I had the honor to spend yesterday and last night with my old and dear friend Raul Ramirez, who is dying of cancer.
He had requested that I come to the rehab facility where he has been the past few weeks. He had been getting stronger and feeling
better after a brutal month of setbacks, and felt well enough for a
visit. It was supposed to be a happy visit. But before I got there he
got some troubling news -- a CT scan had identified an arterial aneurysm
in his abdomen. He was urgently taken by ambulance to the ER at Kaiser
in Oakland, where surgery would be considered. I went there as well with
two of his other friends, plus Tony, his partner. (They were married last weekend.)
There, the doctors told us that the situation is
dire and that there is nothing further they can do for Raul, surgery is
too dangerous, plus the combination of problems he has now are too
complex to be solved by any kind of medical intervention whatsoever. All
they can do now is mitigate the pain.
As fast as possible we are now trying to arrange
hospice care. Raul desperately wants to return to his home and die
there. Today I signed as a witness to his will, we discussed his wishes for
cremation, he instructed that he is not to be resuscitated once his heart stops and many other similar topics.
Then, something kind of wonderful happened and this is so
Raul. We decided to have a little party. I had brought over some fruits
and cheese -- a nurse brought some crackers and juice and there in the
Kaiser ER we had a picnic. Raul was very much the life of the party.
We all laughed (and cried) and ate the snacks. All I can say is Raul
really loves strawberries!
At this point, it will be day to day. I am on call to go there
whenever Tony or others request. I know he would love to hear from any
of you through whatever channel you choose. When he feels well enough he
checks email. He even takes phone calls. He opens cards. He listens
when friends relay messages. He is very frustrated and angry and sad and
I think also still somewhat scared but he also seems strong and
resolved to handle this his way. He refuses pain medications so his
mental acuity is intact. He is in terrible pain and so thin it is hard
to see but his mind is active, playful and inquiring. He's really still
the same Raul we've all always loved so much.
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