On Death's Door
Aug. 11th, 2023 10:41 amYesterday afternoon I took advantage of the fact I was already in San Francisco for client calls to visit my friend, Del, who's in hospice at the VA medical center. When I arrived Del's inlaws were already sitting with him. They flew out from the east coast earlier this week. Recall when Hawk and I visited Del on Saturday he was in declining shape and seemed just days away from death. His husband, D., asked his parents to come out; they made plans quickly and arrived on Tuesday.
Del has been up and down over the past few days. "Down" was him seemingly days away from death over the weekend, when he'd stopped taking nutrition and even stopped drinking water. Not drinking water for several days can kill a person as surely as anything else. But then earlier this week he rallied. He became a bit more aware of his surroundings and able to communicate briefly (understand he's still bed-ridden, gaunt, and weak) and started drinking water and liquid nutrition again. But then by yesterday he'd weakened again. His state when I saw him Thursday was both better and worse than the previous Saturday.
"Better" was that he was still drinking water, even if in small sips. He was aware that people were around him and could respond in ways like gripping my hand when I held his. "Worse" was that his breathing has become a bit ragged in a way that's an indication of death being near. (When my father was in hospice the nurse called it a "death rattle".) He also looks more gaunt than 5 days ago. And although he was trying to talk he wasn't making sense.
I'm glad that D's parents are there to help keep Del company. He has no blood kin; people he's related to by birth are all long gone— either from passing away or disappearing decades ago. And many of his friends are staying away right now. ...I don't entirely fault them. Being around a dying person is difficult for almost anymore. For some it's extra difficult. Though difficulty is not a reason to stay away. Hawk and I have carved out time to make several visits, and I took a few hours in the middle of a workday yesterday to do the same.
Del has been up and down over the past few days. "Down" was him seemingly days away from death over the weekend, when he'd stopped taking nutrition and even stopped drinking water. Not drinking water for several days can kill a person as surely as anything else. But then earlier this week he rallied. He became a bit more aware of his surroundings and able to communicate briefly (understand he's still bed-ridden, gaunt, and weak) and started drinking water and liquid nutrition again. But then by yesterday he'd weakened again. His state when I saw him Thursday was both better and worse than the previous Saturday.
"Better" was that he was still drinking water, even if in small sips. He was aware that people were around him and could respond in ways like gripping my hand when I held his. "Worse" was that his breathing has become a bit ragged in a way that's an indication of death being near. (When my father was in hospice the nurse called it a "death rattle".) He also looks more gaunt than 5 days ago. And although he was trying to talk he wasn't making sense.
I'm glad that D's parents are there to help keep Del company. He has no blood kin; people he's related to by birth are all long gone— either from passing away or disappearing decades ago. And many of his friends are staying away right now. ...I don't entirely fault them. Being around a dying person is difficult for almost anymore. For some it's extra difficult. Though difficulty is not a reason to stay away. Hawk and I have carved out time to make several visits, and I took a few hours in the middle of a workday yesterday to do the same.