
I never knew I was a “sympathy crier” until yesterday when my patient’s wife suggested that. She explained that she was one herself. When she told me about her husband she started sobbing and I sobbed with her. I tried to joke a little and told her my employers say it’s OK if I cry, as long as I don’t cry more than my patient and their family. We sat holding hands in the darkened room where her husband was lying, unresponsive. She told me he had been in perfect health until this year. He did not smoke or drink, ate right, exercised, laughed a lot. In early March he found out he had a deadly, aggressive form of lung cancer and it had migrated into his ribs causing intractable pain. Nothing would relieve the pain and now the doctors were recommending “comfort care”.
We give comfort in what we do, both the medicines and the human comfort. In the hospital there’s plenty of medicine but not much time to be with patients, let alone hold hands and let people cry. In our hospice there is time and lots of space to sit and meditate or sit with a cup of coffee and a social worker or chaplain.
Some days in this work are easy to put aside at 5:00. The last two days there were three families facing end of life and each experience stayed with me. Tom was the old man on Wednesday who had a great attitude despite his lungs filling with blood and the constant suction that bought him a only few breaths at a time. He told me ,matter of factly, that he was waiting to see his great-granddaughter for the first time at the end of the day – she was coming in from the airport. “After I see her, I’m all done.” he said and he smiled. Yesterday I saw him and he had entered that space we call “actively dying”. He will have crossed over by this morning.
The third patient, Frank, had “multi-system failure”, a cascade of internal events that trigger one organ after another to fail, tipping like dominoes. Lungs, kidneys, liver, heart. His wife cried in yet another small room where we filled out papers. There was nothing to be said except, “We will take good care of him…and you.” She was grateful.
At the end of days like these, I don’t listen to Chris Matthews or (God forbid) Keith Olbermann and hear the latest political tiffs and sideshows. No, I look for a Fred Astaire movie on TCM and if that’s not available, one of those arcane history shows that Paul can always find will do just as well as I drift off, hoping to dream of an empty beach somewhere. If I’m lucky, the next few days at work I will be sent to visit only octogenarians with Alzheimer’s , full lives behind them, ready to cross the water.