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Sue Montgomery, RN, BSN, MA's avatar

Allie, wow.

Thank you so much for your vulnerability in sharing so honestly. My heart aches for you in so many ways.

I've been both an ICU nurse and a hospice nurse. My experience in the former is one reason I have such a passion for the latter (both hospice and stand-alone palliative care). And my years as a family caregiver have reinforced what I already knew: that so many don't understand what the day-in-day-out of caregiving is like. That's true both for healthcare providers who don't see the big picture of the aftermath of a devastating health situation—and anyone who's never actually been the primary caregiver for a loved one.

You said so many spot-on things in your letter. About siloes of specialty care that make a holistic approach so difficult and how much we need healthcare providers who will be brutally honest about what may be down the road.

Since I'm a big advocate for quality of life, the longevity-at-all-costs mindset of our acute healthcare system makes me crazy at times. But then, there are patients like your husband who say the latter is definitely what they want, which makes things really dicey for healthcare providers trying to follow someone's wishes. I'm so sorry you had to be in the middle of this impossible situation—and that things are so hard for you now.

Personally, I think we're all doing the best we can with what we know at the time. At that time, you were just trying to honor your husband's wishes. So yes, as others have said, please be gentle with yourself. And know I'll be praying for you.

Helen Landalf's avatar

What a truly heart-wrenching letter. Making that choice for another person is always difficult, but infinitely more so when they are as difficult as your husband. I had to make that choice for a verbally and emotionally abusive younger brother. Fortunately, the doctors were realistic with me about his chances for recovering enough to live a life of any quality. My heart goes out to you.

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