an impossible decision…

Quotes about Decision and love (120 quotes)

The moving truck has already come and gone. By now, they should have reached their destination outside of a suburb in a large metropolitan Texas city. They will have already begun unpacking boxes and assessing the situation.  Having shoved various items haphazardly together, she is probably wondering if it will even be worth the time to unpack everything, or if they should simply choose the bare essentials. 

It was a last-minute decision.  Even down to the day the truck was scheduled to arrive, they still hadn’t fully committed to going back.  The worry was not in asking their renters to move on such short notice, as they found themselves with an impossible decision and needed a landing place if they were to move back. After all, even up until the very last moment, the situation of whether they could rent their home out or not would be the least of their concerns. If they chose not to go back, they could always find new renters.

It was leaving here that would be the difficult decision.

She would be leaving a piece of her heart behind.

I have spoken to her several times over the nine months.  She has been carefully weighing her options and waiting.  Maybe somewhere in the dark recesses of her mind she was hoping that the situation would not be as grim as it slowly came to be.

When the final diagnosis was given, the reality that something would have to be done came to the forefront of her mind.

Her mother was dying from ALS.

She tried to look for signs, something that would push her in one direction or another.  She called me, asking if we had a home available. 

We do not.

She asked if it would be easy to care for her mother in a home that is not her own, and because of that, would making changes to the floorplan even be an option.

It was not.

When her husband was laid off from his job, and her employer demanded she work remotely, she took it as the final sign.  They would move back to Texas to care for her mother.  Between a world-wide Pandemic, and the uncertainty in her husband’s employment in a small North Idaho town, it seemed maybe this would be the best decision.

But was it?

Her teenage son is navigating his senior year during a time of stress and precariousness in every possible way. He wants to attend school, because online learning is hurting his GPA, and he misses the social interaction with his peers.  He is even willing to wear a mask all day, every day, if it means he can enjoy this last year of school.

He has lived in this small town for eight years.  Long enough to fit in, and to belong, and long enough to have created life-long friendships.

If he left now, what would that mean for him?

The rights of passage for every young adult leaving behind their childhood is meant to be fun.  Some would say this will be the best years of his life.  However, the prospect of ending his final year of high school with such finality is detrimental for both he and his parents.

It is doubtful this year will hold treasured pep rallies, fundraisers, or lectures of the dangers of drugs or drinking, that most teenagers scoff at or roll their eyes at, yet every adult hopes they take to heart. Nor will there be the customary dances such as homecoming, or even prom. Besides the previous year’s graduates, it is doubtful his final year of high school will compare to any of those students who come after his class.  These graduating students will have missed out on all the lasts of their high school experiences.

So when his mother made the announcement that they were going to have to move back to Texas to help care for grandma, you can imagine the heartbreak and intense feelings of desperation he must have been experiencing.

He was already navigating a world of loss.

Now his family was asking him to sacrifice even more.  To leave his high school sweetheart, friends and his first job. To leave the comfort and beauty of their small town and return to the hot, dry and busyness of city life once again.

He hadn’t cared for it as a child, and he knew he wouldn’t care for it now. And he was determined not to go back.

His mother was now forced to make the most impossible choice.

She chose to leave without him.

The decision to let him stay was not easy, and she second guessed it even after that moving truck was pulling out of the driveway. All she can do now is trust that she raised him right, and that he would carry the weight of this new responsibility as well as possible.  She prayed and prayed some more. There was no easy option.  Then again, ALS is never easy.

It would be too difficult to move her mother up here.  They would have to find new doctors, and potentially buy another home during a risky economy and unknown futures.  While I tried to assure her that we have an excellent care team, support groups and incredibly caring families that can help pitch in when the difficult parts were upon them, there was another dilemma that had to be addressed. A stepfather who is also sick and will need care and possibly chemotherapy.  It was too much to ask them both to move over a thousand miles in the conditions they are in, and one would not leave the other behind.

This woman made the only choice she knew to do.

She chose to leave a piece of her heart behind, with the hope that he will be happy, and to experience what little of a senior year he could.  She chose to uproot her entire life to travel to another part of the country to care for the other piece of her heart. 

The guilt either way will wear heavy on her.

With no family to ask to watch over her son, she is relying on church members to check on him from time to time.  Her newly eighteen year old son is being thrown into adulthood, and she has now become the caregiver to her mother who has already lost her speech, and ability to move more than a few steps.

She made the most heart wrenching of choices to leave her child behind and to launch herself into the new found role of being a full-time caregiver, praying she has the strength to watch her mother slowly deteriorate in front of her.  The worry and stress will be compounded as she is faced with the disease and what it steals. Instead of worrying from a distance, it will become all too real. And she will now have the added worry of all the things that could go wrong while she is so far away, with little support for her son and trusting in others to help watch over him. 

There is no right or wrong way to handle this. There is no easy way out.  All they can do is rely on each other to get through what they each need to get through on this journey, and hope to come back together in the end, stronger than ever.

Like I said….an impossible decision.

His pride will be the death of him…

His pride will be the death of him.

He has ALS, but the struggles and the stress of the disease were only compounded by an ego that even still, refuses to accept the diagnosis.

He received the news two years ago. A strong, fit man who took great pride in his physical prowess, is tearing apart his family; the stress of the sudden caregiving and his quick progression are taking a toll on his wife. His refusal to ask for help, let alone accept any offers of support. He goes so far as to refuse support and care for his wife. She is seldom allowed to leave his side, and any suggestions for others to help is quickly taken off the table for discussion. His idea of what honor is will be death of the both of them.

Who am I to judge how someone navigates a death sentence?

My role in their lives is simply to listen. To offer suggestions, stories of possible outcomes and ways to alleviate the often-overwhelming medical jargon, equipment, therapists, and progression. When families reach out, my role is to soften the blow, and hopefully offer a ray of light while they are traversing through a blackened tunnel. I often compare and count my blessing as I listen to many stories, and todays was no different. I have heard of stubborn men, but this man may win the prize.

His independence will be the death of him.

His breathing and speech are quickly becoming problematic. Yet when there was a suggestion over a year ago to start learning about feeding tubes, he simply stormed out of the office. He didn’t need a feeding tube. He never darkened that doorstep again. Matthew’s situation was similar in that, very quickly into his diagnosis, it was suggested he have a feeding tube placed. “Just in case” was the suggestion. You don’t have to use it, but it is there if you need it. And by having the feeding tube placed early on in the diagnosis and progression, it becomes simply one more task to see to, but is definitely the lesser of the stressful tasks. Thankfully, Matthew agreed. Less than seven months after his diagnosis, his feeding tube was inserted, and after a half day stay in the hospital, we left and went about our lives. I flush the tube, clean around the tube and could probably replace his by myself if need be. (We have a backup tube in the closet….just in case)Her husband refused to even discuss the option, preferring instead to believe that he would be healed and that his diagnosis was a mistake.

Now, as he is months, maybe weeks away from dying.. choking on his own saliva, barely able to eat or drink for hydration, I can’t help but wonder if he regrets his actions. Does he wonder if maybe having a simple procedure such as a feeding tube could have prolonged his life? At the very least, maybe it could have kept him from starving to death, or dying of dehydration, or pneumonia brought on by choking and bacteria entering his lungs. There will need to be IV’s inserted to help alleviate pain if his veins don’t collapse from the dehydration. Maybe his stubbornness, pride and ego could have been spent on better battles?

His vanity will be death of him long before ALS.

His wife recalls walking into their living room, having left to go grocery shopping. There, she finds him doing wall squats, as his best friend is tossing a medicine ball for him to catch. He is straining, determined to gain his strength back. His refusal to accept the disease and limitations only progresses the ALS. He pushed himself beyond what his body could repair, and two days later, his legs simply stopped supporting his weight. He has never walked again. He has spent the majority of the last year in a recliner. His wife bears the brunt of his ego, and now physically moves him from the bed, to the commode and to a chair, with the help of a manual wheelchair. His pride once again stopping him from seeing a power wheel chair as a resource. He has refused all help to learn how to navigate and adapt.

Matthew texted me, just over a year into his diagnosis. “I am fine, please don’t worry.”

Of course, nobody in the history of being told not to worry actually doesn’t worry! I had been sitting in an evening class, working towards a bachelors degree. I rushed out of the classroom, refusing to even offer an excuse for the disruption. Matthew had fallen in the parking lot, and with my children witnessing his collapse and no way to help, Matthew simply decided it was no longer worth the risk or the potential trauma. He began using his power wheel chair to alleviate any potential falls, and he gave up his last aspect of health and independence. He stopped driving all together.

This man is now on Hospice. He refuses to let his wife utilize the respite care that is offered. Two times a week, she leaves for two hours to play tennis. It is her only outlet, her only reprieve. Matthew is a former Marine. I honestly don’t know what we would have done without the help of the VA. Within two years of his diagnosis, we received four hours a week in aid and attendance. The aid helps with laundry and dishes, and the caregiver helps Matthew urinate in a handheld urinal.

As his disease has progressed, we have gone through so many caregivers, I have lost count. But I know how incredibly lucky we are to have the help we have. I also know how difficult it must be to accept help from strangers for intimate situations such as using the bathroom, but I cannot always be there to lend a hand and it is nice knowing I don’t have to worry about him when I need to leave. I still do the majority of the care for Matthew. I feed him, bathe, shave and cut his hair. I still do almost all of the transfers, and usually push him to eat more often throughout the day than he would prefer. I nag him to get sunshine, and to rest. And I know how incredibly blessed we have been to have in- home health care; therapists that help with range of motion, and a caregiver four days a week for six hours a day. It allows me to run errands, spend time with my children, work from home, and meet families navigating this new world.

I honestly doubt if they had caregiving support daily that he would allow her to have a break…day in and day out. His disease is so far advanced he needs to use a computer to speak, his eyes straining against a foreign software program. He can no longer control his bowel movements and wears diapers to contain the mess. Every day, she cleans him up, repeatedly bathing him, dressing him and setting him back in his recliner. She tries to feed him but it is getting too difficult.

His stubbornness will be the death of him.

I wonder how she has cared for her husband for the last two years, watching the man she has been married to for over forty years slip further and further away from her and not feel such grief and loss. I wonder how she is not scared, after battling breast cancer last year by herself, including a mastectomy to remove any residual cancer, and jumping right back into caregiving, putting herself last, in order to put his care first. I wonder how she is not furious that they are facing foreclosure, losing a business, as well as learning her husband let his life insurance lapse shortly before his diagnosis, since he felt it was a waste of money…how is she not furious that when he passes, she will find herself having to go back to work at almost 70 years old having lost everything they ever worked for in this lifetime together?

His refusal to accept his diagnosis will be the death of him…

I work from home part time. I have income from a rental property. I know I will be ok, even after Matthew is gone. While we are far from rich, we get by. We are able to pay our bills and help others from time to time. I am grateful every single day for the help and resources we have. While not much, it is beyond helpful when I compare our situation to others. There is not a day that goes by that I am not fully aware of how lucky I am that we are not in that same situation. How does she not curl up in a ball and give up, when she realizes that whatever was left of their savings was spent on holistic doctors who “couldn’t promise a cure” but encouraged a three week stay to relieve him of heavy metals in his body. In the end, it only relieved them of the dollars in their bank account.

Matthew relied on his specialists to teach him about the disease. He listened to them and was unwilling to chase potential cures or treatments that had no scientific data to back it up. Her husband refuses to see a doctor, nor learn about ways to navigate and potentially extend his quality of life. During times when I am at my breaking point, I count my blessings. I am beyond grateful for Matthew. His quiet calm, his ability to think of others, and his willingness to learn new ways to adapt to the challenges that he faces every day.

I can’t help but feel my heart break a little when I think of what burdens that woman carries. She is alone in her struggles, even as she has been by his side.

His pride will be the death of him…❤

It’s what we do.

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Today is the last day of November. It is also the last day to recognize caregivers. November is the designated month to celebrate the caregivers in our lives.

And much like what it can feel like to be a caregiver, the month went by with little recognition. And that is okay.

Most of us don’t do it for the praise, or the pat on the back. We certainly can’t say we do it for the money or the fame. We do this for someone we care about, someone we love.

But, for just a moment, I want to give you a peek inside the life of a caregiver.

• We get interrupted sleep, and we seldom (if ever) sleep a full 8 hours.

• We eat our meals last, or even standing up, in a rush to move onto the next check item on our to-do list

• We juggle so many things at once, we have a hard time focusing.

• We coordinate, organize or rearrange our schedule to take care of everyone else.

• Sometimes, we want to think of ourselves, but then feel guilty for it.

• We worry…all the time.

• We sometimes feel overwhelmed at the responsibility of caring for another.

• We have a rash of emotions that spread over us quickly, and yes, sometimes they might seem irrational. Don’t worry, the feelings dissipate quickly.

• Showers become the only private time we get to ourselves…

• We are the advocate, and the voice and the warrior for the person we care for.

• We have moments of selfishness, of wanting to not to have to think of, or put another person over ourselves all the time.

• We remember how much we love the person we are caring for, and somehow, all those emotions, and the weight of what we do seems less heavy for just a while.

• We often feel alone.

• We cry in the shower because the sound of the water washes our tears and drowns out our anguish.

• We smile through the irritations, or frustrations…and yes, even through the pain.

• We can’t imagine not trying so hard.

• We live with guilt over not being enough…every.single.day.

• We know that this role we play won’t last forever.

• We hate being told it’s not about us….

• We get irritated when others try to give us advice but have no real-life experience with the same situation.

• Seeing our loved one smile can make the frustrations and hardships more bearable.

• We would still make this choice, if it means just one more day with those we love.

Remember, you will either be a caregiver or need a caregiver at some point in your life.

If you know a caregiver, show some empathy and compassion. It’s a tough job.

If you need a caregiver, show some empathy and compassion, it’s a tough job!

 Matthew Wild