Memento mori

An interesting thread here in a US forum about the custom of stopping to show respect for a hearse passing. I don’t suppose it’s a custom to be found anywhere in Britain any more. Pity. Any reminder that the bell tolls for every single one of us can’t be a bad thing. “We slowly drove, he [Death] had no haste.” That’s the way to do it.

On the subject of reminders of our eventual demise, I rather like this over-the-top urn cover which Shirley (I hope I’ve got that right) at Modern Mourner has commissioned. She says: “I plan to keep my most precious personal possessions in it for now, and when my time comes my ashes can kept sheltered in this most stylish cover. If my ashes are scattered at some point, I hope this wrap can be used to store meaningful mementos.”

Whatever you think about Shirley’s urn cover, wouldn’t it be a good thing if everyone kept their end of life docs in a dedicated hollow object which all members of the family know all about? I’m collecting mine in a wooden ashes pyramid that I bought from Carl Marlow. It’s satisfying to point and say, “It’s all in there.”

Helpers fail, comforts flee

I enjoyed this piece by David Nobbs, creator of Reginald Perrin, in yesterday’s Observer. Here are some extracts.

My mother died on 7 August 1995. I didn’t realise, that day, my life had changed … My mother died, as she had lived, unselfishly. After she’d died, my wife Susan and I were just in time for Sunday lunch at my aunt’s. That may sound frivolous, but it was so typical of her I actually believe that some unconscious influence was at work.

She had lived about as happily as it was possible to live in the 20th century, for almost 95 years. She had been ill and in hospital only for the last two weeks. At times, during those two weeks, she had been restless and disturbed, but that Sunday morning she became more and more peaceful. Her breathing began to get slower. She had worried for Wales, and I had no doubt this contributed heavily to her worry lines, but now all those lines disappeared – her face became smooth and she looked young again. Her breathing faded and slowed so imperceptibly it was hard to recognise the moment she actually died.

I can honestly say, on reflection, that witnessing her death took away from me all fear of my death. (Not of my wife’s death. I fear loss dreadfully.)

That doesn’t mean I welcome the ravages of old age. I fight against them. In my 70s I have taken on a fitness trainer and last month I began to tweet! I hope that I will not die in great pain or in an old people’s home. But I no longer fear the moment when I will cease to exist

But the most important thing that happened to me in the wake of my mother’s death wasn’t the strengthening of my feelings against religion. It was the strengthening of my feelings for disbelief. I believe that there are just as many of the “Christian virtues” to be found among the faithless as the faithful…

Loss of faith. It sounds so negative. I didn’t lose faith. I gained faith. Faith in people. I am proud to describe myself as a humanist.

This growing conviction has had quite an effect on my writing – on the novels, at least. I am sometimes described as a comic novelist, but I describe myself simply as a novelist. I write about life, and in life I see much humour and much tragedy, and that is what I write about.

An irony of all this is that if my mother could hear me, could read this, she would be very distressed and would be horrified to think that her death had led me down this road. Well, there it is, it’s what has happened and luckily I believe (know?) that she can’t.

Read the entire article here.

David Nobbs talks about how he is dealing with ‘the ravages of old age.’ I guess that, as we embark on an era when, for most of us, we’ve never had it so old, there will be more and more writers dealing with if and how ageing can be made endurable as physical debility advances and we are deserted by all interest in sex and shopping. A book which has been well reviewed is Jane Miller’s Crazy Age: Thoughts on Being Old. There’s article by her in the Guardian here. The social problems thrown up by an ageing population will become more and more apparent in the next 20 years and I suppose the answers to them are, for the time being, unthinkable. But not for very much longer.

Over on BBC Radio 4 tonight at 8pm there’s a challenging-sounding if uncheerful-sounding  programme, Exit Strategy, by Jenny Cuffe about assisted dying and self-deliverance. The debate over whether we should legalise assisted suicide is not going away. But whilst we flounder over the grey areas of the British legal system, a radical Australian doctor has found a loophole. Because physically helping someone to die is illegal, he is providing information to paying participants on how to die peacefully and painlessly kill themselves … Talking with geriatricians, psychologists, campaigners and elderly people she explores society’s last great taboo: death. She asks why so many people approaching old age are scared of dying. Are they being failed by our care system? Are advances in medicine extending quantity but not quality of life? Or is even discussing assisted suicide for the elderly symptomatic of an ageist society that undervalues the old? Should the ‘I want’ generation be able to make the choice of when we die and have the right to plan our own Exit Strategy?” If you miss it, you can always catch it on the Listen Again.

The undertaker’s understrapper

When my friend PoshUndertaker first opened to the public, business was slow. When he went on holiday he’d ask me to mind the shop for him. I’d say yes like a shot, confident that nothing more would come in than a lot of importunate calls from people flogging stuff. There was always the possibility, of course, that a dead person would come knocking, and if I thought about it I shuddered. It was a terror easily dispelled by counting quickly to ten.

Time went by. PoshUndertaker got a little busier. Still I said yes to minding the shop. And the day came, as you have already guessed, when, as he was passing over the Channel in his jet plane, death walked in.

A nearby FD, CrossUndertaker, looked after the body while I set about the paperwork. The family wanted to visit, so I arranged for them to come to the quiet room of a religious community a few miles distant. Thus began the most exciting part of what was a tremendously nailbiting week. I picked up the body from CrossUndertaker and enjoyed the new sensation of sailing through the countryside with a dead person on board. I managed somehow to unload the coffin onto the spindly trolley at the top of a steep concrete path in full view of two lanes of slowly moving traffic. I removed the lid and, dismayed by the bleakness of the interior, rushed into town and bought yards of white cotton. By tucking it underneath my dead person and allowing it to cascade down the sides of the coffin I managed to make a very presentable job. The family came moments later and were well pleased.

I won’t bore you with the rest – it’s a long and bumpy story.

All I want to report this morning is that it’s happened again. Except that this time the dead person came knocking before PoshUndertaker left for his scheduled holiday. All I have to do is get the dead person to the crem on time next Wednesday and keep an eye on the filing of crem forms, music, etc. I’m off in a moment to do a full recce, meet the family and celebrant and check times, distances, likely obstructions.

And I tell you this because it’s bound to give me a certain credibility, yes? Sure, I spend a lot of time on the sidelines scribbling critically while the players do all the work. But once in a while I have my hour (one far fierce hour and sweet). And though I could never be an undertaker (because you can’t put in what god left out), it’s salutary to get a periodic reality check.

MEMO’s fossil bell

Have I written about the MEMO project before? I can’t remember. Here’s what it does:

MEMO is an educational charity dedicated to building an ongoing memorial to extinct species. The memorial will be a stone monument bearing the images of all the species of plants and animals known to have gone extinct in modern times … The MEMO will be a circular enclosure of Portland limestone open to the sky. Its inside surface will be carved with the images of all the species of plants and animals known to have perished in modern times. It will be both a scientific record of historically extinct creatures and a celebration of the unique liveliness of each of them. The space enclosed will be a forum and theatre in which to examine our relationships with other lifeforms and celebrate the diverse life of this extraordinary planet.

I won’t quote any more than that from their excellent website. Find yourself an idle computer with an internet connection and read it yourself.

I love MEMO, not just for what it is but also because it’s all happening on my beloved Isle of Portland.

In 2009 they cast a bell to be rung every time a species is declared extinct – and on other occasions. It’s a wonderful thing, as you can see. And I’ve stolen these pics of the making of it from their Facebook page (yes, you can go there and like them), and I hope they won’t mind because it’s all in a good cause and I know at least one of the readers of this blog is a multi-millionaire.

Better dead than alive

Going through my stats, researching for a blog post, I saw that someone had clicked through a link I did not recognise. So I clicked through myself and found this wonderful account of embalming excellence at Harlem-based Owens Funeral Home “where beauty softens grief” . I used it in a blog post so long ago I’d forgotten. If you didn’t see it way back then, enjoy it now. If you recall it, I’m sure you’ll enjoy it again. The quality’s good enough to go full screen.

What a wonderful selling point this funeral home has: “I’m the guy who puts the smile on your face. Other places you just look dead.”

On a related theme, I’ve just stumbled on another article describing cosmetic treatments for the dead. While a certain amount of beautification goes on in UK funeral homes (it reflects well on an undertaker’s standards of care), we do not have over here the ritual (ordeal if you like) of the open casket visitation. So while, when thinking forward to our own funeral, we customarily conclude with the reflection that we won’t be there, Americans don’t. Because they will. And, of course, they want to look good and they’re bound to worry that they mightn’t. “People used to say, just throw me in a pine box and bury me in the back yard,” says Mark Duffey, president and CEO of Everest Funeral, a national funeral planning and concierge service. “But that’s all changing. Now people want to be remembered. A funeral is their last major event and they want to look good for it. I’ve even had people say, ‘I want you to get rid of my wrinkles and make me look younger’.”

“I’ve had people mention that they want their breasts to look perky when they’re dead,” says David Temrowski, funeral director of Temrowski & Sons Funeral Home in Warren, Mich. “Or they’ll say, ‘Can you get these wrinkles out?’ It’s all in humor, but I think people do think [more] about what they’re going to look like when they’re dead and lying in a casket.”

“My brother’s a plastic surgeon and I joke with him all the time that funeral directors were doing Botox long before any doctor thought of using it,” says John Vigliante, owner and manager of the Branch Funeral Home in Smithtown, N.Y. “Or at least we use a material that’s similar. We‘ll inject tissue fillers into the lips, the nose, the cheeks, above the eyebrows, the chin, and the hands. It’s the same concept as Botox and dermal filler.” … Lips are plumped, cheeks are filled and contoured, and hollowed hands are injected with filler to give them what Vigliante calls “a nice fuller appearance.”

Read the full article at newsvine.com here.

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Better read than dead

When Eulogy magazine came out in June there was excitement and chatter and speculation. Would it catch on? How long would it last? The lowest estimate I was aware of was a curmudgeonly six issues, volunteered by a funeral director in the west country.

In the event, it seems to have underperformed more grievously. There has been nothing since. I had £250 riding on it for an article I was commissioned to write about… I’ve forgotten. Ah well, where Eulogy has gone we shall surely follow. Ink to ink, ashes to ashes.

Over in the New World, Funerals Today goes from strength to strength, it seems (I’ve never read it).

The difference between you and it

Jonathan Taylor, the mercurial genius who from time to time gilds this dull little blog with his inspired intelligence, glorious whimsy and beauty of spirit, once observed that the time between death and the funeral gives people the time to get the heads around the difference between ‘you and it’ – between a living person and a dead thing from which the spirit (if any) has flown.

For many professionals working at the interface between life and death, ‘it-ness’ can happen pretty fast. “That’s not a person, it’s a thing.” There’s nothing necessarily wrong with that – so long as it isn’t attended by a coarsening of the emotions which manifests as cruelty or carelessness.

It can happen. This is from yesterday’s Birmingham Post.

Birmingham’s largest hospital trust has launched an investigation into its private porter services after dead bodies were left for hours on wards.

Lung patient Sarah Stevenson, from Small Heath, described in March the “horrendous stench” she was forced to endure on Ward 9 at Heartlands after three patients died on the same day and they were not removed for hours.

Whistleblower David Whitsey, a porter at the hospital for nine years … claimed lack of training led to the body of patient Dora Parker, aged 81, from Kitts Green, being dropped while lifted on to a trolley shortly after she died in 2003, causing a gash on her head to the shock of daughter-in-law Patricia Parker.

Read the whole sorry story here. (Hat-tip to Tony Piper for this)

Cruel and all too usual

There’s a good, long piece in the Huffington Post by Lloyd I Sederer, a doctor, describing his mother’s decline and death. He describes a problem which is going to become more and more common.

Longevity is not all it’s cracked up to be. If we are lucky enough live into ripe old age, our dying may well be a protracted and unbearable ordeal prolonged beyond humanity and reason by attentive medics. That’s why more and more people are going to Switzerland to swallow hemlock.

It’s something society needs to address with some urgency. The problem is already big and it’s going to get huge.

Here are some extracts from the Huffington piece. I’m sure they’ll impel you to read the whole thing.

My mother died on a Monday a few weeks ago. We buried her, in the Jewish tradition, the next day. But we lost her more than a year before when a cardiac event she survived robbed her brain of the oxygen that sustains it and ushered in a dementia that took her away well in advance of her death.

The mental torment of dementia is what gives it its unique cruelty. As horrific as the psychic pain of dementia is, I wonder if it gets the recognition it warrants. Medical care has come to appreciate the crucial importance of mitigating physical pain but mental pain, no less agonizing, has yet to receive its proper due. Psychic pain is equally distressing as physical pain, and to make things worse, for dementia it has few good remedies.

I know death was a relief for my mother — a desired end … She also had made her wishes perfectly clear years before in her health care proxy and power of attorney. She understood, though never used the term, what dying with dignity meant.

…decisions abound during the process of first declining then dying. Not to mention the often tortuous decisions about money, there are decisions about treatments: how should someone be treated for their illness as well as the cascade of complications that frequently befall someone as their immunity diminishes and their infirmity increases. There are decisions about care taking … the most well known decision is whether to DNR (Do Not Resuscitate), but the questions are far more nuanced, as a rule. Here is where a living will or health care proxy is a blessing.

My mother’s time was ushered in after she fractured her hip trying to climb out of bed during a night of terror we could only infer was from her distress. But here is a story about American medicine that needs to be told.

The fracture was discovered some days after it occurred when she was rushed to the hospital with trouble breathing. I received a call from the physician’s assistant to the chief of orthopedic surgery. My mom had a hip fracture but the bone had not been displaced from its socket … She was in no pain. The PA said they wanted to operate, to place a set of screws in her hip … I called back to say no and soon received a call from the surgeon himself to urge me to proceed with the surgery.

That moment was a wake up call for our family. We asked ourselves what would give mom the best moments of life and experience in the time she had left? We realized that goal would be best achieved if we placed her in hospice care. This may sound oxymoronic, but when the time comes give it a try. Fundamental to hospice, contrary to common understanding, is how to make the most out of what time remains, not how to deny care or bring life to a rapid conclusion.

Fighting death and disability at the end too often steals what few moments of actual life remain for someone facing imminent passing. For my family, it was human kindness and eschewing aggressive and dubious treatments that enabled our mother to savor at least a few good moments while still on this earth. But thankful as I am for that I still wonder, until we have more miracles in medical care, is there a better way than the path we are so stubbornly now on?

Find the entire article here.

Geek watch: no service by request

I always enjoy my weekly perusal of my favourite obits page in the Victoria Times Colonist, BC, Canada because (as you may know) I wonder if it describes a trend in the end-of-life event business which will cross the Atlantic.

There are also some finely wrought word portraits of those who have died.

Eleven deaths are announced. It is difficult to determine how many of these will be marked by a funeral with a body since the word ‘funeral’ is used only twice. There is one ‘private family funeral’ and one ‘family celebration in lieu of a funeral’.

Of the remaining nine, there are two ‘celebrations of life’, three memorial events (one at a golf and country club) and one ‘service’.

For three of them there is no end-of-life event whatsoever (or at least none stated).

Why does this hold my attention? Read previous blog posts here.

Find the Times Colonist obit page here.

Rite and trite

There’s an interesting article in yesterday’s Guardian about funeral rites in the Church of England Book of Common Prayer (BCP). Here are some tasters:

Life expectancy in Tudor England was mid thirties, and about a third of children died before attaining the age of ten. Mortality was very much in the air and on the streets, what the Book of Common Prayer described as “divers diseases and sundry kinds of death.” … Before modern times the unjust and random nature of fate was inescapable. Death was no stranger, and contemplating your end was not an exercise for a retreat, but the inevitable consequence, half the time, of going out in the streets. In the midst of life you were in death … Death’s carriage delivered us, in the end, to the public crematorium of the 1970’s, with its Terylene curtains, cheesy music, elaborate floral tributes, and shuffling, embarrassed mourners. Death still comes to us all, but now as a sanitised stranger.

Most interesting, though, are some of the comments left by readers. Here’s a sample:

This summer I visited the convent chapel in the aragonese castle on Ischia.
What I thought at first to be toilets, were in fact the penultimate resting places of deceased nuns, whose corpses were seated on these bowls as corruption removed the flesh slowly from the bones and the fluids drained away. To be constantly reminded of their mortality, the other nuns would visit this apalling spectacle daily, many of them sickening and dying themselves as a result of the germ-laden atmosphere.

Give me sanitation and terylene curtains any day.

Existences of null consequence seems to be the modus operandi of modernity. Organs in bodily transition – no future / no past a linear journey from birth to death with no stops and seeming little point.

This seems to that ino our “yoof” obssessed culture we journey into invisibility and then pass away pointlessly. The links to the past and the future give us meaning in the present.

I’m fascinated how you could write a fairly extended piece on the BCP Funeral Service without mentioning the Funeral Sentences ?.

So I will.

Man that is born of a woman hath but a short time to live, and is full of misery. He cometh up, and is cut down, like a flower; he fleeth as it were a shadow, and never continueth in one stay.

What language. If I don’t have these words said at my funeral, I shall return to haunt CiF [Comment is Free]  belief !

Read the entire piece here.