I am so exhausted and spent and emotionally numb. My husband has been in hospice since late April, takes morphine and Ativan among other drugs. Paralyzed from the neck down but still talks and can eat and swallow. Uses a biPAP but no peg. He dozes a lot during the day and has been battling compression sores. He's been talking to himself a lot. When I ask him what he needs, he says, "I was just narrating something in my head." PALS cries a lot, which messes up his breathing and the biPAP, and he is also snappish and directive to me and the caregivers we're fortunate enough to have. He was only diagnosed a little over a year ago, and this all feels so surreal. It's really hard to know what to want in this situation. I don't feel ready to let him go, but I don't know how I can keep doing this. Do others feel like this? How do you all deal with the guilt and the emotional stew we swim in? How do you know when the end is near? I realize I am rambling but I am posting this any way.