Saturday, January 28, 2012

The Long Goodbye - Atlanta Magazine

Augustus Monroe figured he'd drop dead long before he'd need a nursing home. A decade later, his son considers the weighty financial and emotional costs that come with a parent's immortality.

We thought Daddy was going to die in 2001. He was staggering around the house in his underwear, gasping in pain, his eyes hollow, his face slashed from shaving with an old-fashioned safety razor.
He was eighty-two years old. We took him to a doctor, who said his spine was deteriorating, gave him pills, and suggested he pray. A few days later, Daddy fell at the mailbox, bounced his head on the pavement, and crawled up the driveway, scraping the skin off his knees before collapsing on the front steps. Mama sat in her recliner in front of the TV, worried and clueless, until a neighbor called an ambulance. The EMTs got Daddy propped up in his recliner. He refused to go with them. When I arrived, Daddy was gulping down whiskey. I called the ambulance back, and they took him to DeKalb Medical. Doctors found prostate cancer and operated. My sister and I cried, sure Daddy was in his last days.

That was eleven years ago. Since then, Daddy's long goodbye has drained his retirement income and life savings of more than $300,000. Where's that money gone? Assisted living, mostly. Of course, that amount doesn't account for his medical bills, most of which have been paid by Medicare and insurance policies that were part of his retirement. Daddy's income—Social Security, plus monthly checks from two pensions—pays for the facility where he lives, his taxes, his life insurance policy premiums, and such incidentals as a visiting podiatrist to clip his nails.

And he has been kicked out of two hospices for not dying.

Daddy is ninety-three now and wears a diaper, is spoon-fed, and urinates through a catheter, drifting in and out of deep sleep in which he gasps for air and appears to be dead. Trisha, my sister, texted a picture of him in October to one of her daughters, who texted back: "Happy Halloween!" When he wakes up, his caregivers dress him and plop him in a wheelchair. He rolls around like a child until it's time to eat again.

I cannot imagine that this once-dignified Southern gentleman, who clawed his way out of the grit of a Depression-era tobacco farm in North Carolina and bought a snazzy double-breasted suit with one of his first paychecks, would be anything but humiliated by what is happening to him now—if he had all his faculties. Yet as one of his nurses told me, "Your father has no interest in dying." It is not heroic measures keeping him alive; he just keeps ticking. He takes only two medicines: an antibiotic for a urinary tract infection and OxyContin for the pain in his spine.

At sixty-four, I am at the leading edge of baby boomers who have ringside seats to the slow-motion demise of the Greatest Generation, watching our parents pass away slowly and stubbornly, dying piece by piece over a decade or more, often unwilling or unable to share their feelings. Most of us, such as my sister and I, head into the turmoil of caring for an aging Immortal utterly unprepared.
Daddy used to laugh at Trisha and me whenever we suggested discussing assisted living and long-term care insurance with him. He insisted—with the unshakable confidence of a career civil engineer—that he didn't need to make such plans, that he would simply drop dead one day and that would be the end of it. He refused to discuss it further.

It didn't work out according to that plan, and there was no other plan.

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http://www.atlantamagazine.com/features/Story.aspx?ID=1629702