Tuesday, June 24, 2008

The Circle of Life

Well working in a nursing home has its definite ups and downs.  This past week or two has been full of downs.  Of course working with the elderly and sick, I see many patients pass away. Usually, however, those residents that die are not currently on therapy caseload.  They have been discharged due to hospice/worsening illness or go to the hospital and never come back. So in some ways, I remain removed from the situation.  I never actually face it head on, until last week...  A patient of mine (Mrs. H.) whom I had become close with actually had a massive heart attack and died while in my room, just the two of us.  For the first few days, it was somewhat traumatic reliving the experience.  We had just finished our 45 minute therapy session, she was laughing, talking and within one instant, she collapsed.  Despite all the nurses and wonderful care we provided, she didn't make it.  Although I have experienced death around me, never so close, so sudden.  Compounding on this a day later, a vibrant patient (Mr. L.) who was returning home in a couple of weeks to live independently suddenly passed away with a blood clot only a couple of hours after our session.  Wow.  4 years of working and never a week like this I thought.  How can I keep this up?  Then after much reflection and prayers, I began to look at the situation differently.  How blessed I was to be with Mrs. H. in her final moments on earth.  Despite initial depression and sadness about being in a nursing home, she had begun to find peace in her final days and was very happy.  We were eating ice cream and laughing her final few minutes on Earth.  It's almost as if she knew... she was content with her life and ready to go.  During my final session with Mr. L. the day after Mrs. H died, he began to cry, out of the blue, about how he missed his wife and his two sons who had preceded him in death... Did he too know on some level it was his time?  He began to tell me that "you never know what an impact your life will have on others."  He reminisced about his youthful days as a WWII soldier in Japan.  After the US had bombed a village, a Japanese woman came out of her home with her skin literally falling off her body from the burns.  She had no clothes on.  Through sign language, she asked him to shoot her (to relieve her from her misery).  Mr. L refused to shoot her.  He couldn't do it.  He wanted her to survive if possible.  He rushed her to a medic, and she eventually made it to the hospital and did survive.  On his last few moments on earth, Mr. L stated "I always wondered if my decision to not shoot her made a difference in the world." Here is someone who couldn't remember what he had for lunch but could vividly see this Japanese woman in his memory and wondered what had happened to her.  Did she go on to do great things?  Raise wonderful children?  Because of his decision not to shoot her despite her begging.  He ended our last conversation together with, "Maybe one day I'll finally see her again."  Did he know that only a few hours later he would be seeing her again?  So the moral of this story is... this week, although difficult, has really served as a blessing.  I am so fortunate to have the opportunity to spend quality time with these patients in their final days.  I learn so much every day.  Life is really precious and can be over in an instant.  It really makes you appreciative of everything.  

Well, you are probably wondering what Whiskey has to do with all of this.  Yes he is alive, but only after quite a scare and $400 of medical bills!  A trip to the emergency vet in the middle of the night followed by two consecutive vet appointments discovered not much of any explanation of his terrible illness--unable to walk, not eating or drinking, hiding under the bed, and severe fatigue.  The good news is his week of illness has finally come to an end.  

Thanks for reading this.  I hope it has inspired you to live every moment.  I am the worst about looking to the future but through prayer am hoping to live more in the present.  

Wednesday, June 4, 2008

Devastated

Well, It's over for Hillary :(  I am literally sick about what might have been...
I have waited my whole life to see her as President.  I just can't believe it.  I was lucky enough to grow up in Arkansas politics and knew Bill, Hillary, and Chelsea. Let me assure you that she truly is a good person and passionate about helping others. Bill & Hillary believe their life's purpose is to better other's lives.  She would have been an awesome president!  Oh well, I guess there is always 2012.   

Things are good here.  Mom and I made a "quick" 6 hour trip (3 each way) yesterday to the hospital.  She was collecting fluid under her incisions that had to be drained.  She has to go back Friday, but since Patrick is out of school now (lucky dog), he gets to drive!  

I rearranged my living room Saturday.  It started with a new purchase-a flat-screen TV!  Finally we've moved into the 21st century.  Then I started moving things around.  It looks awesome!  Instead of boxy furniture, it is all slanted now and much more home-like. I love it! The animals, on the other hand, are completely freaked out by it. They can't find their favorite spot now.  

I am getting ready for my 10-year high school reunion, which is weekend after next.  I can't believe I am so old!  I get my hair done tomorrow and then nails & eyebrows next week.  Fun stuff.  I'll keep you posted!

Thursday, May 29, 2008

HOME!!

We had another long day at the hospital today.  Mom's appointment was at 11:00, but of course she wasn't seen until after noon.  The surgeon said her incisions look great and she was able to get her bothersome drains out!  While we were in town, the doctor suggested that we go ahead and visit with the oncologist who determines follow-up treatment.  So we waited another couple of hours so they could work us in to save another trip.  Mom was very relieved to meet with her--she credits the oncologist with saving her life 11 years ago and truly values her opinion.  The doctor was very hopeful and even said mom was a candidate for a new clinical trial in which chemo may not even be necessary because her tumor was highly estrogen positive meaning she could take oral anti-estrogen drugs.  The doctor will do more research to determine if mom is a candidate because her previous cancer diagnosis may exclude her.  Either way, if she does have to have chemotherapy, the doctor doesn't feel it will be as involved this time.  4 treatments instead of 6 and the drug cocktail would consist of 2 instead of 3 drugs, leaving out the very aggressive drug responsible for nausea and hair loss.  Mom was very relieved to know she may not lose her hair this time.  We still have to take one day at a time.  If you think about everything at once, it is truly overwhelming.  It is so weird to know one minute you are fine and the next facing a major surgery and possibly several months off work for recovery and follow-up treatment.  

We got home around 6:00 tonight.   Mom was insistent on going home, so Patrick and I got her all set up in her apartment.  Her friend, Liz, brought over dinner and more things for her freezer.  I will go over tomorrow morning and do some laundry and make sure she showers safely.  Remarkably, she is getting around and feeling good.  Her only real limitation is arm mobility--reaching for dishes in the cabinet, brushing her hair, shampooing her hair, etc.  My grandfather is doing well. His only complaint is still no appetite.  

My animals were so happy to see me tonight.  Corkie, at 16 years old, ran laps around me for at least 5 minutes straight.  She hasn't left my side tonight.  Patrick was happy, too.  He did a good job of cleaning while I was gone.  No major catastrophes (that I know of at least).

Wednesday, May 28, 2008

Day Six Update

We had some disappointing news today. The doctor called with the pathology report--the tumor was worse than originally thought to be, the size of it was over 5 centimeters and more aggressive which means chemotherapy. Instead of stage 1, the doctor now classifies the cancer as stage 1-2. The good news is no lymph nodes were involved so hopefully it has been contained, but because of the size, chemo is necessary. Mom had a very rough time with chemo 10 years ago and is very bummed with the news. All indications prior to the surgery was no follow-up treatment would be needed, and that was her mindset until this morning. Chemotherapy has changed a lot in 10 years, so hopefully the side effects will be minimal. We will take it one day at a time. The follow-up appointment is still scheduled for tomorrow at 11:00 and then we will head back home. We are both anxious to be back! Despite the news, Mom had a good day today. I was getting ready to go get us some lunch, when she emerged from the door "I think I'll go with you." She put on regular clothes and makeup and actually felt like coming inside the sandwich shop. She said it was nice to be in public. Two of her best friends visited this afternoon so she didn't even have time for a nap. My grandfather is doing well today. Home health came to help with bathing and bandage changing. Thanks again for everyone's concern.

Tuesday, May 27, 2008

Day Five Update

The updates are getting shorter & shorter, which is a good thing. Pop-Pop was discharged this afternoon and is VERY happy to be home. He will receive home health services beginning tomorrow but is doing remarkably well. My grandmother has a full-time job trying to keep him still so he can fully recover. He is already talking about mowing the grass this upcoming weekend despite his two large wounds from his invasive lung surgery. Mom is doing well. She requested Mexican food tonight, which is her favorite--so I got to-go fajitas and cheese dip. She took a long nap this afternoon while I visited with my grandparents before they left the hospital. This morning I did laundry and some cleaning and helped her take a shower. She is gaining more strength and independence daily. Thanks to everyone for their calls and e-mails. Honestly, even Mom admits that this has been easier than everyone expected. The anxiety of the unknown is always worse than the reality of what it turns out to be. Mom is very brave and a true inspiration.

Monday, May 26, 2008

Day Four Update

Not too much to report today. Mom spent a quiet day at "home". She took a nice nap this afternoon. She is feeling well, not too much discomfort. She has a slight temp which we are monitoring. We have to drain her tubes 4 times a day which is kind of gross! But we are getting used to it. We have to measure the blood to make sure it is an acceptable amount. Hopefully, she will have them removed Thursday at the clinic. She is wearing the new pjs I bought her--cute green and white striped polyester with crop pants and button down top because she can't raise her hands. Her biggest decision in the morning is which pair to put on! She is catching up on reading and enjoying talking to her friends who have been so wonderful to call and check in. Pop-Pop is doing great!! All of his IVs and chest tubes and morphine pump were removed today, and he is hoping to d/c tomorrow from the hospital. He is as spunky as ever. The nurses cannot believe he is almost 85. He loves a captive audience, and enjoys telling them WWII and State Police stories from the good ole days. I am doing well. I actually slept until 9:00 a.m.! It was great. I am a little homesick though. I am quite the homebody and terribly miss my two babies and hubby. Patrick and I are together a lot so it is hard to be apart. If we got through the 6 weeks apart (3 months into our marriage) for his job training in Maryland, I think we can make it until Thursday!!

Sunday, May 25, 2008

Day Three Update

Much better day today. Mom was discharged after a rough night at the hospital. She was ready to leave! We are settled into her friend, Lydia's house which is not far from the hospital. It gives her peace of mind to be close just in case anything is needed. She had her first shower tonight, and washed her hair! She is eating her favorites--chocolate candy, ice cream, and popsicles and feeling good. She thinks she could make the 3 hour trip back home, but I think we will stay in town until her follow-up appointment on Thursday. Patrick is holding down the fort at home. He went over to check on Mom's place today and hooked up her DVD player so that when she returns she will be able to watch movies. Once I got Mom settled in at Lydia's around noon today, I headed off to Wal-Mart and Walgreens to get her prescriptions filled and get some groceries. I then took a much needed nap and headed off to the hospital around 4:00 to visit with my grandfather. He is doing much better today. He is spunky for sure--he is on a no added salt diet following his surgery but snuck in a salt shaker and poured it all over is supper tonight despite my advice. Mi-Mi and I went to Dixie Cafe and had a nice dinner tonight. She is settled in the hotel, and I will check on them again tomorrow. If they get to go home Tuesday, I will make the 1 hour drive south and help them get settled at home. I will be off work all week! I have worked every holiday this year and have only taken 2 sick days when I had the flu, so I am ready for a little R & R (although taking care of 2 patients is not exactly a vacation), but honestly I am glad I am able to. I am a nurse at heart and enjoy it. I will keep you posted again tomorrow. I am going to actually sleep past 6:00 a.m.!!!!!!!!