A virulent strain of grief

I’ve been reading a lot about death lately, death and long hospitalizations and the kind of hope that people with sick children cling to, a stretched kind of hope that comes with chemotherapy and radiation and surgery. When I started writing for National Novel Writing Month, that’s where I was drawn, partly out of some kind of voodoo thinking that writing about it would protect my family and partly out of wanting to work through how someone copes with the loss of a child.

And then there was what happened to Kevin.


kevin1


I’ve written about
Kevin, my mother’s long-term boyfriend, here before, in short bursts of roundabout language. He came into our lives when I was fourteen and nothing was ever really the same again. By the time I was fifteen, I was living in the Little House with disastrous results and he and my mother were at the thin edge of eighteen tumultuous years together. Kevin is starting to lose his mythical qualities, has become more human in my mind in the last year, more culpable and weak. He was a bully, really, a smart and witty bully, though that of course was not the whole of him.

[
Warning: The below goes into detail about an illness and a harrowing hospital stay and may be upsetting to some readers.]

In March 2002, Kevin, 55 years old, died of, well, it’s a little murky. He was in the final stages of
myelofibrosis, a bone marrow disease, though it was probably pneumonia that did that last dirty work. With myelofibrosis, the bone marrow becomes fibrous and hard. Blood production that normally occurs in the bone marrow moves to other organs -- the spleen, the liver -- in a last-ditch effort to make blood, a phenomenon with the poetic name extramedullary hematopoesis. These organs try, but ultimately fail, to make useful blood. Instead, they produce bad blood, the cells immature and misshapen, blood that does a half-assed job of keeping the body healthy. People with myelofibrosis are often anemic; they bruise easily and are susceptible to infection and bone pain. While there are drugs to manage this disease, there is no cure outside of a stem cell transplant, which is always a dicey position. If you have it, one way or another, myelofibrosis will eventually kill you. Or more accurately, an infection will kill you. Or you will develop leukemia. Or you will develop a wasting illness. Or your liver will cease to work (because of the extramedullary hematopoesis).

Before March 2002, before we called in hospice and accepted the fact that Kevin’s death was imminent, Kevin spent six months in the hospital, nearly all of it in the Critical Care Unit (like an intensive care unit) or a unit one step below Critical Care. Trying to write about that time in a way that makes any sense is impossible. I’ve tried it, tried to come up with a timeline and a reason why he ended up on a ventilator (aka respirator) shortly after he was admitted and how early on we thought he was going to slowly bleed to death until a miracle worker hematologist/oncologist came up with a genius solution to get Kevin’s blood to clot, and how Kevin couldn’t swallow because his epiglottis was damaged from his emergency intubations, so he couldn’t eat and how there was a doctor we called Dr. Death because he insisted on telling Kevin he wasn’t going to make it, let alone walk again (he was right on the former, wrong on the latter). Kevin was on the vent/off the vent. He kept on getting pneumonia. He was hooked up to tubes and lines, trapped. But alive.

Fall 2001 was full of death and fire, of anthrax scares and work closures, of mail that came to the federal library where I worked months old, crispy and irradiated. It was the beginning of Kevin’s long end, a journey that required great vigilance on my mother’s part and the amazing efforts of a large number of doctors and nurses. Being in CCU for six months is incredibly intense, all-encompassing, and stressful, and when a patient is as fragile as Kevin was, you
have to be vigilant. It isn’t that the professionals aren’t competent, it’s just that they want to do things, think that action is always the best course. And sometimes it isn’t.

When I sat down to start my NaNoWriMo novel, all those details of his hospitalization came out, details I have stored away for years: the sound of the ventilator and the beeps of IVs that need attention; the smell of pneumonic mucus as I suctioned it out of Kevin's trach; the image of Kevin trapped under a blanket of tubes and devices, so fragile you didn't want to touch him (and the too-late knowledge that he must have been desperate for touch); the horrors of his frequent intubations, emergency procedures where doctors had to essentially jam an air tube down his throat after his oxygen levels dropped precipitously; the rushed meals at Taco Bell Express, knowing we had to get back and that eating in front of him when he was getting his food, this green sludge, through a stomach tube would have been horribly cruel; how skinny, impossibly skinny he became. How, after being bedridden and hospitalized for three months, he took his 80-pound frame and a walker and did halting laps around the CCU, in an act of pure will.

So all this came spewing out last month, disguised under a new premise with a much younger protagonist. After the month was over and the first draft off my head, I realized I had a lot of legwork to do. For example, I know next to nothing about the disease I had chosen to grace my unlucky character with. And what do I know, really, about parental grief, which is a particularly virulent strain? I've been doing research, reading books and looking at websites. There is one blog out there, very detailed and well-written, created by a mother who was chronicling her little boy's fight against cancer. That little boy died in September. The whole thing is horribly sad (and as I read it, I wonder: why, exactly, am I doing this?).

When you are in the middle of a life-and-death-struggle, the intensity of keeping someone alive, of trying to make them well, it's all you can think about. Everything becomes medical and you find out all you can. You learn about the strength of nurses and the support system that crops up in a hospital. You learn to live with things you never thought were possible before. You are steeped in the smells and sounds of illness and it feels like it will never end. You don’t want it to end with death, but sometimes it does and you have to let go of the struggle. I read this blog and I cry, for this family and the little boy that will never grow up. I hope that I can do justice to him and to Kevin and to all the people who have experienced such prolonged pain.

galenkevin2crop
The kid at Kevin's grave on Maryland's Eastern Shore, April 2009.


Perhaps this is an impossibly tall order. What I'm looking for now is authenticity, a way to write something that sings and is true and real, that doesn't exploit illness as a book topic, but brings it to life and honors those that have gone before us.

It's daunting.


Top image: Kevin at Georgetown University Hospital, January 2002, about three months before he died.

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Prognostication

loveheidi


In my dreams, the dead are silent. I’ve never had a good conversation with a single one of them, just offer my apologies, bake the bread, pour the coffee. What is the guilt about? The dead no longer care about my transgressions. Isn’t it enough that I hold them here in my subconscious, treat them as gently as I would a freshly-laid egg?

But this dream was different. We were going to visit Kevin, who has been gone for over seven years now. As in real life, I was nervous: would I react properly to him? Would he toss the verbal slings, so subtle and cutting, if I didn’t pick up on something, if I reacted too slowly? Or would he sit there, blue eyes glowing, as my mother and I circled him like butterflies, flitting here and there in our attempts to placate?

Kevin spoke. He used the ethereal language of dreams, of those who are now ashes and light, but in that nasal New Jersey accent that I haven’t been able to replicate in my mind for years. And he was funny, so funny, because Kevin
was bitingly funny. I laughed and realized how much I missed him, how much time had gone by and then I woke up, not remembering a word of his complicated meta-joke.

Time flies on and I die a little every day, lose another connection, feel the pull of a long-ago past. Yet my grandfather still shows up at the old house. I smell his cigarettes, breathe in sawdust, too-sweet coffee and turpentine. He waits in his cell of a room, a voiceless old man in a flannel robe, unshaven and glassy eyed. I rush past the sink filled with dirty dishes, walk a path of slate to get to a mailbox that hasn't been opened in years. Sometimes we take his car for a complicated drive to Christiana. Maybe we are heading to the hospital, waiting for someone to hand me a small bundle, something I've forgotten.

The dead appear without explanation or warning. Carolin greets me in a too-bright dorm basement, fixes me with intense eyes. David Anderson sits in a classroom, shoeless, staring at the algebra equation on the board. Frank the cat meows for food that I don't have. And my grandmother, the one I ache to see, is sick of my inattention and has stopped showing up at all.

Someday, no one will know that I was sixteen and angry once. They will remember an old woman deeply lined, forgetful, with clouded-over eyes, demanding and harmless. Inconsequential. As though I had been born without desire, without the power to wound.

Image: Postcard, date unknown.

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My hands untied

Kevin early days
Kevin, summer of 1984.

Enter spring–let's say April–1984, West Street, Wilmington, Delaware.

Birds are singing. The tulips and pansies in our raised beds are starting to bloom. Recent March winds have deposited the remnants of chaos, muddied papers, dead leaves and tree limbs, in the alleyway. The winds lifted deck chairs against back fences, turned over plastic flower pots, battered pedestrians. They blew
Kevin the poet-carpenter, intellectual powerhouse and gin guzzler, in down the street, saluted him with a flurry of cherry blossoms.

My mother invites the new neighbor over for dinner. He seems strange, a little awkward in his old-fashioned glasses, his blue eyes intense and clear through Coke bottle lenses. Kevin speaks with a touch of New Jersey nasal and renovates and flips houses for a living. He arrives lean and tanned, armed with words of sharpened steel and a large bottle of Gordon’s, his old blue merle collie Barney by his side.

What could I do? I was fourteen. The last guy in our house didn’t even speak when I was at the table.

Here’s what I
didn’t do: talk. Smile. Instead I just sat and shoveled in the food, exuded resentment, made infrequent eye contact. Maybe I smirked. And Kevin, a man I had just met, called me on it.

“What’s your problem? You’re just sitting there, sucking all the air out of the room.”

I have no memory of my response.

It wasn’t until yesterday, as I was attempting to capture this pivotal moment yet again, looking over what I’d written almost a year ago on that same dinner, that I realized: I blame myself. Reading over my early attempts is somewhat painful. I was straining to describe that night, to explain Kevin’s poetic rockstar persona and my mother’s deadly attraction to him, to explain my role in my own rejection. The end of parenting, my premature emancipation, the series of adult situations I got into before my time? Culpa. Mea culpa. I should have put on the charm, talked,
given a little bit that night. I should have been someone else.

If I had won Kevin over that evening, maybe my mother would have stayed engaged in my life. She might never have started bringing dinner to him, eating in his dusty dining room every night while I ate alone. I wouldn’t have begun wandering the Wilmington streets after dark, wobbly with purloined gin, smoking unfiltered cloves and blasting the Dead Kennedys from my Walkman. The Little House would have stayed empty. The end of innocence could have been put off for another couple of years. If I were a better person, a different person, no one would have told me that I was evil, the root cause of family turmoil.

I know. I
know. My brain tells my heart that it would have made absolutely no difference in the outcome if I had smiled or curtseyed or made insightful conversation about Nietzsche and Wordsworth. To be honest, until yesterday, I didn't know I felt this way. I blame myself.

Why do children take responsibility for things over which they have no control? Why do adults shift the blame to the helpless? And why, when we molt and grow and leave our child forms behind, does this sense of responsibility for our own small fates, this idea of being the masters of our abuse (if only I were nicer or less shy or stronger ...) carry on into our adult life?

The child decides that she is the cause of her mistreatment. The adult lets those early experiences dictate her behavior. We find ourselves recreating situations again and again, little kids in the guise of adulthood, sifting our lives through the rusty emotional sieve of the formerly helpless. We choose partners who fit into old scenarios, make decisions based on faulty data, try to get it right this time. With our motives hidden and our reasons obscured, the do-overs usually fail. Then? Familiar pain and reinforcement of our feelings of worthlessness.

Or maybe it's just me who's felt this way. Yes, I've done this, set up the scene, chosen guys who reject who I am, who blame me for their own shortcomings. I've blundered my way through friendships, the sullen fourteen year old in a thirty-year-old's clothing. And although I have stopped replaying the same scenes over and over again, I still have an overarching sense of responsibility for the trajectory of my childhood. My invisible scars feel completely self-imposed, my exposure of them a shameful confession. I feel rotten from the inside, capable of destroying entire worlds. Run from me before I drag you into the muck!

But I'm not that way. I'm
not.

So I'm writing my path to self-acceptance, still trying to forgive myself and my family, to look at the world through clean eyes. I don't want to shift blame. I want to let go of the entire concept of it. After all, I'm here, alive, doing so much better than I ever thought I would be. It's time to let go, to untie my hands and live fully.

I figure I'm about 20% there. Maybe more. And if I can do it, you can too.

Coming up: February's blog, a return to the Maureen story (we'll skip over the guess who's coming to dinner segment), and some awards. Not necessarily in that order.
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Not fade away

mick
Mick Jagger, circa 1969, from Rolling Stone.


The centerpiece of Thanksgiving dinner was a rockfish one year. Kevin had caught it himself, straight from the Chesapeake Bay. Mom stuffed it with breadcrumbs spiked with chopped fennel and onion, and there were mashed potatoes, cranberries, and a nod to green, string beans on the side.

We ate by candlelight, as usual, talked about politics as usual. I wish I could go back and capture those conversations, remember the deep level jokes and high level discussions. Almost any dinner with my mother and Kevin was devoted to real conversation and humor, sometimes dipping into reminiscence. It was the closest we ever came to feeling like a family.

Like the night a couple of years before Kevin got sick, when he was just starting his PhD program at Penn, and Augie the collie was a puppy. I had taken the train from DC to Wilmington to visit and things were unusually smooth, no arguments, very little baiting. We ate sautéed chicken over vermicelli in the candlelight. The entire dish was sprinkled with breadcrumbs toasted in olive oil, garlicky and herby and delicious.

The conversation turned to the sixties. Kevin had taken a year off from college in 1966 after being busted for selling marijuana (a setup, he claimed) and he headed off to California, hitchhiked down the coast. He talked about Dylan going electric, mentioned the rivalry between the namby pamby Beatles devotees and the rebellious Rolling Stones fans. There was talk of high school dances, the moves and the moments. The radio was playing music from that era and he and Mom started to slow dance as I watched from the table.

What do you do when a family culture dies? When a powerful personality disappears? The center did not hold. We’re still trying to create our own gravity.

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Two ways of looking at it

notebook


I wish I could explain the importance of the notebook. It’s one of those old black and white composition books, barely held together by 45-year old glue and stitching, the edges of the pages the color of dead oak leaves, cured by time. An artifact, a little piece of Kevin, half-filled with poems of late adolescence, poems that he probably wrote in his senior year of high school. They are short and generally angry, each one typewritten and stapled or taped to the front of a page.

If I could explain the importance of the notebook, maybe I could explain the importance of Kevin. How can someone who tried to destroy me, who battered my mother emotionally, be so key to who I am? Kevin was extraordinary. I’ve never met anyone like him, a man who pushed himself out of a childhood of emotional and physical abuse and formed a self out of will and ashes. He was a poet, a self-taught carpenter, a working class intellectual. In the midst of
fatal illness, he completed his dissertation and received a PhD. He was also so wickedly funny that my mother and I still laugh when we remember his stories and jokes.

Kevin sometimes ripped us to shreds with that knife-like wit. He was an active participant in the neglect that led to my pregnancy at sixteen. Whenever he saw hypocrisy or hidden motive – which was often – he skewered the hypocrite, uncloaked the motive. His ability to see the darkness in himself and others never took into account the overwhelming goodness we each have, the lightness that makes up most of who we are.

I have a lot of empathy for him, whose cruelty and black math was caused by a childhood of pain and anger, but it probably helps that he is off stage now, six years dead. It was a long and painful exit. Kevin didn’t deserve to suffer, to be hospitalized for six months, to have his body whittled down to 80 skeletal pounds. He didn’t deserve to lose his ability to swallow and sometimes to breathe unassisted. No one deserves what happened to Kevin. But that time of suffering was also a time to make peace. I was at the hospital for hours almost every day, there for both him and my mother, keeping company, being a second set of eyes to make sure no mistakes were made. I was there for comfort.

It gave me a chance to prove my humanity, to show that we all have the ability to be good. Even him. Even me.

Sometimes I still believe it. But writing that paragraph about how I benefited from Kevin’s suffering leaves me with a dirty feeling, as though I relished the opportunity to be redeemed through his pain. It wasn’t like that. I was there because I wanted to be, couldn’t imagine being anywhere else.

constitution


Kevin’s final day stretched and stretched from early morning into late afternoon. A small group of family gathered in his hospice room and listened to him wind down, heard the silent spaces grow between each breath, watched his heart flutter out from under his ribcage. Outside, daffodils were pushing through once-frozen ground and the forsythia was in bloom. The world was coming to life again as we sat and waited for death.

It came with a dramatic final exhale followed by dead quiet. The dog broke the silence with a bark, my mother reached for me and Kevin’s son, held us and cried. Mom later said she felt Kevin’s energy leave his body, had an image of him walking along a river path against a cloudless sky, his old collie Augie by his side. When Kevin's brother thanked me for my presence, I said, "I'm so glad we had this time," and immediately regretted it. What was I saying? Those six months of dying were great? What a wonderful opportunity for me?

That night I woke up after midnight to the pressure of Kevin’s hand on mine, a grateful and loving presence.
Don’t be hard on yourself. You were there for me. Thank you.

Then he was gone.

Two Ways of Looking at It
Kevin Sheehan (Knife Gift)

The magician, who is about to perform,
is wearing a suit which belongs to
his father. No one is supposed to know
that he is not his father. His first
trick, which involves some
simple sleight-of-hand, is well-received.
he bows, and the suit collapses.

And what if I would not grow up,
would not perform
the necessary murder. So what.
Was it any of your business?
I chose to be the child, hurt
and unhurting, but my body,
my beauty, betrayed me.

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Louise Peevish

Louise wasn't always peevish. Part Irish Setter, the rest unknown, she was a skittish creature, loving and overly eager to please. She’d collapse at your feet at the first sign of disapproval, submissive belly up. Insecure. Over time, her insecurities revealed themselves as low rumbles of false bravado, lip curls and warning growls at Samantha, the other dog in the house. It was an act. She never actually bit anyone.

"Oh, Louise is being peevish again," we'd say. "Louise Peevish."

louise


It was the move back to Maryland that did her in. There were stories of other dogs that had cracked after hearing the tests at
Aberdeen Proving Ground, dogs that pushed their way through second story window screens, desperate to escape the sounds of the bomb and munitions tests across the river. The aural bombardment contributed to Louise’s general nervousness, but now when a thunderstorm blew through town, she was absolutely inconsolable. No drug calmed her. By the time you got the pill down, the storm had passed.

One afternoon, my mother drove with Louise to the local grocery store. Mom rolled the windows down a safe distance, locked the doors, and entered the market.

She was filling a plastic bag with green beans when she heard a little girl’s voice. “Look, Mom, there’s a dog shopping in the Acme.”

“Not my dog,” thought Mom, as she weighed the beans and continued to the toiletry aisle. The little girl spoke again. “Look, Mom, the dog is still shopping in the Acme!”

“Not my dog,” thought Mom again. She glanced past the row of shampoos to the plate glass windows – were those thunderclaps she heard? – when she saw Louise, panting heavily, on the run from one of our favorite check-out guys, a kid who worked his way up from bagger and always made friendly conversation. Louise darted for the automatic doors, heading along the sidewalk in the direction of the Chat-n-Chew.

Abandoning her cart, Mom also ran for the door. Outside, storm clouds were gathering force. She watched Louise scatter a school of carpenters, men in dirty jeans and mud-caked work boots, as the dog passed the restaurant and made a left into the hardware store. Mom followed, pushing past customers, until she found Louise in the back of the store, trembling by the PVC piping.

My mother stayed there with her until the storm passed, then walked her back to the car and drove home, sans groceries. Apparently, the dog panicked when she heard the approaching thunder, pushed through an open car window and went looking for Mom. We were grateful that she wasn't hit by a car.

About two years after the Acme incident, I came home from grad school for a visit. Things were grim. Kevin, my mother’s long-term boyfriend, had been diagnosed with a rare bone marrow disease. My mother was close to declaring bankruptcy. And Louise was getting more peevish and skittish.

Her fits of panic weren't limited to thunderstorms; now the dulled explosions from Aberdeen were having a similar effect. She was terrified. If no one was home, she would attempt to escape -- Mom was afraid she would force her way through a closed window, pictured a return home to bloodied shards of glass and no dog. If someone was home, she would scratch and pace, pant and whine. Louise was suffering.

I went with my mother to the appointment. We sat with Louise, stroked her as the vet depressed the needle. It was over quickly.

On the ride home, we didn't speak.

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A Dream of the Snow

He was my mother's boyfriend for almost two decades. Creative and manipulative, mercurial and whip-smart, brave to the end, Kevin was a complicated man who caused a lot of damage. He couldn't help it, with his own childhood of abuse and cruel words never far from the surface.

By the time he died, after eight years of illness, we had reached a peace. I loved him like a father.

Today would have been Kevin's 62nd birthday. (My mother just called to tell me she had a pain in the neck, just like she has every year on his birthday. Ah, the tension continues even after death . . .)

In honor of Kevin, I am posting one of his poems, "A Dream of the Snow." For many months after his death six years ago, my mother had this as her voice mail greeting. She got a lot of hang-ups.

kevinstudy

A Dream of the Snow
From
Knife Gift by Kevin Sheehan

For a long time I hid
while my body grew,
watched while it learned
a hard way to speak
till the clothes that it wore
no longer fit me
and I could not understand
a word of its speech.

For a long time I slept
while my body dreamed,
cried when it married, moved
away. Now I dream alone
in the room where we played.

Not of the fields, but the falling,
not of the cold, but the coming down,
my body is a dream of the snow.



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First time in weeks ...

First time in weeks ... that C is asleep before 9:00/9:30. No nap = long day, easier night. H and I actually had uninterrupted, leisurely dinner conversation. No one wanted to sit on my lap and eat (not even the cats). And I know I will be awake for a while to talk or read or write. Just like life used to be, except I'm older and crankier.

The K story is changing. All of the sudden, there I am, with opinions and experiences and a viewpoint. K's arrival wasn't the first thing to ever happen to us. He stepped into a context, into a scene that needs to be set. And for this, I have to include my mother's second husband and the quirks of our great triumvirate. Without getting into it too much.

What is lost -- a tight, arid focus -- is worth losing. It's funnier, too. And maybe it's really about me anyway, right?
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Making it personal

So I've been building my little brick house of a story, slowly adding each brick straight from the kiln in my brain. The whole point has been to explain Mom and K, to attempt to be fair and accurate, to provide their all-too-human motivation, so I can forgive. Explanation is impossible, of course. I don't know the half of it, I forget a lot of it, and I don't understand my own complex motivations.

Yesterday, I read through what I've completed of my brick house. I ended up feeling as though I had swallowed a brick (and I now wonder how far I can take this analogy). It is dense stuff, well-crafted paragraphs that describe them, but as a story are somewhat monotonous. It lacks life. My mother is right -- this is about my experience, is my attempt to exculpate them, and to get over the past. So I have to jump back into the story, become the third character.

I also have to add some real life. That's difficult. The fights, well, they kind of blend together in my mind, though there are some very memorable ones. The conversations -- most of them are gone, too. But the past can be conjured, and sometimes impressions are better than facts.

The hospital and hospice: they are still fresh. I'm beginning to wonder how much of my story will be that, the time when I could be there so unconditionally, providing support, showing that I was a good person. That wasn't my intention, to focus on that time. But it was the beginning of forgiveness and understanding.

Enough navel-gazing for tonight.
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