Friday, August 04, 2023

I don't want to say goodbye

Last Friday, when I flew up to see my sister we had what I've come to dread - the Family meeting. This is when Sister's medical team requests to meet with the family to provide an update on her progress and talk about the next steps of her care. It's never good news. It's never a time to celebrate and high-five each other. But my brother-in-law requested they hold off for a day and have it on Friday so I could attend. I truly appreciated being included though, as I mentioned, I've quickly come to hate these meetings. Unfortunately, the meeting was what I thought it would be. Her medical team asked us what we thought she would want. Because the best outcome they predicted, based on her lack of responsiveness, her tests and scans, was that she would be able to hear and maybe be able to see but she would not be able to process what she was hearing or seeing. 

All our hearts broke again.

We were all holding onto hope that her brain would recover from her strokes and that she just needed more time for the swelling to go down. But it seems there is too much damage from her initial stroke and then all the small ones she had while in the hospital. She had just gone through too much and that is why she was no longer responding to anything but pain. It was decided that her care would change from life-saving to comfort care after close family and friends said their goodbyes. 

We flew our mom up Saturday afternoon to see DD for the first time in the hospital and also to say goodbye. Our mom had recently been in the hospital herself late last June and we didn't want mom to put herself in unnecessary danger. We figured that we would wait until sister moved from ICU to Acute Care and then both would be a bit stronger to see each other. My sister, when still responsive, had held up her hand in a "wait" or "stop" position when we mentioned mom wanted to visit her. Knowing how anxious and worried my sister gets around our mom, it made sense that she made that motion. And her husband, knowing my sister the best, also felt it was the best decision for both of them. Our mom still desperately wanted to visit but without anyone helping her book flights, hotel or transportation, it would have been impossible for her to do it herself. So she waited. 

As expected, it was very difficult for our mom to see DD with a breathing tube, IVs, her head shaved and, most of all, knowing this visit was so she could say goodbye to her daughter. My mom and I went straight to DD from the airport. We stayed just before visiting hours were up. I had booked us a hotel room less than 10 minutes away so we took an Uber there. It was the first time in a long time since I spent the night in a room with our mom. Notorious for being loud, she did her best to be quiet so I could rest. I really appreciated her efforts even though neither of us got much sleep that night.

We joined my brother-in-law in the morning to visit with my Sister again. They were allowing up to four visitors and appreciated that her other visitors wanted to give me and my mom visiting time, along with my sister's husband and son. Whenever one of us needed a break, there was a family member or friend ready to step in. There were also others who visited specifically to say goodbye so we wanted them to have their time with DD, too. And around 2:45 PM, we were allowed to have six of us gathered around as my sister's nurse and respiratory therapist removed her IV and breathing tubes. We all cried and continued to sit around her. My mom and I had to say goodbye in the early evening so we could make our flight home. We hated to leave her.

We had no idea when she would leave us. Her nurse said it may be a day or so. It is now five days later and she is still here. This saddens me greatly because it just goes to show how strong my sister's body is. It's only her brain that isn't allowing her to be with us. But it's the one that matters most - over her heart, lungs, and kidneys. I have cried every day since returning and am thankful to my brother-in-law for his calls and online updates. I can only imagine how hard this has been for him. I know he is grateful for anytime he has left with her but I also know this very long goodbye has to take a toll both physically and mentally. Because he knows that she will eventually go. And I mourn for her now because even though she is still with us, she also isn't. This is the longest I've gone without speaking to her and I'm so so sad that I won't ever get to talk with her again.