Monday, November 26, 2012

Story 2 - Living Leads to Dying


Life Narratives
Dr. Zoller
Story 2
Hannah Lily
20 November, 2012

“On Death”:
Living Leads to Dying

Q: How many people die every year?
A: During 2008, an estimated 57 million people died ("The Top 10 Causes of Death").
In the United States alone the highest causes of death were as follows:
Heart disease: 599,413.  Cancer: 567,628.  Chronic lower respiratory diseases: 137,353 (CDC/National Center for Health Statistics).
            Death affects us all.  There is nothing that you can do to change this fact.  Family members, treasured pets, the assassinations of presidents, and in the end, your own death, are all parts of death.  Medical procedures can prolong your life for days, months, and sometimes even years, but your life will always ultimately end.  The Bible even tells me so.
            Knowledge of death surrounded me in numerous ways throughout my childhood.  I was born to an old father and a young mother.  The 33 year age difference between my parents was quite disparaging, even to me.  Most times though, it was what I thought of as typical.  When I was born in 1991 my father was 62 years old, nearly retirement age. 
It was “normal” for my father to be in the hospital on Christmas day in 1995 with a heart attack.  Heart attacks were prevalent on his side of the family and he suffered two more before he passed away.  He was plagued by numerous other health afflictions as well that pointed toward the end of a life.  Throughout my first eighteen years of life, I came close to being able to gaining a medical degree.  It was normal that my sister and I trooped along with my father and mother as he met with the urologist, the cardiologist, the radiologist.  The “ist” became a familiar sound to our ears and felt at home on our tongues.  Topics such as bed sores were openly discussed in front of me at the hospital with nurses. I knew my father had a DNR (Do Not Resuscitate) policy; hospital staff had informed him that if he did need CPR at any time it was likely that he would not survive and that if he did, it would be with broken ribs at the least.  I’ve seen a catheter bag emptied and the number of bites from dinner recorded and marked on the hospital’s “special chart”.  The harsher side of life was always lurking at the sidelines if not fully in front.
At times, my father could not care for himself and that duty fell upon me.  My mom was gone dropping my sister off at college in Oklahoma and I had drawn the short straw of being the youngest, and thus, caregiver of my father while they were away.  He wouldn’t have the strength to rise out of bed sometimes.  I remember walking into my parent’s bedroom, standing as still as I possibly could, listening intently for the sounds of my father’s breathing.  A few times I was not able to hear anything, and I would then concentrate to see if the sheets on the bed rose and fell with his chest.  Desperate panic set in a couple of times when I could not detect either.  I have still never felt anything like that of thinking that my father might be dead while I was in charge of his care.  He always kept breathing though.
            He kept breathing, although at one point he wouldn’t have been able to without the help of a ventilator.  He’d gone into the hospital for an, as the doctor said, “easy, three day maximum” gallbladder removal surgery.  The surgery did go well, but the anesthesiologist’s incompetence allowed the mixture of two potent drugs to interact, stopping the message from my father’s brain to his lungs telling them to breathe. In the next few hours, my mom, sister, and I sat huddled around the telephone waiting for news. It was four o’clock in the morning, the hospital was an hour away, and my mom had only gotten home an hour before after the nurses had assured her he would wake in a few hours.  Instead, we received the call that his heart had stopped, a breathing tube had been put in and he showed no signs of recognition in his surroundings.  We would go to the hospital in the morning.  We arrived in the morning and to our great surprise he opened his eyes!  The ventilator stayed attached for a total of four days as he remained in the Intensive Care Unit.  He remained in the hospital for two more weeks after that.
             
            Death is sometimes recognizable.  Not with the human eye, but with our senses.  It was not until the summer before I came to college that I realized this fact and knew my father demise was imminent.  I had never been so sure before in my life.  On July 3rd, his heart started to give out once again.  He was rushed to the local emergency room 20 miles away where a temporary pacemaker was attached.  A care flight was coming to pick him up to fly him to the heart hospital for further assistance.  Our local health center would not have the expertise or facilities to care for him.  My mom and I ventured into the tiny, septic room at the emergency room before his transfer to see him and say our goodbyes just in case.  As I went to stand back near the doorway one of the ambulance crew workers tried to reassure me.  This was her statement regarding a medical procedure that was occurring, “They are putting that tube down his throat because when you hand pump oxygen into his lungs, it is likely that he will throw up.  The tube will keep him from choking.”  Choking on your own vomit…what an awful way to die.  What an awful way to live.
            The cardiologist did not think that my father would have the strength to pull through the surgery to have the pacemaker put in, but without it we had no chance.  His heart couldn’t live on its own power.  He made it the through the operation, but recovery was slow.   While he was able to go home within two weeks, my family soon realized it was not a viable option.  He was unstable when he walked, falling over numerous times.  His appetite deteriorated.  Food had no taste to him and as he said
            It was a joke that wasn’t funny in my family that in the first few years that we lived in South Dakota, we were invited to four or five weddings, but attended around twenty funerals.  Maybe that’s because my father made so many connections among the older generation.
Death has its own smell.  The antiseptic, sterile environment of a nursing home cannot fully cover the stench that is radiating throughout.  The smell soaks into the walls.  You can’t wash it away.  It lingers on you.  It lingers with you.  It becomes a part of you.  I’ve gone to nursing homes many times to visit with residents and the smell is always there.  People crouched over in wheelchairs, minds gone.  Still there are others who can’t rise out of bed without assistance.  People who aren’t living, just existing.  Oh! Death where is they sting?  Right in the center of my heart.
***
            Death imparts itself upon more than the human condition.  It also carries a strong influence upon physical and metaphysical ideas – small towns that are “dying off.”  Some small towns die quickly; some small towns die slowly.  I look to my own personal experience for observation on the phenomenon.  My family moved to the town of Lily, South Dakota, back in 1997.  In 2000, the U.S. government census listed 21 residents (“Lily, South Dakota Population”).  At the peak of population in the town, there were close to 200 residents (according to the 1920 U.S. government census).  The area was bustling with jobs, as trains traveled through town picking up various crops and goods and carrying passengers to the station stop.  The high school boys’ basketball team was state champion.  There were Lutheran and Catholic churches to provide for the religious needs of residents.  There was also the Solberg gas station, a highly involved membership of the Engebretson-Lien Post 156 of the American Legion of Lily, SD, a corner drug store owned by the parents of Hubert H. Humphrey, a grocery store, and a post office – it offered all that was needed to survive in the early 1900s.
            The town itself was named after the first postmaster’s sister, Lily.  It was only by pure happenstance that my parents saw the name of the town, Lily, the same as our last name, on the map when we were traveling through the state of South Dakota.  They decided that we needed to stop and see what the area was like.  It would be amusing to have a town named directly after you, but in our case, it was only that way because my parents chose to move there.
The 2010 census tells a much different story of my little town of Lily.  It lists four official residents (“Lily, South Dakota Population”).  Four.  Yet, the town hangs on with a thread of life like a body with an IV attached.  My mother has served as mayor for the past 3 years and I even attended a position on the board for a year before coming to college.  Town board meetings would last anywhere from an hour to three hours.  It was comparable to making funeral arrangements; the town wasn’t that close to death, yet we all knew that it would be coming. 
My mother, Christine, is currently in the process of selling our house and moving to a much livelier city, Aberdeen, with its population 21,000.  Only 60 miles away from Lily and yet Lily is just too rural to attract the younger generation looking for jobs.  The one couple in town is also planning to move.  My older sister got married two years ago and isn’t likely to return.  When I graduate, finding a job will be foremost important to me and there are no jobs to return to in Lily.  After these transitions and current residents move, there will be two full time residents living in Lily (unless the houses up for sale are bought quickly and previous owners replaced).  The town board will most likely cease to function without a quorum.  In essence, the town will be dead.  Still in my mind, its rich history will live on.  Stories from the “old-timers” about getting into fights during the roaring dances at the legion, the annual Turkey Shoots, and learning that at one time Clark Gable came pheasant hunting in the area with his wife will remain in my heart and in my mind. 
I think of the other small towns, and by small I mean less than 500, in the area and the rich history they provide as well.  Roslyn is the home of Myron Floren accordionist on The Lawrence Welk Show – a favorite of my father’s.  The list goes on: Sparky Anderson - baseball manager, Bridgewater; Tom Brokaw - TV newscaster, Webster; John James Exon - senator, Geddes; Crazy Horse - Oglala chief; Oscar Howe - Sioux artist, Joe Creek; Hubert H. Humphrey - senator and vice president, Wallace; Roy Braxton Justus -  cartoonist, Avon; Ward L. Lambert - basketball, Deadwood; Ernest Orlando Lawrence - physicist, Canton; Russell Means - American Indian activist, Pine Ridge; George McGovern - politician, Avon; Dorothy Provine - actress, Deadwood; Sitting Bull Hunkpappa - Sioux chief; Jess Thomas - opera singer, Hot Springs; Norm Van Brocklin - football player, Parade; and Mamie Van Doren - actress, Rowena ("Famous South Dakotans").  These people were all raised in the small towns of South Dakota. And now they are steadily disappearing as school districts shrink and consolidate, people pass away and no newcomers move in, and in general, they are simply forgotten as death moves in. 
***
Lives begin and lives end.  What’s most important is what you do with it in the meantime.  As the Bible clearly states in Romans 14:8, “For whether we live, we live unto the Lord; and whether we die, we die unto the Lord: whether we live therefore, or die, we are the Lord's.”  Death has no power over us.  What death is is a tragedy and a blessing that befalls us all, whether in the death of a parent, great aunt, beloved dog, or home.  Mark Twain said, “The fear of death follows from the fear of life. A man who lives fully is prepared to die at any time.”  I’m ready for you death…and I’m coming…one day.









WORKS CITED
CDC/National Center for Health Statistics. "FASTSTATS - Leading Causes of Death."Centers
for Disease Control and Prevention. Centers for Disease Control and Prevention, 19 Oct. 2012. Web. 27 Nov. 2012. <http://www.cdc.gov/nchs/fastats/lcod.htm>.
"Famous South Dakotans." Famous South Dakota People. 50states, n.d. Web. 27 Nov. 2012.
<http://www.50states.com/bio/sdakota.htm>.
"Lily, South Dakota Population:Census 2010 and 2000 Interactive Map, Demographics,
Statistics, Quick Facts." Lily, SD Population. Census Viewer, n.d. Web. 27 Nov. 2012.
<http://censusviewer.com/city/SD/Lily>.
"The Top 10 Causes of Death." WHO. World Health Organization, n.d. Web. 27 Nov. 2012.
<http://www.who.int/mediacentre/factsheets/fs310/en/index2.html>.



Video of Lily, SD



Clark Gable and wife, Carole Lombard, hunting near Lily, SD in October 1941

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