Showing posts with label nursing home; hospice care; will he live anyway; immortality; brain damage; liver damage; regeneration of new liver cells. Show all posts
Showing posts with label nursing home; hospice care; will he live anyway; immortality; brain damage; liver damage; regeneration of new liver cells. Show all posts

Wednesday, May 30, 2012

Is he really immortal?...

I’m going to see Riley today. I’m wondering what I will find and if he will know that I really am there. Each time I visit him, he appears to be just a little tiny bit better than he was the last time I saw him. There have been no leaps of improvement. But still…

The liver is a miraculous organ. It can regenerate new cells to replace the bad ones. I’ve seen this happen with Riley several times. I don’t know when the liver degenerates to the point of not being able to regenerate enough cells to return to proper functioning.  I’ve talked to the hospice nurse and she told me that Riley has caused too much damage for his liver to be able to regenerate enough to be fully functional. The same thing goes for his brain.
This hospice nurse was assigned to Riley because she has experience with alcoholic deaths. While talking to her, I knew she understood concern. She carefully explained to me that it may take Riley a considerable amount of time to reach his end. Or he could have another heart attack and have it all end quickly. It really doesn’t matter because his brain function is so limited that he will never be able to return home. Fortunately, he is well-insured and is able to stay in the nursing home for as long as he is alive. He may be able to improve enough to go to an assisted living facility, but that would be a big stretch. She assured me it was time for me to move forward.
I suppose I’m a little gun-shy when I’m told that Riley is dying. He’s been dying before and has always managed to come back. I find it difficult to truly believe that he is not going to make it through this. I want to trust what I’m being told. I want to make plans for my future without Riley. But, I don’t call him the Immortal Alcoholic without reason. So… I guess… I must wait.
My fear is not that he will survive, but rather he will survive to a point where he might get discharged and sent home. He will never be able to live on his own again. I accept that fact. There is no place for him to go except to my house. I’m not physically or emotionally able to take care of him any longer – at least not with his inability to tend to his biological functions or inability to mobilize.

The best case scenario for both me and Riley is that he recovers to the point of being able to be placed in an assisted living facility or long term care. I have no reason to believe that cannot happen based on my previous experiences with Riley and death. The only thing preventing that is if Riley is capable of refusing that placement. I will have to firmly stand by my decision to not have him come home and not be his caretaker.  
Riley might not agree with me. He has stated a million times that he would prefer to be dead than to be sober. Who knows for sure? He always made those statements when he was in the middle of drinking. So now that he is in the condition that he is, how do I really know what it is he would want?
He wants to come home. Every time I visit he tells me that. He wants to sit in his rocking chair and talk on the phone. He tells me to make sure I turn off the TV in the den because no one is watching it. He tells me he wants to go to the living room and doesn’t understand why I can’t just push the bed in there. He wants his computer. In the few words I can really understand, I am able to understand all that. In between sips of his imaginary drink, he is clear that he wants to come home.
I feel that I cannot just sit and wait for Riley’s outcome. I’m taking the nurse’s advice and moving forward. I have given a 60-day notice on my country house and will move in with my grandson’s family for the summer.  I’ve already started on getting my health back by getting plenty of rest and taking all my medications as prescribed. I spend more time walking around the property and enjoying the beautiful weather.

There is a new job ahead of me. I’ll be looking after my great-granddaughter during the day. She is too old for day care and too young to be alone. I’m looking forward to spending time with her. I have lots of plans for little adventures. She will keep me active and alert. It will be a symbiotic relationship.
In the long run, I guess Riley’s condition really doesn’t matter anyway. Whatever is going to happen will happen without my consent, interference or management. It isn’t up to me. The only thing I can do is plan for my own future and not Riley’s – if he has one.