Paul's Heart

Life As A Dad, And A Survivor

The Most Painful Second Guess


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For those of us, who have ever been blessed to have another living being, non-human that is, rely on us, trust us, be loyal to us, and just simply be given unconditional love in return, will undoubtedly at some point, be faced with the heartbreaking decision of having to say goodbye.

It is really an odd thing, that as a human, we possess enough compassion to deal with our fur friends with more compassion than for those who are able to speak of their pains and sufferings.  As people, many of us have seen people suffer with cancer, ALS (Lou Gehrig’s Disease), AIDS, and many other serious maladies.  But there is something that makes us have more compassion, with someone who cannot voice what they are feeling or enduring, under duress.

There will be two times when this compassion can be tested.  One is when a vet informs you of a terminal situation, whether by accident or disease, and the other, if lucky, simply old age.  It would be easier on all of us, if our fur friends would just cross over to the Rainbow Bridge without us having to make the painful decision of euthanasia.

First, understand, no vet, and I mean no vet, ever wants to be in a position of putting a family pet down.  When in that position, the vet knows it is in the best interest of the animal.  But ultimately, the decision still lies with the owner.  How do you know when it is time to release your furry loved one from its sufferings?  When does it become selfish to hang on for just one more day?

My belief, you just know.  You just know when the time is right.  I have known many people who have gone to extraordinary measures, five figure expenses just to continue the life of their fur family member, because that is what they believed needed to be done.  And in those cases, to their owners, they knew the time was not right.

In recent years, I have found myself in the position of having to make the decision to end my pets’ suffering twice.  I had a cat, that of all things had Lymphoma.  I had lymphoma and beat it, and we are a society that finds cures from animals.  Unfortunately, for Flash, our gray and white cat, he could not be cured.  And the lymphoma was creating issues with his stomach and being able to eat.  And there was no guarantee that by treating him for the lymphoma, that would resolve the lack of hunger issue.  Flash had already been exhibiting “avoidance” behavior, a common behavior of sickly animals, that hide from everyone else, just to go in peace.  And it took a long time, to find him just to get him to the vet to look at him.

But even more difficult, was when I had to make the decision to put my Golden Retriever Pollo down.  Approaching 15 years of age, and not having any issues with hip dysplasia, cancer, or cardiac, I had honestly hoped that with Pollo, when the time came, it would just be peaceful in his sleep.  I have written about his last few years, and love of mushrooms, that led to issues for him physically in his later years.

Truth be told, I made “the appointment” for him, at least twice, and both times something made me change my mind.  And honestly, it gave me more time with Pollo, selfish as it was.  But I had one guideline that I was using.  Pollo had only one way to communicate with humans, and that was his smile and his tail.  And my rules was simple, since Pollo’s tail wagged all of the time, yes, even in his sleep, if the time would come, that his tail no longer wagged, that would be his way of telling me it was time to let him go.

That particular November morning, I went to let Pollo outside for his morning “business.”  But, just as had happened occasionally, he needed help to stand up this morning.  Once I had him standing, he would not move.  I knew at this point, Pollo had lost much of his vision, and was fairly certain, most of his hearing too, but his tail never stopped wagging.

I could not get Pollo to move forward toward the patio door.  And then he relieved himself on the den floor.  I reluctantly looked, and his tail was no longer wagging.  Pollo seemed frozen where he stood, and assuming he could not see or hear, and that may have been his hesitation, I put my hand in front of him, as if to calm him if he could at least smell my scent.  But he could not.  Pollo was now in a world that he could not see, smell, or hear.  It was time.

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Although at the time, it was the hardest thing in the world to let Pollo go, I knew it was the right thing to do.  The pain of his absence at home, would occasionally cause me to wonder, had I done the right thing?  Maybe another session of Reiki could have helped like the other two times did.  And it is normal to want to wonder, could we have done more to have more quality time with each other.

It is a year and a half later, and I still miss him.  But in my rational mind, I knew then, and know now, he was suffering.  And as his best friend, I told him I would see him at the Rainbow Bridge some day, and said goodbye.

Pinochle


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One of my favorite things to do, during my break at work, was to sit at our break room table and play a card game with co-workers, called “pinochle.”  It has been awhile since those days, and I do not really remember all of the rules, but I definitely remember the object of the game.  The game is played with four people, with teams of two partnering up.  With the cards dealt, each team tries to outbid the other team to gain control of the hand, and then it is up to one team, to meet the number of points that were bid, and it is up to the other team to prevent that from happening.  Seems like an even challenge, two versus two.

It is a relatively easy game to learn, but it can be frustrating for a seasoned card player, accustomed to playing the hands of the game with certain strategies and certain cards being played to either make the bid, or “set” the other team back in points.  But there were many times, even after years of playing the game, I would be paired up with someone, who definitely was much better at the game than I was, would make the following comment at me, “playing with you is like playing against three people,” making reference that my plays actually helped the other teams.  It was not something I did intentionally.  It is just that in this game, and I stress it was just a game, I was not playing to win at all costs, and this frustrated him.  I played the game because I enjoyed it.

But in life, there is a concept very similar to the comment made by my former co-worker.  While not everything in life may not be perfect, or work out perfectly, and those involved in life, and notice, I am not saying the “game of life”, because life is not a game, actually can create the same atmosphere, whether unintentionally or on purpose.  There are those that you count on, to work with you, to understand you, to support you, which is not to be confused with “siding with someone,” but when their decisions are made, much like certain moves made in pinochle, it feels like you are taking on more than you thought.  Only there is more at stake than bragging rights at a card table.

Managing Meds


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It happens in an instant.  You can spend your entire life, having taken nothing more than vitamins, but with a trip to the emergency room, or a diagnosis of a serious illness, as if you did not have enough to deal with, you will most likely be introduced to the world of prescription medications.  So, now you will not only have to deal with possibly a life-changing situation, but now, you will probably be concerned with side effects from the new medications, as well as learning how to take the many new medicines that will become part of your every day life.  You will have to learn the timing of taking these medications as “absorption” of the drugs is just one of the situations that can have an impact on the effectiveness of the medicines.  There are foods that need to be avoided, and some actually increased.  Times in between taking certain combination medications.  There are many other issues that can impact “when” you take a medicine.  And for someone who has never taken a prescription medication for the long term, even one drug, having to take a regimen of drugs, and scheduling when to take them, simply put, can be overwhelming.

For me, my life turned upside down in 2008 with my heart surgery, a result from radiation damage for my Hodgkin’s Lymphoma back in 1988.  All of a sudden, I was taking 7 prescription drugs, along with several supplements for calcium and vitamin deficiencies.  For the most part, my meds were all single dose per day, except for one of my most critical drugs, for my heart.  That was taken twice a day, but I was having a hard time remembering to take that second dose.  It was determined that I could take a similar drug, with extended release action.  Regardless of the consumption being ideal to the medical world, I took all my pills at the same time, as part of my bedtime ritual, this way I would never forget to take them.  And for me, it has worked.  Again, not the way the doctors would like me to take the meds, but my body has done okay (just) with this method.

But then, one of my medications needed to be increased, and I was forced to once again, go back to having to take a med twice a day.  And having concerns how to remember, I did something I saw only elderly do…

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I bought a pill box organizer.  I was still able to take my pills at night, but to make sure that I remembered to take my pills in the morning, I always had my car keys sitting underneath the box.  There was no way that I would forget.  The system works when someone has all their mental faculties.

But what happens to individuals who have no one to care for them, and yet, must be trusted to remember to not only take their medications on time, and the correct dosages?  And follow all of the other instructions with each prescription?

My father’s situation was not just a typical example, but unfortunately all too common.  A combination of effects from two strokes he suffered during surgery to remove his lung cancer, complicated with cancer cells spreading to his brain, my father, not only completely independent his entire life, but also the caregiver for his wife permanently injured in a car accident, he was unable to monitor, and administer not just his pills, but his wife’s also.

We had hired caregivers, round the clock, but my father was notorious for sending them home.  His attitude was, his house, his rules.   I wanted to kick his pride right in the ass.  But even when the caregivers were there, they were not allowed to administer or even remind him, to take his pills because that was not part of their job description, officially or legally.

So, in the beginning, of this stage of my father’s life, I drove an hour, each direction, just to manage his medications, and my stepmother’s.

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I had to arrange two different boxes, and then somehow, figure a way to make sure that my father did not mix the two up.  I had to take a sheet of paper for each of them, write their name on it, and the name of each drug, dose, and how many times a day on it.  Then fill each container for both.

Within a week, I got a call from my father, that he had extra pills left over from earlier in the day.  I made the drive up to his house, and found out this did not just happen once, but several times.  I had to come up with a different solution.  I could not afford to stay with my dad, nor could I make daily 2-hour trips every day.

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After research, and some assistance from FB family members, I found out about an alarm clock that had multiple settings, just for the purpose of taking medications.  I could program it, and it would go off, reminding the patient to take the medications at that time.  The only thing was, I was relying on my father to remember why the alarm would be going off.  But for now, it was the best solution yet to deal with the mileage that I was putting on my vehicle just for managing his medications.

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Then I learned about something new, courtesy of my father’s pharmacist.  Most chains now have a delivery service.  The pharmacy gets the prescriptions, and prepacks them into the organizer, and then delivers them, normally at no extra cost. I want to make note, I was not trying to get out of the weekly chore or travel of managing my dad’s meds, but I knew as time went on, my father would need our efforts more as his condition got worse.  But for the time being, this system worked well, even my father who was not a big fan of trying something new, liked the idea of having the pills delivered already prepared.  Combined with the alarm settings, the system worked until the time came that my father approached his next level of care.

For those of you reading this post, if you are in this situation, I know how stressful, scary, and intimidating it can be.  I wanted you to see that there are options available to help you if you are thrown into this situation.

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