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

August 24, 2013

Saying Good-bye to My Friend Mich


I met Mich Magness three years ago when I took Mam-ma Polly to a 101st birthday party for his aunt, Lois Taylor.  We clicked instantly, as Mich learned that I was there as Mam-ma's caregiver...and he was a gerontologist for the state of Oklahoma.  Mich "had my number" pretty quickly, and he gave me great advice about caregiving, the elderly, and the sandwich generation.  We talked all through lunch, and I will always remember that on the way home, Mam-ma said, "Well, I said to Lois...'He's met his match!  If he can out-talk HER, he's really done something!'" 

I will also remember that Mich asked me why I thought I had to be responsible for distant relatives (like our little great-nephew Timothy) and "every stray that comes along"!  He said this was typical of certain groups of people... nurses and teachers, to name a couple... that we were by nature a "nurturing personality," and we felt it was our duty to care for others. As a former teacher, I fit the pattern.

The following summer, we met again at the birthday party, and Mich began to follow this blog. He usually shared my posts from the blog on his Facebook page...and he almost always had something insightful, encouraging and/or comforting to say about them.
Mam-ma Polly and Grimm Magness
July 2010

I find it interesting that in such a short time I could come to feel such a strong friendship with someone I only met twice  yet "corresponded" with almost daily via Facebook.  I never met Mich's wife or sons... although I did meet his brother, and his father, Grimm Magness, who had grown up in Arkansas with my grandparents.

Mich and I shared a lot of the same views... socially, politically, and spiritually.  I know he loved God, his family, his community, the arts, and dogs.  He had the biggest heart.  And now, he is gone... another victim of Glioblastoma... the second friend I've lost to this disease in the span of three months - and the third person I know who has been diagnosed with GBS in the last year.  Until last July, I had never even heard of Glioblastoma...it is supposed to be fairly rare.

Mich's last message to me was on June 24th, when he assured me that he was as okay as you can be when you know you are dying of a brain tumor, and he added, "Thanks for caring."  I did care... and I will miss his social commentaries...his sweet insights into aging and the elderly, and his ever-present wit and ability to tell us how he really felt - and get by with it!  I am sure I will re-read his advice (as documented in a post in July 2010 on this blog) quite often... and the comments he shared with me on Facebook, as well.

I will so miss Mich and his larger-than-life personality. Oklahoma - and the country at large - lost a good man tonight. The "gerontology world" lost a tremendous teacher and advocate.  And Heaven's table gained a delightful dinner guest.  I'm sure he, Mam-ma Polly and Mrs. Lois are already having a great conversation there.

God bless you, Mich...  we will never forget you. May you rest in the peaceful, loving arms of Jesus.

March 13, 2013

How Do You Sum Up 100 Years...a Eulogy for My Grandmother

When I was about six or seven, my grandmother sat me down on the rock ledge of the well house in the chicken yard one day and handed me a beautiful white hen. The chicken sat on my lap, warbling softly as I stroked her feathers. Then without any warning, Mam-ma grabbed that hen by the neck and began swinging her around violently. Soon the neck snapped, and the body of the hen ran round and round the chicken yard, wings flapping. I really had no idea what was happening, but that hen became dinner!

Not long ago, I told this story in front of Mam-ma, and we asked her WHY she did this – why she sprung such a thing on an innocent small child. Her explanation was that she thought she needed to teach me a lesson. In her mind, I needed to know how to wring a chicken’s neck… and she never was one to sugar-coat things. Some might even say she had a mean streak… and I would have to agree. She saw this as an opportunity to toughen up a little “city girl.” And while she didn’t necessarily toughen me, she gave me an experience I never forgot!

In his book, All I Need to Know I Learned in Kindergarten, author Robert Fulghum presents a list of lessons learned in his first year of school. And as a former kindergarten teacher, I greatly appreciate these pearls of wisdom… things like take daily naps and eat cookies. But for all I learned in kindergarten, I learned even more from my grandmother
  • I learned how to cook and sew.
  • I learned how to catch fish – and how to fry them.
  • I learned how to grow a garden and can fruits and vegetables.
  • I learned how to paint a picture.
  • I learned how to feed others.
  • I learned how to cook teeth!
  • I learned how to be a “people person.”
  • I learned how to serve God.
Of course, there were a few lessons I didn’t learn so well. I kill more plants and flowers than I grow. I can NOT make peanut brittle… and I never did learn to wring a chicken’s neck.

Mam-ma Polly was known far and wide for her peanut brittle. Nearly a half inch thick, yet light and crispy, she had the touch for making candy that tasted like no other. And she NEVER pulled her candy. She let it spread on its own, unlike most other peanut brittle makers. She tried to teach me, my sister, Jasmine, and my cousin Natalie how to make peanut brittle one winter. She “instructed” while we did the work… we stirred the sugar syrup until it made the right “hair” on the end of our spoon, and then we added the peanuts and watched the candy cook them. We stirred the foamy scalding substance and added the baking soda. And just as the candy started to pour out of the pan onto a greased cookie sheet, I attempted to help it along. “NO! NO! NO! I’m gonna whip you! Don’t you dare do that!” Mam-ma screamed. Apparently it is complete sacrilege to touch the candy as it pours. What’s left in the pan is just left in the pan. And you do NOT help the candy spread on the cookie sheet. That part I did learn! I don’t know if any of the three of us can make peanut brittle, but we will all remember that day and the screams… and we’ll never help the candy out of the pan… ever again!

Mam-ma Polly and her County Extention
Service Home Economist - somewhere
around 1953 - in Mam-ma's root cellar
Anyone who knew Mam-ma Polly knew that she was “a mess.” My mother wrote a book about her Aunt Zula, and my mother-in-law said, “I think you should write a book about Polly.” Greg said, “You could call it Golly Polly!” I laughed and said, “No, I think it would need to be called Polly, Patchwork, and Peanut Brittle.” But in retrospect, I think maybe it should be titled I Tell You What! If you have spent any time at all around Polly, you know that she prefaced nearly everything she said with “I tell you what…” or maybe you have heard “Why, my land a livin’” as she imparted some words of wisdom. Or maybe you know some other of her many tried and true sayings that she loved to pepper into her conversation.

There is a lawyer who has a little infomercial on television, and in his ad, he says, “I’m gonna tell you a few things you don’t know, and some things you need to know!” Well, I’m going to tell you some things about my grandmother that you may know – and a few that I’m betting you might not know.

My first recollections of my grandmother are of her nimbly sewing the tiniest of wedding dresses, wool suits, evening gowns, and even underwear for our Barbie dolls – almost all done by hand or on a treadle sewing machine. I also remember catching her fill our red net Christmas stockings with fruit and nuts and hang them on either side of her fireplace. When I asked about it, she said, “Well, Santa is so busy – I’m just helping him out a little.”

I remember early mornings of John Chancellor on the Today Show… Huntley and Brinkley in the evenings, and gospel music on the big radio console that stood adjacent to a wall near the dining area. I remember stopping at Foust’s Department Store on the way home for staples like coffee, flour, sugar and Crisco. Everything else came out of the “deep freeze” or the cellar. My grandparents grew everything they could for our meals, and we feasted on canned and frozen garden vegetables and fruits – and black angus cattle raised in the pastures behind the house.

The "crew" at Young's Department Store
My grandmother worked in factories from Texas to Indiana. She worked at Young’s Department Store and the Glove Factory. She drove a school bus route for eleven years. She was a chairside dental assistant for eighteen years, and in her starched white “nurse’s uniform, white hose and shoes,” I thought she was as much a nurse as any RN at the hospital. She worked for Dr. Joe Robbins, and in those days, the dentist made his own dentures. I still can see the cabinet with the trays of molars and canines and the little table with a strong light and impressions set alongside the work-in-progress that would become someone’s dentures. Dr. Joe would “set” the teeth, and then Mam-ma would take them home in the afternoons to “cook” in a big pressure pot on her cookstove… sometimes alongside a pot of beans.

Mam-ma worked briefly for Dr. Leon Wilson – another dentist – as his receptionist, and she served as a “foster grandparent,” first at Heber Springs Elementary School, and then for several years at the Community School of Cleburne County.
 
I still recall the look on my grandmother’s face when she walked in the room to view my dad’s body after he died. Her knees buckled, and her companion, Deb Caviness, my cousin Eddie, and Greg scrambled to catch her so she wouldn’t sink to the floor. I still remember how blank and devastated she looked when I first saw her after the house she had inhabited since 1953 – and virtually all of her earthly possessions within it - burned to the ground on December 20, 1981.

I still hear the trepidation and sadness in her voice as she told me of losing her firstborn baby… being so sick and out of it from the drugs given during her delivery that she was not even able to attend his burial. She was a 20-year-old bride. She worried so when Jasmine was pregnant with Timmy, reminding me more than once that “you know, I lost my first baby.”

I still hear the bitterness in her voice as she spoke of her daddy, who abandoned his family when Mam-ma was about 12 to move to another state with another woman and start a new family. Mam-ma only saw him once ever again – when my daddy was about 10. She said Grandpa drove up in the yard and wanted to pretend nothing had ever happened. A few pictures were made of him and Daddy, but only one included my grandmother. As she would tell us in recent years, “We had a good life until Poppa left. Babe and I played with dolls and did all the things kids do. But when Poppa left, we had to go to the fields and go to work.” And work became her mantra for the rest of her life.

Mam-ma Polly loved nothing more than for people to sit and visit with her… and to make her the center of attention…and you don’t have to be a rocket scientist to see that she never overcame her feelings of abandonment, even after almost 90 years. She had a way of cutting to the chase – telling you if you needed to lose a few pounds or “dry it up” – or offering marital advice. Once, she told a widow who had remarried, “Well, you already killed one husband, and now you’re workin’ on another!” And she told me often, in one way or another – and once outright – you don’t do enough for me… you could do more! She also told me that what was wrong with our churches is that we have gotten away from shaped notes, gospel singing and the King James version of the Bible.

Mam-ma Polly would be the first to tell you, “I’ve worked hard all my life” – and she did. But she would also be the first person on the scene if you needed her. I’ve seen her bake wedding cakes for brides who couldn’t afford to buy one – and then hand the bride a new nightgown from her own dresser on the way out the door with a quick, “Here, you’ll need this.” I’ve seen her bake countless cakes, pies, pans of hot rolls and more for those who were sick or grieving… or to celebrate even the most mundane of occasions. I’ve seen my grandmother ask month after month, year after year, “Did you send my tithe to the church?” In the years 2007-2009, she must have made close to 20 baby blankets and quilts for cousins, nieces, nephews, and her great-great-grandson, Timothy.

On her 95th birthday in 2007, I asked about 100 people who knew and loved Mam-ma Polly to write down their memories and send them to be added to a special “memory box.” To Mam-ma’s credit, dozens responded, and she treasured her memories for years afterward. I would like to read a few of them that capture the essence of who Mam-ma Polly was.

From Evelyn Robbins Irwin… “You have always been a part of our family. I’m glad you were always at Daddy’s office to hold my hand.”

From Nevin Robbins…”I want to share two memories with you. The first is about peanut brittle, of course. You probably taught every person in Cleburne County to judge the quality of peanut brittle against what you make. It is so good! I remember the first time I ever saw you make it. My father took me out to your farm. I was delighted to see your place. You explained to me that the trick to making good peanut brittle was having the right combination of ingredients, cooking time, and temperature… and WEATHER! If it all fit together just right, the candy would be great. Somehow you were able to fix it just right, and we have enjoyed the benefits for years.”

The second memory is really a collection of memories back at the old dental office. I learned very quickly who was really in charge. You were always able to keep the office and people in it on the right track. Sometimes it was your smile or laugh that eased the situation. Sometimes it was your saying, “Now, Dr. Joe…” It was always your joy in life that touched us all. For all these things, I love you and thank you. I am so glad you are a part of my life.

Polly and Deb, her companion for
7 years after my grandfather died.
He was like a second grandfather to us.
From Donald Payton… The first time Charlene and I visited the Chandlers in Heber Springs, we were planning a Saturday night activity and told Polly she was welcome to go with us, “but it probably won’t be over before 10:00.” She replied, “Nope, me and Deb are goin’ dancin’… and we’ll hardly be started by then.”

Many years ago, long before we knew Polly, I wrote a song, recorded by Porter Wagoner, which was entitled “Plantin’ Beans and Turnip Greens and Thinkin’ Dear of You.” Now, whenever I recall that song, I think of Polly. Invariably, when I speak with her over the phone, I ask if she’s had any beans and turnip greens lately, and she’ll say, “I had a mess of ‘em yesterday. Picked ‘em myself right out of the garden, and fixed ‘em with cornbread. They sure were good. I just wish you and Charlene were here to eat ‘em with me.”

From Charlene Payton…Nobody in this world makes peanut brittle that tastes half as good as Polly’s. One day we asked her how she breaks it into “eatable” pieces. Polly replied, “I put it in a sack, carry the sack to the back porch, and keep throwing it on the floor till it breaks into pieces!”

One day, several of us women, including Polly, were in a Branson theater awaiting the start of a show. Just as the houselights dimmed and the crowd hushed, Polly said, “Charlene, if something happens to Donald, you should start dating as soon as possible.”

From Rufo Martin… Polly was working at Young’s Department Store and helping a young lady that was trying on blue jeans. It seems the young lady left, and Polly went into the dressing room to pick up the 2 new pair of jeans she had tried on. There were no jeans in sight, so I confronted the young lady outside the store, and Polly went with her to the dressing room to have her remove the 2 new pair of blue jeans she had on under her old jeans.

From Natalie Fall Norton… My favorite baby gift was the quilt you made for Olivia. It is beautiful. I love knowing that it was made by someone who loved Olivia before she even made her grand entrance. At first, it hung on the wall, because I didn’t want her to get anything on it. Now, I cover her up with it when she takes a nap. Not one time have I covered her up that I didn’t thank God for you and what you have given our family. I’m not talking about gifts. I’m talking about love and a sense of what true family is all about.

From Carla Lou Huson… My grandmother, Nonnie, was not as good of a cook as Aunt Polly (and that is being kind). Nonnie was, however, competitive with Aunt Polly. Aunt Polly would come into town and bring us cookies, and Aunt Polly’s cookies were out-of-this-world delicious. The minute Nonnie saw the cookies from Aunt Polly, she would start baking. Nonnies cookies were barely edible. Regardless, Mother would make all of us choke them down so Nonnie wouldn’t get her feelings hurt. I got to where I actually dreaded seeing Aunt Polly coming with those heavenly cookies because I knew that Nonnie’s contribution was close at hand!

When I was in elementary school, I would ride the school bus with Timmy to Aunt Polly’s house. We would run amok on the farm, and Aunt Polly would cook all of our favorite foods. We would do whatever we wanted to do, and then our parents would come and get us before bedtime. Going out to the farm seemed so exotic… and riding the bus was a huge thrill, too. Of course, the best part was hanging out with Aunt Polly!

My number one memory of Aunt Polly is DUMPLINGS! She makes the best ones EVER! No one even comes close. Her cooking is the best part of me coming home to visit.

From Elwanda Bailey… I recall when you worked in the dental office and how neat you were in those white uniforms… makes me think also of my mom and how she starched and ironed her uniforms and wore the white shoes with white hose… neither of you would have ever thought of wearing the scrubs professional people wear today.

From Rick Whisnant… Remember when me and Jim Huson got caught smoking grapevines behind your house?

From Jasmine Linn Gary… Mom picked a flower on your lamp post. You thought it was me. You told me you would beat my “@$$” if I didn’t stop picking your flowers.

I showed you a bonnet on “Little House on the Prairie.” You made me one just like it, but mine was prettier because it was pink, orange and yellow.

From Mike Linn…You sewed the motorcycle on my stocking so I would feel like part of the family.

From Suzanne Chandler Linn… One year we had Thanksgiving dinner at the farm. That afternoon, you and us kids went for a walk in the woods. We picked rabbit tobacco, and when we got back to the house, we rolled it up in strips of a brown paper sack and smoked it!

I remember watching you make mince meat. You clamped the meat grinder to the kitchen counter, and I couldn’t believe all the stuff you ground up to put in it. It was a while after that before I would eat mince meat pie again! Now I love it!

Right after Pap-pa died, you and I were walking through the field to pick the peas, and you told me, “Honey, I learned a long time ago that you’ve got to walk through lots of piles of manure before you ever get to smell the roses.” (except she didn’t say manure!)

From Greg… I don’t think we’ve ever really acknowledged it out loud, but we both know that I adopted you as my substitute grandmother many years ago. The first time I had supper at your house (now over 40 years ago), I immediately became envious of Debbie, Suzanne, and Timmy. As you know, my family had moved hundreds of miles away from my grandparents when I was very young. The distance made it impossible for my grandparents to maintain the sort of relationship that you had with your grandchildren.

I realized just how much I missed being close to my grandparents the minute I stepped into your warm, cozy farm house one cold night for supper. And when I say warm, I mean WARM! Besides the wood stove, Trup had a fire in the fireplace and you were cooking up a storm in the kitchen, which generated even more heat.

I was just getting to know your family, so I was a little nervous. Trup was hard to read, but you made it clear that you’d be nice to any scoundrel that Debbie might drag to your table. Over time, I came to know that Trup had a sweet heart, too.

I could see immediately how important you were to Debbie, and so I wanted to make a good impression. When we all crammed in around the supper table, you made me feel right at home, and you introduced me to the best dessert ever invented… sweet potato pie!

Up to that time, I’d never cared much for sweet potatoes, so you might as well have been offering me a turnip pie! I probably appeared a little reluctant, but I was not about to insult Debbie’s grandmother, so I agreed to try it. I was even more apprehensive when you presented my pie in a bowl and with some sort of white gravy on top. When I took my first bite, I felt like everyone’s eyes were on me, so I was fully prepared to grin and bear it. Well, I was hooked… not just on sweet potato pie, but also on my new grandmother-to-be.

Besides being a great cook, you are a great teacher. I learned a lot of things at your table over the years… here are a few of my favorites…
  • Green beans and black-eyed peas are good when they’re cooked right.
  • Even turnip greens are good… when they’re cooked right!
  • Eating and laughing go together.
  • Some people put sugar on sweet corn.
  • Some people put tea in their sugar.
  • Some people say “I love you” with sugar cookies.
  • Life’s short and sugar’s cheap.
  • Hard work is its own reward… so long as your family appreciates it!
  • Love and faith will get you by.
  • God is good.
I can’t thank you enough for all you’ve done for me, but I’ll try...
  • Thank you for throwing me off the bus when I was 12. I deserved it.
  • Thank you for being nice to me, even when I didn’t deserve it.
  • Thank you for accepting me into your family.
  • Thank you for your example of hard work and perseverance.
  • Thank you for praying for me.
  • Thank you for loving me.
I love you too.

To mark Mam-ma’s 100th birthday, my mother posted a tribute to her on one of her blogs. It said in part…


Despite long working hours, Polly made time for church activities, membership in the County Home Demonstration Club, and the Business and Professional Women’s Club. She regularly hosted suppers for her family and many friends. Every Wednesday, her three grandchildren rode the school bus home with her and stayed for supper. Polly’s green thumb and her love for digging her hands into the soil turned out deep colored flowers and bountiful vegetables in her large garden. She spent summer nights canning and freezing her harvested food. Yet, she still made time to sew tailor-made garments for herself and her granddaughters. Her favorite pastime? Picking up a fishing pole and heading for a pond with her husband and two favorite friends.

To me, she is Polly—the mother who raised my first husband and cherished our three children. To my children, grandchild, and great-grandchildren, she is Mam-ma Polly—the matriarch of our family. She has lived and loved for a century; she's endured hardships and observed changes that boggle the imagination compared to her childhood. We celebrate her 100 years of living, her numerous accomplishments, and the impact she continues to have on so many lives.

Over the weekend, my good friend John Birdsong posted this tribute to Mam-ma Polly on Facebook… I want to share this on my own page because the life of this dear saint of God was so intertwined with mine. When I was very small we lived next door to her in my grandmother's house and later in Polly's rent house. She was sweet and kind and also very proper -- one of the most dignified and elegant ladies I knew as a child, though she might not have seen herself that way! I enjoyed knowing her son and her son's future wife Arline Chandler when they were dating and newly married, and Arline later became my piano teacher. Polly's grandchildren became some of the closest friends that I and my sisters had growing up.

In 1958 when I started first grade, Polly was bus driver for the small group of kids who lived east of the river. There were so few of us that at first she took us to school in her own car (a brand-new gold-colored 1959 Chevy with enormous fins) then later in a van until our route eventually qualified for a "real" school bus. It always amazed me to watch her grapple with the stick-shift and the big steering wheel on that bus, and it looked to me like it would have been a hard job for a strong man. She could back up that bus and turn it around as well as any bus driver in the district!

Though we moved across the field into our own house later on, we still considered Polly our neighbor. When telephone service came to our community it was on an eight-party line, and Polly sometimes gently reminded us kids that we needed to be respectful of the other folks on the line. I'm sure we sometimes drove her crazy making and receiving call after call in the afternoons and evenings, (our "ring" was an annoying "long and a short") but she was always kind when she reminded us that other people needed to use the line too.

She and my grandmother were good friends, though Grandma was about 18 years her senior, and I will always remember Polly coming to my side at the cemetery when we laid Grandma to rest. I was standing next to the grave as they lowered the casket into the ground, in some degree of distress, and Polly calmy and quietly, in that genteel Southern voice reminded me that Grandma was in a better place now and that everything would be all right.

So now Polly has gone to that better place. Her granddaughter, my good friend Debbie, has kept us apprised of Polly's condition over the past few years as she continued to enjoy life as best she could while her body became more frail. She will be missed by those who cared for her and stayed close to her. I had not seen her in a couple of years, but always enjoyed hearing about her on birthdays and special occasions as her family posted on Facebook. What a wonderful life she lived, and what a better world it is because of this sweet lady's life.

Yes, Mam-ma Polly was a mess… but she was our mess, and in large part, we are who we are today because of her influence. I may not be able to make peanut brittle, and my quilting stitches may not be as small and neat as hers, but I make a mean pan of hot rolls… and I like to imagine that I think of others more than myself most of the time. I know I love serving God – and serving others, in no small part because of her example. And I’ve even started saying “I tell you what” as I get older!

There will never be another Mam-ma Polly. I’m not sure the world – or heaven – is big enough to hold but one. But I know when I get to heaven, she will be there waiting for me. I just hope she isn’t holding a chicken!

December 11, 2012

They's a Lot Worse Things Than Dyin'...

All of my adult life, I've heard my Mam-ma Polly say this... "They's a lot worse things than dyin'..."  Now, it's her turn.  I had made plans to accomplish two things today... get the laundry done, and visit Mam-ma.  I started laundry, worked at my desk, then did a workout, showered and dressed.  Somewhere around 2:30 p.m., I headed for the Assisted Living Facility.  My mother had visited Mam-ma yesterday and thought she was pretty good... so well, in fact, that she planned to take Timothy and Zola to see her tomorrow.

Today was totally different.  The Hospice aide - and a dear friend of our family - was there bathing Mam-ma.  And the oxygen machine was running... hose strung across the room and into the bathroom.  Shelly (the aide) hollered to me, "She's really wheezing!" I told her she has been wheezing for a couple of weeks.  But Shelly said, "I could hear it when I got here." And I could hear it.  Shelly said, "I am wondering if I should have showered her... she's not doing good."  Mam-ma was shaking... and she had an ashy color.


Shelly got Mam-ma dressed in some sweats and insisted she get into bed.  Mam-ma started to protest... and even had Shelly put her in the wheelchair... but then she thought better of it and agreed she should be in bed.  Shelly stayed while I checked with the facility nurse.  When the Hospice nurse had visited around 1:30 p.m., Mam-ma's pulse ox was 80.  Normal for most of us is somewhere around 95 to 100.  They start to worry at 89-90.  So this was a low reading, hence the oxygen.

Mam-ma was clearly in distress.  She and I had a long talk, as she tried and tried to tell me something, but could get out no more than an "Oh, I want... or "Oh, I'm going..."  I asked her... "are you ready to go home?"  She raised up in bed, looked me squarely in the eye, and adamantly said, "YES!"  I told her it was okay to go... that we were all okay.  Then I began to tell her how my mom had said just this morning that some of her friends had announced to their children that they were no longer to prepare a big Christmas dinner... and that "honor" would have to transfer to the children.  At least one of those children said, "Fine!  We'll eat out!"

I reminded my grandmother of my cousin Carla, who died suddenly about a year and a half ago of a brain aneurysm at age 46.  Her parents went to a franchise restaurant one year for Thanksgiving, and she had a FIT!  I told Mom, I could see Carla's eyes rolling at the very thought that we would not have a home-cooked Christmas dinner.  Then our conversation turned to Christmas dinners... and who all would be sitting at our family's table in Heaven vs. the table here.  I told Mam-ma, "There will be a whole lot more of us there than here... and you should be with them."  She began to cry.  I soothed her and said, "Now, we're not going to cry about this... this is a glorious, wonderful thing, and you deserve to be with... (and I named everyone from her sisters and best friend to my grandfather, dad, brother, cousins and aunts and uncles who have shared our table's bounty - and our lives). 


Mam-ma settled fairly quickly... at least she stopped crying.  My sister and my niece arrived to check on her... and then my mom came.  As each person came, Mam-ma tried desperately to tell them things, clasping their hands, grabbing for their shirt sleeve, or cupping their face in her hand.  The only words I understood beyond the "I wants" and the "I'm going tos" was "Greg" - my husband's name.  Mam-ma has been very worried about my husband and me ever since we moved my niece and her three children home a couple of months ago.  I smiled and said, "Greg is fine.  We are both fine... and we're going to be okay.  You don't worry about us... we are both okay."

A few minutes later, the door opened, and my sweet husband came through.  He walked over and kissed Mam-ma, and she gripped his hand.  He was just what she needed.  The Hospice nurse told me to ask the facility nurse for an anti-anxiety pill for Mam-ma.  One hour later, she was still agitated... the pill had not worked.  The Hospice nurse had arrived to see for herself what was happening, and she ordered a pain pill for Mam-ma.  The facility nurse gave Mam-ma the pain pill, and about a half hour later, she was calm and resting better.

We decided to grab some dinner, and then I would return to the facility.  We were probably gone 45 minutes, and when I got back, aides were changing my grandmother and putting her bedclothes on her.  She was coughing more, and one aide took her vital signs.  The pulse ox was normal, thanks to the oxygen, but she now has a low-grade fever.  The Hospice nurse suspects she has some bronchial "something" going on.  BUT... as soon as Mam-ma was dressed for bed and settled, she drifted off to sleep immediately.  The aide on duty offered to come back after she finished her rounds and sit with Mam-ma until she was sound asleep, if necessary.  I sat with Mam-ma for about an hour, and my mom returned for a few minutes, as well.  Mam-ma never roused. Her brow has been furrowed in a frown all day... a sign that she is not comfortable... but she slept nonetheless.

So I asked the aide to be sure that Mam-ma continued to sleep.  Give her another anti-anxiety pill if she wakes, and don't encourage her to eat.  She refused supper... I'm hoping she will refuse breakfast. She had trouble swallowing water for her pain pill, and I do not want her to choke. I reminded the nurse and aides NOT to insist that she eat... to offer food, and let her decide.  The Hospice nurse, who is also a dear friend, keeps telling me, "You're doing great!  You're saying the right things.  You did well in talking to her.  Let her know it's okay to go."  So we are doing all these things.

This is not easy, by any means.  Mam-ma is right... "they's a lot worse things than dyin'..." and watching her like this is one of them.  While we were eating dinner, I told Greg, "I don't know why dying has to be so hard."  He reminded me that even though Mam-ma is ready to go... she is incredibly tough!  This could take a while.


Tomorrow, the Hospice nurse will consult her doctor and see if anything further can be ordered at this point to keep Mam-ma comfortable.  I'm hopeful.  Tuesday, December 18, will mark 80 years since my grandmother and grandfather married. My Pap-pa has been gone since August of 1984.   I would love nothing more than for the two of them to celebrate this anniversary together... in heaven.  I know I don't get to tell God how to run things... but I do believe He hears requests.  I'm just hoping He honors this one.

March 12, 2012

Learning to Let Go...a Difficult "Life Lesson"

My mother pointed out an article in the Sunday edition of the Arkansas Democrat-Gazette that was reprinted from the Washington Post.  Written by hospital internist Craig Bowron, the article dealt with our efforts to prolong life... often at the expense of the very ones we vowed to protect and nurture.  We have a difficult time of letting go.  To read this insightful article in its entirety, click here.  I share below an excerpt I found particularly profound.

    This physical and emotional distance becomes obvious as we make decisions that accompany life’s end. Suffering is like a fire: Those who sit closest feel the most heat; a picture of a fire gives off no warmth. That’s why it’s typically the son or daughter who has been physically closest to an elderly parent’s pain who is the most willing to let go. Sometimes an estranged family member is “flying in next week to get all this straightened out.” This is usually the person who knows the least about her struggling parent’s health; she’ll have problems bringing her white horse as carry-on luggage. This person may think she is being driven by compassion, but a good deal of what got her on the plane was the guilt and regret of living far away and having not done any of the heavy lifting in caring for her parent.
    With unrealistic expectations of our ability to prolong life, with death as an unfamiliar and unnatural event, and without a realistic, tactile sense of how much a worn-out elderly patient is suffering, it’s easy for patients and families to keep insisting on more tests, more medications, more procedures.

    Doing something often feels better than doing nothing. Inaction feeds the sense of guilt-ridden ineptness family members already feel as they ask themselves, “Why can’t I do more for this person I love so much?”

    Opting to try all forms of medical treatment and procedures to assuage this guilt is also emotional life insurance: When their loved one does die, family members can tell themselves, “We did everything we could for Mom.” In my experience, this is a stronger inclination than the equally valid (and perhaps more honest) admission that “we sure put Dad through the wringer those last few months.”

    At a certain stage of life, aggressive medical treatment can become sanctioned torture. When a case such as this comes along, nurses, physicians and therapists sometimes feel conflicted and immoral. We’ve committed ourselves to relieving suffering, not causing it. A retired nurse once wrote to me: “I am so glad I don’t have to hurt old people any more.”  ©2012 Craig Bowron via The Washington Post
I found so much of this familiar.  Don't many of us know that "white knight" relative who wants to breeze in and "fix" everything?  We primary caregivers have all experienced the "helpful" friend or relative who thinks we should be paying attention to details we have already deemed unimportant in the overall scheme of things.  And yes, some of us who are closest to our elders can see what my grandmother sees... that "they's worse things than dying."

A couple of days ago, I was talking with one of my dearest friends, and I said, "I am amazed at how far my grandmother has come since her illness and fall at Christmas time."  She replied, "Don't you mean how far she has declined?"  "No," I explained... "I mean how much she has bounced back and improved.  She is walking and moving well.  She is probably as clear mentally as she was before the fall - even though she still is not all that clear - and she is incredibly healthy for a woman halfway through her 100th year!"

Mam-ma Polly and Timothy in late
November 2011, just days before
she was hospitalized for six days. 
Given all of this, I am extremely reluctant to agree to any "routine" medical tests, medication changes, or anything else that upsets her apple cart.  My mother and a few others have been quite upset with her lately for taking her walks outdoors.  Mom is so afraid she will fall on the sidewalks.  She keeps telling Mam-ma... "You have vast hallways to walk indoors... why do you need to get outside?"  Mam-ma's answer... "I need fresh air."  I get that... and if she falls happily walking outside in the warm spring sunshine, so be it. 

This weekend, a fellow resident who is still mobile spoke to my mother at church about "really getting after" my grandmother for walking across the street from her ALF to visit a friend who is in the nursing home.  My mother had already admonished Mam-ma not to make this trip.  Mam-ma has not mentioned it to me.  Honestly, I am fine with it.  My grandmother is at a stage in life where she has very little that gives her a purpose.  If visiting her fellow Sunday School member friend and offering encouragement gives them both a lift, who am I to say she can't make that walk.  Is it rife with potential pitfalls and dangers?  Sure it is!  Is there a chance she could fall and hurt herself seriously... face a length hospital stay or worse?  Absolutely!  Is it worth these risks?  I believe so.

My mother's cousin, who is 88 and has a litany of ailments, is dying. He was placed in Hospice care last week.  It took his companion of almost a decade a long time to come to the conclusion that he had already drawn... he was dying.  She kept insisting, "He can't die... I can't live without him!"  He insisted, "I don't have much longer."  And with virtually no quality of life remaining, he shouldn't have to. 
 
So last week, he raised his hand and said "No!" to more tests, needles, poking and prodding.  No more medications.  No more procedures to drain fluid that is building up around his vital organs.  Nothing but a reasonably comfortable bed in his own home, with his own television and people who love him to watch and wait.  He told me Sunday, "It won't be long now."  I told him that was fine... I would see him on "the other side."  He and I had agreed a few days ago that we are both okay with this.

I told my dear cousin what I would tell my grandmother or anyone else in this position... you don't have to stick around for anything or anyone who is here.  You have fought well... lived well... and now it's time for your big party.  Rest, relax, drift off to sleep and let the angels carry you to heaven when God has your mansion ready.  Hug your wife, my dad, and a few others for me... and save me a seat!


The longer my grandmother lives and the more time I spend in the presence of elderly people who are being somewhat artificially kept on this planet, the more convinced I am that Dr. Bowron has it right when he quotes the nurse who said, "I'm so glad I don't have to hurt old people any more."  There is no shame in recognizing that sometimes, we go too far.  In certain instances, we do more than is necessary... and we fail to recognize when enough is enough.  I pray that God would grant me wisdom to stop short of this... in the lives of those for whom I am caregiving - and that the same dignity would be afforded me if/when I reach this stage of life.

* * * * * * * * * * * * * * * * * * * *

Meanwhile, I do think my grandmother is still having little mini-strokes, and in the effort to provide information of the "you-just-described-what-is-happening-in-my-world" variety, I share the following:

My grandmother had company recently - cousins from another state who drove over for the day to visit with her, bring her KFC (her favorite), and maybe play a game or two of dominoes.  The night before they arrived, Mam-ma phoned me, upset... she was worried about how she was going to get ready for her company.  I was in bed with the flu - and she knew this.  I told her that she didn't have to do anything to get ready - her room was clean... they could go to one of the common areas and eat their meal and play dominoes... everything was set. 

After a long difficult conversation, I was able to determine through the brief words and a few tears that Mam-ma was worrying about how she would "clean up the mess" after the company left.  I finally said, "Mam-ma!  We're talking a couple of boxes and a sack from KFC!  There won't be a mess.  Besides, those girls would never leave you with trash and expect you to clean up after they were here."  What can I say?  Maybe it was the flu talking.  I was probably too curt.  But she sniffled and said, "Well... okay."

The company came and went, and the day afterward, Mam-ma called again... asking how I was feeling.  I was still sick and in bed... the flu really took it's toll on me, and that is never a good thought for Mam-ma!  I asked how her visit went, and she told me, "Terrible!"  She proceeded to cry and tell me she had grown tired and asked the company to leave, and she just felt awful about doing so.  I assured her that they probably were not offended... they had only planned to stay a few hours.  She was not convinced.


I spoke with the cousins later, and they said they had a wonderful time.  They arrived around noon and stayed until approximately 3:30 p.m.  They ate KFC... visited... and walked all over the ALF.  Mam-ma really showed them around.  They told me was talkative, but apparently she never suggested playing dominoes.  One of the cousins told me, "Polly started nodding off around 3:30, and we were needing to leave anyway, so we told her we thought we should head for home."  They were clueless that Mam-ma felt she had insulted them... in fact, leaving had been their idea - and they felt they had all had a wonderful visit. 

I am quite certain that Mam-ma enjoyed the day.  I am also quite certain that she had a mini-stroke that probably began the night before when she called and was worried about clean-up.  The nurse told me a few days later that she mentioned to Mam-ma, "I hear you had company over the weekend," and Mam-ma did not remember the cousins had been here.  She has never mentioned their visit to me again... and I have not mentioned it to her.  This is the pattern of the mini-strokes... confusion, even agitation and a sense that things are all awry, followed by extreme fatigue, maybe a little more confusion... and then the forgetfulness.  It's as if none of it ever happened.  Or... as in the case of a convoluted phone call a month or so ago, she will remember that something happened - and she was not herself - but she can't put it all together.

Last week, Mam-ma called twice.  For the woman who used to call several times a day, two times in one week is now a lot... and there is a lot of silence and struggle to find words when she does call.  The first call came at 9:00 p.m., and she asked (remember, this took several minutes to accomplish)... "Do you still have light bulbs?"  I determined that the bulb in Mam-ma's bedside lamp had burned out when she said, "Oh... I've turned on my bathroom light... maybe that will help."  I suggested she have an aide get the bulb from her other bedside lamp and swap them for the night.  She agreed to that.  I asked, "Are you okay otherwise?"  She replied, "Well, I'm just all shook up."  I (stupidly) asked, "What's got you 'shook up?'"  She answered, "Well, my light bulb in my lamp isn't working."  I reminded her to call an aide to exchange the bulbs... and she said she would.  I went to visit the next day (and take more incandescent bulbs I had rounded up from my own lamps - she will not use the new energy-efficient variety!), and she had done what I suggested.

A couple of nights later, Mam-ma phoned.  My husband looked at the clock - 6:45.  He knew immediately why she was calling.  It took several minutes to confirm that she was unable to locate "Wheel of Fortune."  It's March... the SEC college basketball tournament was in action, and the local station was broadcasting the games instead of regular programming.  I tried to explain that "Wheel of Fortune" would not be on that night - nor the next night.  "No!" she said, "I'm a lookin' at Ole Miss and Tennessee."  Exactly!

Mam-ma kept saying, "You don't understand!"  Finally, she got out, "Well!  Where is ABC?"  I told her again, "ABC is not on your TV right now because the ball tournament is being broadcast.  You will have to watch another channel tonight and tomorrow night.  I'm sorry."  "Oh... okay," she said, in a disappointed tone.  Honestly, I was just glad to hear her television blaring in the background - for the first few weeks of January, she never turned it on.  This tells me how much improvement she has made in the last month or so.

So while my grandmother is well enough to walk across the street and visit a sick friend at the nursing home, she may not remember that she went... nor be able to say more than three words to her when she gets there.  She still has trouble conversing, and on any given day, she may have a little mini-stroke.  She has become more "clingy" when I go - reaching out to pull me close for a second or third hug... crying and saying, "I've just missed you so bad," even though I visited two days prior.  The general decline continues.  She very well might fall and hurt herself badly while walking outside... and I might be making my next posts from her hospital bedside. 

But I am beyond trying to stifle any efforts she makes to stay active and engaged, short of her suggestion that she might like to drive a car one more time!  That, I think, is where I draw the line!