
at least as much as I can be at this point. I think there is always more one can do.
I’ve been thinking back on the death of a good friend just before I left on this cruise. He was a scientist, a marine biologist, always looking for the proof of a thing – any thing – every thing. Yet he had Buddhist leanings in the later years. True to his science background and investigative mind, he had studied many religions over the years and had decided Buddhism was what held his interest now – or as he said – he had a keen interest in Buddhism.
When he received his diagnosis of Stage IV melanoma – he went online to learn more about it, even as he started chemo treatment with its slim odds. Nan had suggested – after speaking to an experienced oncologist who said the chances are so slight with that diagnosis – that he confront his doctor about his honesty as to the prognosis and his recommending hospice – she knew that doc usually waited until a day or two before the person died to stop treatment and say it was time for hospice. Allen asked the doctor, who then said that he would be straightforward about both the prognosis and hospice referral – NOT!
Heart problems developed which the oncologist said were due to his old problems related to his heart, later determined to have been brought on by the chemo. Treatment slowed as the heart was dealt with – or attempted to be dealt with. The trip to MD Anderson was discouraging. The Medical Director at Nan’s Hospice said that his prognosis was very poor and he should start preparing for the end.
We had tried to tell him that, but his investigative side continued to play as he checked out other chemo and other meds even as he said he was ready to die and wanted hospice when it came time.
Nan had to be the one to tell him it was time – actually, it was past time – since his general doctor wanted him to build his strength back up since he was so weak now and the chemo doc wanted to still try other drugs. And Allen wanted to research a nifty scooter so he could get around his apartment better.
We all tried to tell him that it was the natural progression of his cancer that was making him weak and nothing would make him stronger now. But he loved his research, whether in science or in determining what to buy. Nan realized that he needed this research into a scooter to feel in control of something since so much was being taken from him. So we all waited even as help was gearing up.
One male hospice volunteer, an intellectual who was trained in zoology, went to visit and they engaged in a exhilarating exchange. Another male volunteer was a Buddhist so could go and share that aspect and meditate with Allen. And a female volunteer who did hand and foot massage was involved to provide support for Allen’s wife. Allen had been a hospice volunteer so many volunteers were wanting to help.
But hospice had to wait as first, the scooter was the focus and then building strength back up. The doctor had actually said he should eat more – like a hamburger with all the fixings and a shake – since he was malnourished. Duh! as the kids say.
Not eating is the body’s natural way to move beyond the energy needed for digestion – meat is the hardest to digest and the first item to be dropped naturally. Allen tried, but just couldn’t eat that – or much else. And he was beyond getting physical therapy to help, but that continued, also.
Eventually, he was so weak that he finally accepted it was time for hospice. And 8 days later he died. At one point Nan had asked him what he would think if he went to visit a hospice patient who looked like him. Allen acknowledged that he looked like he was close to dying and he would have wondered why he hadn’t gotten hospice earlier so he and his wife could have the support and education to make it a bit easier.
Not only does not facing one’s impending dying impinge on the patient and family not getting the necessary support, it is also a grave disservice to the children of the patient, who usually goes along saying “I’m fine” so as to not worry the children. A rosy picture is painted, particularly when the children live out-of-state, so they thing everything is fine.
When suddenly, 2 weeks before dying the patient finally tells the children, they can’t handle it. They haven’t been given the time to prepare and slowly come to terms with what is happening. “It’s so sudden” they say. And they are not ready.
“We usually die the way we live” Nan has frequently said. I understood better seeing Allen and his journey. His few years of interest in Buddhism was not enough to override the long-standing pattern of being in control, being a scientist and checking out everything, doing things himself and not trusting that anyone else will do it right. A course correction at the end helps modify, but doesn’t change, the destination.
I still have some time. What do I need to do? Face it all – obviously the first step. Accept it – I am going to die! We are all going to die eventually, but I am going to die soon! I think I’ll read that book, “A Year to Live” in earnest – from the beginning – again. And do the work. It is time to prepare!





immediately seeing a postcard with a picture of two tiny, baby Vampire bats who need to be cared for, wrapped in a blanket or a towel.
I also find a great T-shirt that tells it all: 














