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The Care Pathway For The Dying Phase

There's a phrase to give us pause -

it's what you're on, it's where you're ending.

I've read so in your case notes

while your daughter was attempting

to colour in the silence

with progress of the garden

and accomplishments of children.

An undulating pathway, to be sure;

these buttons and levers at the side

of your bed will help you to adjust.

All that's lacking is a Reverse.

 

Just a phase, do they imagine?

Like cutting teeth and teens;

rationing and air shelters;

Swing and Sinatra; seamed stockings,

breast feeding, breast cancer.

A fond glance back and the tips

of your ears blushing, your lips

creasing an embarrassed smile

as you struggle to retain your teeth.

 

What need of teeth!

A swallowing reflex defunct

as your speech and vision.

You can only listen

to the insistent dripping

of metal and plastic.

A thousand unanswered phones

are the music you die to.

 

Reduced to squeezing hands,

slight inclinations or shakes

of the head to acknowledge pain.

Yet you know when the nurses arrive

to administer Paracetamol per rectum:

the uniform hiss and swish of curtains;

the brief discussion as to whether

to first do "this one" or "the other".

You or your fellow-traveller

asleep in the adjacent bed.

 

I turn away and read the poster

that shows how best to wash one's hands;

The Mission Statement promises

which conclude by exhorting

us all to work together

for a cleaner, better future.

◄ Nowhere

Numb ►

Comments

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Amy Houston

Wed 20th Jul 2011 21:02

I really enjoyed reading this, if I am completely honest I cried Ray.

What need of teeth!

A swallowing reflex defunct

as your speech and vision.

You can only listen

to the insistent dripping

of metal and plastic.

A thousand unanswered phones

are the music you die to

This verse really got to me (my Gran, who raised me had multiple strokes before the end), you are such a fantastic poet. I love reading you, you find such a way of sharing the things we struggle so hard to face in a way that inspires me to face my own shit in my writing.

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Ray Miller

Wed 13th Jul 2011 22:16

Thanks for all your comments. Sorry I've taken a long time to get back.

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Elaine Booth

Fri 24th Jun 2011 23:15

Ray, what a tremendous poem. I am sure others will have commented something similar: very powerful, horribly true and deeply sad. What on earth have we done, in this society of ours. Thanks for verbalising it so vividly.

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Cate Greenlees

Mon 20th Jun 2011 21:03

A vivid and powerful piece of writing. Very touching.
Cate xx

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Isobel

Mon 20th Jun 2011 20:09

Crumbs - you don't get much sadder than this - my idea of living hell brought to life so hideously by your poem. It brought back horrid memories for me too...

The positive and chirpy nature of the medical staff often seem so incongruous when you know just what is going down. I suppose they have to develop that protective shell though, or they wouldn't be able to do the job.

I would agree with Andy N on that line 'colouring in the silence' is a great metaphor.

Glug - something for us all to look forward to.

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Laura Taylor

Mon 20th Jun 2011 09:57

Heartbreaking, and really well written. Good one Ray

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Andy N

Mon 20th Jun 2011 08:13

good piece, Ray - particularly like 'colouring in the silence'... A

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Julian (Admin)

Sun 19th Jun 2011 19:35

Magnificent Ray: observant, humane, essential, spare.

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alisonsmiles68@gmail.com

Sun 19th Jun 2011 15:35

Brought back to me memories of "the pathway" as the nurses around here have obligingly shortened it. You've done great work in bringing in the odd peripheral notices which seem so bewilderingly trivial but you can't help focussing on.

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Ann Foxglove

Sun 19th Jun 2011 13:09

Only logged in to say - read your poem. Too powerfull for me to comment on really. These things need to be said and noted. As so often, you do this excellently.

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