I think I feel some extra guilt sometimes about wanting the ALS to be over because of Brian's longstanding plan to get on the plane to Switzerland when the time comes.
His progression has been slow, but from the very start he told me when he planned to make that trip when he could no longer care for himself. In his mind, that means being full time on a walker or losing use of both hands.
As things have progressed, he has continued to be clear on that part. Even before he had ALS, he let me know that he had no intention of becoming a disabled old man.I think the combination of seeing his father melt away from Althiemers, and his mother die a pretty ghastly death from cancer (it had gone to her bones and was very hard to control the pain as it got into nerves in the spine) really set his mind in that direction.
So, I wait for that appointment where they say "you can't drive anymore, need a power chair, etc.", or other indicators we are there and I know he will turn to me and say "It's time". I don't want anyone to think it's what I want. I only want him to be able to leave this world his way. I have let him know he could never be a burden to me, that the least I could do for him is everything. He has let me know too that even if he was intending to go til the end he would be in a nursing home because he would not allow me to take care of him like a baby.
I can live with his decision, but I just hope he really knows I mean what I say. I think he does.
Then, I try to stay in the now. We still have plenty to enjoy together.
I read the words of CALS and PALS who have gone the distance. I see my friend and her husband, now half in, half out of reality after 4.5 years with ALS and in a nursing home. I see you have had some time and joy together we will miss but I sure hear the pain and the struggle too. I feel pain and struggle with my driving husband who goes to yoga and the pool. I realize there are no "right" answers, it's just what each PALS decides.
One thing that comes to me often is that THIS will never be okay. What has happened to us will never as long as I live be "okay". Before ALS was in the picture, I use to say that I got the dream, that I knew few have what we have. I hope I can come to peace with it. Peace is so hard to come by.I make myself think of what my life will be without him because what can we ever do but move forward?
Honestly, I don't know how long I could care for anyone on a vent either. That would require a lot of home support to be viable to me. I know Steve Gleason's wife does it with two full time care staff. It is very difficult to impossible for regular people to afford that, and I have no clue how one person handles it or someone with those 24 Medicare hours per week. There are a lot of amazing people here in our group.