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Tending to Endings (thirty-two)
Are you taking care of yourself?
This is a question friends, acquaintances and even strangers would ask me after learning I was a caregiver for my mom. Everyone was aware of statistics about how stressful caregiving is on the health of the caregiver. This is especially true of spouses of Alzheimer’s patients for which the trajectory of decline is often long with care needs increasing with time. For years, I had been asking my dad the same question.
When I left my job to live with my parents to help with my mom’s care after her cancer returned, I no longer knew how to answer the question honestly and succinctly. Do you mean have I eaten or showered in the last few days? Well, yes, probably. Do you mean am I physically, mentally, emotionally, and spiritually in balance? Of course not, and it would take too much energy to explain why that is not possible. During those days, a trip to the grocery store was self-care. It offered a change of scenery and time for a short phone call to a friend outside of the walls of the condo.
I have numerous friends who are primary caregivers for a spouse or parent, and I have been worried about them during these COVID times. They are caring for people who are already in fragile health and so they are more isolated than usual. They don’t have anyone coming in to give them a break. They are not able to go to yoga or play tennis; they can’t have company over for visits. Groceries have to be delivered! There is no break.
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Early in March, my friend Debbie received word from her dad that her stepmom had cancer that would require six weeks of radiation therapy in Colorado. By the time Debbie arrived to help, Colorado was already on lockdown. The medical situation was dire and my interactions with Debbie were only through occasional texts. She sent pictures showing the snowstorm that almost kept them from radiation therapy.
I was worried about my friend and longed to talk with her, but she had little time for phone and her step mom could not be left alone. COVID protocols meant others couldn’t be called in to help.
Debbie texted me,
As soon as I get a chance, I’m going to cry. But it will have to be after a split feeding, a doctor appointment and the last feeding after which I need to keep my stepmom upright for thirty minutes while she is miserable because all wants to do is go to bed.
Oh how I understood that place. I sent my friend hearts and let her know I loved her.
Debbie has been home since mid-May and her stepmom is recovering well. The crisis has passed. When I asked Debbie about caregiving during COVID, she answered by comparing it to another time she was a primary caregiver at the end of her Mom’s life.
I’m not sure this will be helpful but what I felt this time was that the whole world had similar feelings as I was having, albeit for different reasons. This time, I didn’t feel so alone. When taking care of my mom, I felt isolated because others lived as though nothing had changed. For me, everything had changed.
It reminds me that I never know the particulars of a caregiving experience except for my own. I have a tendency to fill in the details with the worst possible scenarios. Debbie’s experience was full of difficulties and graces, too, much like my time with my mom.
I’m not a fan of articles that tell you what to say in difficult situations as though we can short-cut our way to empathy. Whether Are you taking care of yourself comes across as a loving question or a pat cliché has to do with context and tone and whether I’ve had enough sleep.
But what is true for me is that I would rather my friends ask pat questions than back away out of worry about saying the wrong thing. Whether they say the right or wrong thing is not going to change the gravity of the situation. But their presence in my life, even from the sidelines, can make all the difference in how supported I feel.
At times I have been that friend who has backed away. I told myself I was giving my friend privacy (without asking if that was what she wanted). Usually that distance was born of fear. As a result, I have missed opportunities to learn, to grow, to be a friend.
Sometimes being a friend to someone in dire circumstances is difficult not because there is so much to do, but because there is not much that can be done. I couldn’t give Debbie what I thought she needed most, which was a break and some rest. I often felt like I was bugging her when I would ask things like have you been able to go for a walk? And I felt like the words I had to offer were far too small to match her situation.
It doesn’t always feel helpful to stay in touch with someone during critical times. But looking back at Debbie’s and my long thread of texts which sometimes were despairing and sometimes philosophical and sometimes funny—texts that sometimes involved her telling me, no, she really could not fit in a walk that day—I am very grateful we stayed in touch.
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During the last months of my mom’s life, when my father and I were living in the caregiving bubble that sometimes felt like chaos and other times like a cocoon, I had no energy for friendships. And yet, I needed my friends more than ever.
And now thinking back to that time, I see my friends as being central to how I got through. They sent cards and texts and voice mails. They responded to the sunset photo I sent them with hearts. They answered when I called on my walk and let me spill my sadness and exhaustion into the short time we had to talk together. They sent me poems and really good pears; they took online Scrabble turns late into the night; they sent photos of their babies they knew would make me smile.
What I needed from my friends during that time was not privacy so much as grace. I had very little to give. Still, my friends stayed. They were thousands of miles away, and yet I remember them as being with me in that cocoon of a condo during that sacred time. It made all the difference that they kept reaching out, each saying, one way or another, we are here.
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