for a moment?â
âSure,â Suzanne said.
They stood and followed me to a small unassigned office that served as a private place for conversations not meant to be heard by the patients. It held only an unremarkable desk, three folding chairs, and a box of tissues.
Before I could sit Carrie spoke.
âThis is really bad news, isnât it?â she said.
Carrie Collins had recently buried her husband in Asheville, North Carolina, and was enjoying an extended visit with Suzanne while her late husbandâs greedy, hateful children contested his will. And she had become great friends with Kathy while working at Suzanneâs design studio. Sheâd told me that she arrived on Suzanneâs doorstep with only what she could fit in her trunk.
âWell, itâs not great,â I said. âKathy had a really difficult night last night. So the doctor ordered morphine for her and thatâs why sheâs resting now. He thinks itâs time to begin administering pain meds on a regular basis.â
âIs she already going into organ failure?â Carrie said.
Boy, I thought, for a nonprofessional she sure is familiar with how we die.
âOh God!â Suzanne exclaimed. âShe canât go yet! I promised her Iâd take her out to the beach!â
âThe minute I came in this morning I could smell death in every corner of her room,â Carrie said.
âDonât be such a pessimist. Sheâs just having a setback, isnât she?â Suzanne asked. âDo you think we can get her out to Isle of Palms? Maybe by next week?â
âTo be honest?â I said. âWho knows? She has a living will that dictates the care she wants for herself, but when sheâs unable to make decisions, like now . . . You have her health care proxy. Her will says she does not want to be resuscitated or intubated.â
âYes. I know that,â Suzanne said.
âAnyway, we feel the time has come to provide maximum comfort for her. Her living will also says, as Iâm sure you know, that she asked for pain medication as needed.â
âAre you asking my permission?â Suzanne said.
âYes,â I said.
âIs she in pain now?â Carrie said.
âShe was last night, but as you can see, sheâs resting comfortably now,â I said.
âThen give her whatever she needs,â Suzanne said. âPlease. God, I donât want her to suffer!â
âShe wonât suffer, will she?â Carrie said.
âWe will do everything in our power to see that she doesnât. I promise,â I said.
âIs this the end?â
This was the question every single person who worked at Palmetto House dreaded. I gave her the best answer I could.
âOh, Suzanne. If I knew the answer to that, Iâd be, well . . . I donât know what Iâd be. Einstein? The truth is that no one can precisely predict the hour of someoneâs death. But there are signs. As she gets closer to the end, things will change, and I promise I will tell you all I know.â
Suzanneâs bottom lip quivered and she burst into tears, burying her face in her hands. Carrieâs eyes were brimming with tears too. She put her arm around Suzanneâs shoulder and gave her a good squeeze. They were both devastated. I pulled tissues from the box on the desk and offered them. Even though Iâd seen this wrenching scenario play through more times than I wanted to remember, this seemed different. It felt personal. And suddenly I was profoundly saddened. I had become involved. In my mind, seeing Kathy Harperâs demise was like witnessing a terrible crash in slow motion.
âIâm okay. Sorry,â Suzanne said. âItâs just that this whole thing is so unfair.â
âYes. It is terribly unfair,â I said, âBut I can tell you this. Everyone around here has seen yâall come and go a million times since Kathy came to us.