Awoken with a start from a restless sleep, I grope not for my watch or the battery-operated alarm clock. I do not reach for my smudged glasses, either, but instead fumble for the switch on the floor to turn on the Christmas tree lights. The miniature lights twinkle. The early, frigid darkness sparkles like counterfeit jewels. Tears dry then moisten as another surge of recognition consumes me.
My mother is going to die.
Save the three days I slept in the ICU waiting room, still dressed in the suit I wore when the call from the emergency room about my mother’s hemorrhagic stroke came, this sofa has been my bed. Each evening I pull the cushions off the sofa bed in the living room. I stack the pillows on a dining room chair pushed back from the galley kitchen, piling worn blankets and duvets and stray clothing on the lumpy mattress.
I read by the light of Christmas tree lights. The lights glow day and night, trying to stave off a sense of impending doom boiling in the pit of my empty stomach. Against the winter darkness, the lights twinkle and sparkle without devotion. Still, without the soft glow and the lights catching the blushing ornaments, I cannot drift off, even if it’s only for a single hour or two.
Drained of sleep and faith, I drift to the living room window and tentatively reach out to touch the frozen glass. Last night, the wind blew in from the north, squealing and moaning, creaking and wailing like me. Snow tendrils creep across the roads. The slender cobwebs braid an icy lair. More than a foot of fresh snow has fallen in the night. My mother’s apartment building has lived for over thirty years is incarcerated in an ice prison. The sky, still pregnant with winter, belies the tempered blizzard, which will likely rage on for a few more hours.
Though a snowplow breaks the path of winter, pushing back the night and the snow’s accumulation, I still wonder if it will be possible to drive to the hospital once the anemic sun rises.
I wander into the galley kitchen. Turn on the electric kettle. Toss a tea bag in a mug. Collect the cream a few days past its expiration date from the refrigerator. Wait. When the pot boils, I pour the water into the cup, watching the teabag bleed ginger brown against the white bone china. Absently, I press and push against the pouch urging it to steep a little faster—lists cascade across my mind.
Setting the steaming mug on the dining room table, I push back the week’s mail: bills that need to be paid, Letters to be answered. Christmas cards have arrived from people who are oblivious to my mother’s condition. Pulling my ‘master’ list of To-Dos, I grasp a pen and start adding tasks to a clean page. Visit the bank manager. Make an appointment with the investment administrator. Buy multiple expandable files and a label maker. Return a page worth of phone calls. Buy more international phone cards.
Day Nine: another day of shuttling between my mother’s bedside and hunting down elusive doctors in the maze of hospital hallways. Another day of waiting for updates about my mother’s condition that are few and far between. Her medical situation is not improving, nor is it markedly shifting into the positive column either. Though the bleed in her head shows a mild retraction, its absorption into her brain matter has stalled.
I am lost in the perfunctory world of list-making when the phone rings. I glance at the mantel clock on the piano – 6:20 a.m. The shrill ring of the telephone at this time of the day does not unnerve me. The phone rings until after midnight most evenings with daily calls from or to England or Australia, often commencing by 5:30 a.m. I am juggling four time zones leaving me stretched like a taut drum around the world’s circumference. I pick up the telephone receiver and mumble a distracted hello.
“Is this Anna So Coc E?” The voice is unfamiliar. When I do not answer immediately, the hesitant voice repeats the question—my mind’s roll-a-dex grinds. No accent.
“Yes. I am Anna Sochocky,” I respond, crisply refusing to allow a tone of gloom seeps into my voice. Still, my hands begin to shake like a person struck down by tremors. I put the pen down and wait.
“Ms. So Coc E. This is a member of the nursing staff on your mother’s ward. Your mother went into respiratory arrest at six a.m. We have been executing chest compressions for twenty minutes, but your mother is unresponsive. Would you like us to continue with chest compressions and intubate her,” the anonymous nurse’s question hangs by a thread in the silence? The nurse persists. “Did you sign a hospital medical directive? Does your mother have a resuscitation order,” the nurse fires off companion questions.
My mother is dying. My mother is dead. For a few seconds, I cannot speak, do not speak. I stare out the window into the black morning. The wind grows fierce. The invisible squall’s direction changes and tosses the snow into somersaults. I have grieved for nine days. From the moment I walked into the ICU unit, I knew that my mother was gone. Why does death always arrive in the darkest part of the night or early morning? I gaze into the blizzard wind.
My mother is dying. My mother is dead.
I return to the present with a vengeance. “I gave you copies of the medical power of attorney stating that my mother did not want extraordinary measures taken. I signed the medical directive that you gave me three days ago, specifically not to do any chest compressions or intubation. Don’t you have these instructions noted on her chart or in a file somewhere?”
I march around the tiny living room, desperate to be focused through the rapid onset of tears, tripping over the corner legs of the unmade sofa bed, looking for my clothes, my shoes, my watch, my heart.
“Stop compressions now. DO NOT intubate my mother. Mom wouldn’t want any of this! You’ve probably broken her ribs pounding on her chest! Stop breaking her! I’ll be at the hospital as soon as I can be.”
“Ok. We will stop all resuscitative efforts,” confirming my answer. I am sorry,” the nurse adds before the receiver’s tone clicks in my ear.
Half-dressed and stunned, I dial Janet’s number. When she answers, I cannot speak. I cannot breathe. I must breathe.
“What’s happened,” Janet whispers.
“She’s gone, Janet. Mom is gone.” Leaping to my feet and weaving around the bed, the chairs, the loss, I race to the kitchen sink and try to spit, expecting to find acidic bile in the basin. My stomach is empty. I emit dry heaves instead. I nod mutely into the phone, listening to panicked noises on the other end of the line. A chair’s legs scrape across the floor. Boots are selected and quickly discarded. Affronted grunts from Janet’s two dogs register their displeasure with being disturbed in the pre-dawn dark.
“I’ll be there as soon as I can. It will take me a few minutes to warm up the truck, and it’s snowing hard again, but I’ll be there as soon as I can. I am so sorry. We’ll get through this together, ok,” but Janet’s weak declaration dissolves amidst choking sobs on both ends of the line.
With nothing left to say, I hang up the phone and aimlessly begin to throw the pillows off the sofa bed and fold blankets. Halfway through pushing the mattress into the hidden compartment, the frame refuses to collapse. The sofa bed is stuck. I am stuck, too.
Do I get on the phone or finish getting dressed? I crumble to the carpet and lean against the bent steel frame. Who do I call next? My husband, of course, but should I call the funeral home before we get to the hospital? Will anyone even answer the phone at this time of day? Should I post a notice on the website that I have been using to update people about Mom’s condition?
The tree lights fuse. The ornaments bleed color into a watery pool. I cannot breathe. I must breathe. Struggling to my feet, I shove the bed violently into place and reconstruct the sofa, cramming pillows onto the frame and fluffing the accent ones into place. The phone rings a second time.
Believing it is Janet to tell me her truck has skidded into a snowdrift, I answer the phone with a question – are you stuck? The person on the other end of the line is not Janet, but the hospital again tells me that one of the nurses found my mother’s pulse signal of life is thready, but there is a pulse.
My mother is being transported to the ICU. How can this be? Is she alive after all? My mother’s still alive.
I hang up the phone and toss the receiver onto the sofa. Wriggling into another sweater, I am zipping up my boots when the phone rings a third time. Once again, an anonymous nurse asks me to confirm my name and follows with an apology. “We are sorry, but we were mistaken. Your mother does not have a pulse. Time of death six-thirty.”
By now, any tears of mine have evaporated. Dulled and confused by the hospital’s conflicting messages, I scream without a hint of grace into the phone receiver. “What the hell are you people doing? You violate my mother’s wishes and ignore or cannot FIND the directive I signed, the PDA you asked me to bring to the hospital. She’s dead. She’s alive. Now she’s dead. Are you sure this time, or do you want to check again? Leave my mother alone, for Christ’s sake. You have done more than enough.”
Racing on the edge of madness, I slam the receiver down on its cradle.
After nine days of ambiguity, my mother is dead, and I have moved up a generation.