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Sunday, 28 June 2015

Dorset Diary or How a Fall Broke the Spell

Back from Dorset

I can’t believe we are back from Dorset already. It doesn’t seem like a week has passed. Ellwood Cottages did not disappoint and it’s hard to describe what a calm and relaxing place it is. The kids forgot to bring raincoats but the weather was so good that they didn’t need them. It was all going so well…let me share some diary entries with you:

June 20th

So here we are again at Ellwood Cottages. Arrived safely in beautiful hot sunny weather. Bit of a   delay getting down as queuing traffic at Stonehenge. Listening at this moment to an absolute explosion of birdsong.  John and Anne as lovely and helpful as last time, the cottage is absolutely spotless – such a pleasure. Crisp, clean white cotton sheets and fresh towels. The hoist, although a standing hoist, is not exactly like our own. Perhaps we haven’t quite got the sling right? Seemed better going to bed so looks like we have it right. So far haven’t forgotten anything vital. All ventilator parts present and correct. Lovely first evening sitting out in the little rose garden watching the birds with Roch –swallows, sparrows, finches, crows and jackdaws  – as the horses grazed beyond the fence against a background of rolling green hills. The perfect setting for Roch’s beer and cigars!

June 21st

Longest day of the year. Yesterday was overcast but muggy and warm. We made the much anticipated return visit to the Udder Farm Shop – such a success last trip and no different this time round. Delicious food in the restaurant served by lovely people and then shopped for fresh organic local produce. Kids frolicked in the playground for a while. Getting used to driving on the little twisty roads again. Felt very tired in the evening so had a rest and then played Cluedo with the kids. Did R feel excluded? Hard to know – he said he was okay reading. Kate even came up with a plan for him to play using his I-pad as he can’t hold the cards but he gave it a miss. A couple of episodes of ‘Orange is the New Black’ – something of a Dorset tradition for us.  Still getting used to the hoist but no mishaps and all settling down here. Can’t get him out of bed by myself and he can’t turn in bed by himself. Last night he asked me to turn him at 2:45am and I had to get Tom to help. Luckily those two had only just gone to bed and were still awake.

4:30pm Father’s Day today. 
Father's Day 2015

Cards and Game of Thrones tee-shirt from the kids.
Loving the rose garden.
Noticed nesting boxes today – one has a sparrow family inside. There is one rose which smells of lemon. Exquisite. 
A most delicate lemony scent

 Swim today with Kate. 30 minutes in the pool, practising our strokes. Really loving the exercise. She looks like a mermaid in the water –all that lovely long red hair. What a beauty our girl is.
This is such a restful place.  Note: Roch does seem more frail. Only when he is ensconced in the recliner or in his wheelchair does he seem confident and relaxed.  Sitting on the bed this morning he fell sideways. He was still in the sling but when I detached the sling to move the hoist, to put on his tee shirt (The House that Jack built) he keeled over and I had to call Tom to help me set him upright again.
I am developing a great love of birds and must clean out our bird feeders and buy a birdbath when we get home.

June 25th

Well, it’s happened. I guess we’ve been pretty lucky that we haven’t had to call for an ambulance before now. Last night we did. He fell and we followed the accepted professional advice and called emergency services. Unfortunately it happened at about 12:45am which somehow made it that much scarier. He had been, as I thought, secure in the hoist. I was steering it into the bedroom, a journey of a few short steps from the recliner. He was in the doorway when his knees gave way and before my horror-struck gaze, he slipped out of the sling and fell backwards onto the floor, his head hitting the (thankfully carpeted) floor with a thud. The kids came running from different directions. He lay still for a time to recover and assess any damage as their poor shocked faces looked on. Options were discussed. There was no bleeding and he hadn’t broken anything. He didn’t want an ambulance called and we were all reluctant to disturb John and Anne. Eventually we compromised. 

We had to call for an ambulance because we would never have been able to get him up ourselves, and we had to make sure there was no injury we couldn’t see; but after a while, at his request we moved him to a sitting position, leaning up against one of the seating cushions from the sofa. Tom sat beside him on the floor, alert to keep him from slipping sideways. Kate and I prepared to venture into the darkness in an attempt to find a phone signal. 

We made for the very back of the garden. I could feel the coolness of the damp grass through my sandals as we moved through the pitch black, the only light coming from the little emergency lantern I carried. Kate called John and Anne to let them know what was happening and I called 999. My heart sank as my calls failed a number of times but eventually my call was answered. Back to the cottage and on the way I saw that there were lights on at the main house. I felt bad that we had disturbed them. Sure enough, they emerged into the courtyard and I hurried over to explain. As we talked, the sound of laughter carried across from the open window of the cottage. Tom was distracting Roch with Youtube videos.

Kate and I had opened the gate to the courtyard and she was waiting there with the lantern. John, Anne and I joined her there to keep an eye out for the ambulance.  It was a balmy night and quite dry. We waited for 30-40 minutes under a starry sky and eventually we saw the lights of the ambulance.  John and Anne went back to the house and we brought the ambulance crew to the cottage. Liz and Jessica had come from Dorchester and they managed to get Roch sitting on the side of the bed, using the hoist. Liz explained that they couldn’t put Roch in the sling and that we would have to do that in case he fell again, as if he did, it would technically be their fault. So Tom put the sling on him. Liz examined him while the children looked on and I answered Jessica’s questions as she filled in some paperwork. Roch’s head and backside were sore and he was shaken but otherwise okay. They stayed while we settled Roch to bed. Kate was dead on her feet as she’d been up that morning at 6am so she went off to bed too, but Tom wasn’t ready for sleep so we stayed up watching RuPaul's Drag Race – don’t even ask! We 'Sashayed Away' at 3.3am but I don’t think I got to sleep before 4 and woke at 8. I think we are all a bit fragile today.

It had been such a lovely day, too; a swim in the morning for me and the usual coffee and cigars for Roch, sitting in the sunshine. After lunch we drove to Sherborne, a very pretty town, and went to see Sherborne New Castle, once the home of Sir Walter Raleigh. The guides were anxious to make sure we all got the most we could out of the visit. We had arrived late but they gave us a whistle stop tour. We saw the pipe Sir Walter reputedly smoked on the scaffold and Tom and I had a quick gallop round the shop, while Roch was treated to a slide show (access only on the ground floor so the slide show brings the disabled visitor through a tour of the upper rooms). Then we trotted round part of the grounds and garden (designed by Capability Brown) and back into Sherborne for a pint for Roch. 

Yes, it was all going so well before the Fall.  We are restricting transfers to short distances only – no wheeling him around in the hoist. Two people on the job and on high alert during transfers. Glancing through my diary entries, I think I am guilty of complacency. His condition has seemed relatively stable for so long and we have had no disasters. I was clearly uneasy about the hoist from Day One but I managed to convince myself that it would be ok.
Roch, as always, takes a philosophical view. It could have been worse, he says. He wasn’t hurt and we all worked together as a team. That man can see the positives in anything. That’s why I need him.

Home now and facing a week of appointments. He had trouble turning last night but thankfully no problems with the hoist here. We are being extra vigilant. I have emailed the OT as I think we may have to think again about transfers. His legs are weaker – the right leg may be giving up. 

It’s hard on the kids.

Will we go back to Ellwood Cottages? We hope so. 

Wednesday, 17 June 2015

The Will to Write

 “Get it down. Take chances. It may be bad, but it’s the only way you can do anything really good-  William Faulkner

 I blogged the other day about how my mind-set has changed, how I no longer regard Roch as a dying man. When I began this blog on 24th  March 2010 I wrote:

“Ok so now I've started. I'm a blogger! I've decided to blog about my life, specifically since my husband was diagnosed with MND last June. For those of you who don't know, MND stands for Motor Neurone Disease. It's a progressive degenerative neurological condition (what a mouthful) and at present he is 'living with it' but we all know it'll get him in the end. He calls it 'The monkey on his back'. If anyone ever asks me 'Which living person do you most admire?' I will tell them 'My husband, Roch.' He knows this. I've told him. He is the bravest person I know.”

Well, he’s still the bravest person I know, so that hasn’t changed, and it’s going to get him in the end, all right. But that was six years ago and we went into this thing thinking we had very little time left together. You know what? We were wrong. I don’t want to get complacent but I realise that I need to stop telling myself that my stuff can wait. In my head there’s a date, a time I call ‘l-a-R’ time. That’s ‘life after Roch’ time. I told myself that when the worst happened, I would be able to concentrate on my writing, that it would be my consolation, something all my own to hang onto for dear life. Now I realise that I can’t put it off and use Roch’s illness as an excuse any more. I need to get on with it, rejoice that he is still here, very much alive and accept that I must weave my writing through and around our life with MND with purpose and intent.  After all, as my mother once told me, “Cheer up, you might die before him, and then you wouldn’t have to worry about it.” Ah,  there’s nothing like a mother’s comfort.

The Will to Write

There are days when I wake early and Roch doesn’t need me yet. I lie in bed and allow inertia to take over. I feel exhausted but sometimes I do get up early. Sometimes on those days I stare at the blank page, bleary eyed and with an aching head. The pages of my notebook are full of self-pitying entries, negative thoughts where I berate myself, interspersed with attempts at self-encouragement:

March 24th 2015 Five years from First post

"Feeling low today. I never dream about flying anymore. I feel like I have little direction, just emptiness and sadness. I feel like I could be more to him. The worse he gets, the more distant I feel from him. I wish I could get down to more writing. Wishing isn’t doing, I guess. Same old, same old. What changes do people see in him? Neck brace, struggling for breath at times when speaking. I feel like I don’t help when he lacks motivation. I’m busy, busy, busy all the time. I need to sit quietly with him more. Ah well, at least I can say I bring him to football. And meanwhile where is my life going?"

May 13th 2015

"Desperate to write something good, something successful. I long for those sessions of writing clarity, when the words flow and you know what you’re doing! I cast around for ideas. I spend more time reading about writing than I do writing. I keep telling myself to stick to a schedule. Do a few hours every morning. In the meantime I write horrendous poetry (but is it horrendous? Is it?) and FAFF ABOUT!Fact: I have had SUCCESSES!!Fact: People like my writing!Fact: Spending too much time on twitter and Facebook.Note to self: Put phone away when writing." 

June 4th 2015

"No writing, that’s right, begin with a negative. Hospice Nurse came today. I miss D. Felt under pressure to respond as the dutiful wife (Inside I’m screaming). So, not possible to be completely honest. Note to self: explore this with Monika. Where is he to die? Hospice or Home? His use of the word “burden”. Do I make him feel like a burden? Shifting the mind-set…I am very much in my own version of MND world today."

Here’s a good one:

21st January 2015

"I’m excited that after my entry here yesterday, I opened up the laptop and wrote a story for a competition. It feels good. It made me cry (how very self-indulgent of me). It was C---- at the door which was just as well, as he wouldn’t have noticed a thing! I sent him away as Roch was still sleeping. My story is about a quilt. It has elements of truth all wrapped up in some pretty strong fiction. I’m very happy with it.”

That story didn’t get anywhere in that competition, so I’ve recently entered it into another. It would be lovely if it was longlisted, shortlisted – won! But even if it doesn’t appear on a list anywhere, I love it and I loved writing it.I ask myself the question: What do I need to be happier in this life? I know the answer to my question. Set time aside to write.

“Folks are usually about as happy as they make their minds up to be.” - Abraham Lincoln

I do find the 'twittersphere' great for picking up motivational quotes. But time to put the phone away now...

Monday, 15 June 2015

Six years since diagnosis: Tennyson, Assisted Dying and Living Life

Six Years of MND

Coming up to the sixth anniversary since Roch’s diagnosis, it feels like a time for reflection. Neither of us thought that he would last this long and to my surprise I’m finding that reaching this stage requires a change of mind-set on my part. In fact, our reactions to the reality of his survival well beyond initial prognosis appear to me to be quite different and I find this interesting. On my part I realise that I no longer view my husband as someone with a terminal illness. It’s true - his deterioration has been so slow and I am so used to his level of disability that although I find it trying at times and struggle with the limitations it imposes on both our lives, I don’t see him as a dying person. To me, he’s just Roch. I have ceased thinking about his death and this means I need to focus more on acceptance of Life as it is now and for the foreseeable future. It means living in the moment not just as a couple, but for me as an individual, too and not postponing life until some future uncertain l-a-r* date. But this is for a separate blogpost.

A Young Man's Fancy

I think Roch’s feelings are different. Alfred, Lord Tennyson once wrote:“In the Spring, a young man’s fancy lightly turns to thoughts of love.”This quote shot into my mind as I began this post, but I amend it here to match our circumstances:

“In the Spring, a brave man’s fancy grimly turns to thoughts of death.” 

Doesn’t have the same ring to it, does it? And yet, it’s true. I have no doubt that thoughts of death are often in his mind, but June is a special time for us. This June especially, death is very much in our thoughts, as an old and dear friend is dying, not from MND but from cancer. Roch feels it acutely. Six years ago he expected to be dead long before anyone else of our acquaintance. Once again, I know his thoughts are occupied with questions about how his own end will come. What form will it take? How ‘decrepit’ will be be? (His word, not mine.) The internet is a wonderful thing and yet it can also be a frightening thing. We read about other men and women living with MND as they and their loved ones document their experience. Some of what we read scares us. He dreads a long and lingering death, immobile, unable to communicate freely. He often speaks of suffocating, choking etc.  His doctors cannot tell him how the end will be for him, because they don’t know. They can’t answer his question because everyone with MND is different. Of course not everyone with MND will die a lingering and distressing death, but the best I can say to him when we read of someone else’s struggle and misery, as they battle against distressing symptoms at the end of life is:

“It may not be like that for you.” It’s little comfort. How do we know?

So Roch ponders the manner of his death and worries, feeling that he has no control and not enough information.  Aware that Assisted Dying is illegal in the UK, Roch feels his options are limited. He would like to choose the manner and time of his death but presently feels that to exercise control he may decide to refuse food and drink. What would the physical symptoms be? What would the level of pain/discomfort be? If he didn’t accept nutrition, but was kept hydrated – how long then before the end? 

The hospice nurse is unable to answer these questions and as the law currently stands, we can’t expect that he will. He really cannot discuss issues around end of life in any context which might be construed, however tenuously, with Assisted Dying and so tries valiantly instead to offer reassurance to Roch; that his death is not imminent, that the palliative care at the hospice is excellent, that his family are more than willing to continue to care for him as long as it takes. We know these things, Roch knows these things, but knowing them doesn’t help him.  Roch remains in a state of constant anxiety and will continue to wake at night on occasion, with ‘the horrors’ as he describes it, facing an uncertainty about his end with no control over the outcome. He doesn’t want to die. We don’t want him to die, but if he is to enjoy the rest of his life at all, he needs to have control over the end of it.

Assisted Dying Legislation in the House of Commons

So earlier this month we were delighted to learn that MPs are to debate Assisted Dying legislation on 11th September. Labour MP Rob Marris, who is introducing the bill, said,

“Alongside the vast majority of the public, I am in favour of terminally ill people who are of sound mind having choice at the end of life. It is a choice that I would want for myself and I do not think we should be denying this to people who are facing imminent death.”

This will be an opportunity for Members of Parliament to debate the best law which will not only give dying people choice but also protect the vulnerable.

So here we are, on the eve of 16th June, six years since diagnosis and we are still making plans and trying to enjoy as much as we can together, as a couple and as a family. Wouldn’t it be nice if Roch could relax and make the most of what’s left to him, untroubled by thoughts of his death, knowing he would have some control at the end? 82% of the public would agree. Do you?