Two claw-like hands grasp my arm tightly, maybe because she’s unable to let go, or maybe because she’s afraid that she’s going to fall over as soon as she attempts to stand up. Her shriveled face is gaunt, with a vacant expression, while her body is stiff and permanently bent.

As I look at this woman, my mind automatically goes back to what she must have been before…before her mind left, before her body was wasted and crippled, before she was reduced to a helpless invalid with a child-like mind.

I have never seen her when she was other than what she is now—a shriveled, stiff old woman incapacitated by an invisible disease that slowly eats away at her mind and daily lessens her physical capabilities. But there were those who knew her then—when she was a capable doctor who organized departments, mobilized teams, ran her home, and raised her family.

Is she really the same person? I wonder, smoothing her hair out of her eyes and gazing thoughtfully at the gaunt, vacant face. What makes a person a person? If we become severely ravaged by disease…if our mind is gone…do we cease to be—essentially—who we once were?

In caring for this woman, there are many questions that have been raised in my mind. What is it to love someone forever, for better or for worse? This is a question that I often ask myself as I see her husband’s frustration with her. It saddens me that he seems to blame her for her current state—that he’s passively aggressive, or even openly aggressive, in the way that he responds to her increasing physical needs.

Could I do any better? I wonder quietly. Am I selfless enough to serve someone like this year after year without recognition or prospect of relief? Maybe not.

Is it ever right to starve yourself to death to avoid being a burden on someone else like this? Is this what old age is really about—being helpless, incompetent, dependent…to be a shadow of what you were, to be out of your mind, to waste away gradually and exist as a pitiable wreck? Why do I dread that? Are dependency and helplessness the worst things possible? When someone is in this state, is God using the condition to sanctify them, or to build character in others? When two people vow to each other to stay together for better or for worse, in sickness and in health, until death separates them…does that mean that you fight to keep your spouse’s body alive long after the mind has gone? What makes the person who they are? How do you practically cope with being married to someone who is nothing like the person that you married?

All of these are things that I wonder…and sometimes the questions themselves frighten me, because I can’t always answer them. But in caring for this elderly man and his ailing wife, these are, nevertheless, questions which cross my mind...