While I'm not exactly sure what my question is, maybe I will find it as I type. Maybe I'm more looking for advice or an outsiders opinion from someone who has dealt with the same or similar issues.
My father will be 52 this March and was diagnosed 12 years ago with Hepatitis C. He had had the disease for some (unknown) time before that, but wasn't diagnosed until then. He went through all of the drugs and trials at the time of his diagnosis, and now 12 years later he is struggling to cope with everything. He likely contracted it from sharing needles as a teenager with his best friend, who also has Hep C now. He did drink moderately in his younger days, but hasn't had a drop in many years - it was never his vice. And the drug use dates back nearly 30 years, so that isn't an issue either. On top of the Hep C he has cirrhosis, bouts of pancreatitis, and poorly managed type 2 diabetes which causes a great deal of neuropathic pain. He frequently has to have esophageal varices banded as well.
My father used to be a very active guy. I remember him being the life of the party, always a jokester. He has always been a little grumpy, rough around the edges, but in the past few years he's taken it to a whole new level. I lost my mom in 2007 very prematurely. She was a type 1 diabetic diagnosed as a teen and struggled all of her life to control it. She smoked like a freight train long after being diagnosed with emphysema. She also had CHF, arthritis and eventually renal failure. She developed a decubitis ulcer on her heel that eventually ate out the entire heel of her foot and confined her to a wheelchair. She stopped breathing one night at home and spent 4 nights in the ICU unconscious before the declared her brain-dead. Although she had been ill for some time, her death was still very unexpected and painful. I feel like her death has had a huge impact on my father. They had been divorced for nearly 20 years, but he still cared a great deal for her. I think it made him aware of how truly fleeting life can be.
So now, here we are. My father has gone from a jolly 220lbs to a mere fraction of of that. He barely eats, has no appetite, spends most of his days in bed. If he does get up, it's only to sit in the recliner before retreating back to bed again. He rarely showers anymore and spends all of his time in misery. His illness now consumes his life, and the pain and how bad he feels is all he talks about. About 2 years ago, there was talk of a liver transplant but the minute he learned that he would be healthy enough afterwards to go back to work, he no longer considered it an option. I feel like he has just given up and I really don't understand why. He has a very loyal and loving wife, a daughter who thinks the world of him, 2 adult stepchildren who have 9 children between them. He has an extremely loving and supportive family who want him to live a long life, but it's like he doesn't even see it.
Since rejecting the idea of a transplant, he has truly just let go. He doesn't manage his diabetes at all. He never checks his blood sugar (supposed to twice a day) and doesn't take his prescribed insulin or most other medications. When he does check his sugar it often runs so high that the meter can't even read it. The poorly managed diabetes has a lot to do with the neuropathic pain, and his legs and hands ache constantly. He also doesn't take the lactulose for the ammonia in his brain, which could really hurt him one day. The only medicine he takes on a regular basis is pain medication, which he isn't supposed to take. If the doctor won't prescribe it or he runs out of pain pills, he finds them somehow. He's been known to take handfuls at a time, WAY more than any one person should take, especially someone with a barely functioning liver. He also smokes cigarettes and pot on a very regular basis.
In the last couple of years he has become the most hateful grumpus of a person I've ever met in my life. I used to have so much love and respect for my dad, but some days it's exhausting. I live with the regret of not having done enough (at least it feels that way) for my mother, and I don't want to have that same feeling when my dad dies. I try to spend as much time with him as I can and help him with whatever he needs. But sometimes it's extremely difficult to even be in the same room as him. He constantly has me in tears, whether it be from his rudeness or just his complete disregard of others' feelings. A once loving grandfather now screams at his grandchildren for something as ridiculous as not rinsing off a dinner dish.
My stepmother only stays with him out of her sense of obligation and she isn't at all in love with him anymore. He treats her like dirt and talks to her horribly in front of the grandchildren. She has stopped catering to his needs and has demanded that he take some responsibility for himself when it comes to bathing, preparing meals and taking his medication. But if she doesn't do it, then neither does he. It has become a daily struggle for all of us. I feel like I am at my wits end. I know he is miserable and has stated on more than one occasion that he just wants to die. I don't live in his body, so I don't know what all he goes through. But even love and empathy is met with anger and ugliness.
I don't know how much I can subject myself to and I feel like it's tearing me down in a lot of ways. At what point do I say enough is enough? How much emotional abuse can one family endure? If he's not willing to help and care for himself then why should we have to carry that load, out of obligation?
I love my dad a great deal and I hate to see this man that he's become. He is alienating everyone around him. I guess what I'm asking for is some advice. What do I say, what do I do? If anyone is still reading this book of a question, I could really use whatever help you can give. Maybe someone has a similar personal experience. Regardless, any input would truly be appreciated.
Thanks so much for your time.
-Amy-