I don't know what's taken me so long to write about this--I mean for people to read. Maybe it's been my compulsion to keep moving forward, neurotically tidying up my life until there are very few traces of what came before. Eventually, my son, Jackson, and I will be living in a new house, most likely in a new city, making new friends, going new places, doing new things, breathing new air. New, new, new. Anything to make the lasting legacy of suicide fade in the rear-view mirror.
Roxann--or Rox, as so many of us called her--died nearly 18 months ago, on April 9, 2006, taking her last meager breaths in front of sobbing loved ones who had held vigil at her hospital bedside for more than a week. Nine days earlier, she had made the final decision of her depression-filled life, looping a noose fashioned from a robe tie over her head and stepping off the edge of the canopy bed we had shared for more than a decade. It was 15-20 minutes before Owen, her then-21-year-old son, came looking for her and uncovered a tragic scene beyond anything he could have imagined.
The paramedics came quickly, and they managed to revive her, rushing her off to the county trauma center, where she was immediately taken to intensive care, in a coma, and placed on a respirator. There she remained for seven nightmarish days, through test after test, streams of those who loved her coming to pay their respects, while her intensely devoted daughter, Alex, then 25, remained almost constantly at her side.
But when the last test made it clear that the best-case scenario for Rox was a life of assisted living, diapers, and little or no recognition of people or surroundings, we decided to remove the ventilator and let her finish acting out her terrible wish. She lived two more endless days--50 hours filled with the most contrasting of emotions: anguish over the inevitable and unimaginable loss we were all about to face; relief that she was out of the ICU and the end would come surrounded by family and friends, and free of the tubes and needles and sensors that had enveloped her for seven days; and profound fear that she would go on living in her vegitative state, a path that surely would have destroyed any remaining hope our family had for future happiness.
To say Rox's last moments were ironic would be gross understatement. This woman, who had lived a life filled with so much emotional angst, who had brought such turmoil and passion and conflict to our marriage, who had chosen a dramatic, premature and violent end to her life, emanated her most peaceful aura as she prepared to leave us. We spent many quiet hours in those two days, sharing stories of our lives with Rox, helping each to deal with the intense mix of sadness, confusion and anger we were no doubt all feeling. Ultimately, there were six of us in the room when, after hours and hours of consistently spaced breaths, Rox suddenly stopped inhaling for what seemed like minutes but was probably closer to 30 seconds. We all realized simultaneously that this might be it, and, in what must certainly be a universally common sympathy behavior, we collectively held our breath, trying without much success to hold back the wails that wanted to explode from us. Out of nowhere, another breath, and a collective exhale from the six of us, followed by another, longer gap, and so it went for what must have been five minutes. As the last, constricted breath entered Rox's body, a CD I had thrown together as background noise for the "comfort room," as they called it, was playing the Beatles' "In My Life," a song that now will never fail to bring tears to my eyes for the rest of my life.
Roxann and I had been separated for more than a year, but the few months that preceded her death had made me feel anything but. At some point the previous fall, she had come to realize that she wished she hadn't asked for the divorce, and she began making overtures toward reconciliation. When I rebuffed her not once, but twice, she proceeded to slip down into the abyss. Only this time was different. This time, no medication was going to pull her back out.
For several weeks, my life was consumed with the drama of Rox's declining state. All of my non-working hours were spent either taking care of Jackson, since Rox was growing increasingly catatonic, or talking Rox through her endless circle of irrational fears, which she repeately admitted were due to her own self-destructive behavior. Finally, when she started making allusions to not wanting to live, it was time to seek professional help. We took her to the very hospital where she had worked as a nurse for 27 years, the last 18 on the labor and delivery unit, and checked her in with severe depression and suicidal ideations.
And so began the end.
Rox spent the next 11 days in the psychiatric ward, behaving mostly like she belonged there--largely consumed by fear, unable to talk about anything except how badly she needed to get out of there, and unable to take charge of herself on any level. I hope to never have a more disturbing experience that walking my 8-year-old into the psych ward to visit his mother. Or, worse yet, waving good-bye through those industrial hospital doors as Mommy's face and waving hand are framed by that tiny little window.
The day after Rox got out of the hospital, it quickly became clear that the whole 11 days had been a complete waste. At 8 am that morning (Monday, Feb. 27), I went to check on her after dropping Jackson at school, and life took an even more surreal turn when I walked in on her popping a bottle of sleeping pills. The next 15 minutes were a chaotic blur as I woke up Owen, and he and I lugged Rox's now gelatinous body to the car and rushed her back to the hospital, this time the nearest one. As it turns out, it's basically impossible to kill yourself with a bottle of 30 Ambien, but Rox's actions were clearly still seen as a suicide attempt, and she was placed on a 72-hour hold. When she awoke that night, she was somewhat manic in her embarrassment. The next day, she agreed to go into the psych ward at this second hospital, where she spent a soul-sapping eight days. The surroundings were like something out of "One Flew Over the Cuckoo's Nest," the therapy was condescening, and Rox was growing more despondent, not less.
From the psych ward, she entered a two-week outpatient clinic, and she hated every minute of it, including my insistence on driving her to and from to make sure that she went. I simply didn't know what else to do. I'd tried to get her transferred to Stanford, with its vastly superior psychiatry department, but Rox wouldn't go for it. She had tired of telling her story. We talked about pulling her out and sending her to stay with a friend in St. Louis, but the doctor called us in for a meeting, arguing that doing so would be a huge mistake, and declaring that Rox was much improved and should be back at work in a couple of weeks.
During her days at the clinic, I'd be packing and organizing for what I'd deemed to be an absolutely essential sale of our house. (I lived in a nearby rental.) In the afternoon, when she returned, she'd sit, lifelessly, as I went through boxes in the garage, asking her what she'd like to do with this or that. Almost every time, her answer was a listless "throw it away--what do I need it for?" I should have picked up on the signal, but I was too frustrated to notice life's subtleties.
The week after her clinic ended, I went back to work, cautiously, checking in frequently. That Friday, I was to leave on a business trip to Florida, one that was pretty critical because I'd been away from work for weeks, and I'd be hobnobbing with my company's brass. My mom (who might as well have been the anti-Christ so far as Rox was concerned--but that's another entry) was coming to town to watch Jackson.
When I got on that plane, I knew I was leaving a shaky person, but despite everything, I was still convinced I had nothing to really worry about. I viewed her past several weeks--the hospitalizations, the sleeping pills, the endless ruminating, the panic attacks (of which she had a few)--as simply a step up from her typically intensely dramatic persona. I called her from Houston (where I had a connecting flight), and then when I landed in Jacksonville, just to let her know I was safe and to find out how she was doing. She sounded unchanged.
Then, at shortly after 5 pm eastern time on Saturday, I returned to my room from the resort pool and saw that I had a voice mail--the voice mail that would turn my life completely upside down. It was Owen. I'll never forget his words. "Uh, hey, it's Owen. I don't know how else to say this, but mom tried to hang herself. She's in intensive care at Valley Medical Center, and she's in a coma." I was numb. Could I have had heard him correctly? I mean, I knew that I had, but the idea that Rox had actually tried to hang herself was so wholely unexpected and repulsive and shocking and unreal and painful and un-freaking-believable that I just couldn't grasp it, no matter how hard I tried. No tears came at first. I needed confirmation. I called Owen. He was almost unintelligible. I called the hospital and talked with the nurses, and they were somewhat cryptic, mostly urging me to get there as soon as I could in order to make important decisions.
I still can't believe Owen actually left this news for me as a voice mail, but I suppose he had no choice, being that he was the one who found her and it was clear he would be the only family member with Rox, and available to hospital staff, for many hours.
The next 22 hours were probably the longest of my life. A couple of co-workers I will never forget convinced me to come and sit with a group of colleagues in the bar, and then stayed with me in my room until late into the night, refusing to let me be alone until they could no longer keep their eyes open. I don't even remember crying the whole evening--I just remember being in a confounding state of disbelief. I remember that the NCAA Finals were on the bar TV, and I wondered if I would ever care about sports again. I wondered if I would ever care about ANYTHING again. (For what it's worth, such cares do return, and I've emerged from my mourning-stage zombiehood a diehard sports fan once again.)
The soonest flight was the following morning at 6:30, so I had little choice but to try and sleep. The cab was coming at 4 am. I got into bed shortly after midnight, thinking I'd better try to get a couple of hours at least. No such luck. A few weeks earlier, I'd watched this disturbing Sopranos episode in which a captain who wanted out of the family hangs himself, and every time I tried to close my eyes that night in Florida, I'd have these bright flashbacks of that Sopranos scene, only instead of the wiseguy hanging from the rope, it was Rox. A horrible image that remains burned into my psyche today.
The trip home was somewhat of a blur--except that I had several drinks on the way, which was highly unusual for me, and I burduned a flight attendant with my crazy emotions. I don't remember landing. I don't remember getting my bags, or taking the shuttle to the parking lot. I don't remember paying for parking, driving to the hospital, or parking my car. I don't remember the walk from the hospital parking lot, the ride up the elevator, the walk through the hospital corridors. But from now until the day I die, I'll remember with hyper-clarity the gut-level horror I felt when I walked into that ICU room the first time and saw her lying there--the woman I'd fell in love with nearly 14 years earlier; the woman I'd ridden beside on life's ultimate rollercoaster; the woman who'd lovingly said, "I do," carried my only child, built a home with me, and ultimately, broke my heart into itty bitty pieces.
There she was, the greatest love of my life, rendered nearly lifeless by her own confused, wounded and misguided hand. What I'd been through the previous 15 months, that wasn't separation. THIS was separation. Oh, how it hurt. Oh, how it still hurts. But now I prepare to seek out the new, in the hope of shedding myself and, more importantly, Jackson of this terrible lasting legacy known as suicide. If these past 18 months are any indication, it ain't going to be easy. I do know this, though: It is going to be (new, that is). I have no choice. My son's future depends on it. And so my plan for this blog is to devote future entries to that pursuit, documenting our search for a new, happy life. Wish us luck.