A time to be born, and a time to die-what books teach us about dying

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. 

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.

A 90 year old woman says “yes” to life

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.

Driving Miss Norma - a book cover

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.

Driving Miss Norma- a book review

A young mother who chose life

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.

To Joey, With Love

Faced with the persistence of the cancer

“Joey decided to come home-not to die, but to live.”

To Joey, With Love- a movie review

A physician who faces his own mortality

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.

WHEN BREATH BECOMES AIR- a book

(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.

When Breath Becomes Air- reflections from Dr. Lucy Kalanithi

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.

Dr. Aletha stethoscope with a heart

How one woman handles life’s “trump” cards- a book review

This is not one of those “how we went through a horrible experience and survived by our unshakable faith” stories; rather it is “how we went through extraordinary stress which tested our faith which survived and grew anyway”.

Sara doesn’t tell you how she solved her problems; she admits that her problems caused her to change the way she looks at life, faith and God.

I ran into Sara Stophel, author of TRUMPED BY SOVEREIGNTY and asked her what’s happened new in her life since I reviewed her book. Here’s what she said.

“I finished my Bachelor of Science, Liberal Studies degree this August (2018). Basically, a general degree with minors in Education and Music and a bunch of courses in social work and psychology! I am job hunting…the areas that really draw me in have been in the organ donation area, writing area…and pretty much all the non-profits! Passions lie there. :-)”

Her personal life is going well also. Her son Nik (whose photos appear in this post) works for Samaritan’s Purse.  Samaritan’s Purse is one of the organizations I feature  on my Share the HEART of health page. He is engaged to a young woman who will soon graduate as a nurse. Another son is dating a young woman who is a medical resident. So of course I’m happy to see the Stophel family supporting the health care professions.

Continue reading here or go to this link for even more exciting news about Sara and her family.

Here’s my review of Sara’s moving and inspirational memoir.

TRUMPED BY SOVEREIGNTY:

Juggling Faith, Healing, And Submission to God’s Perfect Plans

BY SARA STOPHEL

A MEMOIR

“Damen Ballard, twenty-five, left his apartment on April 19, 1995, to grab a pack of cigarettes at the convenience store. On his way back he took the shortcut…crossing I-44 on foot at rush hour. He was hit and became a John Doe while doctors tried to save his life. Even as we were watching the terrible news of the Oklahoma City bombing down the road…and fighting against all of those feelings of desperation when we discovered no hearts would be coming…Chuck’s new heart was just two floors above us in the very same hospital.”

large storm cloud
photo by Nikolai Stophel

Sovereignty is a word you may not use or even hear often; I know I don’t.  Probably the most common usage is in a political sense, like the sovereignty (authority) of a nation. Maybe that’s why Sara Stophel offers this definition on the back cover of her book;

“‘Sovereignty’ means that God, as the ruler of the universe, has the right to do whatever he wants. Further, he is in complete control over everything that happens.

In a game of cards, a trump card overrules any card previously played … But what happens when that “game” is actually life? And what happens when you realize that God’s sovereignty is the final trump card?”

Trumped by Sovereignty is two stories in one book.  One story relates the multiple medical challenges faced by Sara, her husband Chuck,  their children and extended family. The other story describes how Sara coped with these challenges, especially in relationship to her Christian faith.

I have known Sara and her family for several years and already knew much of their story although not all. I know Sara to be direct, truthful and frank. She does not mince words.

(I did not consult Sara prior to writing this review.  I paid for my copy of her book.)

This is not one of those “how we went through a horrible experience and survived by our unshakable faith” stories; rather it is “how we went through extraordinary stress which tested our faith which survived and grew anyway”.

Sara doesn’t tell you how she solved her problems; she admits that her problems caused her to change the way she looks at life, faith and God.

a tornado in Oklahoma
photo of an active tornado by Nikolai Stohel

Sara’s book describes multiple medical conditions that afflicted her family (yes, afflicted is exactly the right word). The list reads like a medical textbook, so much so that you may need to look up some of the terms to understand what they are; she does not describe them in detailed scientific terms.  (I’ve included some links for you to use.)

Between Sara, her husband Chuck, their children and extended family they endured –

Sara and Chuck met in college, a Christian university that is known for its belief in divine healing. However, Sara’s home church did not teach miraculous healing. So it was a new concept for her, and one she found difficult to reconcile as her family’s serious health issues continued to worsen and not respond to medical treatment much less prayer.

She does not expect you to believe that she endured these challenges and tragedies due to strong and unwavering faith; rather she freely admits otherwise. As she puts it, her “truster” frequently breaks and needs repair.

“I could not commune with a God who did not honor my bigger-than-mustard-seed faith. I was more than certain God loved people…but I was also nearly certain He just needed me as a tool of transparency. My truster was broken. Having loved God my whole life, I couldn’t think of anything better…anywhere else to turn…so I just kept on serving and assuming the love and peace of God were for everyone but me.”

Sara sense of humor never wavers, both in her writing, and  in life; she probably could not have made it  through some of the days she has lived without it.

You will laugh, cry, or both at some of her stories like-

  • Her annual physical (which was a year late) with her doctor, Dr. LionKing (an offbeat humorous pronunciation of his real name)
  • Her first CPR class after a family death

And you may get angry as she describes her shabby treatment by the IRS, the cell phone company and the local fire department first responders who refused to take her critically ill husband to the hospital.

hugh storm cloud
impending storm captured by Nikolai Stophel

I encourage you to buy and read Trumped by Sovereignty. I know Sara and her sons which means I also know that their challenges are not over; in fact, they may be bigger than ever. I believe she will continue to face them with the same courage and humor that she has so far; and maybe in a few years she will write volume 2 of her story.

Trumped by Sovereignty is published by Paladin Publishing, Tulsa Oklahoma.

Sara Stophel welcomes invitations to speak; you can follow her on

Facebook  at Sara Stophel -author .

Sara Stophel with her book, Trumped By Sovereignty
Sarah showing her sense of humor, soon after the Presidential election . Is that the President-elect’s name?

Sara’s son Nikolai Stophel is a professional writer/photographer for Samaritan’s Purse. Prior to that position, he  covered the turbulent weather we have here in Oklahoma. His photos of Oklahoma storms illustrate this post. You can find more of his work on Instagram. 

On the 6th anniversary of Chuck’s release from illness and pain, his wife Sara reflected on her Facebook page-

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          Dr. Aletha