After a slew of tests, including a false positive for Lymes Disease and final EMG testing, Dr. Neskovic diagnosed him with our greatest fear. At the time of that appointment my dad was still able to walk with the use of a walker and had decent general use of his limbs, hands, and voice: Dr. Neskovic gave him 3-5 years based on what she saw at the time of the appointment. Since then my dad has taken a sharp decline, and as of the writing of this reflection (August 31, 2017) he has lost all movement other than a couple inches with his left foot, the ability to turn his head slightly, and a rapidly diminishing voice. My dad now lives in an assisted living facility in my hometown in Wisconsin, and is on hospice care. I’m currently writing his funeral and am creating a drawing for the cover of his funeral program, so that he can hear the funeral and see the drawing before he passes away.
Over the past year or so, my wife – courtesy of the help and instruction of a good friend and neighbor – has been raising and then releasing monarch butteflies. The monarchs are truly amazing to watch as they transition from caterpillar to butterfly – and seeing the chrysalides up close is really amazing as they look like beautiful works of art: especially when the butterflies get close to coming out and you can see their wings through their chrysalides.
Hospice work is often full of analogies as we process with patients and their families about our patient’s situations: more so for me personally at this time due to my own dad being on hospice as well. A few nights ago as I was looking at our future butterfly Sully’s chrysalis – which is so thin now that you can see his wings - I was struck by a butterfly analogy for my dad. Looking at the chrysalis, the soon to emerge butterfly looks trapped after its life as a caterpillar which was free to move around. In the same way, after nearly 70 years of being able to move freely, my dad is now locked in and is unable to move. I’m not in any way looking forward to my dad’s passing, but I do believe that when he does he will be given his new body in the new heaven and the new earth just like a butterfly has a ‘new body’ after emerging from its chrysalis. “For while we are still in this tent, we groan, being burdened—not that we would be unclothed, but that we would be further clothed, so that what is mortal may be swallowed up by life.” II Corinthians 5:4 (ESV)
I took the above photo as a reminder that my dad still has tremendous beauty within him and around him despite his being trapped in his own body by ALS: a truth that I believe applies to all of our hospice patients, no matter what disease is affecting their bodies.