Wednesday, February 21, 2007

Pictures

Photos can now be viewed on my Flickr webpage:
http://www.flickr.com/photos/brimkl/

If you have photos you'd like to share, please send them to me at
kleinb@gmail.com

Tuesday, February 20, 2007

FREE Ovarian Cancer Screening

FREE ovarian cancer screening at the University of Kentucky

This program is open to asymptomatic women who are at least 50 years of age or women over 25 years of age who can document that a close family member had ovarian cancer. You need to call in the fall to be screened in the spring. It’s painless and only takes about 15 minutes. I’ve never had to wait to be seen. This is the best test for ovarian cancer and it’s FREE! (You just have to travel to Lexington once a year.)

Please go to this website for more information: http://clik.to/ovary or call 1-800-766-8279.

A Tribute to Regina (poem)


A Tribute To Regina

Regina was a mother, daughter and wife

And she will be loved in her death as she was in her life.

If life was a lake then she was the dock,

If life was a lead mine then she was a rock.


For though she was sick, she stayed grounded and firm

With a will as tough as galena,

For the love she bestowed and the strength that she showed

We’ll never forget you, Regina.


With God as our strength we know we’ll get by

Though we’ll never get an answer to that big question…”why?”

Finding comfort in the arms of the Lord as we pray

We will seek to go forward in life everyday.


God’s plan is so vast we can’t really know it

But we know He is with us and some day He will show it.

Though we do not know of this great, unseen Plan

Regina is with God, she’s at his right hand.


The minute she got there she saw it so clear

And she’s sending God’s peace to her loved ones so dear.

She’ll never go far from the ones that she’s loved

And she’ll stay with them and guide them from up above.


May the love that she had for Jim and the boys

Be the love that we feel—above all the noise.

May her strength be our strength as we go through the day

And she’ll always be in our heart as we live and we pray.

May God Bless Your Family. Love, Sally and Rob Rains

Wall of Hope and Rembrance

Robin is putting together a yearly walk/ovarian cancer research fundraiser. She has set up a webpage through which donations can be made. You may also leave a tribute to Gina on this page:

Regina Herzog's Tribute Page

Obituary

HERZOG, REGINA SARAH, 41, formerly of Louisville, passed away Tuesday, February 13, 2007 in St. Louis, MO. Loving wife of James L. Herzog and devoted mother of two sons, Alec and Erik. Beloved daughter of Philip and Serena Klein; daughter-in- law of Dorrel "Whitey" and Mary Lou Herzog; and sister-in-law to Debra (Kirk) and David (Karen). The ninth of ten children, Regina will always be cherished by her siblings and their spouses: Nichola Thompson, Gus (Pat), Kevin (Jo), Fritz (Robin), Dr. Edwin (deceased survived by wife, Jan), Mitch (Kim), Chris (Cyndi), Fred and Bridget; as well as her twenty-two nieces and nephews and six great-nieces and nephews. Born and raised in Highland Park, Regina attended Holy Rosary Academy, class of '83. After graduating from Bellarmine College, Regina was a dedicated teacher, fulfilling her childhood dream. Her passion and zest for life, along with her bravery and determination in the face of her illness, inspired all of Gina's family and friends. May the grace of love in those we cherish always be more powerful than the anguish caused by such as the illness which took our Gina away. Visitation will be from 5-9 p.m. on Friday, February 16, 2007 at J.B. Ratterman & Sons-Southwest, 4832 Cane Run Road. Funeral Mass will be celebrated at 11 a.m. Saturday at St. Agnes Catholic Church, 1920 Newburg Road, with burial in St. Andrew Cemetery. In lieu of flowers, please make a donation in memory of Regina to an Ovarian Cancer Organization.
Published in The Courier-Journal on 2/15/2007.

Guest Book



February 25, 2007
Dear Jim, Alec, and Eric, My sincerest sympathies on your tragic loss. It was wonderful to visit with you all and see all the great photos of Gina Sue and the family. Gina was a force of nature and a delight as a friend. Who will kick my butt now?

Nick Gonzalez (Tucson, AZ)

February 18, 2007
To Jim, Alec, Erik, family and friends, It was at one of those famous post-Christmas celebrations at Gus's where I first met Gina. She was standing in the dining room with Bridget and Nikki - all of them talking- at the same time. Imagine that! At first, I thought they were all talking about different topics, but somehow, the conversations melted back some strange call-and-response that only the Klein girls can pull off. It was truly amazing. It was also a night full of chili, and family and warmth. I smile when I think of Gina and that night, as a wonderful wife, mother, sister, daughter, aunt, and friend. I hope you all can, too. Thanks for keeping the blog, Bridget. It was very moving for you to share such intimate moments. And a special shout out to Fred. I know Gina was glad to have you with her. I am happy to have been part of so many celebrations.Peace and LoveAve and Geri

Averelle Talbott (Alexandria, VA)

February 18, 2007
To all the Klein family, but especially to Jim and the boys - I was sorry to hear of Gina's death. I know you've been through a lot in recent years with her illness. My prayers are with you all.

Pam Mertens (Springfield, VA)

February 16, 2007
In loving memory of Gina: It seems like only yesterday to me that Gina, Bridget, and I spent so many summer nights together working for the Louisville Redbirds. From Sections 109 through 112, we laughed and cheered. In fact, if it wasn't for Gina and Bridget, I would never have had the opportunity to have so much fun. I have thought and prayed for Gina often through the years, and I know now that she is watching over the ones she loved from a special place in Heaven. I hope that you all find comfort in remembering the joy you feel from knowing and loving someone as special as Gina. May God bless you in your time of sorrow.

Laura Weber (Fairfax, VA)

February 16, 2007
Dear Jim, Alec, Erik and family, I have often thought of the times we've spent together. It surprises me that Regina and I only taught together for 1 year at St. Joe's. The friendships made there lasted longer and the times were so fun. As I was talking to Dianne, it dawned on me how that time in my life and the people I shared it with are so vivid in my mind. It makes me laugh to think of the 1st time Regina met Rich. You had a halloween party. I was a rabbit and Rich was a carrot. He was painted orange. The next time Regina saw him, she was truly surprised. She said she always pictured him orange. She kept us going back then and someone said she's still keeping us going because we've talked to people we haven't talked to in ages. The one thing I knew was that it didn't matter how long it had been between visits. We would pick up right where we'd left off, just like it was yesterday. Although I'll miss her terribly, I choose to think that we'll pick up again right where we left off...someday.Love to you Jim.Rich, Julie, Gracie and Abbie Hahler

Julie Hahler (Omaha, NE)

February 16, 2007
The news about Gina's passing both shocked and saddened me. We unfortunately lost touch over the years, but I have many fond memories from our summer "engineering for high schoolers" class at U of L and our years at Bellarmine. To all of Gina's loved ones: you will be held close in my thoughts and prayers during this most difficult time. Please let me know if I can be of any help at all. Gina had a lovely spirit, I'm sure now even more lovely in heaven.

Beth Brumleve Olliges (Louisville, KY)

February 15, 2007
Dear Jim, So sorry to hear about Regina's passing. My condolences to you and the boys. So sorry we didn't make the wake, just heard about it. Our prayers are with you and your family.

Mike & Kathy Murphy (Festus, MO)

February 15, 2007
Dear Jimmy, We were so profoundly sorry to hear of Regina’s passing. Although we never had the pleasure to know her it is so sad that someone so young should be taken from you and your children. I know there is little consolation at a time like this in words and prayers, but I hope you know that your loss is sincerely felt and you and your family are in our hearts. We have thought of you so many times over the years since our many trips to Keystone and ski trips with your folks. Fondly and sincerely, Joan & Bill Speckin

Joan & Bill Speckin (Ladera Ranch, CA)

February 15, 2007
Jim, I'm so sorry to hear of Regina's passing. My thoughts are with you and your boys.

Mark (Ice) Matthews (Attleboro, MA)

February 15, 2007
ERIK, ALEX, AND JIM Know that your mother and wife will always be with you. She will help open those doors that need to be opened to your life.Love to each of you.

Joyce Beisler Lavelle (Louisville, KY)


February 15, 2007
Jimmy and Family: We were so very sorry to hear of Regina's passing. You are all in our prayers.

Kris (Loesche) Winterbauer (Freeburg, IL)

February 15, 2007
Jim, You may not remember me, I'm one of Terry and Ice's friends. I met you several times when the 3 of you lived together years ago. I was very saddened to learn of your wife's passing. I'll keep you and your boys in my prayers. May God give you comfort and strength during this time, and at all times.

J. Bill Sosh (London, KY)

February 15, 2007
Gina, I cannot begin to express the grief over losing you. You will always be my dearest friend, Reg.Your family will be in my thoughts and prayers. Love always,Lina

Lina Guerrero (Louisville)

February 15, 2007
Jim, Words cannot express the deep sorrow that Darlene and I feel for the loss of your beloved Gina. Seems only yesterday that we were taking that open air train ride from your wedding to the reception. Always know that we will have you, Alec and Erik in our prayers to go forth without your dear wife and mother. Please don't hesitate to call anytime you need to talk to a friend. May God be with you and the boys and may Gina now rest in peace after her long battle.

Terry and Darlene Settles (Louisville, KY)

February 15, 2007
Gina, what am I going to do without you? You were the consummate big sister.Love you always,Bridget

Bridget Klein (Louisville, KY)

February 14, 2007
Jim, on behalf of the DiMercurio family our prayers and well wishes go out to you and the boys. Words cannot help fill the empty hole in your hearts. Regina was a fighter a woman of great courage, love of her family, and great devotion and love for Jesus Christ. I know that you cannot ever get over the lost of your soulmate, but we are here for you and will always remember her as a beautiful mother, wife, and friend. Whatever we can do please let us know. Sincere respect: The DiMercurio's John, DeAnn, Alex, and Ryan.

John Dimercurio (St. Louis, MO)

February 14, 2007
Jim and Family, We are deeply saddened by Regina's passing and remember fondly our times together at Keystone Resort. We wish you hope in the midst of sorrow, comfort in the the midst of pain.

Dave, Heidi, Dillon and Ben Dinter (Gurnee, IL)

February 14, 2007
Jim & family, So sorry to hear of your loss of Regina. May God comfort you and your family thru this difficult time. You are in our prayers.

Jackie & Ray StufflebeanSt. Joseph, Missouri


February 14, 2007
Words cannot express how deeply saddened I am to hear about Regina's passing. She was a very special person and holds a very special place in my heart and memory. She was such a good friend. Some of my best and favorite memories are those I spent with Regina in our early days as "SAHMs". We had some good times with the kids. I will miss her deeply.

Shelly Manning (Eden Prairie, MN)

February 14, 2007
Jim and Family-Our thoughts and prayers are with you and your children.

Jenniffer & Tom Sheldon (O'Fallon)


February 14, 2007
Dear Jim & Family-We were sad to hear about the loss of Regina. Our hearts go out to you and your family. We will keep you in our prayers during this difficult time.

Nikki, Dave & Danielle Powell (Westminster, CO)

February 14, 2007
Dear Jim And Family-My prayers and thoughts go out to you at this difficult time!May God Bless you all and offer you comfort.

Jennifer Knapp (St. Louis, MO)

February 14, 2007
My sympathy goes to the Herzog family, Whitey, Mary Lou, Jim and all in your family. My prayers are with you all, Dorothy Hacker, New Athens

Dorothy Hacker (New Athens, IL)

February 14, 2007
Sorry to hear of the death of Regina. Damian and I send our deepest sympathy. Our thoughts and prayers are with you.

Damian/Joanne Snow (Independence, MO)

February 14, 2007
You were such a unique person. Always had a smile on your face and a kind word to say. I will miss you very much.

Lisa Koester (St. Louis, MO)

February 14, 2007
Dear Jim and Family, I just got your phone call and can't tell you how saddened I am about your loss of Regina. We have been praying for her since we met and am glad to hear you and the boys are hanging in there as there is no easy way to deal with a loss. We love you Jim and will continue praying for you and your boys in this tough time.

Mark Gerling (Palm Coast, FL)

February 14, 2007
My sympathy and prayers go out to you and your entire family. May God grant you the peace that only He can give.In His Love,

Cathy (Sinn) Flowers (Annandale, VA)

Monday, February 19, 2007

Funeral Mass Program






Homily from the Funeral Mass

These are the notes from Father Jack's homily, which many of us found so comforting that I thought we might like to be able to reread it.

Funeral Liturgy of Regina Sarah Klein Herzog February 17, 2007

1

I ask your patience for a moment.

Here’s the scenario:
imagine a children’s sandbox.

A young Dad is driving home from work.

In the backyard, in the sandbox,
are his little daughter, her younger brother,
(who, incidentally, didn’t get nap today),
…and there’s a borrowed toy truck,
a toddler’s shouting,
angry and hurt feelings,
soon a fistful of sand about to be hurled
when Daddy pulls into the driveway.

He puts down his attaché case,
quickly slips off his shoes and socks,
as he rolls up pants legs, and steps into the sandbox,
to the glee and transformation of two little ones.

Last night, gazing into the casket
we could still see tenderness and beauty of Gina…

I was captured by the Valentine from Jim,
sacred messages from Alec and Eric
stories in photographs and flowers

.

2

As we celebrate Gina’s life…,
these symbols of love remind us of our incarnate God —
a God who, in Jesus, rolls up His pants, takes off shoes/socks,
and enters our messy world,
a world of war and hatred,
scandal & cynicism,
broken promises and broken dreams.

I don’t know the reason Philip and Serena chose the name Regina,
(the name means queen, of course),
…but I do know that Jesus, son of Mary,
Queen of Heaven and Earth,
reveals a God of unconditional LOVE.

Our God of love is believable because of the words and actions
of Jesus Christ

Jesus Christ is believable because of the words and actions
of Gina Herzog

We try to embrace that love this morning,
with all its agony and ecstasy.

Gina’s death diminishes us all.

We are all the poorer for her passing.

Grace has truly been taken from our midst.

For several days now we’ve been feeling
an overwhelming sense of separation,
and the futility of irreversible loss.

The death of a loved one,
especially someone as young and vibrant as Gina,
drives us to the brink of irrationality
since no adequate reason can be given
why someone so young and so good
should die and be taken from among us.

If we judge and value someone’s life by its length or yield,
then for someone like Gina,
her life can barely be called the beginning of success.

Like anyone in their early 40’s, she was just moving into the time of confidence and productivity.

In the cross of Jesus, however,
we learn that it is not in the length
nor in the accomplishments of life…
(though hers were many…her family, sacred marriage, teaching career, 2 beautiful boys, revered friendships)
that makes it valuable,

but in the intensity in which it is lived,
the intensity in which one faces life’s challenges.

3

This morning’s Gospel
when Jesus stands with Martha at Lazarus’ tomb.

“Lord, if you had been here
our brother would not have died.”

Where were you when we needed you?
Where were you when life was slowly taken, stolen from her?
When she was touching the flower of her life—
the threshold of new adventures,
surrounded by family and friends who loved her deeply.

There is no answer that will satisfy the philosopher.
In the face of innocent suffering and tragedy,
human wisdom is bankrupt.

Peace will come not from logic but from trust
trust that stems from love,
love of a God who, John’s Gospel tells us,
“so loved us that He gave His only Son”
to an excruciating cross.

Peace will come only when, as with Job in the Hebrew Testament,
God shows His face to us —
not for us to experience explanation,
only to experience love.

And so I plead with you now
to touch your experience of love for Gina;
don’t run from it because it hurts so.

The only peace you will find comes from that love.

Where were you, Lord, during these years of cancer struggle?
Closer to Gina, perhaps, than ever before.

Because every Gethsemane is your garden,
and every Calvary is your cross.

Thank you for being with Gina as she shared your agony;
thank you for being near her as she died your death,
and now lives your ever-more-abundant life.

4

Finally,we come this morning in variety of different ways…

Some are energized, some exhausted
some feeling close to God, even fervent or holy…
others miles away & guilt-ridden or shamefaced
… distant from God, others, self.

For some of us, peaceful time of life,
others, time of turmoil, anxiety.

No matter how we come, we’re here because we’re trying,
and because we love —
as Thomas Merton said, “that in itself must please you, Lord.”

(Please pray with me…)

Lord, in our sadness, in our confusion, in our distress,
we pray: Jesus, You knew. Jesus, You know.

Take our aching, our broken hearts, and comfort us.

Remind us not to lose sight of the other side of ache.

Deepen our faith and soften our sadness
so that the vision of home-coming hope
will overpower the pains and struggles
in all of life’s farewells and good-byes.

Gina, thanks for teaching us your love for LIFE.

Regina Sarah Klein Herzog

… got to thinking

a wonderful kind of biography of the artist, Vincent Van Gogh entitled Lust for Life

author Irving Stone speaks of passion of this 19th c. Dutch artist
even though criticized or ignored,
Van Gogh poured himself into canvas

Colleague, another post impressionist Paul Gaugin,
Van Gosh’s dream artists colony So. France
bitter argument
Gaugin shouts:
“All I see in your paintings is you paint too fast.”
Van Gogh:
“Perhaps it’s you who look too fast.”

Tuesday, February 13, 2007

Arrangements

Visitation will be at J.B. Ratterman & Sons-Southwest, 4832 Cane Run Road, on Friday, February 16th from 5-9 p.m.

Funeral Mass will be celebrated at 11 a.m. Saturday at St. Agnes Catholic Church, 1920 Newburg Road, with burial in St. Andrew Cemetery.

In lieu of flowers, please make a donation in memory of Regina to an Ovarian Cancer Organization.

She's Gone, I Think

I woke up this morning to hear Mom's voice on the answering machine. The phone and my cell phone had rung several times, but I was too tired to get up. There wasn't anyone, so I thought, that I wanted to talk to that early (before 8:30) in the morning. Then I heard Mom's voice on the machine, very hushed, "Well, Bridget, I think she's gone. There was the fire department here and peramedics are everywhere and they're trying to figure out if she's still breathing." I jumped out of bed but by the time I reached the phone, she was gone.

When I called Mom back, she said there were still lots of strange men in the house and that Jim was talking to Dr Burns at Hospice and that they might be taking her there. She said it hadn't snowed with ice but had rained, but that the boys didn't have school. I can't imagine why not. We talked a little and then she said she wanted to find out what was going on and would call me back later. She said that Dad wanted to stay but she just wanted to leave. I'm so glad Fred is there.

My first reaction while I searched for my cell phone to call her back had been to start hyperventilating. Why did I leave? Why did I leave? Thank goodness Mary hadn't been there. It would have been so upsetting for her. Oh, who cares? She wouldn't have remembered it anyway. How are the boys doing? Mom said she feels detached. I said shock, but she didn't seem to think so. She said she's just so relieved that Gina isn't suffering anymore. She said that Gina had moaned all night and Fred had been sitting with her, that her eyes had been rolling back in her head and she wasn't aware of who they were. Her breath got shallower and then just seemed to stop. Could it be that she's still alive? I joked with Mom that Gina would come to and wake up at Hospice and yell, "Jim!!!!!!!"

Did she take something she shouldn't have? She was looking through all of her medicine yesterday. She and Jim wanted to try to use things up so they didn't have to reorder other things. Pills are expensive. She also spent a lot of time organizing all of her supplies from the TPN machine company so they could place a new order. Mom and I were joking because she kept saying crazy things, so we wondered what that list would look like. She was making a great effort to get back control of things. I'd made a new chart of what she was to get and when and she said she would decide that.

Mom said she'd gotten out a Fentanyl sucker last night and laid it by her bed. When Mom asked her why (she hadn't had any since she'd been in the hospital and her pain pump hadn't been adjusted right), she replied, "Just in case." Mom also said that Fred said she kept trying to stick her finger down her throat last night. What happened? What was she feeling? One of her friends told me recently that she had told Gina once, "You sound so good!" to which Gina replied, "I sound good for you." Did she feel worse than we thought? I thought she was being honest about her pain level.

She kept saying she would go fast, but I didn't think it would be that fast. I'm tempted to think, in some melodramatic, romantic way that she waited till I left. But then I'm also tempted to think that if I'd been there, I could/would have done something different and she'd still be here. Wrong on both counts, I'm sure. Just rationalizations.

Gina's birthday is the day after tomorrow.

Before Mom hung up she said the paramedics said that Gina's body was already cooling down. They all thought she was gone. Is it so hard to determine if someone is dead? In this day and age? I guess it's a good thing I wasn't there. I would probably have been hysterical. I get that way when I have to call 911 for Mary.

I wrote half of this with the cat on my lap. She's very clingy after having been alone for a month. Sometimes it's really nice to have pets.

Oh, Mitch, I just wanted to let you know that she got your flowers yesterday and commented several times on how beautiful they were.

Monday, February 12, 2007

Bad Girl(s)

Gina was a bad girl yesterday: she barely slept all day and she hadn't slept well the night before. She also didn't sleep well last night. Mom sat beside her from 2 AM till about 8:30 AM. Mom is up all night going in to check Gina, anyway. They're both bad girls. If Mom doesn't get more sleep, she won't be able to help take care of Gina.

Also, the night before last Gina was very cantankerous. I went in twice because her machines were beeping and she wouldn't let me look at them but insisted on fixing them herself--even though she kept nodding off. It's hard to be patient in the middle of the night! She was also talking a little crazy, which she does from time to time anyway. I guess it's all the drugs she's taking, but lack of sleep would definitely do that to me, I'm sure.

Gus and Pat left yesterday. It was really nice having them here. Pat helped with the cooking and Gus kept the compost buckets emptied :-) Gus massaged Gina's legs for a long time, giving him some private time alone with her, which she wanted. She rubbed some Ben gay (sp?) on her wrists because she said they were hurting her (they hurt again last night).

I worked a puzzle with Mary yesterday because I thought she was feeling neglected. Mom, Pat and the boys helped, too.

We were looking at the suction machine for Gina's G tube yesterday. It didn't seem to be working, although we fiddled with all the knobs and even changed the tube in case there was a leak. Maybe Mitch can figure it out. Using the bag and draining purely by gravity seems to be working quite well. She drained a whole lot yesterday. I finally got her to try lying more on her side, leaning a bit towards her stomach, and it seemed to drain really well, but I don't know if it would have drained the same if she'd been in any other position, and it was quite painful for her or she was very nauseous afterwards.

Towards night-time she started feeling very full in her abdomen, and this seemed to really scare her. She kept saying, "This is all going so fast," which she's said to me before. Dr Dimitroff said that she shouldn't have any fluid build-up in her abdomen. He also pointed out that she may feel full because of the huge pain pump in her belly. On the other hand, her stomach, he said, is very distended. This is why she needs to try several positions to drain her tube. Her stomach has stretched down from where the tube is located. When she asked him how long she had left, he replied that no one knows how long anyone has left. She then asked him what to expect next, to which he replied that the cancer had her intestines and they just had to wait to see what it got next, whether it be her heart or lungs. I know she's also become aware that her breathing is shallower than it used to be.

I think Gina being upset about her abdomen feeling full made Fred upset. He mentioned it several times and seemed to think it was something the nurse had said, but I don't think so. That particular nurse has had cervical cancer and can understand what Gina is going through in a way that none of us can.

Speaking of "visitors," no one has minded the dogs yet! What a relief!

The boys went to a Boy Scout Blue and Gold Luncheon yesterday with Jim. Erik had to color a placemat and cups with pictures pertaining to the Hawaiian theme and they came back with a palm tree party favor.

Further on the theme of fathers and sons, Dad and Fred had a big blowout yesterday. Short but sweet. Dad finds Fred annoying and therefore tries to annoy Fred. Well, he pushed Fred's buttons and then Fred let him have it verbally. It made him feel better, but I doubt if it got through to Dad. Fred just wants the respect Dad gives any stranger.

Erik had his usual tantrums/freak out scenes. Jim said he hadn't had his Effexor (anti-depressant?) that day or the day before, so they got him to take it finally, then he went to his room and when he came out later everything was kosher. I tried to give him some positive reinforcement when he went to bed (around 10:15 PM--argh!), telling him that everyone really enjoys being around him when he's being calm, that he's such a great little boy and that it's his choice as to whether he lets himself get stressed out or takes a breath and stays calm, cool and collected. He made a joke about getting a "terrible lesson" from his aunt. I made sure to kiss both the boys goodnight. Jim was out playing basketball.

Oh, we saw some deer out in the back yard yesterday! One was huge!

Pat and I had an interesting time trying to explain to Erik yesterday why it's alright to have a Krispy Kreme donut for breakfast but not a Hostess cupcake. He and Alec wanted to eat them up as soon as possible before Dad demolished them.

We had an interesting dinner last night. I made pizza dough, Mom made the sauce and Fred assembled the pizzas. They were delish! Since I was in the yeast dough mode, I made cinnamon rolls. Alec helped me knead the dough--he did great! What can I say, it's in his blood.

I've made up a medication chart and put up notes about how to do this or that. I hope people pay attention to them and use them. I think it's so important to keep track of when someone's had which medication. Also, I think we should be keeping track of how much come out of her G Tube. Everyone's been very good about that. Speaking of meds, I had a good conversation with the nurse who's had cancer. She was able to give me advice about nausea meds. She stressed that we need to be keeping Gina on them regularly, not just when she felt really ill, so that they can be most effective, just like with pain meds.

Oh, the lasix seems to be working. Gina's legs aren't as swollen as they were.

Mary and I are going home today. There's supposed to be an ice storm here tonight. We'll be back in a week. Mom says she's freaking out, but she can always call me. I hope Fred will continue the blog.

End of life: Caring for your dying loved one

The doctor says your loved one is dying. Though you knew the end of life would come eventually, you might not feel prepared to let your loved one go. But you can be prepared to help make your loved one's last days of life as comfortable as possible. And understanding what to expect can reduce the anxiety you feel as the end of life draws near.

You can begin by learning about the common signs and symptoms of impending death. Though some signs at the end of life, such as irregular breathing and confusion, can be distressing, know that these are normal parts of the dying process.

How doctors can tell when the end of life is approaching

Predicting exactly when someone will die is very difficult. Doctors can estimate the end of life in terms of months, weeks or days. But some terminally ill people who seem near death will suddenly get better. Others will progress quicker than expected toward death.

In general, several signs can indicate that your loved one is at the end of life and is beginning the dying process. This is called the pre-active phase of dying, and it generally begins about two weeks before death, but this can vary. Signs that your loved one has entered this phase of the end of life include:

  • Difficulty getting out of bed. Many formerly active people may find they no longer have the strength or energy to get out of bed at the end of life.
  • Restlessness. This may manifest as agitation or the need to be moved or repositioned often.
  • Withdrawal from activities. Your loved one may no longer want to participate in social activities he or she used to enjoy.
  • Increased need for sleep. Your loved one may spend most of the day asleep as the end of life nears.
  • Loss of appetite. It's natural for people who are dying to gradually reduce the amount they eat and drink. Don't force your loved one to eat and try not to take it personally if he or she refuses a meal you've spent time preparing. Provide only the foods that your loved one wants. Eating or not eating won't slow down or speed up the dying process.
  • Pauses in breathing. This can happen when the person is asleep or awake.
  • Difficulty healing. Wounds and infections may not heal.
  • Swelling in the arms and legs. Swelling may occur in other areas of the body, as well.
  • Seeing people who have already died. Your loved one may speak about seeing or feeling the presence of loved ones who have died.
  • Settling unfinished business. This might include calling for people he or she hasn't seen in many years or expressing a need to tie up loose ends.

Sometimes your loved one might feel as if death is near. This may be another sign that your loved one is in the pre-active phase.

Preparing for the last phase of life: Choosing where to die

Talk with your loved one about his or her wishes for the last phase of life. These conversations can be uncomfortable and difficult, but they provide your loved one with the ability to maintain control and help in planning. Ask your doctor or your loved one's doctor for suggestions on how to start such a conversation.

If your loved one has had a chronic illness for some time, you might have already discussed his or her wishes about end-of-life care. If not, you might have an idea, based on your knowledge of the person, where he or she would like to be in the last days of life. Most people say they'd prefer to die at home, but it isn't always possible. Consult your loved one on his or her preferences for care, including:

  • Home care. Many people choose to die in the familiarity of their own home or the home of a family member. This might require you to take on the role of caregiver, but you might also choose to have home care services to assist you.
  • Hospice care. Hospice care takes place in a variety of settings. The majority of hospice care in the United States occurs at home. Hospice services might also be provided in a 24-hour residential care setting. Hospice personnel may offer their services at a nursing home, where they supplement the nursing home's care.
  • Hospital. Some people prefer the comfort of having nurses and doctors nearby at all times. In a hospital, your loved one is cared for by nurses, though you can help with some of the caregiving if you wish.
  • Nursing home. Like hospitals and in-patient hospices, nursing homes have medical staff on duty at all times. If your loved one needs more advanced care, this might be an option. Also, some terminally ill people choose nursing home care to take pressure off their families.

Also consider costs for each type of service. Medicare or Medicaid may cover some of the costs, depending on your loved one's situation. Discuss your options with your loved one's health care team or with a social worker.

Spirituality at the end of life

Many terminally ill people seek religious or spiritual guidance at the end of their lives. Spirituality is the search for the sacred and the pursuit of meaning and purpose in life. It might be described as a dynamic process of turning inward to reflect on life, but at the same time turning outward to seek that which is beyond daily experience. For many people, spirituality is found in religion. Others find spirituality in nature, art, music or life in general.

As your loved one feels the end of life approaching, he or she may talk more often about spirituality. Your loved one may talk about the meaning of life or his or her relationship with a higher power. Talk with your loved one about spirituality if he or she wants to. Ask open-ended questions about his or her beliefs, such as, "What do you think your purpose in life has been?" or, "What is it that you still hope to do or accomplish in your life?" Depending on your loved one's wishes, customs and beliefs, you may want to invite a spiritual leader — be it a pastor, rabbi, imam or community elder — to visit.

Do what's appropriate for your loved one's situation. If your family normally doesn't speak of spirituality openly, don't force the subject. But discuss spirituality if your loved one brings it up.

What to expect in the last days of life

Your loved one may begin to show other signs when death is imminent. This is called the active phase of dying and usually begins about three days before death. How people die varies greatly, but you can expect some of the common signs, including:

  • Cool arms and legs. While the hands, arms, feet and legs will feel cool to the touch, your loved one's trunk will feel warm.
  • Bluish coloration. Fingers, earlobes, lips and nail beds may turn blue.
  • Purple coloration on the legs. Also called mottling, this blotchy coloring is one of the clearest signs that death is approaching.
  • No longer eating or drinking. Your loved one may not feel like eating, or he or she may no longer be able to swallow.
  • Congested breathing. Noisy breathing is sometimes called the "death rattle." As secretions from the lungs build up, your loved one may no longer be able to cough up these secretions. Eventually the secretions will dry up because your loved one's body may become dehydrated after he or she stops eating and drinking. Medications can control congestion if your loved one feels uncomfortable.
  • Irregular breathing. Breathing patterns may change in depth and rate. Your loved one may also stop breathing for several seconds at a time. Keep in mind that your loved one generally isn't aware of these changes.
  • Discolored urine. If your loved one stops taking in liquids, there will be less urine and it will be darker in color.
  • Incontinence. As muscles that control bowel movements and urination relax, your loved one may experience incontinence.
  • Blurred vision. His or her eyes may appear glassy and unfocused.
  • Limited ability to communicate. Your loved one may lose the ability to speak. He or she most likely can still hear you.
  • Confusion and agitation. This can be subtle or pronounced, involving jerking motions, hallucinations or delirium.
If your loved one: Try these comfort measures:
Has arms and legs that feel cold to the touch, but the trunk feels warm Use a blanket or sheet to keep him or her warm.
Is no longer eating or drinking Resist the urge to force your loved one to eat or drink. Have water on hand with a straw, since lifting a cup may become difficult. Keep your loved one's mouth moist with a sponge, swab or a spray bottle. Use lip balm or petroleum jelly on the lips.
Has congested breathing or a rattling sound when breathing Keep the head of the bed raised and reposition your loved one every few hours. Ask your loved one's doctor for medications to help this.
Has labored breathing Direct a fan toward your loved one's cheek, try opening a window to let in fresh air, or try other sitting positions that may ease labored breathing. Medications from your loved one's doctor can ease labored breathing.
Has incontinence Keep your loved one clean and dry using incontinence pads or a catheter. Reposition him or her every few hours.
Has reduced or blurry vision Use soft lighting. Stand near the head of the bed so that your loved one can see you better.
Has an overactive sense of hearing Avoid loud noises and television. Try soft music.
Is no longer able to speak Your loved one may still hear and feel. Talk in a soothing voice and hold his or her hand.
Shows disorientation, confusion Speak in short phrases. Repeat the names of people in the room often and remind your loved one of the date and time.
Is agitated Create a quiet and peaceful atmosphere. Have a minimal number of people in the room.

Work with your loved one's doctors and nurses to make death as symptom-free as possible. Many signs and symptoms of imminent death can be treated, such as pain, anxiety, shortness of breath and delirium. While these treatments won't stop your loved one from dying, they can make the process easier for both of you. Report any signs and symptoms that you are unsure of and don't hesitate to ask questions if you're unsure of what's going on.

Even in a coma, your loved one may still hear you. Though he or she might be unable to speak or might seem asleep, continue talking in a soothing voice. Reassure your loved one that you'll stay nearby. Hold or massage your loved one's hands or feet, or stroke his or her hair.

In the last few days of life, consider what your loved one would want. Was he or she someone who enjoyed having lots of friends and family around? Perhaps you could invite family over to sit with your loved one to share stories and reminisce. If your loved one was a solitary person who enjoyed quiet time alone, perhaps that would make him or her most comfortable.

The final surge of energy

Often when people are dying, they will reach a period of time when it seems they're getting better. Your loved one may wake up and may be able to communicate with you. These surges can last for a few hours to a few days. Though it can be confusing for you to see your loved one with renewed vitality, keep in mind that this is a normal part of the dying process, and your loved one may not actually be getting better. The final surge of energy is often a good time to gather your family and close friends to say final goodbyes.

Keeping vigil

For many families, keeping vigil near the dying loved one's bed is an important show of support and love for the dying person. Whether you do this depends on your own customs and beliefs. If you decide to keep vigil, continue speaking to your loved one. Express your love for him or her, but also let your loved one know that it's all right to let go. When keeping vigil, understand that some people prefer to die alone. People who were independent or private in life may choose the same in death. Don't hesitate to step away from your loved one's bedside from time to time to allow for this.


New Cancer Drug (Article)

The Real Story: Cancer and Profits
Updated
February 8, 2007

Imagine for a moment that you've been diagnosed with cancer. It's a reality that 15 million Americans are struggling with and it's the second leading cause of death in this country, leaving over half-a-million families each and every year without mothers, fathers and children. But there is some good news: a Canadian research team has come up with something called "DCA" -- a drug they believe might be able to kill almost all forms of cancers.

Sounds great, right? Well the Real Story is that you can't have it yet because there's no money to be made on it.

You and I both know there is normally big money at stake when pharmaceutical companies develop new, life-saving drugs. But that gravy train doesn't last for long. After investing millions of dollars into the research and development of a new drug, companies only have a few years to make it all back --plus a profit-- before their patent expires and competing companies can make a "generic" form of the same drug.

Which brings us back to this Canadian team and DCA. Working out of the University of Alberta in Edmonton, scientists tested DCA on human cells cultured outside the body and found that it killed lung, breast and brain cancer cells, but not healthy cells. That's revolutionary...bordering on a miracle. Tumors in lab rats that were deliberately infected with human cancer also shrank drastically when they were given DACE.

So what's the problem? Since DCA has no patent, it can be made "generically" from day-one and no exclusivity equals no value. You know I'm the biggest capitalist around, but every once in a while, maybe capitalism needs to be reminded about the value of human life.

http://www.glennbeck.com/realstory/index.shtml

Saturday, February 10, 2007

Peace and Quiet

Today seemed pretty peaceful. The kids slept till about 11 o'clock and then Jim took them over to Whitey and Mary Lou's (to play a computer game that they got for Xmas that Gina didn't want them to get). I made biscuits and Pat fried eggs for breakfast. Jim and Gus went to Sam's and Schnuck's. Later Mom and Gus went back to Schnuck's so that Mom could give him a proper tour, and, I guess, get what her heart really desired but she didn't dare to write on her list.

Gina slept again till 3:30 PM. One of her friends whom she hadn't seen for a long time came by, so Gina moved to the living room--and promptly went back to sleep! When she woke up, we watched the third Laugh-In DVD that I'd rented. It was much better than the first two, and it was nice for those of us watching to have a laugh. Mary was really enjoying it till she nodded off :-)

We all had dinner together, except for Dad who gave us the pleasant gift of his absence from the table. He was mad at Mom because she had gotten mad at him for being nasty to her earlier.

Gus and I went to get exchange some DVDs. It was nice to have the time to talk. We got Mr and Mrs Smith, which Gina and Jim both want to see, and the 2003 release of Peter Pan, which I really want the boys to see. They're totally into Weird Al Jankovich (sp?) at the moment, but they put the Peter Pan video in as soon as dinner was over. Peter is played by a boy from just outside of Lexington, KY, and I think it's a great version.

Gus and Pat are leaving tomorrow, and I'm not sure when Fred is leaving. I'm also not sure when I'm leaving. I need to leave tomorrow, too, but I think it's just going to be too difficult to tear myself away. I wish Fred would stay till Nikki and Simone come on Thursday, but I think he wants to get on to Nikki's so he can earn some money. Jan was supposed to come this weekend, but she didn't. We need to call her because I don't think anyone has any idea what happened with her.

I know it sounds like we're not doing anything, but I feel like I'm running my butt off. I sat down to do my 10-minute relaxation today and got interrupted twice within those ten minutes. Plus, there was Dad bellowing around in the background. Also, between Mary and Gina, my sleep is very interrupted. I'm not complaining, just trying to give a clearer picture of what it's like to be here.

Friday, February 9, 2007

Nurses, Nurses, Nurses

Gina slept most of the day. I think she was awake almost all of last night and the night before.

One of her nurses, Lori, whom we love to death, came two or three times today. A new nurse named Barbara came this evening. Barbara and Rebecca will be coming twice a day and will take care of most of the medical stuff. Yeah!!!

A grief counselor also came and talked to the boys and Jim. It was interesting that after the boys were finished they were sitting there playing and Erik said, "My dad said he'd only be in there for ten minutes and it's been a lot longer." When I asked why it mattered, he replied, "Because he lied to me!" Hm. [I've come to understand now that Erik just wanted to get into the computer room. He lives to play on the computer.] Erik is currently having a crying fit, which he also had last night. I know he's going to need a lot of TLC, but it sure is hard!

Pat and Gus just got here. Fred arrived last night. I've got to go put Mary on the potty and make sure the boys (or at least Alec) and Fred take the dogs out on a walk. Then there dinner to get going--a daily source of confusion here!

*****************

Fred, Erik and I took the dogs for a walk--dragging Erik verbally kicking and screaming all the way :-)

Gina came into the kitchen and sat at the table again with us tonight. She had a sip of my beer and some of Mom's veggie soup, strained.

Gina's legs are quite swollen, but I think Lori is getting this figured out. It has to do with Gina getting extra fluid but not being prescribed lasix (sp?), which she was getting in the hospital. Fred got the job of massaging Gina's legs today. I think it's good to give people something special for them to do, so they feel like a part of Gina's caregiving troupe.

After dinner we sat around and told some jokes and then Gus and Pat told us some funny things that Samuel has said or does. It seems to be a regular event to tell jokes after dinner whenever someone new comes to visit :-)