Thursday, April 19, 2012
Life and Death
Thursday, June 23, 2011
Mahalo!
Tuesday, March 29, 2011
The Edge of Living
I've changed names to safeguard the privacy of residents and their families at the retirement community where I work.
Ellen came home to die. Following major coronary surgery and several weeks at a respite care center, she said simply, "I am tired of all this. I'm in pain. I don't want to be a burden anymore."
I visited Ellen yesterday to deliver her a case of Ensure I no longer needed. I peered into her room and saw mottled skin stretched taut against her face. Her gray hair was brushed back atop her head. Blue veins snaked down from the back of her hands past her bony wrists and forearms.
"I brought you a present," I shouted.
"You did?" said Ellen, who is in her late 80s.
I walked into her bedroom, with eight crosses affixed on the wall above the light switch, a rosary dangling from the portable table in front of her.
"Me."
She lifted her hands at me, palms up, and her eyes widened. She smiled brightly. "I'm glad you're here," she said.
"I dropped off some Ensure," I told her. "I don't need it anymore."
I gulped and held back the tears. I am not going to lose it in front of a dying woman, I thought. Ellen started mumbling about a girl who worked for her and needed to get home. Then she explained the large Impressionist painting of three girls in their Sunday best white dresses, bows in their hair, on the wall next to the crosses.
"The girl there," she said, pointing to a figure in the center of the canvas, "was a neighbor of ours, lived behind us. Her mother was the artist."
"Are you using your rosary?" I ask. "It takes a Jewish guy to make sure you are praying, Ellen."
She smiled again. "Well, yes, that is something you would do." She brought up the worker again and I just nodded. She raised her bony fingers towards me, as if she was about to make a critical point, and we clasped hands. Her fingers were warm, her life force still flowing.
Ten minutes later I visited Fay, who is also on hospice and in her late 90s. Thin oxygen tubes snaked in a V from her nose to her chest. Her eyes drooped and the skin underneath her chin wiggled.
"Hi, hon," she said as I poked my head into her room.
"Fay, you're looking good. Nice to have you back." She'd spent a night in the hospital last week after she'd had difficulty breathing.
"Thank you, hon," she said. I explained to Fay and her two children, Janet and Bob, that they she should not hesitate to order trays and let us know how we can best accommodate their needs. I reminded them that all tray services or guest meals are complimentary while a resident is on hospice.
Janet asked me, "Can I come down at 5:45 after Mom has eaten and get some food?" Dinner closes each night at 6.
"Just tell the hostess I said it was OK," I answered.
I'd first met Fay at Casino Night about a month after I started working here in late 2009. She'd been depressed about her failing body, cancer, and weekly blood treatments, but she'd dragged herself to the evening's festivities. She later told me that my associates and I helped peel away her curtain of despair. "You helped save me that night," she said.
I grabbed her hand just before I left and said we would do whatever she needed. Her eyes darted as if she were preoccupied, but I sensed she wasn't going anywhere anytime soon.
As I left her room and breathed in the stillness of the hallway, my mind focused on hospice, transporting me back to last June, when Verna's oncologist firmly suggested we contact hospice so Verna could have access to 24-hour almost on-the-spot care. The conversation, the images, and the words still imprinted on my brain, when they told us we were looking at two or three more months.
"But," the oncologist said, "I'd love for you to prove me wrong.
Verna died almost three months after her oncologist's final diagnosis and recommendations.
Ellen and Fay are at the beginning of the process, before the round-the-clock administration of pain-killers, conversations about feeding tubes, hushed words about increasing the doses of morphine or Ativan or some other narcotic. I ache for their families, for the decisions they will soon confront or mull over.
I feel sad for them and it reminds me of the anguish I endured last summer. But, on another level, I felt slightly blissful after I left Fay's apartment. Not because I may have eased their suffering (it may beyond anyone's control now), but maybe because I felt how strongly their spirits pulsed as each braved life amid what could possibly be an imminent death. Both women seemed so present, even if Ellen's mind was foggy. And they pulled me into that Zen-state and reminded me yet again that I have a role to play here: caregiver. Or I could just listen to them talk or ramble as they prepare for another journey on the edge of living.
Monday, March 28, 2011
Waves
One of the best books I read about grief last year, aptly titled About Grief (by Ron Marasco and Brian Shuff), says that grief does not proceed in linear stages, but rather rises and falls like waves or a roller coaster. You don’t get to one stage and then move on until you are completely over death or grieving. It ebbs and flows basically forever.
I was reminded of their wisdom last night as I was putting Maya to bed. “I have a headache,” she said to me after I’d finished reading her Soft Blanket by Jane Yolen. She’s had a runny nose for 2 ½ weeks and also has pink eye.
“Are you sick?” I was poised to feel her forehead.
“No, I just have a headache because I miss Mommy,” she answered, her lips curled downward.
“Me, too,” I said.
“I miss Mommy,” she repeated.
I crawled into bed next to her and pulled Verna’s picture, inside the balsa wood frame decorated by Maya, off the headboard. “Have you had dreams about Mommy lately?” I asked her.
She shook her head.
“Take a look at Mommy’s picture.”
“I miss Mommy,” she said again. “I want to hug Mommy.”
“I miss Mommy, too. So much,” I said. “You can still hug Mommy in your heart. Always.”
She smiled, gazed at the photograph, which was taken at Disneyland just before Christmas 2009, and said, “I love you Mommy.”
I should have known Maya was grieving more deeply yesterday afternoon. We were doing the grocery shopping when she said to me, “I wish I’d been there when Mommy died.”
“Well, you were there, Maya. You were upstairs in bed.”
“But I wasn’t downstairs,” she said.
“I know.”
This morning she woke up with sadness etched across her entire face. I thought she was sick. She got up and almost curled into a ball on the floor at the foot of the bed. “I miss Mommy,” she said. “I don’t want to go to school. I miss Mommy.”
“How about a hug?” I was clad in my bike shorts, headband, and light blue North Face t-shirt.
She shook her head.
“I’m not sweaty anymore.” Maya knows to avoid me for I usually put in an hour on the Life Cycle.
But she slowly came over and buried her head on my shoulder. She started sobbing. “I miss Mommy,” she wailed into my shirt. “I want to stay home Dadda,” which is what she calls me. It was the first time she's cried since Verna's death seven months ago today.
Her sadness settled over me, but I had visions of watching a movie together and then doing some retail therapy at Claire’s (a company in which I should own stock) before taking her out for ice cream.
“How about a play date with Maya (her best friend) after school?” I asked.
Maya perked up and grinned. “OK.”
Maya’s mother, Michele, invited my Maya over practically before I made the request this morning just after 8 AM.“No problem,” she said, two words that immediately comforted my Maya, who was listening on speakerphone.
So I ordered three picture books on death and grief from Amazon, though I still think the best is Liplap’s Wish by Jonathan London, one I’ve read to her a few times. But I wanted to do something. A co-worker also suggested I call the formerly known Center for Attitudinal Healing in Sausalito because the center offers sessions for preschoolers like Maya.
I know grieving is a long-term, maybe permanent condition. It comes in waves, the surf crashing to the shore. Again and again and again.
Sunday, March 13, 2011
It's In The Cards
One of the items was writing greeting cards to the kids and her other loved ones. The bulk of the cards were for Miguel and Maya. Each will now receive a card on their birthdays until they are 18; each will get one upon graduating from high school and college (please God); and they will have one to share with their future life partners should they take a leap into matrimony.
Verna started the cards last summer before she went on hospice. She sat in her electric recliner in the living room, I to her right on the sliding recliner, as she composed words the kids would receive after she died.
Verna was inspired to do the cards by our friend, Amy, who wished her late mother (breast cancer, 2001) had left her something for her to read and experience in the future.
I was slightly nervous and giddy during Verna’s first writing session because she asked me to read the cards as she finished them. She’d set a goal of writing 3-4 each day.
She didn’t want me to analyze or correct the cards; just read what she wrote and give her a general response. And I wouldn’t have wanted any other role--passive listener--for I learned the hard way that being a know-it-all is not healthy for a romantic (or any) relationship.
Many, many years ago, during my freshman year of college, while I was taking nine hours of Hebrew each week as an undergrad at the Jewish Theological Seminary, my girlfriend at the time, Cindy, enrolled in a Hebrew class at the University of Connecticut. She was so excited to share with me her first paper, written longhand in Hebrew.
How did I reward Cindy, who was bursting with pride at her significant accomplishment? I circled the mistakes and corrected her as if I was the teacher (or parent) and she was the student (or child). I will never forget the deflated look on her face and the justifiable anger she felt toward me that day.
So there was never a question for me that I was just going to read Verna’s cards to the kids and respond (but not criticize) only if asked. I barely made it through the first sentence of her first card before tears streamed down my face.
A sledgehammer to the gut as I realized Verna was writing cards the kids would read after her death, which we both knew last May would probably be sooner than later.
But, still, she wrote more than 50 cards. She wrote them while fairly lucid and she wrote them while whacked on a cocktail of painkilling drugs that should’ve felled an army of stallions. She insisted on writing even when her handwriting blurred and her mind grew foggier and foggier and her short-term memory dimmed.
When I volunteered to be her secretary so she could dictate her words to me and conserve her energy, she was emphatic, “No, I want them to see what I was going through.”
She also slipped a savings bond into each card, $100 for birthdays and holidays and $500 for marriage.
I’ve read many of the cards at least once and they are amazing. The legacy and gift Verna has given the kids is truly remarkable.
For Maya’s Christmas card this year, Verna wrote, “I’ll bet you were a good little girl this year and you’ll get whatever you want. What I love about Christmas are all the lights and decorations. I also loved going to Christmas Mass with Grandma. Christmas is not just about getting presents, but about remembering what the holiday is about.”
Verna wrote in Miguel’s Christmas card, with a black puppy, wearing a Santa hat, inside a coffee cup on the front, “I love you. I certainly loved Christmas time. After Grandma Chela (her mother) died in 2008, I loved bringing her Nativity scene into our home as part of our family tradition.”
She wrote in Miguel’s Hanukkah card, “Have you already listened to Adam Sandler’s The Hanukkah Song? Maybe with the money in this card you could buy a new Hanukkah menorah. I know Daddy loves his tin menorah, but it is really getting beat up and is becoming a fire hazard. Believe it or not, I finally was able to sing along in Hebrew when Daddy was lighting the candles. It took me about 15 years. I am sure it won’t take you that long.”
Re-reading the cards is so hard because they remind me again and again that Verna is dead. But the heartbreaking joy comes from knowing that the kids get a gift, Verna’s voice from beyond, at least four or five times a year.
She poured so much of herself into writing the cards. She did a fair amount of Internet research so she could write about her world when she was 15, 16, 17. “What major world events happened in 1981?” she asked me.
While I was caught off-guard and clueless, she found the answers by punching up Google or a similar site.
Verna forgot she wrote Maya a 5th birthday card, so she ended doing another. Maya loved getting two from Verna, one adorned with her favorite princess, Belle, and the other with rainbows, hearts, and sprinkles.
“I want to hang them in the bedroom so I can see them forever,” Maya said.
On Miguel’s 13th birthday card, Verna wrote, “I know you are excited that you can officially watch PG-13 movies. But, remember, Daddy is the one who decides what movies you get to watch.”
Still mothering from beyond the grave.
In her birthday card to her father, who turned 82 on March 5, she apologized for dying first. He broke down and lowered his head to the table as he read it. Tears clouded my eyes as I watched him.
So reading the cards will never be easy, but I will cherish, and I think the kids will, too, the memories Verna shared, the life lessons she imparted, the jokes she cracked, and the love she offered as her ultimate gifts while she lay dying.
Monday, February 7, 2011
Heaven Is Not A Place On Earth
We were about to turn at a traffic light opposite a Safeway. "God put her there," I said, quite relieved that my five-year-old could not peer too deeply into her agnostic father's heart (or mind).
"When you die," I continued, "God lifts you to Heaven."
"I want to die," she responded. "So I can be with me Mommy."
Then she kept repeating "I just want to die, Daddy, so I can be with Mommy" over and over. She asked me if people live in Heaven. "They can talk right, Daddy?"
"Well," I said to my theologically and cosmically advanced preschooler, "people can talk in Heaven, but Heaven is where people go after they die."
It wasn't as if I was holding back the tears, but I was stuck in a state of shock, a relentlessly thick river of emotion-stultifying goop. Maya didn't want (or understand what it meant) to die, but she misses Verna so much that she wants to join her in Heaven, a place I later told her where Mommy is no longer sick or feels pain.
"Do you want to die and see Mommy?" she asked.
"Well," and I knew I was treading on shaky ground for I could not return to the everyone dies conversation without provoking a psychic meltdown, "I don't want to die now. I want to be here living with you and Miguel and all our friends and family."
That seemed to mollify Maya, and she did not ask if everyone we know also wants to die. She said, "That's right. We're going to live forever, me and Daddy and Miguel."
I gulped. Then I gladly lied yet again to her. "Yes, we are going to live forever. I am not going anywhere."
Which is what Maya wanted and needed to hear. Just before bed, dressed in her light green Tinkerbell pajamas, she said, "I miss Mommy. I wish she could come down and see us."
"So do I," I said. "I miss Mommy so much."
When she is older I can tell her about the surreal dream I had last week. I went to bed just before midnight and drifted into the first stage of sleep, where one can be awakened easily. I was standing next to our king-sized bed and I felt Verna's presence, powerful and close. As I neared the bed, I also felt a malevolent force, something very evil, trying to yank me downwards, almost in a tangle of white bedsheets. I felt awake and everything seemed very real.
I called out, "Verna, Verna, Verna," and suddenly her hands appeared. I saw them on top of the bed. So I reached for them and Verna pulled me away from whatever was tormenting me. Then my eyes opened, though I still felt as if I was in the dreamy, not quite asleep state, and I saw bright light.
I actually opened my eyes and saw Maya's breathing steadily next to me, peacefulness and innocence etched on her face, as she slumbered for the evening. I was OK. I felt as if Verna had either rescued me or sent me a message from beyond.
The message? I have no idea. But I do keep reminding Maya (and myself) that we have another Guardian Angel, watching over us as we go about living life to (I hope) the fullest. And missing Verna, but knowing she is there as a beacon.
Monday, December 27, 2010
Liar! Liar! Pants On Fire
The falsehoods began flowing several weeks ago when we were talking about dying. She obviously knows that Verna died and isn't coming back.
"But Daddy's not going to die," she said.
"Well, someday, we all will die," I said. "When we're much, much older."
She started crying. "I don't want to die. I don't want you to die."
Uh oh. So I quickly reversed myself and said, "No, we're not going to die. Daddy's not going to die."
She stopped sobbing and calmed herself down.
I never thought I'd lie to my children about death, though I never imagined they'd experience it so up close and personal at tender ages.
When I was about ten years old, I had several bouts of anxiety about death for no apparent reason. Existential angst, perhaps, or the fact that we lived about two miles from a sprawling cemetery. I would plop myself down on the lavender carpet in my parents bedroom, gripped with fear about dying, about not being alive anymore.
My mother soothed as she said, "Well, when you're older they will have a pill to take so you can live forever."
Yes, she lied. But it helped me fall back asleep and settle my anxiety. Would Dr. Spock or any other child expert approve? Probably not. I was grateful, though, for the lie and the sense of peace it brought me so long ago.
So I am not worried that I completely trashed the truth and told Maya that she and I and everyone else she loves is on the highway to eternity. She's lost her mother and there is no sane reason to heighten her fears now by being truthful about the nature of life (and death).
And this is the season of lying. By late October, early November at the latest, as holiday decorations and pre-Christmas sales emerge in public, I began spinning tales of the jolly old fat guy in the red suit who will be sliding down chimneys or walking magically through front doors to bring presents to all the good children of the earth.
Miguel believed in Santa until he was ten. Then he caught me in my web of deceipt. He wondered why there was lipstick on the glass of milk we'd left for Santa.
"That's because Mommy and I put out the milk and cookies," I admitted sadly, fully aware that the Polar Express moment had arrived.
"Aha," he said. "I knew it. But there wasn't any lipstick on the glass. I just tricked you."
But, under threat of never receiving a holiday or birthday gift ever again, Miguel complies with my order to maintain the magic for Maya. We believe in Santa again in our house, and Miguel actually seems to enjoy making the myth appear real for his sister.
So there we were on Saturday, Christmas Day 2010, as Maya gazed at her new, unwrapped bike, straight from the North Pole. The exact model she'd eyed at the local bikestore about 6 weeks ago. And there was Miguel, feverishly excited about his new Play Station 3, the very system he and I bought with Maya, who was completely oblivious, at Target two weeks ago.
"Daddy," she exclaimed, "look what Santa brought."
Miguel and I smiled.
Because of rain on Christmas, Maya didn't get to ride her new 20" bicycle until yesterday. Miguel waited patiently all day Saturday until Maya was asleep to destroy me in NBA 2011.
Christmas did not have the same oomph this year, but the kids, family, and close friends did make it special and bearable.
This morning Maya said to me, "Mommy came in the room last night and gave me a hug and told me she loved me. I love Mommy and Daddy. Did you see Mommy?"
"Yes," I said.
Honest.
Wednesday, September 22, 2010
A Tale of Two Children
“Yes, that’s right,” I said, happy that Miguel was initiating conversations about Verna.
Not that I have the energy or desire to wade into the nature versus nurture debate, but both our kids, like everyone else’s, are proof positive that they do come to us with at least a broad set of biological potentialities. In other words, we are not completely blank slates when we are born. To what degree we are influenced by culture is for graduate school. All I know is that Miguel and Maya have distinct personalities, and that reality has informed how they’ve reacted so far to Verna’s death.
Miguel is more like Verna: quiet, stoic. But unlike Verna, who fretted about so much and internalized her anxiety and then pondered it for days, he doesn’t process what he is going through in any measurable way. He has actually said to me, “Dad, I don’t want to deal with what’s going on,” just not in those exact words.
Miguel copes by being preoccupied with sports, friends, music, watching movies, or chilling on the Internet, which often includes finding funny videos on YouTube or episodes of Zack and Cody on NetFlix.
Maya, like her father, articulates all her feelings right away. Three days after Verna died, as I was pushing her in her stroller to school, Maya said, “I dreamed about Mommy last night.”
“Oh,” I said. “What was your dream about?”
“I dreamed that Mommy came back. I know Mommy isn’t coming back, but I made myself have the dream, just pretend. Do you have dreams like that?”
“Not yet,” I said. “But I hope I do soon.”
All I could think was: how did I ever help make this highly evolved four-and-a-half year old who shares my last name? And I immediately knew the answer: all credit to Verna.
On the day of Verna’s funeral, as Maya and I were walking our dog in the early morning, Maya glanced up at a cluster of clouds and said, “I see Mommy in the clouds. She speaks to me in my heart.”
She said that again tonight and Miguel actually said he was blown away. He added, “Where does she come up with that?”
“I think Maya is a living angel who came down here to help us,” I answered, and I more or less believed what I said. Really.
Miguel will grieve in his way, even if he chooses to avoid, deflect, and preoccupy. I will not force him to talk or open up. I will always be there for him, as I was when he had a mini-meltdown just before Verna’s funeral.
Maya opts to voice her feelings directly and through games in our garage, bedroom, and with her play therapist at the hospice office. Tonight as I carried her home from the park, she also said, “I see Mommy in the house. She comes to sleep in our bed because she loves me and you and Miguel.”
As autumn dusk settled on the chilly evening, I was slightly spooked by our daughter, a soul whose wisdom is both comforting and scary. She may be as gregarious as her father, but thank goodness she possesses her mother’s insight and empathy.
But what really topped off the evening’s magic for me was Miguel. As he and I tossed a baseball, I said, “Check out the full moon. Maybe Mommy sent it to us.”
“That’s what I told Maya,” he said.
Miguel may not be processing Verna’s death very much, but he is processing and progressing. And being a sweet big brother.
Tuesday, September 14, 2010
A High Degree of Visibility
St. Raphael’s Church’s rules, however, precluded a litany of family and friends singing her praises, but a standing room only crowd of more than 400 people filled the San Rafael parish cathedral on a windy day last Wednesday as we laid Verna Mercedes Wefald to rest.
Verna need not have worried that she was ever invisible. The packed church, with overflow crowds snaking out front, was a veritable This Is Your Life gathering that included the woman who ran (and still runs) the daycare program Miguel attended at the City Attorney’s Office in San Francisco when he was 10 months old, Miguel’s preschool teacher, attorneys and paralegals Verna worked with for 11 years, a priest from Southern California who knew Verna’s brother, Marty, but hadn’t seen him in 35 years, a woman I’d never met but had corresponded with via a political chat room, and countless family and friends.
Six days before she died, Verna had a reading done by an internationally known forensic scientist who claims to have psychic powers. She is a medium. One thing she said that I will never forget is that, “Verna, you have touched the lives of hundreds, if not thousands, of people. You don’t realize what an amazing impact you’ve had on so many people.”
I believe the medium’s words were quite comforting to Verna as she neared death. As I scanned the crowd on the day of the funeral I knew everyone was there to honor Verna, the woman who bravely lived her life so well before and after her cancer diagnosis.
Ten minutes before the ceremony began, I was standing in the aisle greeting people when I looked over at Miguel, seated in the first pew. He was crying, bent over, head hanging against his hands, in one of the few outward expressions of emotions he’d displayed for Verna in five years. I sat down next to him and pulled his head to my lap. He was actually bawling.
“Miguel, do you want a Kleenex?” I asked.
He shook his head.
“That’s OK, you can cry on my pants. What’s a little snot?”
A few minutes later he asked for a Kleenex, and one miraculously appeared behind me. I stroked the back of his head and was glad to see his release. He sat up, I put my arm around him, and then he resumed joking with his first cousin, Dominic, who is 17.
At just about noon, Father Paul, the senior pastor at St. Raphael’s, gathered all of us—Miguel, Maya, Verna’s family, my parents, my stepparents, my brother, and the two others who were also pallbearers—at the back of the church. The six pallbearers (Verna’s two brothers, Marty and Jim, her first cousin, Jim, my brother, Scott, our dear friend, Tony, and me), all selected by Verna, descended the steep steps in front of the 19th century church toward the hearse. Once we carried Verna’s casket to the lobby, Father Paul said some prayers and sprinkled holy water on the coffin.
Unlike when I served as a pallbearer in 2008 at Verna’s mother’s funeral, and cried so hard, I was in a state of shock as we gently pulled Verna toward the church’s altar. I was so focused on carrying out my sacred mission that no tears fell as I marched with the casket.
The first part of the service was a blur of Father Rossi, holy church music, and scriptural readings. Tony did the first reading, one I selected from Genesis. When I’d met with Vicki, Father Rossi’s pastoral assistant, she suggested I choose something from the Old Testament.
“We want to make you as comfortable as possible,” she said. “And be sensitive to your Jewish faith.”
I immediately chose something from Chaye Sarah, the life of Sarah. Chaye Sarah is Maya’s Hebrew name and was my grandmother’s actual name when she grew up in Poland. I just didn’t know if there’d be verses that would resonate with me.
But Providence shined down on me—something like that. I found a portion inside Chaye Sarah that deals with Abraham sending his servants back to Haran to find a wife for Isaac. The servants knew that Rebecca was the maiden for them because when they met her at the well she offered water to them and their animals.
Rebecca in these passages is seen as compassionate and caring, traits that Verna certainly possessed. I was ecstatic that Chaye Sarah presented me such a worthy portrait of a Biblical character to link with Verna.
Amanda did the second reading, something from the Book of John. Then Father Paul talked briefly about Verna, but in the context of explaining the significance of the Biblical texts.
Miguel, Maya, and I carried the Communion wine and wafers from the back of the Church to the altar. When Vicki had invited me, during our planning meeting a week or so ago, to participate in the service by carrying the wafers with Maya, I said, “But what if we drop them?”
I could clearly see the headlines in the Catholic Times: Jewish Mourner Carelessly Drops Host on Floor of Church.
“They’re not holy until Father Paul blesses them,” Vicki said.
See, even I learned something new about transubstantiation.
After Communion, Verna’s brothers together shared reminiscences of her. Moments before they began, Jim whispered in my ear, “I hope it’s OK if we poke a little fun of you.”
“It’s not a problem,” I said.
Jim mentioned how Verna and I were polar opposites in many ways: she was a carnivore, I am a vegetarian; she was Catholic, I am Jewish. She was athletic, and then he paused without saying another word. It was very funny.
The carnivore-vegetarian split reminded me of the first time I met Verna’s family at their fog shrouded home across from Ocean Beach in San Francisco’s Richmond District. Her parents hosted both her brothers and their wives and two grandchildren, and Verna’s aunt and uncle. Because Verna was so accommodating (and I was inflexible about my diet), she lovingly prepared a vegetarian lasagna. At several intervals during the meal, both her brothers chimed in, “Verna, this lasagna is so delicious.”
But Jim also spoke about how Verna and I shared core values about parenting, the world, and life in general, and that helped forge the close bond between us. Then I got up and delivered the eulogy I have already posted.
After the service, close to a hundred of us gathered graveside at Mt. Olivet Cemetery, also in San Rafael. Father Rossi shared more prayers, and then several of us placed flowers on Verna’s casket as it was lowered into the ground. Maya chose to toss in two bracelets, one for Verna and one for her mother (as they are buried in the same plot) that she’d bought with her Auntie Donna a few days earlier. My brother, Scott, then invited people to shovel some dirt into the grave, according to Jewish tradition whereby mourners ritually honor the dead.
I’d be lying if I said the service, the graveside ceremony, and the reception afterward outside our home were anything but surreal. Yes, Verna is gone, but the reality has not fully sunk in. It’s still so very hard to grasp viscerally what I know intellectually to be true: Verna died.
But, then again, Maya and I see Verna every night as she shines brightly in the nighttime sky before millions, if not billions, of people.
Monday, September 6, 2010
This Is Not Goodbye
Until now.
I was slumped in Verna's electric recliner chair on Friday night, past midnight (so it was actually Saturday morning), after having just watched Date Night. (Why I chose a romantic comedy just days after Verna's death is beyond me.) A wave of sadness washed over me and I could feel a creeping sense of despair. I missed Verna. I thought, "I'll never see her again. I'm alone. The kids are alone. I'm scared."
So I got up and decided to fill one of the photo albums I bought for the kids as memory books. I chose Maya's, which has Disney princesses on the front and back, and started putting in about 50 photographs, mainly of her and Verna.
When I finished I walked into the kitchen to clean up a bit before going to bed. It was 12:30 am. Suddenly I heard an alarm, so I rushed into the living room and stopped right in front of our entertainment center, the one from Sear's that took me several years to build after deciphering the instructions.
I cocked my head to the left, thinking the alarm could have been coming from upstairs in Miguel's room (he was at Lake Tahoe with a friend and the friend's family). I thought, "I've got to silence that alarm so it doesn't wake Maya."
As I looked to my left I saw that the screen light on Verna's iPod, atop the entertainment center, which hadn't been played or touched since the night before she died, was on. I saw the black strip highlighting a song and I did a double take. "No," I thought, "it can't be."
The light disappeared, so I pressed the middle of the button, the spot that turns the light on only, and saw that my eyes hadn't failed me. The song showing was This Is Not Goodbye (by Melissa Etheridge), which Verna used in her DVD photo tribute to her mom and is the first song--chosen by Verna--in her DVD to be screened at her funeral this Wednesday.
And as soon as I pressed the middle of the click wheel, the entire docking station turned on and the song started playing. I pressed the pause button, because, frankly, I wasn't in the mood to hear the song, but nothing happened. I pressed it a second time. A third time. A fourth time. Finally, I got the message: listen to the damn song, Steve, Verna is communicating with you:
Monday, August 30, 2010
Farewell, My Lovely
For the past ten days or so I had been going to bed between 11 pm and midnight and then leaving Verna with a nighttime caregiver. Her two brothers, Jim and Marty, and Jim's wife, Liz, alternated sitting vigil each night since this past Tuesday.
But I sensed Verna might die some time in the middle of the night, so I decided to remain downstairs with her. I climbed onto her hospital bed and lay down beside her. She was very warm. I clasped my hand into hers and told her how much I love her, will always love her, will send all our love with her on her journey, and be enveloped by her love after she is gone.
"Verna, when you are ready to go," I said, "and join your mother in heaven, you should go. She is waiting for you."
Hospice had urged me to remind her several times during the day that I released her. I did. But I also knew that Verna, on some level, had to be aware I was her unconditional advocate because I administered alarmingly high doses of several pain medications--as prescribed by hospice--when some people wavered as she slipped into a deep, deep sleep Friday evening just before 11 pm.
I fell asleep for ten minutes next to her with our apricot-colored miniature poodle, Gigi, atop my stomach. Gigi jumped off of me onto the floor, waking me up. I looked over at Verna and stroked her hair and lightly touched her face. Gigi started to growl-moan as if to say, "OK, I took my late night pee already, aren't you going to give me my treat and put me to bed?"
So I got up and led Gigi to her kennel, where she beds each night, and carried her up to our bedroom. When I came back down, I could hear the Verna's breathing was more labored and her chest was heaving.
It was close to midnight, so I went to the kitchen to prepare her medications for the night, while the caregiver, Faye, sat by her side. As I was loading either liquid morphine, methadone, and ativan into various syringes, Faye said urgently, "Steve."
I bolted into the living room. "You didn't have to run," said Faye. Verna's chest still heaved and the gaps between each breath were a few seconds. She was very pale. I knelt down almost diagonal to her chest and knew she was about to die.
"Faye, please go upstairs to the bedroom on the right, and wake up her brother," I said.
Jim and Liz padded downstairs and minutes later Verna exhaled for the last time. We watched her chest rise and fall, rise and fall, and then stop. She was gone. I buried my head in her left arm and cried. Jim and Liz, each seated above her head, cried. Faye, who later said she was experienced with client death as a caregiver, sat quietly, a stunned look on her face.
Jim left the room to call Verna's other brother, Marty, who was resting at his hotel room with his wife, Donna, one of Verna's closest and dearest friends. He came over and sat with us. He and I held hands and cried over Verna. Marty then phoned his father, Martin, and told him Verna was gone. Then Jim and Marty drove 25 minutes into San Francisco to bring him here to honor his daughter and baby girl.
I phoned hospice and the on-call nurse, Robert, said he would arrive within 45 minutes, by 1 am. He also said he would request that the mortuary come to take Verna's body away at 3 am.
Verna's father arrived at 1:45 am and rushed to her hospital bed, wailing in disbelief. He, too, buried his head against her.
Saying goodbye isn't easy, but everyone does it differently. Since I feared Verna might die over the weekend, I phoned the parents of Miguel's best friend and asked if he could stay there on Friday and possibly Saturday night. Miguel had already told me he did not want to be home when Verna died. I said to him, "Miguel, I know how much you love Mommy and you know how much Mommy loved you. It's OK if you don't want to be home. I am happy that you are making the choices."
His friend's father lost his mother to breast cancer when he was 13.
Maya chose to engage with Verna. She climbed into her hospital bed many times to stroke her arms and hair, and say, "It's OK, Mommy, you will feel better."
I finally got to bed at 4 am and heard Maya rustling at 7. She came over and I pulled her into bed with me. "Maya," I started, "Mommy is now a star in heaven. She is with Grandma Chela," Maya's late maternal grandmother who died in 2008.
"No," she said, "You're joking."
"No, she died," I said. "But she's a star in heaven and will always be in our hearts."
"I'm going to check downstairs," she said.
But the hospital bed had already been stripped clean of its sheets and air mattress. Maya came back moments later.
"Oh, I am sad," she said. "Mommy died."
Then she climbed back into bed and said, "Poor Daddy, I will take care of you." I hugged her tightly and felt such immense love for her, for Verna, for Miguel.
"Maya, you have a playdate today with Annika after school," I said, hoping to keep her daily routine.
"I don't want to go to school," she said.
"What about your playdate with Annika?"
"I just want to go over to Annika's," she said.
I spent the day with two close friends, Amanda and Mercedes, and Verna's brothers, sisters-in-law, and Verna's father. I dropped Maya off in the parking lot of the school so she could go with Annika and her mom, who is from the Faroe Islands, which lie northwest of Scotland and halfway between Iceland and Norway.
After a 35 minute ride on the LifeCycle to sweat out some of my shock and anxiety, which I know cannot so easily be discarded, I showered and then drove to pick up Miguel. I was waiting for him on the sidewalk near his middle school as he strolled up eating a Ben and Jerry's bar. I put my arm around him.
Saturday, August 28, 2010
Part of the Plan?
A water tower collapsed, killing two tribespeople, while anthropologists studied the north central African tribe. The Azande blamed witchcraft. The social scientists surveyed the water tower and concluded that termites had eaten through the wooden posts and weakened the entire structure, causing it to fall on the men. The Azande thanked them for their explanation, but asked, "Why did it happen to those two men at that particular time?"
Whether life is a series of random coincidences or is fated one way at the most profound times, as the Azande clearly believed, has occupied my thoughts since Wednesday.
Shortly after Verna was first diagnosed with breast cancer in early 2006, she commissioned a photographer (thanks to our dear friend Christa), who specialized in mothers and their newborns to take a picture of her and Maya before Verna had her double mastectomy. In the photo, Verna reclined on our bed, virtually bald, naked from the waist up, her full breasts supporting the back of Maya.
A year later she had the same photographer shoot Maya and herself in similar poses. Maya the toddler smiled at Verna, sans breasts, and her full head of black hair.
The framed dual photos adorned the wall above our bed for nearly four years until Wednesday. I'd noticed a slight gap in the frame about a week ago but thought it could easily be repaired once I made the time. But when I went into the room Wednesday morning, two sides of the frame were dangling off the photo.
Again, I don't believe much in signs or messages from beyond, but I did pause to wonder why the frame ripped apart at this time? As Verna battled between a state of hallucinations and semi-lucidity, was what happened to the frame some cosmic communique or an explainable coincidence that was bound to happen at some point given the weight of the photographs and the cheap frame?
I know what Verna's answer would be if she could offer me anything. She believed in signs and portents with utmost conviction. She suspected she might have had something wrong with her before her original diagnosis after a series of dreams in which a poisonous spider lowered itself onto her chest.
But she cannot look me in the eyes right now and shout, "Aha! I told you so. The breaking of the frame clearly represents or is a message from the universe." Or tell me that it symbolized the damage we are witnessing to our beloved Verna and to our lives. Or that I am no longer supposed to have the framed pictures in the house.
She cannot speak because since last night, about 24 hours earlier, Verna has been asleep and, I fervently hope and pray, comfortable beyond measure after hospice upped her pain medications yet again.
I don't have the answer to the dilemma of the dangling frame and wires. And I don't believe the Azande's superstitious notions of the world make them primitive versus the rationality of trained scientists. I just don't know how to explain what happened here. Maybe the Azande were right.
Tuesday, August 24, 2010
Heart of the Matter
It all started last week when Verna asked the spiritual support counselor in a barely audible voice, "I want to say goodbye to my kids."
So hospice arranged for a social worker and a bereavement counselor, who is also trained as a therapist, to help Verna facilitate the conversation. We decided on yesterday because Miguel was still home (school started today) and Maya returns from preschool in the early afternoon.
Prior to the meeting Verna asked me, "So hospice thinks I'm going to die?"
"Yes," I said. "But they don't think it's imminent. They just wanted us to schedule the meeting sooner rather than later."
Verna was pretty alert on Saturday, but dazed and slightly confused most of Sunday, so I was worried how coherent she'd be when she spoke to the kids. But she was surprisingly present once the gathering began.
Our social worker Deborah Schwing started by asking the kids to assess how Verna was doing through their eyes. Miguel said, "She's been getting weaker and is in a lot of pain." Maya parrotted Miguel's view.
"Maya," I said, "What's happeing to Mommy?"
"Mommy's going to die," Maya said.
"And then how will we see Mommy?" I asked.
"She'll be in star in heaven like Grandma Chela," Maya said.
Deborah then asked Verna to describe her feelings and how she understood her situation.
"Well, I'm dying," Verna said. "I'm angry that I won't get to see the kids grow up, won't be there for so many milestones--graduations, bar and bat mitzvahs, weddings. I am sad I won't ever meet my grandchildren."
Tears were flowing freely down Verna's face and mine. I felt intense anger and sadness as well that we and Verna were being robbed.
Deborah asked Verna to talk to the kids and share her hopes and dreams for them.
"I want you to find your passion in life. Always be good," she said. "Do unto others as you have them do unto you. Work hard. Work hard in school. Always do what is right. Be a good role model."
Miguel was quiet, head down, and preoccupied with a booklet near him on the recliner chair. Maya moved from the hospital bed, snuggling against Verna, to my lap. She was growing restless. At one point the beareavement counselor, Andrea, who will soon see Maya for play therapy, took Maya upstairs to play.
"The two best days of my life," Verna said, "were February 9, 1998, when Miguel was born, and January 19, 2006 when Maya had to come early through a c-section (so I could start cancer treatments)."
Maya and Andrea returned. "I love you both so much," Verna said. "And I will always love you forever and ever."
Deborah asked Miguel how he was feeling about Verna dying. Tears welled in his eyes, one of the few outward expressions of emotions he's allowed himself.
"I've been thinking about how I'm going to be without a mother," he said. I lost it again and rubbed my wet, wet eyes.
"And it's OK for you to be angry sometimes, Miguel, with your dad for not being your mom," Deborah said.
"I could wear one of her dresses," I said as Deborah and Miguel smiled.
"Just be gentle with each other," Deborah added. Then she turned to Verna, "Is there anything else you want to share?"
"Miguel's 12 so he'll have memories of me, but Maya is so young. I am worried she won't remember me as she gets older," Verna said, tears streaming.
"That won't happen," I said. "We will always remember you."
"No, Mommy," Maya said, "I won't ever forget you," a look of unconditional conviction on her face.
We will never forget Verna. Her life will always be a blessing and a legacy for the children, me, her friends and family. I truly hope our session brought her comfort. As her pain increases, she needs that positive energy to cope and rest.
Wednesday, August 18, 2010
Cosmic Stars
Maya sat on the living room floor this evening with me next to her and Verna's sister-in-law, Donna, on the couch. Miguel was at soccer practice after having spent the day with me and a buddy of his at a water park. Verna was asleep on her special recliner chair right behind us.
"Mommy's going to die," Maya said, lying on her back.
I got on my knees and edged towards her. "Yes, she is," I said. "But she will always love you so much. And she always be able to tell you how much she loves you. She'll be a star in heaven--"
"--Just like Grandma Chela," Maya interrupted. Verna's mother died in October of 2008, and we've always told Maya that she is a star in heaven illuminating the cosmos (but not in those words).
"That's right, Mommy will be a star in heaven," I responded. "I hope not too soon. But then we can go outside every night and see which star is Mommy shining down on us."
Maya looked up at the ceiling and said, "There's Mommy. Let's pretend Mommy died." She waved. "Hi Mommy."
Verna suddenly woke up and said, "Hi Maya."
Our hospice social worker said when these moments occur to take extreme advantage, which is why I engaged Maya and affirmed for her that, yes, Mommy is going to die. I tried to maintain an almost light or humorous demeanor as she and I talked. Donna, however, turned towards the window with tears in her eyes. Later, she and I held hands and I admitted, "I almost lost it out there with Maya."
But Maya knows what is happening even if she can't fully digest what death means. Last week, on the day Verna and I found out she might only have a few days left, I was driving Maya to her 1/2 hour swimming lesson after preschool.
"When we get home," I said, "we can see how Mommy's feeling."
"Mommy's going to die," Maya said. "And I'm going to be sad."
I reached for the proverbial brass ring and said, "Yes, Mommy's going to die. And we're all going to be sad. But we'll always have Mommy in our hearts, and she will always, always love you very, very much."
Yes, Verna is going to die. Sooner rather than later. Just not yet. Today her pain level hovered at a seven (on a scale from 1-10, with 10 being the most pain), she said, and didn't subside very much even with all her pain medication. Aside from insisting on going out to help Donna bath our dog who'd thrown up on herself in her kennel last night, Verna slept or was in a foggy state for most of the day. So tonight, just before I helped her upstairs to bed (she still prefers to sleep in our bed mainly because Maya, who shares a room with us, wants her around), I said, "Verna, where's your pain level right now?"
"Seven," she answered.
"Is it unbearable?" I asked.
She clearly shook her head. We have an agreement that once her pain becomes unbearable, she wants me, as her healthcare agent and POA, to instruct hospice to steadily increase her pain medication and cease the steroids, both measures that will hasten her death.
But tonight she did not hesitate to move her head quickly from side to side against the hospital bed pillow. Sometimes non-verbal communication is a beautiful thing.
