Tag: Grief

The Price of Love

There he is, the magnificent beast.

He stands watch, regal and perched upon his throne, the padded dog bed inset within our living room’s bay window.  The Border Aussie (Border Collie/ Australian Shepherd) surveys his expansive kingdom. He stands at attention, his tail rhythmically striking the glass pane, as he guards his realm against oncoming Amazon delivery drivers, errant felines and any and all squirrels. He is absolutely, quantifiably and without exception, the best dog. 

Except for the times that he isn’t. 

That time that I left the barbequed steaks and chicken in the middle of the patio table and returned moments later to find an empty plate licked clean? He was not the best dog then.

Or the many times that I walk with him and our youngest to the school, and tie him up at the edge of the playground yard (because I respect the bylaws), and he whines and howls like I’ve abandoned him forever? Not the best dog then, either.

Or that time we reluctantly joined another family’s firepit when we were tobogganing, and our dog marked his territory on a stranger’s folding chair and picnic basket? 

Or that one time he jumped onto the trampoline (that he knew he was not allowed on) and pooped in the middle of it? 

(Yes. That really happened. I can’t make that crap up. But he did, in the middle of our trampoline.)

Truth be told, during the times when my dog is pulling on the leash or attempting to jump up excitedly on an approaching friend, stranger, or bylaw officer. I am keenly aware that my dog is not the best dog ever. At times I start to wonder if my dog really is a good dog, after all. It’s occurred to me more than once that my dog may in fact be a poor listener, a brute, and a bit of a spaz. 

Still, despite the steaks and chicken and whining and peeing and the… trampoline incident…he’s still my absolute favorite. 

It’s a good thing I like him, because he is always right there. Occasionally he will find himself on the wrong end of a closed door, stuck on the front lawn after we bring in the last bag of groceries, temporarily unaware of his absence. He never ventures far. Eventually we will hear a polite (or impatient) bark, and find him sitting at the front door, staring up at us. This is a dog that likes to be close. He curls up on the end of our youngest child’s bed, lying on sheets and making it difficult for my son to pull blankets up over himself. When we allow him up on the couch, he fancies himself a lapdog and splays his furry 60 pound body across our legs. 

Whatever favorable features or faults he has, our dog is a member of our family. He gets included in group pictures. He’ll gladly go on any and every outing, even when we have no destination. When we go on weekend excursions or extended road trips, he is always the first into the van. We pay extra to stay in the loudest, bare-boned hotel rooms on the main floor that allow pooches. And we can be sure by the end of our trip, each and every piece of clothing we own will be covered with dog hair (and maybe a bit of slobber). 

It might seem like a steep price to pay, the concessions and accommodations necessary to love a dog like that, but it’s really not. We’ve been doing this for nearly a decade now, and honestly, it feels strange on the odd occasion that we do have to leave him behind. I’ve gotten used to him being constantly underfoot. But I know he won’t always be. 

Just a month ago we thought we might lose him. 

Border Aussies are famously high energy dogs with well documented neurotic and obsessive behaviors, so when ours began occasionally licking his left elbow callus, we didn’t think too much of it. In time we noticed that the licking had become habitual, and the callous more inflamed. We began to wrap the leg, and when that failed, brought out the dreaded cone. Soon we noticed that the inflamed area had become its own distinct growth. By the time we got into the vet, it was roughly the size of a golf ball. 

We knew that it might be cancer. Our vet agreed and booked a date for the lump to be surgically removed and examined for pathology. The vet was hopeful that the growth was not completely embedded in the leg, but that we should prepare ourselves for future surgeries or the possibility of more growths. 

We would also have to tell our kids what was happening.

Suddenly, I was 16 again. Hearing the news from my dad that my childhood pet would have to be put down, driving in the car with him to the vet, saying goodbye to my best friend. I remember the heartbreak, and the white-hot ignorance infused anger I had towards my parents that they hadn’t done more. 

Now it appeared it was my turn to break my children’s hearts, to shepherd them through this awful, impossible time. I had walked right into a trap that I had already seen laid bare years earlier. Why would you get a dog for your family when you know that this conversation, and the heartache that comes with it, will inevitably follow? When you know that both you and they will love that pet unreservedly? What sort of shortsighted monster would do this to their kids? To themselves? 

A few weeks later, I found out that I didn’t have to have that conversation. Not yet. The lump was excised and found to be non-Cancerous. We were only out the (not insignificant) cost of the surgery, and a few weeks of watching the wound carefully as it heals. Our neurotic, barking, underfoot, steak stealing, hair shedding, leash pulling dog gets to continue being the best dog ever, at least to us. We were extremely lucky. But I know that that conversation, and the grief that comes with it, is still coming. 

And there are a lot harder conversations still coming. 

It’s tempting to want to minimize our risks, protect our heart against the grief that threatens to swallow us whole, especially when we have insight into how much it will hurt. But it’s impossible, because grief is the price of love. We don’t get to experience one without the other. We only grieve that which we have loved, and everything and everyone we love now, we will also grieve one day. They are two sides of the same coin. 

This is true for whoever and whatever we are grieving. I know there are griefs both great and small, both personal and communal. Some mourn the loss of a career, or a friendship that is no longer close. Some of us have mourned the loss of friends, spouses, or family. Some have lost hope that the future will be better than today, or that there even will be a future for our children or grandchildren. All of us mourn some form of the world that has changed forever. Whatever we have experienced, whatever we are experiencing, we don’t need to compare our grief. There is more than enough grief to go around.

But our grief should also encourage us. 

Our grief shows us that our hearts are still in it. That we have what it takes to love, because we have what it takes to mourn. That despite all the troubles we face, we are not half-hearted, or calloused or indifferent. We are courageous, each and every one of us who loves, knowing the price we will one day have to pay.   

Those who are willing to be brokenhearted are wholehearted. And the wholehearted know that the price of love is steep.

But they also know it’s worth it.

Showing Up

How do we show up for our work, for each other, and for ourselves when we are exhausted, grieving and angry?

The patient in front of me tells me he has been having chest pain for the past ten hours, sore throat, headache and shortness of breath for the past week. “Last night, it was really bad around 2am. I could hardly breathe”. 

His skin looks terrible. He’s pale and breathing fast, beads of sweat visible across his forehead. 

I am standing in front of him, at a distance. My eyes alone are barely visible as I am covered in gown, mask, face shield and scrub cap. I am stoic and silent between pointed questions, thinking. I am already far beyond this moment. I’m weighing his risk factors. I’m thinking of the fact that we are once again short staffed, and that each room in the main department is already full. 

I close the distance between us and reach for his wrist to feel his pulse through my own gloved hand. His heart is racing too fast for me to determine its rhythm. I ask him if he’s received any Covid vaccines. He shakes his head.

And at the moment I’m holding his wrist, staring at the clock beside him and attempting to count beats, he looks into my eyes and says “I’m just really scared”. 

There is something about it that jarrs me, wakes me up to his perspective. It feels like a plea to see him for the first time. And I do. Of course he is scared. 

“Of course you are, but you’re in the right place”, I tell him. “We’ll take care of you”.

And we do.

This is the work I show up for, my work as a nurse in the Emergency Department, and it is as stretched and strained as I’ve ever seen it. Showing up for work in the height of a pandemic means regularly working short, missing breaks, and increasingly working without some of our most experienced staff who are no longer picking up extra, or simply decided to transfer to a different hospital floor, a different focus, or even a whole new career. 

These are the days when I find myself in discussions with my peers about what constitutes unsafe practices and patient abandonment. These are the days when even our professional college acknowledges our shared challenges, and that our previous standards of care may not always be possible. 

These are also the days of greatest frustration. Days of seeing the young and previously healthy gasping for air. These are days of protests outside of hospitals and downtown health offices. These are days of division and resentment, even among colleagues. When long friendships are strained or broken because of beliefs around Covid, vaccinations, or vaccine passports/ immunization records. 

These are the days when it seems hardest to hang on to your humanity. It is hard to see a hundred patients presenting in the same way, and not reduce them to their decisions or disease. If you are not very careful, your anger and grief can settle into your bones, metastasizing into resentment towards the very person you are there to help. 

You’ve doubtlessly read an article (or ten) recently about the widespread nursing shortage. It is real, for all the reasons I mentioned above and more. It is the same stories played out in countless hospitals across health districts, provinces and even countries. I don’t blame a single colleague who has simply had enough. In the midst of a pandemic which has reached on for more than a year and a half, and is somehow getting worse, many have abandoned the career that they had previously loved. 

I’m speaking about nursing, but there are many of us who are finding it harder than ever to keep showing up in a variety of contexts. There are many of us who are overwhelmed and exhausted, re-establishing boundaries or quitting altogether. Some of us are quitting our careers, some of us are quitting people. Some are unfriending or unfollowing aquaintences on social media and others are ending friendships that had previously survived for years. Some of us are simply too tired to keep having the same arguments. I know how exhausting it is to stay in dialogue when it feels like everyone is shouting. We’ve never been more willing to draw lines in the sand and say “this far, but no further”. Admittedly, the stakes have never been higher. The subject matter that we are disagreeing about is literally life and death. 

Ultimately, no matter how we justify it, our quitting is a matter of self preservation. Like the worker who decides that they just can’t go in for one more shift, we intuitively know that we can’t carry every burden of this moment. Between the grief and the anger and the uncertainty of this moment, it all is too much to bear. 

Perhaps this moment feels like too much, simply because it is. We need to learn how to care without carrying the whole weight of the world. Even when the outcomes are uncertain. Even in a pandemic.

Recently I’ve been both comforted and challenged by a popular quote attributed to Rabbi Tarfon, “You are not obligated to complete the work, but neither are you free to desist from it”. 

If you have felt overwhelmed by the impossible challenge of this moment, this truth is for you. And if you have felt like quitting everything and everyone, this truth is also for you. This is a truth that frees us, as well as binding us. 

There is a lot of work in this moment. I am not obligated to complete the work. The factors that have brought us to this moment are complex and multifaceted. They will not be easily undone by any one of us. I don’t have to fix or carry all the bitterness and resentfulness I see around me, but I do have to guard my heart against it. I don’t have to have the perfect, measured opinion on every new policy announced or implemented. That is some else’ (very good and important) work to do. I don’t have to attempt to control others through any means necessary, and I don’t have to become resentful when they act in a way different than I would choose for them.  

But neither am I free to abandon the work. It is up to each of us to determine what work is ours to do. Our share of the weight. That work, we are bound to, as it is to us. We don’t get to quit that which we are here to do, even when we are tired. I am not free to abandon my humanity, even in the face of a pandemic. It matters that I am able see the patient, or friend, or stranger in front of me with compassion and curiosity, as well as (sound) judgement. It matters that I bring both my heart, and my head, to my practice. And It matters that I take care of myself so that I can keep coming into a workplace that is strained under the weight of this pandemic. 

It matters that each of us keeps showing up. Wherever and whenever and however we can, we show up for our work, we show up for ourselves, and we show up for each other. 

Sometimes, all you can do is just keep showing up. 

And sometimes, that is enough.