How to Go
Dylan Thomas’ youthful rally to “rage against the dying light” doesn’t move me anymore. The many years glimpsing my reflection in the belly of a 10 blade has dared me to probe my own dimming. Although in no hurry for lights out, I doubt I will “burn and rave” when that time comes. If Thomas had blazed to mature age, perhaps he would have revised or even cursed his masterpiece. The reassurance of a soft exit when, as Emily Dickinson wrote, I am “called back” and, as Wordsworth said, I “cease to be” is the balm for me now. Those old poets knew dying.
During residency, I heard respected neurosurgeon Dr. Thoralf Sundt say, “there are some things worse than death.” He was ill at the time. His message suggested that agony can be profound and fighting on may be futile. I do not possess the will that he or some of my patients have in the face of unremitting pain and disease. I hold other courageous traits, but this is not one. For me, if the choice of going gently were available, it would be a gift. Without legal acceptance for assisted demise, the only prophylaxis against my future suffering is to pray for sudden death. I do not fear Nothing, I fear being able to do nothing.
How apropos that a pathologist, a specialist in the study of dead tissue, taught us how to go. Jack Kevorkian raged against the cancer of silence surrounding mortality. But, we were not listening, and he paid for our deafness. No matter your belief, we all end up where Jack went. That old pathologist knew dying.
Instead of the buzzing casino ICU, I will go in a place of low light and long shadows, accompanied by the murmur of the poet’s rhyme. Those looking will see themselves reflected in dull corneas as the sound of my eyelids closing fills the room. And guided by the call of the old Masters, poet and pathologist, to come home.
International Conference on Dual Diagnosis and Disorders
Nov. 14-15, 2018; Melbourne, Austrailia
Microsurgical Approaches to Aneurysms and Skull Base Diseases 2018
Nov. 15-17, 2018; Jacksonville, Fla.
2018 Mayo Clinic Multidisciplinary Spine Care Conference
Nov. 16-17, 2018; Amelia Island, Fla.
Craniofacial Surgery and Transfacial Approaches to the Skull Base
Nov. 30-Dec. 2, 2018; St. Louis
Comprehensive Endoscopic Endonasal Surgery of the Skull Base Course
Dec. 5-8, 2018; Pittsburgh