Reflections

Tonight I spent some time with a family that I met a short seven years ago.  I sat at the same dining room table in their home in which we planned their son’s funeral.  Seven years ago, I watched a mother stare blankly at a baked potato that her family was trying to get her to eat, barely able to concentrate on the arrangements we were discussing.  Seven years ago, his sister was so angered by the tragic circumstances of his death that those emotions were carried out onto me.  I was naive at the time because I thought she was angry with me.  I had only worked with the families of fallen firefighters for three years and had not yet experienced the wide range of emotions that come with unexpected and often times complicated grief.  Now, sever years later, I sit at the table and laugh about experiences we are having with toddlers in the house (our child and their grandchild).  Seven years later they say the pain is still there but the sting has started to fade.  We can smile over their memories of him, instead of cry.  Seven years later his sister makes me feel like I am one of her best friends.

Seven years ago we were talking about a full honors firefighter funeral with the flags, and the honor guard, and the last alarm, and helicopter fly-overs.  Seven years later we talk about a response trailer that will bear his name to honor the sacrifice that he made for his community.  Seven years ago, Charles Lance Mathew became a memory when he was taken from this life too soon.  Seven years later, we are carrying his memory on in the work that we will do in the future.  God, we pray there is never another firefighter to fall but if there is, we go in his name.

Seven years ago I learned more from this one family and fire department than I did from any of the previous firefighters that had gone before him.  His story affected me deeply.  His family was burned into my heart.  The lessons that I learned from them, I have used on almost every fatality case I have worked since his death.  They profoundly changed the way I work and care for the new families that have come under my watch.

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On March 20, 2010, two days to the day of Lance Mathew’s death, we will be honoring him and his family at the Texas Fallen Heroes Memorial Ride & Cook-Off.  His family are the honorary chairmen of the event.  They will be doing a wreath laying ceremony to not only honor their son but all of our Texas fallen firefighters and EMS workers.  And then the trailer that is dedicated to his memory will be unveiled and put into commission.    In my wildest dreams I never would have thought I would have seen a day like this come.

There has been a lot of sweat, tears, and stress with putting this event together.  Many days I begin to wonder what I have done.  But tonight, as we discussed the event and the trailer with them.  I was reminded once again that this isn’t about me.  This isn’t even about the TX LODD Task Force.  This is about the families and the departments that have lost so much.  This is about giving them something back.  And while I know that I will continue to stress over trying to find sponsorships, and auction items, and vendors, and cook-off teams…what it really comes down to is the family.  Seven years ago they were devastated.  Seven years later they are elated that Lance is being honored in such a way.  That makes me want to keep pushing through and to not give up, even though there are days that I feel like I should.

Never more honored, never more blessed do I feel than when I am sitting with the family of a fallen firefighter, whether it be in the throes of grief or many years later when we can laugh openly about a memory.

Grieving Ambiguous Losses

A little over a year ago, a friendship that was very dear to me came to an end. I had loved this person dearly and enjoyed the time I spent with this friend. We experienced some tremendous highs and struggled through some painful lows. We invested a lot of time, energy into our friendship. So, when our friendship was hit by a fatal blow of circumstances, the loss almost felt like a death. I turned from the path of friendship to the path of grief. To this day I still struggle with the grief of losing this friend.

The most difficult aspect of this loss was that my other friends and my family did not understand the depth of my loss. Many did not even recognize it as a loss because of its ambiguity. Because my friend was still alive, the loss was seen as uncertain or doubted because there was a possibility that we could revive that friendship. I knew in my heart that it was highly unlikely. Because of the ambiguous nature of this loss, I received very little support or comfort during my grieving process. Essentially, I was alone in my grief.

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In her book, Complicated Losses Difficult Deaths, Dr. Roslyn A. Karaban writes that ambiguous losses can fall under two categories: the physical presence of the person but with psychological absence, and the physical absence of the person but with psychological presence. Here are some examples of losses for each category.

  1. Physical presence of the person/psychological absence
  • Chronic illness or disabilities
  • Dementia
  • Coma
  • Addiction
  • Mental illness or issues such as depression or PTSD

  1. Physical absence of the person/psychological presence
  • hostage
  • MIA such as the emergency workers on 9/11
  • Missing child
  • Divorce or loss of friendship/relationship

Giving a name to this type of loss gives recognition. It can help an individual feel as if they are not suffering alone or without a cause. It can help the individual in their grief process, which sometimes can be complicated. One paramedic shares his experience with the complicated grief of an ambiguous loss. “Within a sixteen month period, I lost two of my very best friends. One friend was someone I had known since childhood. The other friend was partner on the ambulance. My childhood friend was killed in a car accident. The grief that I felt was excruciating. Some days I just felt that I couldn’t go on. But for some reason, I was able to draw a sense of peace as I went through my grief process. Nearly a year later, my friend at work and I experienced a series of circumstances that caused our friendship to die. Again I was thrown into the grief process. But, this time around it was so much more difficult and I didn’t understand why until I learned about ambiguous loss. Because I still worked at the same department as my friend, I was constantly being re-exposed to the loss. It was like I was always stuck in one phase of the grief cycle. I never felt that sense of peace that I felt when I started healing from the loss of my childhood friend. To this day, and it has been nearly two years since I lost my friend from work, I am struggling with my grief.”

It is important for individuals to understand ambiguous losses and how to cope. One of the most important reasons understanding is essential is because unresolved losses can complicate and exacerbate the grief process of future losses. For emergency service workers, ambiguous losses are pretty prevalent. Because the emergency service community experiences a higher rate of divorce, addiction, mental health issues, on the job injuries and illnesses, and the loss (sometimes tragic loss) of co-workers, it is important to learn how to pinpoint when a loss has occurred.

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In the adoption community, ambiguous loss abounds.  For the child, it’s the loss of their birth parents.  For the birth parents it’s the loss of their child.  For the adoptive parent, in many cases, it’s the loss that led to the adoption process.  Having read the writings from members of each of these groups, all three experience grief that is quickly dismissed or swept under the rug, therefore making the loss and grieving more complicated.

Know that if one is faced with an ambiguous loss, there will be grieving. The individual may experience psychological, physical, social, and spiritual responses–all of which are normal responses. If the affected individual knows that someone else recognizes their loss as real and substantial, their healing might be easier.

Here are some things that an individual experiencing an ambiguous loss or a care-giver/friend can do to help with the grieving process:

  • Use the Internet to find resources, support groups, and other materials that relates to the particular loss, i.e., injuries, divorce, loss of friendships.
  • Write a letter to the person that is involved in your loss, then either bury or burn the letter.
  • Learn to identify and express the feelings that come with the loss. Talk to friends, counselors, chaplains, and ministers. Learn to verbalize all feelings.
  • Reinvest ‘empty time’ into a new project or activity, especially in ones that help others. Many grieving people have stated that helping other people is what helped them the most.
  • Reinforce positive self-talk, especially in the event of consistent re-exposure to the loss. Negative self-talk will only make the experience more painful and healing more difficult.
  • Create new traditions. Most individuals have some sort of traditions that they like to follow. If a friendship dies, traditions associated with that individual tend to die, too. Making a new tradition with one’s self, a spouse, or another friend can be healing and can quite possibly open the door to new possibilities.

Ambiguous losses are real losses that can cause a person to experience tremendous pain. Knowing how to spot this type of loss and how to deal with it can really change a person’s life and their outlook on life.  Since the loss of my friend, writing a letter to that person explaining my thoughts, pain, and fears has really helped me with putting a closure to that relationship. Being able to spot my particular grief and writing the letter has helped so much.

Helping Those Who Hurt- Care Calendars

42-21010678 When an individual or family experiences a life changing event, the first thing a friend wants to do is provide a meal.  There is something about a hot casserole that seems to have the word ‘help’ written all over it.  Maybe that’s where the term ‘comfort food’ came from.

During the first few days after a death, the family is usually inundated with take-out food, home-made dishes, junk food, and sodas.  I can’t tell you how many times I have walked into the over-flowing kitchens of grieving people to find unopened boxes of KFC or picked at pizza crusts.  And while the kitchen can be a place where loved ones meet to talk abou the matter at hand, it can also be a place that causes much stress.  You see, the kitchen has to be cleaned at some point.  Uneaten or spoiled food has to be thrown away.  Other food has to be organized and put away and dishes have to be cleaned.  Some families have loved ones who will do that for the grieving family but some don’t and it can leave them feeling crushed by the weight of good intentions.

After the first few days of what I call ‘food inundation,’ the meals seem to dry up quickly and then the family is left to fend for themselves once again.  This is where the other end of the helping pedulum swings because at this point the family still doesn’t have the energy or even the desire to cook, clean or be seen in public and yet they still need to eat.

So what’s a helping friend supposed to do?  Setting up a meal schedule is really the only way to go.  In the internet age meal and chore calendars become easy and can be the central location where everyone (church, friends, clubs, and community members) can sign up to help.  The care calendar is place where friends and loved ones can sign up for a meal, care giving or a chore without duplicating efforts and the family can see who is bringing them the meal on a particular day.  Care calendars can be modified with diet restrictions, times of meals, number of people to be served, and what chores need to be done and when.  It’s a perfect solution to what can be a messy problem.

Here are a couple of my favorites:

Care Calendar

Lotsa Helping Hands

The next time a friend or family member needs the long term care of loved ones, I highly suggest setting up and coordinating a care calendar.  It’s easy, interactive and can make a huge impact on the affected individual without causing unnecessary stress.

How to Help – Part 2

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Yesterday I was talking on the phone with one of the families who lost their son in that tragic fire training incident in Kilgore, TX.  Part of my job is to help them get on a road of recovery and healing and tohelp them find a ‘ new normal’ in their lives.   There are many facets to this, I will save for a different post, but we happened to be talking about what helped her during those hours and days after her son’s death.   She simply said, ‘a book of stamps.’

The day after his funeral, a book of stamps tucked away in a sympathy card arrived on her doorstep.  Who would  have ever thought that a simple book of stamps would mean so much?  I never even thought about that as something to give to a grieving family!  I told this mother that I would immediately be putting this small token of compassion on my list!  She said that she had all of the food she could handle but this book of stamps brought her to tears.  She was going to start writing thank you letters but didn’t want to visit the small town post office.  It’s amazing that someone had thought of this.

I thought this would be a great post to add to the How to Help series.  Part 1

How to Help- Part 1

Hands

Photo by Batega

I have a dear friend, who is young mother, that just finished up her treatment for breast cancer.  On the same day she celebrated that milestone, the wife of another friend was diagnosed.  I just couldn’t believe the irony in the news and just shook my head in sadness and disbelief.  Not another one.  Not another young woman having to battle such a nasty disease.

Thinking about both of my friends and the long journey that one has completed and the other is now starting got me to thinking about how they needed support and encouragement from family and friends.  You would think that as a chaplain it would come naturally for me.  You would think that I would be able to come up with a laundry list of ideas on how best to help but in reality I don’t.  My first inclination is to want to say, ‘if there is anything I can do to help, please let me know.’  I hate that phrase.  Most people in crisis don’t really know what they need.  They just need people to do.  My other inclination is to shower them with food.  Isn’t it the right thing to do when someone is sick or a loved one has died, to bring them a casserole and hope that it makes it all better?  Yes, a dinner is nice and it does help but it’s not the be all, end all of helping someone.

What has helped me come up with ideas on how to help someone best is by 1. making a list of unique ideas that others have done 2. scour the internet for ideas 3. talk to my chaplain mentor and 4. crack open some resource books that I have used time and time again.  For the first post in my series on how to help, I am listing the books that have helped me not only as a chaplain but as a friend.  These books have come through for me so many times and I highly recommend having at least one or two of them on your bookshelf.

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and The Art of Support by Lee Franklin.  This book I found at Hallmark.

If you have been through a crisis, what did your friends and family do for you to help get you through the toughest days?

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