Having plenty of
friends, Mark and Nancy really weren't looking for
additional helpers, simply a consistent means to
orchestrate and communicate Mark's care needs.
A patient on a ventilator requires 24 x 7 care, with
an ability to respond instantly in the event of an
emergency.
For months Nancy had attempted
to care for Mark on her own, relying on the skills
that she had learned as a nurse, but found that as
time wore on, her energy level began to steadily
diminish. She needed to work 3 evenings a week
not only to keep their medical benefits current, but
also to create some time away to clear her mind and
re-focus.
eHope
moved in to provide structure to Mark and
Nancy's caring community by first traveling to
Rockland to meet with them in person to gain a clear
understanding of their needs. eHope's
high-touch model of community based care helped to
identify a trained facilitator whose job was to
assist Mark and Nancy with training a rotating team
of leaders from their circle of friends and
neighbors.
After conducting an on-site launch meeting, where
a circle of 25 of Mark & Nancy's peeps (short for people)) gathered in a room to discuss how
to work as an integrated team, and receive training
on eHope's community-based care model, their caring
community took flight.
Through the group’s shared use of a private eHope
website, and periodic community gatherings
(potlucks, yard cleanup days etc.) a strong team
chemistry emerged, allowing for a fully integrated
system of care for Mark and Nancy, with all of their
peeps maintaining a healthy balance in their own
busy lives.
Notably, a core group of a dozen peeps received
hands- on ventilator training from Mark & Nancy's
circle of professional medical care providers. This
formal training allowed them to receive an "MSQ"
(Mark Solo Qualified) designator, which allowed them
to stand in for Nancy during her time outside the
home for work and respite.
In a time of crisis, our prevailing tendency in
our entitlement driven society is to seek and demand a governmental or
institutional solution to that which only we can
collectively provide - community-based care.
In generations past, we relied simply on the
good neighbor who stepped up without
forethought to provide help in a time of need.
Mark and Nancy's community more than filled that
space.
Even on a ventilator, Mark's life was not
confined to a bed. He and Nancy along with
members of their eHope community traveled to nights
out on the town for dinner or concerts, or to area
ALS support group meetings to meet with other eHope
families, relying on a handicapped-accessible van,
eye guided computer technology, and battery powered
breathing equipment. In short, Mark lived life
to its fullest.
After 2 full years of quality living, surrounded
by an integrated community of caring peeps, Mark
made the poignant decision to shut down his
ventilator and allow his life to take it's natural
course. He walked out this brave decision
without wavering, spending the final month of his
life fully connecting with and communicating with
his peeps from around the country.
On the night of September 15, 2008, 40 peeps
gathered in the Angelos' Rockland home to celebrate
Mark's final birthday and a life well lived.
There was live music, laughter, and tears as a
community of caring friends came together to comfort
both the family and each other.
On the following day, September 16, 2008 - Mark's 55th
birthday - under competent hospice supervision, Mark
died peacefully, surrounded by his wife Nancy, son
David and daughter Megan. Across town in the
home of long-time friends Phil and Cyndi Clayton,
Mark's community of peeps gathered in prayerful vigil
as Mark's earthly life came to an graceful end.
Rather than resorting to an all-too-common
tendency to retreat to a place of solitude to lick
our individual wounds following a memorial
service, Mark's community of friends have remained in
constant touch, both in person and through their eHope online
community.
Gretchen and KC, a young couple who are
long-time members of Mark's inner circle of peeps,
gave birth to twins last month. The
collective care previously focused on Mark has
shifted towards providing meals and running errands
for this brand new Rockland family. Mark's
daughter Megan is expecting her first child in
July 2009. Mark's community of care has come full circle,
now embracing, celebrating and providing care for the gift of life.
Mark and Nancy allowed eHope to compile an
extensive video biography of Mark's life during the
month leading up to his death. In excess of 4
hours of video now streams through their eHope site
which has become a living scrapbook consisting of
photo libraries depicting yard cleanups and potlucks
along with
video interviews of family
friends.
The Angelos community has allowed us to share
some of their video content here on our public web
site in the hope of broadening the awareness
of eHope's
services and the importance that
community-based care plays in each of our lives.
Introducing Mark & Nancy 
This 14 minute video clip introduces you to Mark and Nancy
as they share how they met and how their
relationship evolved.
The Importance of
Community

This 8 minute video clip is of Mark and Nancy
discussing the importance of peeps in their
collective circle of care.
Peeps Helping Peeps

This 14 minute video clip is of Wes, a long time
friend of Mark's, filling in for Nancy, feeding Mark
and providing ventilator support, while sharing his
thoughts on providing intimate care and companionship
for his friend.
The Value of eHope 
This 2 minute video clip is Mark & Nancy's
testimonial to eHope's version of community-based
care which ultimately sustained them through Mark's
final years of life.
Steak Night

A 3 minute piece of video compellingly produced by
an Angelos peep, as a video class project at a local
community college.
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