Circumstances Being What They Are….

“I want to say that I am exceedingly upset about getting rescheduled a second time. Do I need to find another doctor?”

I read the message again then typed a response:

“Yes, you probably do….

For a few seconds I stared at the blinking cursor, waiting for the guilt to overpower my hurt. Finally, I hit the backspace until the words disappeared. I closed out the note and removed it from my tasks box without responding.

I’d spent the weekend on call from my father’s hospital room and I was sleep deprived. He was in excruciating pain, choking on everything he tried to eat or drink. His blood pressure was 88/40. No urine output for almost 24 hours. He wasn’t able to maintain his oxygen levels without supplemental oxygen. And I’d STILL had to fight with the prick of an ER doctor to get him admitted Friday evening.. We’ll just send him out with some codeine cough syrup... until I divulged that I was a physician and knew what he was trying to do was wrong. Codeine cough syrup would not control his pain if 4mg of morphine could not.

Even mean, ugly, crippled people with dementia and a history of leaving the hospital against medical advice deserve compassionate medical care when they are suffering.

Over the next couple of days my father required more and more oxygen and needed my help to use the bathroom.

He stopped eating.

He stopped drinking.

Now it was Monday. I should have been seeing patients.

But I wasn’t.

Because he died...

Instead of seeing patients, I sat in front of my computer in a bare office with no windows. A box of Kleenex waited nearby, ready to catch the unexpected tears that kept sneaking out of my eyeballs. I was there to wrap up loose ends so I could take the next few days to help my mother arrange the funeral, get him buried, and get his stuff moved out of the assisted living facility.

The patients didn’t know this.

No one had any idea that I quit my job of 14 years to move back to my home town because my father’s dementia was worsening. They had no idea that he was in and out of the hospital starting the first day of my new job. At one point he had even barricaded himself in his house for over a week after my mother moved out because she feared for her safety. He would let no one in, not even me, until he finally emailed in a panic because he was hallucinating. He couldn’t remember how to place a phone call. They did not know that I removed 40 guns, some of them loaded, from his house during the subsequent hospitalization or that I helped get him into a memory care unit, that I’d filed for legal guardianship through the courts to make him stay there because he could not understand why he shouldn’t be allowed to drive or own a gun or live on his own.

Over the course of six months a once proud man lost his freedom, his dignity, and his will to live and I’d had no choice but to do it to him.

I still feel so guilty.

In truth, I was not prepared for how much losing a father messes with your head. It came as a surprise that I found myself mourning someone I spent so much of my life hating. Is it easier if you loved them? Yet, seeing someone you hate suffering as he did, trapped in a hell that was not of his choosing… it does something to soften even the hardest of hearts, I think.

It softened mine.

And then there is the guilt, even months later.

I wonder if he understands now… if he forgives me?

So here I am, less than I was in some ways and more than I was in others. I miss my blog. I miss my friends. I miss my old home, my old office with the giant picture window, and I miss my old patients. After almost a year and a half after moving I think I am finally getting past the dysphoria of recognizing bits of my past in the shadows and around the corners of this town.


It was unquestionably the right decision making the move, and I would do it again, but it came with costs, some of which are difficult to put into words.

When people ask if I am happy with my new job, I focus on the positives. I don’t want them to know that I am second guessing myself on an almost daily basis. Here, at this place, I can make a difference in a way that I could not before. But I wonder sometimes if I am strong enough to persevere through all of the layers of bureaucracy and politics, things I really suck at, to last any length of time at this. I no longer have the protection that seniority affords and there is such a thing as caring too much. I can feel it eating me alive because I simply cannot let things go and keep my mouth shut. Not when something is clearly wrong or not fair.

Where did all of that outspoken stubbornness came from?


205 thoughts on “Circumstances Being What They Are….

  1. Hi Victo,
    My prayers are with you.
    I don’t know how I would cope with the loss of either of my parents, especially going through what you had to, and working in a new job. So many pressures to respond to. I’m so sorry for your loss. I know you’re incredibly resilient, just from reading this post, and I’m so glad you have an outlet in this blog.
    Welcome back and stay strong.

    Liked by 1 person

  2. Funny, I thought of you recently, wondering where you went. Attrition in blogging is common, and I just figured you no longer had the time (it was a miracle you had it before). I am sorry to read of what you’ve been dealing with this past year plus. So much stress. Please give yourself permission to be kind to yourself, true to your heart and take care of that which makes you the happiest. You have nothing to prove except to yourself. ❤

    Liked by 2 people

  3. Oh, Victo, I’ve missed you and wondered about you. I’m so sorry to hear about your dad and what you’ve been through. Whether you’ve loved or hated your parent, he/she is still your dad/mom and it’s very hard to deal with their decline and ultimate death. Probably more so for you than others considering your profession. On the other hand, I’m glad that you are still around; I worried when you simply seemed to disappear. Welcome back, and may you get on your feet quickly. I am here if you feel you want a friend who’s not too close geographically – you can always email me and I will give you a phone number.


  4. Well, it is so good to hear from you after such a long time. I’ve missed your input in so many ways. I didn’t get a chance to ask you if I should or should not allow myself to go through ‘Small seed Brachytherapy’. As it happens it has been a very interesting experience.
    So many times I wondered where you were. I almost feel like saying ‘Welcome Home’


  5. I am so very sorry for your loss. I lost my father 32 years ago. His death was the first real big loss I suffered. He and I were not close. We were too much alike, and I argued with him a lot. I regret that now. He was often hurt because I preferred my mother. He was impatient and quick-tempered – traits I see in myself every day. It’s funny how we can not be close to someone and still be just like them after all. I missed reading your blog.

    Liked by 1 person

  6. I am so glad to see your post-I missed you. I am sorry to learn of all you have been through-such life altering things-I so hope you heal – and thrive. I can not imagine dealing with the complexity of such experiences-but I encourage you to take each day and one at a time, allowing yourself a while each day to sort things out. You have what you need to do so, even if you do not feel so-I will be cheering you on.


  7. This is “Gibber Jabberin.” I’m so so sorry for what you’ve went through and lost. I can relate in some ways as I lost my mother 9 months ago and we were estranged. She wouldn’t let the family tell me she was sick again until it was too late. I flew home but two days before I did she died. I was also surprised by the grief I felt and still do. My heart goes out to you and your family. Welcome back.

    Liked by 1 person

  8. It’s lovely to hear from you again. I’m so sorry to hear life has been so tough. My father died of Alzheimer’s so I can understand some of the guilt you might be feeling. I think it’s a part of the process.

    The sudden refusal to let things you believe are wrong go also rings bells.

    It sounds as if your dad was a man of principle whether you got on with him or not. Perhaps that’s why? I don’t know, but I do know that since losing mine it’s like a light has gone out, a force of goodness left the world, and I feel as if I have to add more light on my own part, to make up the deficit.

    Perhaps, also, acting with integrity on your own part gives you more courage to stand up for what is right, which is so much more complicated than the political parties would make out.

    All the best,



    • I have always been a bit of a troublemaker when it comes to jobs. There are very clearly certain things that are wrong and I like to ask people to fix them, particularly when it is a matter of patient safety. My father had a very mutated view of right and wrong that I never could agree with. Women should not wear make up. They shouldn’t cut their hair or work outside the home. Or get their ears pierced. I could go on. Suffice it to say, I broke all of his rules multiple times over.

      Liked by 2 people

  9. I’m so sorry for the painful loss. I know that feeling of second guessing what decisions and actions that were your best effort. It’s easy when you are tired to reframe those moments into something wrong. I don’t know if it will help you, but I find that remembering that I felt right about it and why, combined with the knowledge that my brain does this when stressed or tired, helps me back into the right frame. Mostly.


  10. Welcome back, your words and your wisdom have been greatly missed. My husband went through a very similar situation with his father about 4 years ago. And it changed him deeply. From that experience emerged a much more compassionate and even forgiving man. Time will offer perspective.

    Liked by 2 people

  11. I’m so sorry for your loss, it’s never easy to lose a parent. You have been through some huge changes since you were here last.
    With all of that being said…. is it wrong that I said “yes!!! You’re back!” I even did a little fist pump, made the dog jump…. followed by the stink eye for disturbing her slumber.
    I’m sorry for all of your struggles but I am excited to see you back! Have a beautiful day 💕


  12. OMG, I am so happy to see you blogging again but so sad about the circumstances. I always wondered what happened but completely understand the pressures of blogging with a personal/work life. Your Dad is SO proud of you – what a wonderful gift you gave him of your time and love. All the good you have given will come back to you. Our health service badly needs feisty, smart, logical women. Bureaucracy is a beast that should be beaten. Be gentle with yourself, though, and remember you are still grieving. There is plenty of time to fight the good fight. Right now enjoy some happy memories of past times and your family should offer a prayer of thanks for having such a good daughter. Love K xx


  13. I missed you so much and wondered about you so many times. Very glad to see you back. I struggled with the loss of a father I was ambivalent about as well. He is still in my psyche, but it doesn’t hurt anymore. I hope you find that peace as well. I am in recovery from cancer and seeing your post makes me want writing again after a year’s hiatus.


      • I am. I even found I enjoyed going to radiation every day. The other patients had so much to say and gave me a lot to ponder. It was a fascinating experience, but I found I was too consumed to write. Since seeing your post, I am on fire to get back in. I had the arrogance before my cancer to think illness was a weakness. The experience was a great leveler, for which I am grateful. It was the first time in my life I accepted care and concern. It was life-changing.
        On the father topic, as a small child, I adored my father, then learned to hate him as he became so resentful and mean. My perceived loss of his love was devastating for us both. I am glad to have come to terms with our flawed relationship. I hope that peace finds you.
        I hope you and your children are recovering from your family’s loss. It’s a heaviness for everyone.

        Liked by 1 person

  14. I was so surprised to see you pop up in my email. I figured I must have somehow not been getting your blog posts and was looking forward to reading all the posts I had missed. Instead I read what an awful time you have been having for the past year and a half and the passing of your dad. I am so very sorry. My own dad died almost 30 years ago and while I can’t honestly say I miss him, every now and again I think of him and wish our relationship would have less volatile. I hope you will be blogging again as I so enjoy reading your posts. Glad you are back!


  15. It’s so good to see you back! We’ve missed you, too. My condolences on your loss. I understand some of those feelings you describe. I experienced something similar with my dad. It sure isn’t easy! Love to you and welcome back. 💜


  16. We have all missed you. I even tried to research to see if you might be blogging under a different name.

    I lost my father to heart disease when he was only 69 and my mother to sudden onset of adult leukaemia when when she was 80. My older brother is gone now too; dementia was the thief. Presently the brother 8 years younger than I is on Hospice because of cancer.

    So far I am not able to write much about the things that have happened, but perhaps one day I can. I still have one brother 11 years younger than I.


  17. I am so with you on this and yes, it doesn’t matter how bad they (in my case both parents) were, they were still cared for lovingly as you did your dad. It is the right thing to do. What is surprising is that all the crappy things they ever did, would soon be minimized and supplanted with what good you remember and the ideal that never was. Guilt? Yes, I feel guilt too. It is what it is. My prayers are with you. In time, you will feel better though. You are a bright star and your light will shine again.


  18. My dearest Victoire. I was both elated and then sad when I saw your post. 🙂
    I am very, very sorry for your loss and the pain you’ve been through. In different circumstances I too had to care for each of my ageing parents. It does take a toll. But the mere fact that you finally posted again is a good sign and gives me great joy.
    Welcome back. (I’d actually searched for an old e-mail of yours “codered…something?” to say Hello.)
    Again welcome back. I’m sure you know you have been sorely missed. We couldn’t help you meanwhile, but you should know “we” are most ready to listen and support you. ‘Want the old Victoire back!
    I hope your family is all right. Your kids? Growing? 🙂
    Hugs. (If I may be so bold)

    Liked by 1 person

      • How could anyone forget you? 🙂 Your blog was (and now is again) one of my very favourite. Not many arrive directly to my email.
        As I said elsewhere (sort of) long silences are to be expected in blogging. What matters is the return, and again: bienvenue. Delighted to have you back.
        And again, use blogging as a healing tool. (Works for me every day…)
        B. good, “Victoire”.

        Liked by 1 person

  19. PS. I read some of the comments. Which I normally don’t do, as I feel most are “private” conversations. But I was glad to see all agree on one thing: we missed you. And are glad you’re back. Attagirl. And remember: you’re a fighter. You will get back to be 120% Victoire.

    Liked by 1 person

  20. My heart goes out to you and all the others going through this same scenario.Will your father forgive you? Unquestionably. I know that without a doubt. You did nothing to forgive. You were there loving him and doing your best. We forget our doctors are people too. They live with the same troubles the rest of us do. If what you are doing now does not fill your heart with peace, for the sake of your own health, do something different. As a woman coming to my end, I have that perspective. The only thing I ask of my adult children is they do not mourn for me. They are doing their best to care for me and I will be changing addresses and get a new job sometime in the near future. I’ve told them to remember the good times and celebrate an incredible journey. Find the joy in their lives. Your father will remember you with great love from the other side. I’m not a religious person but I remember the in between and we don’t hold onto anything but love. Think only of the love.


  21. As I read this post, my eyes blurred with tears. The sacrifices you have made, the emotional devastation you have been through, dealing with change and missing the old, and then loosing a man you say you “hated”. The other side of that coin is love. So much of him is in you and I’m not saying that negatively. As time passes you will understand, if you haven’t already begun to. I AM SO SORRY FOR YOUR LOSS, Victo. God help me, I know the pain of loosing a parent, especially one with a long history of hate involved. Take care of you and your family. Be kind to you. Don’t push the emotions away no matter how much they hurt. Heal your heart and soul. And yes let those tears fall. Give yourself “me time” to be surrounded in silence and peace. I know my place. And I’m sure you know yours. It is vitally important you love on yourself, especially now. You give of yourself to so many. Now give to you.
    I’ve missed you and your posts. Welcome back to WP and allow those of us who know how to, to wrap our words of love around you to assist you on this journey of empowerment. Much love to you! xo

    Liked by 2 people

  22. Wow, thank you for sharing that. I’m sorry about the loss of your father, and everything involved with it. It can be so hard to deal with under any circumstance, but this sounds especially tough. I am glad you are back blogging again (you are great at this) and I hope that writing this post helped you, too.


  23. So good to have you back in the blogosphere. I so sorry for your hell ride with your father. For me, it was my mom. She was abusive towards me in her mania, yet in the end it was I who oversaw her care. (Moving closer to her or moving her closer to me weren’t options). Be as compassionate with yourself as you were with your father. And please let all guilt go.

    I have a handful of friends who have the ability to connect with those who have crossed over, and two who died and came back. Please know that your father knows everything you did to help him and he’s now surrounded by unconditional love. When we die, we let go of our pain, anger, sadness, and judgment that all cause us so much difficulty here in life. It’s a massive shift in perception.


  24. Dear Victo,
    My sincere sympathy on the loss of
    your Dad. Dementia is a nasty horrible
    fate for children. The elderly patient is
    unaware. You certainly were the best
    daughter your Dad could have had.
    I truly missed you, and am sad for
    what has happened.
    You were a delight. I bought I got fired..
    Welcome back!

    Liked by 1 person

  25. It was so nice to see you in my email! And then I read your post and my heart just about broke. It seems we have lived a very similar life over the past couple years. It was my Mom…and your words hit me full in the gurn (family expression) and I feel the guilt and the second guessing. But one thing I do know and I believe it is true for you too: They not only forgive us…they are so full of gratitude that someone was there to take care of them when they could no longer take care of themselves…and that is A GOOD THING!!! I am fast approaching the one year anniversary of my mom’s death and this whole section of this year is filled with the “first time….fill in the blank.” Thanksgiving was so hard. As I cooked a modified dinner in a hotel room (because I just couldn’t spend it with anyone) I relived more than 50 other Thanksgivings where Mom was in control of the whole show…and what a job she did.

    I am still walking through this year, not really sure where I go from here. I halted my life for more than two years and have not really walked back into it yet. I feel you are also in the process of trying to figure it out. No worries…you will. And don’t forget that life is what happens while we are busy making other plans. I am grateful for you…and I hope that you can feel the love and compassion that you extended to others…it was so important…and I know you did a great job!!!
    Many Sweet Blessings ❤


    • I am so sorry you are living this, too! It is a strange between places. A twilight of sorts. You put beautiful words to it. I thought I was ready to post about this but I’ll be honest… it took me aback how much I still feel about the whole episode. I had to take a few days of blog silence just to let that calm down a bit. Yikes.


  26. And I failed to mention, I lost my
    Mom a few years back. Her decline
    was heartbreaking from a distance.
    I was there for all the broken bones,
    and recoveries. In the end it was sun
    downers & a short stay in her favorite


  27. Hi Victo – I wondered why you had disappeared so suddenly from blogging. I’m so sorry for what you have gone through. It sounds like so much more than the ‘typical’ aging parent story.

    I hope much happier days are ahead.


    • The days are getting better. It is a bit of a relief, honestly, that he is gone. It was pretty much hell for those months. I thought things would get back to normal but they don’t. Normal is not what it used to be, you know? BUT there is always the new normal…. 🙂

      Liked by 1 person

  28. I’m late to this, Victo. I saw the notification of your post in my email a few days ago but couldn’t respond then as am just getting over a bout of illness myself. I am SO glad to see you back. I’ve wanted to email you for a long time to find out if you’re okay but didn’t want to disturb you. Just know I’ve been thinking of you all this time.

    I understand some of what you’ve been through with your father. I had a difficult relationship with my own dad, was scared of him throughout my childhood and a lot of my younger adult years. He died of a brain tumour (gliobastoma in the right hemisphere) diagnosed just two weeks before he died, and in those two weeks leading up to his death, his personality changed completely and gave me a lovely father for a too-brief period. That was the man I lost but not always the man I remember. It took me a long time to come to terms with all this and when you’ve been through first the hell of living with someone difficult and then having to look after them in a different role… well, that’s to be expected.

    So you’ve got to be patient with yourself. The guilt will be with you for some time, it is part of the package, unfortunately. But know that it’s a natural process and you’ll come through it – probably to a stronger, safer place. There’s a lot of personal growth to be had from losing a parent, too: you really do grow into your own self then. Be well.


    • Thank you so much for sharing this. One of the lovely things about blogging is that you are not really alone. There are many people who have been through something very similar, people I never would have been able to connect with otherwise. It is very therapeutic. ❤️

      Liked by 2 people

  29. First of all, I’m sending my deepest condolences. I can relate to all of this. The dying father. The hatred for a father who’s dying. The having to do clean up for the father you hated and now he’s dying. All of it.

    Also, I thought about you this past week. I couldn’t think of your blog’s name and I kept wondering where the blogging doctor went because she was such a great writer with equally great insights. I’m glad to see you here.

    Liked by 2 people

  30. Sorry I am coming to this post late. As a neurologist I have seen this happen to so many patients. Often when I diagnose someone with dementia I will turn to their family members with sympathy and tell them that this disease will be harder on them than on the patient.

    Complicated grief … It’s going to be hard on my wife when her father dies someday.

    Liked by 1 person

  31. I can so relate to losing a parent you hated. I think you know I lost my mother a year ago. We were estranged. She kept it from me out of spite that she was that ill on more than one occasion. I got a call two days before she died that she had collapsed and was in ICU on a ventilator. Living as far away as I did, I was unable to make it home before she died. I knew I would feel sad at her loss for what now would never be, but I never knew I’d feel grief beyond that. She was my mother despite being a horrible one.
    I’m so sorry you lost your father. I’m sorry for all he put you through. I can only guess now that despite everything he would know that all the choices you had to make for him, where in his best interests despite everything. I’m sorry you had to make those choices. He has an amazing daughter.

    Liked by 1 person

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