Monday, May 20, 2024

Last Week I Learned

...that if you have a person on hospice care in a skilled nursing facility, and if that person one morning is more difficult than usual to wake up, and has oxygen saturations in the 70's even when they're on 4LPM of supplemental oxygen, and that person is also having shortness of breath and decreased breath sounds in one of their lungs, the staff at the skilled nursing facility basically call you (and by "you" I mean the person's emergency contact person) and say, essentially -- Hey, you should get in here ASAFP.  Capice

Which, in many cases I'd imagine, leads to said contact person calling another person close to the person on hospice and relaying the same message, probably with a bit more emotion and a bit less technical information.  

And, that's how Wednesday started for me last week. A call from my Mom at about 7am, which in the history of forever has never brought good information, telling me that my Dad had low oxygen levels and wasn't waking up.  I was supposed to work from home that day, and when I first talked to her I strung some words together about that I'd go work from the office instead so I could be in town and then play it by ear from there, but a few minutes later after I actually woke up enough to get out of bed and get in the shower, and process what I'd just been told, I was like -- What on earth was I thinking?!  If my Dad is non-responsive and barely breathing, my ass is NOT going to work today.  Just thinking about it by that time brought me to tears and I was like, no, I can't work with this going on. So I finished my shower and texted my boss, and the doctor I was working with that day, and then my husband, and my son.  Maybe not in that order, I don't remember.  I probably texted the hubby and son first, then took a shower.  

Regardless of the technical details, most of which I don't feel like re-hashing right now, the long-story-short version is that that was a horrible day. But he woke up later.  He wasn't very talkative, but he did talk a bit.  His O2 sats went up to the upper 80's to low 90's again, on his usual 2-3L.  The hospice nurse did say that his left lung sounds were diminished and congested, and he didn't eat much that day, but ever since then he's been -- in their words -- "not declining".  Which, in hospice-speak, doesn't mean that he's getting better, it just means he's not rapidly declining like we all thought he was on Wednesday.  

We thought Wednesday was going to be It.  You know.  The Day.

No one can explain what happened.  His lungs are still not great, but they haven't been for years.  But they're back to what they were before Wednesday.  It does seem to have taken a lot out of him, unfortunately.  He's very tired now.  He still sleeps about 18 hours a day, but when I've seen him, even when he's awake, he looks exhausted. He continues to lose weight, despite eating 75-100% of his meals.  

He just looks sad all the time now.  Sadder than before.  

I gotta get back to work now.  TTYL


Tuesday, May 7, 2024

Facebook wants to know...

 A few random things that are on my mind:

It took two hours to drive to work this morning. It normally takes only one hour.  Why did it take so long? Because construction.  Long story short, there are basically two major thoroughfares from the state where I live into the state where I work in my part of the woods (because you have to cross a river) and this summer, there is going to be major construction on both routes, joy to the world.  Well, construction has already started on the southernmost route, which is not my primary route anymore (it used to be, before we moved a few years ago), so a lot of the traffic that would normally be on the southernmost route has decided to detour themselves to the northernmost route.  Construction hasn't even started on this route yet, and it's already backed up so that it takes me twice as long to get to work as usual. I have the feeling it's going to be a long summer at this rate.  I think my honest-to-God tolerance for a commute to work is about 65 minutes on a regular basis, 90 minutes intermittently.  120 minutes feels like it's scratching on every single last nerve I have.  Seriously!  I spent the second half of the "drive" to work this morning daydreaming about how nice it would be to work closer to home. 

The only good thing is that I got awesome gas mileage since we didn't go faster than about 50mph for the last hour.  But still...not worth it. I don't want to leave home at 0530 to get there at 0730.  I don't want to spend 4 hours or more A DAY commuting to work.  I'm going to have to either find some serious back roads to take to work, figure out a way to work from home a lot, or spend more time than I had originally planned staying at my parents' house this summer if this is how the drive is going to be.  Because I can't do it.  

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It's hard, isn't it? When you've been working so hard to be filled with the Holy Spirit and to show grace and mercy to those around you, even and especially those who have done you wrong, because you really feel in your heart that that is the right thing to do, because you've tried the alternative and you know there's nothing good about that.  Seriously, holding grudges isn't any good.  Hating other people isn't any good.  All those things about forgiving others because the only person you're hurting is yourself if you don't are so true.  I have plenty of good reasons to hate a few people in this world, but I'm choosing not to anymore, because why? It doesn't matter to them if I hate them or not.  It's just taking up space in my mind and in my heart, space and time that I should be using to focus on loving others anyway.  I've felt so much peace since I've given up hating other people and regretting doing things that I wish I hadn't done in the past.  Not that it's been easy to just turn the other cheek, so to speak, but once you start doing it, it starts becoming second nature.  

So you (I) know in your (my) heart there's nothing good about being mad at someone who doesn't even know you're mad at them, someone who won't even talk to you or anything, that it's just a moot point and you should just let it go instead of letting it bother you (me).  I know these things.  I know the best thing for me to do is, um, you know...Let Go and Let God.  I've given Him this particular trouble so many times in the past, but then I keep taking it back. Why do I keep taking it back? Because I think I can fix it somehow?  I can't.  It's not fixable.  Maybe in time...nope. Maybe just a little more time...nope.  Maybe in a different situation...nope.  And in case you don't speak Cryptic Tash, I'm talking about my sister here.  

I'm talking about the fact that I'm just not as mad as I want to be at the fact that she won't visit my parents, even though my Mom has asked her to many times.  The fact that she doesn't want to see my Dad "in his condition" and blames it on the fact that he called her by my name the last time she saw him, or at least that's what she's telling my Mom.  The fact that she doesn't even ask how he's doing, or how my Mom's doing, or offers to help at all in any way, shape, or form.  That's fine, because we don't need her help, anyway.  I want to be outraged by this.  But I'm not.  I'm not surprised by any of her actions, or lack thereof.  I'm not surprised that she hasn't had a change of heart and that we can't rely on her for anything and that she refuses to be reasonable and talk about this like an adult.  I want to just go off and totally blast her and rip her to shreds for hurting my parents like she has.  She doesn't even know.  She doesn't even care. THAT is what pisses me off the most.  

Not exactly sure where I was going to take this next. I guess I just needed to vent because it does still bother me, but not in a personal way anymore.  She can't hurt me anymore, maybe she realizes that, too, and that's why she's going after my parents now.  Whatever her reasoning is, all I will continue to do is pray that 1. she stops hurting my parents. They have done nothing wrong.  If they did, it wasn't intentional.  None of us are perfect parents.  We do the best with what we know at the time.  2. that she opens her heart to the Father, the Son, and the Holy Spirit.  I mean REALLY opens her heart to the Triune God and accepts Jesus as her Lord and Savior one day. Not for my sake, not for my parents' sake, but for her own sake.  She is filled with so much hate. It saddens me that anyone at all would live like that.  

Love one another. That is all.

Monday, May 6, 2024

You think you're so smart, but I've seen you naked.


There's this one BNL song that has just some of the best lyrics ever, and it's just so perfect and so classic BNL because this song in particular (yes, I'll link it in a few moments) has this cool, laid-back jazzy piano feel that actually suits Steven Page's voice undeniably well, and then he nonchalantly croons one of my favorite lines in a song, ever:

You think you're so smart, but I've seen you naked; I'll probably see you naked again.

If that's not your style, how about this one? 

So you want to play mind games? Well that's fine, go ahead, la-la-la, I can't hear you!

Perhaps now you might see why I didn't really like BNL until I started paying attention to the lyrics.  Perhaps you didn't care in the first place why I like BNL.  Either way, that's my beginning topic for today and I'm sticking to it, courtesy of Blame It On Me by the Barenaked Ladies.

And so, life goes on.  One of the biggest changes in my life since I last wrote in here is that I've cut my hours back at my day job so that I can spend more time with my parents.  More specifically (so far) with my Mom, "just" helping her get things done.  I hesitate to label myself her caregiver because she is fully able to take care of her own physical needs; it's more like a combination emotional caregiver and chauffeur personal assistant.

I struggled with this decision for a good, long while.  I wish I would've thought of it when my Dad was still at home, but whatever.  Not sure that would've changed anything.  What I struggled with the most is that my Mom and I haven't historically gotten along the best.  And I hate using the word "gotten" if that tells you anything.  Especially not when I was a teenager, but even in my adulthood.  I don't want to pick it all apart here, because nobody's perfect, right? My Mom and I, despite being flesh and blood, seem to have two very different outlooks and perspectives on life.  Which, the older I get, makes more sense because we've lived very different lives.  Personality-wise, I take after my Dad.  

So I worried that I'd be setting myself up for disaster.  What if all we did was fight? There have been times on this journey with my Dad when we've butted heads. I don't want that to happen, but it was also becoming obvious that my Mom needed some additional support.  I knew what I needed to do, and that included putting all my fears and worries aside and just stepping up to the damn plate and doing it.  Because that's what we do, right?  Forget about the "what ifs", it's the big picture that matters.  

I was going to wait until after the VDC weekend (yes, the one back in March) to suggest this to her.  I was going to use that weekend to pray about it and ask God to let me know once and for all if it was the direction in which He wanted me to go.  Prior to that, I was spending a night a week or so at my parents' house after work, in the name of helping my Mom but not really having much time to do a whole lot because I'd spend the whole day at work and then get to their house and usually have time to eat and then watch some TV and let my Mom vent for a while before I went to bed because I'd have to get up and go to work the next morning again.  The thought was there but the time really wasn't.  But one night, I was talking with my hubby about it (and I have to add -- he is the greatest hubby ever. He has been in full support of this since day one.  He mentioned it as an option long before I even brought it up as a possibility. He's the best!) and I said I was thinking it was time to maybe do it, and he was like, OK, then do it.  Talk to your work about it and do it.  Bam, just like that, no hesitation whatsoever.  

I guess that was the sign I was waiting for because that night, when I called my Mom, I asked her if she would find it useful if I took a day off of work every week to spend with her, helping her run errands and do chores around the house and take care of other things and visit my Dad and such, and before I even finished the question she was like, YES, PLEASE!!  

That was back in March, and last week was the first week of my new schedule. So I'm taking one day "off" per week and for now, the plan is to spend either the night before or that night at my parents' house.  For scheduling reasons at work, it will be a different day every week, which was kind of a bummer at first but actually might work out better for my Mom as far as scheduling appointments and such.  So, last week my day "off" (which isn't really a day off, ha ha) was Monday.  I was worried that we'd just end up sitting around watching TV all day, but we actually did get out of the house and run a few errands, and started cleaning out the pantry, and made a longer-term To-Do list.  And most importantly, I felt more connected to her the more time I spent with her.  I was hoping that would happen.  That if I could be there when I wasn't tired, or pressed for time, that I could show more grace and be more present and helpful instead of . . . well, not.  

I know it's early, but I'm hopeful that this is going to work out.  I don't like being away from my hubby, spending the night in the city, and I really don't like sleeping in my parents' bedroom.  (My Mom sleeps in her recliner in the living room. She hasn't slept in their bedroom for a long time.  I think that started when my Dad couldn't walk up the stairs anymore, and now I think it continues because she misses him and doesn't want to sleep in the bedroom without him.  I also don't like sleeping in their bedroom because it reminds me of my Dad and how he's not there. But there isn't anywhere else for me to sleep except on the couch or in my Dad's recliner in the living room with my Mom, and I wouldn't get much sleep there because she has the TV on "for noise" most of the night. But I digress.)  But adulthood is full of doing things we don't like to do, right?!? 

So that's how THAT is going.  My Dad is doing alright, I guess. We had a care conference a couple of weeks ago.  I've been part of care conferences as a nurse, way back when I worked in the hospital.  Not very often, I think maybe only once or twice when the discharge planner wasn't available.  Anyway, I was able to meet the hospice nurse and social worker.  The whole care conference took about 10 minutes and could have been an email, lol.  Nah, it was all good.  My Dad still qualifies for hospice care because he is still losing weight, even though he is eating well.  His pain/discomfort seems to be well-controlled, he hasn't needed his PRN morphine for a long time, he sleeps a lot, and he needs to stay on supplemental oxygen.  He continues to slowly decline, although not as rapidly as he was when he was first put on hospice last November.  

He still knows who *I* am ;)  

It is still so difficult, though.  Watching this all happen.  Watching him "decline" (I hate that word now, too) before our eyes.  I wish I knew what he's thinking.  I wish he could tell me if he wants to keep going on like this or not.  I wouldn't think he would.  He has no quality of life.  He can't do anything for himself, he needs someone to do literally everything for him at this point.  He doesn't seem to enjoy anything.  Every time he doesn't feel well, I wonder if this is It.  A week or so ago when I went to see him, he was complaining that he felt like he was going to throw up, and he was a little pale and diaphoretic and clammy.  At first I was like, I get like that when I'm nauseated, too.  But then as I thought more about it, I was like, what if it's a heart thing? But he's on hospice, so, what is there to do, really? It resolved while I was there so I guess it wasn't a heart thing.  This week my Mom was complaining that he's been crabby, and today in the hospice nurse's notes I read that he's had some GI issues all weekend.  So now I'm like, what if this is Something?  You just never know.

None of us ever know, though. Anything could happen at any time.  

Alright, on that happy thought, I'm gonna go refill my water jug and then get back to work. These darn phone calls won't make themselves.  TTYL!