April began working at MD Anderson as a new graduate nurse in May 2004 in the Department of Thoracic and Cardiovascular Surgery. She remained there for seven years, worked six months in the Post Anesthesia Care Unit and now is in the Gastrointestinal/Colorectal Clinic.
"J.L., can you hear me?" she shouted as the bell sounded off. She was accompanied by family and friends. She held hands with her radiation oncologist, Ritsuko Komaki, M.D., as she rang the bell.
Today marks a year since Nanny's last treatment. This time, though, she will celebrate in heaven with her husband of 57 years.
Nanny passed away two days after a PET scan revealed no evidence of lung cancer, seven months after she rang the bell. She was hospitalized with pneumonia. I prayed that the good news would give her the strength she needed to get better.
Unfortunately, the infection spread and she developed sepsis. She went to the ICU for critical care.
I remember her telling me she wasn't afraid to die, but she wasn't ready. She wanted to be here for me and the rest of the family.
Looking for answers after Nanny's death
I find myself struggling to understand why Nanny's gone, questioning myself and God. She was such a vibrant lady, full of love. A true fighter.
What happened? Why didn't I do more? Why didn't I advocate for her like I did for many patients I took care of before her? Why didn't I do these things?
It's different being on the other side of this war with cancer.
As I began to talk with people who've gone through a similar situation, I realized I'm not alone. They, too, felt they should've done more, that they let their loved one down.
It's not a good feeling. There are so many things I wish I could go back and change.
It hurts so much to know how hard Nanny fought all year through Poppy's illness and then her own cancer. It seems unfair.
"I love her now more than ever"
Nanny and I were so close. She was a huge part of my life and the number one reason I became a nurse at MD Anderson. She was my heart, and she still is. There's a huge chunk missing. But slowly, very slowly, I'm filling that hole with my faith.
It's been nearly four months since Nanny died, and it still hurts like it did the day she was weaned off life sustaining machines and medications. I don't miss her any less. I think about her all the time. I'm fighting tears as I write. I think that I love her now more than ever.
God bless all of you reading this who are going through this. It isn't an easy road to travel. It's rough. There are bumps and roadblocks, dead ends, detours and uneven surfaces, but we are all human. We cannot be too hard on ourselves or our loved ones.
Patients and caregivers: Show compassion for each other
Patients and caregivers need to be understanding and compassionate towards each other. After all, you need each other. You spend a lot of time together, and that's bound to lead to disagreements and frustrations.
Remind yourself of what the other is going through, not just what you are going through. Remember that you are needed and that you need your loved one.