I had a nice afternoon doing a different sort of volunteer work yesterday. I thought I’d take a little time before accepting a new hospice patient, and offered to help with office tasks for a while. I came in one day last week to sort of get the gist of what was needed, and yesterday was the first day of doing any official sort of work.

Confession, I was NOT looking forward to this! On the day I’d been there before I felt like the environment was too … low energy, maybe. It’s a big nice building with a corporate setup — offices and meeting rooms that line an interior maze of cubicles. Not a ton of people working in there, the usual fluorescent vibe, maybe a lingering feeling of not-great-Bob because the parent company, a large multi-state healthcare system that’s gone though a lot of layoffs and has become kind of largely disliked locally, has really impacted the hospice team with cuts. Also, the work I’d done that day mostly consisted of struggling to master the computer setup and laboriously typing up a self-eval form for fellow volunteers.

So I wasn’t going in there thinking it would be a rewarding sort of day, you know? But it was! First of all, the more time I spent in there, the more it felt alive. I was there for a longer stint so I’m sure I just saw more people coming and going. I also could appreciate how even in this extremely corporate feeling place there are all these touches specific to hospice that make it feel homier when you take notice of them.

I also got to work with another volunteer for a lot of the time, a very nice older woman who got me up to speed and also made me very envious of her hair: thick, snow-white, and cut into a chic bob. (How do some women keep such great hair all through life, me and my four strands of Minoxidil-resistant hair would like to know.) It was just nice to have an IRL co-worker type of experience! It’s been a very very long time.

The work we were doing was transferring a bunch of information about patients from the computer database to a paper form (this part drove me nuts, so much room for human error, but that’s the system) which would then be used for calling the patiet’s person of contact and offering volunteer visitor services. She made a couple calls with me there so I could see how it goes, and then I took over when she left.

I made a LOT of phone calls, so first of all, let’s hear it for the phone phobic weirdo. Now it’s true that many of them went to voicemail, but I did get through to quite a few people. I felt a little stumbly at first but it was immediately apparent that these were special conversations that felt a little … gosh. Sacred, is the word I want to use.

I was calling people who had someone beloved in their life that is actively dying. Some people weren’t sure what a volunteer visitor does, so I could explain that, and most were pleased to say yes. A couple people said no thanks, their person was far enough along in the process they felt it might just be confusing/upsetting. If they do say yes the next task is to try and get some basic personal info about their person, what they liked in life, their hobbies or what they did for work. One lady said her husband loved the arts, and gardening, and he absolutely wanted nothing to do with sports, and we laughed about that. I said, “You had me at no sports!” and she was kind of delighted to talk about him a bit.

Everyone who says yes gets put on a waiting list, so there’s an additional step before they get someone assigned to them. This part has me strongly reconsidering my choice to take a break on patients: I see the need firsthand.

Marty would have been so happy to have me come visit him every single day. I know not everyone is in his position, being a fairly lucid person in a memory care unit, but he had almost no one to talk with aside from staff. I feel such an ache for older people who have lost so much about how they used to live, who have lonely existences, tucked away and seemingly forgotten by the world. Being a sick person on hospice does not automatically mean being lonely, but for the people on these lists, it very often does.

There was a group activity we did back when I was in hospice training. (Side note, this was a weeklong in-person thing at the time, but I believe it’s all online modules now. A bummer, but probably more accessible for people who can’t devote a full week to that.) I am of course hazy on the details, because my brain is basically a small crumbling piece of menopausal swiss cheese, but it involved writing things that were important to us on pieces of paper. Going to the movies, visiting family, reading books, climbing mountains, going to coffee with a friend, and so on.

We went through several rounds where we were asked to give up one of the pieces of paper, until we were left with just one, and then we had to give that one up. And listen, I’m not describing this well, but it was surprisingly emotional — imagine having to choose between reading and walking, etc. This exercise was intended to show how it can be for a dying person. Bit by bit, you lose your life. You stop being able to do the things you loved. You don’t see the people you loved. Eventually you may be just in a wheelchair, a bed. So many of the people I have visited have this one small spot that they’re in, and they cannot leave.

Someone asked me once if doing this work has made me less afraid of death, and I said yes and no. Yes in the sense that I truly see it as natural, and that what the body goes through is not gross or creepy. No in the sense that it remains the biggest mystery none of us can understand, and no in the sense that I know we often can’t control how the end of life stage goes and sometimes it just fucking sucks.

It’s scary to think about end of life for all of us, really. For those who don’t have the resources for care, and that will be SO MANY OF US, how’s it going to be? I personally hope it doesn’t come to that for me. Like, don’t take me too soon, Universe, but don’t keep me around too long either.

(We don’t get to pick. I remember sweet Olive, the first lady I saw, and how gently, sadly baffled she was that she was still alive. Everyone around her had died, and she could not understand why God kept her.)

Wow has this depressed anyone yet? Okay, all to say I really did have a lovely day yesterday, a little intense but it felt good to feel useful. Today I get to see Little Joe, and tomorrow I’m helping a different organization that works with kids. Life continues, at least for now.

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Elizabeth
Elizabeth
1 hour ago

Life continues, at least for now. I really admire your hospice work, and appreciated this post.