Showing posts with label Compassion. Show all posts
Showing posts with label Compassion. Show all posts

Monday, August 8, 2011

SWEET OLD GIRL


A very sweet old lady I knew died last Saturday.

The date was pre-arranged.  She had her family around her and she was happy (if a little bit tired) after a spectacular sunny day spent with her favorite people in her favorite place.  The place they would sprinkle her ashes when she was gone.

She had many of the ailments associated with her age group: Cataracts, hearing loss, arthritis, lowered stamina. Their normalcy did not lessen their difficulty or her suffering.  It was fairly certain that she had cancer although it was never officially diagnosed because, at her age, chemo and radiation were out of the question.  Really – why go through that at 84?  That would only add to her suffering. She needed help getting around and incontinence was beginning to rear its ugly head.  The only thing ahead of her – and it was probably looming close – was more pain and emergency intervention. 

And so, on Friday night, her family threw her a going away party.  30 people attended throughout the course of the night and many more sent regrets and condolences and love.  There was food and drink and laughter and tears and hugging and philosophical talk of death and passing and life.  The guest of honor basked in the limelight and visibly perked up from all the attention. 

The next day was spent sitting on the beach, smelling the salty sweet air and water.  Her family spared no kisses, no hugs, no tears.  The sunshine was clouded only by the knowledge that time was running out, by their resignation to the dreaded moment when the medication would be administered that would cause her heart to stop and end her life on this earth.  Knowing that this was the last time they would be together in this way made everything sharper, clearer, brighter.  And so, so bittersweet. 

Love on Four Legs


How do you know when it’s time to put your dog down?  When she’s had enough? Dog owners walk a fine line between reason and compassion.  The suffering and diminished quality of an old dog’s life is one thing. But rational thinking can be clouded by sweet memories and the moments when our dogs seemed to transcend their animal nature, responding uncannily to our needs, our thoughts, our human-ness.

Our dog, Lovey, has astonished us with her pure, spot-on responses to certain situations.  Call me crazy.  I don’t care.  Lovey and I know the truth.

One night, sick in bed, unable to get warm, I thought how nice it would be to have Lovey up on the bed – normally forbidden territory.  The thought of her warm, soft body close to mine circled around my feverish brain for a while when I heard her thumping up the stairs.  With a determined leap she was on the bed and curled up, her back pressed against me.  Her warmth seeped into my bones and I finally slept. Coincidence?

UNDER THE VEIL


Close your eyes and picture this:  Woman in Burka. 

What do you see?  Dark, flowing fabric?  Face visible?  Just eyes?   Is she walking through a barren, dusty, rock-strewn landscape? Or seated in her home, comfortable but isolated, saved only for her husband’s eyes. 

Or… is she walking down the halls of a hospital in Seattle, a refugee seeking medical care, cut off not only from her own people but also the people amongst whom she now lives.

I work at UW Medical Center, a hospital that serves a virtual United Nations of patients. Dealing with people from all over the world in life and death situations allows me to regularly encounter the heart of our shared humanity.  Perceived differences between people can come crashing down in one familiar, empathetic moment of connection.  In this hospital setting, I am constantly reminded of how alike we are despite language, tradition, culture and the garments with which we choose to cover our bodies.

Last week, heading to the espresso bar for my morning coffee, a man looking lost met my eyes and asked, “Do you work here?”  I postponed my coffee run to help him.  Navigating our way through the maze of hallways, I learned that he was Ethiopian and needed medical documents for immigration.  In my mind I switched places with him, trying to accomplish a similar task in Ethiopia.  I couldn’t wrap my brain around it, but it made me glad to be helping him.  We parted with a smile and a handshake.

Back at the espresso bar, two women I see every day greeted me.  Members of our housekeeping staff, also Ethiopians, they are constant presences to those of us who work in my area.  We chat about our lives and our families while waiting for our coffee.  One of them mentioned that it was her birthday and we ended up in a triple grande hug.  

Finally, latte in hand, I headed down the hall to my office.  A pedestrian traffic jam in the main hallway caused me to walk next to a burka-clad woman, our shoulders practically touching. I ignored my usual impulse to just walk by,  (a response to the burka’s apparent  message to keep distance between us?), and asked, “How are you today?” She looked surprised and responded, “Fine thank you, how are you?” in perfect English.  After learning that I was an employee, she said that she thought this was the best hospital in the world.

“I was near death,” she explained.  “I was in this hospital for a long time and they saved my life and showed me that life was worth living.”  I asked what unit she had been on.  The answer surprised me.  It was the in-patient psychiatric unit.  Then I learned where she is from.

She is Somalian. 

I was struck as I thought about it afterwards at how little I know, really, about Somalia. I know the basics.  I know it’s bad over there. But I have not taken it to the next level. I felt embarrassed when I admitted to myself that I didn’t even know where Somalia is in Africa. Or Ethiopia, the country of work-mates and where my daughter’s best friend is in the Peace Corps. 

I began obsessively studying a map of Africa; learning the geographical relationships between countries and places on this vast continent.  I felt ashamed at my ignorance but grateful for this encounter that propelled me on a mission to step outside my little world.

I googled madly.  “Somali Women;” “Somali Women’s Plight;” “Somali Civil War.” This is a glimpse of what I learned.

Somali women in refugee camps (for two decades now) have fled their homes and their lives, grieve dead husbands and children and parents and siblings, are starving, forced to endure poor hygiene and sanitation, subjected to sexual violence including being raped and sexually mutilated in front of their children (their attackers given absolute impunity as the powers that be consider rape a weapon of war).  They suffer trauma beyond our comprehension.  Grief and resignation is what one reporter described as the permanent look on the faces of these women. 

What had this woman standing next to me in the hall been through?  What had landed her in the hospital after finally escaping this horror, with no desire to continue living?

Under that burka was a woman who had likely loved, borne children, enjoyed the warm sun and the flowers and the sweet smells of salt air and spring.  A woman who, in another time and place, might have been a friend or a sister.

But that’s just it.  She IS a sister. And a daughter.  And a mother.   The sooner we start looking at our world, at each other, that way, the better we all will be. We are so much stronger when we work together and try to understand each other than we are when we fight or try to build ourselves up by putting each other down.  

A friend of mine emailed recently recommending a documentary called, I Am.  “The film’s message is that the human race is meant to be cooperative, not competitive, and if we don’t start working together – helping each other – no matter race, creed, country – we will go extinct.”

When we focus on our differences we become participants in the funneling of hatred and fear and blame towards people, symbols and places. We become pawns in a larger, very dangerous game.  Fuel for the fire.  Instead, we have to turn our thinking around from an “us and them” mentality.  A “we win – you lose” philosophy. 

Naïve?  Maybe.  An original thought?  No.   A little “kumbaya?” Perhaps. 
But that doesn’t mean it’s wrong.

We are all going to win. 
Or we are all going to lose.

It’s pretty much that simple.  And, unfortunately, that complex.

Thursday, March 11, 2010

Dad's Hands

I just spent a weekend with my parents.  My father has dementia related to his Parkinsons and the disease has progressed to the point where his words don't really make much sense any more.  There are rarely full sentences and never two sentences in a row that go together.  Conversation is non-existent because meaningful exchange is not possible.  The type of dementia he has eats away at his brain, leaving the equivalent of holes, robbing him of his ability to string coherent thoughts together.  That's the best lay explanation I can come up with.

However there are occasional moments of lucidity when he is grasping for words - when he is desperately trying to express something.  At one such point I said, "Dad, is it frustrating to want to say something and not be able to find the words?"  He looked at me with his eyes wide open and clear and said, "YES!"  He was there with me just for a moment. And then he returned to unrelated words, strange hallucinations, anxiety and mood swings.

Towards the end of my visit, as I was leaving in fact, I knelt down in front of his wheelchair, laid my hands over his which were crossed on his lap, and looked in his eyes.  "Dad, I'm leaving now.  I'm going back to Seattle to be with Dan, Sarah and Julia.  I love you, Dad.  I have enjoyed our visit and I'll miss you - but I'll be back...  I love you, Dad."  He looked at me hard as if he was trying to follow, trying to grasp the meaning of my words, trying to find this familiar place that is becoming more and more distant for him as his illness progresses.  He didn't say anything.  Just looked at me.  But I could see that he wanted to say something.  Wanted to participate in this exchange.

When was the last time I had a conversation with my Dad?  I can't remember.  This disease has been slowly taking his mind and I can't remember when we last spoke without the illness getting in the way.  There was a time in the kitchen, about a year and a half ago, during breakfast, before his meds kicked in, when we talked sweetly, and I reminded him that the reason he forgets and feels confused is because of the Parkinsons.  "Oh really?" he said.  "That's what it is?"  But what about the political sparring we used to do?  What about the long conversations we'd have about life and nature and my kids and growing older?  Once when I was in Canada on vacation on our boat, we talked for so long that I went over my long distance minutes.  I thought my husband was going to have a fit, but I didn't care.  I knew this was precious time.  But I didn't know just how precious.