Thursday Re-View — I Just Want to Talk With Them Again

I just want to talk with them again.

Mom and Dad. Just one more time to sit over a cup of coffee and catch up.

Mom died 26 years ago, Dad died 2 years ago, but sometimes the desire to talk with them tears my heart into pieces. Such a little thing – to talk together – is such a big thing.

If given the chance, what would I do?

First I’d tell them I loved them, how much I missed them, how much I wanted to thank them. And I’d stand wrapped in their arms until the weight of the world drifted away and all I could feel was their love. Protected, where no one or no thing could touch me without their permission. Yet when I picture the hug in the recesses of my 60-year old memory, I am still a little girl in a grown up world.

I just want to talk with them again.

To tell them about Alex’s wedding a week ago. How lovely it was, intimate, with only 30 people. The groom was handsome, the bride beautiful. It rained, but it rained on their first date and when Alex proposed, so rain seems to be a blessing of theirs. And how I didn’t cry until I saw the empty chair in the front row draped in white with their picture on it, honoring Mimi and Poppy who weren’t there. At least not physically…

To share pictures of their three grandsons, who are now all married and successfully giving back to society. To see their five great-grandchildren who are all healthy and bright and strong.

To describe yet another health scare last month, when the ER docs thought I had a second mini-stroke when I couldn’t remember whether or not Alex had gotten married yet. My brain was a blank slate, and of all the things that have ever happened with my health, this is the only one that scared me. And it reminded me that even though I have gone kicking and screaming into this forced retirement of sorts, perhaps I am not meant to be working full time. Perhaps my life, as it is, is enough.

To tell them about my blogging adventure, where 1,100 people have actually chosen to get an e-mail every time I post something. Where my love of writing, and desire to provide encouragement and inspiration meet in a ministry all its own. Where they can read about people and places and things that have touched me and helped me to grow in compassion and love.

To describe what it felt like to volunteer for the Red Cross as a mental health provider at the viewing and funeral for a Pennsylvania State Trooper who was ambushed outside his barracks. To honor him and his wife and two little boys by being present for those who mourned. To serve the thousands of State Troopers who came from as far away as Alaska, California, Texas, Minnesota, Iowa, North and South Carolina, Virginia, Maryland, Ohio, Massachusetts, New Hampshire, Rhode Island, New York, New Jersey, just to name a few. To describe what it felt like to see the best of humanity come together following the actions of the worst of humanity, and to know that the light will always overtake the darkness.

I just want to talk with them again.

But how long would I need for 26 years of updates for Mom, and 2 years of events for Dad? And if I honestly believe that our loved ones watch over us after they die – and I do – then I don’t really need to talk to them, to update them on their family, since they already know all that I would tell them.

Maybe I just want to hear their voices one more time, hold their hands in mine, feel their arms around me. To be swallowed up by their love, their protection, their wisdom. To know that regardless of what happens, everything will be alright.

Everything will be alright.

Dear God:
I just want to talk with Mom and Dad again.
Can you do that for me – please?
Theresa

________________________________________

Thursday Re-View — “An Adolescent’s Christmas…”

christmas tree
Working with college students is great.

Before anyone gets into that type of work, however, it would be wise to warn you about the college student brain. Studies have shown that “late adolescence” may actually extend until 25 years old. The scientist in me wants to explain that until then, the neural networks that regulate behavior don’t reach full maturity, making the person subject to sensation-seeking and increased risk-taking, as well as more vulnerable to impulses, emotions, and the effects of alcohol and other drugs.

Still want to work with college students??? (You should. It’s energizing!)

When I explain that to the students themselves, in trying to help them understand the developmental changes during their college years, their reactions – after the shock – divide into two different camps. The first group sits up straighter, usually with an affronted look on their face – “Hey, just one minute! We’re adults, not adolescents!” The other group slouches a bit, eyes glazed, wheels turning, and you can hear them thinking, “Sweet! When I get drunk tomorrow night, I’ll have a great excuse. I couldn’t help it; my brain made me do it…”

My point being that it’s hard to transition from high school to college, and a common problem is the “emotional disconnect” that so many young people seem to have with their parents. Communication is not their strong point (one only has to look at the texts and twitter feeds to see that; while I’m on that topic – Rule #1: Never break up by texting or on Facebook! Man-up or woman-up and do it in person.).

facebook

Which brings me to Kristy… Together, she and I worked through a nasty break-up with her boyfriend, a charge of plagiarism by a professor, changing her major, feeling left out as a commuter, drinking too much on weekends, and the struggle with going to college and working a part-time job at the same time. All in an average day in the life of an adolescent. (One good thing – students who commute are spared the drama of roommate issues that flare up with alarming frequency).

But – and there’s always a but – no matter how hard she tried, no matter how much role-playing we did together, Kristy could not seem to reach an uneasy peace – or even a truce – with her mother. There was no father in the picture; only Kristy and her Mom. Finances were, of course, a huge issue, and Kristy’s only ticket to a better life was to keep her grades up in order to keep her scholarships and find some middle ground with her mother. Most times, they didn’t even speak to/with each other.

One day right before Christmas break, Kristy came in with shoulders slumped, looking dejected. (Uh oh – probably another incident with Mom.) I asked her what was wrong. Kristy grabbed a tissue (uh oh, uh oh – Kristy never cries) and started to explain what happened the night before.

She and her Mom were in a particularly tight spot with money, and were behind on rent and other bills. It was bleak enough that they couldn’t even afford to put up a Christmas tree. Last week, we had already discussed that not having money for a gift for her Mom didn’t matter; we Moms love a hug or a hand-made card – nothing else needed. But Kristy felt strongly that if she could only get her Mom something wonderful, their relationship, in this season of joy, would suddenly be terrific – wonderful – like everyone else’s (if Kristy only knew…). So what happened, with a child wanting nothing more than to please her hard-working, single mother?

Kristy had noticed in the past that her Mom cherished a statue she kept all alone on a coffee table in their apartment. Kristy wasn’t supposed to touch it, in case it broke. Sometimes, after coming home from her 2nd job, Kristy would see her Mom take off her sneakers, put her feet up and just stare at the statue, lost in thought.

“That has to be so very special to your Mom; what/who is the statue?”

Kristy struggled with this. “Well, it’s a small boy – looks kind of weird with something like a crown on his head, and his hand is held up like he’s agreeing with Mom – stay away.” She sighed. “Oh, and sometimes she dresses it up in clothes that she made herself, when she still had her sewing machine; you know, kind of like I used to do with my Barbie.”

Okay. The picture in my head is taking shape.

infant-prague-statue-8-inches-2007991

“The statue – was there something like a globe in the little boy’s left hand?”

“Yeah – how did you know?”

“My Mom had the same statue. But what happened?”

Kristy explained that the 2 things her Mom loved most were costume jewelry and this statue. So, thinking of surprising her Mom with something even better than an expensive Christmas tree, Kristy got some of Mom’s favorite, chunky jewelry out of her bedroom and draped the statue with it, Mardi-Gras style. “Lots of bling, you know?” When the statue looked blinged out enough, Kristy draped a string of lights around the statue, too, so it blinked in color and blinged at the same time. “I thought it looked good.”

Now I am trying to keep my “listening intently” look, and not show my concern about where this might lead. “What did your Mom do when she saw it?”

Kristy looked down for a long moment. “She didn’t say a word. She just kept looking at the statue, then at me, then the statue…and she started to cry. So I just went up to my room. Why didn’t she like it?”

Okay. So – how to explain. “Well, I know you meant well, and I’m proud of you for wanting to make your Mom happy with her 2 special things, but that statue… that’s the Infant of Prague – the Child Jesus – and the hand He holds up, like He wants you to stay away so you won’t break Him – that’s the Child Jesus blessing you.”

Kristy’s eyes had that “deer in the headlight” look, horrified and scared at the same time.

“Some might think what you did was sacri – (no – skip that word) disrespectful.”

Her eyes got even bigger. But then she got a twinkle in her eye and covered her mouth with her hands. Remember the high emotion and mood swings in the adolescent make-up? We were there. For only the second time in my work as a therapist, I lost it (for the only other time, see my post “The Welcome Angel.”).

Kristy started to laugh, then I started to laugh. She choked out, “I put bling on Jesus? And Christmas lights???” She alternated between being horrified at what she had done and being proud of herself for rendering her Mom speechless. I laughed right along with her, as I pictured the Infant of Prague decked out for the 21st century.

I tried to explain when I quieted. “You know how you don’t know how to feel right now – upset, but a bit of you thinks it’s funny? That’s probably what happened with your Mom; she was upset with having something other than “proper” clothing on the statue, but happy that you tried so very hard to give her something that would mean so much to her, and maybe even put a smile on her face. It’s okay, Kristy; it will all be okay. Your heart was in the right place.”

What do you think? Was the new appearance appropriate? It sure was! Was the Child Jesus angry with Kristy? Absolutely not. In fact, I think He must have smiled while He watched her face, so intent on dressing Him in something special for her Mom; so intent on pleasing her, so intent on trying to show her that deep down, there was love.

Kristy’s intention was pure; her adolescent love – fickle but piercing in its strength – was on display, her heart vulnerable. And what better time than at Christmas, with the birth of Jesus and a Mother’s love. Who knew that something so innocent could be so wondrous?

You did good, Kristy. You saw with the eyes of your heart, and Jesus smiled with love and understanding; He offered His blessings to you and your Mom.

Indeed – you are a blessing to me as well.

There’s a lot to be said for that adolescent brain, isn’t there?

And the heart – don’t forget the heart.

heart III

________________________________________________________

Thursday Re-View — “Thoughts for My Son”

Call Mom.
Pick your battles.
Be kind.
Thoughts matter.
Breathe.
Count to five before you speak.
Look beyond what you see.
Don’t judge.
Rescue an animal.
Keep your word.
Give back.
Be present.
Apologize.
Give thanks.
Choose your words with care.
Dance to your own music.
Character matters.
Listen with your heart.
Honor your family.
Respect your elders.
Share.
Play fair.
Be honest.
Remember where you came from.
Root for the underdog.
Volunteer.
Be charitable.
Keep the faith.
Look people in the eye.
Mean what you say.
Follow through.
Be a good example.
Listen.
Color outside the lines.
Smile.
Purple glitter makes everything better.
Feed the birds.
Remember that squirrels like birdseed, too.
Be compassionate.
Enjoy thunderstorms.
Talk to animals.
Pray.
Be true to yourself.
Visit other countries.
Try your best.
Put in an honest day’s work.
Forgive.
Hold fast to your beliefs.
Patience really is a virtue.
Nothing is random.
Follow your moral compass.
Never give up.
Ask for advice.
Reach out to others.
We’re all in this together.
Admit when you’re wrong.
Offer a firm handshake.
Laugh with gusto.
All things in moderation.
Good will always triumph over evil.
Life isn’t fair, but that’s okay.
Give good hugs.
Don’t lose hope.
Be passionate.
Seek the truth.
Look within.
There is meaning in suffering.
Listen to the birds each morning.
Don’t forget the sunsets.
Go sailing.
Smile.
Surround yourself with color.
Hunt the Northern Lights.
Water your flowers.
Plant a tree.
It will be okay.
Every ending is another beginning.
Write real thank you notes.
Cuddle.
It’s okay to say no.
Sing to babies.
Remember those who have gone before you.
Take your hat off inside.
Offer your help.
Say thank you.
Don’t take it personally.
There are many levels of love.
Don’t hold grudges.
Be a gentleman and a gentle man.
Avoid toxic people.
Tip well.
Look to the stars.
Lose yourself in the clouds.
Stop for all rainbows.
Take the road less travelled.
Be well.
Remember that Mom loves you.

You are my greatest blessing.

__________________________________

Thursday Re-View — Echoes of Darkness Sheathed in the Light

In Memoriam – Mom
April 25, 1928 – February 29, 1988

[written March 1, 2009]

I thought it had passed.

Just yesterday, I remarked to my sister – “This is the first February in 21 years that hasn’t been brutal.”

Then this morning, just the mention of the phone call in the early morning darkness, when Dad told me you had died and I said, “Good” – (Good for who – me? You? The echo of guilt lingers still…) – brings back the grief like a wave crashing into rock, and I am pulled under in an instant, drowning.

The well of grief swallows me, the darkness returns, and I ache with loss – the emptiness – the missing of you – the longing for your closeness – (Me? The one who hated hugs? The one who now hugs all those in need, desperate for their/my/your touch?).

My right hand trembles, my teeth chatter, and I rock…I ache…I mourn.

My tears flood the emptiness with despair, until the well is filled to overflowing, and just when there can be no more left, the flood gates open with a rush of white-hot tears – searing, scalding, scarring – as they traverse the channels carved in my soul.

I escape then, but to where? A place of quiet, of gray, of nothing, where no one or no thing exists…where no one or no thing can hurt.

I am numb.

I cease to feel, to breathe, to mourn…quiet, waiting, collecting, remembering, forgetting. I want to stay in this nothing, where the past and present blend, simply waiting. I could spend eternity here, neither warm nor cold, neither black nor white – nothing.

But then a soft white light burns through the fog – slowly, steadily, purposefully – coming toward me. And when I turn from it, it envelops me with warmth, an embrace, a distant memory, a familiar voice, a whisper. It seeks, it flows, it permeates, it dissolves, it heals – slowly, completely. It restores breath into my lungs, it touches my hand and the trembling ceases.

The crying stops and I return. Depleted, yet complete, filled with the sense that love hurts and heals, devours and regenerates, erases then re-creates, takes away only to be made whole.

If I love, I risk.

cala liliesl

My losses seem legion, but my blessings lift me to a place I would not have seen had I not been buried. The tears that drowned me in their ending are transformed into the healing waters of a baptism, a beginning, a grace.

I hesitate – these wings have weight – do I want what they hold? A familiar stirring inside me – a blossoming – a peace – a knowing that this is right and good. The weight will be lifted when I surrender.

And I hear the whispered promise – “I will be with you, always.” – and I feel Your embrace lift me up, then release me. I soar back into life, toward the light and Your promise, and I know I am who I am because of You, because of Your love.

Of whom do I speak? Of my Mother? Of God? Of His Mother? It matters not; only that I return. Only that I remember Your voice as I reach out to those in need. That I am present in their pain – that I quiet their tears – that I wait in their darkness – that I am their light and their hope as You were/are/will always be to me.

Lift me up, so that I might lift them.
Love me, so that I might love them.
Give me hope, so that I might bring hope to them.
Guide me, so that I might guide them.
Give me Your words, so that I might speak them.
Give me Your hearing, so that I might listen to them.
Heal me, so that I might heal them.

Remember me, as I remember You.

I am who I am, because of You.

_______________________________________________________

Related Post: Remembrance

_______________________________________________________

Thursday Re-View — “Remembrance” (1989)

img231

Remembrance

February 29, 1988. An oddity, Leap Year. It comes every four years, then departs without a trace. Not for me. The pain of that day is seared in my memory. That’s the day that cancer took my Mom, when she was 59 years old. That’s the day that I lost a part of me forever.

The obituary page…so impersonal. Facts: names, dates, places, times. Nothing, yet supposedly everything. How can Mom be a statistic in black and white to them, her whole life listed in capsule form? Yet they know nothing of her, nothing at all.

Mom. Quitting school at 16 in order to bring home money for the family. Falling in love with a sailor in his dress blues, marrying him at 18, and working at 41 years of life together. Two daughters, a business, long days. Always saving for a rainy day, postponing trips “until we are retired.”

Memories. A cool hand on my forehead whenever I had a fever (it comes full circle, Mom; I did the same for you at the end). My favorite meal. Unending words of encouragement and support. Holding my hand tightly whenever I crossed the road on my way to school. Sitting together on a swing under the tree, having morning coffee together. (I didn’t even like coffee, but I liked the time with you.) Going shopping and having lunch together. A blinding smile that lit up the Academy of Music: “My daughter, the Doctor.” Waking up in the hospital after all four of my surgeries, and seeing you at the bottom of the bed, waiting. Trips to Europe, and cruises with my own cabin. Christmas Eve, filled with Italian dinners and hours of opening presents.

Alex. The child against the odds, as I had been for you. My Alex, your third grandson, who you greeted every morning for 16 months as if he were a king. You showered him with the same love you had given me. Now, he asks who you are in family pictures. His beloved Mimi. He was barely 2 ½ when you left. How can I be a Mother to him, as you were to me, when you’re not here to guide me?

June, 1987. Cancer. Dr. Friedman’s office: lumpectomy or mastectomy? Point-blank: “Theresa, what would you do?” As if any of us can outsmart cancer. But I know better. I know how poor a woman’s chances really are. 1-800-4-CANCER. Very supportive, very optimistic, very wrong.

Chemotherapy. Six long months of pills and injections; you were node-positive. The cancer cells will die (so will you). Doesn’t chemotherapy kill the healthy cells, too? You told me losing your hair hurt more than the nausea and vomiting, and I believed you. The wig was rejected, a turban grudgingly accepted.

Change. You’re different, Mom. You’re giving up. You talk less, you care less, you take longer to heal. You’re too sick to tell jokes or have a beer or yell at Dad or give advice. I don’t know you, and I’m impatient because I want the real you back. I’m selfish, and I feel guilty for thinking you should be better.

Super Bowl Sunday, January, 1988. I am depressed. You’re too sick to come to the annual party (you started this tradition, Mom; you have to be here!). The doorbell rings, and you’re at my front door in a long, navy blue bathrobe, turban on your head, bedroom slippers, and your stomach swollen like when I was 9 months pregnant. But you’re here, and my smile lights up the foyer (you always said I was pretty when I smiled). Later, I realized that my house was the last place you would visit before your final trip to the hospital.

February 1, 1988. The first day of the last month of your life. First, removal of several liters of fluid from your stomach, then surgery to implant a porta-cath, followed shortly by exploratory surgery. “Did it turn out all right, Theresa?” “Yes, Mom, it’s okay.” Really? No. Half of your liver is gone, the cancer is strangling your intestines, spreading throughout your body cavity. Six months of chemotherapy. For what? To make the time you had left more miserable?

Roller coaster. The doctors have elected me as the family spokesperson, the person to hear the news and disseminate it to the rest. I cringe every time I turn the corner in the hallway of the hospital, and hear the latest test results. Where there’s life, there’s hope, daughter Theresa says. Mom’s spirit will beat this. But Dr. Theresa knows there’s no chance of recovery. A constant battle; which person do I believe?

Warren Hospital. Your window on the 2nd floor…it’s easy to find from outside. It’s the one with hundreds of cards taped to the window and walls. Doris, the nurse’s aide who helps you sip iced tea, says she’s never seen this many cards for a patient. It’s the room with 29 days of non-stop flower arrangements, brightening those dreary February days, helping to mask the ever-present smell of cancer.

Flowers

Hospital furniture. Adjustable bed and wheelchair. IV tubes, blood transfusions, catheter, oxygen, stomach tube, intestinal feeding tube. A water mattress to cool your body temperature, a fan blowing on your elevated legs (blood clots, remember?). A washcloth on your forehead, Depend undergarments (full circle), hospital robes, blood pressure cuffs, electronic IVs. Beep, beep, beeping…STOP! I want to rip them all out, this is barbaric. I want to end your suffering (or is it mine?) with an overdose of morphine. I ask Dr. Friedman for extra morphine. “Theresa, you don’t know what you’re saying.” Or do you?

Doctor’s words of wisdom: your mother will not leave the hospital…I almost cried when I opened her up and saw the extent of her cancer…if only we could get back some of her spirit, she might have a fighting chance…it would be merciful if a blood clot loosened; it would be quick…should we write a “Do Not Resuscitate” order?…you may have to make the decision to stop feeding her (starve her???)…give her as much morphine as she wants…there are good ways and bad ways to die, and your mother has shown more courage and dignity in her death than I’ve ever seen…I’m sorry, I wish there was more that I could do.

You knew, didn’t you, Mom? You told the nurses you didn’t want this to take too long, that your family was suffering too much. At your request, a priest administered Last Rites…we had no idea. “Are you mad at me, Theresa, for refusing more chemo?” “No, Mom, (choke) I’d do the same thing.” You told us where all of your jewelry was, and what clothes to have Dad wear at your viewing and funeral. You wanted to be in a pink or blue nightgown. Pink? I never saw you in pink. We got you blue, Mom, and the saleslady at Sigal’s offered her deepest sympathies.

Saturday, February 27th. It snowed, so Steve drove Alex and me. You were delirious, but you were coherent enough to want to see Alex. Yes. “Dee dee (your pet name for him).” Alex was afraid of you and the tubes, but your frightened look makes me keep him there awhile longer. You fought the morphine to stay awake, and wanted us all by the bed. Peach schnapps? Okay, Mom, we’ll make sure everyone is offered it at the house. You waited until we left to close your eyes, taking one last long look at your family. You slept peacefully, and Dad didn’t even try to wake you to say good-bye.

Sunday, February 28th. The hospital called us…were we coming? Of course; Dad hadn’t missed a day. The hospital bed was lowered (don’t the blood clots matter any more?) and someone had placed your rosary in your hand. Your breathing was ragged, the machines pumping and beeping, the flowers the only bright spot in the room. June, your favorite nurse, cried in my arms in the hall. She told me that this was how it ended. This is how it ends? All those years of joy and sorrow, hopes and dreams…they just stop? (Is this really happening? I’ll wake up from this nightmare soon, and everything will be all right.) They said hearing is the last sense to go, so I held your lavender rose close and said good-bye, thanking you, loving you, telling you it was all right for you to go. The nurses came at the end of their shift to say good-bye, forming a circle of love around your bed. You continued to touch people, Mom, even at your worst. If only they had known you at your best!

Monday morning, 3am. The phone call. Good. It is done. No more suffering. So many details and decisions, so many people with so many kind words and so much food. Steve makes the trip to the hospital to take down all of the cards. Your room was empty when he got there. The bed was stripped of you, as was my life.tear

Tuesday, the viewing. Wednesday, the funeral. Numbness. Would you believe we’re trying to comfort others in their grief? A woman kneeled with her head in my lap, her tears soaking my dress. (Or were they my tears? No matter.) It’s not really you in that casket, Mom. You’re in a far better place. We got you slippers because your feet were always cold, and I put on your glasses so you could see. The funeral director is amazed at the number of floral tributes; they circled the room many times. Soon, they would grace the rooms of those back in the hospital, and the nurse’s station as well. By Wednesday evening, all is over. My new life without you has just begun.

March, 1989. A year has passed one day at a time. My frequent bouts of grief have given way to less frequent bouts, but when they come, they are just as deep and painful. The thing I miss most is talking to you every day at lunch time (how long will it be before I no longer catch myself reaching for the phone to tell you something important?). This is all so unbelievable; you’re just away on vacation and you’ll be back again, soon. I still get angry when I see older couples holding hands, and I put up a Christmas tree even though I didn’t have the heart for it. I did it for Alex, and for you. I am his mother, as you were mine. That’s what mothers do. I couldn’t go into a Hallmark store at Mother’s Day; maybe someday I’ll be able to pass the cards without crying.

I miss you, Mom, as a mother, and as a friend. Everyone tells me that I’ve been elected to take your place. Silly people…no one can do that. But your memory lives on in my heart, and those parts of you I passed on to Alex will live on in his children, his children’s children, and beyond. Every time I make seafood on Christmas Eve, read a book you would have enjoyed, give Alex a hug, make potato pancakes for Dad, help someone in need, keep watch over the family, say a prayer of thanksgiving for you…at each of these times, I will celebrate the memory of your being.

I miss you, Mom. But if I look around, you are everywhere, in all things. And most of all, in me. You will be with me always, and I know from a deep, abiding faith that someday, we will be together again. Until then, I will remember you, and keep you alive in my heart. I will live as you would have wanted me to, and I will do my best to remember to treat people with dignity, honor, and truth, as you taught me.

Thank you, Mom, for my life.

Thank You, God, for my mother.

May You grant her everlasting peace.

cala liliesl

________________________________________________

Thursday Re-View — “Thoughts for My Son”

Call Mom.
Pick your battles.
Be kind.
Thoughts matter.
Breathe.
Count to five before you speak.
Look beyond what you see.
Don’t judge.
Rescue an animal.
Keep your word.
Give back.
Be present.
Apologize.
Give thanks.
Choose your words with care.
Dance to your own music.
Character matters.
Listen with your heart.
Honor your family.
Respect your elders.
Share.
Play fair.
Be honest.
Remember where you came from.
Root for the underdog.
Volunteer.
Be charitable.
Keep the faith.
Look people in the eye.
Mean what you say.
Follow through.
Be a good example.
Listen.
Color outside the lines.
Smile.
Purple glitter makes everything better.
Feed the birds.
Remember that squirrels like birdseed, too.
Be compassionate.
Enjoy thunderstorms.
Talk to animals.
Pray.
Be true to yourself.
Visit other countries.
Try your best.
Put in an honest day’s work.
Forgive.
Hold fast to your beliefs.
Patience really is a virtue.
Nothing is random.
Follow your moral compass.
Never give up.
Ask for advice.
Reach out to others.
We’re all in this together.
Admit when you’re wrong.
Offer a firm handshake.
Laugh with gusto.
All things in moderation.
Good will always triumph over evil.
Life isn’t fair, but that’s okay.
Give good hugs.
Don’t lose hope.
Be passionate.
Seek the truth.
Look within.
There is meaning in suffering.
Listen to the birds each morning.
Don’t forget the sunsets.
Go sailing.
Smile.
Surround yourself with color.
Hunt the Northern Lights.
Water your flowers.
Plant a tree.
It will be okay.
Every ending is another beginning.
Write real thank you notes.
Cuddle.
It’s okay to say no.
Sing to babies.
Remember those who have gone before you.
Take your hat off inside.
Offer your help.
Say thank you.
Don’t take it personally.
There are many levels of love.
Don’t hold grudges.
Be a gentleman and a gentle man.
Avoid toxic people.
Tip well.
Look to the stars.
Lose yourself in the clouds.
Stop for all rainbows.
Take the road less travelled.
Be well.
Remember that Mom loves you.

You are my greatest blessing.

__________________________________

Thursday Re-View — “Walk On”

In my work with loss and bereavement, music is a powerful tool.  It not only comforts the dying, but the living as well.

“Graceful Passages: A Companion for Living and Dying,” produced by Michael Stillwater and Gary Malkin, blends messages and music about life, death, forgiveness and acceptance, narrated by spiritual thinkers from a variety of faith traditions.

One of my favorites, which I use for myself from time to time to affirm my life journey, follows. Here, Jeanine Prevatt holds sacred her Cherokee lineage and her deep connection to the Earth. You can also find the accompanying music on iTunes if the words speak to your heart, as they do to mine.

_________________________________________________________

mocassans II

Walk On
~ Jyoti ~

Good morning, Grandfather.
I entered this life a ways back
and put skin on to walk two-legged on this Creation –
and what a glorious time it was.

It taught me about breath
and about sensing and feeling and caring through my heart.
And I walked on around that Red Road,
looking and trying to understand more
about the mystery and the secrets She holds.

And You spoke to me through the wind,
and You sang to me through the birds.
And You brought challenges forth so that
I might listen to the message You bring me more sincerely.
And I kept walking down this road.

And I came ’round the bend
at the middle of that curve in the road
and I began to find a secret in the Spirit of my Self…

And still I walked on, sometimes blind and deaf,
and sometimes with pain.
But I fought with my fears and I embraced my unknowingness –
and still I walked on.
And my children and my family stood with me
and we came to know each other in those later years more than we
had before – for some of our falseness had fallen away –
and still I walked on.

And I kept walking on this road towards You,
towards that other world that grew closer to me with each step.
And as the door of the Great Spirit world came closer
my fear loomed up inside sometimes…

But something called me forth –
the Morning Star rose with each day –
and my prayer became a centering – and still I walked on,
until I began to hear the Song of the Mother,
and Her arms embraced me so,
that instead of walking She carried me right to the door.
And as the door opened, I heard Her Song,
and Her Song lifted me up, so I could soar.

herondance.org

herondance.org

___________________________________________________________

Echoes of Darkness Sheathed in the Light

In Memoriam – Mom
April 25, 1928 – February 29, 1988

[written March 1, 2009]

I thought it had passed.

Just yesterday, I remarked to my sister – “This is the first February in 21 years that hasn’t been brutal.”

Then this morning, just the mention of the phone call in the early morning darkness, when Dad told me you had died and I said, “Good” – (Good for who – me? You? The echo of guilt lingers still…) – brings back the grief like a wave crashing into rock, and I am pulled under in an instant, drowning.

The well of grief swallows me, the darkness returns, and I ache with loss – the emptiness – the missing of you – the longing for your closeness – (Me? The one who hated hugs? The one who now hugs all those in need, desperate for their/my/your touch?).

My right hand trembles, my teeth chatter, and I rock…I ache…I mourn.

My tears flood the emptiness with despair, until the well is filled to overflowing, and just when there can be no more left, the flood gates open with a rush of white-hot tears – searing, scalding, scarring – as they traverse the channels carved in my soul.

I escape then, but to where? A place of quiet, of gray, of nothing, where no one or no thing exists…where no one or no thing can hurt.

I am numb.

I cease to feel, to breathe, to mourn…quiet, waiting, collecting, remembering, forgetting. I want to stay in this nothing, where the past and present blend, simply waiting. I could spend eternity here, neither warm nor cold, neither black nor white – nothing.

But then a soft white light burns through the fog – slowly, steadily, purposefully – coming toward me. And when I turn from it, it envelops me with warmth, an embrace, a distant memory, a familiar voice, a whisper. It seeks, it flows, it permeates, it dissolves, it heals – slowly, completely. It restores breath into my lungs, it touches my hand and the trembling ceases.

The crying stops and I return. Depleted, yet complete, filled with the sense that love hurts and heals, devours and regenerates, erases then re-creates, takes away only to be made whole.

If I love, I risk.

cala liliesl

My losses seem legion, but my blessings lift me to a place I would not have seen had I not been buried. The tears that drowned me in their ending are transformed into the healing waters of a baptism, a beginning, a grace.

I hesitate – these wings have weight – do I want what they hold? A familiar stirring inside me – a blossoming – a peace – a knowing that this is right and good. The weight will be lifted when I surrender.

And I hear the whispered promise – “I will be with you, always.” – and I feel Your embrace lift me up, then release me. I soar back into life, toward the light and Your promise, and I know I am who I am because of You, because of Your love.

Of whom do I speak? Of my Mother? Of God? Of His Mother? It matters not; only that I return. Only that I remember Your voice as I reach out to those in need. That I am present in their pain – that I quiet their tears – that I wait in their darkness – that I am their light and their hope as You were/are/will always be to me.

Lift me up, so that I might lift them.
Love me, so that I might love them.
Give me hope, so that I might bring hope to them.
Guide me, so that I might guide them.
Give me Your words, so that I might speak them.
Give me Your hearing, so that I might listen to them.
Heal me, so that I might heal them.

Remember me, as I remember You.

I am who I am, because of You.

_______________________________________________________

Related Post: Remembrance

_______________________________________________________

Thursday Re-View — “The Last Good-Bye”

Ira Byock, M.D., a nationally recognized authority in end-of-life care, says there are only four things left to say that matter most at life’s end (indeed, while living as well):

Please forgive me.
I forgive you.
Thank you.
I love you.

These words have the power to transform relationships, whether to heal connections at the end of life, or during day-to-day living.

As you know from several of my earlier posts (Dancing with Chopin, You are My Sunshine), my past work in Hospice was a profoundly moving part of my life journey, a vocation to which I hope to return.

I was called to a nursing home to be with with Mary and her family as she entered the final stage of life known as “active dying.” It was only a matter of a few days. Cancer had ravaged her middle-aged body to the point that she looked much older than her years. Mary was kept sedated most of the time because of the constant pain, only occasionally coming out of it to become partially aware of her surroundings.

Mary was a widow with two children, both in their mid-thirties – a daughter who lived in North Carolina and a son who lived at home to care for his surviving parent. Mother and daughter had a falling out some years ago, and their relationship was strained at best. Mother and son were close, and Tom was always at his mother’s bedside. The most time away was perhaps 5 minutes for a bathroom and coffee break. Without a family of his own, Tom was devoted to his mother. The staff told me that for the past 6 weeks, he had never missed an 18 hour day at his mother’s bedside; they often had to force him to go home for some rest.

As hours stretched into days, Mary’s coma deepened and her body temperature rose, her moments of lucidity few and far between. The attending physician noted that Mary’s core temperature was 108 degrees; he had never seen a person live with a temperature that high. For days, I watched Tom talk to his mother, telling her how much he loved her and how he knew she could beat this cancer. Mary’s doctors had explained to Tom that her organs were shutting down – her death was imminent; his head understood the facts, but his heart could not – would not – accept them. She was suffering and I found myself wondering why she was hanging on to life when she was in so much pain.

wrongfully injured

wrongfully injured

I gestured for Tom to join me in the hall.

“You need to tell your mother that it is alright for her to go,” I counseled gently. “That you’ll be okay here without her…”

He pulled back, shocked and a little angry. I was asking him to give his mother permission to die; the person he loved more than anyone in the world, the person he needed more than anyone in the world. It went against every feeling of normalcy, safety and love that coursed through him. He couldn’t find words.

“Your mother is suffering. I know you want her to be with you forever, but her body just can’t do it anymore. She needs to hear that you’ll be okay after she’s gone.” I paused. “Does your sister know just how sick your mother is?”

Tom explained that he had called her 2 weeks ago, but heard nothing since. She wasn’t even planning to come to see their mother one last time.

So that was the reason Mary struggled to stay; she needed to hear from her children – both of them – that they would be okay. Only then could she drift away, finally at peace.

“Tom – please give me your sister’s phone number. It’s essential that your mother hear her daughter’s voice. Would you like me to call her?”

He nodded his head, eyes filled with tears, then turned to go back into his mother’s room. Changing his mind, he instead went through the door marked “exit” and ran out of the building.

While I stood looking at the door, hoping to see Tom, one of Mary’s nurses came by. I told her what happened. She was as surprised as I; Tom was never absent from his mother’s side, let alone in her last few hours. She left to get the daughter’s phone number.

Anna, Mary’s daughter in North Carolina, answered on the second ring. I introduced myself, told her I was at the nursing home with Mary and advised her of the doctor’s prognosis. If Anna wanted to say good-bye, it had to be now. Her answer was crying on the other end of the line, and in her tears, I could hear regret, shock, fear. And love…I could hear love.

I explained that Anna didn’t have time to get here from North Carolina, but that I would hold the phone to Mary’s ear so that her mother could hear her voice. Even in a coma, hearing is the last sense to leave, so I felt certain that whatever Anna wanted to say to her mother, it would be heard and accepted. I told her Mary was suffering and needed Anna’s permission to die.

As I held the phone to Mary’s ear, I could hear Anna’s voice cloaked in tears. As Anna continued, Mary’s eyes remained closed, but her body visibly relaxed. At one point, I saw her lips turn up the tiniest bit, and I knew Anna had been understood. After a few minutes, I softly told Mary that I was taking away the phone. Then I spoke to Anna and described what I had seen, telling her that she had given her mother a wonderful gift and blessing. I thanked her and promised that Tom would call her in a while.

Out in the hallway, there was no sign of Tom. I went to the nurse’s station for his phone number. No answer, so I left a voice mail. Fifteen minutes later, another voice mail, asking that he please return to the nursing home. I went to sit with Mary and noticed that her right hand kept grasping the sheet into a tight knot. As I held her other hand, I explained that Tom had to leave but that he would be back.

Please, I prayed silently, please bring Tom back. In my heart, I begged Tom to return because this time, his mother needed him.

After a half hour passed, I looked up to see Tom in the doorway. He looked exhausted but determined as he entered the room. He leaned over Mary and whispered in her ear, tears streaming down his face as he clutched her hands to his heart. Her agitation disappeared as he continued, his words known only to mother and son. Finally, totally spent, Tom laid his head on their joined hands and closed his eyes.

I leaned against the wall in a shadowed corner of the room, listening to Mary’s breathing grow more labored. The intervals between breaths grew longer, until after one long exhalation, the room stilled, the only sound Tom’s choking sobs. It was over.

As the physician pronounced Mary’s time of death, I reached out to touch Tom’s shoulder in communion with his grief.

An ending and a beginning. Sacred Ground. Holy Words.

Please forgive me.
I forgive you.
Thank you.
I love you.

I offer these words up to my friends and relatives; indeed, to humankind.

But most especially to Mom and Dad, to whom I should have said all of these things while they were alive.

Please do the same, today.

Honor the Circles of Grace all around us.

hug

____________________________________________________________

When Did I Start to Look Like My Mother?

When I glanced at myself in a mirror the other day, I thought I saw my mother.

That’s pretty hard to do when she passed away more than 25 years ago. But really – I thought I saw my mother. Or at least someone who looked an awfully lot like her.

That someone was me.

Wow. What an eye-opener…

When did I get so old? When did my jowls start to sag and my hair start to show some gray? What about those lines in my face or that strange growth underneath my neck? The swollen ankles? The beginnings of an apple shape when I used to only be a pear?

body type

Like I said, when did I start to look like my mother? When I looked in the mirror and a stranger looked back, it was me. That’s sobering.

Remember when your parents used to warn you about how “time flies” when you get older? I think time must have flown on the wings of a supersonic bird for this transformation to have taken place. Maybe even a pterodactyl…

It’s time for a reality check. Let’s survey this venerable temple of mine to see its history.

That knot of muscle sticking out of my left shoulder? That formed the day my son got his tonsils out in 1st grade. I hadn’t met the surgeon ahead of time, and the thought of having my only child go under the knife with a stranger had me at the Emergency Room the night after his successful surgery, in pain. That knot gets worked on every two weeks by my faithful massage therapist, 20 + years later. A badge of honor…

That crevice line on my forehead, just between and above my eyes? That’s from hearing hour after hour of tragic situations from my patients/clients/students over the years – the loss, abuse, addiction, mental illness, shame, suicidal thoughts… It takes its toll.

That vertical abdominal scar that no amount of vitamin E could make disappear? That’s the Caesarean section (almost) 28 years ago for the birth of my son. I can still remember the feeling of the two surgeons’ hands inside my body (yes, you do feel pressure, but no pain with an epidural). Or else it’s from the hysterectomy that was recommended I have 2 years later because of my cancer history.

That cough that turns up when I laugh too much? That’s from 7th grade, when my teacher used to actually take points away from all my tests (I almost always got 100’s because I studied all the time), explaining to my parents and me, “Theresa doesn’t need all those As; other students in the class need them more.” It was weeks until our family doctor determined that my cough was stress-related; after all, it wasn’t fair that the As I worked so hard for were taken away from me, was it? What a fine example of a teacher…

Those cracked caps on my back teeth? Those came from when I fainted in the bathroom while recovering from “GOK (God Only Knows) Disease” and clenched my teeth when I hit the floor. After which my brain couldn’t put together thoughts, let alone sentences for almost 2 months… The only way this wordsmith could survive that frustrating period was to figure out that maybe God wanted me to be quiet and listen.
teeth

That tiny scar in the upper right quadrant of my abdomen? That’s the emergency gall bladder surgery, where my gall bladder went from 100% to zero percent functioning in what seemed like the space of a day. I never really liked fried foods that much anyway…

Those skin indentations on my face that look like scars every morning? That’s from the face mask that I have to wear because I stop breathing 11 times every hour while asleep – that’s with the C-pap machine. The good news is that the impressions disappear about an hour after I start the day.

That shadow of sadness that lurks deep within my eyes? That goes along with the crevice line on my forehead (see above) along with struggles with depression. You know – that “melancholy” that fueled Abraham Lincoln’s greatness and made him the perfect leader during our Civil War; that illness that Winston Churchill called his “black dog” and helped win World War II.

The graying hair that I put a rinse on now and again to make me look less “frumpy?” [An aside here – why is it that gray hair in a woman is often considered “frumpy” while gray hair in a man is often considered “distinguished?”] I think the most recent contributor was my husband being sick with his own GOK Disease, in the hospital for a week and unable to work for almost a month (see: “My Pilgrimage to ???“). That, along with the fact that there is yet to be a diagnosis…  Oh, and let’s not forget my own hospital visit last fall and the mini-stroke that brought about my stepping aside from my job.

The occasional swollen ankles? I don’t use salt, I drink plenty of fluids and I’m not going into congestive heart failure. I think my legs are just tired of carrying me around for so long. Plus, they outran wildlife on the Serengeti Plain – that’s no small feat!

The addition of a telltale apple shape on top of the always present pear shape? This one, I must say, is from the release of gallons of Cortisol caused by stress, which is directly related to belly fat distribution in women. Why it hasn’t disappeared since I took time off from working is a mystery to me. But, I just ordered an abs wheel and exercise mat on-line, so I’m going to get back to just a pear shape in the next few months. And I must say – I never thought I’d be glad to return to “just” a pear shape…

The road map of lines that cover my face? Let’s see – almost 12 years of higher education after high school, marriage, divorce, setting up my own practice, building a house and an office, moving, changing careers, death of both parents, multiple surgeries, responsibility-laden jobs, death of 3 cats in the past 14 months (see: “In Memory of Peanut“), my husband’s hospitalization, being a mother and wife… I’m stopping before I get too depressed; those transitions can do a person in! (see: “The In-Between Time“)

modernantiaging.com

modernantiaging.com

Last, but not least, what’s with the loose pouch of skin fat under my chin? The one that my Mom thought for sure was a tumor growing when she first noticed hers. The one that makes me look like I’m related to a turkey. This one is another mystery, but I know it must be related to the gravitational pull that influences ocean tides and sunspots.

But this seasoned body – so flawed, scarred, exhausted, sagging – is also the body that is still standing. It’s weathered a lot of storms, and by doing so, forged my own unique path that has gifted me with the privilege of being present with others while they examine their own scars – the kind that we don’t actually see.

And perhaps most sacred of all, 28 years ago, this maturing body delivered the miracle of my son, who I count as my greatest blessing.

So, I’ll ask again: when did I start to look like my mother?

I’m thinking that with everything she went through in her life (see: “Remembrance“), that’s not a bad way to look. Even in the last month of her life, battling breast cancer at 59 in the hospital, head shaved, feverish, swollen – she was beautiful.

She never complained, she knew the life stories of the nurses who brought her special foods and drinks to tempt her appetite, and she faced her cancer with courage for as long as she was physically able.

Like I said, Mom was beautiful. The essence of who she was – her spirit – the part of her that could not be diminished regardless of what was destroying her body – shone forth.

Now that I think of it, I’m honored to look like my mother.

slowjams.com

slowjams.com

__________________________________________________________

The Shoulders of Giants (Once Again…)

On this, the first anniversary of  Dad’s death, I chose to repost something from almost 3 months ago. My feelings stand.

img206

I’ve said it before – at times, my naiveté astounds me.

  • Licensed Professional Counselor – check.
  • Loss & Bereavement Specialty – check.
  • Survived Mom’s death 25 years ago, when she was only 59 years old – check.
  • Working through the grief process (and it is a process) for Dad, who died not quite a year ago at the age of almost 87 years old – check.
  • Prepared for the grief involved in no longer having a parent alive – not even close.

Everyone grieves differently. It depends on your relationship with that person; if you’ve lost someone before; whether their death was far too quick, with no time to say good-by or agonizingly slow, with unbearable suffering; expected or unexpected; natural or by suicide; your age; and, whether you’re male (like to take action) or female (want someone to listen). The list goes on… There’s no set “process,” per se – no time frame or stages that must be followed in the correct order. Some people act like nothing has happened, while others are prostrate with grief. Shock, denial, bargaining, depression, anger with lots of people (including God), until hopefully – finally – some measure of acceptance.

My patients often ask when they will have “closure,” and I answer honestly there is no such thing as closure, only survival. They will survive.

My head knows this. My heart struggles to keep pace.

Mom’s death was 6 months after her breast cancer diagnosis, after having suffered through a modified radical mastectomy, chemotherapy, surgery, and a 29-day hospital stay. The fact that she was only 59 years old and my close friend made her torment agonizing to watch; so much so, that I actually asked her physician if I could end her suffering (and mine) by just letting her drift away with extra morphine. He shot that option down quickly.

Dad’s death at almost 87 years old was sudden. Two weeks before he died, on Father’s Day, we noticed he was slurring his words. We took him to the doctor, got him a bright red 3-wheel walker and made plans to either move him downstairs in his home (one floor, no steps) or to have him move in with my sister. That was all underway when I got the call that Dad passed away. He was walking down his driveway to get his newspaper, a morning ritual, when he collapsed. The neighbor called 911 when she saw him lying there, but he died “instantly.” (Do doctors tell that to everyone to ease their suffering? Just wondering…)

The shock of Mom’s death shook me to my core. Admittedly, after 25 years, I still light a candle every day in her memory. I don’t know how long Dad’s death will sit so fresh and raw; it’s been less than a year.

But this I do know – I was totally unprepared for the separate grief that comes with no longer having a “parental unit.” It’s unique – it’s different – it’s terrible – it’s lonely – it’s frightening.

I feel abandoned, lost, adrift, disoriented, incomplete. There’s no one to watch my back or to be my cheering section or to give me a safe place to fall.

Where is my anchor? Who will advise me, guide me, forgive me, support me, challenge me, love me unconditionally? Who will comfort the little girl in me, the lost child, as only my parents could?

I once told Dad when he was really missing Mom (which was for the entire 25 years) that he and Mom had given me everything I needed to be a success, that I had “stood on the shoulders of giants.” They were my giants.

“If I have seen further…it is by
standing upon the shoulders of giants.”

~ Sir Isaac Newton

He liked the thought of that and remembered with gratitude all those who helped him along the way.

I shared with him something I felt while at the Baccalaureate service the night before my grad school Commencement. While I sat immersed in the joyous music that filled the cathedral, I could almost sense two lines of ancestors standing behind me. They were in pairs, from my shoulders, back and up, until I lost sight of them. Without turning around, I could visualize them. Somehow I knew that one line included Mom, my maternal grandparents and the rest of her family, while the other line was my paternal grandparents…on and on and on. They were all shapes and sizes and colors, all dressed in different clothing that gave a clue to their work, some younger than others, some faces lined while others were smooth. They were all smiling. Generation after generation after generation.

I have been schooled well.

The best psychotherapists are those who have been through pain. Henri Nouwen, a Catholic priest and author (1932 – 1996), reminds us that “in our own woundedness, we can become a source of life for others.”

Who better to sit with you in the darkness than a wounded healer?

I have sat with people who have lost their child (the worst loss), spouse, parent, sibling, friend, grandparent, married lover, colleague – but never someone who was grieving the loss of both parents as a “unit.” How is that possible?

But now, as is always the case, I will be able to sit with someone who no longer has parents – as one person said to me, “Welcome to the Orphan’s Club” – and empathize with their longing for wholeness.

But a broken heart empties us of all that we might hang on to, often too long, so that it might be filled up with something greater and more wondrous that we could ever imagine or think ourselves deserving of. When I am tired enough of struggling, I will once again accept Your glorious grace. I will once again accept the plans You have for me. I know You understand.

Help me to be Your Counselor, Defender, Teacher, Listener, Instrument, Vessel, Comforter, Starfish Thrower (thank you, Diana), Harvester, Secret Keeper (bless you, T), Heartsong, Wellspring.

“Much is expected from those to whom much has been given.”
~ Luke 12:49

Dad’s favorite saying, as well as the way he always signed off on a letter or in a card – “Keep the Faith.” I’m doing my best, Dad, but I still miss both of you more than I ever thought possible.

Like I said, I have stood on the shoulders of giants – Mom and Dad the biggest and most important of all. They lifted me up so I could soar.

Your Circles of Grace – those Circles of Compassion – widen.

My thanks.

Thoughts for My Son on Mother’s Day

Call Mom.
Pick your battles.
Be kind.
Thoughts matter.
Breathe.
Count to five before you speak.
Look beyond what you see.
Don’t judge.
Rescue an animal.
Keep your word.
Give back.
 Be present.
Apologize.
Give thanks.
Choose your words with care.
Dance to your own music.
Character matters.
Listen with your heart.
Honor your family.
Respect your elders.
Share.
Play fair.
Be honest.
Remember where you came from.
Root for the underdog.
Volunteer.
Be charitable.
Keep the faith.
Look people in the eye.
Mean what you say.
Follow through.
Be a good example.
Listen.
Color outside the lines.
Smile.
Purple glitter makes everything better.
Feed the birds.
Remember that squirrels like birdseed, too.
Be compassionate.
Enjoy thunderstorms.
Talk to animals.
Pray.
Be true to yourself.
Visit other countries.
Try your best.
Put in an honest day’s work.
Forgive.
Hold fast to your beliefs.
Patience really is a virtue.
Nothing is random.
Follow your moral compass.
Never give up.
Ask for advice.
Reach out to others.
We’re all in this together.
Admit when you’re wrong.
Offer a firm handshake.
Laugh with gusto.
All things in moderation.
Good will always triumph over evil.
Life isn’t fair, but that’s okay.
Give good hugs.
Don’t lose hope.
Be passionate.
Seek the truth.
Look within.
There is meaning in suffering.
Listen to the birds each morning.
Don’t forget the sunsets.
Go sailing.
Smile.
Surround yourself with color.
Hunt the Northern Lights.
Water your flowers.
Plant a tree.
It will be okay.
Every ending is another beginning.
Write real thank you notes.
Cuddle.
It’s okay to say no.
Sing to babies.
Remember those who have gone before you.
Take your hat off inside.
Offer your help.
Say thank you.
Don’t take it personally.
There are many levels of love.
Don’t hold grudges.
Be a gentleman and a gentle man.
Avoid toxic people.
Tip well.
Look to the stars.
Lose yourself in the clouds.
Stop for all rainbows.
Take the road less travelled.
Be well.
Remember that Mom loves you.

You are my greatest blessing.

The Last Good-bye

Ira Byock, M.D., a nationally recognized authority in end-of-life care, says there are only four things left to say that matter most at life’s end (indeed, while living as well):

Please forgive me.
I forgive you.
Thank you.
I love you.

These words have the power to transform relationships, whether to heal connections at the end of life, or during day-to-day living.

As you know from several of my earlier posts (Dancing with Chopin, You are My Sunshine), my past work in Hospice was a profoundly moving part of my life journey, a vocation to which I hope to return.

I was called to a nursing home to be with with Mary and her family as she entered the final stage of life known as “active dying.” It was only a matter of a few days. Cancer had ravaged her middle-aged body to the point that she looked much older than her years. Mary was kept sedated most of the time because of the constant pain, only occasionally coming out of it to become partially aware of her surroundings.

Mary was a widow with two children, both in their mid-thirties – a daughter who lived in North Carolina and a son who lived at home to care for his surviving parent. Mother and daughter had a falling out some years ago, and their relationship was strained at best. Mother and son were close, and Tom was always at his mother’s bedside. The most time away was perhaps 5 minutes for a bathroom and coffee break. Without a family of his own, Tom was devoted to his mother. The staff told me that for the past 6 weeks, he had never missed an 18 hour day at his mother’s bedside; they often had to force him to go home for some rest.

As hours stretched into days, Mary’s coma deepened and her body temperature rose, her moments of lucidity few and far between. The attending physician noted that Mary’s core temperature was 108 degrees; he had never seen a person live with a temperature that high. For days, I watched Tom talk to his mother, telling her how much he loved her and how he knew she could beat this cancer. Mary’s doctors had explained to Tom that her organs were shutting down – her death was imminent; his head understood the facts, but his heart could not – would not – accept them. She was suffering and I found myself wondering why she was hanging on to life when she was in so much pain.

I gestured for Tom to join me in the hall.

“You need to tell your mother that it is alright for her to go,” I counseled gently. “That you’ll be okay here without her…”

He pulled back, shocked and a little angry. I was asking him to give his mother permission to die; the person he loved more than anyone in the world, the person he needed more than anyone in the world. It went against every feeling of normalcy, safety and love that coursed through him. He couldn’t find words.

“Your mother is suffering. I know you want her to be with you forever, but her body just can’t do it anymore. She needs to hear that you’ll be okay after she’s gone.” I paused. “Does your sister know just how sick your mother is?”

Tom explained that he had called her 2 weeks ago, but heard nothing since. She wasn’t even planning to come to see their mother one last time.

So that was the reason Mary struggled to stay; she needed to hear from her children – both of them – that they would be okay. Only then could she drift away, finally at peace.

“Tom – please give me your sister’s phone number. It’s essential that your mother hear her daughter’s voice. Would you like me to call her?”

He nodded his head, eyes filled with tears, then turned to go back into his mother’s room. Changing his mind, he instead went through the door marked “exit” and ran out of the building.

While I stood looking at the door, hoping to see Tom, one of Mary’s nurses came by. I told her what happened. She was as surprised as I; Tom was never absent from his mother’s side, let alone in her last few hours. She left to get the daughter’s phone number.

Anna, Mary’s daughter in North Carolina, answered on the second ring. I introduced myself, told her I was at the nursing home with Mary and advised her of the doctor’s prognosis. If Anna wanted to say good-bye, it had to be now. Her answer was crying on the other end of the line, and in her tears, I could hear regret, shock, fear. And love…I could hear love.

I explained that Anna didn’t have time to get here from North Carolina, but that I would hold the phone to Mary’s ear so that her mother could hear her voice. Even in a coma, hearing is the last sense to leave, so I felt certain that whatever Anna wanted to say to her mother, it would be heard and accepted. I told her Mary was suffering and needed Anna’s permission to die.

As I held the phone to Mary’s ear, I could hear Anna’s voice cloaked in tears. As Anna continued, Mary’s eyes remained closed, but her body visibly relaxed. At one point, I saw her lips turn up the tiniest bit, and I knew Anna had been understood. After a few minutes, I softly told Mary that I was taking away the phone. Then I spoke to Anna and described what I had seen, telling her that she had given her mother a wonderful gift and blessing. I thanked her and promised that Tom would call her in a while.

Out in the hallway, there was no sign of Tom. I went to the nurse’s station for his phone number. No answer, so I left a voice mail. Fifteen minutes later, another voice mail, asking that he please return to the nursing home. I went to sit with Mary and noticed that her right hand kept grasping the sheet into a tight knot. As I held her other hand, I explained that Tom had to leave but that he would be back.

Please, I prayed silently, please bring Tom back. In my heart, I begged Tom to return because this time, his mother needed him.

After a half hour passed, I looked up to see Tom in the doorway. He looked exhausted but determined as he entered the room. He leaned over Mary and whispered in her ear, tears streaming down his face as he clutched her hands to his heart. Her agitation disappeared as he continued, his words known only to mother and son. Finally, totally spent, Tom laid his head on their joined hands and closed his eyes.

I leaned against the wall in a shadowed corner of the room, listening to Mary’s breathing grow more labored. The intervals between breaths grew longer, until after one long exhalation, the room stilled, the only sound Tom’s choking sobs. It was over.

As the physician pronounced Mary’s time of death, I reached out to touch Tom’s shoulder in communion with his grief.

An ending and a beginning. Sacred Ground. Holy Words.

Please forgive me.
I forgive you.
Thank you.
I love you.

I offer these words up to my friends and relatives; indeed, to humankind.

But most especially to Mom and Dad, to whom I should have said all of these things while they were alive.

Please do the same, today.

Honor the Circles of Grace all around us.

Remembrance (1989)

img231

Remembrance

February 29, 1988. An oddity, Leap Year. It comes every four years, then departs without a trace. Not for me. The pain of that day is seared in my memory. That’s the day that cancer took my Mom, when she was 59 years old. That’s the day that I lost a part of me forever.

The obituary page…so impersonal. Facts: names, dates, places, times. Nothing, yet supposedly everything. How can Mom be a statistic in black and white to them, her whole life listed in capsule form? Yet they know nothing of her, nothing at all.

Mom. Quitting school at 16 in order to bring home money for the family. Falling in love with a sailor in his dress blues, marrying him at 18, and working at 41 years of life together. Two daughters, a business, long days. Always saving for a rainy day, postponing trips “until we are retired.”

Memories. A cool hand on my forehead whenever I had a fever (it comes full circle, Mom; I did the same for you at the end). My favorite meal. Unending words of encouragement and support. Holding my hand tightly whenever I crossed the road on my way to school. Sitting together on a swing under the tree, having morning coffee together. (I didn’t even like coffee, but I liked the time with you.) Going shopping and having lunch together. A blinding smile that lit up the Academy of Music: “My daughter, the Doctor.” Waking up in the hospital after all four of my surgeries, and seeing you at the bottom of the bed, waiting. Trips to Europe, and cruises with my own cabin. Christmas Eve, filled with Italian dinners and hours of opening presents.

Alex. The child against the odds, as I had been for you. My Alex, your third grandson, who you greeted every morning for 16 months as if he were a king. You showered him with the same love you had given me. Now, he asks who you are in family pictures. His beloved Mimi. He was barely 2 ½ when you left. How can I be a Mother to him, as you were to me, when you’re not here to guide me?

June, 1987. Cancer. Dr. Friedman’s office: lumpectomy or mastectomy? Point-blank: “Theresa, what would you do?” As if any of us can outsmart cancer. But I know better. I know how poor a woman’s chances really are. 1-800-4-CANCER. Very supportive, very optimistic, very wrong.

Chemotherapy. Six long months of pills and injections; you were node-positive. The cancer cells will die (so will you). Doesn’t chemotherapy kill the healthy cells, too? You told me losing your hair hurt more than the nausea and vomiting, and I believed you. The wig was rejected, a turban grudgingly accepted.

Change. You’re different, Mom. You’re giving up. You talk less, you care less, you take longer to heal. You’re too sick to tell jokes or have a beer or yell at Dad or give advice. I don’t know you, and I’m impatient because I want the real you back. I’m selfish, and I feel guilty for thinking you should be better.

Super Bowl Sunday, January, 1988. I am depressed. You’re too sick to come to the annual party (you started this tradition, Mom; you have to be here!). The doorbell rings, and you’re at my front door in a long, navy blue bathrobe, turban on your head, bedroom slippers, and your stomach swollen like when I was 9 months pregnant. But you’re here, and my smile lights up the foyer (you always said I was pretty when I smiled). Later, I realized that my house was the last place you would visit before your final trip to the hospital.

February 1, 1988. The first day of the last month of your life. First, removal of several liters of fluid from your stomach, then surgery to implant a porta-cath, followed shortly by exploratory surgery. “Did it turn out all right, Theresa?” “Yes, Mom, it’s okay.” Really? No. Half of your liver is gone, the cancer is strangling your intestines, spreading throughout your body cavity. Six months of chemotherapy. For what? To make the time you had left more miserable?

Roller coaster. The doctors have elected me as the family spokesperson, the person to hear the news and disseminate it to the rest. I cringe every time I turn the corner in the hallway of the hospital, and hear the latest test results. Where there’s life, there’s hope, daughter Theresa says. Mom’s spirit will beat this. But Dr. Theresa knows there’s no chance of recovery. A constant battle; which person do I believe?

Warren Hospital. Your window on the 2nd floor…it’s easy to find from outside. It’s the one with hundreds of cards taped to the window and walls. Doris, the nurse’s aide who helps you sip iced tea, says she’s never seen this many cards for a patient. It’s the room with 29 days of non-stop flower arrangements, brightening those dreary February days, helping to mask the ever-present smell of cancer.

Flowers

Hospital furniture. Adjustable bed and wheelchair. IV tubes, blood transfusions, catheter, oxygen, stomach tube, intestinal feeding tube. A water mattress to cool your body temperature, a fan blowing on your elevated legs (blood clots, remember?). A washcloth on your forehead, Depend undergarments (full circle), hospital robes, blood pressure cuffs, electronic IVs. Beep, beep, beeping…STOP! I want to rip them all out, this is barbaric. I want to end your suffering (or is it mine?) with an overdose of morphine. I ask Dr. Friedman for extra morphine. “Theresa, you don’t know what you’re saying.” Or do you?

Doctor’s words of wisdom: your mother will not leave the hospital…I almost cried when I opened her up and saw the extent of her cancer…if only we could get back some of her spirit, she might have a fighting chance…it would be merciful if a blood clot loosened; it would be quick…should we write a “Do Not Resuscitate” order?…you may have to make the decision to stop feeding her (starve her???)…give her as much morphine as she wants…there are good ways and bad ways to die, and your mother has shown more courage and dignity in her death than I’ve ever seen…I’m sorry, I wish there was more that I could do.

You knew, didn’t you, Mom? You told the nurses you didn’t want this to take too long, that your family was suffering too much. At your request, a priest administered Last Rites…we had no idea. “Are you mad at me, Theresa, for refusing more chemo?” “No, Mom, (choke) I’d do the same thing.” You told us where all of your jewelry was, and what clothes to have Dad wear at your viewing and funeral. You wanted to be in a pink or blue nightgown. Pink? I never saw you in pink. We got you blue, Mom, and the saleslady at Sigal’s offered her deepest sympathies.

Saturday, February 27th. It snowed, so Steve drove Alex and me. You were delirious, but you were coherent enough to want to see Alex. Yes. “Dee dee (your pet name for him).” Alex was afraid of you and the tubes, but your frightened look makes me keep him there awhile longer. You fought the morphine to stay awake, and wanted us all by the bed. Peach schnapps? Okay, Mom, we’ll make sure everyone is offered it at the house. You waited until we left to close your eyes, taking one last long look at your family. You slept peacefully, and Dad didn’t even try to wake you to say good-bye.

Sunday, February 28th. The hospital called us…were we coming? Of course; Dad hadn’t missed a day. The hospital bed was lowered (don’t the blood clots matter any more?) and someone had placed your rosary in your hand. Your breathing was ragged, the machines pumping and beeping, the flowers the only bright spot in the room. June, your favorite nurse, cried in my arms in the hall. She told me that this was how it ended. This is how it ends? All those years of joy and sorrow, hopes and dreams…they just stop? (Is this really happening? I’ll wake up from this nightmare soon, and everything will be all right.) They said hearing is the last sense to go, so I held your lavender rose close and said good-bye, thanking you, loving you, telling you it was all right for you to go. The nurses came at the end of their shift to say good-bye, forming a circle of love around your bed. You continued to touch people, Mom, even at your worst. If only they had known you at your best!

Monday morning, 3am. The phone call. Good. It is done. No more suffering. So many details and decisions, so many people with so many kind words and so much food. Steve makes the trip to the hospital to take down all of the cards. Your room was empty when he got there. The bed was stripped of you, as was my life.tear

Tuesday, the viewing. Wednesday, the funeral. Numbness. Would you believe we’re trying to comfort others in their grief? A woman kneeled with her head in my lap, her tears soaking my dress. (Or were they my tears? No matter.) It’s not really you in that casket, Mom. You’re in a far better place. We got you slippers because your feet were always cold, and I put on your glasses so you could see. The funeral director is amazed at the number of floral tributes; they circled the room many times. Soon, they would grace the rooms of those back in the hospital, and the nurse’s station as well. By Wednesday evening, all is over. My new life without you has just begun.

March, 1989. A year has passed one day at a time. My frequent bouts of grief have given way to less frequent bouts, but when they come, they are just as deep and painful. The thing I miss most is talking to you every day at lunch time (how long will it be before I no longer catch myself reaching for the phone to tell you something important?). This is all so unbelievable; you’re just away on vacation and you’ll be back again, soon. I still get angry when I see older couples holding hands, and I put up a Christmas tree even though I didn’t have the heart for it. I did it for Alex, and for you. I am his mother, as you were mine. That’s what mothers do. I couldn’t go into a Hallmark store at Mother’s Day; maybe someday I’ll be able to pass the cards without crying.

I miss you, Mom, as a mother, and as a friend. Everyone tells me that I’ve been elected to take your place. Silly people…no one can do that. But your memory lives on in my heart, and those parts of you I passed on to Alex will live on in his children, his children’s children, and beyond. Every time I make seafood on Christmas Eve, read a book you would have enjoyed, give Alex a hug, make potato pancakes for Dad, help someone in need, keep watch over the family, say a prayer of thanksgiving for you…at each of these times, I will celebrate the memory of your being.

I miss you, Mom. But if I look around, you are everywhere, in all things. And most of all, in me. You will be with me always, and I know from a deep, abiding faith that someday, we will be together again. Until then, I will remember you, and keep you alive in my heart. I will live as you would have wanted me to, and I will do my best to remember to treat people with dignity, honor, and truth, as you taught me.

Thank you, Mom, for my life.

Thank You, God, for my mother.

May You grant her everlasting peace.

cala liliesl

________________________________________________