Showing posts with label death. Show all posts
Showing posts with label death. Show all posts

Monday, December 16, 2013

From there to here to where

Another of my posts following the death of my dad. It's a different kind of passage, a sail through some rough seas.  I'm trying to recover the person he was to me before his final years as I transverse the passage from child to orphan.  I hope some of these words resonate with fellow travelers on this journey.

I did not intend the visit to be my last. Dad went downhill fast, but I had no indication he would die that day.  My son had given me a report from his visit the day before, and our best guess was a couple of weeks. Speech was difficult for my dad, and I could no longer understand him on the phone.  I knew that the only way to have two-way communication was to do it in person.

I sat with him while he went from responsiveness to a coma over the course of the day. After the first hour or so, he floated in and out of consciousness, eyes staring vacantly, lying perfectly still.  I think his systems were just shutting themselves down, and voluntary movement was gone.  So, mercifully, was his ability to feel pain, since he was unable to swallow even a sip of water.

And so I sat with him, holding his hand, able to stare at him without rudeness.  Pili, his caretaker, told me how much she loved him, even though she'd only worked for him a few days.  He reminded her of her own grandfather, once fiercely independent but now felled by a broken hip.  Helping my father helped soothe her distress at not being able to take her turn by her grandfather's bedside.  I told her what a force of nature Dad was before this final combination of illnesses and old age took him down. We swapped some family stories over the deathbed, two strangers coming to terms with loss and providing an odd comfort to each other. We talked of dying at home, and dying in the hospital, and how to let go.

How to let go of him and how to let him go.  Pili said he had promised not to die on "her watch." She said he knew she was a softie and she worried about him.
The portraits, shot in a hasty photo inventory in 2008.

He lay underneath his portrait and my mother's, the place he had slept all the years of my life.  They joked they had hung the portraits over the bed to settle any questions about whose side of the bed was whose.  They are beautiful pastel portraits of a beautiful couple in their late teens or early twenties. Since I first learned to crawl up onto that bed to bounce, in eight different bedrooms, my parents slept under those portraits.  They'd overseen heart-to-heart conversations, joyful girls-only slumber parties with my mom, the "nest" my daughter made at the foot of Grandma's bed, a few very difficult conversations, a couple of surprise presents, mother-daughter reviews of Mom's jewelry, some memorable breakfasts-in-bed.

And now he was dying in this bed, almost unrecognizable to the youthful self above him. I studied his face, looking at the curves and the angles, the spotted skin stretched tight over his head, the skin loose on his hands from rapid weight loss. I remembered my visiting his father, my grandfather, in his last days, an incomprehensible sight for a five-year-old child. I recalled more vividly being with my father-in-law as he lay dying in a cold emergency room bed, wondering what kind of comfort I could give.

I was not there when he died.  Pili sent me away, saying he would not leave until I left him.  Not on my watch, either, I guess. I did not leave because Pili told me to, but I did leave, and he died shortly after.

In my family, we have always talked about dying, never passing on. We never talked about heaven, and Dad told me after Mom's death that neither of them had faith that heaven existed.  Dad used to say he wanted to be hit by a truck (and sometimes he drove as if he wanted it sooner rather than later...).  He did not fear death, but for a long time he feared dying.  He had pamphlets from the Hemlock Society, yellowed with age, in his "when I die" folder. He feared the loss of control, the loss of choice.

For a long time, he feared losing his independence, losing his intellect.  He posted a DNR in his house, in his car, in the minds of his children. He was terrified of being in a vegetative state, but he was also terrified of being in assisted living. In the end, he was ready to go. He had lost his short-term memory almost entirely and he was easily confused.  He relied on his impressive long-term memory to dazzle and distract, and he managed to fool a lot of people that way.

I don't know how the dying goes, I don't know where the dying go.  In many ways, Dad was lost to me long before he died.  I am doing my best to find him again.

Sunday, December 15, 2013

Let me tell you something

My dad thought ahead.  When he bought something big and expensive, he might say, "You kids will fight over this when I'm gone."  (Sometimes, I thought:  what you don't realize is we will fight over who has to take it.)  When Patrick was born, he didn't ooh and aah over his beautiful first grandson.  He started calculating how much of Patrick's life he would likely get to see.

For years, I've known there were envelopes "to be opened after I die," with letters from my dad.  Having spent years carefully prying tape off of Christmas packages to check out the contents beforehand, I found it difficult to wait. What did my letter say?


Dad died December 1.  I was with him as he faded from life, the light going out of his eyes.  He lost his ability to speak or move and drifted along the borderline between sleep and coma. I said goodbye, and I took my letter. Halfway home, I got a call that he was gone.

What did the letter say?

We've had our times, my dad and I.  Mostly good times, but some monumentally bad ones, too.  Dad rarely hesitated to deliver advice, and he wasn't entirely clear on the concept of "opinion," being pretty sure that he was right about all things. He was given to the grand gesture, like pulling the phone out of the wall when I was not quick enough to end a conversation.  (Back in the day, the phone--and there was only one per floor--was hardwired into the wall.  And you probably shared a party line with some cranky old lady.)

He clearly loved me.  Just as clearly, he saw room for improvement.  He was more forthcoming with advice than with love. Stand up straighter, lose some weight, get my hair out of my eyes, tuck in my shirt, get my elbows off the table.  Study harder, revise that college essay, practice the clarinet.  Save more money, hire someone to do that, and for god's sake, don't get married before you graduate from college.

He was a great one for the object lesson, and I was a great one for rebelling against the object lesson.  He favored the surprise attack. It is a kindness to both the living and the dead to leave that area unexplored.

My older sister and brother absorbed a lot of my dad's self-improvement energies, and that led to a lot of fireworks, especially with my brother.  Dad said to me once that, while they had pushed back, I just used humor as a weapon until I got my parents into shape, and then I eased up on them.

And every once in a while, when I really, really needed it, my dad came through for me in an unconditionally supportive way. The letter he left was one of those times.

I wanted to be alone when I read it, but I also wanted to be in a safe place.  I drove to church and read it in the empty sanctuary.  I knew I could draw on a circle of support there.

So what did the letter say?

He wrote about the joy I had brought him, about the love and respect he had for me.  He said he could never repay me for what I had brought to his life. He said he hoped when I looked back at my children, they brought me as much joy as I had brought him.

I burst into tears.

Dad wrote that letter in 1979, 34 years ago, and felt no need to edit it as the years went by.

I did plenty of editing of my own over those years--gaining a couple of kids, losing a husband, dropping out of the professional world, learning to take care of myself, learning to ask for and accept help. Dad had touched the essence of me and of our relationship and written me a letter that crosses the decades to speak in a universal way.

What would you write in your letter? What are the things your family needs to hear from you, or you need to tell them?

My children will surely find mine in snippets on my computer, in version after version, as unfinished as my Christmas letters from 2009 to 2012.

Or maybe they will just know that, yeah, they do bring me as much joy as I brought him.  Yup, they surely do.


The Right Place at the Right Time


My dad died recently, so I've been thinking a lot about love and loss, and especially about my parents.  When my dad was alive, we used to tease him, saying, "THAT'S going into the skit at your funeral!"

I did not attend the memorial service, but if I had, this is what I might have said.

My father was a demanding man, driven to perfection (and generally coming pretty close).  He was hard on himself, and he could be hard on us as well.  He was the first of his generation to be born in the US, and he believed that brains and hard work would guarantee success.  We were born with the brains, and he created incentives to ensure the hard work.  I remember earning stickers for staying dry at night (which perhaps was not as early a memory as I might like to think) and quarters for good grades, an incentive program for his children that mirrored the ones he created for Fortune 500 companies.

I stayed in school for a long time, eventually earning a Ph.D.  As I neared the end of my graduate program, I bogged down, and Dad sent me an inspirational graphic.  He drew a thermometer of the sort that fund-raising campaigns favor, with Ph.D. as the final goal.  Along the way were marked progress points like “Entered Kindergarten” “Moved to Chagrin for seventh grade,” and “accepted to college.”  The thermometer was filled very nearly to the top, a reminder that I had nearly reached my goal. 

I graduated a few months later, and my parents came to my graduation.  A couple of years later, doing some career development exercises, Dad wrote that he considered my earning that Ph.D. as one of the top ten achievements of his life.  He was proud of what I had accomplished, and he also took pride in setting an expectation for success, creating the conditions necessary for achievement, and supporting me psychologically, emotionally, and financially every step of the way.

The last time I talked to my dad, we talked about my son Jefferson’s upcoming graduation from his nurse anesthesia program.  He sighed.  “Boy, I wish I could be there,” and we both knew that he wouldn’t.

My children were lucky to live only an hour from their grandparents throughout their school years, and Grandma Janie and Grandpa Tak attended every concert, school play, and graduation--just as they had attended all of mine.  But Dad was too frail to make this trip. He died a week after that conversation.

Today is Jefferson’s graduation.  He’s graduating from the #1 nurse anesthesia program in the country. It’s been a long slog:  six years and his second master’s degree in nursing.  Along the way, I’ve had the opportunity to offer the same kind of support to him that my dad offered to me.  Today, his success is his own, but I share in the joy it brings.
Team Jefferson, with scrub caps in VCU black and gold

Addie is not too sure about this.

Horribly out-of-focus pic of Jeff's newest scrub cap.  


When my first child was born, Dad said to me, “If I am lucky, I will live to see this child graduate from high school.”  Patrick is 35 now, and my parents attended his graduations from high school, undergraduate school, and his Ph.D. program. He would have enjoyed Jefferson’s graduation, and I know he would not have wanted me to miss it.

Monday, March 11, 2013

Smells like fogey spirit


While we’re on funerary customs, here’s a post left over from Viet Nam. 

On our way out to the Mekong Delta, we passed many fields with small monuments in them, and our guide confirmed that they were gravesites.  Usually there are just a couple, but a few had half a dozen.  Families want to keep their ancestors close to home, our guide told us. 

I couldn’t get any pictures from the bus—too bumpy, too fast, and too far—but here are some from the islands in the Delta.  These were taken from the pony cart, I think.  An even bumpier ride, but much slower.

The small number of monuments tells us that it is a family plot.  A friend who traveled to Hanoi shed some light on how everyone fits.

The newly deceased is buried in a large coffin, and stays there for three years.  Then, the coffin is opened and the bones are cleaned of the clothing and flesh that remains.  It is considered an honor to be able to perform this service for your loved one, and there is a great ritual aspect to it.

There is also a certain unpleasantness, to put it delicately, and this part is not performed by the family.  As part of the mortuary services, the original casket is dug up and aired out for a week before the family claims the remains.

In this way, the family member’s job is more of an honor and less of an onerous chore.

Sunday, March 10, 2013

Taking Time for the Taj


Say what you will, the Taj is just a big tomb.

Stunningly beautiful big tomb, of course, but it serves no other purpose.  Or at least it served no other purpose when it was built.  Now, it brings millions of visitors to Agra, and they bring millions of dollars, which brings out what seem to be millions of street vendors and millions of beggars.

Our ship is docked in Kochi (also known as Cochin), on the western side of the southern tip of India.  So going from Kochi to Agra is like pulling into New York City and deciding you need to see the Gateway Arch in St. Louis.  But only if you had to fly into Chicago and then take a train to St. Louis. 
We’re in India for 6 days, and I spent 4 days going to see the Taj Mahal.  The only way I can really justify that is that I didn’t fly from Washington, D.C. to do it.  By comparison, Kochi is just around the corner.

Our landing was scheduled for 8 AM and our flight for 2 PM, which doesn’t sound like a difficult connection to make, but nothing is simple when you’re dealing with immigration.  Because we live on the ship, it can be easy to forget that we are coming into a foreign country as fare-paying passengers and the security is as stringent as your average airport.  One thousand people have to pick up our passports, show them to customs officials, get stamps, and officially enter the country.  Then we each have to go through ship security and port security to leave the area where we are docked.  The airport is 90 minutes away, and there’s a whole set of security measures there, too.

I was in the first group of people to get off the ship because of my flight schedule, and things went very smoothly, so we made it to the airport in plenty of time.  Leaving the ship around 9:30, we got to our hotel in New Delhi around 8:30. 


The next morning, we were up by 4 to take a train to Agra, arriving there are around 8:30.  After touring the Taj Mahal and the Red Fort, we drove back to Delhi via a bear rescue center.  We got to our hotel around 7:30.  We had one full day in Delhi and then back to the airport (leave the hotel at 7) to return to the ship.  In all, two and a half days of travel to see the Taj.





Also:  ship, bus, airport shuttle, airplane, bus, bus, train, bus, electric bus, Taj, electric bus, bus, plane, bus.  Add tuk tuk and ferry for yesterday’s travel around Kochi.  Have not gone anywhere by rickshaw, motorbike, or elephant.

The Taj is definitely worth going to once.  It’s big and it’s beautiful, and being a “high value woman” I got to go inside.  You go through separate lines for security—yes, there’s airport type security here, too—and there are signs pointing the way, but in fact I didn’t even have a ticket.  Our tickets were good for both the Taj and the Red Fort, so our tour guide kept them until we were done with both.  Perhaps the assumption is that every Western face belongs to a high value ticket?

You can’t take pictures inside and there’s nothing spectacular about the inside, so touring the grounds is actually quite sufficient.  (A hint for those who might find themselves in the vicinity some day soon.  Also, closed on Fridays.  You’re welcome.)

The Taj Mahal is in the middle of two smaller, identical buildings.  One is a mosque.  The other is not; it was built for symmetry.  (Being symmetrical with the mosque, it is facing away from Mecca.)  It was built, as you probably know, as a memorial to the favorite wife of one of the Moghul kings, and it took over 20 years to finish.  A 2-mile ramp was built to haul stone to the top.  It was never intended to be a public monument, just a private expression of his grief.  It was the British, our guide told us, who “romanticized it” and put it on people’s must-see lists.  The king planned to build a black marble replica for himself across the river, but he wound up imprisoned by an ungrateful third son (who also assassinated his two older brothers, suggesting that first-born ascension to the throne is not a universally appreciated custom), so now both the king and his wife are buried together. 

In modern India, people are cremated rather than buried, and their ashes are taken to the Ganges for interment.  Some people whose families cannot afford cremation just dump the bodies into the Ganges.  This makes the Ganges a very holy and very polluted river.

On our way to the airport the final day, we happened upon a funeral procession.  Four men carrying a wrapped body on their shoulders.  We zipped past it too quickly for me to get a picture.  Our guide told us that in India, whether the deceased is male or female, only the men go to accompany it for cremation.  The women stay home and mourn (for 13 days). 

A happy birthday today to the wife of my own first born; here is your “funerary customs in India” post.  

Sunday, February 24, 2013

Quiet reflection


There are not a lot of quiet moments on a ship with 630 undergraduate students, and there are not a lot of times when the community comes together.  Our largest room only holds half of us, so mandatory events like Logistical Preport are televised and people see them in the classrooms or in the cabins.  Last night, we came together in silence to say goodbye to a faculty member who died in Shanghai.

Like everything on board, the memorial service brought special challenges and was changed by the unique community in which we are living.  He died three weeks ago, and the ship sailed the next day, leaving his widow and one of our staff members behind to deal with the logistics of death in a foreign country.  Our psychologist rejoined us in Hong Kong as the wife (also a faculty member), flew home to the US for some time with her family.  With her brother, she rejoined us in Singapore, and we all came together to say goodbye to our colleague last night.

One of our local tour guides found us 800 perfect roses to cast upon the waters.  Two children of another faculty member provided piano and sax music and a student arranged some haunting melodies to play on her violin.  The Archbishop officiated in flowing white robes. 

(It's amazing what people bring with them.  But I guess if you're the Archbishop, you don't leave home without clerical robes.)

Wherever Arch goes, there is magic, and some of us are happy to listen to him order lunch, just to experience his presence.  There was absolute silence in the Union as we wait to hear what would he say on this occasion.  He is not an orator--he talks as if he is having a conversation--so we had to strain to hear.

"The minister was in the bedroom with his wife," Arch started, "and the wife said [falsetto voice], 'I can't sleep tonight, my dear.  Would you please tell me one of your sermons?'"

Should we be laughing at a memorial service?  Well, it's clearly a joke, right?  Is it ruder to laugh at a memorial service or to not laugh at a little joke?

It was classic Arch to knock us off balance a little.  It's a little hard to pull of self-deprecating when you're a Nobel Prize winner, but it's his way of saying, under these fabulous white bishop's vestments, I may or may not have pants I pull on one leg at a time.  This is not about me, folks, it's about us.

He went on to talk about how the ship becomes your home, and the people your family.  He talked about how shipboard life forces us to slow down and pay attention.  He talked about how we take care of each other, how we'd learned to take care of each other.

It was a good message for a group of young people who have little experience with death. My day to that point had been so hectic I needed the reminder—as well as the forced time to slow down and pay attention.  There was nothing groundbreaking about this.  It's probably Memorial Service 101.  Still, I love to see Arch in action.

I saw people putting their arms around each other and people clearly wrestling with grief.  A memorial service is a chance to take a breath and consider the losses in your own life, beyond the person being remembered.  I talked with several people who were revisiting their losses, on into the next day.
At the end of the service, we filed silently from fore to aft, then down to Deck 4, a deck that's off limits under normal circumstances.  The ship started a long, slow figure eight, a symbol for time stretching on infinitely.  Because we could see nothing but sea, the only evidence was the wake, a graceful arc from the stern, fading out of sight.



One by one, we threw roses into the ocean, which swallowed them up immediately.  The widow and her brother stood, greeting each of us and graciously receiving our inadequate condolences.

Our procession down the stairs was marred by a shout from the dining room.  Someone called for a doctor who is a passenger on board.  He ran up the stairs, followed by his wife, who is a nurse.  She looked stricken.  They had been on the scene when our colleague died, and were also longtime friends of his from Charlottesville.  Both had tried to resuscitate him in Shanghai, performing CPR until the ambulance arrived.  It seemed especially cruel to call on him again. 

My mind went immediately to the direst scenario.  Could this be happening again?  How could this be happening again?  The staff captain called a "Code Blue" medical emergency over the intercom.

As it turned out, it was not a life-threatening emergency.  A student had fallen and hit his head, probably fainting from dehydration.  There were three doctors in the dining room at the time.  (There is currently a delegation on board of residents and med students from Charlottesville, along with two board-certified docs, in addition to the two full time docs on the ship, so it's not unusual to have a doctor nearby.)

The community gathered on Decks 5 and 6

I ate dinner with the new widow on her first day back on ship.  Her husband had no history of heart disease, and he appeared fine right up until he wasn't.  He is in some of my pictures from that morning in Shanghai, just part of the crowd around the temple we were visiting.  Then suddenly gone. I was following him as he boarded the bus and collapsed that day, and now I was returning some things left behind in their hurried exit from the bus.

It's hard for me to accept that reality; I don't know how my friend is making it through the day.  She said to me she knows what she's doing.  Being on the ship keeps her from being at home.  I guess it's a more manageable hole in her life, to not-see her husband where he was for only a few short weeks instead of missing all the small things of their lives together.  She said the experience has given her some insight into caring for others, as she has seen how she has been cared for.

I've been struggling with this death since Shanghai.  It was a private moment on a crowded street in Shanghai, not my story, but important to me.  Thoughts of death triggering thoughts about life.  Thoughts about privacy and responsibility. 

I have now visited (we were told at preport) more countries than 95% of the people on earth will ever see.  In most of them, I have taken pictures and told stories, treating other people's faces and stories as if they were my own.  Watching death on a Shanghai street brought the participant and the observer together in a new way.  When the dying man is a friend, the details become intimate, and the responsibility becomes great.

In my "back home" life, I am privileged to have extraordinary people in my life.  I said to one of them, "I don't want to make this about me.  It shouldn't be about me," and I got the gentle response, "It's always about you."  Gentle, not to point out self-centeredness (which I have in abundance), but to say, "If you didn't make that connection to you, there would be nothing there." 

I hope those reading this will be equally generous in judging my telling of my connection to this story.