Tag Archives: Cancer

THE LEISURE SEEKER: a novel

John and Ella Robina have shared a wonderful life for more than fifty years. Now in their eighties, Ella suffers from cancer and has chosen to stop treatment. John has Alzheimer’s. Yearning for one last adventure, the self-proclaimed “down-on-their-luck geezers” kidnap themselves from the adult children and doctors  who seem to run their lives to steal away from their home in suburban Detroit on a forbidden vacation of rediscovery.

“We are all tourists.
I have recently come to terms with this. . .
I guess we always knew. . .”, Ella Robina

Oh boy. Having to deal with the deaths of my own parents and struggling to accept their individual end-of-life choices, I sense that Ella and John’s story will strike a nerve with readers- some will understand and other’s will have reservations and a critical view of two old geezer’s reaching out to one last good time on their own terms. End-of-life discussion is the pinnacle hot-topic issue in most families.

John’s best friend had been warehoused in a nursing home, tethered to life support, terrified, and living the same events over and over in Groundhog Day style. After his friend’s death, John feared, he too, would follow in his friend’s footsteps. He made Ella vow that if the aperture in his own mind closed, she would not leave him staked out to die a lonely and prolonged death in a nursing home.

In time, John’s memory did begin to fade. At first it was gradual and Ella was able to provide home care. As his Alzheimer’s disease suddenly accelerated, Ella’s physical health collapsed. She was diagnosed with a rapidly progressing cancer. She endured the initial poking and prodding of family and the medical system with the goal to prolong her life. When the cancer became more aggressive, she was pressed to undergo more advanced medical interventions. She drew a line in the sand and refused to do anything more.

These are parents, having expressed their wishes and needs to end their lives without invasive medical intervention, finding themselves at odds with those who care for them. These are common, everyday folks, your neighbors -perhaps much like your own family.

While the children are only concerned for our well-being, it’s still really none of their business. Durable power of attorney doesn’t mean you get to run the whole show. . . Is this [trip] a good idea? Don’t be stupid. Of course it’s not a good idea.

They gassed up their old Winnebago “Leisure Seeker” and left without a word to anyone. Flight – no more fight. Ella knew they were headed from Michigan to California for one last road-trip and a thrill ride at Disneyland. Their slow journey cross country followed the old route of Route 66 across country replicating the path of past family vacations. John was along for the ride; not sure where he is going.  “Are we going home?” What could go wrong with an Alzheimer’s patient behind the wheel?

Ella had been planning this trip for sometime; back when she first knew that her death would end John’s home care. She knew what lay ahead for John after her death. His worst nightmare realized.

She had carefully packed John’s slide projector and boxes of family slides, gathered up road maps, stocked the RV’s pantry, stashed cash and plotted a route through familiar towns and past small town landmarks. At night, settled in some out-of-the-way campground, Ella would hoist a white sheet outside and the pair would reminisce as their children romped in the ocean or played in the yard. Simple pleasures that warmed the heart strings; often sharing the slides with transfixed strangers.

Let me step into Ella’s story for a word or two. This is not a maudlin tale; nor unloving parents isolating their children at life’s end. I had more than one belly laugh and a familiarity with the micro-bursts of emotions that occur between two long married partners. I’ll admit, in those moments when John is aware of his situation, the dialogue gets a bit crusty. He’s angry and scared. Ella is feisty and unwilling to kowtow to anyone – including John. Each has to have the last word. Yet, in a split second, Ella is left fuming and John’s anger switches off, argument lost in the ether. Their relationship exposes the pain and anguish Alzeheimer’s brings to the lost and the left behind. And fear not. . . there are plenty of very tender moments that reveal the deep affection and love these two have shared in over fifty years of marriage.

Not everyone will like Ella’s plan; but most will probably agree it was right for Ella and John. May I have courage to enter that long good night, a life well lived on my own terms, with humor and hopes for everlasting peace.

A good read. Might be too hot for some folks struggling with end-of-life issues.

Side note: The Leisure Seeker was made into a movie in 2018. The movie, renamed the main characters, and changed the story line to reflect more humor than time spent examining the intimate bonds between the couple.

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WHEN BREATH BECOMES AIR

when breath becomes air graphic poem

blue quotation-marksAt age thirty-six, I had reached the mountaintop; I could see the Promised Land… I could see a nice catamaran on the [Mediterranean Sea]. I could see the tension in my back unwinding as my work schedule eased and life became more manageable. I could finally becoming the husband I’d promised to be…

I flipped through [my] CT scan images, the diagnosis obvious… The future I imagined, the one just about to be realized, the culmination of decades of striving evaporated.Paul Kalanithi

Paul Sudhir Arul Kalanithi grew up in Kingman, Arizona. After graduating  from Stanford University in 2000 with a B.A. and M.A. in English Literature and a B.A. in Human Biology, he found himself caught between the worlds of literature and science; neither a perfect fit for him in his quest to discover the answer to the overwhelming question – what makes life worth living?  What is a meaningful life?

After deliberation, he set a goal to attend medical school, but not before he explored more fully the nature of thought and consciousness; how man makes decisions, defines consciousness, and rationalizes his existence. After attending the University of Cambridge where he earned a Masters of Philosophy in History and Philosophy of Science and Medicine, he turned to Yale University of Medicine where he graduated cum laude in 2007. Armed with years of theoretical education, he now focused on practical experience and hands-on patient care.  He returned to Stanford University to begin his residency training and ultimately fine-tuning his focus onto the field of neurology. In his sixth-year of a seven-year training program to become neurosurgeon, Paul learns he has stage-four lung cancer.

Now cresting at the top of his field, having struggled with the long duty hours, strains on his personal life, he feels he has a good grip on his personal identity. He will soon become a doctor, counselor and adviser to his patients. He has stumbled and made mistakes along the way to understanding that he must fully understand his patients as a whole to offer the best care.

And now he stands facing his own mortality. He knows he will never have that long sought after career as a neurosurgeon. He has become the patient. His world has come to a full-stop. “Who am I now?”, he asks.

In the end, he became the writer; an early life goal. A man determined to leave a lasting legacy. A man opening his whole life to the world in hopes that in revealing himself, others will learn to face their own mortality and fears; to live life fully, unafraid and ready when the end arrives. Paul, according to his wife, wrote feverishly, determined to lay bare his faults and strengths, his terrors and joys, and finally his acceptance and willingness to face death straight on in his own terms.

It is a hard book to read. The squeamish might want to skip through his cadaver training. And he is strongest when he openly discusses his weaknesses, his lack of empathy for his patients, and the moment he realizes what he has become and makes the change for the better. At times I felt like a voyeur as he shared painful moments in his marital life with his wife, Lucy. Paul’s terminal diagnosis impacted his family’s present and future.

Sadly, Paul never got to finish his book. Some reviewers have found the book rather cold and at times impersonal. It must be remembered that the book was compiled from his copious notes and essays. He undoubtedly would have edited the material had he the chance to do so making it sound less like a doctor’s chart dictation and more fully exposing the full range of his personality.

Lucy Kalanithi’s epilogue is riveting and more fully exposes the “whole” Paul. Lucy’s sharing of Paul’s final hours had me in tears.

Readers personally struggling with terminal illness and looking for ways to make decisions about their own care or caregivers seeking inspiration and help on behalf of a loved one are encouraged to view Paul’s videos and interviews online. In the end, you will never forget Paul; he did make a difference. He let us view the meaning of life as he lived it.

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Still Waters

STILL WATERS

by LINDSEY P. BRACKETT

easystreet DEBUT AUTHOR

 

Firefly Southern Fiction (Sept, 2017)
Paperback: 274 pages
ISBN: 978-1946016232
Genre: WOMEN’S FICTION/CHRISTIAN FAITH
Review Source: Purchase

★★★★☆

I am a Yankee transplant who has lived over 30 years in the South – long enough to appreciate that religion is wrapped around everything and prayer is served with every meal. On the night of September 11, 2017, Hurricane Irma was screaming around my mountainside home. She had already cut the power to the house and I found myself reaching for something to read. I remembered I had a debut novel written by a local author on my Kindle. I lit my oil lamp and I read Still Waters while monster trees were crashing all around my home and I feared for my life. It proved to be a good choice on a bad night.

I was thrown off-guard by the cover of Still Waters – the image of a loving couple embracing on a beach. I was right to assume the book has the central love story – the typical story filled with conflict and tension that ends with happily ever after. But there is so much more – family dysfunction, friends, healing faith in God, forgiveness, and the final mystery – death.

Still Waters depicts humanity in all its imperfections and insecurities. We mere mortal humans are gifted with free will and will freely make both good and bad life decisions; but we do not have to be defined by our mistakes. The free will that allowed us to falter also allows us to pick ourselves up and begin again.

Cora Anne, now an adult, was scarred by a terrible decision she made as a child that resulted in the drowning death of a family friend. Unable to forgive herself, she now lives an unfulfilled life always running from the memory that follows her like a shadow. Choosing to see herself as unworthy of love and attention, she shields herself from the affection and joys of life by deflecting and rejecting the things in life that would make her whole. Looking inward, has also kept her from seeing the humanity and needs of those that love her.

Cor has just graduated from college and has been wait-listed for her graduate program in the fall. Her grandmother, Annie (Nan) has requested she spend the summer on Edisto Island helping her restore the family’s ocean-front cottage in preparation for an upcoming family reunion.  Edisto Island, the scene of her worst nightmare. The last place on earth she wants to spend the summer. Reluctantly she agrees to return to the island to help.

ghost on beach frameMy favorite character is Grandma Nan. This feisty lady is dying but no one knows it. She has set the stage to reunite the fractured family and to bring them home in time to spend her final days surrounded by those she loves. The gruesome scenes of facing cancer head-on are tempered with Nan’s acceptance and readiness to join her beloved Thornton in the afterlife.

The setting of Edisto Island and the ocean are key to the novel. The ocean within each person, the rolling emotions, are calmed by the healing nature of the slow paced life on the island and the unencumbered solitude of Botany Bay. In Still Waters, Ms. Brackett hits the bulls-eye describing the restorative and spiritual nature of the natural world.

I encourage all lovers of Clean Reads and Christian Fiction to take the long slow ride onto Edisto Island where life travels on “island time”.

She closed her eyes and let the wind and the salt and the gray-green surf loosen the burdens she’d carried so long. Here, on this haunted strip of beach, she listened for forgiveness, and she let the surety that her life was bigger than one choice made twelve years ago settle into her soul.

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