When does transition start?

“Nancy, Nancy, wake up!” I screeched as I tried to wake my sister from across the room.  She and I had slept for an hour or two on chairs as we kept vigil at the hospital.   My dad, the patient whose hand I was holding, had been battling cancer.   Over the week leading up to that morning he’d gone from responsive and laughing to captive in a body fatigued by a long, complicated disease.   Thirty minutes earlier I woke up to his erratic breathing.  I knew it was time to say goodbye.  “Wake up!” Continue reading…