Hospice

I have a new hospice patient, a lovely older gentleman. His wife and primary caregiver is still a little wary of the hospice system, but I paid them a visit last week and sat with him while she took a bath and had a little time to herself. I think he was a little irascible about the fact that he needed someone to watch him while she was still in the house, but he was very courteous. We played a game of chess together. I am not a great player, and am lucky if I can remember which way the players move, but he was very gracious about helping me out and telling me if I had made a bad move. In the end, we came to a draw so I guess I didn't do too badly. I'm not sure what he thought of the whole experience; a perfect stranger invading his home and forcing him to play bad chess when all he wanted to do was rest but they invited me back so I guess I did something right!

Hospice

I was visiting my hospice patient last week. When I first started seeing her, she was bedridden, slept a lot, and was receiving last rites from the priest. Now she seems to be doing much better, is up in her wheelchair part of the day, and can sit and talk with me. Granted, we talk about things I suspect she experienced in her past, or things she thinks she sees, but that's okay with me. Every now and then, however, I get a glimpse of the lucid personality that still lurks underneath the dementia and confusion. I was reading quietly to her, and she motioned with her hand to have me look up. When I did, she smiled at me, then something in her eyes shifted and looked almost sad. "Oh honey," she said, "I'm so tired... I'm so tired." I could tell this was the real woman talking to me, expressing what she was really feeling, and I felt for her. What must it be like to be so old and frail, unable to move much on your own, feeling the weight of the years and your infirmity weighing down on you? I touched her hand gently, and said, "It's okay, you can sleep now." And I watched her eyes flutter closed, one hand still picking gently, busily at her oxygen tube.

Excerpt

"The sheer volume of paper struck me every time. There was always more paper. The entire house felt like it was made of paper; walled, buttressed, and roofed with paper. Drifting against every wall in a storm of cellulose. Grubby stacks of newspapers, junk mail, useless prospectuses, and magazines supported the sagging walls. Old bills, bank statements, and ephemera spilled out of boxes and filing cabinets. Letters, contracts, and certifications filled up every drawer, every cabinet. Every scrap of paper that had ever entered the house remained, heaped and hoarded anywhere space was available.
It was not the first house I had ever emptied; a few years before, we had cleaned out my Grandmother’s house in a few weeks. Carrying over some of her belongings and papers to become part of the strata at our house. It’s hard to know how much a house can store, especially if the same family has lived there awhile. And you don’t realize that, of course, you have to also get rid of the bones: appliances, furniture and soft furnishings, everything. You have to strip it right down to the walls."

Excerpt

"Several years ago, standing on the edge of the Grand Canyon, I was amazed at the sheer beauty and majesty I saw before me. Taking in the colors of the rock, the many striated layers of ancient earth that made up the canyon walls, I was struck with feelings of awe and delight. Standing on the edge of the carpet in my father’s house, viewing the chaos and the layers of junk and paper, I was struck with similarly powerful, if slightly darker emotions. How in heaven’s name were we going to be able to make even a small dent in the huge mess that had taken over my childhood home?
Picture a big house, roughly 2700 square feet. Imagine the inside of the house as having layers of stuff, the geological strata that reminded me so forcibly of the Grand Canyon. The top layer, laid down the most recently, consisted of huge amounts of debris and recycling that Dad had accumulated over the years. Not quite at the point of finding bodies mashed flat and mummified between stacks of trash and paper, it was approaching critical mass.
Under that, the basics: furniture and curtains; house wares and food; clothing and carpeting. Below that rested years of accumulated tools, car and airplane parts, and toxic paint cans in the shop. Old books and my mother’s belongings, our old toys and things we’d left behind, Christmas decorations, ancient photo albums, and numerous boxes and full filing cabinets. Then, the accumulated years of papers and belongings of my parents; everything of mine and Big Sister’s that had been saved and stored; and whatever had made its way over when each of my grandparents had died."