Mar 232019
 

When grace enters my life unexpectedly, the moment often becomes a font of knowledge and wisdom.

Operation Snowball is an organization for high school students who want to live healthy lives by keeping an informed and respectable distance between themselves and drugs, alcohol, and tobacco. Twice each year a three-day retreat is convened for a hundred or more participants. I recently had the privilege of participating in my 26th such weekend.

The keynote speaker Friday afternoon was newly elected Kane County Sheriff Ron Hain. I have heard the Sheriff speak and I am inspired by his leading-edge ideas and philosophies related to law enforcement. On that day, however, I had no expectation of inspiration, just thoughts about teens, drugs and alcohol.

However, Sheriff Hain prefaced his remarks by retelling his journey from a young boy of twelve to Sheriff of Kane County. You see, and he admitted it was the first time he told this story in a very public venue, when he was 12, his father walked out on him and his mother. In that moment, as they cried, he realized the imminent choice that would chart the course of his life. He could, he told us, be destroyed by the abandonment, or use it as a lever to propel him forward toward a life of meaning. Thankfully for all of us, he chose the latter. From that moment forward, every significant decision he faced became another chance to prove, to himself and the world, he would use his time on this planet to make a difference.

Sheriff Hain did speak of drugs, alcohol, and law enforcement, and, following his remarks, there were many questions from the teens about a life in criminal justice. But the questions that most caused the Sheriff to pause, were those about what it meant for his father to abandon him and his mother.

I have long thought about the pain in our lives and who we might become with or without it. With this unique opportunity right in our midst, I raised my hand and asked, “Sheriff, if you could, would you go back to that moment when you were 12 and re-write history? Would you write a story in which your father remained in your life?” He paused for a long moment, then he looked at the 100 of us in the room and admitted that that moment made him who he became. He then said, “As strange as it may seem, that event was a gift in my life, and I would not go back and change it.”

I think many in the room were stunned by that revelation, but I was overcome with joy. Not joy over his father’s departure, but joy for the gift the Sheriff had just bestowed. Over the past 13 years in Snowball, I have heard hundreds of stories from teens who live through horrendous pain. There were many in the room that Friday afternoon who had lived through moments as painful as the Sheriff; some are living lives even more raw and chaotic. I thanked him for helping us understand that those moments, as horrible and as unfair as they are, can become defining moments in our lives. Those moments can overwhelm us…they can also propel us.

It is a story I have heard thousands of times answering calls on the National Lifeline. Often, after witnessing a human being in inordinate pain, I will ask, “While I would take this suffering away in an instant if I could, I cannot. However, are you learning something about what it means to be human that you can use to help others?” Often, the response is “You have no idea.”

Sheriff Hain, your ideas about law enforcement inspire me, but this past weekend I was moved by your strength and humanity. The gift from your life, became one in ours. I am deeply grateful for you giving us that unexpected moment of grace.

Feb 042019
 

If who I become in the world is determined by the decisions I make, the more I improve their accuracy and efficacy, the better I am as a person, physically and emotionally.

The brain is a marvelous, complex organ, and, while we wish it would make every decision with perfection, it often lets us down. Decisions are clouded by emotions, and our neuropathways often turn simple patterns into complex, inappropriate stories. The human brain can be overwhelmed by choice, overly influenced by recent events, and confused by imperfect memories.

Knowing the limitations of our neurology, humans have always welcomed means of easing the stress of decision making. Over the centuries, we have developed extraordinary tools that turn data into useful information to overcome the brain’s foibles.

Artificial intelligence (AI) has begun to compliment and extend human intelligence. Search engines place limitless information at our fingertips and distill it to that which it deems most useful. We are grateful for ratings and “likes” that point us in the direction of optimal products and services.

Today, nearly every professional has diagnostic equipment to improve decision making. Mechanics plug cars into AI to discover failures and find remedies. Doctors have diagnostic databases built from tens of millions of human ailments that insure their prognostications are increasingly accurate, continuously updated, and universally comprehensive. Farmers rely on AI to choose crops and discern how best to plant and nurture them. We are more successful and healthier as a result of these intelligences.

Advances in AI continue to improve decision making. Autonomous vehicles not only discern optimal routes to deliver us to a destination, they eliminate thousands of minute, stressful decisions we would otherwise have to make along the way. Nanotechnology in our bloodstream will soon continuously monitor health, report every abnormality, and suggest protocols without us having to fret when some symptom unexpectedly appears. Since these advances will make us safer, improve our health, and extend lifespans, we will gladly accept the guidance.

Until recently, epidemics were incrementally recognized as patients walked through doctors’ doors, but identification and confirmation often took weeks or months. Search engines, on the other hand, can begin to detect epidemics within hours based on millions of symptom inquiries. If AI had access to discussions contained in emails and texts, it could identify them even faster. Would we trade privacy for swifter remedies? If it means saving millions of lives, we might make that choice.

In the more distant future, AI will do more than diagnose physical dispositions. Based on posts, searches, and live interactions, AI is already getting to know our rational and emotional proclivities even better than we know them ourselves. AI will eventually help us make better decisions by storing and analyzing the infinite details of our lives, and it will not be clouded by emotions, confused by imperfect memory, or overwhelmed by excessive choice.

Before long, AI may be the preferred method to choose partners. We already use dating sites, and information about potential mates, to simplify and improve choice. Would we refuse to be better informed if AI, with its nearly infinite knowledge of us and others, really can find our perfect match? At election time, with comprehensive knowledge of our desires and hopes, and, based on exhaustive analysis of the candidates, why not let AI suggest how we should vote? Wouldn’t it be wonderful to circumvent the emotional stress of making these challenging decisions on our own?

If each of these incremental advancements helps us make better decisions and improves our lives, will we refuse? Was there a frightening juncture on this trek towards optimal decision-making beyond which you would not traverse? If so, recall the experiments with frogs sitting in water, the temperature of which is rising. The temperature increase is so incremental, the frogs remain, even as the water boils.

If my humanity is determined by the quality of decision-making, and AI accomplishes that more effectively than my limited neurobiology, what becomes of me when I surrender? Do I even need to exist? In this moment I feel incrementally irrelevant. It frightens me and breaks my heart.

Dec 072018
 

There are Universes in our midst, but assumptions can prevent us from experiencing their extraordinary wisdom, beauty, and elegance.

What number would you multiply by itself to arrive at -1? Early mathematicians assumed such a number was useless. They referred to it in a derogatory way as imaginary.

A visual depiction of the Mandelbrot Set

In the 18th century, mathematicians relinquished that assumption and began to give structure and meaning to imaginary numbers. They used the letter “i ” to denote the square root of -1. But it wasn’t until the 1980s that “super computers” enabled Benoit Mandelbrot to peer into a yet undiscovered universe. Named for him, the Mandelbrot Set is one of the most famous images in all of Mathematics. You can expand the Mandelbrot Set billions of times and elemental structures emerge again and again. (Play the short video at https://youtu.be/9G6uO7ZHtK8, listen to the music and imagine yourself peering into eternity.) We are blind to this breathtaking universe until we surrender the assumption that the square root of -1 is meaningless.

At the time Benoit Mandelbrot was peering into infinity, I was teaching Mathematics at a private boarding school near Princeton, New Jersey. I lived in the dorm and was advisor to several freshmen.

One Spring evening, David, one of my advisees, came to my apartment looking sad and frightened. He was about to complete French 1 with an elderly, kindly member of the faculty…one whose demands were minimal. That afternoon, David discovered he would be learning French 2 from an excellent, very demanding teacher. “Mr. Breisch,” he whispered in tears, “you have to let me out of her class. I’m not prepared. I’ll fail!” My heart broke, but since David was one of my (favorite) algebra students, I knew him to be diligent, intelligent and determined. I was certain he would succeed. In one of the most heart-wrenching moments of my time as a teacher, I looked him in the eye, told him of my confidence and that I would not let him shy away from this challenge. I sent him back to his room alone and in tears. The following year, after each French test, David returned to my apartment and we would, together, celebrate his success.

I have lost track of David, but my hope is that, by surrendering assumptions about his inability, he began to peer into a breathtaking personal universe that was, until that moment, inaccessible to him.

Not long ago, I spoke with a young woman suffering from lupus, a disease that could end her life. Her mother, she told me, constantly lamented the myriad experiences her daughter would never enjoy—everything from a glass of wine to having children. The young woman explained that, while she sometimes finds the disease difficult, she had a deep appreciation for the life that resulted from it. She tried to find words that would enable her mother to witness the wholeness of her life rather than its perceived brokenness. One day, when her Mother once again began to focus on all her daughter would miss, this young woman turned to her and said, “Mom, what you refuse to see is all you have missed by not having lupus!”

It was a stunning moment. I felt as though this woman had given me new eyes. My old eyes, when in the presence of a person who may lack abilities, were blinded by assumptions of what they were missing in their lives. The eyes she gifted me, by surrendering those assumptions, began to see worlds that were always there, but to which I was blind—Universes in which others are not lacking in abilities; they are given capabilities, capacities and wisdom I can never have. By peering through their eyes, hearts and souls, I can experience wisdom, beauty, and elegance in Universes in which it is I who is less-than-able in very profound ways.

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Nov 302018
 

I am sad much of the time these days, and, as I reflect, it feels as though much of my sadness erupts from fear. I am frightened about a future rooted in an environment impregnated by discord, untruth, misconception. I fear we have become a body politic lacking the interest or will to seek wisdom, connection, and love. In a garden, manure is a magnificent fertilizer. However, the dung created by our war of words, rather than being nourishing and procreative, is toxic to the germination of ideas. Our body politic needs intensive care.

We seem to exist in a world in which few are willing to listen. Everyone, it seems, is willing to opine, but opinion lacking authentic, thoughtful curiosity is hollow. How might the world be different if every expression we utter ended in a question mark—either real or implied? What might emerge from our conversations if we were deeply eager to engage in inquiry-affirming dialogue?

Politics, it is often said, makes strange bedfellows. I recently read Nebraska Senator Ben Sasse’s book, “Them: Why We Hate Each Other—and How to Heal.” As one of the most conservative republicans in the U.S. Senate, is a fair assumption the Senator and I would disagree greatly on the solutions to the problem. However, we are in full agreement on the root causes. In a recent interview on PBS, Sasse explains:

More and more people are processing their politics not primarily as what they’re for, but as a form of anti-tribe. What are we against?

And so, I think you see a willingness among the American public to accept more falsehoods than would have seemed normal at most moments in U.S. history, because people hear them as a kind of rhetoric that is mostly a framing of the other side and the things that we’re against.

We need a politics that isn’t chiefly that, isn’t chiefly against. We need a lot more ‘we’ and a lot less ‘them’.

In the end, I am left with a bit of hope when we who disagree, can peer together and gain some clarity on root causes. If we can follow that agreement and clarity with inquiry-affirming dialogue, and a profound interest in listening, perhaps we can find a fertile garden in which to propagate new ideas, and a new life-affirming future.

Oct 052018
 

Twice each year, I am invited to speak to the sophomore health classes at Neuqua Valley High School. Recently, the students asked some wonderful questions about working on the National Suicide Prevention Lifeline (800-273-TALK). Here are my reflections.

What do you tell someone who wants to commit suicide?

“Telling” callers anything can often be hurtful. Sentences that end in periods indicate we are not listening. The only thing that helps are sincere questions and deep listening. The only valuable path forward is the one the caller discovers during our conversation. In the end, it is what they tell me that matters.

How many lives do you think you have saved after 15 years?

We never save lives; we share sacred moments when callers choose to save their own. There have been thousands of those moments.

Does the job affect you emotionally?

The work is often emotional. When it is, I try to remain in touch with my emotions and honest with the callers. When I am sad or heartbroken, the caller usually knows, and that helps them know I understand. Most of the stories stay with me, especially those that are heartbreaking, but I am usually successful in not allowing the emotions to follow me home.

Do you ever fail to help callers?

There have been many times when I simply could not find the right words or question to help a caller see their life in a new way. Those calls are some of the most difficult. It makes me sad, but I forgive myself when I am imperfect. I am a volunteer who tries very hard to help every caller. Should a caller choose to end their life after we have talked, I refuse to take responsibility for what was, in the end, their unfortunate decision.

Have you had personal experience with suicide among friends and family?

16 years ago, before I began this work, I did not. In the last 15 years, because of my work in suicide prevention, I have been touched by the tragedy of suicide. I have had to live through the grief and pain with several families. Anyone who thinks no one will miss them when they are gone, has no idea of the devastation left in the wake of their decision to end their life.

How do you know the right thing to say?

We seldom do when the call begins. We begin by listening to the caller’s pain and validating their feelings. During the dialogue, we try to discern what is happening in their lives. Usually, after enough time together, we find questions that cause them to rethink how they see themselves; to reframe their pain and sorrow.

Do you have emergency procedures for someone who is about to end their life?

If a call ends unsuccessfully, meaning the caller is in danger of suicide and hangs up without a resolution, we call 911 and help the emergency responders find the caller and get them to an emergency room.

Is there something you have said in the past that has actually changed someone’s mind?

Everything we do on the line is aimed at inviting callers to see their world in new ways. We don’t change their minds but invite callers to change their own. There have been hundreds of times in which just the right question will help a person see things from a different perspective.

How and why did you get started in this work?

How and why I began is less important than why I am still there 15 years later. Several years ago, a young woman called with a bottle of pills she intended to swallow. After a long and heartfelt conversation, she chose to put the pills away. One of the last things she said to me was “I am thankful you answered my call. If you hadn’t, I’d probably be dead now.” Even many years later those words are etched on my heart, and their memory brings tears to my eyes.

Every human being hopes that, in the end, their lives will have mattered. If I can help another person choose life, I can go to sleep each night feeling immense gratitude.

 

Suicide Prevention Services of America, where I volunteer, is always in need of volunteers to help with their life-affirming work. To find out more, visit SPSAmerica.org or call 630-482-9699

Jul 302018
 

One Christmas afternoon many years ago, I answered a call on the National Suicide Prevention Lifeline (1-800-273-TALK) from a young man in middle school. Through oceans of tears he told me how he and his father argued almost constantly. All he wanted to know was whether his father loved him. It broke my heart. We talked a long time that afternoon until he felt he had a way to talk with his father. One of the last things he told me before the call ended was “I know I don’t know you well, but I can tell you I love you.” One of the most perfect gifts I have ever received on that day.

Having spent nearly 3500 hours answering calls on the Lifeline, I have found that helping those who suffer is some of the most life-affirming work any person can be invited to do. On the other side of suffering is a profundity of joy and wisdom unavailable to us without the journey into the depths.

But to truly affirm life, we must affirm all of life…including suffering. We are bereft of wisdom, empathy and love when we go to great lengths to eliminate or hide suffering; we do everything we can to avoid the journey that eventually leads to an understanding of the true nature of the human journey.

When we hide suffering, we concentrate it in hidden worlds. We send the elderly to retirement and nursing communities; the infirmed and disabled are sent to homes. Depression and mental illness are closeted behind the closed doors of professionals. And while these places are caring and wonderful, those outside forget the suffering behind those doors. By concentrating the anguish into those places of caring, those left to attend to the suffering are overwhelmed by the enormity of what we ask of them.

When suffering is hidden, we are left believing it is not normal for humans to suffer. Those who suffer cry in silence, believing it is their unique frailty or weakness that leaves them in pain. We think, “Since others around me are doing well, it’s just be me who is weak and unable to cope with life.” We miss suffering’s doorway into understanding and sagacity.

I wonder how we might change the world if every person were to find even small ways to allow human suffering to reinfuse our lives. What if we began with the courage to let the world see our own vulnerabilities; bring the reality of the human journey back into our lives and communities. What if each of us spent time in places where we have gathered great suffering and gave a moment of respite to the caregivers who are becoming overwhelmed?

Perhaps, in many of those moments, we will each receive gifts of gratitude and wisdom beyond any we have yet known.

Jul 142018
 

Having completed nearly 67 years of this human journey, I can recount hundreds of gatherings I have summoned into existence. I wonder what, if anything, has been accomplished. In a world heavily dependent on to-do lists and action items, most people believe there is little hope of change unless a gathering concludes with a list of items to be accomplished, with attendant assignments and due dates. If, after six months or a year, we cannot identify and quantify how the world changed, the gathering was clearly a waste of time.

Einstein reminded us that “problems cannot be solved with the same mindset that created them.” When we set out to change the world with well-worn thinking, the solutions will leave us wanting. If, on the other hand, you change the way a person thinks, they can’t help but act differently. What we can never know is how new thinking will evolve into new actions and ways of being in the world. They are unpredictable and unknowable. Further, since inquisitives continually challenge their thinking, the new ways in which they show up, and actions they take, can never be understood as the result of any one interaction with the Universe.

The human brain is too puny, and the Universe too complex, to even begin to imagine the implications of the things we do. The butterfly effect informs us that small perturbations in initial conditions change the course of history over time and distance in ways that are unknowable and unpredictable. Dee Hock once said, “Every action we take has intended and unintended consequences. The intended ones sometimes happen, the unintended ones always happen!”

Most wisdom traditions echo the words of the Bhagavad Gita: “You have a right to your actions, but never to your actions’ fruits. Do your work, then step back.”

In moments when I feel disappointment with the outcome of things I attempt, a friend reminds me my worth is unrelated to the results of my efforts. “Why is it,” she asks again and again, “you cannot know you have value absent of accomplishments?”

I will continue to summon gatherings. I will endeavor to be faithfully inquisitive and open to new ways of understanding the world, and I will invite those who join me to do the same. Then I will attempt, as difficult as it is, to step back and trust in the generative, creative nature of the Universe.

Jun 252018
 

Even at the quantum level, as separate and distinct, a single particle has little value. It is only when they are in relationship to other quantum entities that they form the universe.

So too for humanity. Absent our intimate relationship to all things, we are nothing.

As I write, since I feel my fingers on the keyboard, I imagine the computer and me as separate and distinct. However, if I were to pick up a writing instrument to pen these same words, the experience and result would be different. The computer and I co-create. The world is altered by my relationship to even the most inanimate of objects.

As I trek through the woods, a tree ahead appears distinct from me. I know where my body “ends” and the leaves, branches and trunk “begin.” But do I? There is a symbiotic relationship between us. The oxygen I inhale in this moment was likely “exhaled” by that living organism moments ago. The carbon dioxide I release into the atmosphere is vital to the tree’s future. Each season, a tree will take thousands of gallons of water from the soil and release it into the air as water vapor. Those molecules return to Earth as rain, and to me through the foods I eat and the water I drink. The tree and I are in deep relationship; I am biologically part of that tree, and it a part of me.

Even thoughts originating in my cerebral cortex, which my ego insists make me distinct from others, are proof of relationship not separation. Virtually every neural pathway in my brain has been formed through experience with, and mental formulations that originate in, the world outside of me. Every sound I hear, article I touch, morsel I taste and object I see, alters my relationship with the world and changes the entity I thought myself to be.

My emotional being, as well, is intimately related to, and formed by, the world around me. Every story of pain and heartache I encounter in the lives of friends, or from a call to the suicide hotline, alters my emotional sense of the world.

There is little we own…little for which we can take credit. Every word, every thought, every feeling, emerges from ideas and experiences gifted to us by others. Nor is our ability to hold, synthesize and retell them ours to own. They, too, are gifts we have learned from others.

If I search deeply for the “I” I believe is me, I soon discover there isn’t one. The harder I look, the more intense my gaze, the more I discover that everything I think of as me, was formed through an infinity of relationships. I am nothing more than a confluence of influences—simply the intersection of the fields through which this collection of human cells has traveled. I am, simply put, the result of trillions of quantum particles in relationship.

Western culture moves in harmony with the sacredness and importance of the individual. We go to any lengths, and put many in jeopardy, to save one. But the moment I drift from the sacredness of life to the importance of my own, I excise myself from humanity. I allow myself to become isolated, distinct and apart. My thoughts and ideas are wrenched from their rightful place within the ecosystem where they were formed, and where they can be challenged, debated, refined and potentially discarded. Ego takes over and I elevate my ideas to a place of superiority and rightness.

The Sufi mystic and poet Hafitz once said “I am a hole in the flute through which God’s breath flows.” At best, the confluence of thoughts, ideas, and experiences I refer to as myself is no more than a capacity through which the Universe itself is trying to be seen. If I can remain true to simply being the hole, and refrain from imagining myself to be the breath, or the player of the flute, only then is there hope.

Jun 042018
 

Money separates us from life and devalues humanity.

I recall an exercise used in a philosophy class. “Think of a problem in your life, any problem regardless of its difficulty or seeming intractability. Is there an amount of money that would solve the problem for you?” the professor would ask. Inevitably, students would find some amount to rid them of the struggle, even though the sum would usually allow them to flee the problem rather than solve it.

Today, many live with such wealth, when we face collective problems, it is easier to write a check than roll up our sleeves and get to work. We no longer face the harsh, but very real and essential, nature and wisdom of life. We pay someone else to face it on our behalf, which eases our guilt, but robs us of life’s extraordinary wisdom.

Before humans invented money, everything of value was perishable. Wealth was in the form of livestock and plants that could not be stored, so the fragility of life was apparent every day. If the tribe suffered a setback, the skills and talents of every member were required for survival.

With the advent of money, life became more secure. With its fragile nature at bay, families could survive outside the safety of the tribe. Should a family face a setback, there was a reserve to protect them, at least for a time. The lives of individuals became less important. It was, I fear, a pivotal point in our alienation.

Throughout much of human history male members of the tribe were the hunters. Men were judged not only on their skill, but also the wisdom they showed by carefully taking only what the tribe needed for survival, and nothing more.

When I was young, fathers—most mothers I knew did not work—disappeared every morning into an unknown and frightening jungle and returned with their bounty. Unlike earlier days, when I could take pride in my father’s warrior skill by witnessing his kill and learn the wisdom of non-excess, the bounty he brought home disappeared silently into the vault of some local bank. Excess was celebrated, not avoided. The value of my father’s heroic efforts was stolen from me, and I was taught to genuflect at the altar of excess.

And, what of the efforts of those who volunteer? They trade time, expertise, and wisdom for the satisfaction of knowing they have contributed to the general good? Gross Domestic Product is the measure we use to value human effort in every country in the world. Tell me, where are volunteer hours, and the substantial gains in human society, counted? They are not. When we tally that with which we make global decisions, the labor of those unpaid doesn’t count. This knowledge weighs heavy on my heart since there is little money that flows to my family for much of the work I currently do.

One image of the prophet Mohammad, founder of Islam, is of a man in great emotional pain over the loss of values in his tribe. With the founding of Mecca—a highly successful center for trade and commerce—individual families gathered enough excess wealth to protect themselves. The need to care for the tribe vanished. The poor and infirmed were forgotten. It was wealth, not poverty, that created the gulf between those who have and those who do not and called Mohammad and his founders to a new way.

Even Jesus, is it said, admonished us that “it is easier for a camel to go through the eye of a needle than for a rich man to enter the kingdom of God.”

I fear that, unless someone calls us to a new way yet again, wealth will eventually destroy us.

May 242018
 

I am dying.

In truth, to the best of my knowledge, I’m a healthy 66-year-old with, I hope, many years ahead. None-the-less, I am dying…and so are you.

Because of cultural biases, I imagine many will find these words deeply disturbing. We resist open discussion of our mortality at great peril. There are, I am told, places where daily meditations on death are encouraged, and those people derive insights and happiness from the practice.

Recently, life encouraged me to think more about death. The week I sat down to write this essay I attended the wake of a friend who died after a fleeting battle with aggressive cancer, I had lunch with another friend who lost his wife of many years after a long fight with COPD, and I was encouraged to read Dying Well: Peace and Possibilities at the End of Life by Ira Byock, M.D. When life sends me a series of such powerful teachers, I prepare for the final exam.

Here’s what I have been reminded. Impermanence and death give life its ultimate meaning.

Suppose someone gave you a magnificent rose; a bloom of such splendor your heart leapt when you first witnessed its beauty. Suppose, in addition, it would never die, nor lose a speck of its glory. How long before your heart no longer even trembled in its presence? A week? Month? Year? Decade? At some point this miracle will have become invisible. Its glory will have faded. Its brilliance gone. Much of what brings joy and ecstasy to our lives derives from the impermanence of all things.

So too with human life. If we had an infinity of days ahead, soon, the miracle of each new day would become invisible. Its glory will have faded. Its brilliance, too, would be gone.

And yet, we not only deny death, we strive for its opposite: eternal youth. We wish for bodies that never decline in strength and vitality. We are on a continual search for remedies and rituals that eliminate all sources of suffering and sorrow. We struggle to hide anything that reminds us of our mortality. Elders are sent to senior communities. The disabled are cared for in institutions. Every ailment life offers demands immediate remedy. We act as if, by hiding all reminders of old age and mortality, death will forget to tap us on the shoulder.

Reading Byock’s work reminds me of the beauty that can flow from old age and even death. In a heart wrenching moment, Byock is speaking to an elder whose life was defined by community service and is now nearing death in full-time hospice care. After a life of caring for others, the dying man now detests the thought of having to be cared for. Byock reminds him:

The social responsibility you have so well exemplified is not limited to doing things for others. Interactions just like this, caring and being cared for, are the way in which community is created. I believe that community, like the word family, is more of a verb than a noun. Community comes about in the process of caring for those in need among us. It’s unfortunate now that you’re getting to see that side of it, but in allowing yourself to be cared for, and being a willing recipient of care, you’re contributing in a remarkably valuable way to the community. In a real sense, we need to care for you. Not just those of us in hospice, but the community we represent.

The most difficult moments of life, especially as we travel with those who are dying, offer vistas from which to view the astonishing panorama of life, its crescendos as well as its depths. I wonder how much wisdom, compassion, and love we extract from our lives as we attempt to extinguish even the thought of old age, suffering, and death.

Contemplation of my mortality and meditations on death have caused many tears to flow over the past week. But they have gifted me with renewed appreciation for the finitude of the days I have left…and I am even more grateful as each one arrives.