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death-and-dying

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By not talking about death with our loved ones, not being clear through advanced directives, DNR (do not resuscitate) orders, and funeral plans, we are directly contributing to this future ... and a rather bleak present, at that. Rather than engage in larger societal discussions about dignified ways for the terminally ill to end their lives, we accept intolerable cases like that of Angelita, a widow in Oakland who covered her head with a plastic bag because the arthritic pain of her gnarled joints was too much to bear. Or that of Victor in Los Angeles, who hung himself from the rafters of his apartment after his third unsuccessful round of chemotherapy, leaving his son to discover his body. Or the countless bodies with decubitus ulcers, more painful for me to care for them even babies or suicides. When these bodies come into the funeral home, I can only offer my sympathy to their living relatives, and promise to work to ensure that more people are not robbed of a dignified death by a culture of silence.

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Caitlin Doughty

Smoke Gets in Your Eyes: And Other Lessons from the Crematory

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I imagined my coffin being closed, and the screws being turned. I was immobile, but I was alive, and I wanted to tell my family that I was seeing everything. I wanted to tell them all that I loved them, but not a sound came out of my mouth. My father and mother were weeping, my wife and my friends were gathered around, but I was completely alone! With all of the people dear to me standing there, no one was able to see that I was alive and that I had not yet accomplished all that I wanted to do in this world. I tried desperately to open my eyes, to give a sign, to beat on the lid of the coffin. But I could not move any part of my body. I felt the coffin being carried toward the grave. I could hear the sound of the handles grinding against their fittings, the steps of those in the procession, and conversations from this side and that. Someone said that he had a date for dinner later on, and another observed that I had died early. The smell of flowers all around me began to suffocate me. I remembered how I had given up trying to establish a relationship with two or three women, fearing their rejection. I remembered also the number of times I had failed to do what I wanted to do, thinking I could always do it later. I felt very sorry for myself, not only because I was about to be buried alive but also because I had been afraid to live. Why be fearful of saying no to someone or of leaving something undone when the most important thing of all was to enjoy life fully? There I was, trapped in a coffin, and it was already too late to go back and show the courage I should have had. There I was, having played the role of my own Judas, having betrayed myself. There I was, powerless to move a muscle, screaming for help, while the others were involved in their lives, worrying about what they were going to do that night, admiring statues and buildings that I would never see again. I began to feel how unfair it was to have to be buried while others continued to live. I would have felt better if there had been a catastrophe and all of us had been in the same boat, heading for the same abyss toward which they were carrying me now. Help! I tried to cry out. I__ still alive. I haven__ died. My mind is still functioning! They placed my coffin at the edge of the grave. They are going to bury me! My wife is going to forget all about me; she will marry someone else and spend the money we have struggled to save for all these years! But who cares about that. I want to be with her now, because I__ alive! I hear sobs, and I feel tears falling from my eyes, too. If my friends were to open my coffin now, they would see my tears and save me. But instead all I feel is the lowering of the coffin into the ground. Suddenly, everything is dark. A moment ago, there was a ray of light at the edge of the coffin, but now the darkness is complete. The grave diggers_ shovels are filling in the grave, and I__ alive! Buried alive! I sense that the air is being cut off, and the fragrance of the flowers is awful. I hear the mourners_ departing footsteps. My terror is total. I__ not able to do anything; if they go away now, it will soon be night, and no one will hear me knocking on the lid of my coffin! The footsteps fade, nobody hears my screams, and I am alone in the darkness; the air is heavy, and the smell of the flowers is driving me crazy. Suddenly, I hear a sound. It__ the worms, coming to eat me alive. I try with all my strength to move the parts of my body, but I am inert. The worms begin to climb over my body. They are sticky and cold. They creep over my face and crawl into my shorts. One of them enters through my anus, and another begins to sneak into a nostril. Help! I__ being eaten alive, and nobody can hear me; nobody says a word to me. The worm that entered my nostril has reached my throat. I feel another invading my ear. I have to get out! Where is God; why doesn__ he help me? They are beginning to eat at my throat, and soon I won__ be able to scream! They

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Paulo Coelho

The Pilgrimage