Providence Regional Cancer System Survivorship Blog

Entries in Hospice (2)

Tuesday
Nov082011

92-year-old war veteran reflects on cancer diagnosis

When John Hogan’s family moved to Seattle in 1941 John took the opportunity to join the Army. It was during World War II and there was plenty to do. He was stationed at Fort Lewis, where he trained for nine or 10 months before the Japanese bombed Pearl Harbor. A truck driver in the 41st Infantry Division and the 162nd Infantry Regiment, he eventually headed to Australia to help defend the South Pacific. At age 92 and on hospice care, John recalled fondly his time in the Army – and the day he headed home.

He saw combat in New Guinea, the Philippines and South Pacific Islands before the war ended. “Truman drops the biscuit on Japan. Bang the war is over. I’d been there 42 months and we came home in 19 days – into Hawaii and San Francisco,” John recalled. “The most beautiful sight you ever seen - we were coming home going under the Golden Gate Bridge on a beautiful day. Your morale is 400 percent above normal. We saw three Christmases in the South Pacific and those palm trees don’t look like Christmas.” Back up to Fort Lewis and John was honorably discharged, a Technician 5.

November is a special month for John’s family in two ways. First, it’s National Home Care and Hospice Month. Second, it’s Veteran’s Day. While John received hospice care, his military service was also being honored by the staff of Providence Hospice of Seattle, who listened to him talk about his time in the Army and acknowledged his service. During this year’s National Home Care and Hospice Month Providence Hospice of Seattle is also moving forward with its We Honor Veterans program, which offers end-of-life care designed specifically for veterans. John Hogan didn’t know anything about hospice care when he was diagnosed with cancer in May and his doctor offered him a range of choices – from aggressive treatment to care focused on comfort and quality of life.

“Two options – medical, chemo and the rest of the stuff,” said John, who was chipping golf balls in his backyard until he was suddenly diagnosed. “I said, no, I don’t want that. I want this one – to live normally, live comfortably, have the nurse come in and that’s the way I want to go.” And that’s how it went duing his time on hospice care John lived in the Greenwood home where he and his wife Betty of 51 years raised their three children.

Providence Hospice of Seattle provided the nurses, walker, wheelchair, social worker, medicine, and other services he needed. John got to enjoy time with his children and grandchildren and all the friends and neighbors who visited him. “It’s the best,” he said of the hospice care. “I couldn’t imagine help like this. It’s wonderful.” Added Betty, “We really couldn’t get along without them because I wouldn’t know what to do.” John said the thing that surprised him most about his disease was having so many people come by his home to say hello. “The advantage, when you get cancer, the good Lord’s telling you you’re not only here for a certain period and you know that. You have an appointment with me. You don’t know the date, but at least you know it’s coming closer.”

His priest from Christ the King parish, just down the street, offered spiritual comfort. John reflected on everything he’d gone through in life, including his military duty. Born in Butte, Mont., in 1918, John never graduated from high school, but worked several jobs – in department stores, as a waiter, in the cooper mines – before his family moved to Seattle. After being discharged from the Army he worked in the shipyard at Tacoma on flat top aircraft carriers, then came to Seattle and found a job at a lumber yard in Ballard, where he worked for 15 years before working for the railroad. At age 41 he met and married Betty, who volunteered in the Catholic Seaman’s Club coffee shop. The have three children and six grandchildren. John’s favorite thing during his last months of life was seeing those grandchildren, although he was no longer able to play ball with them in the backyard. But he remained philosophical.

“It’s hard. But there’s a reason. There are no accidents out there. Everything you do is providential. You’ve got to believe that.” As for the care he received? “Gee, it’s a good program. I would tell anybody before they go to their maker to take a trip through hospice first.”

Providence Hospice & Palliative Care proudly supports the national We Honor Veterans program (www.wehonorveterans.org),which offers end-of-life care designed specifically for those who have courageously served our country. For more information about our services and locations, visit www.ProvidenceHospiceWashington.org.

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Monday
Sep122011

It is a celebration: Providence hospice services help retired professor give lesson in celebrating life

“It is a celebration, and that’s a surprise to me,” says retired professor David Hitchens after several  months of hospice care following a diagnosis of inoperable lung cancer. Hospice has given him and his wife Joan the gift of time. Time to make plans. Time to connect and reconnect with loved ones.  Time to reflect on life. Time to share memories. Time to laugh. Time to love.

Hitchens, age 72, is dying. He’s received hospice services from Providence SoundHomeCare and  Hospice in his home in Olympia, WA since February and says the choice to go on hospice care after he was diagnosed with terminal lung cancer has been a “great decision.” He’s already outlived his  sixmonth prognosis. He’s not in pain. His family has come together to support him. His friends visit. And many of his former students have written on a tribute blog about how their former professor impacted their lives.

His 41 years of teaching and questioning at The Evergreen State College in Olympia comes through as he looks around his bedroom and asks, “Am I doing this right?”

Because Hitchens is a teacher – always looking for answers and prodding others to do the same – he  wonders if his time on hospice is going according to plan. “The hospice experience for me so far has been different than I could have anticipated because I wasn’t sure what having terminal lung cancer was going to mean in terms of how I was going to feel physically. What was going to go on? Was I going to deal with excruciating pain? Was it going to spread to my brain? How afraid of this am I? Or am I afraid of it?”

Many remember Hitchens’ unique teaching style and openness to different ideas. When evaluating his students, Hitchens always asked them to reflect on what they discovered that surprised them as a consequence of their studies in his class.

Hitchens now is the one reflecting on his discoveries. “This is one of the big moments and not  verybody has the length of time, whatever the ETA is for my expiration date. It’s still out there. I’m  oming in for this landing and is everything under control? Am I doing it right? I’m not sure what it  eans for me. I’m trying to be as real as I know how.”

As Hitchens lives life as a hospice patient, receiving nursing visits once a week, taking advantage of massage therapy and having all of his questions patiently answered, he is surprised to learn that he’s such an exception. Nearly half of families who access hospice services do so in the last two weeks of life. In a medical system designed to fix people and cure diseases, not all physicians are comfortable recommending hospice care to their patients – and even fewer patients and their families are willing to accept it, fearing that they’re “giving up.” But statistics show otherwise.

A study published last year in the New England Journal of Medicine found that terminal lung cancer patients who began receiving hospice care immediately upon diagnosis not only were happier, more mobile and in less pain as the end neared, but also lived nearly three months longer than those who didn’t receive such care. Similar studies have found the same to be true for patients with heart failure and chronic lung disease.

This is Hitchens’ third bout with cancer. The first time – in 1988-89 – he successfully fought Hodgkin’s lymphoma with a year’s worth of chemotherapy. But he was sick and isolated. “The chemo wouldn’t have allowed me to have these moments (I have today),” he says. “The mood, the atmosphere, the interaction, would have been different. I’m very grateful and I’m surprised. I sit around and think, `I kind of won the raffle.’ Numerous family celebrations have given the grandchildren time to be integrated in this end of life recognition. And they’ve spent one-on-one quality time with Hitchens. “I want us to get as many  positive things out of this as we can,” he says. "It can’t all be sadness and gloom. We need to have some fun."

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Providence SoundHome Care and Hospice
3432 South Bay Road NE
Olympia, WA 98506 F
or hospice referrals
t: 800.221.8022 or 360.493.4650
For all other hospice calls
t: 877.620.3286 or 360.493.5900
www.providence.org/pshch

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