Tuesday, September 8, 2026 -- Mattie died 862 weeks ago today.
It is the 17th anniversary of Mattie's death.
Tonight's picture was taken on September 1, 2009. As you can see, Mattie was very ill. He was attached to a pain pump and most times was connected to oxygen. It was Mattie who elected to return to the hospital. He did not want to be at home. So in essence Mattie chose to die at the hospital, surrounded by his hospital family. However, I really think Mattie chose to die at the hospital because he was worried about us. All I can say is thank goodness Mattie made this choice. There would have been no way Mattie could have humanly died at home. The amount of pain meds given to Mattie on the day he died were basically adult dosages and eventually the medical team gave Mattie a lethal dosage of propofol to send him into a coma. Mattie died in my arms, with me hearing that flat line sound on his machines. I will never forget that harrowing six hours of his death, the syringes of pain medications all over his bed, and Mattie struggling to breathe.
Quote of the day: How does it feel, to see a dying child? One does not feel at all for there is nothing in the mind to make sense of it. Nothing, but one's own death. ~ A.J.West
Today marks the 17th anniversary of Mattie's death. Some may be reading this and saying, 17 years ago is a long time. Therefore the loss is less painful and Vicki has found a way to move forward. Case in point, the comment I recently received on the blog, basically told me just that.... "Get the f* up. Your son died years ago. He left you most likely for this."
I can't speak for other bereaved parents, I only speak for myself, and for me, Mattie's death will always be earth shattering. Certainly, I have had to find a way to stabilize and live with this pain, but that doesn't mean for one second that I have forgotten the pain, I have forgotten Mattie's journey, and that there is no longer a need to retell stories, share his life with others, and find ways to honor Mattie's memory. Anyone who knows me, knows that connections I share with those I love are very deep.
This morning when I woke up, I was a bit dazed. I was dazed because I did not know if a butterfly encounter actually happened or if it was part of my dream. I determined it was my dream, but the feeling was so real. All I remember before coming to consciousness was that a big butterfly was flying all around me, and then it suddenly landed on my cheek and was fluttering. Not unlike how Mattie would flutter his eyelashes against my face! I concluded that this dream was a Mattie sign, as I typically don't remember my dreams, but this one was very vivid!
This photo was taken on September 8, 2017. Sunny came with me to the hospital to visit Mattie's paver! This paver was a gift to us from our philanthropy contact at the hospital. It reads...In Loving Memory of our Son, Mattie Brown
This photo was taken on September 8, 2016. This brick paver is in the garden outside the church where Mattie's funeral was held. One of the families from Mattie's preschool created this for us. The paver reads....In loving memory, Mattie Brown, King of the Legos.
I was going to reflect on Mattie's last moments here, but then I figured why should I recall it, when I did such a thorough job back in 2009. Which was actually amazing given the horror I had just literally experienced! So below is an excerpt from the September 8, 2009 blog posting.
Blog Posting from September 8, 2009 (I added notes in parentheses):
Mattie had a VERY harrowing night. From 2am on, Mattie was having trouble breathing, and appeared to be in intense pain. It was the most intense five hours of our lives, and the sights and sounds we observed during this time were horrific, ones I don't wish on anyone else. I can still see Mattie's sweet face writhing in pain, gasping for breath, and making a horrible congested sound, which if I don't ever hear this again in my lifetime, that would be too soon! Dr. Shad called this chest congestion, the "Death Rattle." That is an accurate description because when you hear it, you know death is pending. In all reality I found these five hours frightening, because we just did not know how the death process would unfold.
We were blessed to have Sarah Marshall, one of Mattie's outstanding HEM/ONC nurses, working with us last night. Sarah Marshall was assigned to work with Mattie only last night. Typically a HEM/ONC nurse is assigned three patients during a given shift. Sarah Marshall was proactive and did everything that was humanly possible to make sure that Mattie was relatively pain free, which WASN'T easy. Mattie was on IV dilaudid, dilaudid boluses by hand, a Versed continuous drip, as well as boluses of Versed. In addition, Mattie was receiving albuterol through an inhaler, which helped to keep his airways open.
X (I removed the name) and I spoke to Mattie throughout the night. We weren't sure exactly what to say, but we told him we loved him, were proud of him, and in essence he could die and we would be fine. We wanted him to know we understood he was in control over how the night played out.
By 6:15am, Mattie was receiving very high dosages of pain medicine, however his pain wasn't subsiding, and frankly we were getting concerned with how we could manage his very over taxed heart and body. Dr. Shad prescribed propofol at that point to put Mattie in a twilight sleep. But propofol is known to slow down the heart rate, and this assisted in giving Mattie relief and helped to stop prolong the agony! Mattie died within one hour of the propofol infusion. While Mattie was in pain, I could see he would try to sit up and talk with X and I. At one point, he mentioned to us that "he was going to die." So we concurred with him and this provided some leeway to talk about our fears and hopes for him. We told him we loved him and that it was okay to let go. Periodically Mattie would sit up and try to open his eyes, and one time he looked at me and said someone else was in the room with us, by the door. Well no one earthly was in the room with us, but we knew Mattie's death was near. Here is the thing though, seeing him suffer in pain, and listening to this "death rattle" for hours on end, made the option of death much more peaceful and appealing. My heart was aching over the pain Mattie was in. Dr. Shad assures me that Mattie was always comfortable, and the "death rattle" is much harder for the caregiver to listen to for hours.
As Dr. Shad said to me today, "Mattie fought death." Mattie just did not want to die. Dr. Shad feels that this was because he did not want to leave X and I behind. After all the three of us thought we would be together for always. Careful when you assume things!!! Dr. Shad told me that she has been an oncologist for 25 years and in all her career she has only had to use propofol on one other child patient! She said Mattie was her second, and Mattie needed it because he was resisting death. I actually found her statement very empowering, because if Mattie was willing to be that congested for such a significant period of time then he really must love us dearly.
Once on propofol, Mattie's body started to relax, and I decided to lie down next to him on his bed, as we were awaiting death. I wasn't sure what death was going to look like, but slowly one by one his respiratory rate went to zero, his pulse oximeter went to zero, and his heart rate also went to zero. Hearing all these values flat line was another sound I won't forget any time soon. But by that point Mattie was in my arms. The nurses and doctors gave us about an hour alone with Mattie after he died, to say good-bye. This was a very touching and tearful hour. How do you say good-bye to your child? Both X and I know on some level that Mattie has died today, but on the other hand, we are having intense trouble believing this.
Sharon, the Lombardi Clinic chaplain, was with us starting at 4am. She helped say a prayer before and after Mattie's death. Sharon did a wonderful job, and though I have my own issues I am working out with God, I saw the need for prayer and to ask God to spare Mattie more pain and suffering. (Current note.... Having Sharon in the room with us for hours while Mattie was dying was very uncomfortable, as it made me feel observed and judged at the most painful time in my life as a mom.)
After we had some private time with Mattie, he was visited by over 20 Georgetown Hospital employees. Jenny, Jessie (art therapists), and Linda (child life professional) bought four stepping stone kits and we all worked around Mattie and did a stone for each foot and each hand. This is something I always wanted to do, and I am happy to have these cherished gifts that will always remind me of Mattie. I appreciate Tricia, Debbi, and Katie's (nurses) help, because as X and I were pushing Mattie's hands and feet into the cement like substance, they were cleaning the substance off of Mattie. It was an amazing experience that occurred today, because in Mattie's postage stamp sized room, many employees came by to share their fond stories of Mattie with us. It was touching to see and hear how much Mattie has touched people's lives. My parents were so happy to be able to meet in person many of the people I have been writing about on the blog. In addition, Brandon, Mattie's big buddy, also visited. I could tell that Brandon was very upset to lose Mattie, and I told Brandon that Mattie loved him and considered him a good friend. (Current note.......... Another thing I did not report at the time, was Mattie's original oncologist came to visit us. When my dad asked him in this group setting of 20 people (like a mini wake in Mattie's room), what the doctor learned from Mattie's cancer case, the doctor said.... NOTHING! This is something that I will never forget. Even if he learned nothing, you don't say this around a bereaved family!)
Once all the visits were over, X and I had the last chance to say good-bye to Mattie before preparing him to go to the hospital morgue. Lovely, no?! Saying good-bye to that beautiful face, those cute cheeks and hands was down right impossible. There are times the true reality hits me and I don't know how we will go on. Literally!
Tricia, Debbi, and Katie (nurses) then gave Mattie a bath, and as unpleasant as this sounds, they had to place Mattie's body in a body bag and transport him to another floor in the hospital. I removed myself from the room, because I did not want to see the body bag. My precious son landing up in a body bag was a little hard to take. I sat outside with Dr. Shad and Linda, and X remained to help with the process. Mattie's "big brother" Jey (part of the transport radiology team, who became very close to Mattie over those 14 months) came up to see us and also stayed to help transport Mattie to the morgue. He said no one else could do it, it was his responsibility today, because he loves Mattie and wants to give him a safe drive on is final destination within the hospital.
Saying good-bye to Georgetown today made me sad. I know we are always invited to the C52 unit, but it isn't the same. The nurses were clearly affected by Mattie's death and in many ways I was surrounded by this amazing community that we have gotten to know over 14 months of hospitalization. Jey also told us a funny story. Jey could picture Mattie up in heaven and arguing with God about his wings. Jey said Mattie would WIN about how large they would be!
We arrived at the hospital last Thursday with three of us, but today we only came home with two. How I miss the noise, sights, and directions given by Mattie, instead what I have floating around in my head are the sounds of hospital monitors. When we arrived home, I saw Speedy Red and almost lost it. In all reality being around Mattie's things bring about great sadness.
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