Two weeks ago was my Uncle Tommy’s birthday. He had just come home from the hospital and moved into the assisted living facility instead of my parents house where he had been living the previous four years. His dialysis treatments and mobility limitations had just gotten to the point where my two 60+ year old parents could not keep up. He wasn’t happy about the transition and let people know in his wonderfully sarcastic way. But he was also a realist, he knew this was the way it had to be.
I heard about all of this from my parents or brother as I lived out of town. Tommy didn’t like the “home”, he was cranky, he hated the treatments and PT but all in all he seemed o.k. We made plans as a family to come together and celebrate his birthday today and moved on with life.
But in the last week his health got radically worse. He had another infection they could not find, he went back in for another surgery and had a heart attack while on the table. He made it out of surgery minus some lower intestine and was moved to ICU where he was alive but not much more. My dad called us and we made plans to head up and see him immediately but her said to wait. Tommy wasn’t going to get worse and he wasn’t going to know if we were there, being sedated like he was. Plans for today’s visit stayed solid. Then last Wednesday dad called again, Tommy was in decline and in one of his lucid moments had admitted that he was just tired of fighting. His body had been ravaged by a life of poor decisions and despite trying to clean up and live right while he had stayed with my folks, his mortal shell was failing him. Tommy lapsed back into a morphine induced sleep and the doctors advised that if we removed him from the machines he would be dead within a few hours. There was a long painful discussion where we decided to honor my uncle’s request to take him off the machines if he was not going to recover and we planned to meet on Sat. morning to decide.
Friday night my father called to tell us he had just left Tommy’s bedside and he was the worst he’d ever seen him. He was hooked to every machine in the room, he was breathing through a tube, having his blood recirculated, and just laid there as pale as the sheets, eyes rolled up into his head and hands shaking.
“We are going to disconnect him when you get here tomorrow. The doctors say he’s done, he looks done, I want to do what he asked.”
So we made the drive, gathered as a family, and went to the hospital to say goodbye and try to do right by Uncle Tommy. Only two people are allowed in ICU to visit at a time so my parents went in to see him first. 15 minutes later my father returned to the waiting room looking like he’d seen a ghost.
Oh shit, I thought. He died last night and no one called us…
“Dad, you alright?”
“Yeah, you and Genie can go in next”
“What’s up?”
“It’s Tommy, he looks great”
“What!?”
“Compared to yesterday, he looks amazing, we can’t do this, not with him like that. He’s all there.”
So Genie and I went in and there he was. He recognized us from across the room, waved, smiled his shit-eating grin and we had a 15 minute conversation about everything from the baby to where we were traveling next week on business and Dad was right, he was all there. Do not misunderstand, he still looked haggard, his hands still shook, and he was still a little pale but there was the old glint in his eye that he knew something you didn’t. He started to get tired and we said good bye, he thanked us for visiting and rested his head back as we left.
As we all gathered back in the waiting room with the Dr. we wondered the same question; well now what do we do. The Dr. noted that he was still not in good shape, not at all, but he was a hell of a lot better than the day before. The first and best smart ass I ever knew had pulled one over on us again.
So we are going to stay and visit a few more times, hope that tomorrow is better than today, and maybe the day after is even better. Like Genie said; “maybe at Christmas we will be laughing with Tommy about that day back in July when we all thought he was gonna die.”
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