There is a time for everything,
and a season for every activity under the heavens:
a time to be born and a time to die,
Ecclesiastes 3, NIV
Holy Bible, New International Version®, NIV® Copyright ©1973, 1978, 1984, 2011 by Biblica, Inc.® Used by permission. All rights reserved worldwide.
Birth and death are the only medical events that all humans share. We can anticipate and celebrate the births of other people but not our own.
However we all can anticipate our own death although most of the time we don’t want to. Unless we deal with a chronic life threatening disease or are diagnosed with a terminal illness, or thrust into a life-threatening situation such as combat or a natural disaster, most of us don’t consider about how or when we will die. But in truth we all will die.
I have reviewed several books about death here . Not because I wanted to write about death but because several good books deal with death sensitively and thoughtfully.
Books about death are sometimes written by a person who is facing death. Relatives write after a loved one dies- a child ,a spouse ,a parent. The motivation for writing these books varies as does the motivation for reading them.
I reviewed these books because by understanding how other people and their families have faced death it may relieve our dread, anxiety, or fear about dying and death. Often it is not death itself that we fear but the dying process -the pain , disability, dependence, isolation, unfulfilled dreams.
In an essay for JAMA, Dr. Zachary Sager, a geriatric and palliative care physician in Boston Massachusetts, described his response to working with dying patients-
“I witnessed how people could be simultaneously resilient and fragile. I was moved by the connectedness between individuals.
I accept that death offers not only the expected reflection on life and mourning but an opportunity for a unique form of growth and healing. “
The books I reviewed share common themes, and events yet are each unique as are the people in them who demonstrate both resilience and fragility.
I am posting excerpts from my reviews with a link to the entire piece. I welcome and encourage your comments about these books as well as any about how you have navigated death in your family.
Driving Miss Norma tells the story of Norma Bauerschmidt, a WWII WAVE veteran, wife, and mother. She was still in good health at 90 years of age, until she was diagnosed with cancer.
Her doctor recommended surgery to be followed by chemotherapy, and warned her the treatment and recovery would be long and difficult. She told him no, she would rather “hit the road” with her son and daughter-in-law and enjoy her life, seeing and doing things she had not had a chance to do before. And her doctor agreed, saying that is just what he would do.
Tim, her son, and Ramie, his wife, had already been living a nomadic life, travelling the country with their standard poodle Ringo in an Airstream travel trailer they parked in campgrounds and Walmart parking lots. They enjoyed travelling, seeing new places, meeting new people. They wondered how adding a 90 year old woman to their wandering lifestyle would work.
A few months after their baby Indiana’s birth, Joey faced the recurrence of cervical cancer diagnosed and treated years before. Despite more surgery, radiation and chemo the cancer persisted until further treatments were futile and and likely to cause more suffering. Joey decided to leave their Nashville farm,her horses, chickens and gardens, to move home to Indiana to spend her remaining time with her extended family.
Faced with the persistence of the cancer
“Joey decided to come home-not to die, but to live.”
Dr. Paul Kalanithi was a 36-year-old resident physician who had, as he wrote, “reached the mountaintop” of anticipating a promising career as a neurosurgeon and neuroscientist. He had a loving wife, a supportive family and professors who respected his knowledge and skill. He seemed destined to be sought after, well paid, productive, successful, and famous.
(note: a neurosurgeon treats brain, spinal cord and nerve diseases such as brain tumors that can be cured or improved with surgery,)
Unfortunately, “the culmination of decades of striving evaporated” when he was diagnosed with an aggressive form of lung cancer for which the prognosis was bleak, even with treatment. He was admitted to the very hospital where he trained as a neurosurgery resident, now to learn what it is like to be a patient with a potentially terminal illness.
Thank you for joining me to remember and honor Norma, Joey, and Paul. I appreciate their families’ generosity in sharing their stories and the HEART of health.