Stages of Grief


Here’s the thing about grief: one minute you’re drowning in it, thinking you’ll never resurface. And the next, up you’ve popped and you’re feeing the sun on your face.

My moods seem to change on a dime.

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Right now, the work day is nearly through and it’s my birthday.

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Okay, technically it’s not until Monday. But it’s a big one.

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So I believe it’s appropriate to begin the celebration now, and continue at least through Memorial weekend.

Just FYI, I am a big fan of cupcakes.

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Way better than almond butter and bilberry jam sandwiches.

Right now, I hate everything except my cats. And food, particularly ice cream. And wine. And mindless tv. And sleep. Aside from those things, everything is stupid.

Rather than piss and moan about my grief, and I happen to be deep, deep into the anger stage, I’ll update you on the one thing that feels worthy of my time these days.

Integrating the little diva that is Sophie into my household.

Sophie has been inside about a month now. She rarely ventures out of her safe room when I leave her door open. And even then it’s only to charge at Sadie, who’s gotten a little too close to Sophie’s territory, which she has no qualms about defending. Even against the formidable Sadie. Sally pretty much steers clear of the whole business, allowing Sadie to do  her dirty work.

It’s my own fault Sophie feels no compunction about staying safely ensconced in her room. She’s got her own litter box, lots of great places to sleep, a window with a lovely tree full of birds and squirrels, loads of toys, her own food and water bowls, tuna service each morning, and the piece de resistance, a magnificent new cat tree.

What cat wouldn't kill a lizard for this?

What cat wouldn’t kill a lizard for this?

If you look closely in the mirror, you can see her little black paws hanging off where she prefers to spend her time.

The Diva's lounging spot of choice

The Diva’s lounging spot of choice

That’s right: Sophie would rather spend her time lying atop a mattress leaning against the wall than on her spectacular cat tree. Not only that, she prefers the bare mattress to a sheepskin rug.

Weirdo

Weirdo

I have seen her lounging on her tree. Once. But I know she’s been on it when I’m not looking as the treats I’ve left have disappeared from each level. And today we made a little progress with out-of-room exploration. I lured her to the end of the hall to briefly play with a toy. But now she’s back on top of her mattress.

Annoyed cat--doesn't like the flash

Annoyed cat–doesn’t like the flash

How pissed off do you think she’s going to be when I remove the mattress for the sofa bed that’s on order?

We are making progress with integration. The hissing has abated considerably. And all three girls are willing to scarf down chicken in unison on either side of the open door. I’ve also been successful at having Sadie and Sophie engage in simultaneous interactive play on either side of the open door, with the help of my neighbor.

All this leads me to the conclusion that I will have a fully integrated three-cat household in about two to three years.

I leave you with a few more photos of the little diva.

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All of my male family members are gone. In the space of 11 months. How do I make sense of this? I don’t. There is no meaning or explanation. Everything does not happen for a reason. It just happens. This universe is random. There is no grand plan for any of us. We are not predestined. My brother did not die Monday because we needed to learn some lesson.

My brother died for no reason other than he had leukemia.

It would be easier if I believed a god orchestrated this. I would have something at which to direct my anger. But there’s nothing. Nothing other than the arbitrariness of this world.

Yes, there are things to be grateful for in the midst of my despair. His agreement to enter rehab in late December gave him three months with his children. They have those three months to remember their dad as he really was. He died of leukemia, rather than an alcohol-related disease. (There is no connection between alcoholism and AML. I checked.) He didn’t kill himself with alcohol.

I thought with the intervention I had saved my brother. I thought I had helped him save himself. I had fantasies of spending time with him when he was feeling better. I wanted to take him for long healing walks in nature. I wanted to help him heal his heart. I wanted to talk with him about all the painful things that happened as we were growing up to help him lay them to rest. I dreamed of being close like we were as we were growing up and in the early days of our adulthood, before the alcohol came between us.

I had dreams that he would finally get some happiness.

But life is not about happiness. It’s not about anything. There is no reason for any of this. Or if there is, none of us know what it is. Will we find out when we die? That’s a nice thought. And it’s quite possible that’s all it is. curse

My words aren’t profound. Countless people have lost loved ones under tragic circumstances. Countless people have shaken their fists and cursed the universe. Or god. Or cancer. Or alcoholism. So what? People will continue to be born. And then each of them eventually will die. Some, like my father, will have long full lives. Others, like my brothers, will die much too young.

(I chose the cat photo not because of my love of cats. Well, that too. But it neatly shows my irreverence for all of this.)

I wonder if there’s another solar system out there where people (or some type of conscious beings) know the day they are born that there is a meaning for their lives. I wonder what it would be like to live knowing what that meaning is. I wonder what it would be like to know exactly how long we all will live and why we are here. Some of you might be thinking, “Regardless, you should live like today is your last day.” But I can’t really do that. I have to plan for the future in case I’m still here. And what if all that planning is for naught? What if I’m worrying about paying for retirement when I’m going to be dead next week? I should be out looking for a new home for my cats, not worrying about paying my bills when I’m dead. I should be eating Ben & Jerry’s New York Super Fudge Chunk, and not worrying about my expanding mid-life midsection. I should be sitting outside watching the birds in the feeders, not sitting in here fretting over the box of work the office courier dropped off earlier.

This post has devolved into a meaningless ramble. Which sums up nicely how I feel about life right now.

Yes, I do realize I’m in the anger stage of grief. And that matters because?

I was thinking about grief the other day. Thinking my grief over my brother’s and father’s deaths last year didn’t last long. The crying wasn’t overwhelmingly intense. Or at least it wasn’t more than a handful of times. I wondered what’s wrong with me. Why aren’t I more broken by the events of last year? Am I cold? Heartless? Unfeeling? Are the antidepressants numbing normal emotion?

And then I read a blog post tonight: Daddy’s Little Girl, and I posted a response. As I wrote, the deep, gaping cavity in my chest that I’d been clenching closed these past months broke open, the grief spilling out. Maybe I’ve been too consumed by my mother’s neediness to have enough stillness to access my grief. (She hasn’t called since she hung up on me a week ago.) Here are the words I wrote that broke through:

When I was growing up, I hated him more than I loved him. When I hit my 30s and 40s, the hate faded bit by bit (as did the abuse) and the love grew. When he was dying in hospice in October and it was just the two of us alone every night, all I felt was love.

Speaking of love, Sophie the stray cat had disappeared for an entire week. I kept telling myself she was fine; she’d found her way home. Last night when I pulled into the driveway after work, she was out front waiting for me. I couldn’t believe it. No more skulking in the shadows, luring her out with a trail of Greenies. There she was, waiting. I thought perhaps it was because she’d gone hungry over the week she’d disappeared. But tonight was even one better. When I got home, she wasn’t waiting. But when I went outside and called her, she appeared! We then made our way through the steps she has established for us over the past six weeks:

  1. Eat tuna that I spoon onto the saucer for her from the can, bite by bite.
  2. Stretch (downward facing cat, and then each leg straight out behind her, one at a time).
  3. Bathe, taking meticulous care each whisker is back in place.
  4. Meow once or twice as she walks back over to me. (She has a very high-pitched squeaky meow, much like her sibling to be, Sally.)
  5. A minimum of five minutes of intense petting, paying particular attention to her head, cheeks, and under her chin, while all the while she purrs quite audibly.

Sophie appears to be well on her way to becoming an inside cat. Will it take another six weeks? Stay tuned.

I’ve been avoiding the page. Hiding from the depths of my grief. Doing anything to pass the time, but write. I know that writing will take me deeper than even looking at photos of my father. I fear the writing will be unbearable.

I find myself thinking about my last night with my father. The night before he passed. The night nurse’s aide was someone new. As my family left that day, I told them that if they wanted to be with my father when he passed, they should stay that night. The aide glanced over at me, and nodded. She could tell from my father’s breathing that he was close. And somehow, I just knew that night would be his last. My family said the nurse had agreed to call them if he showed signs of being close. They thought they could get there in time.

On some level, I wanted them to leave. I wanted to spend my father’s last moments with him alone. I wanted to complete the vigil that I’d begun with just the two of us. I also wasn’t sure they could bear it. I think they felt the same.

My father hadn’t had a shave in nearly a week. He never grew facial hair. Except in the summer when we were in the woods at the cabin. When I was little, I used to stand next to him in the bathroom while he shaved, and watch. He used an electric razor. He’d put the cover on, hand the razor to me, and tell me to give it a try. I’d run the razor over my face. Then he’d take the cover back off, and let me shave him. Yes, my father was very fastidious when it came to grooming. He always carried a comb. He’d comb his hair before we went into a store, and ask me how it looked. Some might say he was vain. Some might say that’s where I got my vanity. I knew he’d not want to leave his body covered in facial hair. So I asked the nurse’s aide if she could shave him.

“Yes, I would be happy to. I used to love to shave my granddad,” she said.

I’m not sure what happened the night before he died, but he looked years younger. It wasn’t just the shave. All the lines on his face had faded.

More scattered thoughts.

I watched the sun rise while I held my father’s hand and waited for my family to arrive the morning he died. For two hours, I sat and held his hand. I didn’t want to leave his side until they arrived. And I worried that his hand would be cold when my mother took it. I needed to keep his hand warm.

He died at 6:00 a.m. sharp. That seems incredibly significant. I don’t know why. Perhaps because it epitomizes the orderly way in which he lived his life.

It’s been thirty-eight days since my father passed. His body was cremated that same day, and we held a memorial service two days later on Saturday. We sat in the same church, in the same row, where we sat six months earlier when my brother died. Only this time, I sat on one side of my mother, and my sister and her husband sat on the other where my father had sat holding my mother’s hand six months earlier.

There is so much more to write about. The details of the service and the reception afterward. My exploration of consciousness and whether it exists independent of the death of the brain. (Yes, I want there to be something more than this life.) The beautiful Saturday two weeks later when we scattered the ashes of my father and brother in the Gulf.

It’s time to write.

The sun is beginning to rise following the third night of my vigil. The days spent in my father’s Hospice room with family and friends are precious. But it is the nights I spend alone with him that I find to be the most precious gift. Caring for him, protecting him, comforting him, like he did for me in so many ways over the past 49 years.

I love to hold his hand and tell him stories. Paint him pictures of the time we spent together. The weekends we spent sailing on the Gulf. His passionate instruction on how to point into the wind just right for the optimal speed, the bow slicing through the water. When he corrected me, and I’d turn the tiller to head into or off the wind, I often heard, “You’re over-correcting!” That’s a lesson I never got quite right, in many aspects of my life. But I vow to keep trying. I spoke to him of Galveston, Ontario, each of his Black Labs, in turn:  Rebel, his dog we got in North Carolina. (Although my brother claims Rebel was his dog because he waited to see him before he passed.)  Then came Nugget, named by my mother with the idea that he was black gold. Nugget loved to dive to the bottom of the deep end of the pool to fetch his conch shell. And then he’d bark relentlessly until you threw it again. The game could go on for hours, interrupting my sunbathing when he’d jump in with a splash, and then shake the water off on me when he got out. It was a game, and I know he did it on purpose. Last was Lacy, Dad’s first female, and his favorite. He’d lay on the floor with her and cuddle, saying, “Who’s Daddy’s little girl?” When she got old and arthritic, he had an acupuncturist come to the house once a week and treat her. His heart broke when she passed a few years back. I knew Dad needed another pet, so I arranged a cat adoption for him from a Houston rescue organization as a Christmas gift. The cat he chose (and he was by then a young cat, not a kitten) was a Snowshoe my mother named Spotty, although I always insisted his name was Spot. Spot is a cat’s cat; strong and powerful (and, yes, a wee bit chubby). He likes to throw his toy mouse into the air and catch it, and then wrestle with it while rolling around on the floor. Like my dad, that cat oozes character. He’s got more character than any cat of mine. (But they are better cuddlers.)

I also tell Dad how much I love him, how much I’ve always loved him, how I’ll always be his little girl. His baby. His Puddle Duck. I tell him, between sobs, how much I’ll miss him. I promise to take good care of my mother (a job I haven’t done too well in the past) and Spotty. (Yes, I’ll call him Spotty for my mother.)

I feel lucky. This time with my father is the most precious gift. There is no where else in the world I want to be right now. I won’t leave. I’m staying beside him until he’s ready to go.

There was a shift last night. I feel he’s preparing to let go. My mother’s greatest task today, she knows, is to tell him it’s okay, she’ll be okay, he can let go.

Dad is now in inpatient hospice. We moved just down the hall from his rehab room at the nursing home. Hospice has a small wing here, so the move was only minimally stressful.

Yesterday, before the hospice room was ready, Dad had lots of visitors. My favorite visitor was Freddie, my niece’s 7-month miniature long-hair Dachshund. Freddie got in bed with Dad, and Dad and he cuddled. Dad loves animals more than any man I’ve ever known. He passed that love on to me.

When we got the news that inpatient hospice had accepted Dad, my sister cried for the first time. Death is imminent. Her husband comforted her, and in that moment I remembered the man I knew before my niece told me what he’d done to her. I understand the conflicting feelings everyone has about him. I didn’t want to, but it was there. Things were easier when all I saw was the man who’d hurt his daughter, my niece. But this is not about him. This is about my father.

I walked next to him in his bed as the orderly wheeled him down the hall from rehab to hospice, and I felt that the nurses I passed knew I was walking toward the end. “Dead man rolling,” I thought. And then, “What a horrible thought to have.” I held back the tears until we got situated in the room and the orderly left. My mom came shortly thereafter with most of his things. I went down the hall and picked up the rest. The man who was sharing the room with us has a wonderful private nurse that we’ve gotten to know over the past few days. She was instrumental in giving my mom the straight scoop on the feeding tube. Because she’s a private nurse, she could speak frankly. I was so grateful she did not equivocate, like everyone else is required to do. As I left with the last of my father’s things, she said, “Good luck.” It struck me as an odd thing to say when you’re on your way to be with your loved one while he leaves this earth. But what is right in these situations? There are no rules.

I stayed with my father last night while my mom went home to get some rest. Being the youngest, I’ve always loved those moments with my father when it was just the two of us. Last night was no different. I held his hand and told him about my kitties’ new mouse toy, How Sadie gets upset when I stop playing mouse. How she carries mouse in her mouth, upstairs into bed. I told him of the mocking birds outside the window in trees, of the wind blowing through the leaves, the storm clouds rolling in. As we talked, I held his hand and stroked his face. The nurses are taking very good care of him, making him comfortable with morphine and Ativan. I’m learning how to read his signals, when he’s in pain, when he’s anxious. And then the nurse comes in and gives him what he needs. Hospice is a godsend.

Visitors are beginning to arrive. My niece is bringing her puppy again.

My mother is a strong, brave woman. She set aside her desire to have my father here a little longer, and decided against the feeding tube. She said he wouldn’t have wanted it.But when we met with hospice, she couldn’t decide what to do. Tonight, after we left, they called and told us his kidneys are shutting down. We needed to have him sent to the hospital or choose hospice. My mother broke down. I held her and we cried. And then she thought of my father, the man she’s been married to for 58 years, and knew he would not want to go to the hospital. He’d want to come home. She chose hospice. I hope they can arrange things for him to come home in time.

My mother is right. My Daddy would want to come home. I am filled with admiration for her.

My Dad is dying. I spoke with the doctor today. He’d be gone within days, but my mother and siblings want a feeding tube. For now. So I pretended I want it, too. But I told them I’m worried “for now” will extend into something hideous. The doctor told me she thinks the tube won’t extend things for more than a few days. So I slid in line, and let them feel the decision was unanimous. Maybe I should be advocating for no tube. Advocating for my Dad. I wish I knew what he’s thinking. Or if he’s not thinking, what he’s feeling. But I don’t know what it feels like to be dying. I don’t know if I’d want a feeding tube so I could be here a bit longer. To give everyone time to say goodbye. If it’s only for a little while, am I being a coward for not advocating more strongly for no tube? Is it okay to pretend I’m on board if I’m only compromising for a few days of tube feeding?

The concession was, they agreed to hospice. They’ll take him with or without the tube, the doctor says. so I called tonight and made arrangements for hospice to evaluate my Dad tomorrow. And so I travel to Houston in the morning to meet with them. I’m secretly hoping that after we meet with hospice, they’ll change their minds about the tube.

My mother was shocked. She though he was going to get better. She thought he was going to go home and they’d be together for years to come. She honestly thought this. She had no idea he was this bad.

I wonder why I’m the only one who knew. I kept waiting for a doctor, any doctor, to say what I already knew. Finally, tonight the doctor told us.

The past couple of days, ever since I discovered Sally’s lumps, I have been filled with anxiety. When I wasn’t working, I was scouring the Internet for the tumor that most resembled Sally’s. None of them seemed to quite fit. So I had decided the lumps had to be malignant and she has only a few months to live. I lie awake in bed last night, crying, with Sadie curled up next to me, purring loudly and providing comfort. As I lie there sobbing, I realized this was not all about the kitty. It was about my father, now with his third bout with cancer. He’d beaten the first two, testicular when he was in his 30s with four small children, and colon when he was in his 70s and we were all grown up. Now he’s in his 80s, and I fear this current cancer diagnosis will be the one. I also was grieving for my eldest brother, who died in April. I’d been holding it all together, behaving rather stoically, as people in my family are wont to do. But last night, I lost it. And all those unshed tears spilled forth. It was quite a cry–the ugly kind when your head fills with snot and you can’t get a breath. And through it all, Sadie lie there curled up next to my head, purring. Sally, whom I was convinced was dying from a malignant tumor, was nowhere to be found.

I went to work this morning, late and puffy-eyed. I focused on the task at hand, burying myself in my work until it was time to head home and meet the vet. She makes house calls, which I love as I hate to traumatize the kitties by making them ride in the car, which is nearly as bad as the destination. The wailing on the way just breaks my heart. So I found a vet who makes house calls.

Shortly before she was to arrive, I locked both kitties in the bathroom–the examining room. The vet was 8 minutes late. I stood outside pacing, willing her to arrive. It took her eons to park her truck and make her way to my front door. But then she was here, and we went upstairs to the bathroom. I cracked the door, and Sadie looked up at me. I let her run past. Sally was cowering behind the toilet. I picked her up, and the vet came in and put her bag down on the counter. Then she began stroking Sally as I held her. I could feel the tension leaving her fluffy little body and I set her down on the counter. The vet began stroking her, looking for the lumps. She found the big one right away, on her back, near her tailbone. As she examined it she told me she saw nothing so far that upset her at all. The lumps weren’t crusty, they didn’t seem to hurt Sally, and they were covered with fur, which meant she hadn’t been picking at them. Okay, so far so good.

The vet then took a syringe from her bag to do a fine needle aspiration. Sally lie very still while the vet took tissue samples from various parts of the growth. She then transferred the sample from the syringe to a slide and labeled it. She then took another syringe out of her bag and repeated the process with the second lump. She showed me the material on the slide, and she said she saw nothing there that concerned her. The next step was for the vet to go out to the lab in her truck and examine the slides under a microscope. She told me the process would take about ten minutes. After she went out, the anxiety reappeared. I paced and wrung my hands. I imagined it was taking too long. I imagined the vet was composing herself before bringing me the bad news. I sat on the steps by the front door and tried to take deep breaths.

The door opened.

“She’s fine.”

Exhale.

It turns out Sally has lipomas–benign fatty tumors that are more common in dogs. Which is why I had ruled them out in my Internet research. More common in dogs? She doesn’t have a benign tumor, then. She’s dying.

The lesson I learned today? Never research medical conditions, in pets or people, on the Internet. It’s just a bad idea.

I also learned I have some grieving to do. And I have two fluffy, healthy cats to comfort me while I do.

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