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Joe Carter

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Still In The World

“What if you die overseas and I’m not there,” my mom said when I told her I had joined the Marines. I laughed and said that even if I were a civilian and died in the United States she most likely wouldn’t be there. Still, she worried that one day she would get a call saying that I’d been killed or was dying far from home.

My mother worried for nothing. Instead, over a decade later, I was the one who got the dreaded phone call.

“Mom’s not expected to live much longer,” my younger brother said. “You might want to come home.” I had just arrived in Okinawa and had to fly back to mainland Japan. As I waited another three days for the next plane back to the United States, I began to wonder if I’d make it home in time.

Two years earlier, when my mother was diagnosed with breast cancer, my brother built a room onto his house so that she could live with him and his family. The past few months had been especially hard on them. The constant care, the weekly trips for the chemotherapy treatments to a Dallas hospital, two hours each way, the anxiety of watching her get worse, had worn them down.

When they picked me up from the airport they tried to be warm, but our meeting was strained. On the ride home they made clear to me—politely but unmistakably—that the prodigal son would be expected to take his turn shouldering the burden.

I hadn’t seen mom since she was diagnosed. The red-headed, vibrant woman had been replaced with a bald, weak shell of a human being. Our reunion was awkward and bittersweet.

I masked my discomfort by falling into a regular routine. At night I’d sit on her bed, prepare her medicines, including the morphine she needed for the pain, and then swab the shunt in her chest with rubbing alcohol. Concern about an infection seemed to be an absurd worry when the tumors were destroying her from within. But I performed the task with the utmost care and pretended that it made a difference. We would make small talk as she drifted in and out of sleep.

Four or five nights after I had returned home, I began loading the needle with morphine when I felt a strange impulse, similar to the urge to jump that overcomes you when you stand on the edge of a bridge. An extra dose, I thought. That is all it would take. My family would wake in the morning to a sense of guilty relief and the welcome release of dammed up grief.

There would be no autopsy, no questions. No one would know. An extra dose of morphine and the waiting and the pain and the suffering and the dying would all come to an end.

I sat with the syringe in hand, watching her labored breathing. My mother was dying, and dying in pain. And I could make it stop.

Although my mother had experienced suffering and pain many other times in her life, I had never before been tempted to end her life. What had changed that had made me consider, however fleetingly and out of a sickeningly misplaced sense of compassion, usurping the role of God? A wave of revulsion washed over me as I realized I had been tempted because I had forgotten a simple truth: The dying are still the living, and their inherent worth is not diminished simply because their remaining moments on earth are few.

After that night the routine changed. I’d say a prayer and carefully measure out the correct dosage—sometimes slightly less just to be safe. I stayed for three weeks, giving the shots, cleaning the shunt, making small talk, attempting to make my mom as comfortable as possible. Mostly, though, I would watch her while she rested and wait with her while she endured the pain.

We made it through Thanksgiving and it became obvious that she wasn’t finished living. My leave was running out and I returned to Japan. Mom held on for several more weeks before passing away peacefully in her sleep.

It was only after her death that I could fully appreciate the casual lesson she had taught me. She had once been a hospice nurse and had cared for dozens of people as they began to die, staying with them to the end. I once asked her what the job entailed. “Mostly waiting,” she said. “You just stay with them and make them comfortable. Let them know they are not alone.”

Her words reminded me of Jesus and his followers in the Garden of Gethsemane. In the Gospel of Mark, Jesus tells three of his disciples: ““My soul is very sorrowful, even to death. Remain here and watch.” (14:34). Then, going a little further into the garden, he prayed that the cup be taken away from him.


And he came and found them sleeping, and he said to Peter, “Simon, are you asleep? Could you not watch one hour? Watch and pray that you may not enter into temptation. The spirit indeed is willing, but the flesh is weak.” And again he went away and prayed, saying the same words. And again he came and found them sleeping, for their eyes were very heavy, and they did not know what to answer him. (Mark 14:37-40)

The disciples provide an example—or rather a counterexample—of what is expected of the rest of us when God has sent us to comfort the dying. The duty of friendship required that the disciples provide the solace that can only come from bodily presence.

They were not expected to hasten the end of their master’s suffering or even to suffer with him. Their task was merely to relieve his despair and loneliness simply by being watchful and near. Similarly, our task, as my mother had explained to me, consists mostly of waiting, of watching, letting those passing from this work know they are not alone.

As the Catholic philosopher Josef Pieper reminds us, loving a person is a way of saying “it’s good that you exist; it’s good that you are in the world!” Those who are nearing the end of lives need to know that it is good that they exist, that it’s good that they are still in the world. And they need to know that we are with them, waiting and watching, till the end.

Joe Carter is web editor of First Things.

Comments:

7.14.2010 | 3:11am
Mimi says:
Is this not a feeling of"

It makes " US " feel good.

We are absorbed by our feeling, while it should be what the wishes of the patient is, how he is feeling.
What gives us the right to say or make a law, how much a patient should suffer.

Seeing a Loved one in pain is horrible and than botched suicide attempts, that is horrible.

Seeing a person in the arms of a loved one, who is getting an injection, who is so glad that his suffering is about over, is not terrible.

I hope, that in the near future a pill will become available.

I have a deep respect, for the man, who they dared to call "Doctor Death", a man who put his freedom on the line for men's suffering.
7.14.2010 | 7:04am
sanpietrini says:
Thanks for sharing. My Dad didn't have cancer, but he was nearing the end of his days, nonetheless: Alzheimers. Mom was the primary care-giver, and my sister did yeoman's duty caring for both; I was in Europe. July, two years ago was my annual Home Leave, which I spent with a man who had absolutely no clue in the world who I was; Mom and sis got some relief, I got an education. Quite out of the blue, I scheduled a week of vacation for October, figuring that was a 'good' time for another visit. Two days before my scheduled arrival back in Seattle, Dad fell and hit his head; he was in a coma when I arrived. I was the one holding his hand when he took his last breath.

Thanks to my own stint in the Marines, and just the act of being alive since, I have had the opportunity to say good-bye to quite a few. I have learned that the living - the vibrantly alive, and those whose end is near, as well as those that never saw the light of day, all have a place in our lives.

I liked your Bible quote (I wish I had had it when I sat with Dad). Those that find death inconvenient or uncomfortable would do well to remember that, Jesus has been there, we all need someone to watch with us for our own departure from this life, and those that are leaving us/have left us have much to teach us about how we live our own lives.

Semper fi.
7.14.2010 | 9:50am
ahem says:
Yeah. Mimi, but who's going to be administering that pill--someone who loves you and wants to release you from your suffering or some bland functionary from the state who's trying to save the taxpayer $50k?

The very fact that even a Christian would consider, even briefly, overdosing his mother demonstrates exactly the power of euthanasia's siren song. You are right, though: humans are not wired to stand around and watch their loved ones suffer. However, wherever euthansia is justified and legalized, it quickly morphs into a "duty" to euthanize. In some parts of Europe, they'll euthanise you for depression, if you wish. We can rationalize just about anything. The slope is too slippery.

Besides, as Christians we believe God is in charge and there is a reason for suffering. God came down to earth to show us how to live and how to die.
7.14.2010 | 10:25am
Scott says:
Looks like Mimi missed the whole point of your article.
7.14.2010 | 11:13am
diane says:
I don't think that mimi missed the point of the article.


my mother was removed from the vent per her wishes. when she struggled we asked for more morphine. I knew that it may hasten her death, but she wanted to be pain free.
We should rely on the wishes of the person who is dying.

Joe wrote about his experiences and his reactions to his mother's dying and death.
What would he have done if she requested more pain meds?
It appears she knew what to do if she wanted to end her life sooner.
Perhaps she wanted her time with Joe
7.14.2010 | 11:14am
Dr. Death, a.k.a. Dr. Kervokian, was nothing short of a serial-killer.

He also dabbled in oils: "His work tends toward the grotesque; he sometimes paints with his own blood, and has created pictures such as one "of a child eating the flesh of a decomposing corpse". Of his known works, six were made available in the 1990s for print release. The Ariana Gallery in Royal Oak, Michigan is the exclusive distributor of Kevorkian's artwork." [Wikipedia]
7.14.2010 | 11:50am
Good for you, Mimi. You have a true compassion which is not evident in the self-righteous essay and comments displayed here.
7.14.2010 | 12:30pm
UrbanRevival says:
Joe,
thank you very much for your article. I have often thought about that particular scripture passage and wondered what our Lord was meaning to say. "Could you not watch one hour?"

I think you have hit the nail right right on the head. The next time I have to "wait and watch" I think it will be different for me.

Peace to you.
7.14.2010 | 12:49pm
Todd A says:
Diane - there is a big difference between wanting to diminish the pain of a loved one who is dying, and wanting to end their life. The Catholic Church recognizes that difference, and cautions us to make sure that "death is not willed as either an end or a means".

Mimi and Mike's positions seem to be rooted in an attitude of despair, refusing to make room for God and His mercy. Our worth as humans isn't dependent on our usefulness to society, or some happiness quotient.
7.14.2010 | 12:53pm
Hey Mike Murray MD! Whatever happened to "first, do no harm?"
7.14.2010 | 12:55pm
Contrary to "Mike Murray, M.D.", I see no self-righteousness or lack of compassion in Joe's article. I see great compassion, and it is really the height of effrontery for this doctor to claim that Joe has no compassion for his own mother's sufferings. The nasty judgmental tone of Dr. Murray's comment is in great contrast to the tone of the article.
7.14.2010 | 1:08pm
cricket says:
"What gives gives you the right to prolong someone's suffering," seems to be the way the question is asked. This strikes me as a very hollow rebuke against the question, "what gives you the right to take a life that doesn't belong to you." Who is "prolonging the suffering"? Is it only Mr. Carter when he has the needle and thinks of killing her. Or is it every person who knows of her illness and doesn't break into the house and dispatch her. The presumption that there can ever be a positive duty to kill someone is fatuous.

The is not even to mention the dangerous presumption that suffering itself never has any positive value. My own thoughts are here:
http://acricketchirps.blogspot.com/2009/08/normal-0-false-false-false.html
written when my beloved ms (RIP) had cancer.
7.14.2010 | 1:57pm
Woodrow says:
It always comes down to "suffering." No one should suffer anymore. Especially if it is a loved one. They are going to die anyway, right? And yet, there is that other prayer, The Lord's Prayer..."Your kingdom come, Your will be done on earth as it is in heaven." Is there a benefit to suffering, especially near the end of life? Does that suffering your loved one is going through have no bearing on their life...or yours? Will that suffering be the difference between heaven, purgatory or even hell? Do you know God's will for this person? Do you know God's will for you? There are two people suffering in the article: The dying mother and living son. Who's suffering is worse? Let God's will be done. Trust in God.
7.14.2010 | 3:18pm
Bob G says:
Death is mystery and by any rational accounting has no rhyme or reason. It is the greatest challenge to faith. But as the theologian John Shea says, it’s the only way to come to the realization that a unversal love subsists under everything, even death. Yet that’s extremely hard to grasp. A person like Joe who comes face to face with it has “credentials” others of us lack.

I see wonderful and holy people consumed by cancer. Most of them die, but one I know whose sister prayed for him constantly recovered seemingly miraculously. There had been no hope for him.

I once came within a split hair of death three times within an hour and a half. By any natural explanation I should be dead. My survival was unnatural. Our parish has adoration and I attend three times a week. Maybe that explains it; nothing else can. Spiritually, I'm a clod. For days afterward I knew what it was to die, because I had stared it right in the face, and even the memory aroused pure terror. It is horrible, horrible. Yet we do survive it.
7.14.2010 | 4:32pm
Renton says:
Personally, I almost agree that we SHOULD favor life in this world, and stick with it, until the bitter end. But there are many parts of the Bible itself, that suggest that 1)our true home is "heaven." So that we should even be eager to leave this physical existence. We are told for example by Jesus to 2)"hate" our life here on earth (Luke 14.26 etc.). While Paul confirms 3) that "for me, to die is gain" (Php. 1.21). Indeed, 4) arguably, Jesus himself did not try all that hard, to save his own physical life; but was a sort of martyr, or holy suicide: giving up his life in this world, to save others.

Should we condemn Dr. K therefore, who help sick people die? Or condemn those who choose to leave this world? Surprisingly, there are biblical passages that support a right to die, etc..
7.14.2010 | 4:38pm
Jeannine says:
Mr. Carter, this is a courageous article and not self-righteous at all. Thank you for sharing your experience to help us when we have to go through the same.
7.14.2010 | 4:38pm
Dan says:
Mike Murray MD exemplifies the emotional ineptitude of his trade, not least in his case for that fatuously condescending "Good for you, Mimi." Here's probably some hack, a practitioner of a by-the-book interpretive skill, forever hiding his personal inadequacies behind a monogrammed lab coat. And what a cold SOB to make a mockery of the author's dramatic story honoring his mother's life.
7.14.2010 | 4:55pm
Mike Murray says:
Thanks, Dan, for the constructive Christian criticism.
7.14.2010 | 5:28pm
Maria says:
The forthrighness in the article is very touching ; was reading up on bio of the Little Flower yest and noted some connections too .

Having loved to read her book in boarding school ( one of the boarders would be reading alound some such book during the meal times to the other boarders ) seemed lately had a sort of disconnect from her ...and realised that this possibly due to the misunderstanding that she had it easy due to the 'liitle way ' ...the bio made it clear that it was not so ...she had the dark nights in the midst of severe pain from T.b ..pain meds denied due to the prevailing belief how suffering is to be allowed ..

may be in our fallen world , brought on by the domination of an agent that hates human life itself , the willingness to suffer and still cherish life or ateast not destroy it in the midst of sufferings ...may be this has mysterious powers to dethrone the enemy holds ..an enemy that uses the lust for pleasure so effectively , to destroy lives ..

Is not its biggest success in this realm in the lives of the unborn and their parents ...many of whom has most likely taken in the lie that the child is going to have an easy and instant road to heaven ...that this makes their choice not so bad ..till they recognise that they have handed over lives - of themselves, of the unborn .. to this enemy ..

Is not this prowling lion esp. around death beds too ..and possibly came at the author ..thank God he did not fall for its lies .. and having to live with the guilt and shame ...'let every beat of my heart glorify You' - that is what our lives are here for ..and when it is thrown away , into enemy hands , God alone knows how and when it can be set free again ...this esp. so for the unborn - we hear of situations where a child can become possessed by being cursed by the parent ..and may be God allows the raw evil to be evident , in such cases by the toughness of the exorcism , to let us know what evil can be ..

thank God that such cases have not been too many ..unless ofcourse we figure in the unborn who could be in the grip of the enemy , due to the parental choice ..


Could the pain and misery that parents of such unborn experience for years , at times even for generations ...could it be a reflection of the struggle of the little ones themselves with the evil one ..

This, may be even to include unintended abortions through use of pills ..or any such area where the enemy gets invited in ...which is the real death agent ..

There is a good article by Abbot Joseph at Word Incarnate that mentions of the ministry of praying for the dead ..even if the death happened years ago , because in God's realm, there is no time ..never late to ask for mercy ..to be at the deatbed of all our loved ones ..and of those who are in most need , such as the babies who might be getting handed over to the enemy ...

and every dignified death , accepted in serenity and in trusting love for Him - to undo such powers ..

Good to know that the author was blessed .. did not fall for the liar ..and his mother , to share that gratitude with him and The Lord , for all eternity ..
7.14.2010 | 7:27pm
Mike Murray says:
After reading the above comments and rereading the essay I realize that you are right and I am wrong. I apologize to Mr. Carter, Todd, Steve, Stephen, Dan and all of the rest of you.
7.14.2010 | 9:35pm
Forgive me for copying this post I submitted to American Thinker, but it summarizes my thoughts:
"One utterly demonic aspect of euthanasia is that it eradicates that time of reconciliation between the dying person's earthly existence and the spiritual. I was present at the death of an atheist, who in the last hour clearly was reliving, if not actually EXPERIENCING , as I concur, the presence of her loved ones long deceased. Accelerating this process is denying opportunities invisible to us still 100% in the physical world. Even though God can grant a century of introspection in a millisecond to a person dying suddenly, I don't think we should mess with His timing, even though I'm certain in His mercy he will expand that moment to any person, whom by personal decision or the sinisterness of others has chosen a quick death.

Did anyone see the Dignitas story on Craig Ewert? I couldn't help but notice his extreme politeness to all parties. I recognize that behavior in myself, and wonder if, in compromised old age, I'll be eager to save my caretakers from any imposition. There are accidental, uninformed decisions supporting euthanasia, and there clearly are demonic factors, as with abortion. I never expected my 80 year old 'certified' atheist friend to be greeting "Paw Paw" and "Ma Ma" in the minutes before her death from cancer. I had always been against euthanasia, but this glimpse into that precious transition to death really cemented it. "

One of the deaths I've been present at had no pain associated with it, and with the other two morphine was used successfully for pain control. Twice I've been in that midground territory...is the agitation pain induced, and should we dose more? Or will that stop breathing? Trust in God at these moments; in our efforts to do the right thing, God is guiding our hands during the actual technical parts.
7.14.2010 | 11:42pm
Paul says:
Mimi and Mike, as Dr. Barr rightly notes, have completely mistaken the tone of the article. They seem simply to conflate disagreeing with their merely asserted opinion with self-righteousness. And yet I've rarely seen such unreflective, self-righteous declamations. And if Mike can't see Mimi's assertions for what they are--the worst sort of pop psychology that would be unworthy even of a beginning undergraduate in the discipline, then one can only hope his medical judgments are in better shape than his inferential capacity.
7.15.2010 | 12:07am
Eric says:
I had an elderly friend who was suffering from cancer. During his sickness he had a stroke. His close friend was present and accompanied him to the hospital, and the doctors put the question to him, because no family was in the city, "should we revive him?".

The answer, motivated by a love of the man and love of God, was "yes".

When the sick man revived and later came back to his senses he asked his friend, angrily and bitterly, "why did you let them bring me back?"

"Because I love you. Because God loves you", was the reply.

For most of his life the sick man had a sarcastic and depressive disposition. His vision was clouded by negativity and he maintained only a tenuous hold to his faith through his artistic work and the self-emptying love of his friend, the friend who would save his life. He had alienated himself from his wife, who lived many hundreds of miles away, and his children, who saw him sporadically and shared no intimate acquaintance with him.

After a week or so, ruminating on his life and his living, on his friend who called him back and the love that demanded, "yes!! Bring him back!!", his heart was opened and the grace of God filled him.

In this late year, cancer-ridden and diabetic, frail and with a failing body, this man found Life. And he was a new man. The same man, but made new. His sarcasm melted away. His countenance took on light. He found new joy in his days and his friends and his faith. He prayed as never before. His family came from the East to join him and he reconciled with his wife, and told his children he loved them. A measure of hope filled him and even as his body was passing to death he made plans for the future with exuberance and excited expectation. Around him was a whirlwind of grace that was noticed by all who knew him.

Within two months he went to sleep in the Lord.

I attended his funeral. What a funeral it could have been! Morose and depressing. His life was lived tragically and left a wake of unhappiness. What might his children have thought, sitting in the pews for his funeral, had he been left to die that day? What might his wife have thought of her husband and her marriage, clouded under the dreary smoke of his depression? And his friend, who loved him so dearly? His would have been a prophet's love, unheeded by the rebellious, setting in stark contrast the light of grace and the darkness where there is weeping and gnashing of teeth.

But the funeral was not so. There was joy and love and an almost palpable sense of the grace of the Holy Spirit. His children were deeply glad to have been embraced by their father, and to have had the opportunity to unite with him and be with him in his last months. The conversion of those last months was food for the sermon, and we all heard with delight! There was rejoicing precisely because the prodigal son had come home. He came home! Because he was alive!

He came home because his friend, who loved him dearly said: "Yes! Bring him back to life!" I thank God almighty, that that sainted man, his friend, loved his friend more than he hated suffering. Praise God almighty that our Way, which is Truth, is Life.

Amen.
7.15.2010 | 10:29am
Mike Murray says:
Paul, Perhaps you did not see my retraction and apology. In any case, you are right about my original posting. Mike Murray
7.16.2010 | 1:09am
MTM says:
@Mike Murray: If you're serious, I really respect you. I mean, it's amazing that you could change your mind -- and say so -- in the face of such snarky responses.

@Renton: It's great that you're willing to stick it out till the end. For the "right to die placed in Scripture" question, there's at least one distinction to be made between Kevorkian and the Christ-like. The Christ-like die giving their lives for God and neighbor. Their eyes are focused on the good, and they execute this good to the point of death. The prayers of the dying, in particular, are amplified by their suffering. They can do so much good!

Obviously, those who commit suicide kill themselves, violating the 5th commandment. That's bad in itself. In the process, they reject the good that they can do as well as the remaining good time in the world that they have left. It should be noted that time suffering is not necessarily "bad time" -- imagine if Christ had mounted the cross, decided it was too painful, and then banged His head against the cross so hard that He died immediately. Absurd! Christ, rather, embraced His suffering, because it is through that suffering, He decided, that we should be redeemed.

It's wonderful to die in the service of the good. We're all called to do that. Simply, to literally kill oneself -- not metaphorically (a la "dying to oneself") -- is the opposite of the service of the good.
7.16.2010 | 3:13pm
MTM, Thanks for your comment. As a retired Internist I have seen so many terminally ill people who are suffering in pain and fear who seem unable to make the breakthrough to a 'good death' despite their own efforts and the efforts of others to help them. This is not to excuse suicide but to attempt to understand it. I made some mistakes in my original posting here which were unfair to Mr. Carter and offended some commentors. I don't mind the snarkiness. I did some of that myself when I was younger.
7.18.2010 | 2:05am
Bret Lythgoe says:
Thanks, Joe, for your moving, and heartfelt essay.
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