Atul Gawande

Sometimes a memory of your dead loved one will bonk you on the head when you least expect it.

I facilitate a book discussion group at my library called “Grieving Through Reading.” It was initially created by a volunteer but she never officially started the group due to a change in workplace. When I was asked to do this, I said yes before the question was fully formed. As you know, talking about grief, death and dying is what I enjoy doing. I guess it’s really the sharing of grief and being able to provide comfort is what really brings me joy.

This week, “Being Mortal: Medicine and What Matters in the End” by Dr. Atul Gawande was our book choice. There is an hour long documentary of the book that we didn’t have time to watch. So I started our discussion with a short clip from the film, where Dr. Gawande is discussing what his father’s doctor communicated to them regarding treatments for his cancer. The doctor was encouraging the father to take the chemotherapy and said, “Who knows? You could be playing tennis by the end of the summer.” This was absolutely ridiculous. As Gawande tells it, his father was weeks from being paralyzed. There would never be tennis playing again, yet the doctor tells this foolish and utter lie.

As my book group is in the room watching this clip, I suddenly get a flashback at what my brother’s cardiologist said to him just a month before he died. Phil was going to have surgery where a VAD (ventricular assist device) would be implanted to help his failing heart to pump blood to his body. Phil wanted to wait until early winter to do it. His doctor said that the surgery would prolong his life and he’d visit my brother and his partner on their anniversary in several years time.

What a bunch of horseshit.

As I sat in the room with my book group, watching this video for the third time (I literally watched it the day before), it dawned on me this interaction my brother had with his doctor is just like what Dr. Gawande described. Why it took 7 years for me to realize this and at this exact horrible moment, I don’t know. (I know I can be slow sometimes, but for christ sakes this is bonkers.) I was momentarily stunned and felt such an intense fury and grief, that I wasn’t sure I could do anything. I ended up missing the ending of the video, then snapped out of thoughts, shoved those emotions down deep, and went on.

I was in a pretty awful mood directly after the program and then just kept pretty quiet. My eyes and face felt like I had been crying, although I hadn’t. I felt deeply sad the rest of the day.

But I never cried, which is highly unusual for me. It’s like a put a stopper in my soul because this bit of grief and anger felt too big to deal with.

Today, however, it’s slowly seeping out. I’ve thought about Phil more and more these last few days. I want to figure out the name of Phil’s doctor and write him a letter, although the energy that would take at this moment seems too much. I had this sweet text exchange today with my former brother-in-law about my son and how proud my family would be of him. I mentioned it first, and my BIL said he didn’t want to say anything because he didn’t want it to land wrong. But after he saw my son a few weeks ago, he said all he could think of was how fucking proud Phil would be of him. I wept when I read that.

I’m angry that Phil’s not here to see this kid turn into a beautiful young man, but I’m mostly feeling bereft. I wish someone had been more honest with him about his chances. I wish I had been more honest with myself. Phil knew he was going to die and maybe he knew the doctor was full of shit. I wish I could ask him. I wish Phil was here to talk to my boy about the colleges he’s applied to, the amazing stories he’s written lately, and the political climate of our country. Phil would have many things to say about all of it. I still remember Phil telling me how good one of my son’s stories was when he was in 3rd grade. Phil could see that potential, and I’m so glad he did. I hope he had an idea of how his nephew would turn out.