Active dying

It's odd how the hospice terminology becomes part of your vocabulary. Today we saw further signs of Ed's downhill road. His urine became red. Hospice nurse Karen says that can happen, it's not unusual. He is probably bleeding from the kidney and maybe the liver, and that blood finds its way to the catheter. His cough, while minimal and sporadic overnight, became more frequent early this morning, so I called hospice for advice. Turning him on his side only helped for a little while; he just doesn't have the strength to cough the junk out of his throat. We are now using atropine drops, which are normally eye drops, to try to dry out the secretions that are accumulating, and we now have a suction machine, but so far we haven't had any luck clearing up the congestion in his throat. Karen sat us down (Sherry, Becky, and me) to tell us we are in the final stages, otherwise called active dying. She says it could last 12 hours or 3 days; much depends on Ed's willingness to let go--and ours, because he hears and senses how we feel. The hospice chaplain spent an hour with us today; she was comforting and reassuring to him and us. Melissa was able to get a flight tonight, landing around midnight.

Despite his condition, Ed had occasions of acknowledging us, even giving me an emphatic "No" when I asked if the last suction attempt made him feel any better. He held my hand pretty strongly for a while this evening. My sister Marie called, and he listened attentively as she talked to him. Karen advised us to allow periods when just one of us is beside him and times when we all leave him alone. She says Ed will choose the situation he wants for his last breath, whether that be with us around him or him being alone. We can't know how he wants it to be, so we have to allow for times of all possibilities. Judi is here awaiting Melissa's arrival, and Debbie and Sherry are here for the night, so Ed and I have plenty of company.