I’m home now, and I have the privilege of spending this day doing whatever random shit I feel like doing.  I ate some pasta for breakfast. I started to dismantle my garden.  Winter is finally here.  I told my Early Girl that I was proud of it because it still had a little life left in there, in the stem and the roots.  That one was the only tomato that I intentionally planted that survived the season.  I concluded the season cultivating whatever random tomato varieties presented themselves from the compost in the soil.  Nature gifted us with hundreds of sweet little pear tomatoes, sprung from the seeds of some supermarket tomato that didn’t make it onto our plates but did make it into the compost.  I talked to my nearly-dead tomatoes and my dead eggplants and peppers and I cried a little in between.  I think I’m going to need to seek some therapy.  I’ve avoided it for a long time, but this grief has compounded over these past two weeks, and I’m numb.  And I’m acting weird.  Something in there is broken.

We left town yesterday, my hubby and I.  Left my brother to witness the very end.  It was selfish of me to leave, but I wanted to leave so badly that all I could think about to keep me from breaking down all day was how great it was gonna feel to be in my cluttered, dirty house with my dogs and my own stuff.  My own messes in my own home.  Yesterday was a turning point at the “skilled nursing facility.”  The 23 year-old floor manager who’s probably at her first job out of college because she can’t deviate from a script popped into Dad’s cubicle to tell me they wanted to schedule all this shit—put him back on an IV, take him to the hospital to have some “suspicious node” in his lung checked out, bloodwork, etc.  My husband asked her what the end goal of the hospital visit was, and she responded in all seriousness, “to check to make sure the node isn’t cancerous,” like looking for lung cancer is a priority at this stage in his decline.  I reminded her that Dad had a DNR order, and that it stated that he didn’t want IV fluids.  I also told her Dad didn’t need to go to the hospital to look for lung cancer.  I then called my brother because it’s hard to tell a 23 year-old that she cannot give your dehydrated father IV fluids to sustain his now miserable existence. 

My brother was, of course, pissed that these procedures were even suggested because he had discussed the DNR orders days ago with someone else. 

“Tell her we have a POA on file and a DNR with explicit instructions.  And we can scratch the hospital visits.  We can deal with a suspicious node if he ever snaps out of this.  In the meantime, not a priority.”  

So the befuddled floor manager came back with the beautiful nurse practitioner who I am pretty certain my brother has a giant crush on, and she started asking ME the heavy questions—do I authorize no hospital visits, no trips to the ER, no fluids, no tubes, no CPR?  What the actual fuck is this place?  I didn’t have power-of-attorney.  Legally, I was just a visitor.  I could have authorized any invasive and unnecessary procedure that they threw at me by virtue of being a person in the room.   I’ll bet that my Dad’s friend Jimmy who was in town visiting from Iowa could have authorized it if he happened to be there when the floor manager came by.  

Luckily, my sister-in-law walked in the door at that moment and explained Dad’s predicament very clearly—IVs are only a short-term fix; he doesn’t WANT to get better.  He stopped eating weeks ago when he was much more cognizant of his surroundings.  Basically, he WANTS to die, and we’re going to grant him his wish.  No emergency trips to the ER, no scheduled hospital visits or MRIs, no IV, no resuscitation.  This was HIS decision.

The DNR was Dad’s decision that he put in writing in 1997, long before he had experienced the nursing home circle of hell with my grandmother.  After that, he set up his power of attorney.  He even had a pseudo pact with my uncle that one would kill the other before either one of them ended up in a nursing home.  His biggest nightmare is happening RIGHT NOW, and he just wants out.  Bring on the morphine.  Helping him die comfortably on heavy drugs to numb the pain is the only positive thing that this shithole of a care facility can do for him.  These people can’t even find his pants in his closet.  They put him out in the hall, pantsless, with pneumonia.  This den of incompetence is NEVER going to rehabilitate him, so instead of hurling him into the insurance wood-chipper—transporting him around to useless doctors’ appointments and putting him on an IV every other day just to keep him alive until Medicare can drain all of his assets—it’s going to give him his dying wish.  Enforcing his DNR is all the power we have, and it’s going to this end this nightmare for all of us.

On my way out the door yesterday, while Dad was once again talking the air and trying to get his legs over the side of the bed in a weak attempt to escape, I said, “I love you,” and he replied, “Love you.”  Those are some fine last words, I think.  I, of course, have a lot of regrets about how I handled this ordeal.  I’ll discuss them another time.  I’m fine concluding today’s thoughts with the best last words you can hear from someone—I love you.