I have wanted to write about this
for so long now. But I kept putting it off. Why? Fear. And literally,
emotional blackmail.
But then I finally
found the courage.
So hear goes.
My father is now
someone who needs lifetime ventilator support.
He is fully
conscious – he can read a newspaper, solve crossword puzzles and
has strong opinions on what he’d like for lunch.
He
can have a basic conversation (two or three sentences at a time at
very low volume – you have to stand right next to his mouth to hear
him) but definitely no debates.
He can walk under heavily
supervised conditions (uses a walker, can do only about 30 metres and
no more, needs a person tailing him with a wheelchair in case he
suddenly collapses or needs to sit).
He has lost almost
all motor function and spends a lot of his time on his bed. He wears
adult diapers. He needs to be bathed, fed and changed. You have to
keep shifting his position on the bed to prevent him from getting
bedsores.
He needs to be
lifted up into a seated position. He needs to be lifted up into a
standing position. If he’s standing, he can’t hold himself
upright for more than a minute or two.
He can be placed
on a wheelchair and taken out into the balcony along with his
portable ventilator. He can’t hold himself in an upright seated
position for too long. He tires out after about half an hour.
He is on dialysis.
Once every six hours, thrice a day.
He is on 23 different
kinds of medication.
Our home is set up like an ICU.
If you unplug his
ventilator, he will fade away.
He will die. Of natural
causes, make no mistake.
My father has had a
career he loved and a wife who loved him. He has children who turned
out to be smart, financially independent, worldly-wise and brave.
He is seventy years old. He wants to live. I don’t
understand it.
Watching him breathe
on his ventilator is expensive business.
2-3 lakh
rupees a month, running costs. We spent five months in hospital
before that, and that was 5 lakh rupees a month.
We don’t
have the money. We have borrowed. We have fund raised. We have used
our inheritances. We have used our
savings. We will run out.
Ventilators are enabling. This
could go on for another year. Or another fourteen.
I am
tired.
In the past decade while my dad lived on dialysis
and my mother died of cancer, I feel like I have spent my
youth caught in perpetual financial distress, emotional exhaustion
and physical stagnation. Meanwhile, my peers traveled the world,
moved countries, studied abroad, built their professional networks,
met their mates, got married.
I paid bills, chased
insurance guys, lived in and out of hospitals, administered dialysis,
watched over chemotherapy sessions, scheduled appointments with
doctors, tracked our medical supplies, set up more than one home ICU,
tried cleaning up after my dead mother and never went on a holiday.
I can’t hear
myself think.
I can’t hear
myself think; my dad lies awake on his bed, thinking every day about
wanting to live. I can’t hear myself think but I think he is
selfish.
There. I admitted
it.
I see him on his
ventilator, his lungs a failure; his kidneys a failure; his seventy
year old heart functioning at 50% and I wonder why we’re humoring
him. I see him on his ventilator insisting that he wants to live and
my conscience writhes because I want him dead. And yet I do every
single thing in my power to help him with his desire to live. Because
choosing bereavement is just too simple. Because we treat the
admission of suffering of the care givers as unconscionable.
And because he
fears death.
How is it even possible to love and loathe
the same person so much?
I think the
emotional blackmail of a ventilator is high order mindfuckery.