Sunday, July 5, 2009
THE LAST DEATH

I knew that if we admitted her to hospice, she would have one of our nurses come out, get meds that would make her more comfortable and provide great support for her family. I got to work. I called her daughter who lived out of town and explained what was happening. The daughter said she doubted that her mother was really dying because “she looked fine on Sunday when I was up there”. She agreed, though, to sign faxed consents so I started preparing five forms for her signature. When they were ready I inquired about the location of the fax machine. A very large nurse with keys opened the med closet, showed me the fax machine and began to leave. I asked a few questions about dialing 9 or 1 etc. and she answered me abruptly and left. I then started faxing and broke the machine. It wasn’t exactly broken but the little square screen had the message “open cover” and when I did, I found nothing wrong. I closed it but the message persisted. This went on for several minutes. All I could think of was that this lady was going to die before she could be officially on hospice. There was something wrong with that. It was almost as if the fax machine would be responsible for her death. No, worse, it was as if I WOULD BE RESPONSIBLE because I was too incompetent to operate this little machine. At that moment, the large nurse with the keys returned to the closet, asked how I was doing and then said VERY smugly, “We never have a problem with the fax.” In a few minutes the consents were faxed, signed and returned and I was able to admit Mrs. N. and then left to do my charting.
I won’t ever know if she died that hour or that day because I turned in my computer and my pager and left my job at 4:00 PM. I thought my last day was kind of absurd and then thought about death itself being pretty absurd. You spend a lifetime growing, learning, trying and failing and then trying and getting it right. You develop wisdom and appreciation for simple things like birds and the feel of a cool breeze on your cheek. You refine your love for everyone in your life and start loving them just as much if not more for their quirks and bad habits as for all their so-called virtues. You learn to laugh at all of it. And then it’s time to go. And sometimes it’s your fate to die alone in 46C with a little light sheet over you and somebody down the hall trying to send a fax to your family to buy you a little more comfort. God bless you, Mrs. N. God bless us all.
Wednesday, July 1, 2009
Almost Heaven
Liza and I drove to Harper’s Ferry from her DC apartment on Sunday – up Connecticut Ave, through Chevy Chase, jumping on the interstate to Frederick, MD and then hanging a left on 340 for the last 28 miles. We crossed the Potomac River into Virginia, met Dorothy our realtor and set off to discover this little corner of history and extraordinary beauty. Harper’s Ferry dates from 1799 and is at the confluence of the Shenandoah and Potomac Rivers. It is the site of John Brown’s raid in 1859 that served as the prelude to the Civil War. (Ironically, on our home tour we saw some confederate flags and one large one had a wolf’s head at its center. Fortunately it’s a wolf that goes hungry in our time).
We rode up the mountain side seeing all kinds of lovely homes with 2-3 acres of land and yards that backed into the Appalachian forest. What’s not to like? It’s a quick ride down the mountain and across the street to the train station with both the MARC and Amtrak running on cue. Two homes were really appealing and are priced a lot lower than MD or VA, with lower taxes as well. Downside? I will no longer stop at Safeway or Trader Joe’s on a daily basis. Nobody can “drop in” for less than a weekend. Work will be an hour away by train. The positives: great living and breathing space; proximity to DC when we feel like it; lots of flowers and wildlife; and QUIET.
On July 10, we will head out and make our way to that little niche on two mighty rivers. Let’s see what happens next…