May 18, 2006

Hospice, again

About six weeks or so ago, I wrote that a family member, my sister’s husband whom I’ve known my entire life, had been diagnosed with cancer.

We’re having one of those rather quick situations. Today, this good man - never sick a day in his life - has decided he is “done.” He’s asked for treatment to end and hospice to begin. This time it will be in-home. Again we walk this road. It will be a faster one, I think, than my brother S’s. Please pray for my sister and her kids, who are - thankfully - all grown up and settled.

I wrote this for my brother, back then. It seems to pretty much sum it up, now, as well.

O God, You Are the Wayside Resting Place

Likewise, the spirit also comes to the aid of our weakness; for we do not know how to pray as we ought, but the Spirit himself intercedes for us with groanings which cannot be uttered. Romans 8:26

Inexpressible groanings seem to be the stuff of my life these days….

My groans mingle with tears at the bedside of my brother as he slowly, slowly retreats into himself in these last days.

I watch my brother, now in hospice as we have reached that point, and I realize how small our lives are, and how a prolonged death makes them ever smaller. A few months ago it became clear that S could no longer drive, and so the car became meaningless to him, and the world began to shrink. Then he couldn’t go out, and so his clothes were irrelevant, and the world became four rooms and a bath. Then he could no longer cook and his staggeringly well-equipped kitchen became so-much excess. (When one is only eating soup or soft-boiled eggs, a simple hotplate will do; when you’re mostly drinking Ensure, all you need is a cooler.)

And meds. Bottles and bottles of meds. You need them, and they begin to take over. The world is smaller, but the nightstands are not large enough. The object d’arts are put away and replaced with bottles of multi-colored pills, retractable needles with pre-measured doses, large bottles of pasty yellow stuff that is supposedly liquid…the world becomes your bedroom and your bathroom, your tv and your meds. You pop opium-based painkillers while watching Emeril cook with your Kitchen Aid mixer and wonder how he got into your stuff. Then, when your brother hurts his back lifting you because you are literally too weak to move, your world shrinks again, until it is only your bedroom, and then only your bed. Emeril is silent. The burners are turned low. The whole large world, which you had launched yourself into recklessly, with abandon, the world you had yourself enlarged with your art and your playfulness and your noise has become compressed and concentrated and hushed.

This is not merely a matter of space and proportion, of physical layout. When you are admitted to hospice, you land in an open, airy, colorful room with a lovely view of the autumn leaves, and the heartening, kind and cheerful chatter of nurses and nuns, but you are still inward and small. Your physical space has expanded but your body and mind have moved further away. My brother’s world now is reduced to an hourly hit of pain meds and an occasional lucid moment. I watch him move to a fetal position, and wonder if the process of dying is taking him not only inward but backward. He converses, but his conversations are interior. His lips move but he says nothing. His agitation is soothed by the merest touch. He opens his eyes and announces he is going. I ask him where he is going and he replies that he is going to Florida. I bid him a safe journey and Godspeed, and he closes his eyes and fades back out.

But he is still here, lingering. S has his things about him, his own quilts and pictures and tshochkes, and he is suspended between two worlds, half in and half out of heaven. I lean in and tell him he’s got his boarding pass and is cleared for take-off whenever he’s ready to leave…and he stays, and he groans and we groan and pray. Evening comes and morning follows. The next day.

The support is heartening. The family is rallying, even the cousins are coming to help, to take a shift, to give S a manicure or a back rub or a flower. But with all of that, I think to myself so often, where would we be without prayer? And I thank God for those inexpressible groans which have the effect of enlarging our view, and giving our spirits some room to breath, of giving our souls some respose. As the world becomes the road to and from hospice and the room and the bed, prayer expands our breath, keeps us from suffocating. It brings balance.

O Daystar…
O Living Water…
O Key of David…
O Christ…

I praise you for you are my God. I thank you, for you have heard my plea.

O Man of Jerusalem
- City of Bread -
O Lord of Life
- Saving Cup –

I now walk with you
And each step is illuminated, made new, for
You are the Path of Light.
You are the Wayside Resting Place.
You are the Glory of the City of God.

In your greatness and your compassion have mercy on me in my smallness, and my humanity. Bless me as I bless your Holy Name, and keep me in your sight as I rest a while in you. Amen.

(Closing prayer: The Way of the Cross in Times of Illness)

Siggy is writing very wise on the topic of death, as well.

Related:
A few staggered breaths and he is gone
a time to fool around and a time to get serious
Sumi Jo’s exquisite Kaddisch
Buster Gets Mystical
The Gift Freely Given


The Anchoress pinged back with Mary and the Crucifix
Right Wing News tracked back with Daily News For May 22, 2006
Sister Toldjah tracked back with Sunday misc. news and notes

by TheAnchoress @ 4:03 pm. Filed under Culture of Life/Death, Faith, My brother S
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7 Responses to “Hospice, again”

  1. Jeanette Says:

    Prayers ascending for your sister, her husband and their family along with you. It’s going to be tough with it happening at home. Hospice won’t be there 24/7 so some people will have to step up to the plate and help your sister so she doesn’t wear down.

    This is never easy, is it? Hang on to your faith and remember the Holy Spirit translates our groanings so God knows what it is that we can’t put into words. God bless.

  2. Fausta Says:

    Heartbreaking.
    My prayers are with all of you.

  3. Donna Says:

    You and yours are in my prayers, Anchoress.

  4. Sister Toldjah Says:

    Sunday misc. news and notes

    Been a slow news day and as a result there’s not much to blog about, as evidenced by a somewhat quiet blogosphere today.
    What to do? I’ve read a little today and watched some of the Andy Griffith show marathon on TVLand Other misc. odds…

  5. Right Wing News Says:

    Daily News For May 22, 2006

    Foreign Iran Is Just A Few Months Away From Acquiring The Technological Know- How That Will Allow It To Build…

  6. Miquel Says:

    Dear Anchoress.
    Glenn sent me here, which is funny because I’m your “client” ; but as I haven’t entered for a dew days I didn’t know this developments in your family. Our prayers around here will be with you and your dear ones. May God and the Holy Virgin Mary bless you and give you strenght.

  7. The Anchoress » Mary and the Crucifix Says:

    [...] Reposted from November, 2005. I stumbled on this tonight and realized that when I wrote it my friend Jane was dying and none of us knew it, not even she. And my BIL thought he would live to be 99, just like his mother and father. Things turn on a dime. Thought I’d post this again…it’s good to remember, especially at a year’s beginning, that things can look very different 12 months later - that it is always good to take time to appreciate what we’ve got. We Are in this Together, Outside of Time [...]

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