Browsed by
Category: Daily Life

You know, just daily life…

29 Days in 2011.

29 Days in 2011.

[Train of thought reflections on a very bad 2011 – written in 8 minutes, no editing.]

“Mom has leukemia.”

My oldest sister Becky was calling on a Saturday afternoon early in March 2011.  Mom had been describing vague flu-like symptoms for the better part of a month, and had finally relented about going to the doctor’s office.

It seemed unreal.

Mom has leukemia.

It mad no sense.

Mom has leukemia.

Mom can’t go to the circus.

This is a joke. It cannot possibly be real. Is it real? How bad is leukemia for the elderly? They’re doing amazing things to save kids with leukemia these days? Is it treatable? What kinds of leukemia are there? Why don’t I know this? I should know this.

In the next 30 days we learned all we ever wanted to know about leukemia. It was too much, in too little time.

The six of us assembled at Becky’s house within the hour. My older brother Chris was at his home in Texas. We hadn’t told Mom yet, and were game planning this as we went along.  We agreed we would all go over to Mom’s house together.

Mom first thought that something was wrong with my sister Mary – she had been feeling ill for a while as well. As always, even though she had just come back from the Doctor’s office herself, her first thought was about someone else.

The Doctor’s office had been explicit: Take her to the hospital NOW. Of course the hospital rooms were not designed for a patient and six of her children . From the hallway I did overhear the nurse asking Mom “How long have you had leukemia?”

Mom’s response: “About an hour.”

We soon learned that the docs needed to determine which type of leukemia Mom had. A blood test would take a long time, but a bone marrow test would tell us exactly the type of leukemia Mom had. She was also started on a blood transfusion – which made her feel much better very quickly. The doctors promised they would call us when they were ready to do the bone marrow extraction from Mom’s hip. However, they took the bone marrow when none of us were there. Mom seemed to handle it  very well. I guess after having seven kids, a little bone marrow is no great hurdle.

Between Chronic and Acute leukemia, you want chronic. Chronic leukemia can be treated, and patients can buy some added time by undergoing various treatments (chemotherapy, radiation, or even, simply,  pharmaceuticals). It seemed very strange to be rooting for one form of terminal cancer over another, but we were cheering for chronic leukemia. We didn’t get our wish. Mom had acute leukemia. Without treatment, she could expect 30 to 45 days before she would succumb to cancer.  Mom had witnessed far too many friends and family suffer the misery of chemotherapy. The Doctor advised that the chemo might give her a month more. She would have to stay in the hospital for six weeks for chemo – and she might not ever be able to leave the hospital even after the chemo. But he was not gentle in describing how awful the experience would be. In the balance of things, Mom was going to die. In 60 to 75 days if she suffered through the chemo. In 30 to 45 days if she let the disease run it’s course. Mom had already told us her choice even before the test results came back in.  Mom wanted to go home. Selfishly, I wanted her to try some form of treatment. I thought that she owed herself at least a chance. She would want any one of us to grab onto any option available. She would never let us ignore an opportunity for a chance. But none of us had lived the life she had. She knew what she wanted for herself. In the end, I had to respect her wishes.

Mom stayed in the hospital for several days, and had one more blood transfusion.

We arranged for hospice care, and Mom went home.  She was up and about, but we babied her. She got mad at us. We were blessed with the fact that my niece, Meeshea, my Mom’s very first grandchild, was an in home medical assistant. Hospice came and checked on Mom infrequently.  She had morphine and a few other prescriptions at the house, but she didn’t use any of them.

We stressed over getting my older brother Chris to come back to Sacramento from Texas. He initially didn’t think he could get to California until April. We had to explain – April could conceivably be too late.  Also, we thought it would help both Mom and Chris if they could spend more time together while she was feeling relatively well. We were able to get Chris to California by the end of the week.

She seemed to be weak but OK at home. We hovered. We didn’t give her much space. She worried about us. My wife and I told our young daughters, who each spent their first three years at Gramma’s house everyday when we went to work, that she was very sick. Our oldest understood what cancer was – although very young, she remembered cancer claiming my Dad in 2005.

After a good week together, Chris had to go home to Texas. The Saturday he left was the hardest day yet. This would be the last time Chris ever saw Mom, and she him, and we all knew it. We all thought about how we would handle our last moments with Mom. But Chris had the burden of being the first. How he was able to pull it off, and stay as strong as he did, I’ll never know. He said exactly the right thing. He said it for all of us.

Mom, I have to leave now. I know you’re sad, and I know you’re afraid. I will miss you. I’ll always remember you. I will always love you. And I know we will be together again someday.

That day, when Chris left, destroyed us all. Yet, somehow, his final words to Mom also fortified us.

Mom worried about my sister Jennifer. She had lived with Mom since 2000, following her divorce. They were essentially a married couple by now, Mom and Jennifer, Jennifer and Mom. We made sure that we had Jennifer prominently in our planning, but she put up a stronger front than we had thought possible. I believe that this helped Mom find a little more peace as she struggled with her health.

My brother Ken, who had handled Dad’s cancer for more than a year, was outwardly strong, as he always was. This was different than Dad. Dad loved us, and provided for us, but Mom took care of all of us. I know that while he was a rock, a sentinel of strength for us all, inside he was being consumed. Deep in his eyes, I could see the hurt. A good man with pride and strength, I just didn’t know how to make anything better for him. For any of us.

Meeshea continued to help us care for Mom. Coming off a 24 or 48 hour shift, she would get a few hours of sleep, then come over and relieve us for the hours she could.

Ken and Dawn spelled each other at home – Spring break provided Dawn time to stay with Mom during the day, and several nights. Another blessing.

Brian had always been the most quiet out of all seven of us. He has always been the most funny. He definitely puts on the best show. But he is measured. Again, as hard as it had been with Dad, this was worse.

My wife took several days to stay with Mom. Mostly, she took care of me, and our daughters. The most glorious thing she could give to me was more time with Mom. Which was completely unfair to her, since she and Mom had been more than Mother in law and daughter in law for more than 20 years. They were more than even mother and daughter. They really were best friends. Mom had a guiding influence in the way we raised our girls.

Becky was at the house more than any of us. The sad burden of being the first born had fallen to her. She simply did what needed to be done, at every turn.

Mom continued to get weaker. She refused a catheter, and we all spent many nights with her, making sure she was as comfortable as possible, or just helping her get to the restroom. She preferred to sleep on her couch in the living room. We futilely kept trying to get her to eat something. I cannot recall how many nights I slept on the floor, next to her, but each of us spent many long hours with her at night. We worked in shifts, covering time, the precious time we had left, so that she was never alone. We stepped on each others’ toes, got in each others’ way. In essence, we continued to act as the family we have always been.

Hospice arranged for a hospital bed, and an oxygen pump. The hospital bed made a big difference in her comfort. The house was very small, so the hospital bed went right in the living room. The oxygen pump helped her breathing, but it was vulgar. A loud, accusing reminder that this vile disease had clutched onto Mom. Cancer only does one thing. It takes.

How it does take.

With a large family, we had many people coming and going. Visits from nieces, nephews, grandchildren, great grandchildren, friends, neighbors, everyone.  Earlier, we had asked Mom if she wanted to take a ride. Head up to Lake Tahoe, if only just to look out the car window.  But now she was getting so weak, we weren’t sure that she could make it.

In her third week at home, the hospice nurse visited and told Mom she should go to the hospital and get another blood transfusion, or she would only have a few days left at best. So the ambulance came and collected Mom in the afternoon. The expectation was that they would have to do an image of her heart to make sure that no fluid had built up around it, or the transfusion would be pointless, or make things worse. They did the test around 4:00PM, but the lab had closed at 5:00PM – so we waited in limbo. Finally, an angry angel from the Oncology Ward got someone to get into the lab and get the results. The transfusion was approved. This was around 7:00PM. I spent the night next to her in the hospital room, sending Meeshea home, calling the nurse for another unit of blood whenever the bag on the IV tree ran out. The nurse brought a package of foam swipes on a stick that we could dip into water, and sooth Mom’s terribly chapped lips. Suddenly Mom had an unquenchable urge for ice chips. She couldn’t get enough. The following morning Mom’s gums started bleeding from all the ice chips she had been eating. The concern at this point was that she could start bleeding and not stop because her blood was so poor that it couldn’t coagulate, and she would bleed out. For some reason, she did stop bleeding, and she was transported home. She had much more energy, similar to when she had had her earlier transfusions, but this time it faded quickly. Getting Mom to the restroom was becoming more and more overwhelming – for her and for us. There is absolutely no dignity in cancer. Blood started appearing in her urine. And not just a little. We talked about the morphine, and the other drugs that would help her labored breathing. She finally acquiesced on the medicines, but still refused the catheter.  That Friday Mom had a very good visit with her sister Gayiel, and our cousin Rick. She was very engaged, and alert. After they left that afternoon, Mom went to sleep. We wouldn’t know it then, but she never fully woke again.

That evening I called the hospice for the catheter. They couldn’t promise a time when they would be there, but after waiting through the evening, I finally went home to get some sleep leaving Becky, Jennifer, Mary and Brian with Mom.  Hospice came late in the evening and placed the catheter for her. She didn’t really wake up, but Brian and Becky were mortified – it was simply a horrible experience. Becky called at 5:00AM the next morning, because they couldn’t wake Mom up, and her breathing had become excessively labored. We really thought that the end had arrived. When my brother Ken had arrived, he spoke very loudly to her, and Mom opened her eyes briefly. I arrived a short time later, and Mom also responded when I spoke loudly to her. Her eyes opened, and quickly closed. The six of us, and a rotating audience of grandchildren, children’s spouses, and Mom’s sister spent the day in the living room, just talking to her. Mom’s still very labored breathing filled the room. As the day started to fade, Mom’s breathing seemed to normalize – it was still consistent, but not as loud, or nearly as labored as it had been. Hospice told us that she could easily go days like this. She remained this way into the next day. Late that evening, I returned home to try to sleep again.  It was Sunday night.

Becky called me Monday morning, April 11, 2011, in the very early pre dawn hours. She let me know that I had better get down to the house. I was the last of the children to arrive. Mom was gone. She was peaceful and had attained the rest that she had worked her entire life to earn. I kissed her, and said goodbye. We were all a wreck. The Coroner came and took Mom away. I started making the calls that I had known I would be making, to family and friends,  in far off places.

The Oncologist was right. He had given Mom 30 days. She passed on the 29th day.

Mary noticed it first. April 11th. Mom had waited a day to let Dad’s birthday pass. That didn’t really surprise any of us.

There is no real lesson here. No life changing revelations.

People live. They love. They get stronger. They get weaker. They become forces in each others’ lives. They die.

I hate cancer.

A mother’s love is possibly the strongest force in the world. I could never even begin to quantify the blessings that Mom brought to our lives. Honestly, it’s immeasurable.

The single item I take away is this: Besides her unyielding love, the greatest gift our mother ever gave us, was:

 

each other.

 

 

Gentle rest, loving angel

Nan Davey

May 15, 1934 – April 11, 2011

Nan Davey

Once Upon A Time, A Golden State

Once Upon A Time, A Golden State

Victor Davis Hanson posits at Pajamas Media on the past state of California’s greatness, and our lack of attribution to those who carried the burden of achieving it:

5) I can never quite understand the writ against our ancestors.

I came into this world in 1953 replete with electricity, and modern medicine at the dawn of the age of antibiotics and polio vaccines, and relative peace — no Japanese imperialism, or German Nazism, no death from tetanus. Who gave us all that and at what price? California had then a wonderful university system, impressive freeways, a lean and hard working public sector, and vibrant industry. We were given so much and yet appreciate so little of that inheritance, citing the sins of past generations, less commonly the gifts they bestowed. I said “gifts” because if they were not benefactions, we would have blown up Hetch-Hetchy dam, turned off the juice from the Morro Bay or Moss Landing power plants, or passed on driving on the 99. Has our generation improved test scores, or created safer streets? Is air travel so much better than forty years ago? When one walks into the DMV, or the county assessor’s office, are the employees so much more polite and competent than in the past?

As to VDH’s assessment of California, he’s on point (except to referring to Highway 99 which runs near his Fresno farm homestead as The 99. Only folks from southern California call a highway or interstate “The”).

I was born in 1967, and by the time I was in elementary school the first coloring of the California retreat was manifest. You could still point to the greatness of the California largess, but the cracks were there, and hard to ignore.

Basically, when you live in the land of milk and honey, everyone after the first generation whom built it, or the second generation that saw it being built, expects nothing less, because it was given to them, not because they worked to achieve it. Then the campaign becomes full-throated to provide for citizens, and the reasoning is twofold:

  1. People like it when things are given to them, and paid for by someone else.
  2. Giving people something, and having someone else pay for it, is a source of power, and wins votes.

    So here we are today in California: bad schools, a crumbling infrastructure, business crushing regulation, a built-in functional $12billion budget hole, and no solution in sight. The most important goal now in California budgeting is The Safety Net.

    We used to be something.

    Sad, isn’t it?

    A Silver Quarter Century: The Time Of Our Lives

    A Silver Quarter Century: The Time Of Our Lives

    History denotes July 20th as a date of significance.

    In 1969, Neil Armstrong took that first step onto another heavenly body, descending from the Lunar Module Eagle, onto the surface of the moon at the Sea of Tranquility.

    But I hold the date in 1986 more closely. Today marks the 25th anniversary of our wedding. It is difficult to fathom that an event that seemed like it had happened just yesterday, in fact happened a quarter century ago.

    In the intervening 25 years we’ve seen the world change, experienced our shares of triumphs and joys, a few disappointments, followed new paths, held faith to the core of our lives together, and have been blessed and enriched by the trials of parenthood. We’ve lost cherished family and friends. We’ve endured, leaning on each other, and have been rewarded with the warm embrace of dear friends and family.

    What is the secret to a lasting marriage? I don’t know. For starters I would encourage you to find the absolute best girl in the world like I did.

    I just know that early on, we knew, knew, that we belonged together. It was never in doubt. We disagree, get frustrated with each other, and occasionally have different goals. I’d say that 75% of the time I’m right and she is wrong (ahem, *actual* statistic is 8.5%, but I prefer to round up) But mostly, I think for us, we just live our love every day.

    Our blessings are legion, our troubles comparatively small.The measure of my devotion is incalculable. We were kids when we married, and we have genuinely grown up together. For 28 of my 44 years, she has been the absolute center of my world. So to my Child Bride, I say thank you, for the time of our lives.

    And now, a silly song:

    When I look in your eyes
    I forget for a while, there’s a world spinning ’round
    Life in motion

    And I just want to stay
    In your arms for a day
    And we’ll live out loud
    It’s the time of our lives

    San Francisco considers new tolls.. to cross town.

    San Francisco considers new tolls.. to cross town.

    A bit of Friday morning delight. From the Sacramento Bee:

    San Francisco transportation officials are considering charging drivers to cross downtown and the city’s southern border with San Mateo County.
    Among the ideas under consideration is a $6 charge to leave the city’s northeast sector, which includes the Financial District, weekdays between 3:30 and 6:30 p.m.
    Hey – kind of like a ransom, no? The Toll receipt should look just like a ransom note, using letters cut out of news papers and magazines!
    I believe that we have discovered the key to solving California’s budget problems. We just need to charge people to leave the state. A big ‘ol toll booth on the eastern terminus of Highway 50 At the Y in South Lake Tahoe. Why not a Floriston Wall on Interstate 80, similar to the one we lost in Berlin?
    We can charge for visitors too! Get ’em coming and going!
    While we’re at it, let’s get rid of those pesky Red Light Cameras. Let’s just charge implement a Red Light Tax Fee. Everyone pays! Those things cost money to run, you know.
    What about those that don’t use cars? That’s a lot of potential revenue that we’re leaving on the table. Very well, time to initiate the Cross Walk Toll. That will be used in conjunction with the Just Standing There Toll.
    I don’t know why our State Budget was so late, when the streets here are paved with gold.

    Photo by Noah Berger / San Francisco Chronicle
    Woe unto me.

    Woe unto me.

    It worked out okay for George Bailey!!

    Four week Recap:

    The dog smacks me in the jaw with his Adamantium skull resulting in…

    A broken tooth, resulting in…

    A root canal, resulting in…

    Parenthsia – the left side of my tongue is numb yet tingles and burns at the same time.

    New tires on one car.

    HVAC goes out at the house. HVAC Tech reports the controller card is burned (happened once before several years ago, repaired  at the princely cost of $1100). $637 to replace the card, but the Tech also notes that it looks like the Air Handler should be replaced, for the one-time-only-price-of $3500. But really, if we replace the Air Handler, we should replace the entire system, including the Heat Pump – damage: $10 Large. I find a controller card online for $100 and install it – (If I can build servers, then I can install a card). HVAC is working (and there was much rejoicing…) but for how long?

    Roof Leak. Repaired – damage: Si, mas dinero.

    Rock THROUGH the windshield of my truck – damage: Deductible

    Pretty much everything / everyone I vote for loses. California!

    Replaced the Motor mounts on the car. They’re ELECTRONIC motor mounts! Jetsons motor mounts from the future! Damage: four figure financial outlay.

    A day later, the Transmission goes out in the same car. Shop says it looks like a bad TCM, which is pricey but better than a transmission rebuild or replacement, but he can’t flash the Nissan TCM, only the dealership can. The dealership reports: The transmission is dead! About $4 grrr to replace. For a car we were going to get rid of in a few months. Bleh.

    Borrow our old car from Mom’s house. Drive it home. Pull in the garage and hear metal on metal instead of the typical brake noise. Do my first brake job since 1997. Bonus: brake parts for a 16 year old car are CHEAP! Victory!
    (Mom – your brakes work pretty good now!)

    Here’s hoping for a calamity free week! Wait – I get my permanent crown on Friday.
    Darn dog.

    The Customer Is Always Right! Mostly. Sometimes.

    The Customer Is Always Right! Mostly. Sometimes.

    Hit the local Round Table Pizza (2650 Cameron Park Dr. Ste 100 Cameron Park, CA 95682 (530) 677-9055) Saturday night when we discovered that, apparently, the children would like to consume some nourishment before retiring for the evening.

    Called in the order for a large King Aurthur Supreme, and one Medium Cheese. Ready in 25 minutes. Five minute drive over to the eatery, paid, asked for Parmesan Cheese and Crushed Red Peppers – they’re out of Parmesan, and have one packet of Red Peppers available.  Well then, fine.

    Clerk / Manager opens both boxes (to ensure quality?) confirms pizzas are contained therein. Took Pizzas home. Opened the Medium Cheese: If I had poured lighter fluid (or some other suitable accelerant) on it, set it ablaze, and placed it in a plutonium pile in an active reactor I couldn’t have burned it more. Pretty much Coal Shale, with black as the primary hue, and a smattering of phlegm brown for effect.

    Called Round Table: Friend, you’ve clearly conducted a calorie burning test on this disc of carbon, I need you to make this right. Response: ’sure, it will be ready in 15 minutes’. Wait ten minutes, then drive back.

    Now, we’ve frequented this establishment for 14 years. The past two years the quality has been… inconsistent and in decline. So I asked to speak with the Manager, seeking no additional relief, just to acknowledge that they seemed to be having a quality control problem, because clearly there is a problem, since the fellow who completed our transaction opened both boxes and saw the evidence of nuclear weapons development contained in the Medium Cheese Pizza Box, and sent it out the door anyway. Just an effort to curb any repeat incident. Response: ‘That was the manager, and he just left for his break (whispered aside: I think he was trying to dodge you)’.

    My response: Perhaps I shall frequent the Pizzeria across the roadway then.

    Clerk’s response: ‘Ah, okay. Sorry.’

    In summation: the Round Table Pizza at 2650 Cameron Park Dr. Ste 100 Cameron Park, CA 95682 (530) 677-9055 should be avoided.

    One Year Later: Remembering Dean Barnett

    One Year Later: Remembering Dean Barnett

    October 27th marks one year since the passing of Dean Barnett. Dean and I were the same age (I’m actually 4 months older) and I felt a special connection with Dean when I first found his writing at Soxblog in 2004 (although that AWFUL white text on black background in the blog’s final iteration required some serious dedication to continued reading). Dean was funny. Smart. Clever. Silly. Serious. Profound. Irreverent. Bombastic. Humble. But mostly, grateful. Dean cherished life. Dean was a believer in good fortune, and luck. And with good reason.

    As documented in his publication The Plucky, Smart Kid, With The Fatal Disease Dean suffered from Cystic Fibrosis. A disease that in 1967 was akin to a death sentence, with a life expectancy that forecast that he might make it to his teens. A miracle might push him into his twenties.

    But then, as it often would, Dean’s good luck prevailed. Due to the discoveries of nutritionists of the era, he was able to eat and gain weight in his early years, which at the time was uncommon. Thanks to the dilligence of his family, he remained rather healthy growing up, with just a few occasional setbacks and signs of the disease. And it did take a tremendous effort from his parents to keep him that way. An effort that he was tremendously grateful for later.

    His first significant brush with CF was in High School. Then he had some real issues with CF at Harvard, and later at Boston University Law School. But Dean was exceeding what had been expected of CF sufferers: a very young demise.

    In his later years, Dean got very sick. For long periods. He had battled CF successfully for so long, he had come to think that he could overcome it, or at least minimize it. He ended up on the Lung Transplant list, which, to someone with CF, means you only have a modicum of time left.

    Then a small miracle: Dean heard about a new treatment that was undergoing trials: A saline inhalation treatment was showing promise in Australia.Basically, the patient would breath salt water. Dean was approved to test the treatment, and while not a cure, it restored a good portion of his lung capacity. He came off the transplant list. He’d beaten the odds yet again. The daily saline treatment, in conjunction with an incalculable amount of daily medications, and hours per day in “the Vest” (which palpated his lungs in an effort to break up congestion and keep his air ways clear to prevent infection) enabled Dean to push on.

    That was in 2006. He had a few more serious bouts  following that, but he bounced back from those. He became a guest host on the Hugh Hewitt Radio show. It was always charming to hear that thick as mud Boston accent on the air.

    Dean became a staff writer for the Weekly Standard, where his writing talents could be widely seen and recognized.

    In early October 2008, Dean was admitted to the hospital with an infection. He never recovered, and we lost his shining light on October 27th 2008.

    I never actually spoke to Dean. A few e-mails back and forth, some insights and jokes shared, but that was the extent of our communication. However, that was all you needed from Dean to know that you had just made a rather valuable friend.

    Dean learned what most of us never come to know: Life is precious. It is to be lived and valued. Dean called it both luck, and effort. He lived on borrowed time. He made it to 41 years of age, when most expected him to be gone as a teenager. He made the utmost of the time he had. Speaking of the disease that stalked him, and of death in particular, Dean wrote:

    As I grew sicker, I had what for me was an extremely comforting insight. I came to view serious and progressive illness as an ever constricting circle with oneself at the center. The interior of the circle represents the contents of one’s life. As the circle gets smaller, things that were inside get forced out. Some of these things are dearly missed; others that were once thought precious get forced to the exterior and turn out to go surprisingly unlamented.

    At the innermost point of the circle are the things that really matter: family, faith, love. These things stay with you until the day you die. At the very end, because the circle has shrunk down to its center, they’re all you have left. But as we approach that end, we finally realize that all along, they were what mattered most. As a consequence, life often remains beautiful and worthwhile right up until the end.

    Dean’s courage and quiet grace are an inspiration to all.

    We miss you Chowdah!

    Rest well Dean.

    Nailed it.

    Nailed it.

    Mitch Berg, over at Shot In The Dark nails it:

    So how much money did Ted Kennedy spend to eke out this past 15 months or so?  It’s his money, and it’s his life, and I won’t begrudge him a dollar or a day.

    But if a 77 year old man with highly-advanced brain cancer, plenty of chronic conditions related to decades of heavy drinking, and a good 60 pounds overweight went into a doctor’s office in Sweden or the UK or Canada, what do you suppose the prognosis, course of treatment, or results would have been?  Not just for any given 77 year old man, mind you, but 100 of them whose profiles match each other fairly closely?

    Naming a health rationing system after a man whose struggle the system would have made impossible makes sense – in the curious little world of Democrat social policy.

    Rest in peace, Ted Kennedy.

    Die in pain, Obamacare

    Read the whole article

    Nicely played, Mitch.