Tag: 1983

Last Days – “When the Cranes Fly South”

Have you ever wondered what your last days will look like?  For most people, death is a process and not a moment.  Authors have tried to capture that experience – one thinks of Tolstoy’s Death of Ivan Ilych – but not from experience.  Jorge Borges tries to image meeting his own dying self in “August 25, 1983.” No one gets to look back on their own end times; few of us can reliably predict when it will happen.  Borges was off by three years to the good.

I am often skeptical about books about old age, books with elderly protagonists, which are written by young people.  But Lisa Ridzén’s novel, When the Cranes Fly South, rings true.  The author says that she was inspired by the case notes she found from her grandfather’s carers during the end of his life.  She gives us what feels like a true picture of the messiness, the inevitability, and the release of death.  It is a lovely book.  I was also deeply impressed by the Swedish health care/home care system, which faithfully provides for visits four times a day.  The carers feed the grandfather, take care of the dog, bring in firewood – and generally do whatever is necessary to put an old man’s mind to rest.

But, of course, the old man’s mind does not rest, he does not go easy into that good night.  His wonderful canine companion, Sixten, is a large elkhound and the subject of controversy with Hans, his son, who thinks it is not fair to the dog or the caregivers to confine the dog with a sick old man.  Hans also insists that his father (Bo) take regular visits to his wife, who is in the deep haze of dementia and has been in a memory care home for a couple of years.  Bo can see no point in visiting the “husk” of his lifelong love, and when his poor wife throws them out of her room at the care home, we sympathize with Bo, who knows enough to keep memories separate from the current realities of his life.  Bo preserves one of his wife’s favorite scarves in a canning jar, so that he can occasionally open it to get a whiff of how she used to smell and think about how things used to be.  He loves his wife; he treasures his memories.  In his weakened state, he cannot reconcile the reality of her dementia with the warm feeling he gets every time he opens the canning jar.

Two of the passages which rang true for me had to with Hans, Bo’s son.  Hans is trying to do right by his father while working a demanding job and mourning the end of his marriage.  Bo wishes he could help Hans put all these challenges into perspective:

Despite everything, I wish there was something I could say to help Hans.  To make him realize he can stop stressing.  Maybe he would stop thinking about Sixten if he just relaxed a little.  But I don’t know what I can do about his restlessness.

Bo thinks about the fact that Hans will be in his place someday, dying and at the mercy of his daughter and the caregivers:

How will he react when Ellinor [Hans’s daughter] tells him he is no longer capable of taking care of himself?  Who will he be once he stops working, once his body  starts to give up the way they always do?   Right then, I realize that he might end up like you [Bo’s wife/Hans’ mother], forgetting Ellinor and drifting from one day to the next, and I pull a face and shake my head.

Of course, Hans cannot imagine himself in his father’s place, but the truth is that both things – the stress today and the inevitability of aging tomorrow – are related.  If death and old age were constant companions, were realized as inevitabilities, perhaps the stresses of the present moment would diminish in proportion.

This book was a huge bestseller and award-winner in Sweden.  Recently, I wrote about the Swedish bestseller about “death cleaning.”  Clearly, Swedish readers are eager for real discussions about old age and preparations for the end of life.  This is to their credit.  When the Cranes Fly South is not an easy book in some ways; death is often messy and Ridzén gives us clear images of incontinence, falls, nostalgia, grief – losses of all kinds.  We get the picture of a man who knows he has to leave, but clings to those things that give his life meaning – his dog, his woods, the scent of his wife’s scarf – as long as he can.  While we feel for him and with him, he is not an object of pity by the reader, by his caretakers, or by himself.

For most of the book, we are in Bo’s head.  Again, I was suspicious of a first novel by a 36-year-old which tried to enter the mind of a dying 89-year-old.  Who am I to say if it is accurate?  But it feels right, and it got me thinking about how I would handle my own last days, what needs to be discarded, and what needs to be held onto until the very end.  Highly recommended.

Death is a major (and the final) life event.  We have elaborate rituals for childbirth, fairy-tale weddings, graduations, and other major life events.  But it is much harder to orchestrate death.  In the Middle Ages, it was very important to have a “good death,” shriven of our sins, family around, comfortable in one’s own bed.  There was even a term for the art of ending your life well: ars moriendi.  By the seventeenth or eighteenth century, however, death had become a more private and hidden affair.  People today plan their funerals, create bucket lists, and do extensive estate planning, but do they think about their actual death?  Of course, it is not easy.  My husband was recently in the hospital again, and there is nothing more impersonal than a hospital.  But that is where a lot of dying happens.

We might start by trying to imagine what kind of death we would have, what we would want.  You might try, as Borges did, to write a story about the end of your life.  Where do you think you’ll be?  Who will be there?  What will you be thinking about?  We have little control about our dying, but conjuring up the end might give us a little more clarity on the things we can control.

In When the Cranes Fly South, Bo has a good death.  He has the people he loves around him and his hand on the head of his beloved elkhound.  “Everything is crystal clear,” he thinks.  At least, that is the way our author imagined it would happen.  May everything be “crystal clear” for you in your last moments.  I often wonder if, at that moment when everything extraneous fades away, we will see more clearly.  May it be so for all of us.

 

 

 

Retirement, Death, and The Land of Cockaigne

Younger people dream of retirement – of that rosy day when they have reached the right age for social security or pension payments.  Or banked enough money in retirement accounts to cover their living expenses for the rest of their days.  Middle-agers discuss retirement with others in the office; they fantasize about where they will live and where they will travel; they try to imagine not having to wake up to an alarm every morning or having to turn out the light earlier than they would like.  I had such fantasies, but that was many, many years ago.  Now, I can’t imagine how I ever worked nine- or ten-hour days, put up with the constant aggravation of an office, or made a commute in rush hour traffic.  I don’t miss it, never missed it much.

Here is what I sometimes miss though – the hope for an event which is going to make life easier.  I sabotaged this wish lately by moving to be closer to family and taking on the logistics of a move (will I ever be able to get through the red tape at the DMV or find a primary care doctor?).  In the middle of the move, one of the family members that I was moving to be close to unexpectedly passed away.  He died while the movers were emptying my house in North Carolina, and his funeral was the day the movers arrived with our stuff in New England. 

And then there are the minor losses – routines, habits, a sense of where things are.  Finding further problems with an already imperfect new/old house.  Major and minor problems and aggravations are constant.   Locating a cooking utensil is suddenly a big deal.  Bills have to be carefully monitored during the address change so that payments are not missed.  New telephone numbers and wireless passwords must be noted and memorized.  The view out the windows has changed.  Being close to family means being physically and blessedly closer to their lives – which unfortunately also include their problems.

So, if we can no longer look forward to retirement, what does the elderly one look forward to?  Assisted living, the nursing home?  We decided when we moved that we were not ready for communal living of any kind, and – while it may be necessary someday – it is far from our ideal.  It is not something to hope for.

In medieval Europe, there was the peasant concept of Cockaigne, or pais de cocaigne, which translates to “the land of plenty.”  It was pictured as a kind of heaven with enough to eat, time to rest, the abolition of work, and – of course – free sex.  It was something for poor men and women to dream about, a heaven more to their taste than the Christian one.  As I was going through the trials of the last few weeks, I wondered what my equivalent was.  If I believe in any kind of afterlife, it surely is not the “pie in the sky when you die” sort.  And, yet, I found in the midst of seemingly irresolvable problems, that I was reminding myself over and over again, that I would soon find myself (or more accurately others would find me) dead and all my worries would go with me to the crematorium.  So, is this what old people look forward to – leaving their problems and their bodies (which often are one source of their problems) behind them?  Interesting thought.

Death as something to look forward to?  An alien concept in our culture but not without its believers.  The wonderful poet Stevie Smith wrote “I have a friend/At the end/Of the world.  /His name is a breath/Of fresh air.”  His name, of course, is death.  The poem is “Black March.”

I do not wish myself dead.  I just wish to get settled in and live a more routine existence.  But Jorge Borges found some comfort in imagining his own death – he even wrote a story about it, “August 25, 1983“, in which Borges conjures up an older version of himself on his deathbed.  I once made an exercise of doing the same for myself (see my blog entry “Fantasies to Reject in Old Age” from last May).  It was informative and scary.

I will get used to my new location.  I will unpack my ladle and find a dermatologist and get a new driver’s license.  But none of that happens quickly and all of it is harder than it used to be.  But there is really no alternative, no Cockaigne, without going through it.  I try to tell myself that it is useful to challenge myself in my old age, but it is not easy.  It is worse than I thought it would be; I hope that, when I come to it, I will be able to say the opposite about death.  At least that transition will not require a trip to the DMV.

Fantasies to Reject in Old Age (or Sooner)

Youth is a time for fantasy, but it occurs to me that we may never outgrow some illusions.  The nature of our fantasies changes as we age (Santa Claus and Prince Charming may have been discarded), but our need for such magical thinking apparently does not.  I have been reading Swamplands of the Soul, by the Jungian James Hollis, which is a far more uplifting book than you might expect from the title.  Hollis and others whom I will discuss think that elderly fantasies are not entirely harmless.  And if you think you don’t have any such illusions, please read on.

Hollis is particularly interesting on the subject of aging and fantasy. He says that there are at least a couple of fantasies that we all need to reject as we grow old:

The two greatest fantasies we are obliged to relinquish in the second half of life are that we are immortal exceptions to the human condition, and that out there somewhere is some “Magical Other” who will rescue us from existential isolation.

My body has been working hard to convince me that it won’t last forever; so, I think I have probably come close to accepting my mortality (ask me on my deathbed).   But the “rescue” fantasy is harder – and it includes, according to Hollis, “Taking responsibility for choices, to cease blaming others or expecting rescue from them, …and to accept the pain of loneliness.”   I do have trouble with the blame thing – partly because my family of origin loved the blame game and partly because it is indeed an easy way of avoiding responsibility.  I have spent countless hours with therapists, siblings, and friends detailing the sins of the childhood that made me what I am.  But that’s over.  The older I get, the surer I am that those recalled injustices just don’t matter anymore.

As for the “Magical Other,” I think I have finally learned that no one can rescue me from myself.  I also realized over time that it was not simply a knight in shining armor I was looking for to redeem me. I often fell prey to the false belief that more money, another house, a new situation, a grand trip could do the job – never seeing that any remediation for “existential isolation” comes from acceptance within.

Much “magical thinking” is the product of conceiving our life as a story.  As James Carse says in his wonderful Infinite Games, “Because we know our lives to have the character of narrative, we also [think] we know what the narrative is…. [But] true story tellers do not know their own story.”

And of course, if we have a story, we want a happy ending.  This is another fantasy to reject in old age (related to Hollis’s second one).  My husband and I have recently lost the last of our parents, and it is clear that life’s end may be many things, but it is seldom happy and often it is quite the opposite.  The old have happy moments, happy memories – but to tell ourselves that everything will come out right in the end (think Best Exotic Marigold Hotel) is indulging in a fantasy.   Many of us delay making necessary changes to our lives because we picture a quiet deathbed scene in our own bed, with loving (and not burnt out from taking care of us) friends and relatives holding our hands and playing our favorite music.  May it be so for you, but I hope I know enough not to count on it.  But accepting this does not mean despair.  Joko Beck posited that it could mean something else entirely:

When people know their death is very close, what is the element that often disappears?  What disappears is the hope that life will turn out the way the want it to.  Then they can see the strawberry is “so delicious” [even though there is a tiger below – you may know the story] – because that is all there is, this very moment. (Everyday Zen)

It is easy for me to say that I accept Hollis’s imperatives to accept mortality and to reject optimistic fantasies and magical thinking.  It is not easy to do, and recidivism occurs frequently.  Young children often cannot tell fantasy from reality; dreams seem real, Santa’s reindeer can fly, and there really are monsters under the bed.  We are older, but are we wiser?  We justify telling lies to children to protect them, to make the world seem less threatening.  An argument might be made that elders need the same protections.  I will, however, keep trying to “put away childish things.”

Jorge Borges wrote a story, “August 25, 1983,” in which he imagines his own death.  Using his format, I did something similar and found it an interesting exercise.  I highly recommend both the story and the exercise.  What do you think you will have to say at the end of your life?  What was important, transformational, disappointing?  Look at it as practice in dealing with reality.

I would also recommend a wonderful book by Stephen Levine, “A Year to Live: How to Live This Year as If It Were Your Last.”  It inspired my story, “Encore.”