« August 2009 | Main | April 2010 »

Midwifing Death

My grandfather’s eyelids flicker, and my grandmother says, “Look! He’s opening his eyes!” There is a crowd of family gathered around my grandfather’s bed to witness this wonder, and there is delight in my grandmother’s voice.

I am struck by how much shepherding a man out of life is like welcoming a child into it. I saw the same thing just a few months ago, when one of my cousins died. At the viewing, my aunt fluttered around his body, stroking his hair. When she saw me, she asked, “Jess, have you seen him yet?” and it was like she was asking me if I’d had a chance to hold the baby. Her grief was incalculable and uncontainable, but, in her last moments with her son’s body, she fell into a pattern that mirrored the one she discovered when she first took him in her arms.

I have encountered the concept of midwifing death before, but I always figured it required some sort of conscious, distinctly New Age process—possibly including the burning of sage bundles. Now I see that it is what families and communities do organically. And, now that I have become a mother and tended an infant myself, I can see that caring for my grandfather is not all that different from caring for my baby.

Frances was, for all practical purposes, helpless when she was born. But she came into this world with a will, and Ted and I found our lives reordered by her cries, reacting to her forceful presence and preparing for a future that, all of the sudden, stretched beyond our own span of days. My grandfather is helpless now, too, but he is past crying. We are guided instead by the full weight of his lived life, by our experience of him and our knowledge of his wishes, and by our desire to ease his passage if we can.

 

 

My grandfather died a month ago. He died at home, surrounded by his family. He died in the house where he had lived for 50 years. He died in a bed that had been set up where the sofa usually sits, which is to say that he died in the same spot where he had watched a million PGA tournaments and taken a million naps.

During one of his last lucid periods, a nurse asked my grandfather a series of questions—the names of his children, the year, the name of the President—to test his coherence. He passed her test, and then he offered her twenty bucks to take him home. Kidding on the square was my grandfather’s signature comic motif. He was unconscious most of the time during his last days, and, before that, he had been mostly incoherent for awhile. But, to the extent that he communicated at all, he communicated his wish to be at home. When he was in the hospital, he would ask for his shoes, telling my grandma that he needed to get to work. He suggested that they sneak out down the back stairs. I realize that his mind was disordered by dementia, but I think it’s worth noting that his confused thoughts all tended in one direction: home.

My grandmother did not encounter any death panels. What she encountered instead was a social worker who was absolutely scornful of my grandmother’s insistence that she and her family and neighbors could care for my grandfather at home, a social worker who refused to even tell my grandmother about the incredible hospice support available to her. So, if we’re going to talk about bureaucrats pressuring old people to spare their loved ones the expense of living, we need to also talk about the contrary pressure exerted by contemporary medicine. It’s not easy to let someone die naturally when there are so many means of intervention, so many ways to keep a body going. It’s not easy to stop feeding someone when IV drips and feeding tubes are an option, and not when you’ve been feeding that person for more than fifty years.

We also need to talk about the fact that the modern American way of dying is an aberration. Death has—much like birth—been medicalized. My grandma’s insistence that my grandfather die at home—so repugnant to the social worker—was completely consistent with human practice across time and across cultures. The hospice nurse was impressed that my grandmother knew how to change a bed with a patient in it. My grandmother explained that it was something she learned in Home Ec.—in Akron, Ohio, in the 1940s. My great grandmother probably knew how to wash a body for burial.

So, the idea that acknowledging and planning for death shouldn’t be a part of health care makes me angry in a raw and visceral kind of way right now. But that’s not what I want to write about. I want to write about how proud I am of my grandma and my family. I am so grateful for their courage, for their steadfast determination to take my grandpa home and let him die.  I also want to thank them for giving me a new way to understand death. I have always feared its infinitude, but now I know that death can also be homely, small enough to fit into a suburban living room. Now I understand—for the first time, really—that death is a part of life, and I am so glad that I was able to be there for that part of my grandfather’s life.  

September 30, 2009 | Permalink | Comments (6)

Reductio ad Glennbeckium, or, Shut off His Mic!

I was a religion major as an undergrad. I found that, when religious people discovered that I was majoring in religion,  they often wanted to talk to me about religion. It didn’t take many of these encounters to notice a pattern: Ostensibly friendly conversation would quickly turn to argument, and the debate would be one I was destined to lose. At some point, my interlocutor would present something as fact that I found dubious. I would ask for the source of this position, and the response would be, “It’s in the Bible. The first few times I had this experience, I would opine that my debate partner was offering an interpretation of Scripture, at which point I would be assured that, no, the other party was giving me a “literal” reading—that is, she wasn’t telling me what she thought the Bible meant; she was, rather, telling me what it actually said. This is why I was destined to lose these debates: I was arguing against God.

I find that a similar dynamic pertains with fans of Glenn Beck. To his loyal viewers, he is a fearless champion of the truth, while the nation’s paper of record and similar news outfits are exemplars of liberal media: craven, self-serving and fatally compromised by a leftist agenda. How can mere facts compete with such belief? How is it possible to engage in rational discussion with someone who can watch, say, this and still maintain that Glenn Beck is a serious  journalist and a patriot committed to healing an ideologically divided nation? How is it possible to engage in rational discussion with anyone who can watch, for example, this and still maintain that Glenn Beck is anything other than a slandering, hate-mongering douche bag peddling half-truths and outright lies for his own aggrandizement?

Just as I once forswore talking to religious people about religion, I must now forgo talking to Glenn Beck devotees about Glenn Beck or any of the positions he advances. I wasn’t altogether happy about the former, as I was interested in the varieties of religious experience and would have enjoyed the opportunity to engage in a discussion of religious belief that didn’t devolve into homophobic, sexist, or anti-choice bullshit (and I mean bullshit from a fairly informed theological perspective). Similarly, I am saddened by the realization that trying to engage Glenn Beck’s fans in civil, rational discourse is doomed by the fact that Glenn Beck is, himself, apparently incapable of—or inimical to—civility and reason.

So allow me to suggest a new rhetorical principle—let’s call it reductio ad Glennbeckium—which states that anyone who takes Glenn Beck seriously automatically forfeits any claim to truth or respectability. I’m sorry that it’s come to this, but, fuck it: I’m tired of losing.

September 14, 2009 | Permalink | Comments (3)