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Tonight I bring you part three of this series of five
I know! In the beginning, I said it had four parts.
I found a fifth. Sorry about that.
This part was the hardest to write.
Mike
The Beginning of the End
Part Three: Goodbye my Love
The first 12 years of our marriage were typical. We struggled
with finances and raising children. The last five years were a
whirlwind of changes. We moved three times and had many months
when we were apart.
I moved to New Jersey for a new job in the fall of 2002.
Georgia, stayed behind with our two children to allow my daughter
to complete her final year of high school. Before I left, I suspected
my wife was not well, but she refused to see a doctor, arguing that
she was fine.
My new job kept me busy. Trips home were limited to once every
couple of months. During each visit, I could tell Georgia was
getting worse. She would sit on the sofa and hold her right side.
When I asked if she was OK, she would claim she was fine. I watched
her closely and knew she was lying. Both her mother and grandmother
died from cancer. She was afraid she had it too.
On a visit for Valentines in 2003, I finally convinced her to
see a doctor - six months after I first asked her to. She was diagnosed
with cirrhosis of the liver. Years of drinking had taken its toll.
She told me the doctor said she would be fine, as long as she
stopped drinking. The doctors told me later, they were not sure if
she did stop.
Two months later, she was admitted to the hospital for transfusions
and other treatments. A few months after that, she was admitted again.
When she was released, she was too weak to attend our daughter's
graduation. I watched the ceremony alone. Tears flowed down my cheeks
for two reasons that morning: Seeing my little girl all grown up
and because Georgia was unable to witness it. Georgia missed our
daughter's graduation.
A few friends dropped by our house to celebrate my daughter's
big day. They hadn't seen Georgia in many months and were shocked
by her appearance. She had lost of lot weight. Her arms and legs
were sticks, her abdomen was distended, and her skin was the color
of an onion.
We planned for her and my son, Justin, to move to New Jersey
with me in August. The day before the scheduled move she was admitted
to the hospital with elevated potassium levels. Georgia told me to
go ahead with the move; she would only be in the hospital for a
few days. The few days stretched into a week. Justin and I went to
New Jersey to meet the movers. While we were unpacking and preparing
the new house for her arrival, her kidneys failed. It took a month
for them to stabilize her enough to handle a flight. At the time,
I wondered what they meant. She didn't appear that weak when I
left her.
One day I had a call from the case worker. She said, "Georgia
is now on dialysis. We just did a treatment today. You have to
arrange a flight for her to New Jersey for tomorrow, and get her
to dialysis the following day. She will need treatments three times
a week."
I was at the airport arrivals. They wheeled her around the
corner. I couldn't believe my eyes. Georgia had aged 30 years in
only a few weeks. Her face and arms were nothing but skin over the
bone, but her feet were so swollen she couldn't wear her normal shoes.
For the first time, I wondered if she was going to survive this battle.
We got her in the car, and I took her to our new home and attempted
to get her into the house. With her arm in my hand, she shuffled to
the steps, but couldn't lift her legs enough to get up the steps. I
called Justin for help. Together we lifted her legs, one at a time,
and slowly got her to the landing by the door, where she collapsed
to her hands and knees.
We tried everything to get her up, but she was too weak. Justin
ran to his room. I could hear him banging things around. I sat with
her, trying to convince her I needed to call 911, but she didn't
want that. A lady walking in the street said she was a nurse and
asked if she could help. The good Lord had sent us an angel. With
her help, we got Georgia into a sitting position. She was the one
to convince Georgia we needed 911 assistance.
Georgia had a note from the doctors stating she could be
forcefully admitted to a hospital if she exhibited any one of
a variety of symptoms. She showed none of these symptoms, therefore,
they couldn't take her when she refused. They carried her into
the house and made her comfortable on the sofa.
I talked to Justin later. He was in tears. "Dad, what happened?
That's not my mom down there! What happened to her?" I had no answer
for him. I was as shocked as he was.
The next day, I couldn't get her to her feet. I had to call
911 again. Two policemen came and helped me get her to the bathroom
and down the stairs to the car. I remember looking at them and
saying, "If I ever get that bad, take that gun on your hip,
and put me out of my misery."
At the dialysis center, a case worker arranged for Georgia to
get ambulance transport to and from the center. She gave me advice
on how to arrange for home care. I left there and went home, where
I added cushions to the sofa. I figured, if she was sitting higher,
I would be able to get her to her feet easier.
I borrowed a walker from the fire department, and Georgia and
I developed a system. Lifting her legs, I would swing them over
the side of the sofa, take her hands in mine and twist her into
a sitting position. I'd bend down, hug her under her arms, whisper
"I love you," and lift her to a standing position. She then used
the walker to get to the bathroom, but she still needed my help
with her pants, sitting, wiping, and standing again.
This went on for a several weeks. However, as time went on,
she became weaker. The poisons in her body caused hallucinations.
She would see people that weren't there and try to talk to them.
She could no longer use the walker on her own, and often lost
control of her bodily functions. I had to hold her up as she
made her way to the bathroom. I was a wreck trying to keep up
with a busy job, dealing with my son, and trying to take care
of her. My hands were shook constantly, and I had trouble
concentrating at work.
Four weeks after she moved to New Jersey, she had trouble
holding her food and drinks down. When I arrived home from work
that evening, she was crying. I asked, "What's wrong, Hun?"
"I fell down."
"You fell down? You couldn't have. How did you get back
on the sofa?"
"I fell off my horsy."
I called 911 right away. At the hospital, they said she
had a severe infection.
The next morning, I spoke to the doctors.
"Mr. Smith, Georgia is not doing very well. How do you
feel about life support?"
"It's that bad?" I asked
"I'm afraid so."
"My wife and I agreed we would never want to be on
life support."
"Mr. Smith," He said, "I understand, but sometimes it
is needed for a short time to get someone over a hump."
Later that day, she was put into a drug induced coma
and connected to life support.
Every night I would leave work and sit by her bedside.
As I held her hands, I would tell her I loved her, talk
about my day, and tell her how the kids were doing. The
nurses and doctors explained to me, although a patient
is unresponsive, they can still hear. I hope they were
right.
I called the intensive care unit one afternoon to
ask how she was doing. The nurse said, "Mr. Smith, Georgia
had a bad day. Are you coming to see her tonight?"
Warning bells went off in my head. I visited every
night. They knew I did. Why would they ask me such a question?
That evening, I was at her side as usual and the nurse
came in. "Mr. Smith, I took care of Georgia today. She had
a bad day. Are you going to be here for awhile? The doctor
needs to speak to you, but he is busy right now. If possible,
can you wait for him?"
"Sure! I can wait."
"Good! There are some decisions to be made.' she said
and left the room.
I'll never forget that night. I waited in the room
with Georgia. The only sounds were my sobs and the machines.
In my heart, I knew the decision I was going to have to
make. I paced the room crying and talking to her, hearing the
machines keeping her alive. The doctor was coming. I knew
the reason.
I cried even harder.
I said, "Honey, I think they are going to ask me to
turn off the machines. Georgia, I think they are right. We
discussed this in the past. We decided we would not want to
be on these machines. I hope you can forgive me, Sweetie.
I love you so much."
For forty minutes, I paced the room and cried. They
were the longest forty minutes I have ever endured. I never
felt so alone. I was new to New Jersey and had only a few
friends, most of them co-workers. All my family lived in
Nova Scotia. Georgia's only remaining family lived in
Hungary. I was on my own. I was a grown man, but that night,
I would have done anything to have had my mommy with me.
The doctor finally arrived. He said, "Mr. Smith, Georgia
is not doing so well. In situations like this, we have to
make decisions. Our main function here is to prolong life,
however, there's a time when we are prolonging life and
also a time when are prolonging death. In this case, I'm
afraid we are prolonging Georgia's death."
I asked the doctor to wait until my daughter, Vanessa,
could fly from Ohio. A week later we sat by Georgia's side,
Vanessa holding one of Georgia's hands and me holding the
other. Several doctors came and assured us that we were
doing the right thing. Georgia was no longer in an induced
coma. She was in a real coma now. They asked us to leave the
room for a few minutes, while they removed the machines, and
cleaned her up. When they finished, they invited us back in.
Georgia was breathing deep gulps of air, as we had been
warned. Vanessa and I sat and held her hands again. We kept
talking to her, telling her it was OK for her to leave us.
We understood. We noticed breaks in her breathing. She would
stop for a few seconds and then start again. These pauses
became more frequent and lasted longer as time went by.
A little over an hour after the machines had been
removed, Georgia was in Heaven.
Goodbye, my love. Thank you for the children you gave
me and the love and laughter we shared.
Michael T. Smith
To be continued...........
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