Here I continue the story of my ex-husband Blake’s fall off his perch. See 115journals.com for previous episodes.
Alice just called. Should Blake have blood thinner shots?
I am known as the Alice whisperer now. Like Blake, I am old enough to be her grand parent, so what the hey. The younger members of the family are more familiar with being the target of Alice’s angry shouts to get out of her house and leave Blake alone. That would actually be Blake’s house of course. But that chapter’s over and done with.
After Alice broke Blake out of Toronto Western Hospital, things went downhill on the home nursing front. Mercifully, I was left out of the loop at 1 a.m. when, once again medics trundled Blake down the narrow stairs from his third floor bedroom, and took him to Mount Sinai Hospital.
Alice just called again now. The doctor says Blake’s hemoglobin is so low, blood thinner may cause a bleed. So no.
Yet another day of sitting beside his bed and talking to the palliative care resident, the palliative care doctor, the nurse, the pharmacist, the social worker, the resident internist, not to mention the diaper changing crew and the meal shleppers. Hard enough to answer questions without Alice asking complicated meds questions of the social worker or hospice questions of the pharmacist. Always Blake was consulted on decisions. Did he want to continue treatment with Zolodex. No, he didn’t. Two interviews later, by a different expert, well, yes, why not. He’d been taking it all along after all.
Daniel and I are silently shrieking, “Stop. Stop. It’s over.” Alice is buying even the smallest unit of survival time.
The Zytiga costs $4,600 a month, but all Blake has to pay is $600 for one last bottle before the drug insurance runs out. I have no luck contradicting that decision. Alice has POA. (Yes, I had to look it up – power of attorney.) She gets to make decisions.
Alice takes it hard when the resident explains that a hospice makes the patient comfortable, but does not treat the underlying disease. By the end of the day, news arrives that Blake will be moved to the hospice unit of Sally Ann’s Toronto Grace in the morning. He is there now and that is where Alice has been calling from.
It took me the usual 2 hours to get back out of the city. I was so shattered, I took a short cut which turned into a long, long cut. At home, I showered, brushed teeth, gargled and made plans to burn my clothes. Then I fell into the unconsciousness of sleep at 6 p.m. Spending a day trying to keep Alice from messing things up and countering her rude cracks at the staff has that effect.
He is completely changed. He doesn’t care who helps him sort out Mr. Peepee and the handheld urinal. I say, “Good boy” and he’s satisfied. He snoozes and wakes up to ask questions. “David’s Savings Time?” “Air bubble?” Some I can’t decipher. “I need to borrow a lot of money,” he announces. “Why?” “To solve this problem.” We skip the obvious. The problem will be solved soon enough. “You just got your pension cheques,” I say. “I’ve paid your property tax,” says Alice, “and you still have $80,000 free in your line of credit.” But he has actually read the family’s mind. We thought we would need to pay for private hospice care. “I can hear phones ringing and somebody saying, ‘I’ll transfer your call’.” The nursing station is far enough away that I certainly can’t. I feel sorry for the young man in the next bed who is recovering from orthopedic surgery. How hard this must be to overhear.
Blake is listening when the best news of the day comes. His prognosis is down from 6 months to 3, and that is why he got a hospice bed.
I rub his feet. I touch his forehead. I do not allow myself to grieve. I can do that once I get out onto the Queen E. where the freeway traffic thins and all the way up Erin Mills.
Once I got rested, I felt how sacred it was. He looks like one of those elongated saints beside a Gothic Cathedral door. He has lost all his angry edge that made the last six weeks so hard. There is nothing left of the womanizing misogynist that wrecked lives. The essential Blake is there, just shining through.