Death Plan

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Observation One:  We are planners. Both of us. We like order, clarity, direction and very few things get us as excited as a detailed timeline or a successful couples “scheduling meeting” where we plot out the days and weeks ahead. 

Observation Two: Since Cassie’s metastatic breast cancer diagnosis we’ve both become a little consumed by death. How can you not when the median five year survival rate is less than 30% and you’ve been told probably not to expect more than 5-6 years? We’ve written about this before in a 7/2/19 post titled “A Focus on the End” and more recently in December 2019 in a post called “A Rabbi, A Death Doula and Mr. Rogers.” 

When you combine these two observations it might be natural to think, as we did, that creating a “death plan” for Cassie wouldn’t be that much of a challenge for us. Sure, we knew intuitively that it wasn’t going to be easy because talking about death is one of the furthest things from easy that you can imagine. However, at the same time, we thought that once we had accepted the importance and value of death planning we would just get it done. We were wrong.

We waited, procrastinated, avoided it and then finally gave ourselves a deadline. Then we blew right by it. One of us as a time would remind the other and we would commit anew, only to revert to procrastination mode. Then one day it was done. Cassie sat down and batted it out. She created a Google doc and just started writing. Afterwards, she told Dan that it was done and we scheduled time to go over it together. And waited and delayed and rescheduled and rescheduled again. Dan was scared and sad. He didn’t want to see what Cassie had written even though he knew it was important. Cassie wanted to share what she had come up with but also really understood Dan’s hesitation. As we’ve said before, this shit is hard.

And then we did it. We sat down together while we were in California on a nice, warm sunny day (that helped) and talked it through. First, though, we agreed that it was very much a draft plan AND that even though it was Cassie’s death plan it had to “feel right” for both of us. We talked in advance about how something might feel right to Cassie but not to Dan and agreed to be patient with each other and really try to listen and hear what the other was saying. It’s complicated because of course the wishes of the person dying (or who you think will die first) matter most, but it’s the other person who will be experiencing the results of the plan — being bedside in the final days, reading the obituary, sitting through the funeral, greeting friends and family. Like many (most) things in marriage it had to work for both of us. 

It turned out the dreading and procrastinating was probably the hardest part. Dan looked at what Cassie drafted and asked a bunch of questions. We explored different possibilities, clarified a number of things and made some changes. Then we hit save and it was done. We decided to sit on it for a while and then give it another look before “locking it down” which we have now done. That said, we also agreed that we can revisit it over time as Cassie’s cancer progresses but for now at least we can rest more easily knowing that we have answered a lot of the big questions … for Cassie. 

You see, we’ve also agreed that we should now do the same thing for Dan even though he doesn’t have a terminal illness. When Dan’s dad and mom died one of the few things that made those sad days easier was that they had shared some of their wishes in advance. The death doulas who led the community education class we took late last year made the same point — you might not get the death you want but you certainly won’t get it if you don’t plan for it and instead leave everything to chance. 

So Dan’s plan is next up. To make that a little easier we took the questions we answered for Cassie (many of which came from our death doula class) and created a little planning worksheet (see observation one above). We’ve attached it to this post below in case it might prove helpful for anyone else who wants to tackle a death plan BUT we want to really emphasize that we are not experts nor trying to tell anyone what they should do. ( Death Plan Work Sheet.August 2020.) These are simply the main questions we asked ourselves as we contemplated Cassie’s death and that we will now wrestle with again as Dan creates his plan. That is after we finish the current round of waits, delays and procrastination. 

A Rabbi, a Death Doula and Mr. Rogers

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When Dan’s mom died this past May the Rabbi at her St. Paul Shiva shared an interesting observation. He explained that Jews traditionally avoid euphemisms like “passing” or “moving” on. They speak directly of death and dying. Now the Rabbi wasn’t being critical of other faiths or traditions he was just noting that death is certain and unavoidable and that confronting this certitude directly and head on can actually be healing. 

This was affirming to both of us because we had already started to do this. As we shared in a previous post, Cassie was a little obsessed with planning the details of her death, burial and funeral and we have been doing that in fits and starts for almost 14 months. There is also a lot of dark death humor in the Cramer household these days. And while this often takes our friends aback, it helps us to talk and joke about it. This is our life now and while hopefully still many years off —the previously abstract and far-removed idea of death has been replaced by a new and more immediate reality. Death now seems closer than we would ever want or have imagined and we just have to deal with that fact.

So with all of this on our minds, Cassie signed us up for a Community Education Class called “Death: It’s a Collaborative Event.” We walked into Central High with some trepidation but also open to what we might learn. And we learned a lot. First though, we were a little surprised to find that the class wasn’t filled with people like us who were confronting what could be the imminent death of a loved one. Instead it was attended by people who were seeking to better understand death and how to navigate this one great certainty that we all confront. 

The class leaders, a “death doula” and a celebrant (who helps create traditions and lead ceremonies) explained that we can “have the death we want” but only if we talk about it and plan for it. They led us through a visualization asking us to picture our final days. The room we are in. The way it looks and smells. The art on the walls. The photos by the bedside. The music playing. What surrounds us? Who surrounds us? Is someone with us all the time or do we want to be left alone at some moments? Have we written goodbye letters? Recorded video? Have we put ourselves in a position where we can let go? Are we set up to die on our terms or are we leaving all that to chance?

We sat there with our eyes closed imagining all of this. We reached for each other’s hand. We cried. But we also appreciated the questions and the conversation that followed. The biggest piece of advice — create a death “plan,” write it down and share it with our loved ones. Now on the one hand that seems hard and scary but on the other really liberating. So that’s what we are doing — together, one plan for each of us, and we have given ourselves a deadline so we can be done with the fits and starts and focus our energy on living. Then as a final affirmation, we learned that even Mr. Rogers talks about death. We recently saw the new movie “A Beautiful Day in the Neighborhood” and both walked away with a Fred Rogers’ quote about dying stuck in our heads: “Anything that is human is mentionable. And anything that is mentionable can be manageable.” Even, or especially, contemplating death. Thanks Mr. Rogers, Death Doula Jane and Rabbi Latz for the inspiration.