling with my own demons of sorts. The fiend responsible for my continued turmoil is domestic and far more insidious. My tormentor came in the guise of a loved one, began cloaked in normality, with a hint of contradiction, shrouded in denial and had now turned deadly. The enemy at my gate was again Alzheimer’s disease and it would seem that the war for me would soon be over.
I got to the nursing home a bit early to make sure that our meeting started on time. When I walked into the living area, the first person I saw was the nursing home social worker. I said hello and asked her if she would be part of today’s meeting.
She said, “No.” She then tells me that she had heard about the meeting, but hadn’t planned to be there, unless I want her to be. I tell her no, that’s okay, unless she wants to be there. I assumed that the social worker advocate for the nursing home patients would be in a meeting regarding the health, medical condition, dignity, and possible passing of one of the nursing home’s residents, but I should know better than to assume anything by now.
She then says that she will see if she can find the D.O.N. and I follow her as she walks further into the nursing home. I then see the Hospice Chaplin, sitting with a woman in the common living area. He greets me and we exchange a bit of small talk as the social worker continues on. He then introduces me to Eddy, the social worker. Eddy is incredibly bubbly, talking to me rapid fire about something I didn’t really hear. I wasn’t listening. My stomach was twisted in a hangman’s knot of anticipation. I stood there smiling and politely responding to the conversation, on autopilot; all the while engaged in my own inner dialog. Okay, Leslie this is it, the moment of truth. I feel like the Lorax from Dr. Suess. “I am the Lorax, I speak for the trees.” Well, I am the Leslie, I speak for the Wesley. And I am NOT going to lift up my tail and fly away quietly. Dad is counting on me. This gets done today, or I get ugly.
As the three of us stood together talking, a nurse walked slowly by, twice, looking at us carefully. I see her nametag, which stated that she was the D.O.N., so on her second pass I introduce myself. She stops, and after exchanging pleasantries and introductions with the three of us, she directs us to go sit in the private dining room. As we enter the dining room, the D.O.N. says that she is going to go get the nursing home’s social worker for the meeting. I point her in the direction I had last seen the social worker walking and then go and take a seat in the dining room with the other two.
I feel electric and numb, all at the same time, as we sit quietly waiting for the rest of the meeting’s participant to arrive. I’m not really sure how to begin to plead my father’s case. What the hell do I say? Every person coming to this meeting has already spoken to me about this. They know my feelings. I don’t even understand why we’re having a meeting at all. What I want to do is grab every single one of them, drag them to the head of my father’s bed and shake them as I scream, “Look at that! That twitching, groaning, husk of a human being USED to be my dad! THAT, is an abomination to the life and the spirit that he once was! Yes, he will still respond robotically with a frightened, “Yes” if you yell his first name, but that is no reason to force him to continue to exist in such a horrific condition! I know he can’t speak, but he communicates to me every time I see him! He’s in pain! He’s exhausted! He doesn’t want to exist like this! I can’t even say that he doesn’t want to live like this because he is in no way living! Why can’t any of YOU see that the way that I do!?!?!
I am brought back from these thoughts as the nursing home D.O.N. comes into the room alone and sits down. The Hospice Chaplin and social worker exchange glances. I know that they’re confused about why the D.O.N. came back alone, but they don’t ask. I don’t ask, because I know. She has never treated me the same since I brought my father back to the nursing home. Before I took my father home, she was always warm and friendly. When I brought him back, after a day, she still remained friendly, but there was no longer any warmth behind it. What a difference a day makes.
I do ask where Dr. Maxville is. The D.O.N. informs me that he will not be coming. What the hell? I thought that was half the point of this meeting, for ALL of my dad’s caregivers to get together in a room with me, to discuss the issue. This is not looking good already.
The D.O.N. then says that she has spoken to the doctor and knows his views on the situation. As she speaks, my father’s Hospice charge nurse comes in the room. She apologizes for being late as she hugs me and takes a seat. Okay, this is it. From the conversations that I have had the room is divided two and two for and against with ME as the swing vote for. Will it be enough?
Before anyone else can begin, I speak, directing my comments mainly to the D.O.N. and the Hospice social worker.
I gave background information on my father and then plead my case. Long story, short, after lots of talk from the social worker about God, and then some serious talk about how hard the process might be for me (death can get very ugly), everyone finally agreed to let my father go.
The social worker and nursing home D.O.N., neither of which had ever met me before that day, both said, after the official meeting, that they had still been leery about my conviction until they met me. Why, I have no idea.
I did tell everyone in the room, after the official meeting, that I was glad that they had agreed, because if they hadn’t, my next course of action was going to be to contact the media. No one responded, but by the looks on all of their faces, I think they knew how serious I was.
Thankfully, everyone now seemed to be on the same page and that I was doing this for the right reasons. They all finally believed that I was fully aware of what I was asking and I was prepared to see it through. The D.O.N. asked me to give her a week to prepare the staff and get them all ready. Why, I’m not exactly sure, but I conceded to keep the peace.
I asked about moving my father into a private room. She said that if and when the time came for that, we could discuss it. At the moment, she was concerned about moving Morris and all of his stuff since he was comfortable. Um, okay.
I told her that I didn’t expect Morris to move. I would have no problem moving my father. She then told me that she did not want to agitate the other residents by moving my father through the halls and possibly in front of them in a deteriorated state. Then move him now while he seems relatively fine!?!? What the hell is wrong with everyone!?!
Since it was obvious that was not what she wanted to do, I dropped it.
After the meeting, when I went in to visit my father, he was a mess; sweating profusely with no fever. No sooner would I wipe his brow with a cool washcloth then he would be drenched in sweat again. He was again having horrible spastic convulsive like tremors, worse than any he had ever had before. The Hospice nurse came in and immediately called Doctor Maxville. He told her he thought my father was having a stroke like the ones he’s had before….WTF!?!? No one ever mentioned to me that my dad has ever had a stroke in the past. No one has ever been able to tell me what the tremors have been about.
My father was also having difficulty breathing and gurgling large amounts of mucus. It was a bad day for him.
The really weird thing about all of this is that, my dad talked to me that day, more than he had in over six months. At one point he was even singing something that sounded like a hymn; something about home. He answered me when I said “Dad” twice that day as well. He hadn’t done that in over a year. He even answered me, “okay” when I told him I was going to go get some lunch and would be back soon. Strangely, when I told him that “our Chicago Bears whooped ass and shut out the Packers yesterday”, that’s when he seemed to calm down and go to sleep. Maybe that’s all he’s been waiting for. GO BEARS!
I think he knew the end was finally coming soon. Maybe…I’ll never really know.
I went back to work the next day and told my bosses what had happened and let them know that I would be taking a leave of absence starting the next Monday, until the end. And life returned to relative normalcy again.
The next day was my birthday. Mike and I enjoyed a nice dinner out at our favorite restaurant with friends, but I didn’t enjoy it long. My dad had a rough night and looked terrible when I went to visit him the next day. Its okay Dad, it will all soon be over.
Saturday, I was doing my normal cruising the TV channels for bad TV to watch while I did laundry and had a wonderful surprise…Jesus Christ Super Star was coming on. YEAH!
I hit my Tivo button and settled in to enjoy. Halfway through the movie, I was bawling. It brought up a flood of memories from my childhood along with waves of guilt about the coming week. Two songs in particular hit home hard. I don’t know the names of the songs, but I do know who sang them and the words that struck me with such force.
The first song is sung by Ted Neeley as Christ. While walking alone in the dark he sings, “My time is almost through, little left to do. After all I’ve tried for three years, seems like thirty, seems like thirty.” And later to the same tune, just before he’s crucified, “I only want to say, if there is a way. Take this cup away from me, for I don’t want to taste its poison…Feel it burn me. I have changed; I’m not as sure as when we started. Then I was inspired, now I’m sad and tired. Listen, surely I’ve exceeded…expectations, tried for three years, seems like ninety. Why then, am I scared to finish what I started? What you started, I didn’t start it.”
The second song that touched me is sung by Carl Anderson as Judas. When Judas goes to the priests to talk about turning in Christ, he sings, “Now if I help, it matters that you see. This sort of kind of thing is coming hard to me. It’s taken me some time to work out what to do. I weighed the whole thing out before I came to you. I have no thought at all about my own reward. I really didn’t come here of my own accord. Just don’t say I’m… Damned for all time.” And later, after he has betrayed Christ, he sings the same song and adds the line, “Don’t believe I was good. And I’d save him if I could.”
Now, I do NOT begin to suggest that I am in any way, shape, or form Christ-like or in anyway Biblically important. What struck me about the songs in regards to me and my situation was how much I felt the solitude, loneliness, and responsibility being portrayed by both characters.
I felt, I think, similarly small in comparison to the enormity of the fact that someone’s life and death were in my hands. A human being was going to die in several days as a result of my direct actions. My dad’s life and death was essentially in my hands. Just don’t say I’m…Damned…for… All… Time!
I went to visit my dad later that day. I asked the kids if they wanted to come with me to say goodbye but they said “no”. And I couldn’t blame them. When I got there, my dad was again in bad shape sweating, stiff, and spastically twitching. This is not how they should remember their granddad.
Sunday, I did not go to visit him. I stayed home to finish laundry and relax, watching the Bears beat the Lions and the Cowboys beat the Redskins. The calm before the storm.
Monday, September 18, 2006, five years to the day of the crazy phone call between my dad and I that started this whole thing, I woke up as if it were a normal day. I got the kids off to school as usual. I came home from dropping off Ian and did my normal wandering through the house with coffee and frequent trips to the garage for a cigarette. I finally got around to getting dressed around 11 a.m.
When I got to my dad’s room at the nursing home, I went to his side of the room and after settling in a chair next to the bed, looked up and noticed that the feeding tube was still in place and being used. About a minute later an orderly came in and I asked what was going on. She didn’t seem to understand what I meant. I told her that Hospice was supposed to have stopped my dad’s feeding tube feedings that day. She said that she had, “heard something about it, but didn’t know anything else.” UGH! She then asked if I wanted her to go find out. Well yeah. I told her “yes” and she left the room.
A few minutes later my dad’s Hospice nurse came in. I pointed to the tube and she said that she would find out what was going on and left the room.
As she left, Morris shouted across the curtain asking what was going on. I got up and went to his side of the room and told him what was happening. He seemed sad, but resigned. He made mention, as he often would, about how young a man my dad was and that was the end of it.
After a few minutes the nurse came back and said that Doctor Maxville hadn’t given the orders yet. It took another half hour before everyone got on the same page and they finally disconnected the feeding tube.
As had become the norm, my dad was shaking with violent tremors and grimacing, as if in pain. He was also sweating copiously. The Hospice nurse took his temperature and said that he was running a slight fever. She said that she could give him some Tylenol, but since they had stopped the feeding tube to do that they would have to use suppositories. EWW!
She also said that the Tylenol might not even work. So I said, “No” at least not for now. I’d like to avoid having him violated like that in the end (no pun intended) if at all possible.
She did decide that she would order that he be given 1-2cc of Adavan every hour to help control the seizures. She administered that, but after a half an hour my father was no less agitated. Then she ordered that my dad be given ¼ – 1cc of Roxanol (liquide Morphine) for pain, every one to two hours. That was given and then we waited for him to calm down. She and I sat talking and waiting for the tremors to stop and for my dad to seem at ease, but it didn’t seem to be working. I sat in the chair next to my dad’s bed trying to let him know that everything would be okay. I had to talk loudly and directly into my dad’s ear because as usual, Morris had his television on full blast.
The nurse and I talked about a lot of things. One of which being pain, and pain management and how pain or a person’s fight against pain, could, and in her opinion, has been known to keep someone holding on much longer than they would if they were calm and at peace. She assured me, even though I knew, that Hospice never gives enough Morphine to kill. They only give enough Morphine to relieve pain.
At one point, one of the regular day orderlies came in, to visit I guess. When she walked around the curtain to my dad’s side of the bed, she stopped short. She asked me why my dad wasn’t hooked to the feeder. I told her, “They stopped the feedings today. Didn’t anyone tell you?” She said “no” and was visibly upset when she left the room. Okay, if she didn’t know, who else in this place doesn’t know? What was that week to prepare for?
The nurse administered more Roxanol sometime later when my dad still hadn’t calmed down. Then I got an idea. I went out to my car and got out a small portable CD player that I had brought for myself to listen to later. I also brought the Arlington Jones CD I had in my car. Back in the room, I put the CD into the player and turned it to what I thought was a soothing level with Arlington’s jazz playing and slipped the headphones over my dad’s ears. My dad seemed almost immediately to calm down. The tremors stopped. He did remain ridged, with his arms and hand clenched. But his eyes closed and his expression changed from a grimace to calm. Thank God. You really did like Arlington’s music. First hurdle over.
A few hours later my dad’s breathing started to become labored. When I touched my dad’s hands, they were ice cold almost up to the elbow. I knew this to be a sign of impending death. It was something that I had dealt with when my grandmother passed and something that the D.O.N. had discussed in our meeting the week before. I told the nurse and she touched my dad and confirmed it. We both touched his feet, they were still warm but this was still not a good sign.
The Hospice nurse was planning on leaving for other appointments, but with this change she decided that she wanted to start round the clock care for him. She called her office and placed the order, while I took a cigarette break. Wow, I wasn’t expecting a change in him this fast. I wonder what this means, if it means anything at all?
When I came back to the room, the nurse told me that they would be sending a duty nurse A.S.A.P. She then began to warn me about the nurse they said that they were sending. “She’s well…odd. That’s all I’m going to say. You’ll see.” Great, I get to sit through this with a nutty nurse. NICE.
After a few hours, my dad’s breathing was becoming even more labored and his fever got higher, but still no duty nurse. The nurse called her office again. They said that they didn’t know what had happened to the original nurse who was supposed to be there so they would call in someone else.
The nurse and I continued talking and tending to my dad while we waited. I restarted the CD for him, mopped his brow and rubbed his arms and forehead. The nurse ordered his bed and gown to be changed at one point. When they changed his clothes, they noted that he was dry. He had not urinated or had a bowl movement since the day before. The nurse commented that that was odd and that she would have the duty nurse keep an eye on it, but that was as much as she made of it.
Around 2:30 p.m., the duty nurse showed up. She was a short, stocky, little blond girl with glasses, who looked to be about twenty-four. She looks normal enough.
After briefing the new nurse on what had been going on, I walked the regular nurse out to her car, so that I could smoke again. She told me on the way that the current duty nurse was not the one she had warned me about, so I should be fine. Out in the parking lot, we hugged and she left.
When I came back to the room, the duty nurse, LaNora, asked me some background questions about my dad. I told her the Readers Digest version of events over the past five years. As we talked, we clicked immediately. Within fifteen minutes we were laughing and joking about all kinds of things and much of the tension of the day melted away, even though I hadn’t realized at the time that I was stressed.
At some point Mike called to ask what was going on. I told him everything that had happened up until that point and then told him I would be home for dinner. A few minutes after I hung up, a disheveled older woman in nurses’ scrubs came bursting in the door, complaining loudly about getting bad directions. This must be the woman she was trying to warn me about.
LaNora and I exchanged glances and muffled giggles. When the other nurse saw LaNora, she began complaining loudly again about the double booking and not being called and wasting gas and such… She went right on complaining for at least another five minutes and then left just as abruptly as she came. LaNora and I burst into laughter as soon as she left.
My dad’s breathing and condition seemed to worsen, but only slightly and his temperature leveled out throughout the afternoon. Several Garden Care nurses and orderlies came by throughout the day to pay their respects. Around 5:30 p.m., LaNora told me that she would be staying until around 8 p.m. when the night nurse came on duty and then she would be back early the next morning. I called Mike and told him that I was going to hang out until the night nurse came on duty to meet her and give her any information she might need. We hung up and LaNora and I picked up where we left off. She continued monitoring my dad’s vitals, which did not seem to be changing. I took the head phones off my dad and talked to him off and on, while talking to LaNora and watching the Jacksonville Jaguars play the Pittsburgh Steelers on Monday Night Football with Morris.
At around 8:00, the night shift nurse came in. I knew immediately she was much stiffer than LaNora. She and LaNora exchanged medical information while I hung out talking to my dad. After LaNora left, the night nurse and I spoke briefly, but the mood in the room had changed. I told my dad goodbye and that I would be back tomorrow, said goodbye to Morris and left.
I made it home just in time to do bedtime with Ian and briefly talk to Dayton. I then spent the rest of the evening relaying the day’s events to Mike and then polished off two glasses of wine while taking a long Jacuzzi bath.
Monday must have been more stressful than I had thought because the next day, I was dragging ass. Mike had to work, but thankfully he didn’t have to go in early. He got up with the kids while I slept in until about 10 a.m. I was finally able to drag my procrastinating butt into the nursing home at around noon.
On my way to the nursing home, I stopped at a local diner called the “Windy City Grill.” I had been telling Morris about the place for some time and thought it would be nice to bring him a hometown hotdog. The owners are from Chicago and make a mean, authentic Chicago style hot dog and fries. I got a dog and an order of fries for both Morris and me and then headed to Keller Oaks. Okay, is it weird or rude to be bringing food into my dad’s room to eat when they have stopped all his feedings?
I got to my dad’s room and Morris was watching All My Children as usual. I told him I brought him a surprise and gave him his food. He was excited and appreciative and seemed to really enjoy it.
LaNora was sitting filling out paperwork when I got there. I immediately noticed a change in my dad. When I left the night before, my dad’s breathing had been labored but not badly. Now it was audibly, well, just wrong, even over the blaring television. “Death Rattle” LaNora told me. It is an awful sound, like someone struggling to breathe underwater, that unfortunately, I had heard twice before.
The first time I heard that terrible sound was when Mike’s paternal grandmother had been dying after a long battle as the result of several strokes. We had gone up to Oklahoma after being called by his parents and being told the end was near. I happened to be one of only three people in the room when she actually passed away.
The second time I heard the sound was in the exact same hospital room a year later when Mike’s grandfather was passing. We were not there when he actually passed, but I heard it in him nonetheless the day before he died.
She told me that my dad had started the rattle sometime during the night. She also said that his temperature, which had leveled off around 99 the night before, had spiked. I touched him and he was burning up. I asked about any changes in his demeanor. She told me that he had seemed rather agitated earlier in the morning, but after his Roxanol he seemed to calm down. As if on cue, my father started to twitch a little. I grabbed the headphones which I had left overnight and tried the music again. This time, it didn’t work. He seemed to be getting more agitated. I took the headphones off of him and began rubbing his arms and temple while talking to him as softly as I could where I thought he could hear me over television. That didn’t seem to work either. The more I talked, the more he jerked. Aww, dad, what is it? What’s wrong? I wish I knew what you were thinking so I knew how to help you.
LaNora left the room to get another order of Roxanol, I think. I began singing parts of songs that I remembered he liked (Redemption Song, I Shot the Sheriff, Send in the Clowns, Mr. Bojangels, Amazing Grace) anything I could think of. But nothing was working. And then I just kind of snapped. When LaNora came in, I was again trying to say words of comfort to my dad, in a loud whisper, when I turned to LaNora and said, “Okay, this is freakin ridiculous! I can’t take that TV anymore. I’m having to scream words of comfort to my dad. IT’S OKAY DAD. YOU CAN GO. GO TO THE LIGHT. NO, NOT TO THE RIGHT, THE LIGHT!” I couldn’t help but laugh now. “I was trying to sing to him when you left. AMAZING GRACE HOW SWEET THE SOUND!” LaNora laughed with me.
I asked her if there was anyway we could move my dad into a private room. She said she was wondering how long it was going to take me to get sick of the TV being so loud and that it had been driving her crazy since she got there. She then told me that earlier in the morning Morris’ daughter had come by to visit him. She said that she was very loud, assuming because she had to speak loudly so that Morris could hear her. She said that on top of the TV being up full blast, and the two of them talking at the top of their lungs, the woman had been messing with all of her father’s cell phone ring tones at top volume and that was when my dad had seemed to get really agitated. Oh my god, THAT’S what’s probably been wrong all this time! My dad’s not deaf! He’s been sitting in this room for months with a migraine from the blaring television unable to complain! I’m such an idiot, it never even occurred to me! Dad, I am so sorry!
LaNora said that she would talk to someone about putting my dad in a room by himself until the end and left the room.
While I waited for LaNora to come back, my dad’s original Hospice case nurse came in. I explained what was going on. She said that they thought all along that my dad should have been put in a private room. Then why didn’t you say that when you stood next to me and listened to me ask for JUST THAT from the DON and get nowhere? UGH!
A few minutes later LaNora came back into the room with one of the Keller Oaks’ nurses who said that they had a room that would work but they needed a few minutes to move a resident’s things out. Thank goodness.
After much shuffling, maneuvering, and fiddling with the bed, we finally moved my dad into a room in the same hall, directly across from the nurses’ station. When I went back to the room to grab the last of my dad’s things, Morris asked me what was going on. I told him that it was almost over and that we were moving him. He nodded and told me good luck as I left the room with my handful of things.
The new room was peacefully quiet. My dad seemed to immediately relax. He stopped twitching altogether as we all sat quietly for the first half hour.
At some point everyone left the room. I took the private time to audibly apologize to my dad for not realizing why he had been so agitated. “Dad, I am so sorry for being such a moron. It just never dawned on me and it should have. But I promise you, it is almost over and it’s going to be okay. You can relax and go whenever you want now. I’m here and I will be here ‘til the end. This is a promise that I plan to keep.”
When everyone came back into the room, we began to talk quietly. The air seemed somehow lighter since we switched rooms. We laughed and joked about a number of things.
After awhile my dad’s breathing got very labored on top of the rattle. The case nurse said that getting my dad some oxygen might help and asked if I wanted her to do that. I told her if she thought it would help him feel more comfortable. She called the office to arrange the oxygen.
About twenty minutes later, the Chaplin showed up with the oxygen tank. He said that he had been planning to come in anyway and it just made sense for him to bring it himself when the call came in.
The case nurse put the oxygen tube up to my dad’s nose and it did seem to help a bit after a while. My dad’s breathing seemed to be a little less labored, but the rattle did remain.
Once the oxygen was in place, we all sat and talked for about an hour. We laughed and joked about a number of things. Somehow we got on the subject of Televangelists. The Chaplin even told me about a new series of Robert Tilton Fart Tapes now playing on U-Tube. Things were much more serene.
At some point, I pulled the case nurse aside in the hall and asked her what she thought of my dad’s condition and how long he might have. I could tell she didn’t really want to answer me. She basically said that she didn’t know. She said that even though my dad did seem to be going downhill extremely quickly, she had seen others do the same and then linger for a week or more.
The Chaplin and case nurse eventually left. About a half an hour later, I touched my dad and told LaNora that he seemed extremely hot. She took his temperature and it had indeed spiked to almost 103. She asked again about the Tylenol, with the same warning that it might not work. I again said no. As the day went on, the death rattle got continuously worse. I finally turned on the television quietly, just so there was another sound in the room.
That was pretty much the way the day went. LaNora and I chatted. I talked off and on to my dad. LaNora would shift my dad’s position in the bed. His fever would rise slightly then level off and the death rattle continued to worsen. I don’t think he’s going to make it much longer. This is going really fast.
Sometime after about 3 p.m., LaNora checked my dad’s brief, he still had not urinated or defecated. LaNora told me, even though I already knew, that that was not normal nor a good sign. My gosh. His kidneys have already shut down. He must have been in so much pain that he wasn’t able to go before. My God, how long has he really been suffering?
Around 5 p.m., the death rattle had gotten so loud and his breathing so labored, I started to think that my dad might not make it through the night. Around 6 p.m., I asked LaNora what she thought. She didn’t really answer me. I know you don’t want to predict anything, but I don’t know what to do. I feel him slipping, fast and I don’t want him to go without me being here.
I tried to hold his hands, but they were clenched too tight and were so sweaty that they actually smelled of sweat. LaNora said that we could put wash clothes in his hands to help. I said sure. When she left to get the cloths, I had the idea to rub antiperspirant in the palms of his hands to maybe help.
When LaNora came back, we rolled up the washcloths and put one in the palm of each hand. I sat rubbing his arms and chest and humming to him for a bit.
About a half hour later, I told LaNora that I was thinking about spending the night and asked her what she thought. She took my dad’s vitals and then said, “Yeah, I would stay.” I knew it. Okay Dad, here we go. You and me, like I promised.
I called Mike and told him that things didn’t look good and that I was going to spend the night. He asked me if I wanted him to bring me dinner. I told him, “no” I would get myself something. I told LaNora I was going to go get myself dinner and that I would be back. I went across the street to the convenient store and got a big bag of Dorritos and a mini four pack of cabernet. Dinner of champions.
I came back and prepared for the evening. The orderlies had moved the Geri chair from my dad’s room. I pulled the Geri chair between the two beds and as close to my dad’s bed as I could and climbed in it with a blanket and prepared to settle in for a long night.
A little after 7 p.m., LaNora and I were watching television, laughing and joking when the door opened. It was Mike. The mood of the room instantly changed. It had been several weeks since Mike had been in to see my dad and seeing him laboring to breathe with the oxygen tube in his nose and the horrible death rattle hit him hard. He just kind of stood at the foot of the bed, looking upset. I got up and told him that he could sit on the bed. He said no he was fine. I told him what had gone on throughout the day and then introduced him to LaNora. After a few more uncomfortable minutes, LaNora said that she would leave us alone and left the room.
When she left, I told Mike that he could talk to my dad. I wasn’t sure, but I still believed that he could hear us. I turned and told my dad that Mike was there and had come to say goodbye. Mike walked to the other side of my dad’s bed leaned down and said, “Hi Wes,” and then just looked at me. I sat down on my dad’s bed and rubbed his arm and told Mike that it was okay. I don’t know how to comfort him. I know this is sad and he looks awful, but it is what it is.
Mike came around to the other side of the bed where I was and sat in the Geri chair. We talked a little about his day and the kids. It was very strained. I got up and grabbed one of my mini red wine bottles and a plastic cup off the dresser next to the bed. Mike looked behind the Geri chair at my “dinner,” shook his head and laughed. I poured myself a cup of wine, grabbed my cigarettes and told Mike to follow me to the smoking section outside the locked ward. I told my dad I was going to smoke and would be back and then got up to leave. Mike walked over to my dad again and said, “Goodbye Wes” and we headed for the door. As we left, I told LaNora where we were going. Mike and I hung out outside smoking and talking for a few, much more relaxed minutes. When we headed back toward my dad’s room, Mike turned off to leave kissing me goodbye and I went back to the room. LaNora was taking vitals when I got back.
My dad’s vitals and temperature had stabilized again. LaNora and I went back to talking, while I ate my “dinner”. At around 8 p.m., the door opened and a large black woman in a nursing shirt came in. She was the night shift nurse. While she and LaNora talked medical stuff, I went and smoked another cigarette. When I came back, the night nurse was asking LaNora to use her wrist blood pressure machine. When she was done, LaNora said she would be back the next day. I hugged her and she left.
I climbed back into the Geri chair and tried talking to the night nurse as I had originally done when I first met LaNora. I got stiff, one word answers. This is going to be a very long night.
I asked her how she liked her job. She told me that she didn’t. She said that she wanted to retire and move to another country. Okay.
I asked her what country. She told me Canada within the next year and then another country later on. Okay.
I then asked her when she retired what she wanted to do. She said, without much emotion, that she was a writer and had published several books in Canada and planned to do that when she left. You have books published in Canada? Why not here?
I asked her that and she said because it was easier to get published in Canada. Okay, note to self to check out.
I then asked her what types of books she wrote. She said different kinds. I tried to get her to elaborate but then she just started to mumble. Um, alrighty then.
I sat there for a while trying to figure out how to connect with the woman as she went about her business. As I sat watching her, she left the room several times to borrow equipment and a watch to use for blood pressure monitoring. How does this woman not have any equipment with her? Isn’t that her job?
A few hours later, I asked her if she had children. She said yes, she had a five-year-old daughter. I asked if she planned to have any more children. She said no, she was afraid to have any more children, especially in this country. I asked her what she meant. She told me this very long, odd story about her sister’s son who had almost been kidnapped by some man who lived in her apartment complex and how her sister refused to do anything about it. And then, she said that she had known that something like that was going to happen because she had dreamed about it and now she was terrified to have any more kids. Um, okay…What?
After the story, she left the room. I then noticed the bag that she had brought in with her. It was a clear plastic zipper bag, like a large make up case. Inside, I could see a lot of papers and general purse junk. I also noticed a huge canister. After looking harder at it, I could see that it was a container of powdered baby formula. What the hell?
When she came back into the room she was carrying about a dozen vending machine bags of assorted chips and things and a soda (it was either Sprite, Squirt, Slice or Mountain Dew) and a plastic cup. As I sat there pretending to watch television, (What the hell is she doing?) I watched out of the corner of my eye as she took the baby formula out of her bag, scooped some out and put it into the plastic cup and then opened the soda and pour it into the cup and then drank the mixture. Eeewww, that’s got to be gross!
She then proceeded to eat every last bag of chips. My God, I couldn’t eat that many chips in a week, let alone a half hour.
I poured another mini cup of red wine and went to smoke. When I came back, the night nurse was taking my dad’s vitals again. His breathing seemed to be getting more labored again. I rubbed his chest and could feel he was still extremely hot. The death rattle had also gotten worse.
The nurse suggested getting an actual oxygen mask to help my dad’s breathing. She said she wasn’t sure if it would help, but we could try it. I told her “sure” and she left to get it. While I waited, I rubbed my dad’s chest and hummed softly to him.
The nurse came back and disconnected the oxygen tube and covered his face with the mask. I sat watching him and rubbing his chest and arm for about a half an hour; it wasn’t working. The death rattle continued to worsen and his breathing continued to slow, while still appearing to be labored. I finally told her to stop the oxygen. It’s no longer helping and he just looks uncomfortable.
She turned off the machine while I took the mask off. Is this it, Dad? Is this the end?
About twenty minutes after we stopped the oxygen, the death rattle started to subside, or at least quiet. My dad’s breathing was still slowing and seemed labor, but the awful sound was quieting. I asked the nurse what that meant. She said she wasn’t sure. I watched him for a little while longer humming “Send in the Clowns” then went back to watching TV while rubbing his arm.
David Letterman came on and I had a very surreal moment. It was Ventriloquists week. Jay Johnson was the night’s ventriloquist. He had this monkey puppet named Darwin as his prop. He’s doing his act, which was silly and cute. After what seemed like about 10 minutes into the act, Darwin says that he wants to sing a song in monkey language. Darwin then proceeds to oo oo aa aa to the tune of “Send in the Clowns.” Twilight Zone music anyone!?!?
I watched a bit more of Letterman until the curiosity got the better of me. I finally looked at the nurse and said, “Okay what’s with the baby formula?” The nurse showed the first signs of emotion that I had seen from her all night. She sat up straighter in her chair and got this girlish innocent grin on her face and said, “I’m preparing my body to have babies.” What, what what!?!?!
She went on to explain how she was following a two-step regiment to prepare her body to have more babies. This regiment, that she proudly said she, “made up herself,” consisted of starting off drinking baby formula for six months, then she would start taking women’s multi-pack vitamins for another six months. She also said that she was going to start her five-year-old daughter on the women’s pack with her. What the hell are you talking about!?!? You told me not more than a few hours ago that you were NOT having any more kids. And what the hell is drinking baby formula going to do for YOUR body? And if you are preparing your body to have babies why are you eating truckloads of chips? That’s the craziest thing I have ever heard! And why would you give a five-year-old child adult woman’s vitamins?
“I see.” Was all I could muster to say out loud.
From then on, her demeanor changed. She was happy and pleasant and talkative. She told me about the books she had written, some children’s book and a comedy. And how Canada was so much better than the United States and some other stuff I can’t remember because I couldn’t stop thinking about the baby formula and the massive amounts of chips.
Finally, around 12:30 a.m., I started to crater in the chair. I set my cup down and said I was going to try and get some sleep. The nursing staff had given me bedding to use for the other bed. I grabbed a sweater that I bought my dad a while back out of the armoire and put it on because I was cold. I told my dad I was going to get some sleep and then told the nurse to wake me if she saw any significant change. As I climbed into bed, I turned the volume down on the TV and asked her if she wanted me to turn it off, since she didn’t seem to be watching it. She said no. Get hints much?
I must have been exhausted because even with the lights and the TV still on, I fell immediately to sleep. I woke up several times during the night and saw the night nurse shuffling around doing things, but forced myself back to sleep. Finally, I woke up to the voice of the night nurse. She was arguing with the television. Oh my god, you have GOT to be freakin kidding me!?!?
I laid there with my eyes closed trying to go back to sleep, but between the people talking on the TV, which had had the volume turned up, and the nurse’s arguments with the people in the TV, I knew it was a lost cause. She was watching Christina’s Court, one of those cheesy People’s Court, Judge Judy type shows. I listened to her argue with one of the complainants and realized she had no idea what she was talking about, so I sat up and said so. I explained what was going on from the little I had heard as I laid there with my eyes closed, then asked what time it was. 4:45. UGH, I need coffee.
Since my dad seemed to be the same as he had been when I went to sleep, I decided to go in search of coffee. I went out to the nurse’s station and asked if there was any. The nurse looked around and then told me that there should be some started in the dining room. I went down to the dining room and got some coffee and took it outside and had my morning cigarette. AH, breakfast of champions.
I came back to the room and said good morning to my dad, climbed back in the Geri chair and watched TV while rubbing his arm.
Around 5:45, one of the Keller Oaks nurses came in to see how things were going. After getting the run down of the evening, she asked me if I would like some breakfast. I said that I had planned to go get some later. She tells me not to worry about it and says she will bring me something. I thanked her and went back to watching TV. At about 6:15 a.m., I still had no food, so I go to get it myself. I meet the nurse in the dining room and she has a tray that she is making for me. I thank her and tell her I can take it from there. I get what I want and bring it back to the room. Worst food I have ever tasted. Dad, you weren’t missing anything not being able to eat in this place. YUCK!
I nibble a little of everything, then decide enough is enough. I take the tray back down to the dining room and put it away, grab some more coffee and go have a cigarette.
When I came back into the room, something seemed different. Although there didn’t seem to be any change in my dad, I somehow felt that there was. I asked the nurse if my dad’s vitals had changed and she said no. The death rattle was still there, but quieter, his breathing was slow and labored, but unchanged. Still, something was wrong. The nurse started talking to me about whatever was now on the television, but I’m not listening. I’m sitting in the Geri chair, rubbing my dad’s arm, looking at him hard. He’s getting ready to die.
I know that was what I was there for, but all at once, it hits me. He is right now about to die while I sit here with this crazy woman rambling on, while eating powdered donuts, (She had gotten some sometime during the night.) and drinking baby formula mixed with soda. Dad, I can’t do this. I can NOT do this with this woman. If you die now, I will have to do all of it with this woman as my only help and I can’t, I just can’t!
As I’m thinking all of this the nurse gets up and leaves the room. I blurt out, “Dad, I know you’re tired, but I can’t do this with this woman. I know you want to go, but not yet. You have to wait for LaNora. She comes in at 8 a.m., that’s only a few more hours. Please, Dad, you have to wait.”
I was seriously petrified. My dad’s breathing began changing almost immediately. It slowed way down and became very ragged and the death rattle came back with a vengeance. Oh god, please Dad, you have to wait for LaNora. Don’t make me do this with this woman!
Every time the night nurse would leave the room, I would say just that and count down the hours and/or minutes until 8 a.m.
By 7:45 a.m. when LaNora walked into the room my dad’s breathing had slowed to a crawl. He would have short periods where he almost appeared not to be breathing at all. I felt as if I had been holding my breath as well. Thank you, Dad. Thank you.
I breathed a sigh of relief as LaNora and the night nurse exchanged information from the evening. As the night nurse was getting ready to leave, I asked her if my dad made it through the night would she be the nurse coming back or would they be sending someone else. She smiled and cheerfully told me that she would definitely be the nurse coming back that night. Oh god no!
LaNora said that she needed to get something and walked out at the same time as the night nurse. Again I spoke out loud to my dad. “Okay Dad, look, LaNora is here now and I know that you’re tired so you can go at anytime, but please don’t hang on another night because that crazy woman is coming back. I can’t do another night with her or have you go when she’s here. Besides Mike has to work today which means that I HAVE to go home tonight to do homework and cook dinner and do bedtimes and stuff and I don’t know what time I can come back. So it’s a little after 8 now, I would need to be home by 3. So you have between now and 3 p.m., Dad. Please!?!”
As I finished saying this, LaNora came back into the room. I recounted what had gone on the night before and that morning before she came in, including what I had told my dad. We were cracking up laughing within five minutes. Okay, I can get through this now.
My dad seemed to stabilize again and LaNora and I went back to talking.
Somehow in our conversation, we got on the subject of home décor and how much she liked Keller Oaks compared to other places she had been. I explained to her how the place was decorated like my house and then somehow the conversation went to the difference in style between my dad and me. I told her about our first apartment in Illinois when my parents had really gotten into THEIR style in the 70’s.
Back in the day, our apartment must have been the shit. The entire apartment had wall-to-wall multi-color green shag carpet. The most memorable part of the apartment was the living room and attached dining room. Our living room had one wall that was all dark brown cork, the other wall was hot pink and it joined with the dining room, which was bright canary yellow and was over looked by our olive green kitchen. The centerpiece to this room, at least for me, was our fuzzy royal blue and white striped couch. It was the ugliest thing on the planet, but it was the most comfortable couch I still have ever sat or slept on.
LaNora and I laughed about this and so much more until about 9:30 and then my dad took another turn for the worse.
He began having periods where he would actually stop breathing altogether and then gasp back to breathing. LaNora told me that this was normal in the end and that she had seen people go as long as five minutes without breathing and then begin again. Great!
My dad’s breathing started to sound worse and I got the feeling that he was in pain again. I tried putting the headphones back on him, but they wouldn’t stay on for some reason. So I put them next to his head and turned on the CD again. The periods which my dad stopped breathing continued to get longer. I turned the CD player off and turned the radio on to a local R&B station. Several songs came on that I knew that my dad liked, an O.J.’s song, something by Anita Baker, and then a Jill Scott song, but it just didn’t seem like it was what he wanted.
As the morning went on, besides the change in my dad’s breathing, there were other small physical changes. His body finally relaxed. His hands unclenched and we were finally able to take the washcloths away. And although he was still burning up with fever, he stopped sweating.
At one point, I got up to go to the bathroom and I had a frightening thought that he might die while I was peeing. I really don’t want to have to tell people or write down that I was sitting on the toilet when my dad passed away.
I came out and told LaNora what I had been thinking. She laughed because she had had the same thought.
The intervals of not breathing started to be up to a minute in length. It was really starting to affect me. I was having feelings of lightheadedness and knew a panic attack was trying to surface, but I refused to let it. After a little over an hour of this and a particularly long episode of not breathing that scared me half to death, when he gasped so loudly it made me jump, I got a little irritated.
“Okay, Dad you’re screwing with me!” I shouted at him. He stopped breathing. Oh no, no, no, no!
“Dad, that can NOT be the last thing I say to you.” I shouted louder in a panic. He breathed again.
“I LOVE YOU!” I yelled at him louder than I had meant to. “Okay, Dad sorry, but I’m tired and you’re wearing me out, so I’m going to try and take a nap.”
I looked at my cell phone and saw that it was 11:13 a.m. I told LaNora that I was going to lie down and not to let me sleep past noon. I went and put my cell phone down on the table across the room, climbed up into the other bed and closed my eyes. Almost immediately, I opened my eyes. “Shit, I have to pee.”
I got back out of the bed and walked toward the bathroom. As I crossed in front of the foot of my dad’s bed, I stopped and looked at him…and I knew.
I turned back around and sat down on the side of his bed. I took my dad’s hand in both of mine and said, “Its okay Dad, you can go.”
My dad took two quick breaths in and out, and then one long breath in and stopped. I looked at LaNora. She got out her stethoscope and listened to his chest. She said that his heart was faint, but still beating. So I sat holding his hand and rubbing his arm. After several more minutes when my dad didn’t move, LaNora listened to his chest again, this time when I looked at her, she shook her head no. He was gone. Bye Dad. I love you.
I sat on the bed holding my dad’s hand, looking at him. LaNora asked me if I was alright. “Yeah…No.” And I silently began to cry.
It had to be less than two minutes later and my cell phone rang. I have no idea what possessed me to answer the phone, but I got up and answered it. It was Dayton’s English teacher calling to talk to me because he hadn’t been turning in his homework. You have GOT to be kidding me!
“Um, my dad just died two minutes ago.” I said a bit too loudly into the phone. The poor man stammered for a few seconds and then asked me if I wanted to contact him later or have him contact me later. “Yeah, why don’t I call you later. Wait you know what, I don’t know when I’ll have time. Let me deal with this now since I have you on the phone.” Never a dull moment.
While I had been talking on the phone, LaNora went to call Hospice and inform them of my dad’s passing. When I finished talking to Dayton’s teacher, I called Mike and told him that my dad was gone. After giving him a quick run down of what happened, I hung up to call the Body Gift Registry, to let them know that my dad had passed and that they could come and pick him up.
The Body Gift Registry is an organization where you can donate your own or a loved ones body to medical science. Since I knew that my dad had no religious affiliations I thought the best thing I could do was make his life and death meaningful. By donating his body to medical science, maybe he would be able to help find a cure or an earlier diagnosis for someone in the future. If nothing else his body might help to train a next generation medical student that could be the one to cure Cancer, Alzheimer’s or any number of diseases.
While I was talking, LaNora had come back into the room. When I finished, she told me that they would be sending a nurse from Hospice to “pronounce” my dad. I told her fine and went to smoke a cigarette. On my way down the hall, I was met by several employees who enquired about my dad. I told them all that he had “gone”, accepted their condolences and kept going. On my way past the locked ward, I asked the lady at the nurse’s station if she would tell the staff of the locked unit that my dad had passed.
When I finished, I went back to my dad’s room. On my way in, I met the Chaplin as he was coming into the nursing home. We walked together down the hall. We were stopped at the nurse’s station and I was asked to fill out some paperwork, which I did. We went back into the room and the three of us began talking like the night before, laughing and joking with me telling some stories about my dad.
A few minutes later the door opened, it was one of the general residents’ nurses being followed by one of the locked ward nurses. The general ward nurse asked if it was okay that the other nurses come in to say goodbye to my dad. Huh, of course. I told her, “of course” and to tell anyone else who might want to that they were more than welcome to come by. The general nurse left and the locked ward nurse, who was the one I knew from Garden Care, came over and gave me a hug, told a short story about my dad and then left.
The Chaplin, LaNora and I went back to talking. The door abruptly opened again. When I looked up, I had to stop myself from gasping out loud. A tall, balding older white man walking with a cane came into the room. He introduced himself and then said that he would be the attending nurse to “pronounce” my dad because his actual case nurse was out sick. He said some other things, but I didn’t hear any of them. I was frozen, staring at him. He was very somber, with a Lurch from the Adams Family like quality except creepier. He actually looked just like Michael Berryman, the guy who played the bald guy from the original “The Hills Have Eyes” movie from the 70’s. Breathe, Leslie.
I snapped myself back to reality and got up and shook his hand. As we stood there talking the door opened again, it was the Hospice Social worker. Great, I thought I had seen her for the last time.
I put on a smile and allowed her to hug me. I tried very hard not to show my true emotions when she said, “Well, your dad went pretty quickly. That must have meant God was ready for him to come home.” Would this be the God who didn’t want me to stop the feeding tube because I’m cruel?
“Yeah.” Was all I said.
The five of us stood there talking for several seconds, and then the conversation just kind of died, leaving us all standing in the dimly lit room staring at the floor. After several seconds of this, I looked around at everyone and then blurted out, “Okay, this is freakin’ creepy and its ooging me out! I’m going to sit down.”
This seemed to snap everyone back to reality and into movement. The social worker hugged me again and left with some more words of condolence, the Chaplin went and opened the blinds at the window, the nurse went to go do some official paperwork and LaNora and I went and sat back down in the chairs around my dad’s bed.
The Chaplin, LaNora and I sat visiting. As we did, I touched my dad’s arm while telling stories about him. Even though it was close to an hour later, he was still warm. I expected him to be cold. He still feels like him.
When I expressed my surprise at my dad’s warmth, LaNora and the Chaplin told me that because my dad had died with a high fever he could remain warm for several hours.
Sometime after noon, the door opened again as we all visited. A small man dressed in a black suit came into the room. He expressed his condolences and told me that he was from the funeral home contacted by the Body Gift Registry. I got up and shook his hand, while stifling a laugh. Oh my gosh, he has the worst accent that I have ever heard. It doesn’t even sound real.
His accent was a cross between Count Chocula and the Taco Bell Chihuahua.
He was very somber and stooped over in this humble manner looking confused as the three of us laughed around my dad’s bed. I know that’s terrible, but I couldn’t help it. I couldn’t stop laughing. Maybe it was that nervous laughter of a stressful situation, or maybe it’s just I have a twisted sense of humor. Probably the last one. Thank God no one else knew why I was laughing so hard.
After a few minutes of the man standing next to my dad’s bed looking uncomfortable, the Chaplin told me that LaNora and I needed to leave the room so that they could move my dad’s body. I went back over to my dad and touched his arm again, still warm, I said, “Bye, Dad,” and left.
LaNora and I stood in the hall in front of the nurse’s station talking to each other and a few of the nurses. After a few minutes my dad’s room door opened and a gurney became visible being pushed out the door.
I had expected when the gurney came out of the room to see a body (my dad) under a white sheet or in a body bag. What actually came out was a body (my dad) tightly wrapped in a royal blue fuzzy faux fur blanket that looked just like the arms of our family’s old fuzzy blue couch. OH MY GOD, my dad looks like Cookie Monster! What the hell!?!?
The two men wheeled the gurney with my dad’s fuzzy blue form past my surprised eyes and out the door to the waiting ambulance. That’s the last time that I saw my dad.
When the Chaplin came back in, we exchanged more pleasantries and then both he and LaNora hugged me goodbye. I told the nursing staff at the desk that I was going to get my dad’s stuff and that they could distribute all of my dad’s remaining things. They thanked me and I went back into the room to pack up and go.
I grabbed my purse and CD player, the two photos that had been in my dad’s room, one of my dad and me at my wedding, the other a family photo of Mike, the kids, and me. I also grabbed the rest of my “dinner” from the night before, my Doritos, my two left over mini wines, the sweater of my dad’s that I had worn, and that was it. This is all that I have left. Just like Mama Moore, his life was in the end, reduced to nothingness. That’s not true, Leslie. You have your memories.
As I walked down the hall headed for home, I came face to face with Morris wheeling down the hall in his wheelchair. We both stopped. Morris looked at the things in my arms and then nodded and wheeled away silently. Bye, Morris.
I stopped in the business office to inform the staff that my dad had gone and fill out any paperwork that was needed. That done I left. I got home at 1:45pm. Thanks for the alone time, Dad.
I called, Robert, François, Carla, my mother, Rose, Sam and Jerry, and left messages for all of them regarding my dad. I also called work and left them a message that my dad had passed and that I would be in sometime later the next week. I then took a long bath and got a snack. When Dayton got home, I told him that it was over. He hugged me and told me he was sorry.
We drove together to pick up Ian at school. I stayed in the car while Dayton got out to go get his brother. When Ian got in the car, he told me he was sorry granddad was dead. Dayton had told him when he went to get him.
I expected to have conversations with the kids about the death, but they had already processed everything, I guess. When we got home, it was as if it were just another normal day. The two of them began fighting about nothing as usual, Ian didn’t want to do his homework, dinner was loud and crazy; business as usual. I did kind of snap at one point when the kids were fighting after dinner, but I apologized and told them that I was just a little sad.
Mike came home and we talked a little bit about all that had happened. That was it. I had a glass of wine and went to bed.
Thursday was pretty uneventful. I did speak to Carla, my mother, and Rose.
Friday, we went out and met some of the people in our community wine tasting group for dinner and drinks. I didn’t eat though; I had a full-blown panic attack. I was able to maintain with great difficulty and never had to take my Xanax.
The rest of the weekend was better and things seemed to settle back down to normal.
Saturday night, I did have some rather strained conversations with Robert, Francois, Sam and Jerry. But all and all, things seemed to calm down.
Monday, after getting the kids off to school and having my normal coffee, cigarettes and news, I went into my office, which is the room which was supposed to be my dad’s, to finish writing the last chapter of this book.
I took a break from writing the book to smoke a cigarette at around 10:30 a.m. Just as I sat down, my cell phone rang. I looked at the read out; it was a 212 number, someone from New York. Maybe Rose’s phone is messing up again. I answered the phone. I knew the voice of the “Hello” on the other end immediately, even after three years. It was Frankie.
Frankie expressed her condolences and asked questions regarding my dad’s recent condition. I knew that Robert, Francois, and Carla had been keeping her somewhat updated, but I briefly gave her a run down of my dad’s situation over the past three years. There was an awkward silence in the conversation.
Frankie broke it by saying, “I just wanted to let you know that I love you. I know that it might not seem that way, but I’ve known and loved you since you were a baby and I still do.”
“Uh huh.” I responded dully.
“Well, I just wanted you to know that.” She added.
“Okay.” I said flatly.
Okay, Leslie could you be more of a bitch!?!
I changed the subject by asking about the family members who I had tried to call and could not get in touch with since my grandmother’s death. Frankie informed me that Joe, was in a nursing home suffering from Alzheimer’s, but May was still at home. We talked a bit about the boys and other family members; me searching my memory banks trying to figure out if I knew some of the people Frankie was talking about, with not much luck.
The call ended clumsily. We both said quick goodbyes. Frankie then finished by saying “I’ll talk to you soon.”
“Okay,” was all that I said and we both hung up.
I immediately called Rose and told her about the phone call. She was so happy. She asked me if I was nice to Frankie. I told her that I was polite. She then gushed about how glad she was that Frankie had swallowed her pride and called me and that I had forgiven her. Have I forgiven her?
Rose and I talked for about an hour about a variety of things. After I hung up, I came back to my computer to write it all down.
I sat in front of my computer for several hours after I hung up with Rose. I thought that my dad’s passing would put an end to the saga. Instead, I have a million and one unanswered questions swirling in my head. Now that I am no longer tied to the state with a weekly date at the nursing home, can I think about trying to get the family to move back to Illinois? With two family members officially, and one unofficially, diagnosed with Alzheimer’s, what does that mean for my and my boys’ future health? Can I and/or should I take one last plunge into the unpredictable seas of my family members and risk any more attacks to my psyche? Will I ever have answers to any of these questions?
I had every intention of ending this book with some spectacularly witty comment that would tie up all the loose ends of the past five years. Because I’m just that good. As I sat at my computer, contemplating everything that had transpired, I found myself uncharacteristically at a loss for words. And then my arrogance hit me like the Rock of Gibraltar. Although my dad’s life and story has ended, I realize that life cannot and will not be easily tied up with a neat little bow. It will continue to have moments of sad and happy, crazy and sane, good and bad, exciting and boring. I will never be able to write the closing joke because the universe ALWAYS has the last laugh.
Tuesday morning, I got up to run some errands and my car wouldn’t start; dead battery. Man I really, really hate Tuesdays. Mike jump-started the car and I went about my day. I came home and several hours later when I got in my car to go pick Ian up from school my car wouldn’t start, again. Mike picked up Ian instead and then went and bought a new battery to put in my car.
Later that evening, Mike was out in the garage putting the new battery in my car and talking to our next-door neighbor. At about 6:30 p.m., I walked out of the house to tell him that dinner was ready. As I came out onto the driveway, I heard galloping hooves. I looked up and saw an animal running south down the street next to my house. At first, I thought it was a cow calf, but as I said “Hey there’s a cow running down the street.” I realized that it was no cow. Once my brain kicked back in to normal, unfreakout mode, I realize and say, “That’s not a cow, that’s a baby moose. No, that’s a baby elk. No, that’s a baby reindeer.”
Mike, my neighbor and I walked to the corner and watched as the baby reindeer galloped down the street followed by a line of cars and trucks trying to get home for the night. As the reindeer crossed over the greenbelt across from my house and disappeared into the neighborhood, I looked up at the sky and smiled. Ha! Ha! Ha! Very funny dad.
Thanks.
I turned around and walked back into the house to put dinner on the table.
The Universe ALWAYS has the best closer.