Tag: love

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.

 

 

 

The Nearings, the Yaloms, and Two Great Poets – When Death Comes to Good Marriages

Over the past month or so, I have read three memoirs about long, happy marriages which were visited by the death of one of the partners.  Close couples often joke about hoping that they will both expire at the same moment, but the partners know that this will not happen; one of them will watch and one will die.  How to cope? 

These narratives of death’s visitation are similar in format, while different in tone. All three books alternate the descriptions of the last days of the marriage with memories from earlier times, with tales of falling in love and creating a life.  The rituals of each marriage are carefully documented – rituals which mean so much and are so important and, at the same time, are so hard to cling to when illness and tragedy intercedes.

In A Matter of Death and Life, Irvin Yalom (The Schopenhauer Cure, When Nietzsche Wept) and Marilyn Yalom alternate chapters as they tell of the end of her cancer treatment, and her death surrounded by family and friends.  It is the relationships that are important to the Yaloms.  During her last days, Marilyn stopped treatment and chose death (and it seems like a good choice) – and while she can accept death, she has more trouble about leaving her loved ones:

Still, if I am not afraid of death itself, I feel the continued sadness of departing from my loved ones.  For all the philosophical treatises and for all the assurances of the medical profession, there is no cure for the simple fact that we must leave each other. 

It is these loved ones and their memories that Irvin thinks will be the “afterlife” of himself and Marilynne, but he knows that this too is ephemeral:

I know that I will exist in ethereal form in the minds of those who have known me or read my work but, in a generation or two, anyone who has ever known the flesh-and-blood me will have vanished.

Donald Hall and Jane Kenyon are also separated by cancer.  Donald had just recovered from his own grappling with this disease when his much younger wife is diagnosed with leukemia. For years, the couple assumed Donald would predecease Jane and planned accordingly, but such are the plans of men and women.   The couple follow up on every possible chance of recovery, including spending some miserable months in Seatle for a bone marrow transplant.  Nothing works.  The most moving moment in the book is when Donald and Jane finally are convinced that they must “give up” and accept.  There is a strange joyfulness as they throw out all the noxious medicines and look for a brief respite from treatment before the end comes.  They have only eleven days left.

But like Marilyn Yalom, it is the loss of relationships, of contact with loved ones, that bothers Jane.  “Dying is nothing, but…the separation!” she howls.  Jane and Donald prepare poems for her posthumous volume, compose her obituary, pick a Psalm for her funeral.  Unlike in the Yaloms’ book, there is some notion of a religious afterlife, at least on Jane’s part. 

The Nearings had a different kind of ending.  Scott Nearing is 100 years old and frail, but he decides that he has had enough and stops eating.  In Loving and Leaving the Good Life Helen Nearing, writes:

He would take no pills, no drugs, and hoped to avoid doctors.  He became less and less concerned with continuing to inhabit a weakening body.  When he could no longer carry his part of the load and take care of himself, he was ready to go on.  I was at one with him in this.  The way one dies, it seemed to me, should reflect the way one had lived, and I was glad to help him do it gracefully.

Scott dies peacefully by his wife’s side.  If you have read their earlier book (Living the Good Life – a hippie Bible) about how they consciously set out to live a good and meaningful life in Vermont, you will recognize the intention to do things consciously, and, as Helen puts it, gracefully.

These memoirs clearly served a therapeutic service for the writers.  The act of tracing the roots of the relationship is preparatory to trying to acknowledge what the last separation means.  Reading these books – all highly recommended – should be done long before we are in the position of facing such realities.  Planning for the unknown is impossible, but contemplating the possibilities can be a worthwhile exercise.

These were all good marriages, but we are reminded that even good marriages come to an end.  Irvin Yalom concludes his memoir thus:

I shall end our book with the unforgettable opening words of Nabokov’s Speak, Memory: “The cradle rocks above an abyss, and common sense tells us that our existence is but a brief crack of light between two eternities of darkness.”  That image both staggers and calms.  I lean back in my chair, close my eyes, and take comfort.

Good marriages intensify that “brief crack of light,” and while we cannot stop mortality, we can appreciate every good day we are granted.  There are other lessons in these books, but this is the wisdom that remains.