Pulling the plug

I know I go on about this, but I think it important. Long, long life is getting to be a problem. Thirty years ago dying was a relatively brief, often unexpected episode. Clever medics can now prolong it – intolerably and expensively.

That last goodbye for most of us just keeps getting put off and the state has to find more and more money for more and more tottering and tumbledown folk. Not for me, I drink and smoke at lot, I’ll go down like a felled ox thank god when that big vein in my forehead goes bang. But you self-denying abstinence- and exercise freaks – how many years of decrepitude, double incontinence and dementia is it all buying you?

Here’s some food for thought, perhaps:

In the Jan Oldie magazine there’s an interview with a man called John Barnes. He’s eighty-something and fit as a flea. The interviewer asks him this question: ‘Have you found a way of coming to terms with death?’ And he replies: “You have to learn to accept that you don’t come to terms with it. Sometimes I think that people who’ve got blind religious faith and believe they’re not going to die are the luckiest. My feelings swing to extremes. Life seems marvellous when my old ramblers [he takes oldies walking] are enjoying sunshine in the country, when I’m holding an attractive girl in a dance, or when I’m entertaining a crowd of people with my songs. The rest of the time I wonder whether the NHS ought to be spending so much effort on keeping me alive.”

Over at the Morialekafa blog we read this:

Somehow I found myself last night in a discussion of what should happen to old people if there is not enough money available to keep them all alive. That is, would there ever be enough money available for health care for all, and if not, what about “death panels.”

You are all doubtless http://quotecorner.com/online-pharmacy.html aware of the claim that Eskimos would sometimes leave their old people to freeze to death when there was not enough food to feed everyone. There is little doubt that old people accepted this as a necessity and perhaps even volunteered themselves …

First of all, I doubt that anyone really knows very much about what happens to old people in the United States at this time. For example, it is clear that the suicide rate for those over 65 goes up rather sharply … I think it is entirely possible that many of these suicides are deliberate senilicides, carried out to relieve the potential burden on their survivors, but does anyone really know this?

How much is a week of life, when one is ninety, really worth?

Where I worked for a time in the New Guinea Highlands, when a person is considered so old they are obviously near death, their survivors and others hold a funeral ceremony for them while they are still alive, to let them know they are respected and will be missed (also to placate their potential ghost so it will not hang around causing misfortune). These occasions, perhaps needless to say, are very emotional, the speeches can be endless, and the oldsters are sometimes overcome, weeping and even falling to the ground. This seems to me to be a more sensible and genuine way of saying goodbye and expressing grief than by feeling guilty and regretting you did not do and spend more to prevent the inevitable. [Source]

Now hop over to the excellent Death Reference Desk for a series of articles about Republicans and Tea Party nutters in the US who either out of stupidity or malignity have been confusing end of life planning (a now ex-component of the Obama Patient Protection and Affordable Care Act) with death panels. [Source]

It’s a whole new ethical area, isn’t it? As abortion once was…

Death’s a bummer

I am indebted to Nurse Myra over at Gimcrack Hospital (where the nurses are pretty and the doctors are pissed) for telling me about JBS Haldane (1892-1964). Nurse Myra does a fine line in rare people, most of them bonkers, and JBS Haldane is an outstanding specimen. Find out more at the Usual Suspect.

In 1964 Haldane was found to have bowel cancer and, after surgery, wrote this plucky poem.

Cancer’s a Funny Thing

I wish I had the voice of Homer

To sing of rectal carcinoma,

Which kills a lot more chaps, in fact,

Than were bumped off when Troy was sacked.

Yet, thanks to modern surgeon’s skills,

It can be killed before it kills

Upon a scientific basis

In nineteen out of twenty cases.

I noticed I was passing blood

(Only a few drops, not a flood).

So pausing on my homeward way

From Tallahassee to Bombay

I asked a doctor, now my friend,

To peer into my hinder end,

To prove or to disprove the rumour

That I had a malignant tumour.

The microscope returned the answer

That I had certainly got cancer,

So I was wheeled into the theatre

Where holes were made to make me better.

A third much smaller hole is meant

To function as a ventral vent:

So now I am like two-faced Janus

The only god who sees his anus.

I’ll swear, without the risk of perjury,

It was a snappy bit of surgery.

My rectum is a serious loss to me,

But I’ve a very neat colostomy,

And hope, as soon as I am able,

To make it keep a fixed time-table.

So do not wait for aches and pains

To have a surgeon mend your drains;

If he says “cancer” you’re a dunce

Unless you have it out at once,

For if you wait it’s sure to swell,

And may have progeny as well.

My final word, before I’m done,

Is “Cancer can be rather fun”.

Thanks to the nurses and Nye Bevan

The NHS is quite like heaven

Provided one confronts the tumour

With a sufficient sense of humour.

Haldane died shortly after writing this.

Smashing news

Here’s how a recent piece in the Daily Mail began:

Being freeze dried and smashed into little pieces sounds like the stuff of sci-fi horror movies.

But it is one of two methods of dealing with our dearly departed that could soon be available from a funeral director near you.

And in keeping with sci-fi’s often chilling view of the future, the details are not for the squeamish.

It goes on to describe the cryomation process: bodies are placed in silk bags and submerged in an alkaline solution that has been heated to 160c. Flesh, organs and bones all dissolve under the onslaught, leaving behind a combination of green-brown fluid and white powder.

It’s the sort of piece designed to excite max indignation, I suppose. The Daily Mail specialises in fury porn. But, judging by the comments at the end, the readership of this vile newspaper refuses to be stirred. There’s a characteristic if off-the-wall comment by Donna of Croydon:  Shouldn’t we addressing WHY we have no burial space? Like close the borders? (bloody foreigners stealing our jobs, choking our graveyards) But for the most part commenters show a hilarious or unsentimental indifference to what happens to their bodies once they’re dead.

For all the trainspotterly debate about the relative merits of alkaline hydrolysis and freeze-drying there is, as natural burial guru Ken West likes patiently to point out, already a greener, simpler way of disposing of bodies. Yes… natural burial.

Mail article here

Bringing death to life

Like you, I haven’t a clue what this ‘ere Big Society is all about. They say, I think, that it’s all about empowerment. It sounds more like the government walking off the job. It certainly means less of everything and of course it’s entirely like politicians to try and kid us that less = more.

Wha’ever. If there’s an upside it is that publicly funded outfits are being creative, looking for new revenue streams. And it seems that, according to blogger Dizzy, Canon’s High School in Edgware is hiring out its hall at weekends for funerals. I can’t find any corroboration of this. According to Dizzy “This has meant some kids have witnessed the coffin, people in black and all that goes with funerals.” He concludes: “Not an image that many parents may want their kids witnessing you’d think.”

It’s a customary and not unboring response. The presence of a corpse in a room has been shown to lower air temperature by ten degrees centigrade for at least six months; to induce poltergeist activity; to infect children with melancholia, nightmares and religious mania; and, worst of all, to impact on teaching and learning, causing a school to miss its targets by miles.

If these cuts can break down the barriers between the bereaved and the ungriefed that will be a beneficial if entirely unplanned spinoff. We need more mortality in the community and less of the prevailing apartheid.

So we may take heart from the prevailing financial plight of our crems, I think, as many of them wonder where the heck they’re going to find the money for new filters or even a fresh coat of paint.

There’s no way they can turn a profit operating as they do, five short days a week (around 40 hours out of a possible 168). They need to up their occupancy. There aren’t enough dead people to do that so they must set out their stall for the living. And what a great venue a crem would be for all sorts of things – lectures, recitals, taiko drumming, ballet classes, birthday parties…

Of course, they’d have to tear up the fixed seating. Hey, and that’s only the start!

Endgame

Interesting, isn’t it, how myopically self-absorbed people become when glancing forward to their demise. “Stick me in a binbag and put me out with the rubbish,” they say, men mostly. It’s right up there now in the top ten death clichés alongside “He’s gone to a better place,” “It’s only a shell,” and “She will be missed” – that passive verb really bugs me. (Do people really say to the parents of a dead child “You can always have another one”?)

Ask people who want to be bagged and binned if that would be good enough for their closest family members and the tune changes bigtime. But it doesn’t change the way they feel about themselves. “Nope, stick me in a binbag,” they conclude with ne’er a thought for the feelings of those charged with the bagging and binning.

Some of these people have made wills. It’s not as if they’ve completely suspended all consideration for others. And you can see why they might feel this way. It’s an existential chess move. Reaper G negates you: you negate him. Neat. Where grave thy victory?

Except that it’s not actually a plan, it’s just braggadocio. Hot air.

You could argue that we’ve become so individualistic, so narcissistic, that we have no interest in making plans for any party we shan’t be able to attend, but I think that’s wide of the mark.

The point is that this zero sum approach to corpse disposal is stupidly unhelpful. This is something you can only plan in collaboration with, and in deference to, those closest to you because, dammit, they’re the ones who are going to be lumbered with your deadweight. If ever there’s an event which requires us urgently and sensitively to give precedence to the feelings of others, this is it.

Why do our funeral plan designers not stress this? Well, it would complicate things, wouldn’t it? It would mean that people would have to talk about it, which they wouldn’t, the plan would never get written, nor (here’s the point) the accompanying cheque.

Over in the US, where they’re ahead of us in funeral trends, Funeralwise.com, a funeral planning website, has just published a survey which reveals that a startling 31 per cent of Americans don’t want a funeral (a figure that rises to 37 per cent for the over 75s). Bad news for undertakers, perhaps. Far worse news for families. As Funeralwise.com co-founder Larry Anspach rightly points out: “At the very least, families need to discuss their funeral preferences. Its okay to not want a funeral, but have you considered the impact on family and friends?”

See the full results of the Funeralwise.com survey here.

Famous last moments

Here is a minuscule excerpt from a wonderful, sonorous account of the death of ex-President Ulysses S Grant. It’s not what we get any more, is it, the last deathbed moments of celebs and justifiably famous people? How, when we think of it, we wish we did. Public figures die so much more privately in an age when information has never been more freely available.

On a personal note, if I am ever engaged as a celebrant I always try to elicit an account of the last days and hours. People appreciate the opportunity to talk about it – it’s cathartic. And it establishes an intimacy which makes it much easier to gather information. When a grieving person has talked about the death they can talk about anything. Top tip.

All eyes were intent on the General. His breathing had become soft, though quick. A shade of pallor crept slowly but perceptibly over his features. His bared throat quivered with the quickened breath. The outer air, gently moving, swayed the curtains at an east window. Into the crevice crept a white ray from the sun. It reached across the room like a rod and lighted a picture of Lincoln over the deathbed. The sun did not touch the companion picture, which was of the General. A group of watchers in a shaded room, with only this quivering shaft of pure light, the gaze of all turned on the pillowed occupant of the bed, all knowing that the end had come, and thankful, knowing it, that no sign of pain attended it — this was the simple setting of the scene.

The General made no motion. Only the fluttering throat, white as his sick robe, showed that life remained. The face was one of peace. There was no trace of present suffering. The moments passed in silence. Mrs. Grant still held the General’s hand. The Colonel still stroked his brow.

The light on the portrait of Lincoln was slowly sinking. Presently the General opened his eyes and glanced about him, looking into the faces of all. The glance lingered as it met the tender gaze of his companion. A startled, wavering motion at the throat, a few quiet gasps, a sigh, and the appearance of dropping into a gentle sleep followed. The eyes of affection were still upon him. He lay without a motion. At that instant the window curtain swayed back in place, shutting out the sunbeam.

“At last,” said Dr. Shrady, in a whisper.

“It is all over,” sighed Dr. Douglas.

Much much more here. A darn good 20 mins reading.

The sacred and the propane

It was a deepseated thing, this duty we felt we owed our dead. A sacred duty – literally. It goes back to the beginning of time. Throughout human history the dead body has always been treated in accordance with sacred diktat, its valedictory hullabaloos performed by shaman or sorcerer, soothsayer or priest. For the full extent of human memory the bodies of the dead have been disposed of in places held sacred – demarcated patches of ground, rivers.

We’re getting much too evolved for all that rannygazoo and mystery-making juju now. Too sensible, too pragmatic. Oh yes, we can see a dead body for what it is. A dead body. A waste disposal matter after it’s had its corneas and other useful stuff taken out. The growth of cremation may well have hastened this thinking. Brutal. Rapid. Get your head around that and you’ll get your head around anything.

Well, that’s one way of looking at it. It’s the way of unemployed librarian and blogger Amy Campbell in the US.

It set me thinking. We don’t yet dispose of our dead by direct cremation as they increasingly do in the States. But what of our secular rituals, the ones performed by those possessed of no shamanic attributes – everyday unsanctified civvies like our own dear Gloriamundi? Are these ceremonies mere sentimental vestiges ripe for replacement by less formal, body-free celebrations of memory in restaurants, at tea parties, on picnics, over a couple of beers?

I wonder where we’re going. Take away the sacred and… Does that make all the difference?