The Embrace

09.30.05 (9:03 am)   [edit]





The embrace is total,
separation unknown.
Joy, peace, sorrow, despair;
do nothing to lessen
the loving presence
the Father bestows.
He knows our depths,
the why's, and the why not.
Compassion infinite,
love unending,
seeking only to heal,
to lift up,
to bring us into the deepest center;
the fiery love
stronger than death or hell.
Love knows all,
so there is nothing to hide
or fear.




0 Comments

Lunch with a friend

09.30.05 (3:34 am)   [edit]

Went to lunch the other day with a friend, it was on Wednesday, my usual day off and I often spend some time with him.  We went to lunch and as I was going thru the menu, looking over the items, I realized that my eating habits are slowly changing; completely on their own, without any desire on my part to really change them.  As I was looking down the menu I saw all the items that in the past I would have ordered but did not want them.  When I got to the salad section, I stopped, looked, liked, and ordered, a chicken salad with lots of healthy items mixed in.  I would like to take credit for having some kind of discipline, but nope I can’t, I just wanted salad.  I am finding that during the day that I am starting to crave fruits, and don’t want as may of the other things that I would normally eat all the time when snacking.  One of my main weaknesses is coffee and any kind of pastry, and that is also slowly going.  It is not that I am trying to lose weight, I decided a few years ago not to get on that particular band wagon, diet, gain, diet, gain; many of you know what I mean by that, the yo yo effect.  It gives the myth of Sisyphus a whole new meaning.  No I just try to keep my weight just were it is at, and am able to do that; between 196 and 200 pounds.  Not the best weight, I could be 175, but I know that I am not going to go thru the hoops to achieve that, not worth the effort, besides when I got there I would go back up.  I know myself in this regard, better to just try to keep at an even keel.  However if my eating habits continue to change (on their own) then perhaps I will start to loose a little weight, but I am not going to try.  I will leave that up to those people who keep the diet industry rich.


Across from an older woman came in with one of those ear phones on, which I noticed, and then went back to talking with my friend.  As the time progressed I noticed that the ear phone, was from time to time, blinking a blue light.  I found that interesting, and had an irrational impulse to go over and ask her to please take the phone out of her ear since the blue blinking was starting to bug me a bit.  It was not that bad, but I found it interesting.  The next few years will most likely bring all kinds of other devices that blink and whistle that we will need to wear.  Who knows perhaps we can get color coordinated blinks to go with our hair, clothes or whatever.  Yes it will be interesting.  Not that I am against the new technologies, I love them, in fact I guess I will be wearing something like that in the near future.  If only I can get the colors together, not go good at that, my friends tell me that I look like I get my clothes at Good Will, which I think is fine, I like Good Will stores.  Besides what is wrong with your basic blue, grey and black ensemble…..right?


Peace
mitch


 

0 Comments

Stark fear

09.29.05 (12:42 pm)   [edit]

Angst arises;


It snakes to the surface,


Dragging in its wake


Non-images


Of stark fear,


Unnamable, unknown,


Painfully alive,


Promising only death, nothingness,


The falling into eternal blackness;


 Nothing left behind.


No target in sight encountered,


Nothing to fight,


Just an all encompassing


Sea of anxiety;


Such is the price


For existence,


That even the strongest faith cannot shield from us.

0 Comments

Harder than I thought

09.28.05 (3:47 pm)   [edit]

Sometimes writing is hard.
It makes one self conscious,
In ways not wanted.
Nervous, anxious,
The sharing is deeper than you first thought.
Healing, yes but transparent.
Others see into more than I write,
perhaps what they see is true?
Do I write for myself or for them?
I did not feel drawn to writing when younger.
Why now?
It is important I know
To let others see my inner self
Often hid behind good humor,
Real yes, but also a mask,
Keeping others at bay.
Time to start slowly taking the mask off;
Writing is the doorway
Into that larger world.
Everything worth doing
Starts with some fear overcome,
Anxiety faced,
And a decision made.
A death is needed in order to be reborn.



 

0 Comments

Diving into the light

09.27.05 (11:07 pm)   [edit]

After a long slow decline


you peacefully let go,


your body old,


worn out,


weak,


born into a larger world;


a bigger womb


that perhaps you again


must out grow.


Slowly rising into the dark light,


infinite,


other,


totally unknowable.


Diving into the mystery,


that will draw you for eternity;


deeper, and deeper,


into the center.


So go in peace friend


your life was long


healing awaits you


in the arms of a loving God


and you are a child again, filled with wonder

0 Comments

Gotta love him

09.27.05 (12:39 pm)   [edit]
We have found that the body length pillows, the kind that you can buy at Wal-Mart  are really handy to have around for the people that we take care of.  They are about as long as the bed, so we like to place them along the bed railings, it protects some of them from hitting the rails with their arms and legs.  Also it discourages trying to get out, a problem we have with a couple of the guys.

Phillip who is in the last stages of Alzheimer’s, is bedridden, since he can no longer sit up in a chair.  He goes thru periods of either being too relaxed, or he gets very rigid and can’t move, with accompanying pain from the stiffness; in any case, both states make it difficult, and even dangerous to sit him up.  Also to put him in a busy environment, only makes him agitated, which also leads to aggressive behavior that is very difficult to deal with.  So we keep him in his room, play the music that he likes, and one by one spend time with him.  

He likes the pillows, he will sometimes grab one and fold it in two, and then hug it, he can do this for quite awhile.  Or if he is in the mood he will throw them over the railing; everything goes over, pillows, sheet, stuff bears if he has one on the bed, and sometimes his briefs, all in a neat pile on the floor; if he wants a little more action, they are scattered all over the room.

Last night he had the pillow covering his face and watching me with one eye.  Hmmmm I thought where is a camera when you want one?  He was in a playful mood, so I asked me what he was doing.  He answered, well whatever it is, it is better than what you are doing.  So I said well what am I doing?  He answered, if you don’t know, how do you expect me to tell you?  Ok I said, how do you know what you are doing is better than what I am doing?   He replied, I just know things he said.  In order to save face I responded, well you know I am not as dumb as I look………he put the pillow aside, looked at me thoughtfully, shook his head, and said with deep conviction, I doubt it!  So I went over and looked into the mirror, and came to the conclusion that he was right.

Win some and loose some.  Gotta love him LOL.

Peace
Mitch

0 Comments

He is letting go

09.25.05 (10:59 pm)   [edit]
I spent a few hours sitting with Lawrence today, and it is pretty obvious now that he is dying; in fact he wants to be allowed to die in peace.  We did give him the last of the antibiotics that  was prescribed by the doctor, to treat the wound in his leg, that has three different kinds of serious staff infection.  We did this, hoping that this medication would make Lawrence feel better, and lead to him wanting to get better.  Being 98, and almost bed ridden before he even got seriously sick, and worn out to boot, I can understand his desire to simply move on, no fuss, just “let me go”, is his request.

All we are doing now is to try to keep him as comfortable as possible.  Turn him, hydrate his skin with lotion, apply a cool compress to his forehead from time to time; he seems to like that, and to simply speak to him and let him know what needs to be done.  When you turn someone in his kind of state, it is important that you talk your way thru it, since to suddenly be turned, can cause a great deal of anxiety, and a fear of falling.  It is hard even with the talk thru, but you can not imagine the fear that can arise when turned without any warning.  Being helpless, and really at the mercy of others, can do that to you.  

His respirations are about 30 per minute, high, more like gasping than actual breathing; the breaths are very shallow, in and out very quickly.   It is the body’s way of trying to stay alive just a little longer, it does have an intelligence of its own, and survival is its vocation.  However he is not uncomfortable, the rapid shallow breaths are keeping his oxygen level high.  We just keep his head elevated, and he is mostly resting at this point, and not responding when talked to.  This however does not mean that he does not hear us.

I just left him, his breathing pattern suddenly changed, and some apnea entered the picture.  Will he die tonight(?); well I have learned never to second guess something like that..... I have seen some amazing rallies, temporary improvements, that don’t last very long, but neverless always surprise me, who knows it may happen this time, but if it does I will really, really, be amazed.

Peace
mitch

0 Comments

I am so connected

09.25.05 (6:41 am)   [edit]

The hours I keep,


erratic at best;


cell phone keeps me connected.


It rings at all hours,


I am on call,


so I never know


when dreams will be shattered


by the "bing" of my phone.......


even when off duty


I still sleep with one ear open


for the "ding" ;


a blessing and a curse


the cell phone is.


I carry it with me everywhere,


feel naked,


cut off,


isolated,


without it.


I sleep better when I know


it is on silent,


but I can seldom do that.


Technology;


it should make life simpler,


instead we can now do


30 things


when before we could do perhaps 5.


The pace is faster,


the "ding" comes more often


I do more running


and I am connected


"ding"......"ding"....."ding"


Yes who is it


What, yes I can come in to work now


And emergency you say


“ding"......"ding"....."ding"


 

0 Comments

We always have a choice

09.24.05 (5:54 pm)   [edit]
We always have a choice,
our actions have roots
that grow in the darkness,
that we can easily hide from ourselves;
that take root,
and one day blossom,
either good fruit,
or bad,
sweet, or bitter,
that either add to life
or take from it,
we either give, or take,
love, or hate,
we are either moving forward
no matter how slowly,
or sliding back,
but no standing still is possible.
We either becomes monsters,
or things of beauty, when it is all said and done,
each is known only by God.
We are told not to judge
for good reason
since we tend to see what we hate in others;
condemnation is then self-judgment.
Self knowledge will take away the compulsion to judge,
to compare, weigh, and find wanting,
since we can't stand to see our own reflection.
Others do not have to carry what we ourselves hate.
Love of self,
leads to a lightness of being,
an overflowing heart,
that heals, and does not wound.
A loving heart,
a sign in the world
of God's own love
in miniature.

1 Comments

As I was sitting

09.23.05 (11:57 pm)   [edit]

As I was sitting with Lawrence yesterday afternoon, and reading the scriptures, I came upon Jesus saying that we must become like little children, to enter into the kingdom of heaven.


 


Actually it said the people were bringing infants to be blessed by Jesus.  I looked over at Lawrence, saw him lying there, breathing rapidly, true, but also at peace; eyes closed, praying at times, raising his arms in supplication, then going back into a kind of confusion, at least it seemed that way to me.  He was totally helpless, everything has to be done for him; for a man who all his life, until about 3 years ago, was totally independent, without any need of medication, now reduced to needing everything done for him.  Just like an enfant.  An enfant true, but in reverse, since he is now struggling to be born into a much larger world, into a world that none of us here knows anything about, but can only wait in hope; for some of us, hoping against hope, embracing our doubts right along with our faith, with both seeming to grow side by side, creating a tension that only leads to a deeper trust in God’s presence, though hidden.


 


Lawrence fought his dwindling, as we all do, but he has come to a peace now, a kind of knowing that it is truly his time to go.  He refuses even a little water, closing his mouth when we try to give him a sip.  He is abandoning himself to the process, letting go, sinking into his faith in a loving and caring God.  Sadness is there, to see such a strong man be reduced to this state, but at the same time, there is a joy, a hope, a confidence that he is moving towards something better, deeper and more lasting than anything he has found here.  His heart longing is about to be fulfilled.  He has stopped fighting, and in hope and faith walking his last mile, seemingly alone, suffering in the depths of his soul, but in reality he is not alone; he is being stripped of all that he does not need to cling to anymore, he is shedding his cocoon, ready to become truly what he is, or called to be.


 


Our hearts longing is for love.  A love that is wild, fiery, passionate, deep, all consuming; a love that is stronger than death, a love that is given freely by God to us, and only when we accept that do we experience that we have come home, or perhaps we get a small taste of what our true home is really like.  We are made for infinite love, that is why nothing really satisfies, why we seek; what Lawrence has been looking for all of his life.  We are made for more, the paradox perhaps is that we need to die to self to experience it, and the full consummation comes only after we move on, since it cannot be contained in this life.  To experience infinite love would surely kill the body, even as it strengthens the soul.


 


I felt the Father’s love surrounding Lawrence, gently leading him to his new birth; God as midwife, being with, healing in the midst of suffering, fear and pain, being with us to our journeys end, only to begin another.


 


Many will say that this is foolish, but I don’t think life can be fully embraced, with all of its pain, suffering and despair, unless we truly believe, in spite of doubts, that we are made for something more. 


 


So I feel sorrow, joy, fear, hope, tears and laughter all at the same time.  Lawrence is a treasure, a pure soul, beloved by God as we all are appearances to the contrary.  I want to both cry for him, rejoice with him, and I wish I could dance before the Lord to express this, and am frustrated that I can not, the experience is just to deep.


 


Peace


Mitch


 

0 Comments

Entertainment?

09.23.05 (5:39 pm)   [edit]

Entertainment


 


I had an experience yesterday that did not really shock me, but did cause me some dismay.  When it was announced that Rita was now a level 4, instead of a level 5 hurricane, I found myself feeling some disappointment, like some excitement when out of my day.


 


I think on an unconscious level, watching TV is connected with entertainment.


All the news about the last hurricane, was sad, and did cause me distress, but perhaps because it was on TV; a part of me, mistook it as entertainment; a disaster movie, something like that.  It is true that the ratings go up for CNN and Fox when they have something like this to report; something to “entertain” the public with.  Perhaps all the coverage on TV can lead to actually “enjoying” what is being seen, something to have some popcorn with, to sigh and weep, but on some level having a good time with neighbors and friends. 


 


We are very complex creatures, so it should not surprise me that this could be so; we talk about love hate relationships all the time, so it should not surprises me that this dichotomy could come up in other areas of my inner life also.  There are dark regions inside of me, so I know what I am capable of, if I am swallowed up by these primitive unconscious forces that swim around like hungry sharks, seeking to surface. 


 


My only hope is to continually seek to grow in ways that lead to integration and life, and not to chaos and disintegration.


 


Peace


Mitch

0 Comments

To listen

09.22.05 (4:18 pm)   [edit]

It is so hard to listen


to take in the other's world,


and understand.


We argue, we yell,


we accuse each other


of not understanding,


when it is simple


we live in our own world.


It causes pain that I cannot do better,


and understand what you really mean,


perhaps it is the same for you,


as it is for me.


No matter how hard we try,


isolated we often feel,


and the promise of friendship,


in the end seems like ash,


that we breathe in,


and it dies and returns to dust,


and the loneliness returns

2 Comments

Talking to the dying

09.22.05 (10:36 am)   [edit]
Hello Joe,
can you hear me?
I will now hydrate your skin,
and put lotion on your lips,
it may help you feel more comfortable.
I need to turn you now
don't be afraid
you will not fall.
I know it hurts to be moved,
but necessary;
if we don't your will suffer more.
I will now place a cold compress
on your forehead,
to cool your brow.
It will soon be over,
I know you are weary,
98 years will do that to you.
I will be hear next to you
you are not alone,
nor will you be.
It is lonely,
but you are loved and cared for.
I will now be quiet and let you rest.

0 Comments

I often wonder

09.21.05 (5:50 pm)   [edit]
I often wonder, when sitting with someone dying, what it is they are going thru. The dying process seems arduous even if there is no pain to deal with. Perhaps it is the silence, the hanging over the void, and the seemingly endless waiting, that gets to me.

I have never been with a young person who was dying; only the old, and they seem in the end to die peacefully, simply letting go, and moving on to whatever awaits them. I guess it must be different with the young, and the middle aged. I suppose it might be more difficult for those in mid-life, since we are the ones who mostly carry positions of responsibility; we are needed, so it might be more difficult to let all of that go and move on.

I remember Joe, when he was just about ready to let go, and we notified his family to come so that they could be with him. There he was taking short incomplete breaths (gasping), his eyes glazed over, almost there, when his family came in, weeping, kissing him; telling him how much they loved him, and would miss him. Well he came back, and twenty minutes later, he was sitting up in bed, laughing, and joking, with his family. Later when we were alone, I asked him if he made some sort of decision to return; he looked at me, smiled a little sadly, and said, yes, but he will be going back soon. It seemed to me that it was a sacrifice for him to return; one he made out of love and concern for his family. Funny thing, the family decided not to be there when he was again dying, since they were worried that the same thing might happen. They knew that he was ready to go. True or not, it showed love and concern on both sides.

He died peacefully a week later. The same thing, his eyes glazed over, short incomplete breaths (gasping), when suddenly, his eyes cleared, he looked at me, smiled, and then went back in, and died 30 minutes later. Like all the others, he also had an arduous waiting period before he finally made his exit, or entrance, to whatever awaited him.

Peace
mitch

2 Comments

He holds on

09.20.05 (11:54 pm)   [edit]





He lie's resting,
not moving;
fighting for his life;
a life he loves,
and holds on to,
life is short,
precious, and sacred,
life is lived only once,
so he holds on,
wanting again
to move,
to eat,
to laugh, and yes to pray,
here for such a short time
no mater how long the years
already lived
I am at peace he told me
when I was with him last
though I hang on




2 Comments

We all have it

09.19.05 (4:54 pm)   [edit]
We all have the darkness,
for some buried, hidden,
covered up deep within the soul,
leading some to believe,
that goodness
lurks in the depths,
only goodness, and light.
The shark swims,
deep, silent, waiting,
to suddenly break
the false peace of the mind,
to rage and attack;
to wake its blind host,
from complacency,
that lured them
into a false peace.
Better to know yourself,
be prepared,
to battle the rage within,
that sleeps within us all

0 Comments

More on Lawrence

09.19.05 (4:23 pm)   [edit]
There are a lot of variables that are present when dealing with someone who is very ill, and thought to be terminal. As it turns out, Lawrence may have a chance of getting better, but because of his extreme age it will be difficult.

It turns out that Lawrence’s leg wound; that we have been taking care of for a while, became infected, and it was more serious than we thought. Our Nurse, ask the wound doctor, to please take a tissue sample to see how bad the infection was, since it was starting to ooze a green discharge. For some reason, the doctor chose not to do that, hence the possibility that this is what caused the over all breakdown of his system. They did put him on antibiotics when he came home from the hospital, and they are starting to help him somewhat; he is slowly improving, how far that improvement will go is what we are dealing with at this point.

Lawrence has not had any food since last Wednesday, and even before that he was eating very little for a few days prior. So we are watching to see if the impaction will break up; we have given him some medicines that will hopefully help out in this regard. Then we can start a liquid diet, and get some calories in him.

We are going to get some blood test tomorrow, to see how he is doing, and if his kidney is working in cleaning out his body, hopefully it has kicked back in, and working.

I am glad that we kept him on an IV, though it was a veru slow drip, still it kept hydrated enough to keep his body from dehydrating.

Perhaps he will make it to a hundred after all, perhaps not, in any case he is a very strong person and a fighter, though he has told me that he is not afraid to die.

Peace
Mitch

0 Comments

Desperation

09.18.05 (3:13 pm)   [edit]

I have seen her here often,


in this club,


where the desperate gather.


Seen her sitting there,


scanning the room for something,


looking at the people,


being needy,


hoping, that someone would just see her,


want her, be with her.


She was not unattractive,


men would come,


talk, laugh, and dance,


go home with her,


use her, sometimes beat her,


drop her, forget her,


treat her with contempt.


 A common theme here


in the club for the desperate.


 


She herself was no innocent,


taking out her anger


on men, lower down the ladder than her,


showing her disdain,


not knowing it was herself that she hated,


and despised.


Still I hurt for her,


and for the others,


in their dance of pain,


in the hang out for the desperate.


She knows even before she meets,


what will happen;


it has happened so many times before;


the wheel turns,


with her screaming tied to its spokes,


eternally turning ,


in a cycle of pain,


contempt, and disdain;


in a life of desperation.

0 Comments

Lawrence

09.18.05 (11:31 am)   [edit]

On Thursday morning at about 4AM, I was called into Lawrence's room for an emergency.  It seemed that feeling nauseated, and having to throw up, tried to do so, by leaning over the side of his bed, and fell out, ending up in a sitting position, in the middle of his regurgitation.  He had not been feeling well for a few days, neither eating nor drinking much of anything, and the contents of his stomach did not seem to be digested at all, ten hours after his last meal.  We cleaned him, and his bed up, got him into bed, and made him comfortable; writing up a report for the head nurse when she came in the morning.  He felt ok during the day, but was too weak to get out of bed, and again did not eat or drink much during the day.  That evening in his room he told me that he was a little thirsty, so I set him up in bed, and proceeded to try to get him to slowly drink some water.  After about 3 small sips he started coughing, and notified us that he was going to throw up.  I got a pan for him, and he proceeded to expel some brown looking liquid with more bits of undigested food, twenty four hours after eating.  The contents smelled like liquid was backing up into his stomach from his small intestines, also his nausea returned.  Fearing that this situation would quickly accelerate, causing him a great deal of suffering, we called 9ll immediately, and got him into the emergency room, at the local hospital.  We contacted his power of attorney, and he notified the ER physician that that he was a DNR, and that he was only to be kept in the hospital if they could help make Lawrence comfortable, but if death was imminent he was to be released, and returned home.  His potassium was elevated, his kidney’s were shutting down, and he had the impaction.  The doctor said that he needed dialysis, to get the potassium down; would do it probably twice and then release him to go home.  After that they put in a nose tube into him to drain his stomach which was full of liquid from his small intestines, which the X-ray showed.  Being 98, and already in a weakened state, an operation was out of the question.  So after one day in ICU, receiving two rounds of dialysis, they sent him home.


 


He is hear now, slowly growing weaker, but being kept comfortable with a small dose of Ativan, being given thru his IV every four hours when needed. We also turn on the suction machine for three minutes every hour, but at this point there is not much content being sucked out. He is not in pain, and the medication keeps him calm and he is in and out of consciousness. 


 


Lawrence has always been strong, and healthy, so when he was 95 and started to need full time care, and for the first time in his life to need medication; it was not easy for him to handle.  He however did learn to go along with us, and for the most part, was no trouble to care for. 


 


It is odd, sitting near his bed, watching a