I have been following along with some these challenges in this thread because I surprisingly (to me) found myself suddenly dealing with this.
I don’t know why I was surprised, parents are 83, 81 and in-laws 81 and 80. My father, the 83 year old, has advanced Parkinson’s (diagnosed 25 years ago!) but has one of the strongest wills to live I have ever seen. Each new illness, additional symptom, other complication, he just fights and fights back. This is how it has been for years. He is in a wheel chair and occasionally gets confused, but is still very engaged and involved. My mom, 81, looked like she was in her in 60s. Her mom lived to 99, her grandmother born in the late 1800s, lived well into her 90s, unusual for that time! She has spent her life (willingly it seemed) taking care of my father.
In-laws both in excellent health, live in a hillside house that basically has six stories from basement to top attic. Crazy house they bought in their 70s, over our objections. Father in law started getting very weak last year, fell twice, hired a personal trainer, changed some things and now looks like he is in his early 70s again. Un-retired and went back to work even.
So, I figured, hey 80 must be the new 70, so I have another decade before I worry about this, enough to get niece, nephew (one of my siblings died many years ago and I have been very involved with their education since) and my kids off to college and launched. Of course, the universe has a cruel trick to play on that thinking.
Two months ago, everything went upside down. My mom, healthiest of the four, took care of herself the most and most strictly, was diagnosed with a meningioma. (I am struck by some parallels with the other thread above on this!) She had been having debilitating vertigo and headaches and it took a few months to sort through other possible causes. She scheduled the surgery at a nationally academic medical center. The surgery itself was very long, 12 hours. But according to the neurosurgeon a complete success. It has been her breathing, more specifically her cough and gag reflex, that has been the problem. It is weak. Not from anything related to the brain surgery exactly. The cranial nerves look fine. But she is now on a trach, and while she can breathe fine on her own, the doctors were worried she didn’t have a strong enough reflex to clear her secretions. She has been transferred to Long Term Acute Care Rehab, which she did not want, and not regular Rehab, which she really wanted. She is on oxygen, and also a feeding tube.
But the worst thing here is that on day 3 or 4 post surgery (so for almost two weeks), she has written on her dry erase board (she can’t talk with the trach yet) that she wants to die. This makes no sense, of course, because she could have opted to die without the surgery. The tumor had blocked the spinal fluid already so she was pretty ill right before, and could have opted for hospice. But she did not. She wanted to keep living. So, it has to be the brain surgery messing with her brain and her mood. Unfortunately one of my siblings just is pushing now to let her die. Claims mom said she never wanted to live like this. OK, but she isn’t living like this, it’s temporary. Why are we looking for a permanent solution to a temporary problem? It’s a real struggle. My dad and my nephew (her grandson) are visiting daily so have gotten caught up in the drama of it all, they want her to live. And my poor dad, who is the one that always had someone taking care of him, is now trying to deal with this complete upside down world. He has a caretaker, thankfully, but still.
But the recovery is really hard, I get that. She has to want to do the exercises, the work, and so far for about a week has refused most of the efforts. But agreed to try for a period of time. Or at least agrees for that day, until she writes again to next person who visits that she thinks she should die. she always trended dramatic, and I am very rational, so I don’t know when I get back to be like: “mom stop being ridiculous.” Or maybe try and remind her why she bothered to have this incredibly risky surgery to begin with?
I was there bedside for the first 10 days but now have to take care of some things before I can get back next week. I plan to spend a month there and see if we can get her focused on positives. My in laws (saying they are speaking from the 80 year old perspective) wonder if my mom was just tired of her life as caretaker and so doesn’t want to fight to return to that life. I would think we can try and tell her that the world is her oyster once she recovers. She can have any kind of life she wants, we will make it happen (well two of us, the third sibling I hate to say it I think is fine with her dying. And that sibling seemed closer to her than the rest of us). So tough. I hate to say it but it would have been so much easier if this was happened to the more chronically ill parent. Not the one in perfect health (other than the meningioma!)