I was doing a phone assessment, exploring the causes of my patient’s fatigue and how best to use the limited energy she had left.
“How’s your mood?” I asked.
She started to cry.
“Not good,” she whispered, “I’m just going to get worse. I can’t see the point of carrying on anymore.”
Tears and gulps of air flowed down the connection.
I held my own breath for a moment, slowed my thoughts down about how to deal with such pain at a distance, with no visual clues and no chance to offer a comforting hand. I knew I needed to give her space in case she needed to say more. I recognised the momentousness of her voicing this feeling at all. And I knew I needed to listen well.
Depression, grief, exhaustion had sapped her of strength physically and emotionally, and drained the initiative and impetus to do the things that gave her purpose and fulfilment. She had no faith to give her hope for after death and life had lost its meaning.
As gently as I could, I probed what was most important to her in her life? Because this was the place to focus what energy she had.
Her family came the reply.
I posited how difficult it can be to let others care for us when we have been used to caring for them but also how precious those memories of the little times, those poignant moments near the end of a life can be for those left behind. So to prioritise and treasure these. I hoped she would hear the idea of finding purpose through this that hung in the air between us. And with a little prompting, she remembered that her family loved her for who she was not how much she did.
I’ve not been in her shoes. But I have been in her family’s.
I know the pain of walking alongside a loved one for their final months and weeks. I know the helplessness of being unable to stop their deterioration. I know the sense of losing them bit by bit each day. I know the unreadiness for the transition from dependent to decision maker. I know the growing confidence as I became the reassuring parent and they the child.
And I know how much those harrowing times harboured diamonds to continue to reminisce over as a family later, pinpoints of starlight that that make us forget the indigo darkness that made them stand out. Even the grimmest, most desperate experiences can prove to be the most cherished. And there lies hope for all of us
Every week the Five Minute Friday community free write for limited time inspired by a given prompt word. It’s also a fantastically supportive groups for writers. You can find more inspirational writing here: Community – Five Minute Friday