Sandy had been more herself in the morning, with her sodium levels back up to normal or near-normal, and she'd been moved from a clear liquid diet to a liquid diet, so she could have smoothies and shakes, at least. At times she was completely lucid; other times she was confused. But in general it was a much better morning than the one the day before.
I was worried about her upcoming radiation session. She had an amazing nurse that day, and the two of us together decided, along with the doctor, that Sandy should have additional steroids before going down in an attempt to minimize the inflammation. We thought we had a handle on it, could get her through the last session with less pain. I have no idea what would have happened without those extra steroids, but she was in agony even before they started, and much moreso afterwards.
The radiation techs, who we'd found to be a caring and friendly bunch, were alarmed by Sandy's pain and called in the attending radiation oncologist. She was annoyed, really, and told them to get Sandy upstairs right away, as that's where they'd be better able to manage her pain. So they called ahead to let them know we were coming, and we headed up. Sandy's agony was extraordinary, so much so that the transportation tech used her key and pressed 911 to commandeer an elevator. They have that ability if someone is having a heart attack, for example. She said she might get fired for using it this way, but she couldn't let Sandy suffer a moment longer than she needed to. I was so grateful for her compassion.
While we'd been downstairs, the nursing staff had moved Sandy's belongings to the bed closer to the window, as her roommate had left. This way she'd have more space and quiet until they could find her a private room. The nurse gave Sandy a tiny dose of dilaudid, a drug we'd been avoiding; though it was effective overall, it exacerbated her head pain right after she took it. But with the tiny dose, that didn't seem to be such an issue. And Sandy was able to sleep.
She woke periodically, when the pain sharpened or when her catheter tube was kinked. Suddenly, she'd have an urgent need to use the bathroom, and she'd try to rise, though she hadn't been out of bed in a few days. I'd have to calm her and try to unkink the tube or get a nurse to do it if it was tricky. Mostly, though, the periodic low doses of pain medication enabled her to sleep through the pain.
| A year ago, Sandy was trapped in the prison of her pain. Not nearly as easy to get out of as a playground structure. |
Our nurse was looking out for us, as concerned about Sandy as I was. And she was a good advocate. For example, she wouldn't let them place a patient who needed a bed alarm in the room adjoining ours, because she didn't want the "Mary Had a Little Lamb" tune to bother Sandy. As soon as a room opened up, we moved Sandy over. She slept through the whole thing, as she was wheeled down the hall, with all of our things carried along, and then positioned in the new room. The nurses who moved her were quiet, careful not to jostle her, and incredibly efficient.
My memories of that day are memories of pain and helplessness but also of intense compassion and thoughtfulness. I meant to send that nurse, in particular, a note of thanks, but I'm not even sure I can find her name anymore. I hope I expressed my gratitude sufficiently that day.
Sandy means the world to me, and she connected well with caregivers who had the chance to get to know her. But what impresses me more are the people who made sacrifices or went out of their way for the comfort and wellbeing of someone they didn't know at all. The tech who wheeled us up after radiation, who was willing to risk her job for Sandy's comfort, had never met Sandy and knew her only as a moaning, sometimes shrieking, lump under a blanket. The nurse who took such good care of us that day had interacted with Sandy a small amount, but not at a time that she was witty and generous. Yet she cared for us as if she had no other patients, no other priorities. I suspect she gave her other patients the same kind attention.
Radiation was done. Sandy lost so much during the treatment. But I don't blame the radiation itself for most of it. If the cancer hadn't spread without our knowing it, I believe the radiation oncologist would have been correct with his original prediction that everything would go smoothly. It was the cancer that stole from her, the cancer that killed her. A year later, I'm glad Sandy doesn't have to go through radiation anymore, isn't in the hospital, isn't in pain. But a part of me misses even that horrible day, because I could touch her, comfort her, and keep her company as she slept. I wouldn't want her to suffer, of course, but I ache to be with her again.











