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His daughter is with him at the facility. I am at home on facetime with them. He was like this briefly several times before over the months when they told me he was dying and was put on morphine, but when they cut the dose down, he regained consciousness and talked to me, eventually coming almost fully back to normal conversation and understanding, and then last time stayed aware for an entire month while they worked on getting his blood pressure up and getting his heart to be able to withstand some movement, being upright, and walking. Then he fell back into not responding. This is excruciating to witness and I keep wondering if he could come back if they were to cut the morphine down again. But they already, with my permission, discharged him from all interventions because he was so agitated and are just keeping him comfortable. How do I know I've made the right decision?

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Artist,

I am so very sorry for the loss of your brother.

I am very happy that his daughter was able to be there.
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ArtistDaughter, Just read your post today about your dear brother. I am glad his daughter was able to spend the day with him before his passing. My thoughts and prayers are with you during this most difficult time. Hugs sent to you.
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ArtistDaughter Nov 2020
Thank you.
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The fluid really just prolongs things, and it can prolong them a lot, making it more like a month than a week. The heart, when the pump has given out, cannot pump the fluids, and yes, they just pool in the peripheral, in the case of right sided heart failure, in the lungs with left, and everywhere with right and left heart failure. There's just no answer when the pump goes.I still remember my Mom's doc asking her if she wanted that heart transplant after all, because this one just couldn't pump good anymore. He made her laugh as she was mind 90s.
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ArtistDaughter Nov 2020
Thank you. Good your mom could laugh about that.

My brother passed. His daughter was able to fly here in time to spend an entire day with him.
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What we really want to do is to save our loved ones life..........to bring them back to a point in time when they were healthy & well. Not to extend their life and have them suffer terribly; there's no point in that. It's not a 'life' anymore, but an existence that's only wracked with pain, hallucinations and suffering in general. This is when we make the decision to bring in hospice; to HELP them stay calm, pain free, and generally not suffering in any way.

We can second guess ourselves forever when making such a decision, I know. But at the same time, we have to realize that hospice is helping our loved one, not hurting them. Their journey is coming to an end now, and hospice is smoothing the path out for them, that's all.

I watched my father go through what your brother is going through right now. It was the worst time of my life, honestly, and I was wracked with grief and sorrow. I actually prayed to God to have him pass sooner rather than later, because it was all so unbearable to witness.

Ultimately, my father did pass pretty quickly and without pain or agitation, and for that I am eternally grateful. I wish the same outcome for your dear brother, and for you I wish peace and acceptance that his journey is about to end, but that a new one is about to begin. One with no suffering, no pain, no angst......just peace and joy.
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NeedHelpWithMom Nov 2020
At that point, they are ready to go.

I watched my father and brother die.

They are tired of fighting a losing battle and ready to leave this world.

I am glad that your dad didn’t suffer.

I was another one who prayed for God to take my loved ones so their suffering wouldn’t be prolonged. I was happy there were drugs that eased the pain and anxiety.
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I watched my brother die. It’s painful to see them deteriorate.

At the end I wanted nothing more than for my brother not to suffer.

He wasn’t going to recover. He was indeed dying, just as your brother is.

Take comfort that he is at peace and not suffering.

I’m so sorry that you are struggling with this situation. These things are never easy.

None of this is your fault. You did what you felt was best. You did it for valid reasons.

Your brother knows that you love him. He knows. He hasn’t forgotten your love.

He is transitioning into another realm, the end of this life as he once knew it.

You are grieving for the relationship that you once had with him.

You will miss him greatly and trying to savor every moment that you have with him now.

I was the very last person with my brother before he died.

He died the second after I walked out of the room.

He wasn’t afraid to die and was ready to go. He did not want to suffer.

He was on a lot of drugs at the end to keep him comfortable.

He was in a coma but his lovely hospice nurse told me that he could hear me while in a coma.

I questioned his nurse, wondering how she knew this?

She said, “I have seen people come out of a coma and recall everything that happened around them.”

Isn’t it amazing how our body, mind and spirit work?
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ArtistDaughter Nov 2020
Thank you. I do know that he did not want life support. He didn't want to die, but he also didn't want to suffer or have no quality of life. That's why he chose me to be his medical POA. He knew I would do what he wanted. He is still hanging on without food or water for an entire week. The doctor said that a fluid IV would flood his heart or something and so it was not wise to do that. They just gave him a very small amount of IV fluid yesterday.
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Oh, I am so dreadfully sorry. Having lost my bro in May this tears at my heart for you. Would you want him to "come back"? For my bro the situation was hopeless, and "coming back" would have meant more torment only for him. I would not have wanted that hopeless fear and pain for him. I asked that he be medicated below the level of dreaming and air hunger, and he was; I made it clear that I knew this would hasten his death by hours or days.
Isn't that asking for his coming back for more of this only wanting not to let him go from all of you? I understand that to the bottom of my soul, trust me. My bro was the rock my life could rest upon. Does he have hospice with him? It is very rare that hospice will allow someone back to the level of dreaming, which can lead to hallucination and consequent calling out. Has the family accepted that he is dying? Have they made it known to hospice that even if morphine may hasten death by hours or days, they would like him medicated below the level of dreaming?.
I think that your imagination has some part in imagining he is trying to awaken to get back to consciousness and come back, unless he has expressed he still has no wish to let go. If hospice is not there I think they should consider with the doctor whether hospice should be called in now.
Without medication dying is an uncomfortable and confusing process in which hallucinations can occur, picking at sheets and covers, air hunger and worst of all, full on panic. If the family has now accepted the doctor's opinions that your brother is dying, please ask that he be kept comfortable.
Again, I am so dreadfully sorry. I couldn't be with my bro either. He was too weak to respond and was kept too snowed. He could only respond he knew I was "with him" by barely squeezing the hand of the hospice nurse. In the end, they don't want to respond to us. It is too hard. They are on another journey from our own world.
I couldn't be sorrier.
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ArtistDaughter Nov 2020
Thank you. Yes, they have hospice there for him. I took the advice of the doctors and nurse. His daughter agreed with me to just keep him comfortable and not afraid. He had been grabbing at the air and kicking his legs. He has been hallucinating a lot for about 4 months, but said it didn't bother him to see things that weren't there. His throat is rattling now. His daughter asked the nurse about the calling out and they have upped his morphine.
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If you are honoring his last wishes, then you have made the right decision. Watching someone you love die like that is very painful for the survivors to watch and witness, especially if they don't die quickly. I know. I watched my dear sweet husband of 26 years literally go through all the stages of dying in his 6 week dying process. It was at horrific to watch, and that is something that I am having a hard time getting out of my head. It's just been 2 months since he passed, and I hope those bad memories will leave me, and only the good ones will remain. That is what I hope for you as well. I also pray that he won't continue to holler out (I believe that is part of the agitation stage) and that God will take him Home soon. Blessings on you and your family.
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ArtistDaughter Nov 2020
Thank you. I'm so sorry about your husband. For all the relations that are not seeing my brother at this time because of the covid restrictions, they will remember him as strong and handsome. Only his daughter and I have these memories and know how it is for him at the end.
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