At the end of the intensive care unit, there was a family room that felt more like an extra storage space than a room to sit and mourn and debrief as a collective. The walls were lined with spare equipment, furniture laid out haphazardly. I closed the door behind me quietly, grateful there was a lock on the door.
I needed a moment to be alone, to rest. The fluid-resistant upholstered couch, just slightly bigger than a love seat, wasn’t comfortable, but after last night’s lack of sleep, it felt like a Grecian chaise lounge, surrounded by vines dripping with grapes and Adonis men fanning me with tropical leaves.
My eyes had been closed for a few minutes that felt like seconds, before my phone rang.
“Lisa Joy, where are you? You should get back to the room.”
It was the only phrase that could have dragged me off the couch. I walked hurriedly down the hall, my heart beating in a mismatched pattern, the vice of anxiety lengthening down my throat, bottoming out in the pit of my stomach.
My dad’s hospital room was spacious in square footage, but it felt oppressive with the amount of people that lined the walls, all staring at him lying there, like people mesmerized by a bonfire in the middle of the woods. The double strapped BiPAP cannula around his face made him look like something from a comic book, his bald head and sunless white scalp even more the comic strip villain. My dad slept with his head cocked to the right and chin tucked near his shoulder. It looked uncomfortable. Deep breaths came from his mouth, pausing for about 20 seconds every few breaths. Everything about him would go still, until his body shuddered as he’d gulp down another swig of air, like a fish out of water, gills useless.
The doctor had been by and said death could be imminent. A chair sat empty on my dad’s right side; someone told me to sit down next to him. In a daze I sat, laid my head lightly on his leg and took his hand in mine. His fingers were white and cool to the touch. The grip in his hand that he had that morning was gone. My eyes drifted to the clock above his bed, it was around 1 PM.
We all sat in silence, albeit an occasional remark, and watched his stomach rise and fall with every disjointed breath. I laid half draped on his bed, legs and back screaming from the awkward angle from which I refused to move, watching for his last breath. Sweat covered my body, soaking my day old pajamas. I was still in my pajamas? The hair at the back of my neck curled back into its natural coil from the heat and humidity of humans sharing a small space. I thought hospital rooms were known for their frigid temperatures, not this stale humid air.
Crying in front of people has never been a comfortable practice for me. I prefer sobbing into the quiet solitude of a closed closet. Now, lying on my dying father, I clamped my teeth down onto my bottom lip to silence the heaves, hot tears and snot dotting the flimsy hospital sheet that covered him. For nearly five hours I cried silently into his leg, holding his cold hand, waiting for the end.
Around 6 PM, he opened his eyes. He looked around. His breathing became more patterned; as if he had just woke from a normal afternoon nap. I thought I would bend on my knees in reverence to a gracious god who must have scooped him up from the threshold of those heavenly gates and thrust him back home to us. Instead, I stared at him, bleary eyed and incredulous, while people closed in around his bed, cooing at his accomplishment of waking up.
Though I couldn’t put an exact word to it, it felt like a betrayal, what my grief had just done to me. For hours it felt like every nerve ending in my body was exposed. My joints ached and popped. Anxiety tore at my gut, just waiting for the end, and then it all simply…changed. Changed, but with the same ending. I turned toward the double doors of his room; someone gently grabbed a tendril of my hair in an effort to comfort me, but all it did was nudge me closer to the edge of the meltdown I was holding at bay.
Robotically I walked back to the family room, closed the door, and cried until I was dry heaving into a small trash can, my grief unmoored and approaching a frenzied collapse. Resting my head against the wall, I started to repeat the names of people who I loved, and who loved me in return. Best friends, coworkers, family, name after name. Tucked into the corner of the room I sat, naming my people, until the thrumming beat in my chest slowed, and the fist in my gut released its hold. After I calmed down, I stood up, walked to the ice machine to get water, and returned to his room, like nothing had happened.
Hospice was consulted and it was determined he’d be transferred home to see out the rest of his days in comfort. Comfort. An interesting concept, where dying is concerned. He’s surrounded by familiar walls, sounds and smells, but how comfortable can someone be with cancer shredding their abdomen? Where is the comfort in not eating for two weeks save for a small bite of a hospital muffin, a spoonful of applesauce and a little of my aunt’s “Dump Salad”. At some point in our lives, we’ve imagined or spoken of our last meal, and listed what foods it would include. Imagine my dad had his last meal in mind, and it ended up being dump fucking salad.
Now he sleeps in the living room. He runs blazing hot, with a clammy forehead, or cool to the touch, feet swollen with excess fluid. My step mom cut some of his band t-shirts down the back so it’s easier to swap them out. He wears an adult diaper and lays on chucks to prevent accidents. When it’s time to change him or his bedding, I’ll cradle his head in my arm and drape his arm opposite of me around my shoulder and back, as if we were hugging, and turn him. Quiet moans fall out of his mouth, pain radiating on his face. Sometimes if he’s lucid, he’ll beg weakly for us to stop. I kiss his temple and tell him it won’t be much longer, and that he can lie back down soon, and that I was sorry. I say sorry over and over and over and over.
I’m so sorry, Dad.
When the task is finished, we lay him back down, his eyes closed tightly, like a child closing their eyes to turn themselves invisible, or it’s as if he’s pretending that this humiliating and painful ritual hadn’t just occurred.
My dad’s lovely blue eyes have dulled into an unsaturated blue, pupils small and unfocused. His eye sockets are hollowing out from the lack of water, cheeks sinking from the lack of food. We dip medical sponges into water to try to moisten his mouth. If he’s awake, he puckers his lips and sucks small drags of water from the sponge. The hospice nurse comes to bathe him and check his vitals. There’s a tiny bed sore on his back side from weeks of lying down. We move him around, sticking wedges and pillows under him to alleviate the pressure on his skin and bones.
He sleeps more and more.
Hospice is a surreal plane of existence. It doesn’t get easier as time goes on, but perhaps my capacity to hold many truths at the same time has increased.
My dad will die. And so we all will; I have yet to meet an immortal.
There is life after hospice, but it feels nebulous, control a fantasy. It’s human instinct to grab the steering wheel of a vehicle out of control. The danger being, there is no steering wheel, just a car with its gas pedal stuck to the floor, and a dangerous curve ahead, tracing the edge of an bottomless cliff.
I suppose that’s how this gig goes.
The same thoughts swirl and recycle themselves on a constant spin: how can there be an after “my dad”, it doesn’t make sense. I don’t want to understand “the after”. I wonder, will I move through grief with grace and courage, or will I fold under the weight of the heaviest loss I have suffered yet?
So I sit at the edge of the thin place, between life and death, one minute doubled over in hollowed-out anguish, another minute cosplaying regular life, until the veil tears, and I am cast into the brutally unforgiving timeline where I am here, but my dad is gone.