you help, Mandy?’
Moving her hands from Grandpa’s shoulders, she placed them under his left arm and helped raise him off the commode and into a standing position. As they did, Evelyn quickly pulled up his pyjamas and the three of them then eased Grandpa into bed and on to the pillows. How John and Evelyn had coped alone for nearly a week Mandy had no idea.
‘All right, Dad?’ Evelyn asked as Grandpa lay back on the pillow. She tenderly stroked his forehead.
He groaned slightly and then gave a small nod.
‘Good man,’ John said. ‘I bet you’re exhausted after that. Try and get some sleep.’
Mandy was touched by the dignity John and Evelyn gave Grandpa as well as their ability to actually nurse him. Neither of them had had any nursing experience as far as she knew, but both seemed to know how to manoeuvre him in a way that caused minimum discomfort. Their efficiency seemed to highlight her father’s inefficiency and his inability to cope. Since arriving he’d hardly been in the same room as his father, and although she appreciated why, it didn’t help. ‘I’ll go and find Dad,’ she said.
Evelyn nodded. ‘He’s in the morning room with Gran.’
Outside the study, Mandy turned left, instinctively aware she would find the morning room at the end of the hall. It was strange: she seemed to know the layout of the downstairs of the house without any conscious recollection of being in the rooms. Mrs Saunders came towards her, on her way to the kitchen, carrying a tray of plates from lunch. ‘Miss,’ she said, acknowledging her and smiling as they passed. Mandy thought how odd it must be, having someone other than family in the house, but then again Mrs Saunders appeared so well integrated she was like a family member.
The door to the morning room was slightly ajar. As Mandy approached she could hear her father and Gran talking quietly, in the middle of a conversation.
‘I’m not saying anything to her,’ her father said. ‘Not now.’
Mandy heard Gran tut, then: ‘It’s your decision, obviously, Ray, but now seems a very good time to me.’ And although the ‘her’ could have applied to her aunt or even her mother Jean, Mandy had the distinct impression they were talking about her, an impression confirmed when they both fell silent and looked at her as she entered.
‘Dad,’ Mandy said, hovering just inside the door. ‘Grandpa will be asleep again soon; I really think you should see him.’
‘Yes,’ Gran agreed, pulling the walking frame towards her, ready to stand. ‘I like to be with him as much as I can, while I have the chance. John put a bed in the study for me, but I can’t sleep, he’s so restless at night. I think they’re moving me upstairs. I hope Will understands.’
‘I’m sure he does,’ Mandy’s father reassured her, falling into step at her side.
It was nearly 2 p.m. as they settled themselves in the study-cum-sick room, Mandy in one of the pair of leather armchairs at the end of the room and her father and Gran by Grandpa’s bed. John and Evelyn had taken up the offer of a break and were in the sitting room trying to have a nap. It seemed most of the day was spent sitting and watching Grandpa sleep; Gran said she sat with him all day and Evelyn and John joined her as and when they could. But although Grandpa’s eyes were closed and he appeared to be asleep, he was very restless, and became more so as the afternoon wore on. He called out and sometimes groaned as though in pain, which was not only disturbing for him but upsetting to witness.
Mandy saw her father grow more and more anxious as he watched his mother trying without success to soothe his father. ‘It’s the medication wearing off,’ Gran said at last. ‘It seems to be lasting less and less time, and the nurse isn’t due until three.’
‘Can’t Dad have more tablets before the nurse comes?’ her father asked.
‘He can’t swallow tablets any more,’ Gran said, ‘even when they’re crushed. We’ve tried the liquid the doctor prescribed but that didn’t do any good. The nurse gives him injections now, every four hours. It’s morphine, I think. That helps for a while, but he needs more. John said he’d speak to the nurse this afternoon.’
The next hour was the worst Mandy had ever experienced in her entire life, she thought, as the morphine gradually wore off and Grandpa became in increasing pain. To begin with they left Evelyn and John having a rest, but as Grandpa’s discomfort grew and their efforts to soothe him became less and less effective, her father fetched them from the sitting room. ‘I’ll call the nurse,’ John said when he saw Grandpa, and went to the phone on the desk.
Mandy stood anxiously with her father and Evelyn by the bed and tried to soothe Grandpa. But he tossed and turned, and cried out, shouting words that made no sense at all. Evelyn spoke to him in a calming voice, stroked his forehead and tried to reassure him, but her efforts were pathetic and futile in the face of his pain. Then he began clawing at his arms as though his skin was on fire. Mandy’s father tried to stop him by holding his hands, which made him even more agitated, and he swore.
‘He doesn’t know what he’s saying,’ Gran excused. ‘He’s delirious, he doesn’t mean it.’
‘The nurse won’t be long,’ John said, hovering by the phone.
But 3 p.m. came and went and the nurse failed to arrive.
‘It’s not like him,’ Evelyn said. ‘Normally he’s very punctual.’
‘Should be, the amount they’re paying.’
At 3.15 there was still no sign of the nurse and Grandpa had broken out in a cold sweat from the agony. John said he would phone the nurse again and find out what the hell was going on. He left the study to make the call and when he returned he said the nurse had been called to an emergency and would come as soon as he could.
‘That’s unacceptable!’ her father said, turning on John. ‘Let me speak to him! No one should have to suffer like this!’
‘If you think it will help, go ahead!’ John retorted, almost shouting. ‘I don’t like to see Dad suffer any more than you do. He’s been like a father to me and now I can’t help him! We’ve had almost a week of this – a week of watching him suffer. And I’m not sure I can take much more.’ John’s face crumpled and he turned away.
‘Oh, Will,’ Gran said, trying to catch hold of Grandpa’s hand. She began to cry.
‘This isn’t helping,’ Evelyn said. ‘Ray, why don’t you take Mum into the sitting room until the nurse has been and Dad is more comfortable?’
Her father hesitated. Mandy saw his resentment at being told what to do by his sister. ‘I think it’s a good idea,’ Mandy said, touching his arm. ‘Gran shouldn’t see Grandpa like this.’ Although it was more about removing her father from the room than Gran, who seemed to be coping far better.
Her father glanced at her and then without speaking helped Gran to her feet. The two of them left the room. Mandy went over and, kneeling by the bed, began gently stroking Grandpa’s forehead and talking to him quietly. ‘It’s Mandy,’ she said. ‘The nurse won’t be long. Dad and Gran are in the sitting room. Try to relax, take deep breaths, it’ll help soothe away the pain.’
John and Evelyn hovered close by. ‘Thanks, Mandy,’ John said, sounding relieved to have some of the responsibility taken from him.
‘I’m sure he knows it’s you,’ Evelyn said. ‘He’s growing calmer.’
Mandy felt her eyes mist as she continued to stroke Grandpa’s brow and whisper words of comfort. She thought he was responding; his legs were still and he was no longer trying to claw at his arms. His eyes had closed and his face seemed more relaxed; perhaps he did know it was her and had taken comfort in her presence. Feeling she might be able to help, and aware this could be her last opportunity to spend time with him, she decided to offer to stay and help, for however long she was needed.