Plainswindmill

A month ago, Richard and I were returning home from our last-minute, rushed trip to see his mother and family in northwest Arkansas. He was walking with a cane, dressing himself, and generally able to function perfectly competently if perhaps less gracefully than he once had. We figured that he'd be good for a while longer.

Four weeks later, he is bed-bound, and has been since the morning 17 days ago when he was "too tired" to transfer to the wheelchair and be rolled to the table for breakfast. He hasn't left the bed since.

He's now too weak to sit up without help, or even roll over. He can't dress himself or manage the in-bed urinal. (His sense of humor is still intact though. He asked the other day if I had known I would be adding "urinal wrangler" to my job title. I said, "No, I didn't. But I don't mind.")

Richardbed

His left arm and leg have gone limp, apparently because the glioblastoma which has fingered throughout his right hemisphere now impedes his brain's ability to process signals from his left side.

Instead of the button-down shirts and creased Wrangler jeans he used to wear, he's now clad in a long-sleeved duofold t-shirt and an adult diaper under a mound of blankets. (I've added "diaper changer" to my job title as well. It's stinky and messy, but vital.)

For the first time in the nearly 29 years I've known him, my 180-pound husband eats less than I do, ingesting around two cups of food a day. But he can and does feed himself, and he enjoys his food–and his morning coffee and evening half-a-Belgian beer.

And even though his once-rich tenor voice has shrunk to a halting whisper, he can still talk, and does, commenting with wit and intelligence on any conversation swirling around him.

In short, he's pretty healthy for someone who is dying.

"Healthy" in the context of the journey he is on, and in the sense of the origin of the word, which comes from an Old German root related to "whole." Whole as in able to take this journey with eyes wide open and a healthy heart and spirit, determined to enjoy the moments as he can.

"Dying" in the sense of "in decline." He gets weaker every day, and all sorts of nasty little problems have begun to crop up of the sort that indicate physical decline: skin sores, dry mucous membranes, difficulty with bowel functions, those scary gulp/choke noises he makes every so often…

As his oncologist pointed out, he's been healthy throughout, especially considering that he has weathered four brain surgeries, a course of radiation, and two courses of chemotherapy. "He's had two good years." (It's actually two years and 89 days since the Sunday morning in August when he saw birds–not that I'm counting.)

Richardswim

In that time, he's been able to do some sculpture, travel, take long walks, go on a week-long meditation retreat, perfect his sourdough bread recipe, teach me how to lay sandstone pavers, swim in the snowmelt-cold Arkansas River on his birthday, finish projects around the house, collaborate on the design of a public interpretive garden, and participate in a couple of art shows. (The photo below is from "33 Ideas," a show put together by Colorado Art Ranch at Denver International Airport.)

33ideas

Two years, she reminds me, is long for someone with Grade IV brain cancer. The usual prognosis is a year from diagnosis, and he started out with traumatic brain swelling that could have killed him right then.

The other morning, after I shoehorned myself between the rails of his hospital bed and his warm body for our snuggle time, he said,

"I used to say I felt gratitude for being able to walk about on the surface of this extraordinary planet. But now…"

He paused.

After a while, I said, "And now you can't walk about. But you can still be grateful to participate in life on this extraordinary planet."

"Yes," he said. "I am."

Two years and 89 days… However many more days we have, it won't be long enough.

Datenight

I posted this haiku on Facebook and Twitter this morning, inspired by the out-of-season flowers blooming on the dwarf Meyer lemon tree just inside our sunny bedroom patio door:
Sweetly intense fragrance
drifts from Meyer lemon blooms
Breathe, love, breathe!

Meyerlemon

The last line refers to where we are in this journey with Richard's brain cancer: near an ending of sorts. "Of sorts" because I understand the end of life as a beginning of a new arc in the endless turning wheel of life itself, recycling what we thought of as "us" into new existences. As Ralph Waldo Emerson wrote,

"Our life is an apprenticeship to the truth that around every circle, another can be drawn. That there is no end in nature but every end is a beginning."

Thus my sense that this has been a week of firsts, not lasts, first steps in the life -transition we're headed for more quickly than either Richard or I ever imagined.

For instance, Monday was the first time that Richard decided he'd rather eat dinner sitting up in bed, instead of transferring his wheelchair to be wheeled out to the dining table.

Tuesday brought his first-ever massage in a hospital bed, a gift of our friend and massage therapist who brings her portable massage table to our house once a month. "I can climb onto the table," he said. He couldn't. When Jeannie tactfully suggested that we just crank up the hospital bed for an in-situ session, he agreed.

Wednesday was the first time he allowed me to shave and sponge-bathe him in bed, instead of wheeling him into the bathroom. Also the first time he wore his Duofold night-shirt during the day instead my changing him into one of the button-down shirts he's worn almost every day of his adult life. And that night marked the first time my fastidious love didn't want to be wheeled to the bathroom to brush his teeth "Maybe tomorrow," he said when I woke him up at bedtime.

Thursday, when I offered breakfast in bed because he was so groggy and weak, he consented, another first. And he who has always loved his food only ate about two-thirds of the special four-organic-whole-grain hot cereal I make for him every morning, topping it with his favorite homemade yogurt and fresh fruit.

Richard

Yesterday my once rudely healthy and active love stayed in bed all day for the first time (barring hospital days after his four brain surgeries, of course). He needed help just to sit up. And his smile, once a constant, appeared only one time.

Today for the first time ever, he wasn't really interested in food. I got him to drink a cup of juice this morning; late this afternoon, Molly fed him a small cup of homemade yogurt the way he likes it best, mixed with fresh peaches, cinnamon and ginger.

You can probably see where these firsts are going. I certainly can.

Rsink

Mind you, my love of the questing intellect, boundless creativity, and generous heart is still very much here. Up until today, he has spent an hour or two talking about his art over the breakfast table (or more lately, the breakfast tray in bed) with Molly and other friends. And he's engaged in long and thoughtful discussions with a stream of visitors, talking about life, death and how the Buddhist concept of lovingkindness applies to our everyday existence.

One final first, another beginning out of endings: I started writing this post to the rich notes of Molly playing a medly of classical and folk music on her flute. She's an incredibly talented flutist–she won a full-ride college music scholarship in middle school–but hasn't picked up her instrument in years. Today, as a surprise for her daddy, she did. And he smiled. Two beautiful gifts.

Mollyflute

On reflection, that last line of today's haiku also seems like good instructions for life, wherever we are on the journey. Breathe, love, breathe. As long as you can. Again, and again…