Thank you all for your responses to my earlier posts, particularly the ones regarding the Advanced Directive debate.
I have been thinking about this and all the other associated issues quite a lot over the past week as I have had an unusual amount of time on my hands. The reason for this is that last Friday I was kicked out of home and left to free-wheel down Forest Lane until I was taken pity on by the driver of a flatbed truck who craned me onto the back and kindly dropped me off at the local Salvation Army.
OK but what really happened was that I started a two week period of respite care, and so this post is brought to you from the comfort of my room at St Michael’s Hospice in Harrogate. Since moving from London to Harrogate at the beginning of April this year Louise, our families and our friends have worked tirelessly to look after me, and as a direct result are all now completely knackered! After discussion with our care team we all agreed that a short break for my non-professional carers would provide an opportunity for them to re-energise, whilst at the same time providing the necessary care for me in a friendly and comfortable environment.
I originally viewed the thought of entering any institution with trepidation and a certain degree of fear. These feelings were entirely baseless, having had no previous experience of a hospice or care home, but were primarily born out of the stigmas that such places carry. I am delighted to tell anyone in a similar position that the reality for me has dispelled those preconceptions and fears as my room is very comfortable and the staff friendly and helpful.
The level of care is meeting my needs far better than I could have hoped for. It has also allowed me time to spend with family and friends in a way that otherwise would not have been possible. For example yesterday was our wedding anniversary, and for the first time in a long time Louise and I sat and watched a movie, shared a bottle of bubbly and held hands for three and a half hours, it was like being somewhen else.
I will let you know how my next week goes, but until then please keep your comments and questions coming.
Much love, Neil
'Trepidation' was an understatement. Neil had been digging his heels in for weeks about the hospice as several health professionals had been suggesting it. He was scared of going to the place where people go to die. I think anyone would have the same feelings, and Neil wasn't ready yet. He had also become so reliant on the people close to him, that knew how to look after him, he was understandably terrified of trusting new people to cover all his needs and keep him alive.
He knew that his loved ones at home would listen and feel for the slightest gap in the seal of his mask against his face. He knew that we would come in to a room just to move a hair from his brow or lift a pillow by just an inch to ease some pain, and how to have his chair tilted and adjusted to exactly the correct angle for the hoist to lower him in comfortably, but most importantly of all, he knew we were listening and listening only for him. It took a lot of courage to put that trust into strangers.
I had been almost as nervous as Neil the first night he was in the hospice. The staff had admitted to us that they hadn't seen someone with Neil’s level of care requirements for ten years. They had done as much as possible to make sure Neil was accommodated properly, and we spent most of the day getting him there and settled in. His brother Matt and I packed everything we could think of that he would need, but we were still nervous that we may have forgotten something vital.
I hadn't had time to realise that it would be so quiet at home, just me and Oscar. The normally hated sound of the ventilator wasn't there, and I couldn't relax without it. The respite was there so that I could get some rest, but I hardly slept at all that night for worrying about him. I had given the baby monitor to the hospice so I was worried about Oscar too, I think I eventually slept on the floor in Oscar's room, just to relieve some anxiety.
The next morning I bundled Oscar in the car first thing and drove straight to the hospice. I didn't want Neil to wake up without us. I remember the road being really quiet, it must have been a Sunday, and autumn leaves were blowing across the road. I don’t know if it was the leaves or just my sheer exhaustion, but I didn't see the rabbit run until it fell under the wheels of my car, I just couldn't hold any of it back any longer. I must have sat in the car and cried for five minutes, not about Neil but about the rabbit. It felt so unfair, that I killed something on the way to the hospice, I couldn't quite make any sense of it, and there was my beautiful baby asleep behind me in his car seat, oblivious to all the emotions of the day. The hospice staff calmed me down, no emotional mess that came through their doors seemed too much for them to care about, they were a relief.
Neil, despite being an animal lover, laughed at the mess I was in, told me to 'man up', and asked me what the hell I was doing at the hospice instead of resting at home. Our friends arrived later that day and one of them gave me a 'circle of life' talk, said the dead rabbit will have provided much-needed food for another animal, and it was only then I could put the whole thing into perspective, and separate the emotions of killing a poor rabbit from the emotions of having a dying husband.
I know I won't be alone in experiencing these outbursts. Your own emotions get buried when you're caring for someone and it's always an unexpected trigger that draws them back out.
I'm not sure 'celebrate' is the correct word for having a wedding anniversary in a hospice, but we did manage to have some time alone. For a couple of hours I felt like his wife, as there were nurses within shouting distance and I could lift a bit of the responsibility from my shoulders.
I pushed his chair across the room so I could sit in it next to his bed and joined him in drinking champagne through a straw in the bottle. I wasn't going to sit there with a champagne glass if he couldn't. We had a good couple of hours to watch a film before Neil got exhausted and we turned the baby monitor back on. My friend came to pick me up, and I think I managed to hold in the tears till I shut the car door. – Louise (2013)
On a lighter note, what’s one rabbit? Our mean lean feline killing machine had 30 confirmed bunny kills last year. Unfortunately his slightly larger rounder idler mate ate the majority of them! Such is nature.