Medicine 101

Left brain, right brain, I never remember which side does what. One thing I do know, however, is that I’m not a numbers person. I’d rather write a 50 page paper than add a long column of figures, even if I had a calculator. That’s why keeping track of Nate’s pill bottles and medicine doses is almost more than I can handle. The 8½” X 11” grid Hospice gave me today to write everything down was intended to help but has only screamed, “You can’t!” from its place on the kitchen counter.

The Hospice doctor and the head nurse of our team spent 90 minutes with us today, examining Nate and talking over his current pains and frustrations. The doctor completed his part and was getting ready to leave when I asked him if it was true that marijuana was a legal pain med in Michigan. He answered, as most doctors do, with a detailed explanation. “There are three parts to the answer. The first is the law, and yes, it has become legal to use marijuana in medicating pain in Michigan. The second part is the training of doctors in the proper use of it, and that has widely occurred, too. The third part is the stickler. Who will be the provider?” Good question. Good answer.

The nurse volunteered to stay an extra half hour to tutor me on the meds. My slow responses to her drug-instructions must have triggered anxiety in her as she feared for her patient. She and I lined up all the containers, which included meds we used to use, meds we are currently using and meds we will use in the future. The minute she began referring to the drugs by their real names, I got lost.

Excusing myself to get a thin-tipped indelible marker I said, “You can tell me what and when, and I’ll translate it for myself on the label.”

She chuckled like I was kidding but bravely started in: “Ondansetron is for nausea,” she said, “and he can have up to three pills, 8 hours apart, over 24 hours.” I wrote on the container, “Nausea, 1 at a time, up to 3.”

She continued: “ABHR is a gel you rub on his wrists if the ondansetron isn’t working, and he can have it twice in 24 hours.” So I wrote “Break-through nausea, wrist, twice.”

We handled each vial, packet and tube, she reading the technicalities on the labels and me making them idiot-proof with my marker. I felt much better when we were done, especially after we’d labeled the four different kinds of morphine with their differences, none of which we are yet using. Just reading the word “morphine” on so many pill bottles made me shaky over the great unknown of Nate’s and my medical future together. Nevertheless, we completed our task.

My little pharmacy looks a lot like the leftovers shelf in our refrigerator because I have the meds grouped in Zip Loc Bags, but if there is any hope to keep it all straight, baggies are the answer. In addition to pills for pain, anxiety, sleeping, mood, constipation and swelling, we have a gel for bone pain and another for dry mouth. There are also special mouth washes, lip balms, skin creams and (gulp) suppositories.

As the nurse was leaving, she filled my cupped hands with a pile of bright green, rubber gloves. “You’ll need to wear these when you administer the gels,” she said, “or you’ll be medicating yourself when you apply them on Nate.” Some of those medications were starting to sound pretty good to me. She must have sensed that, because as she left, she gave me a strong hug, and it worked even better than the gels might have.

Tonight my sister Mary, a nurse, came over and pulled me out of my medical quicksand. Sitting on a kitchen stool, she recorded each drug name and its prescribed dose on the paper grid, using nurse-lingo like “M” for midnight and “N” for noon. Just watching her pen fly over the little squares was comforting. She completed the job accurately and thoroughly, relishing the whole process.

God’s tender loving care is in the details. Through the medical perplexities of this day, he made sure all my questions were answered, and he put my mind at ease (both brain sides). He also showed me (again) that if I have to walk through a maze, he’ll keep me from making any wrong turns. Whatever the needs, he’s always got them covered.

“God will generously provide all you need. Then you will always have everything you need and plenty left over to share with others.” (2 Corinthians 9:8, NLT)

Take heart.

As we readied for a short church service in our living room circle this morning, I thought of the thousands of families readying for church all over the country. We’ve not been to a “real” church since we got the shocking news of Nate’s pancreatic cancer less than a month ago. He’s not been up to going, and we all want to stay with him. I wondered how long it would be before we… or I… went back.

As we cleared our cluttered kitchen counter to set out eggs and toast, we found another Scripture rock tucked next to the microwave: Psalm 27:5.  We get to eat in our church, so we gobbled down breakfast while our daughter-in-law Katy opened the worship service by reading the rock-verse. For in the day of trouble, He will conceal me in His tabernacle. In the secret place of His tent He will hide me. He will lift me up on a rock.” These days are an earthquake of trouble, to be sure. How good to know God can and will lift us onto solid ground. After praying, we listened to one of Pastor Colin Smith’s sermon CDs. The subject was love.

Later in the afternoon, I needed some time alone, a rare commodity for any of us in our crowded cottage. I’ve not wanted to leave Nate’s side since the diagnosis, especially lately when he’s kept careful track of whether or not I’m in the room. But while he dozed comfortably in his chair, I found a leash and walked Jack to the beach.

As we paced along the shoreline, a tremendous sadness settled over me like one of those lead aprons the dentist lays on people before taking an x-ray. It felt too heavy to get out from under. Although I’m resigned to Nate’s cancer and the devastation it’s causing in his body, today the whole dilemma seemed extra sad. I wasn’t mad at God. He’s been loving and gentle with us every single day. But the thought of losing our favorite husband, father and grandpa overwhelmed me.

I hadn’t planned on picking up stones today, yet as Jack and I shuffled along, the strangest thing occurred. My eye, following the line of rocks along the edge of the waves, fell on a rock that was shaped like a heart, first one and then another… and another.  I put each one into my coat pocket, commenting to Jack at how unusual such finds were.

The more hearts I found, the more my spirit lifted. We walked half a mile or so until my pockets were bulging, dictating it was time to turn for home. Spreading out the bounty, I was astounded to find a heart-rock for each member of the family, including our three unborn babies, and especially including Nate. It was as if God was telling me, “I’m not going to let you ‘lose’ Nate. You’ll always know exactly where he is: with Me. In the mean time, remember how much I love you and yours… times 16!”

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What is man, that You should magnify him and that You should set your heart upon him?” (Job 7:17)


A rocky road

oct092My sister Mary and I love rocks. Beach stones, to be specific, from the shores of Lake Michigan, our childhood hang-out. There is no end to the variety of stones that appear on the sand day after day. Each is striking in its beauty, and no two are alike. In our opinion, a pendant made of a beach stone ranks right up there with a “real” jewel.

Mary and I are in our sixties, but we still get that same childhood thrill when we find pretty stones. Handling them is a stress-reducer for sure, and we look for excuses to do so. We’ve glued them on picture frames, mirror frames, candle bases, centerpiece runners, bird houses, flower pots and clocks. We’ve backed them with magnets for the fridge and have filled crystal bowls with them.

Last week Mary found a new way to use our stones. The morning after we learned of Nate’s pancreatic cancer, I was standing at the kitchen sink, a million miles away in my mind, when I spotted a pink beach stone on the counter. It was the size of a fifty-cent piece and had writing on it: Isaiah 26:3-4.

I knew immediately it must have been Mary’s doing. Here’s what the reference said:

“Thou wilt keep him in perfect peace, whose mind is stayed on Thee, because he trusts in Thee. Trust in the Lord forever, for in the Lord Jehovah is everlasting strength.”

With my mind in a whirl that day, those verses slowed me down and gave me something constructive to do: attach my thoughts to Lord Jehovah.

Two days later, a yellow “butterscotch” stone appeared, this one on the bathroom sink. Psalm 16:7-8:

I will bless the Lord who has counseled me; indeed, my mind instructs me in the night. I have set the Lord continually before me; because He is at my right hand, I will not be shaken.”

A few days after that, I found a third stone next to our computer. Psalm 9:9-10:

“The Lord will be a stronghold for the oppressed, a stronghold in times of trouble; and those who know Your name will put their trust in You, for You, O Lord, have not forsaken those who seek You.” 

This afternoon I found a fourth gift from the beach, a stunning piece of beach glass, rare because of its large size and aqua color. Beach glass is difficult to find anymore, since so many bottles are now made of plastic. But on this beautiful piece was written another Bible reference, Psalm 40:1-3:

I waited patiently for the Lord, and he inclined unto me, and heard my cry. He brought me up also out of a horrible pit, out of the miry clay, and set my feet upon a rock, and established my goings. And he has put a new song in my mouth, even praise unto our God: many shall see it, and fear, and shall trust in the Lord.”

With her Scripture rocks, Mary has found a way to link earth and heaven, thus helping us sort out the dilemma of having one foot in each place. The stones and beach glass help to pry our attention away from pancreatic cancer and attach it to the one who has the keys to life… and death… the foundational Rock, Jesus Christ.scriptue rocks