151
Part 1
Friday, April 5, 2002 -- 8:04pm
Posted by Bar
It's time for me to describe the end, and for me that began on
Tuesday January 29th:
Forrest and I were lying on the bed that night looking up at the skylights
in the ceiling which we often did. Peter had put storm windows on the
inside to keep us warmer, so Forrest and I could see our reflections as we
lay on the bed. We would wave at each other and make faces and generally
laugh and act silly.
Out of the blue, Forrest looked at a different part of the ceiling - a
junction of the wall and the ceiling just above the door into our room - and
said, "Look! There's a hole". I had a sense of what hole he was referring
to, so as casually as I could I said, "oh yeah, what's inside the hole?"
and he answered, "Lights". I asked, "what color lights?" and he said, "oh,
you know, regular lights". (Which I interpreted to mean 'white' or a
familiar sort of lamp light, as opposed to a purple or blue light). Then I
asked him if he wanted to go in the hole or if he wanted to stay here, and
he said, "I want to stay here".
At the time, I figured that Forrest had just rejected Death's invitation,
and needless to say, I was glad that he wanted to stay "here". We carried
on playing, jumping on the bed and generally doing what we always did. I
felt a weight lift from my shoulders.
Wednesday the 30th:
No school. It was parent conference day and I went to school with Forrest
to talk to Cheryl about how he was doing. Every parent had 30 minutes. We
were scheduled for 10am. Cheryl's comments were exciting and warming and I
thought I could not be prouder of my son. She described him as energetic
and enthusiastic. She said she never deferred to him because of any
physical weakness because there weren't any. My most cherished memory of
that morning was her telling me how she had never met another 3 year old who
delighted in her victories and her happiness as much as he did his own. He
liked when she won a game and he shared in her joy. She also reported that
in two and half years at school, he had never engaged in any confrontational
behavior. That he was a peace-maker, she was sure.
I felt considerable love for him and basked in the glory of who he was. He
had obviously already become his own person. I mean, I am a lousy loser and
a real competitor, so his traits were ones that I admired.
In the back of my head I could not help wonder about whether he would live
long enough to share some of his great qualities, but he had seen the hole,
had chosen to stay here, and I felt real hope.
We left school and went over to the church for a meeting I had at 10:30. I
had told Forrest that I needed to pay attention at this short meeting, so he
would have to play in the playroom while I sat in the next room. He was ok
with that, and loved the playroom, so I was ok with it too. During the
meeting he was a little more needy than usual and I was a little surprised.
But we left a little while later and headed off to gymnastics. On the way
we stopped at the bagel store to pick up some lunch. I pulled him out of
his carseat and as I walked toward the store, it was clear that he did not
feel good. He put his head on my shoulder and I knew his tummy was sour. I
took him home, he got sick just as I got him into bed, and then he slept
like a baby for a couple of hours. I cancelled my rehearsal for that night,
not knowing if he would feel better after his nap, but when he woke up he
looked and seemed just fine. He didn't get sick again and we carried on as
usual. A lot of the kids around town were having a similar tummy bug so we
figured he'd gotten it too.
Friday the 1st of February:
Cheryl invited Forrest to stay at school for the whole day (as opposed to
just the morning with the younger kids in his class). He did stay, had a
great time and I picked him up at 2:30. He was a little tired, but so was
everybody else.
Saturday the 2nd of February:
Forrest and I went to see our healer, John, at 9am. John thought Forrest
looked great and that his energy was strong. To me, Forrest seemed clingy,
but since I thought that he might have the tummy flu, I explained his
neediness that way. In retrospect, John was surprised that he had not
picked up on the brain tumor although he does remember placing his hands on
Forrest's head and wondering why.
After we left John's, Forrest and I went out for our weekly lunch date
together in Woodstock
Sunday the 3rd:
Forrest went to school in the afternoon to have a private play-date with
Cheryl. This had become their routine on the weekends and was a
much-anticipated time for both of them. I walked home from her house after
Peter dropped Forrest and me off. On my wyk, I thought about how I wanted
to do yoga with Forrest everyday so that he would understand the value of
this kind of self-care throughout his life without having to discover it
when he turned 20 or 30 or 40. Peter, Forrest and I started family yoga
that night by candlelight. It was very sweet and sort of comical and lasted
for only three nights.
Monday the 4th:
Forrest went to school. I worked in my studio at home. Got a call from
Cheryl at 10:30: "Forrest has gotten a little sick. He'd like to stay here
but I think he needs to come home and get into bed". I picked him up,
brought him home, and again, he slept all afternoon. When he woke up, he
looked and sounded great, had dinner and was himself again.
Tuesday the 5th:
Forrest's new babysitter, Sarah, came at 1pm so that I could get into my
studio and get some work done. They played very well together. When I came
upstairs two hours later, they were sitting on a chair in the living room
happily watching Blue's Clues. When she left, Peter, Forrest and I went in
to Kingston to drop one of our cars at the mechanic's. Forrest and I went
to the grocery store while Peter took his car to the shop. We picked him up
later.
The grocery store has these great shopping carts that are shaped like
trucks. Kids can sit up front and pretend to steer and the whole thing
makes food shopping a blast for moms, dads and their kids. Forrest loved
it. We went up and down every aisle. He jumped out periodically to help me
push the cart. We laughed a lot and disturbed the peace a lot which we
loved to do. People seemed to enjoy seeing us have fun, so we always tried
to.
We left and went off to retrieve Peter. On our way home, Forrest didn't
feel so well again, and so we went directly home. But, we thought, it was a
false alarm, because when we got home, he ran around, had a big dinner of
swordfish (his favorite) and baked potato (also a favorite) and we proceeded
to jump on the bed and play Candyland like we always did.
That night, however, he began getting sick in a bigger way. The flu was
kicking in finally and we spent the night doing what parents do when their
children have a stomach bug.
Wednesday the 6th:
No school for Forrest, needless to say. His friends called from school to
say hello and to say that they hoped he felt better soon. That message is
still on our voice mail. During the day, he asked me to take his picture
for the first time in his life. It's a sad picture for me to look at now,
but somehow he knew.
That evening, Forrest seemed to be stronger again, so Peter decided to go to
Albany as planned. He goes the first Wednesday of every month for a class
he's taking. Forrest and I were alone and I was a little worried because I
wasn't sure he wouldn't get sick again. He did not. Yay! And we stayed up
late, as we often did, lying in bed giggling and talking about whatever it
was we talked about. We both loved that time of day and we indulged
ourselves big time that night. Later in the night he was sick, but so much
less so than the night before that I felt sure he was on the mend.
Thursday the 7th:
One tired and hungry boy. He couldn't hold a thing down, but he sure was
trying. The day went slowly. Around 8:30pm, we called his pediatrician to
let her know what was happening. She prescribed a suppository to calm his
stomach, but agreed that waiting until morning was reasonable.
At night, the sickness returned, and by 3am I was truly worried. It still
did not occur to me that he was dying. He wasn't in pain. His belly, where
we would have expected to have felt a tumor, was soft as could be. His
breathing was strong, so his lungs, where we knew there was cancer, were
working fine. This flu, I thought, was really as nasty as everyone had
reported. I thought to wake Peter and head off to the hospital, but I knew
that arriving at the hospital at 4am would result in a long wait in the
emergency room for a bed that would probably not become available until
later in the morning. It was better for Forrest to stay home.
Friday the 8th:
Gave the suppository and Forrest's stomach became calmer. Called his
pediatrician and his oncologist to alert them that we thought it might be
time to get him to the hospital, that we didn't want his dehydration to
weaken him so much that he could not fight the bigger fight. At 2pm we
decided it was time. We realized that we were putting off going to the
hospital because of our fear of putting an IV in Forrest. Up until the
previous two weeks, he'd had a catheter to access him - either to give meds
or to take blood. Our fear of sticking him was keeping us from taking
better care of him.
We carried him to the car and he seemed better for getting outside. He
drank a whole glass of water on the way there and he kept it down so I
thought that maybe he would feel better by the time we got to Albany an hour
away. He slept peacefully all the way there.
When we got out of the car he got sick, so our last hope of going home
without an IV was dashed.
When we got to the floor, everyone was so glad to see us and particularly
Forrest. Our room was quickly filled with all of the staff we hadn't seen
for 7 months. They couldn't believe how well he looked. His whole mood
changed in that hour or so. He just seemed to be a very tired version of
his normal self. He made a few little jokes and took stickers from the
resident who admitted him. The whole scene was familiar and comfortable and
he seemed to enjoy himself.
His nurse, Adrian, put his IV in without a glitch, and plain fluids started
flowing into his body. Everyone felt much better. We gave him some anti-
nausea drugs to help him get some sleep, un-packed our bags, and settled in
for a long hospital night (all nights in any hospital are long!!).
His oncologist came to visit Forrest in the early evening and they tickled
one another. Forrest was not his usual self, but he held his own. Mandy
noticed nothing abnormal.
Forrest slept pretty well, but he was still a little restless and his nurse
recommended giving him a little pain medication to help him rest around
10pm. She said that dehydration could be very uncomfortable and she thought
that he needed rest more than anything else. And he was VERY dehydrated.
Around midnight I could tell that he was still uncomfortable. He was asleep
but he was not truly resting. His nurse suggested trying a low dose of
morphine just to get him through the night. The little boy in the bed next
to ours was having trouble, so the lights were going on through the night,
x-ray technicians, surgeons and doctors were in and out all night long and
generally disregarding the three of us, so that was part of Forrest's
problem, I thought - or maybe it was just part of my problem? Anyway, the
morphine helped. At 3:30, he needed another dose. He was still not peeing
much at all considering the amount of fluid that was going in him, so the
dehydration explanation still made sense and we were all working on the
premise that he would feel better with sleep and fluids.
At 9am, the attending doctor came in for rounds. He decided that Forrest
had still not peed enough, so he called for a bolus of fluids (a lot of
fluids in a very short time). He also explained that Forrest's need for
morphine was normal and that he would only "ask" for it if he needed relief.
Morphine is, he told us, a very good indicator of how a child is feeling.
They sleep well with it, and when they need some more, they squirm. They do
not overuse it, nor do they become addicted to it under the circumstances.
He explained all of that because he recommended that Forrest have a constant
drip of morphine to get him over the hump. We all agreed that that would be
ok, and it was set into motion.
It's getting harder to write now, and I know this is long, but I have to
finish.
At around 10am, Forrest woke up for a moment, and I was lying on the bed
with him. Peter was not there and no one else was around. Forrest seemed
upset. He seemed disoriented. I calmed him down by holding his hands and
talking to him. In a minute or so, he quieted down and I sang to him for 45
minutes before anyone else came into the room. It was lovely. He seemed
very comforted and he slept well and easily. I sang him all of his favorite
songs very quietly and it was a very nice little period of time.
Just before 11, he woke again and seemed to want to get his IV out of his
arm. We were still alone. I told him he needed to leave the IV alone. In
retrospect, that was probably the first of three seizures and he was
probably already in a coma after that one. I didn't notice that his legs
had also seized up - rigid and straight out in front of him. The second
seizure came shortly thereafter when both Peter and the resident had come
into the room. She examined him, and as she did so, I told her that I
thought we needed the attending who I knew was right out at the nurse's
station. When he came in, Forrest had the third seizure. His right arm
clung to Peter's head and I held his left. The resident noticed his legs
and the fact that his eyes weren't right. His left eye's pupil was
completely dialated and his right was teeny. The attending doctor knew
right away what was happening and he said, "Bar and Peter, I can't be sure,
but my experience tells me that there is a tumor on Forrest's brainstem and
that he will go very quickly. Prepare yourselves". I looked him right in
the eyes and I said, "fast is good", but the reality of Forrest's dying soon
was hard to take in. Only moments before we were all thinking dehydration.
Now he was dying and quickly.
The doctors asked us what we might need and we asked for a private room. By
12:30, we were moved to what is known in the inner circles as the "dying
room".
There is much more to write and I want to do it, but Peter has just come
home and I need to be with him now. I will finish this in another e-mail,
or perhaps I won't send this one until I am done with the whole story.
Bar
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