"The silence is what hurts the most.
The unsaid still lingering in his head.
The lump in my throat still growing.
As I await this last and final dread."

^I like that, so much is said in that part, the word choice is amazing too........

"The anguish and the agony.
Hit me deep within my soul."

Good descriptions there, lots of feeling.....

"Leaving me with another broken heart.
And a river of tears to cry."

Great ending, leaves the reader wanting more........

I really enjoyed what you wrote, so keep it up! Take care! :)