Today, July 6, marks the fifth anniversary of the day that Ben had a respiratory crisis and we ended up in the Emergency Room at Mount Sinai Medical Center. For me, this will always be thought of as the date when everything changed. Over the years, I have learned to go with the flow on milestone dates, but this particular day has remained a terrible and vivid memory filled with tears. How ironic it is that today is International Kissing Day, because on this date Ben was connected to a ventilator and his mouth was covered with a Bipap mask. For the next few weeks, before he agreed to a tracheostomy, our way of kissing was to blink our eyes tight and then I would smile and throw him a kiss- he couldn’t use his arms or hands to throw one back. In these days of COVID19, I relate to people lamenting not being able to hug because I missed Ben’s hugs so much as his ALS progressed.
It’s still morning and I have been replaying that day five years ago, when we woke up and Ben said he could not breathe. He was always nervous about breathing, so I stayed calm even as he followed my direction and blinked to indicate that he wanted me to call 911. I think of how time stood still as we waited for the ambulance, not knowing what would happen. I called and emailed his doctor and remembered that he had once told us that if we had to call for am ambulance, they would take us to whichever hospital they thought closer. Fortunately, EMS agreed to take us to Mount Sinai so we could be close to his doctor, who met us at the ER and, always kind and comforting, stayed with us till Ben was situated, emailing me throughout the day and coordinating with Ben’s ALS team. I remember that in the midst of the frenzy of an Emergency Room, it did not even occur to me that I could lose Ben at that time. I was kept very busy as the health care proxy and the only family member present. I didn’t have time to think. I didn’t even have time to be in denial. I just went through motions. I emailed and texted his family and our friends and answered a lot of questions. I tried to stifle resentments towards his family, a couple of whom had lots of questions, absurd suggestions and judgments but had never been there for him as his ALS was progressing. I was surrounded by people but felt very alone. I talked to Ben but had difficulty reading his lips through the mask. We ended up in the ER for at least 36 hours waiting for a room, meeting with specialists, and in contact with his ALS team, all of which was overwhelming and exhausting. Ben slept a lot, and during that time I struggled with my emotions and guilt about the frustration that I had been feeling because I was so angry that, without discussing it with me, he let go his paid part-time caregiver and insisted that I be his 24/7 caregiver since I am a teacher and it was summer vacation. Now, summer had barely begun and here we were in a hospital. I shared all of this in a previous year’s post.
Five year increments always seem to be distinctive markers of time, so I can’t help but reflect on that. I wonder if five years should feel like more time has passed. This is my fifth time feeling the pain of this day and it is still debilitating. My only plan for the day is to await a delivery of shelving items to help me in my ongoing effort to organize my apartment. It’s already been a morning of tears, so it’s all for the best that I’m here and writing about my thoughts. Even organizing my apartment brings back memories of the chaos of this place when it was an obstacle course of clutter and medical supplies. I’ve significantly improved it- painted, re-carpeted, and added some new furniture, but the memories remain. I still think of my new dining table as the table that replaced Ben’s desk. I am listening to Ben’s favorite relaxation/new age music on his computer- something I could and will not replace because it was his lifeline. Today is not a day that I want to hear that I should make plans to distract myself, or should be proud of myself for carving out a new life for myself, or that Ben would want me to be happy. Sure, it’s all true, but it doesn’t matter. Today, my heart is stuck in that day. Unfortunately, COVID19 has unearthed a lot of those difficult caregiving memories and has added another layer of sadness to this time.
Summer has never been my favorite season because I dislike warm weather, and now summer is filled largely with the memories of Ben’s last summer. It’s an odd contrast to my being a teacher and eagerly awaiting summer break. I have, however, come to cherish my frequent summer walks in Central Park. I do look for signs that Ben is with me, and finding turtles there is an important sign that he is present and watching over me. I always bring some coins to toss into the fountain and make wishes (see my post on wishes), often shedding a few tears. Last week there was even a little turtle scampering through the fountain and I believe it was Ben sending a message that those wishes will come true! I must remind myself that summer memories also include the summer before his last one, when we had a most magical time at Walt Disney World. I try my Disney best to be optimistic even when I’m sad.
In my mind, July 6 may be International Kissing Day, but for me, it was the first day that I couldn’t kiss Ben. It was the beginning of the end. It’s an odd feeling that nobody else would even remember this date, and I wouldn’t expect them to. That does, however, underscore that when this crisis hit, it was just Ben and me. I was there for Ben, he knew he could rely on me, and there was profound love and trust.
I find myself wondering if I will always struggle on this day. I have learned that today’s fog will lift. I do and will continue to have many days where I remember recall the days in the hospital that, despite the devastation and horrible decisions, were filled with love, music and even laughter. Today is just not one of those days.