Good Grief: It’s Back Again

Three years later, memories of what was continue to remind me of what could have been.

EDITOR’S NOTE: RACmonitor and ICD10monitor Publisher Chuck Buck lost his beloved wife of 29 years to illness nearly three years ago now – but the grief never really subsides. In this Saturday Morning Post column, he celebrates her life and discusses how emotional pain that knows no limits can be a struggle to endure. But he also touches on resources that can help those who experience such loss to carry on – and he wants to share them, if needed. Email him your story directly at cbuck@medlearnmedia.com.

Like a scene from a movie, I reached over and kissed her face, despite the breathing tube and the assortment of cables stretched across her closed eyes. For nine days she had lain there in the ICU, unconscious, unable to breathe on her own, as she approached the end of the short journey we all know too academically as sepsis.

“Goodbye, darling, I’ll see you on the other side,” I said stoically, leaving her room and walking briskly to the lobby. A day later, her ashes would be scattered somewhere in the waters of the Pacific Ocean, off the coast of my beloved hometown of San Diego. And days later, I would receive from the county coroner office a dozen parchment death certificates, which I could not bring myself to open nor read.

During the ensuing couple of days, I was in such a state of shock that her passing really hadn’t hit me – although my friends, and, in particular my good friend, the world-renowned psychiatrist and Talk Ten Tuesdays guest panelist Dr. H. Steven Moffic, assured me that I would soon be struck by the undeniable and utterly painful reality that she, my wife of 29 years, was gone. And when that reality hit me, I cried aloud for days, rallying only to conduct business for MedLearn Media. I did two live broadcasts the following week after she was detached from her lifelines, noting, as my father, the entertainer, would intone, “the show must go on.”

As I write this piece, the sun is setting. It is Sunday evening. There’s no network news blaring from one of three television sets that often remind me of the newsroom at KFMB TV, Channel Eight, where I spent considerable time earlier in my career. Tonight, there is no rustling of pots and pans, no savory aroma from the kitchen, heralding a delicious Sunday night dinner.

Even today, I will occasionally feel her presence – and the grief, like a chronic pain, reemerges to engulf me: it doesn’t take much for its fangs to attach themselves to my state of mind. Little bits and pieces of a life she lived tend to surface in front of me, as if to remind me that although she’s been dead for three years, her presence is still ubiquitous.

She was a serious home chef, and even today, there is an assortment of culinary tools and gadgets in our kitchen that remind me of her methodical food preparation. There is a lonely food processor, scales, measuring cups, spatulas, scissors, thread, tweezers, pots and pans, and a variety of dishes and flatware that we together had acquired. I still have yellowed sticky notes she left me with grocery lists and errands.

During the course of several years before she died, we traveled extensively into the Baja Peninsula, specifically Rosarito Beach and Ensenada. And during the course of those excursions, we dined at little-known Mexican gourmet restaurants and off-the beaten-path wineries, all of which she researched diligently. Her passion was celebrating in our home the Mexican “Dia de los Muertos,” the iconic and reverent Mexican celebration of the lives of passed-on loved ones. My wife made an altar, an “ofrenda,” populated by intricately sculptured figurines, all white plaster and festooned with sombreros and serapes. She named each figurine after a deceased family member; both my mother and father were represented, along with her father and stepdad. She also amassed an impressive collection of Dia de los Muertos masks, which still today remain mounted artistically in our home – now my home. She did all this while, apparently, I seemed to have gone along for the ride. Nonetheless, I have not gone back to Baja, the virus notwithstanding. I have not dined at the restaurants here in La Jolla that were our favorites, and where we were greeted warmly.

I have lost interest in college football, a passion of hers. Today, I can’t tell you the NFL standings, nor anything about the Lakers, a team for which she had an incredible passion. I disconnected the cable service shortly after she passed. The political news, to which she was keenly interested, no longer holds sway over me. I donated bags and bags of shoes, boots, jeans, dresses, and coats. I gave her jewelry to family members, including jewelry boxes. The rescue cat she adopted and named “Carta Blanca” is still with me today, and she spends an inordinate amount of time and attention on me.

I have foregone following the Oscars and the Emmys; she would always handicap the nominees for both.

So much of her life still inhabits me. Musical lyrics bring back painful memories, and then the ensuing pain of grief.

I have concluded that the loss of a loved one is just as they now say about the coronavirus – “It’s here to stay and will never go away, so we must learn to live with it.”

If you have experienced the loss of a loved one, my condolences. But no doubt you are aware of the seemingly limitless resources on this subject of death and dying. Much has been written as therapeutic devices intended to help you during the grieving process. That’s good. Take advantage of those resources. You’re sure to find tools that might even surprise you; for example, my health plan, Kaiser Permanente, offers grieving counselling, through which I have usurped so much of their time.

Today, as I approach the anniversary of her death, I have reconciled myself to the realization that grieving is a process, an endless unspooling roll of 70-millimeter film – and when it stops, so will I.

But I am here. I have chosen to live with the living: to recognize that all good things do come to an end. For the present, I am committed to live life to the fullest, and be the best version of who I am. Cheers on a Saturday morning.

Facebook
Twitter
LinkedIn

Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the program host and executive producer of Monitor Monday.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.

November 21, 2024
Comprehensive Inpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Comprehensive Outpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.

September 5, 2024
Advanced Outpatient Clinical Documentation Integrity: Mastering Complex Narratives and Compliance

Advanced Outpatient Clinical Documentation Integrity: Mastering Complex Narratives and Compliance

Enhancing outpatient clinical documentation is crucial for maintaining accuracy, compliance, and proper reimbursement in today’s complex healthcare environment. This webcast, presented by industry expert Angela Comfort, DBA, RHIA, CDIP, CCS, CCS-P, will provide you with actionable strategies to tackle complex challenges in outpatient documentation. You’ll learn how to craft detailed clinical narratives, utilize advanced EHR features, and implement accurate risk adjustment and HCC coding. The session also covers essential regulatory updates to keep your documentation practices compliant. Join us to gain the tools you need to improve documentation quality, support better patient care, and ensure financial integrity.

September 12, 2024

Trending News

Featured Webcasts

Patient Notifications and Rights: What You Need to Know

Patient Notifications and Rights: What You Need to Know

Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.

December 5, 2024
Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks.  Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.

November 19, 2024
Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.

October 24, 2024
The OIG Update: Targets and Tools to Stay in Compliance

The OIG Update: Targets and Tools to Stay in Compliance

During this RACmonitor webcast Dr. Ronald Hirsch spotlights the areas of the OIG’s Work Plan and the findings of their most recent audits that impact utilization review, case management, and audit staff. He also provides his common-sense interpretation of the prevailing regulations related to those target issues. You’ll walk away better equipped with strategies to put in place immediately to reduce your risk of paybacks, increased scrutiny, and criminal penalties.

September 19, 2024

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24