She’s gone.
These are the words my sister says to me over the phone, just 5 minutes after I left my mother’s bedside.
I think that’s what she said. I’m not quite sure now. My sister and I had been with our mother for 24 hours–sleeping in recliners, talking and reading to Mom, rubbing her arms. She had been unresponsive for the day. We knew it was near the end but I thought she’d be here for one more day.
Mom had been with hospice care for 3 weeks, but at first, we thought she had a few months left. Or I did. She had a gastrointestinal bleeding that they couldn’t fix, so she began pain medicine to help. We took her to the waterfront for her birthday and ate ice cream and whoopie pies and drank coffee–all some of her favorite things. We had some wonderful visits with Mom and she seemed more like herself than she had in ages. I’m assuming she had been in more pain than anyone thought.
Then her pain increased and she was on a regular dose of morphine. Two days later she fell. It was awful. She was so fragile and now in more pain than ever. Her morphine dosage increased just to keep her from crying out. So my sister and I sat with her, told her we loved her and told her it was ok to let go. We would be ok.
Friday morning I left to go home and wake my son up, take a shower and take my boy to school. I drove back to the residential facility, thinking about the afternoon. My sister was going to go home and take a shower and I would sit with Mom, read more of her favorite book aloud and just be with her. Weirdly, I was looking forward to it. I would spend some time with my mom and hang out. Just the two of us.
When I got back to the facility, Mom’s breathing had changed. But it still wasn’t like Dad’s had been. He had long bouts of no breathing before he died, so I thought we still had a little time. I stayed for a bit then had to leave for an hour to get another x-ray for my arm. I was just down the road when my sister called me. I turned around and raced back. I ran from the parking lot into the facility and down what seemed like a very long hallway. When I got to Mom’s room, the hospice doctor, nurse and my sister were there but I didn’t look at anyone. I hurried to Mom’s bedside, touched her face and arm and just sobbed and sobbed. My body shook with grief as my sister rubbed my back.
I knew this would happen. I knew Mom would leave once I was out of the room. I said this to my sister the day before, and Mom just proved me right. I was the baby of the family. Before dementia set in, my mother did all she could to protect me, but not my sister. She was the oldest and honestly the strongest. My mother would tell her when she was in pain or when things weren’t right, but never to me.
I was so angry at Mom. Why couldn’t she have waited? Couldn’t we have this one last afternoon together?
I knew I wasn’t being rational, but none of that mattered. I was angry and sad and devastated. I thought I would be a little relieved after everything we’ve been through, but I wasn’t. This is my mom.
My mom.

My mother remained my mom until the very end. I essentially became her parent over the past two years, but she was still mom. She couldn’t remember I had visited her the day before or that her mother had passed away 14 years before, but she remembered that I injured my arm 3 months ago. Less than a week before she died, Mom stopped herself from touching my arm and asked me about it instead. My sister kept poking my arm because she forgot, but our mother with Alzheimer’s did not.
And I know she was still trying to be my mom with that last breath. Everyone has their theories about what people do on their deathbeds and what is intentional and what is not, but I do believe Mom wanted to save me from what maybe she thought would be too hard for me to handle. But I am so happy my sister was with her. When our dad died, I was with him and I felt like he gave me this incredible gift. I can’t tell you what it is or why I feel this way, but I do. I only hope my sister feels that way now with Mom. My sister’s was the first life my mother brought into this world, so it seems fitting that my sister was with Mom as she left it.
I feel lost tonight. Earlier today I found myself walking back and forth in my house, not sure what I should be doing. I called my sister and she was doing the same thing. What do we do now? What does one do without their mom? I feel like I’m in a foreign place that looks familiar, but I have no compass so I don’t know which way to go.
I miss her. I miss my mom.