I'm not really ready to write about it, but at the same time I want to write before the memories start to fade. So here goes.
It all comes back to the fucking holidays. I had joked on thursday night that I would be spending the 4th of July hiding in my basement, because it seems like there was always some crisis going on every holiday. I was joking; I didn't really expect anything to happen.
Around 9am on the 4th of July, I got a call from the Hospital. The doctor was on the phone. He said that my Dad had "a rough night." He said that his blood pressure had dropped and that he was having trouble breathing so they might have to put him on a ventilator. I still didn't really get any alarm bells from this. He had been in pretty dire shape the week before, but he seemed to be improving overall. The nurses were no longer giving me those *looks* and making those comments about how he lived a nice long life. So he was having a rough day. No big deal, right?
An hour later I check back and the Nurse taught me two words that you don't ever want to hear when you have a loved one in the hospital: Family Meeting. The doctor wanted to call a family meeting. Nothing good can come out of a Family Meeting called by a Doctor.
We all scrambled to get there as quickly as possible and the doctor came in right away (also never a good sign) and told us that my Dad was going to die. It took him a few minutes to work up to it, but that's pretty much what he said. The words "no hope" were used. At this stage, we were still talking about an event that was probably days or even weeks or months away. They were already giving him every medicine they could to assist his heart rate and blood pressure and it was still a losing battle. The sepsis was winning. The antibiotics had come too late.
The first thing I did was check with his cardiologist. Not only did I trust him more (he was our regular doctor and we have a history with him), but it always seems sensible to get a second opinion. It also always seems sensible to get an opinion from someone who doesn't have a vested interest in freeing the room up to help with the backlog of patients waiting for a room. Unfortunately the Cardiologist was very nice and sincere and very much in agreement with the ICU doctor. My Dad was going to die. He thought it might be weeks or even months but he said people in my Dad's health simply don't recover. Again "no hope" was used. This was around mid-afternoon.
I spent most of the day with Syndee, my Mom, and my Dad. After a while Syndee got sick and had to go home so I took her home and went back to spend time with my Mom. Our Cardiologist seemed to think that my Dad wasn't going to die anytime soon (he had seen him at 8 in the morning so apparently it was before my Dad got worse) so he encouraged me to get my Mom to go home and get some rest.
I was about to persuade my Mom to let me take her home to rest when the Nurse came in and looked at both of us and said "You're not leaving are you?" When I asked why, she told me that my Dad was almost certainly going to die and that it would probably happen that very evening. We turned around, sat back down, and hunkered down for the long haul.
I was skeptical of the nurse at first, because the cardiologist had encouraged us to go home, but then she went off duty and the next nurse on shift came in. This nurse also said the same thing. My Dad would die this evening. She said she could tell because of the way that his heart rate was looking on the machine. My Mom pointed out to me that the nurses here probably have a lot more experience with actually being present when the patient dies than a doctor does. This was not a pleasant thought.
My Dad never regained consciousness throughout the whole experience. He sometimes seemed to respond on a subconscious level when we talked to him. He'd squeeze our hand. Very rarely he would lift his head up and sort of look at us through heavy-lidded and unfocused eyes. He never said a word to us. The last thing he said was on Thursday night, just before I left. He asked me "Guy, can you get me out of here?" He wanted to go home. I told him he needed to rest and get stronger. He never did and he never said anything else to me ever again. It breaks my heart that I couldn't get him out of there.
So we settled in and sat there and watched as the life slowly drained from my Dad. We had his defibrillator shut off because if his heart became irregular it would just start shocking him and put him in constant pain. It doesn't make any sense to put him through that when there's no hope of recovery and thank God he had been very lucid and clear about what he wanted when we filled out an advanced directive last month.
With modern medicine, you can watch someone die and know exactly how close he's getting. The monitors told us how low his heart rate was getting and how low his blood pressure got. He was so strong. For hours he struggled to stay alive. His heart rate elevated to 120 or so and stayed there for hours as his blood pressure dropped and dropped and dropped. Then after his BP hit around 50/30 his heart rate started to go down. It hit 100. Then 90.
At this rate, the nurse noticed that he was wincing occasionally and we thought he might be in pain. We gave him some pain medicine to make sure he was comfortable. Narcotics of course lower a person's blood pressure, but at this stage it was more important to make him comfortable than to extend his life a few extra minutes of unconsciousness. He almost didn't survive the narcotics and over the twenty minutes after they administered it, his heart rate and BP dropped but then stabilized. His heart rate went down to 50.
Throughout all of this, my Mom and I talked to my Dad and held his hand and kissed him and hugged him and hugged eachother. We sang and prayed and had a chaplin come in to pray with us. We talked about good memories of my Dad and we cried. His BP went down so low that the machine couldn't read it anymore.
Then, again it stabilized. It stopped going any lower. Even the nurse seemed puzzled by this. An hour went by and he was steady and his BP even started to get a reading again. Then another hour and another. I started to think that it wouldn't be tonight after all. The nurse came in and conceeded that this might be the case and that we might want to go home and get some sleep. We did so at around 3am. She promised to call us if anything changed.
At 6am, they called and said my Dad's heart rate went down to 40. By the time we got there, it was too late. At 6:28am, my Dad passed away.
I've never seen a dead body before. He was cold. His eyes were still open in that half-lidded gaze and I tried to close them and found that it was not an easy thing. It's not like the movies. You touch your own eyes and they're soft and malleable and you think you can just pass your hands over them and they close. You have to press on them, using more force than I would have imagined. Even then I had to do it a second time a few minutes later.
We spent a long time in that room, mourning. For some reason we got it in our head that we had to choose a funeral home THAT INSTANT so we frantically started looking around for info on where to go. Thinking back, it was absurd, but people are stupid when they're grieving.
My Mom has said and done some terrible things to me and to Syndee. One thing I will never, ever doubt is how much she loved my Dad. She clung to him in that room. "He's so beautiful" she sobbed over and over again, looking down at the corpse of the 77 year old man that she had been married to for 50 years. That's what love is.
The nurses slowly started to pressure us to leave. Syndee ran interference for a while, which is just as well because I would have held the entire ward hostage before letting them kick my Mom out before she was ready.
We knew he wanted to be cremated and we knew we did not want a viewing, so this was going to be the last time we saw him ever. Nobody was going to rush us.
Ever since High school, long before HBO's six feet under, I read about what really happens to a body when it's embalmed and prepared for a viewing. It always seemed horrific. Disrespectful I guess. It reminded me of those dried out bugs that you see pinned inside the scientist's glass case. I knew I didn't want that for my Dad. It's very fucked up that I'm worried about them harming my Dad's body so instead I'm burning him to ashes. But there you go.
I'm sorry I couldn't get you out of there Dad.