Tired

Last night was lively. Although Nate had his usual medications for pain, nausea and anxiety throughout the day, by evening he was agitated and restless rather than his usual mellow. For a man with stage 4 cancer, he had way too much energy. As bedtime drew closer, I wondered if he would go to sleep. It reminded me of the feeling I got with a newborn, wondering when I put him/her to bed if we’d have an active night or a restful one. New babies are unpredictable. A man with pancreatic cancer is the same.

The rest of the household drifted off to their various beds and their expected sleep. Once Nate was settled, I sat beside him in the dim light of his room and wrote the blog, wondering why he didn’t “clunk” right off to sleep as he so often does. I went to bed at about 1:00 AM, hoping to sleep right through.

By 1:45, I was awakened by Nate checking to see if I was sleeping. I remember the same experience with one of my pre-schoolers tapping me on the shoulder during the night and saying, “Mom, I’m not going to wake you up, but I just have one question…” That, of course, was after he’d woken me up.

I took Nate’s hand and led him back to his hospital bed. He wasn’t tired and wanted my attention. “I’d like a drink of water.” After that, he said, “I’d like a drink of milk.” He seemed to be in toddler mode trying to postpone bed time.

I opened the shade in his room and showed him the night sky. “See?” I said. “It’s night time. Everyone is in bed. You have to sleep, too.” He nodded and obediently got back into bed.

Around 3:00 AM I heard kitchen cabinet doors and water running. Shuffling toward the commotion, I found Nate in the middle of making coffee. “I’m feeling like a cup of coffee,” he said, as if it was the middle of the afternoon. “Want one?”

Taking the decanter out of his hand and pouring the water out, I shut off the lights and said, “Look at the clock. It’s still night time, and we’re both tired.”

Once again he nodded and without resistance took my hand to head back to the bedroom. I wondered how many more episodes we’d have before dawn. This kind of a night goes on forever.

In an hour I heard him again, rummaging through the bathroom cabinet. “I can’t find my comb,” he said, as if he was getting ready for work. “I have so many but can’t find even one.”

Around 5:30, I heard him vomiting in the bathroom and found him struggling to stay standing while hanging onto the towel shelf above the toilet. It was long-distance vomiting, but of course he couldn’t get down on his knees. Soon it was morning, and I got up, walking to Nate’s room to check on him, fully expecting to find his bed empty, but there he was, sleeping soundly with his mouth open and his hands clasped across his chest. Just like a baby who’d been up all night, he needed rest.

Finally, at 2:00 PM, I wondered if he was in a coma or some other distress that was keeping him unconscious. It was difficult to wake him, but he finally roused and sat on the edge of the bed. He looked out the open window shade and said, “Oh. Morning. I can get up.”

“You’re partly right,” I corrected. “You can get up, but its not morning. It’s afternoon.”

Today he slept most of the day in his chair, waving away our attempts to bring him food. The mug of coffee he requested had been reheated four times but was still unsipped at the end of the day, and when he finally crawled into bed, he was completely worn out from doing nothing.

As I tucked him in, I quoted some Scripture, but he was too tired to participate. I sang two hymns, but his eyes were closed, and at the end, barely moving his lips, he whispered, “I’m so tired.”

“Though He cause grief, yet will He have compassion according to the multitude of His mercies. It is of the Lord’s mercies that we are not consumed, because his compassions fail not. They are new every morning: great is thy faithfulness.” (Lamentations 3:32, 22-23)

Sadness and worry

This morning began with a bang. Actually, I should say a crash. Nate lost his balance in the bathroom while I was still sleeping and went down between the sink cabinet and the tub. The weight of his fall pushed his shower chair up against the tub faucet so hard it severed a pipe joint there. Amazingly, he didn’t hurt himself, except for a slight cut on the top of one foot.

Nelson had been up since well before seven and heard the crash before I did, racing in to help his father. I thought of the many times Nate had helped his children get up after little-kid falls, comforting them and giving them the universal parental encouragement: “Hey, you’re alright!” Usually it was true. Now the roles are reversed, his child is helping him up, and the “You’re alright” part is not true.

By the time I arrived, Nelson had Nate back into bed, and everything was calm. Scripture certainly speaks truth when it says, “Two people are better off than one, for they can help each other succeed. If one person falls, the other can reach out and help. But someone who falls alone is in real trouble.” (Ecclesiastes 4:9-10)

As we sat together and I held Nate’s hand, I said, “I’m so glad you didn’t hurt yourself.”

He responded, “Oh, I’ve got strong bones,” apparently forgetting his bones have cancer and are extremely frail. I nodded and decided it was me that needed recuperation, not him. He seemed fine.

All eleven of us are coping with Nate’s cancer in different ways. Nate is struggling immeasurably, yes, but the rest of us are struggling some, too. My brother came this afternoon to go through files, both Nate’s personal stuff and his law office records. There are still missing pieces to the puzzle, and Nate can no longer tell us where to find them. We did this file-work in the basement so as not to upset Nate.

Thankfully, we found everything we needed, but the process was stressful, at least for me, partly because we needed to hide in the basement and partly because I’m not a numbers person. I can’t imagine handling all I’ll need to handle. The Lord gave us Lars, though, who is a numbers person, and he’s volunteered to take over for me. Although he says it will be “easy”, I know it will add a measure of stress to his life, too.

All of us are trying to handle the strain of cancer in our lives. None of our kids have complained about that, but every so often I see one or another of them sitting quietly just thinking, not reading, not talking, just staring at nothing. There’s a lot to think about.

As for me, I don’t know what to think. Yesterday while running an errand, I passed an elderly man standing on a corner in the rain with a bent cardboard sign reading, “HUNGRY. HOMELESS. GOD BLESS YOU.” An all-consuming sadness came over me, and I burst into tears so overpowering I had to pull my van to the curb. Having grown up in the Chicago area, I’ve seen many homeless people but have never wept like that.

The only thing to do was to get some groceries and bring them back. As I handed the bag to him, I looked into his eyes and ached all over for his misery. Since I was feeling miserable, too, it seemed we shared a valuable experience in that brief encounter. He thanked me four times and said he was going to find immediate shelter (from the drizzle) and eat whatever I’d put in the bag. “It will taste so good!” he said. His smile showed a half-dozen missing teeth, and I promised to pray for him. Back in the car, as I brought his plight to God, I wept all over again. I still can’t figure it out.

I worry about Nate, wondering when he’ll fall again, and I worry about the kids, hoping they’re talking it through with each other. I worry about myself, hoping I don’t come up short when the needs increase and I have to be stronger than I am today.

But God was ready for all this worry and sadness. He had us find another one of Mary’s Scripture rocks today, just in time.

“The God of all grace, who called you to His eternal glory in Christ, after you have suffered a little while, will himself restore you and make you strong, firm and steadfast.” (1 Peter 5:10)

The comedian

Nate, the serious lawyer, is morphing into a comedian these days. Unfortunately, his “jokes” are unintentional. Yesterday he asked if there were any male-female couples in our immediate family that he hadn’t yet met. I quizzed him again and again to be sure I’d understood him correctly, but I had. Finally I said, “You’ve met each of them: Nelson, Lars, Linnea, Adam, Klaus, Hans, Katy, Louisa and Birgitta.”

He responded with satisfaction and a nod, “Good. I just wanted to be sure.”

I had to laugh, but at the same time it wasn’t laughable. His comments in the last few days are a bit off, not always, but often. I try not to think about the possibility of his cancer being responsible, but my mind goes back to a conversation I had privately with his doctor two weeks ago. I’d asked him if the cancer could go to Nate’s brain. Instead of giving me a “yes” or “no”, the doctor had said, “It’s in his pancreas, liver, lungs, bones and blood. What do you think?”

We haven’t changed his meds in two weeks. Although I’d like to blame the drugs for his new off-kilter comments, most likely they’re not responsible. We’ve watched Nate lose weight and strength, lose his appetite and energy, and lose the ability to write and read. But watching him lose common sense and prior knowledge is the worst of all.

Nate has always been a walking, talking encyclopedia. We didn’t need Britannica or World Book with him sitting at our dinner table. He’s been exceptional at remembering history’s dates and places, names and faces. Where has all that gone? Is his mental slate gradually being erased?

Yesterday we were expecting a visit from one of the Hospice nurses, and he asked me seven times who was coming and at what time. This is a man who never forgot an appointment and kept his whole life straight with a few Post-it notes and a very sharp brain. It’s not easy to see him become forgetful and confused.

Sometimes he recognizes he’s said something off-the-wall. When that happens, he’ll shake his head, as if to disperse the fog, and say, “I don’t know what I’m talking about.” Hospice tells us he’ll soon cross over a mental line after which he won’t realize when he gets his facts mixed up. This, they say, will be a relief to us and a gift to him. Who knows. He may come up with all kinds of interesting knowledge and counsel we never knew was in him. On the other hand, he could end up saying whatever is on his mind without any social filter, possibly causing offense or embarrassment. These adventures lie ahead of us in the not-to-distant future.

I’ve asked two doctors and several nurses how we should handle this. All have said we ought to “get into the fantasy” with him. Attempting to bring him back to reality will only agitate him further.

Proverbs 12:25 says, “Anxiety in a man’s heart weighs it down, but a good word makes it glad.”

Maybe our “good words” will be those that go along with Nate’s confusion. Such a tactic might decrease his anxiety and even our own about what is causing him to lose mental ground. As always, it does no good to dwell on the losses. Instead we’ll continue to appreciate the Nate we are privileged to have today.

Lately, it’s become difficult for him to work his cell phone, but this afternoon he managed to pull up a voice mail left by a friend. “I should call him back,” he said. “Can you get him on the line for me?”

I dialed the number and put the phone to his ear. He listened quietly, eyes locked with mine in an expression of deep thought. All of a sudden he said, “I just really want to get this over with.”

I was shocked. Was he referencing his battle with cancer? Inviting him to talk further, I said, “Get what over with?”

Screwing up his face like a little boy who’d just sucked on a lemon, he said, “This phone call.” I laughed and took the phone from him, snapping it shut.

“Done,” I said.

“Therefore we do not lose heart. Though outwardly we are wasting
away, yet inwardly we are being renewed day by day. For our light
and momentary troubles are achieving for us an eternal glory that
far outweighs them all. So we fix our eyes not on what is seen,
but on what is unseen. For what is seen is temporary, but what is
unseen is eternal.” (2 Corinthians 4:16-18)