I can't get home to see my mom before she dies

By the time you read this, she'll probably be gone. Why couldn't I be by her side?

Published July 25, 2007 10:21AM (EDT)

Dear Cary,

I'm feeling a bit overwhelmed and need advice. So here I am. I'll cut to the point: My 63-year-old mother will most likely be deceased by the time you receive this. After a number of years battling multiple sclerosis, the drugs she had to take for that left her susceptible to an opportunistic cancer which, though that was easily zapped away, had spread in the meantime to her liver, where they couldn't use radiotherapy. All they could use was chemo, and after the very first round, my already weakened mother got so knocked flat by her reaction to that -- having to go into the hospital and barely even able to talk -- that she refused any further.

This was not an ill-informed decision. My mom is a nurse and a quite experienced one. It's that she knew too well what it would amount to. It probably wouldn't get rid of the cancer, so she merely would have spent her last remaining days in horrible suffering. My mom has had a very hard life and only the past 10 years, after she remarried, to a very nice man 13 years her junior, has she found peace. He's a contractor and had just built her a house that had taken him years to finish after she retired, up in the mountains near Asheville, N.C., her favorite place in the world. She did not want to spend what would have been little time anyway as an invalid.

As our family is medical, all the talk has been oddly matter-of-fact. I couldn't talk her out of it because I respect her wishes and knew she knew what she was doing. I wanted to. The last time I talked to her it was the always-macabre My Will conversation, which is not what I would have wanted our last conversation to be about. Today she suddenly slipped into a coma, and her liver and kidneys have gone. They say it's any time now. She's at peace and unconscious. I guess it could be worse. But it's horrible. My father killed himself when I was 17 and now, 21 years later, my mother, who did nothing but good for people her whole life, gets killed by a cancer another treatment brought on. My parents will now both be gone, for good. I'm frightened, though I'm not sure why. I never thought of that as a usual reaction to this.

And the worst of it: Because of intense economic difficulties for the past five years (having to do with a move from California to Chicago and a divorce, and a number of other rather strange misfortunes I can't detail here), I have not had the money, nor the time when I had the money, to visit her since my wedding in 2000. (Actually, she came out to California, so not even then.) I always assumed there'd be time. Being unemployed prevented me from getting the money to go down and see her before she went. I'm lucky right now in Chicago to be getting the occasional temp job just to keep me from being evicted. If I left, I would have nothing to come back to. Now the only way I'll be able to get down there is for the funeral. If I were to leave right now, she'd already be dead when I got there. That would be too much.

And though my family has understood and though it hasn't been my fault I couldn't see her, I feel like the worst son on earth. I feel horrible. I can't stand myself. She loved me, dearly, and I love her, and I feel like I should have found a way, any way, no matter how poor I am.

She hasn't been alone. There's my stepfather and my sister, who still lives down there. But I should have seen her. I wish I'd seen her.

Am I right or wrong about my guilt?

Rotten Son

Dear Rotten Son,

You know, it is very hard to make life turn out the way we want it to. This is especially true with parents, about whom we care so much but about whose fortunes we can do so little. And it is especially true in the manner of our parents' dying.

So when in the stillness of the summer night your failures mount up before you like a flock of screaming raptors with harsh cries and sharp talons and cold, yellow eyes, you may find it necessary to take out a piece of paper and a pen and under the light of a solitary lamp make a list of your little victories. Write them down and make them concrete and celebrate them, rare as they are.

The list may be alarmingly short, and it may be largely in the negative. For instance in my case I can say with certainty that never once did I lock my parents in the basement shackled to a water pipe and let them starve to death. Maybe I haven't provided for them in their old age as well as I would if I were the good, heroic son. Maybe my calling has not brought me the fortune that would allow me to set them up in a condo in Hawaii. Maybe I am not a master of worldly matters. But I did not shackle them to a water pipe in the basement and let them starve to death. That I did not do. And neither did you.

It may seem cold comfort but we take what we can get.

You have had some victories. Count them. You have a mother who loved you dearly. You have a family that knows you and understands your situation. But chief among these victories, it seems to me, is your simple awareness of what is happening, and your ability to feel it. You may wish to stop feeling this, because it feels like guilt and insufficiency. It is emotional pain. But it is the tragic truth. It hurts but it also ennobles. This is no small thing. Look around you. Look at the many people who pass through life obsessed with their tiny troubles, barely noticing the great, life-changing events occurring around them, arriving at the loved one's deathbed still fuming about a rude ticket agent or a misplaced paycheck, still perceiving life through some glasses that were cracked to begin with and never fixed. The fact that you know what is happening and have written it down, the simplest of true observations, is impossibly rare. You observe that your mother is dying and you wish you could be there but you cannot. At least you can say this. At least you are honoring this. You are not missing it. You are right here. That is enough for now.

And of course you feel afraid at the specter of your parents' dying.

We all feel afraid at the specter of our parents' dying, because pure and simple their dying is what we face. Our parents are our protectors and the givers of our lives, so when they die we realize there is no more life to be given to us. When they die we know absolutely that we also will die.

This is both a terrible thing and a comfort. After all, much of the pain of life comes from how we compare ourselves to each other and don't measure up. You, for instance, in having overcome your various obstacles, find yourself now comparing yourself to some ideal son and not measuring up. It is this way all over the world. And all over the world we sons and brothers follow the same tragic path: We scheme to be better, faster, stronger and righter. We scheme to be the good son, the powerful son, the son who righted the failures of the father. I am thinking of George Bush here. I am thinking of a man not blessed with talent in the usual sense but cursed with a vile genius to surpass his brothers and his father. Look at the death he has brought to others. And look at all those religious fanatics he is obsessed with killing, who in seeking their own religious destiny deal death to others in wholesale quantity without remorse! What craziness!

Why not simply accept that death will come to us all, and let it come when it comes? Why not recognize death as the one merciful thing that will bring us finally together. Why not see death as the final antidote to our crippling feeling of insufficiency. Finally, if we feel we have not been good enough for anything in life, at least we are good enough to die. At least death will embrace us as it embraces your mother and my uncle and my father-in-law and every other soul who has ever lived and ever will live.

As to your mother's feelings: She will have died knowing that you love her. She will have understood the terms of her going. She will have seen many die and will understand that death does not always come at a convenient time.

Of course that outrages us, but that is the way it is. Death, that most final, magisterial end, yet arrives with an insouciant randomness that outrages us. This one event, we think, of all events, ought to signal the presence of a just, even-handed God! But no, that is not how death comes at all. It comes with casual insouciance, like a child picking wildflowers, this one and that one and the other one, whatever catches its eye.

We just have to accept it, without reservation. Death picks a handful and carries them off.

So let your mother die and then go to the funeral, where the living make meaning out of death and fortify ourselves against the bleak terror of nonexistence ... until the next time, when death comes again and takes a few more for its strange, invisible bouquet.


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