WARNING – this is not a happy blog entry.
So, 16 months after watching Mum die a painful distressing death I find myself once again at the bedside of a dying parent – thankfully things are different this time.
Mum had been completely adamant that she was going to die at home, no way was she going into a hospice. The doctors and nurses promised her that she would get the care she needed and that the pain would be well controlled. Mum had watched her father die screaming in agony of pancreatic cancer 40 years before and was terrified that it would happen to her.
Despite the reassurances from the medical profession, nothing had changed in those intervening 40 years. The pain steadily increased, and she had to take more and more morphine. She couldn’t eat or drink (taking pills became impossible so a syringe driver was put in to administer the drugs at regular intervals), and she lost weight rapidly.
The last week of her life was a living hell for her, and for those of us who were caring for her – myself, my brother and my aunt. Mum was unable to control her bowels and so the bed needed changing regularly (an endless round of washing), which was difficult as touching her hurt so much and she didn’t have the strength to move herself. She had bed sores which required cream to be rubbed in, and she was still in constant pain.
Sleeping most of the time, and after having an ‘accident’ whilst my brother was trying to carry her to the toilet, she finally had a catheter fitted – something she never wanted or really got to grips with – my lasting memory of my mother will be her screaming that she wanted to go for a wee-wee.
The care that she got in the last week of her life was terrible – we just didn’t have the training or knowledge to look after a dying person. One night it was very obvious that she needed more pain relief, but the district nurses were unable to administer it and since it was 3am it wasn’t possible to call her GP. So I called the ‘on call’ doctor number.
After fobbing me off twice, asking if we could wait until morning and saying that it wasn’t possible, I finally lost my temper with them. This had the desired affect – but a doctor would not be available for 3 hours as they had to come from north of Gloucester. By the time he arrived we were completely strung out and Mum was wincing and moaning with the pain.
Mum died early on a Saturday morning at the beginning of September, she’d not been aware of much for about a week – thankfully. To be honest I’m amazed that she held on for as long as she did. When she finally went my aunt was with her; my brother was stuck 13 miles away with a puncture and I was downstairs.
I can honestly say that I felt nothing but relief when she’d gone, not only was her suffering over, but so was the torment of watching my mother reduced to a child.
And now, here we are again. 13 months ago Dad was diagnosed with cancer, they tried to operate but it was too late. The tumours had spread from his kidney to the surrounding tissue and there were tumours in his neck. We knew what was going to happen.
This time things have been different, for Dad, and for those of us around him. The fact that Dad had remarried meant that his children did not have to be the primary carers. Dad continued to work full time (often having a nap in the afternoon), and my stepmother worked along side him, learning the business.
I visited, but not often, and things continued as ‘normal’.
In December 2007 things finally caught up with me, and I was diagnosed with severe depression and signed off work. I guess it was going to happen at some time.
The other difference with Dad is that having seen the way that Mum suffered he had agreed to go into a hospice when he got really ill. Something that I probably would have pushed for anyway.
So, here I am sat in the ‘quiet room’ of the Sue Ryder Hospice near Cheltenham. Dad is downstairs in bed. I’m holding things together, but only just. My partner can’t be here with me at the moment and I really miss his calming influence, and loving hugs. At the moment I know that I have to keep things together, but I have to admit to being worried about how I’m going to cope.
There is nothing of Dad, he looks like an 80 year old man – a very ill 80 year old man. He has the syringe driver and is sleeping most of the time. He still knows what is going on around him, and who everyone is, although he does get confused.
My stepmother is with him at the moment, she’s not coping at all. My brother, my aunt and I are having to stay in a hotel as she wants to be alone in the house now (I completely understand that feeling, when Mum was ill I just wanted everyone to go away!), but what I am finding difficult is the lack of communication. I spoke to her last night for the first time in months, and she really wants nothing to do with anyone.
I have no idea what is going on, and what arrangements have been made for Dad – but on this occasion it’s not my responsibility. However, it’s in my nature to ‘organise’, so I’m finding it very difficult.
I arrived here about two and half hours ago and saw Dad for about 5 minutes before he told us to ‘bugger off’ as he wanted to sleep! The next few days are going to be a lot of waiting around – waiting around for him to die.
When the time comes for me I hope that I’ll have the nerve to end my life before my body gives up on me – maybe by that time the law will have changed to allow people to end their lives with some dignity.
At the age of 35 I’m about to become an orphan having watched both of my parents die in a slow painful way whilst they are still young (Mum was 59 and Dad 60).
Blue Monday
Monday, 21 January, 2008Originally uploaded by Ms. Moll.
According to the Daily Mail (no, I didn’t buy it, someone left one in the lounge at the hospice), today is the gloomiest day of the year – hell, every day this year has been gloomy – it couldn’t get much worse!
There is even a stupid formula – [W+(D-d)]TQxMxNA – what a load of crap!
Well, if you are interested this is what it means –
W = weather – rain, sleet and cloud make these January days feel so gloomy
D = debt – that mountain of festive bills is barely offset by your next pay cheque
T = time – three weeks into 2008 – just enough for monotomy to set in
Q = quit – most of us have now given up on those tricky New Year’s resolutions
M = motivation levels – generally very low at this time of year
NA = need to take action – overwhelmed by the need to do something to lift the gloom
Add to these D x 2 = dying father and depression.
The formula was devised by a psychologist who is an expert in depression and he has used it to pinpoint today as ‘Blue Monday’.
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