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Hope4Now

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I'm open to any and all suggestions/support. Just kind of reaching out. Kind of needing to tell someone what's going on...sorry this is a really really long post. I guess I'm kind of processing right here on the forum as I write this.

My mother is in bad shape. Her cardiologist called me on Wednesday night to let me know that she could die at any moment of a heart attack, and I had to make a decision about whether to take her to the emergency room to pursue aggressive treatment (echocardiogram and likely cardiac catheterization) or let her stay in her assisted living apartment with new medications that might ease the respiratory distress she is in. I've been in kind of semi-denial since then. (Semi- in that I did talk with her younger brother yesterday and today about the situation, but I have not gone to see her...partly because I'm freaked and in denial, and partly because my PTSD stuff has been in super-high gear for the past week and I think going to see her would have killed me). That's how intense all this is. It's me or her...at least that's what it feels like.

This would be easier if she were completely unable to make decisions for herself, but she is not. She just has little understanding of the bigger picture. This is not new, but has gotten worse with her mild dementia. She is a piece of work. Impossible. A fiesty fighter who is hell-bent on having her own way even though her own way is crazy (she is a narcissist...not an intentionally nasty one, but...). I have been trying to protect her (from my father who had his own issues...all very complicated...and from herself) since I was very young. I don't know why...survival then, enmeshment later and still. She refuses to discuss her end of life wishes. What she is most upset about at the moment is that she needs to go to the dentist to have her tooth fixed. She is and always has been the queen of denial.

I am so very sad for her though. I am trying so hard not to fall into her energy, her pain. To take it on as I always have. I'm pretty sure she is dying. I had this same feeling about my father before he dropped dead suddenly 7 years ago. I wrote in my journal a month or two before he died, "I am watching my father die from the inside out." Something ineffable had changed with him, and I had a hard time with it. I have the same feeling now about my mother (although this time, there's a lot of medical red flags to support the feeling). After I had the sense about my father, I finally persuaded him to talk to me about his end-of-life wishes, and to share the key information about banks and wills, etc. (He was 80). After years of refusing, he finally agreed to talk with me about it on a Sunday afternoon. He committed what I think of as "passive suicide" the following weekend. There is still part of me that feels like I am the one that precipitated that. (He'd had a suicide attempt when I was 9 or 10 and was a raging alcoholic...functional until he hit his 60s then all downhill from there).

Tomorrow, I am going to try to talk to my mother, yet again, about her end-of-life wishes. She will be 86 on Wednesday. She is not a candidate for any sort of surgery. We went through this once in the fall when we learned she has possible thyroid cancer and we opted out of the surgery. But now this situation is rather a crisis. She has some awareness of how bleak things are, and she keeps calling me, wanting me to make it better. This is nothing new. The night she found my father, she called me instead of 911. I got there before the EMTs. What a mess. But that's off-topic.

So, even though my mother is what my therapist once referred to as the "ground zero" of all the trauma, I am sad for her. I do not want to see her suffer. I want to do what is best for her...what every human being deserves. I am begging the universe to just take her in her sleep...for her sake and mine.

But that's not going to happen. So...how do I talk to an 86 year old woman who has a severe anxiety disorder, is narcissistic, and has mild dementia (but even before that had very limited self-awareness or any sort of comprehension of the world beyond really surfacey stuff). She deeply loves me in her own bizarre way. I feel quite compassionate toward her. But I'm so mixed up in so many of my parts...part of me knows what the right thing to do is, but lots of parts of me are terrified to talk to her. She will blame it all on me because she doesn't know how to do anything else. And I'm scared I will not be able to fend it off. That it will be like the aftermath of my father all over again.

I'll stop writing now. This is all so mixed up. Just ignore if it makes no sense. I think maybe just typing it out and knowing that somebody might read it has helped me. Thanks if you got this far.
 
@Hope4Now Your thinking and writing are both very clear and coherent just for the record, and I read every bit.I want to say I'm so sorry you're in the crossfire here, with your mother in denial, and you having to intercede on her behalf. My mum passed from cancer and we also had a complex relationship though at the end the cancer riddled her brain. Is there anyone else who can discuss end of life wishes with her? I only ask as it seems dealing with her may put more undue stress and hurt on you. If not then can she read and write? Possibly using paper as the medium would at least kept the discussion on track. The sad truth is that if she does not discuss these matters with anyone then those left behind will just have to take their best guess as to her wishes. Please be gentle with yourself what you're dealing with would try anyone even if they were not in the midst of a PTSD episode. Thinking good and kind thoughts for you and hoping someone can help. *gentle :hug: *
 
You go with your gut. Which I think you are saying is talk to her. She is not in a state to be able to grasp reality. Um how she reacts, is dependent on her. You are doing the best you can. No guilt. You are doing what you can. Do you have someone to help you with this? Who can be there with you when you talk? Or even a nurse or a doctor, or a friend of hers. Doing this on your own will be tough. But you don't need guilt. You are doing the best you can. You have your gut feeling as to what is best that is all you can do. That is all anyone can do.
 
How do you wish you would have dealt with your father's death better? It sounds like you are seeing this as almost a replay of those events. Is there something your parts need to do better in the case of your mother? Not sure if you know what I am getting to here....but it seems you are crossing past and present stuff and are feeling a bit (fill in appropriate word here)__________. Is there a lesson that you learned back then that you could 'overwrite' this situation with? Just throwing stuff out there. It sounds like you have a ton of activation right now and I am so very sorry for that.

First and foremost take care of you (whatever that means).
 
@Hope4Now, I am so sorry for what you are going through. Your post was easy to read by the way, and I'm so glad you are reaching out for support.

I tried to write something coherent in answer to your question about how to talk to her, but I'm not managing it very well. Sorry about that. I am sending you warm wishes for peace and clarity to get you through this trying time.
 
My therapist's advice for dealing with narcissistic family members is to first decide what "energy" you want to bring to the conversation. He says "if you get the energy right, the rest will follow." "Energy" the way he uses it, is a bit more specific than just "positive" or "negative". Things like "curious", "brave" and "submissive" are "energies".

So, if I have a suggestion, it would be that. (Because I've tried this and it's been helpful.) Think about the energy you want and then work on remembering the energy when you have to conversation. It's hard to control the conversation. The other party is their own agent, after all. But you can control your own energy.
 
To all...thank you for your responses. I will see my mother this afternoon so we can attempt to get some clarity prior to tomorrow's multi-family gathering for Easter (otherwise, I will end up talking about it with her there and that would be way overwhelming!). After much conversation with her brother, and much reflection within myself, I am comfortable with the idea of working on palliative care--easing her distress in whatever way possible. I am just hoping that she agrees and will be on the same page. I am reminding my parts that I cannot save her from herself, even though she wants me to, even if I die trying. Just as I could not save my father although I tried right up to the bitter end.

@shimmerz, your comment about my father also helped me to see why I still need to process a completely unrelated trauma that I thought was over but has come back to haunt me (a fatal motorcycle accident where I was first on the horrendous scene and unable to save the man)...and many other less extreme situations too. My major trigger is the overwhelm of being unable to do successfully what I feel like I should be able to do.

Suddenly, I'm getting some clarity not only on memory and what happened to me, but also some emotional clarity too...of how I process my interactions with the world. Ah, clarity. Ouch.

Think about the energy you want and then work on remembering the energy when you have to conversation. It's hard to control the conversation. The other party is their own agent, after all. But you can control your own energy.
This I have to remember. You've articulated it so well. My therapist has talked about this too, I just forget regularly. I have a lot of trouble controlling what comes into my energy field and what sort of energy I project. My mother triggers some of my parts so badly, still. Makes me feel helpless and useless and bad.

I will remember what you've written. What I like about what your t says is the proactive nature of it...I have been working a lot on boundaries and protection, but this is active. This gets at it from a different perspective. Yay. Paradigm shift. Thank you.
 
People here are so wise!

What story do you have about death, Hope? Is it a good thing? A bad thing? A neutral thing? I think this helps a lot. Here is the story my great grandmother gave me, and I pass it along to you and all your little ones. (She died at 99 when I was 15. She would say this at the end of every visit.)

"Next time you come to see me, I may not be here. I may die before now and then. And that is OK. I have lived a long time, longer than most people. And I am lonesome for people who have died. So when I die, you know that I went home, and I am back with my mother and father, and my husband (and then various of her children got added to the list) and that will be a good thing. But you might feel sad when I am not here. You don't need to be sad for me, but you might miss me, and then you will feel sad for you. Just remember that we will not be apart forever, someday when you are very old you will die to and we will be together again. It seems much longer when you are the one still alive, so you don't need to worry about me."

When our cat died suddenly when L was four, I had to figure out what to tell her. I told her his spirit had left him suddenly, we don't know why. But when spirits leave bodies then bodies go back to the earth. Our bodies are all made from the earth, we eat food grown in the dirt and drink water from the rain to keep ourselves going. So when our spirits are done with our bodies, our spirits go on, and our bodies go on by going back to the earth.

She is remarkably unfreaked out by death, although she grieves... GRIEVES intensely at intervals. Usually starting with one specific current grief, but then it goes all... general until it .... washes out.

I too hope your mother has a gentle and easy passing. That is, as far as I know, everyone's wish.

Have you seen the interviews with Morrie Schwarz and Ted Koppel? I show them in one of my classes, and have found them very valuable in figuring out how to feel about all this. I think your little ones might really like Morrie.


Is the first one...
 
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