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

Monday, August 28, 2017

Three books about death and dying

You might say I've been on a binge lately. In the past few months, I've read three books about death and dying. Twenty years ago, I might have thought of this as a premonition, but I no longer trust in premonitions, and I feel fine, really, for someone my age.

The death and dying books were not part of a plan; they simply came my way in nearly sequential time. Most recently, I read "The End of Your Life Book Club" by Will Schwalbe. The book is not so much about books or book clubs as it is a memoir of the author's time spent with his terminally ill mother. They decided that reading books together and discussing them would be a great way to pass the time while she was undergoing chemo treatments for Stage 4 pancreatic cancer.

The book discussions fade in comparison to the plans made and the things done as Mom dealt with the aggressive cancer and the extensive treatments to forestall its inevitable outcome. She traveled extensively to visit her children and grandchildren, to be with old friends from around the world and to strengthen relationships with friends and family. Fortunately, she was given time for all of that. Despite pancreatic cancer's three- to six-month average survival rates (my sister lived just 30 days after her diagnosis), Ms. Schwalbe survived more than a year with good "quality of life" for much of that time.

Previously, I had read Nina Riggs' "The Bright Hour," a book that is excruciatingly sad and at the same time positive and beautiful. Riggs, the mother of two small boys, was diagnosed with breast cancer at age 37. What should have been just a "one small spot" that could be easily removed and destroyed turned out to be highly aggressive and ultimately fatal. Riggs spent the last few months of her life writing this memoir filled with the insights and beauty of a poet. She finds humor in the midst of pain and despair. She celebrates every minute of time she has with her sons and her supportive and brave husband. "The Bright Hour" deserves all the accolades it has received, and I've recommended it to dozens of people. Riggs died only weeks before her book's release.

The first book in my trilogy of recently read death-and-dying books was Atul Gawande's "Being Mortal." Gawande, a medical doctor, examines the way we die in this "civilized" modern world, and he concludes that we are often doing it all wrong. Instead of fighting death, as if it were a foreign invader, he recommends seeing death as both inevitable and part of life. The extreme measures to keep a terminally ill patient alive often result in pain, discomfort and a terrible "quality of life" for the patient and for loved ones. Modern medicine can keep many patients alive but cannot make them well and cannot restore their enjoyment of life. Accepting the inevitability of death can be the first step toward a more humane, less painful and less costly manner of death.

Of these three books, I would recommend that "The Bright Hour" and "Being Mortal" are definitely worth a second reading.

I should probably be looking for some humorous books to relieve the sadness of the last three books. Instead, I'm rereading "The Name of the Rose" by Umberto Ecco, which I read about 25 years ago. It's about a series of mysterious deaths in a 14th century abbey. The nice thing about a well-aged memory is that I remember almost nothing of the plot, only that I thought it was a great book when I first read "Name of the Rose." We'll see how a more mature reader likes it.

Sunday, June 25, 2017

A book about life from a dying woman

In the past month, I have recommended Nina Riggs' book, "The Bright Hour," to a dozen or more people. Each time, I told the story of this brilliantly talented woman, a close friend of my son and his wife, who had breast cancer and chronicled her bout with the "one small spot" that turned into a metastatic aggressor in her blog, an article in The New York Times' "Modern Love" section and, finally, in this book.

The topic is not one that most people care to read about. It's sad, and it strikes too close to home for most of us. But Nina achieves something with this book that transcends her personal experiences and the sadness of a young woman with two young boys facing her mortality before the age of 40. Her NYT article, "When a Couch is More Than a Couch," opened the door for the book. Literary agents and book publishers saw the finely tuned article about Nina's quest to buy the perfect couch — one that her husband and her sons could enjoy after she's gone — and wanted her to write an entire book.

In his review of the book, which was released this month, Drew Perry, a novelist and close friend of Nina, said he had a habit of turning down the corner of pages with especially good quotes or lovingly tuned sentences. With Nina's book, he said, he was turning down almost every page. Her prose is poetic and immensely insightful and quotable.

The book is full of quotes from Ralph Waldo Emerson, an ancestor of Nina's, and the French philosopher Montaigne. She relies on the wisdom of others to try to make sense of her own life, and she brings her own wisdom.

Nina pulls readers into her world of hope, despair, sickness from chemo and radiation, optimism and depression, how to tell young boys that their mother has terminal cancer, how a loving husband tries to sustain his wife through the worst of times. As Nina is fighting her own illness, her mother is dealing with another cancer, myeloma. A close friend with breast cancer carries on a profane and sarcastic comic dialog with Nina, whose mother doesn't live to see her daughter's book published or her grandsons grown up.

In this worst of times, Nina finds goodness and brightness and love and laughter. She finds that "When you fall in love with your kids, you fall in love forever," a realization taken from a song from her childhood, "When I Fall in Love." Seeing Benny riding his bicycle without assistance for the first time is a thing of sublime beauty, even as Nina's back has just broken because cancer has attacked her vertebrae.

From her time studying in Italy, she recalls "memento mori" — "Remember, you will die." Nina faces her own death and all that she will miss with her husband and her sons. She sees the beauty of the days we have for as long as we have them: "We are breathless, but we love the days. They are promises. They are the only way to walk from one night to the other."

Two bits of irony struck me about this book. The "About the Author" page says Nina "lived with her husband and sons and dogs in Greensboro." She died weeks before publication, requiring the startling past tense, a book about life about a woman who has died. The other irony comes from Nina's book of poetry, published in 2009. It's title: "Lucky, Lucky."