Wednesday 2 September 2015

Shaken & Stirred

Saturday is relatively uneventful except for the daily ‘black humour’ of Julie’s comments now, bless her she asked me this morning how I’d managed to move her in her bed up into our bedroom on the first floor without waking her and she pointed to the wall in front of her whilst talking to mum saying “Do you see those four pictures up there (there are no pictures) don’t they look like Olivia?”.. It’s tragically sad. The Nurses were here and there’s a bit of an issue, they order the drugs for the syringe drivers not I, apparently  ‘We’ are desperately low on the Dexamethasone vial, they’ve contacted the GP out of hours service to arrange a prescription and ask would I collect it once they’ve located a pharmacy with some, vials are uncommon so it’s not something on every pharmacy shelf, the bank holiday has thrown everyone, potential disaster averted for a local pharmacy had enough to see us through until Tuesday now.

Sunday 30th August, Julie is slowly returning to sleeping more, eating less and hardly drinking, confusion continues to reign too bless her. We’ve got visitors today; Julie’s dad is coming to see her thanks to the kindness of Julie’s first husband George. I’ve not told Julie her dad is coming, as the old saying goes ‘there’s many a slip between the lip and the cup’, I don’t want to raise her hopes for that in itself will bring more sobbing and that in itself is heart breaking for us to witness, we seem to spend a lot of time consoling Julie these days, the tumour is causing havoc with her emotions and as the hospice consultant told her she has no control over this any longer.

Early afternoon the nurses and carers who stream in and out are long gone when suddenly the doorbell rings, as I stood up to go to the door (That is deliberately left open all day now), Julie from her apparent sleep like state snapped loudly “Don’t let them in, Send them away!”. As I entered our hallway through the interior stained glass door I could see George & Julie’s Dad, Bob. I motioned them in and replied to Julie, “you’re not going to want to send these visitors away”. I’d moved close to her bed as they entered the room Julie burst into tears and my eyes welled up, I knew what this meant without further words being spoken, as Bob approached the bed and bent over the tears flooded out of them both and I stepped away towards George, I thanked him for his kindness in making this ‘mercy dash’ and I exited the room, Maureen had too, I came back in to see if anyone wanted a cuppa, Bob is extremely tall I’d guess around 6’3” and Julie’s bed was really low, I raised the bed to a more convenient height and I brought a tub chair close to the bedside for Bob to make use of.

Julie was in and out of sleep, she looks peaceful and as I say there is no indication that she is suffering (uncontrolled) pain. I’m much relieved that Bob has made it in time, the saying goes that no parent wants to bury their child/children, sadly in this case it will be so. Mid-way through the afternoon and conversations Julie started (without prompting) to discuss her funeral arrangements;  she asked me to confirm that I’d honour her wish to have her funeral in Grimsby, I have to admit as the time has grown shorter what was my original suggestion to Julie when she first expressed (if her funeral was here) sadness that her father wouldn’t be able to travel to be at her funeral and I said the natural thing to do was to have her funeral in Grimsby for this very reason and that the rest of the family were there too, recently though I’ve had personal reservations about actually doing this, even the funeral director I met with just ten days ago questioned ‘my madness'; her words were “Surely you will have your wife cremated locally for friends and family over here then take her ashes over to Grimsby for a service there?” I’ve got my own logic and reasons for fighting with this in my head one of them is my head ruling my heart for a change as in it is going to add around £1,000 to £1,500 to arrange for Julie’s body to be ‘repatriated to Grimsby’ on top of traditional funeral costs and given her very first conversation to me was that she “wanted to get out of Grimsby for good at her earliest opportunity” I can’t help but see the irony in her last day on earth being spent in Grimsby.. I just don’t know, I’ve always put Julie first and I’ve said every time what Julie wants Julie gets but and I do understand but raise it as part of my thought process so that you all understand the turmoil this is causing, so many times I’ve heard lately from friends and from family that they’ve not visited because it’s too distressing for them in other words (my interpretation is) their own feelings come before Julie’s. It’s difficult there are no rules and we are all guided by our own moral compasses and I’m probably going to become public enemy number one for even daring to raise the subject all I’ll say is I’ve not necessarily had the luxury to adopt your stances… Julie again in front of her Dad & George asked me “You will have my funeral in Grimsby won’t you?” Despite the personal anguish to myself, despite potentially depriving local friends who have seen her regularly either being put to incredible expense to attend her funeral or to have to miss it and despite the added financial burden the ‘repatriation’ will cost me I will honour Julie’s wishes, I truly believe that because Julie and I have lived quite a lavish lifestyle in terms of the amount of holidays we took or more like the believed lavishness of the holidays we’ve taken I’m certain there is a popular misnomer that “It’s alright Andy is loaded” my turn to go Hehe! I sodding wish! The issue and moral to this particular story is; in my eyes life is about doing the right thing and putting others before ourselves. So to confirm, Julie’s funeral will be in Grimsby, Julie’s wishes are those that want to attend should dress as if to party not to mourn, NOT FANCY DRESS I’d add, Julie wants us to celebrate her life.  (Potential burglars who trawl the net and Facebook looking for such sick opportunism such as was highlighted with Cilla Black’s recent death – Burglars be warned there will be friends staying in the house here until I return, we have alarms & CCTV too, the property will not be left empty at any time!) and lol trust me there’s ‘nowt worth nicking’ anyway.. Yes it’s bizarre discussing Julie’s funeral as Maureen & I sit here watching her sleep but that’s the reality of life.

Bob and George spent the best part of four hours here before as you’d expect, tearful goodbyes. Bob had brought some free range eggs off her brother’s allotment along with some rhubarb, Julie waxed lyrically about stealing her granddad’s rhubarb as a child and getting a bag full of sugar to dip it into and suffering his wrath for ‘nicking it’, the brain is a funny thing, Julie can remember events from 45 plus years ago but last week had no recollection of having two huge seizures and a hospital visit, in this instance though that’s a blessing.

Monday was quiet our dear friend June popped over, Julie's slept through most of her visit, bless her she’s so tired these days, I can talk, I went up for a shower and decided to grab a half an hour nap, four hours later….

Tuesday and well holy hell breaks out at Shute Manor. It started as a normal day after a night of broken sleep as Julie kept waking either wanting moving up her bed or wanting a drink or her lips moistened. I unmade my temporary blow up bed and returned Julie’s bedroom to normal all is tranquil. Around noon the Community nurses arrived to start mixing up the cocktail that goes into Julie’s syringe driver, my phone rang and it was the lovely Jayne from Macmillan Nurses, Julie appeared to be asleep and to save disturbing her and the team mixing Julie’s cocktail of drugs I stepped out of the room and into our lounge. Jayne and I chatted, I explained Julie was still on the up (again) despite all the forecasts of her demise however, she was still having between two and three morphine top ups via a liquid form called Oramorph, We are authorised to give Julie up to 6 x 2.5ml doses (15ml)  on top of the 7.5ml in her syringe driver. On three out of the last four days Julie has had 7.5ml in (3) top up doses, historically its been mainly two. Jayne and I agree its probably best to move her up to 10ml in the driver, I went back in to the other room and handed the phone to Carolyn our Nurse team’s head so the change can be made. As they were doing the driver the morphine can be increased today. Mum was standing next to Julie’s bed, she was waving her hand at me so I went over and BANG! Julie went ballistic and vitriolic on me! “Where the hell have you been? Conspiring behind my back you’ve been gone ages!” I’d been gone five minutes “you’re conspiring to kill me!” What did she just say and accuse me of??? I’m floored, the verbal assault continued “I know what you’re like, keeping me in my bed" there was so much effing and blinding I couldn’t believe it, Julie wasn’t known for swearing if she swore at me I knew I’d peed her off big time, this ‘attack came from nowhere and as I say was mortified. I explained why I had taken the call outside as I thought she was sleeping “that’s what you effing well say” as I continued I got the “Whatever”! I stuck to it and explained the morphine dose to go in her driver was the equivalent of just one dose that I give her at her request  each day. “You just want to keep me asleep!”. I tried to rationalise with her but it was just antagonising her, I backed away and sat quietly for a minute, the nurses were ‘Gobsmacked’ at the tirade of abuse, lol little did they know what was coming their way! I went back to explaining to Julie and reiterated the morphine increase in her driver will not send her to sleep it will for now reduce the amount we have to give her ‘manually’. She had just about accepted it and Carolyn approached the bed with Julie’s drugs in the syringe in her hand, she also had a replacement syringe driver as these have to be replaced and serviced regularly, trust it to be today… Julie flipped! “You lot must think I’m stupid! You forget I’ve worked with these things and your adding another f*****g driver to me, she was livid, she also had the wrong end of the stick but there is no rationalising with her. Carolyn explained the reason for the driver change and confirmed the extra 2.5ml Morphine will not knock her out or make her sleepy, it took a couple of minutes to replenish the two existing drivers, I assured Julie that if she felt and it was making her sleepier I would arrange for the dosage to be reduced. “You’ll tell me F*****g anything” I had to take control of this situation, “Apologise to Carolyn for swearing please, you don’t swear” ha like that was going to happen! After the drivers were complete I asked Carolyn to have a look at Julie’s tongue for me, she had either thrush or mouth ulcers in my opinion. “Hunny please open your mouth and stick out your tongue” she did for a nano second haha. I asked her again and so did Carolyn “No, I won’t I’m sorry but I don’t trust you!" Carolyn asked “Me Julie?” the answer came back “Yes you!, I’m sorry I don’t trust you!” all through this she was sounding rational.
Syringe Driver and Julie's bespoke Cath Kidstonesque bag
 

It took me a good five minutes to get her to agree to open her mouth for me and to stick out her tongue, it was felt it was both, we have some Nystan which is a fix for both conditions so I gave Julie a one ml dose and had her swish it around her mouth. Lol the good thing is she’s forgotten about the syringe drivers and the conspiracy theories and suddenly the reality of what had just occurred hit her and she started to sob in between apologising to Carolyn for being so horrible to her, Julie was mortified, Carolyn told her not to worry but assured her she was only here for Julie’s best interests and to keep her comfortable and healthy, a sobbed “I know, I’m sorry” came out, This is clearly Fluff on the march for the other drugs relieve anxiety & agitation. Within minutes an uneasy calm descended across the room. I walked Carolyn & Liam out apologising and going “Wow, no idea where that came from”, by now it was funny but it’s not, we’ve entered a new phase…

I had to pop out for the afternoon, I’d put some Take That tickets into a prize draw with all the profits going to Clatterbridge Cancer Charity, I wanted them to conduct the draw, the prize was worth just under £400 so it needed integrity. It was also a great excuse to see Karen & Louise of CCC. We caught up and Karen did the draw witnessed by Louise and myself. On completion I paid in the profit made of £572.25, whilst I had hoped to raise around £3,600 whilst disappointed I still felt good that friends family and friends of friends raised £572.25, I am thrilled and thank you to all. I hope too that this demonstrates that true to my word despite the bad taste incident written up in a blog a few weeks ago I confirmed then my loyalties in terms of fundraising, lie with CCC.

Driving home I popped into Barberanne’s to get my little bit of hair tidied up, a spooky coincidence, as I walked into what seemed like a school children’s playground, its back to school tomorrow and Thursday, it’s haircut time! The spooky coincidence, my dear friend Jeanette is busy cutting hair and chatting to her friend and our guardian angel neighbour from over the road Corrinna, we had no idea we all knew each other! Small world.

You’d think this was all enough excitement for one day but nope, I was about to walk into a comedy sketch tinged with sadness..

As I sat down at home talking to Julie and holding her hand Maureen in an adjacent chair. Julie suddenly said “I need to talk to you,...... alone” ok… what’s coming now? Maureen made her excuses and stepped out of the room, what followed well I’m still smiling. Here we go:

Julie: Have you made up the packs?

Me: What packs?

Julie: The information packs?

Me (no idea what she is on about) Oh them, yes I’ve made them up

Julie: So everyone knows what they have to do then?

Me: Yes, they all know…

Julie: Do I need to make my bank account look like we’ve been to France?

Me: France?

Julie: Yes, do I need to make it look like we’ve been to Paris?

Me: No hunny it will be fine like it is…

Julie: Oh OK then.

Within a minute she was in a deep sleep and I was chuckling like mad, it seems I’ve been married to an MI5 spy for all these years and never knew hahaha….  
It's a combination of the tumour and the sedatives that lead to these hallucinations and the confusion..It's sad but it makes a difficult situation well both funny and it builds memories for my memory box, I hope for family nd friends and those of you who have become attached to Julie will take comfort in this humour too, I've got one from my Dad's days I laugh to myself about it almost daily, I'm sure this one will never leave me..

It would have been an amazing end to a bizarre day had it ended here.

About fifteen minutes later Julie is wide awake, she’s looking straight at me. “OK, this is it then is it? I’m going to lie here and go to sleep and then I won’t wake up in the morning? Is that how this goes?” Wow! Weeks of fighting and refusing to accept where we are and this comes out so naturally and matter of fact.. I had to bite the bullet on this “Well one day that is or should be how it will happen hunny but to me you still seem too strong, unless you know something I don’t?” the conversation went to and fro trying to rationalise the conversation then another bombshell hit! “So is there any way we can speed this up?” to coin a very recent abbreviation.. WTF?? Where has this all come from? “Hunny, there’s no way we can speed this up, nature has to take its course, there is nothing we can do BUT you know Maureen and I will be here with you all the time?” With resignation she said “This is why I wanted to go into the hospice” I had to explain it would make no difference, home or hospice there is no option or alternative to mother nature taking her course.. I think to myself, thank god she cannot reach any of her drugs…

 

 

 

 

 

 

 

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