With Perfect Diction He Said, "I am dying."
Tuesday, July 14, 2015
Mark Budgen, 2014 |
Mark Budgen, Pat Carney & Maldon Salt
Arriving at an acceptance of one’s mortality and a clear
understanding of the limits and the possibilities of medicine is a process, not
an epiphany.
Being Mortal:
Medicine and What Matters in the End by Atul Gawande
Since I was 20 I have known of Epicurus’s view on death which simply put states that death brings no pain. Since there is no pain we cannot possibly fear it.
As a young boy death happened to my neighbour next door in
Buenos Aires and the lottery was won by a neighbour across the street. Both the
winning and the dying happened always to someone else. I was a bad luck
immortal.
Life in Mexico brought me closer to the concept of death
which seemed to be a happy-go-lucky-why-care by most Mexicans.
I talk a lot about death and of my own. Both my daughters and
my wife object to it. They particularly dislike my telling them that my hope is
to be vaporized in an airliner mid-air explosion. There would be not bits left
for the worry and expense of a burial.
My mother died in bed in our own house (one that she had
helped my Rosemary and I to buy). She died of peritonitis something that now
with a good doctor could have been prevented. Rosemary and I heard her breathe
in but she never did breathe out.
My father died in the street and had enough money in his
pocket that I was able to pay for a modest burial in the Chacarita Cemetery in
Buenos Aires.
In the last five years I have lost four mentor/friends (three
lifelong ones). Three of them cried in my presence and one of them simply told me,
“After me, the deluge.” This, latter, man, Vancouver architect Abraham
Rogatnick and I had discussed for years the prospect on how we would face
death. A year before he died he decided to stop treatment on his prostate
cancer. He knew he was going to die.
A few days before it happened I read to him by his hospital
bed Ambrose Bierce’s Parker Adderson Philosopher. It is the tale of a man ready
to die the next day as he has been caught as a spy. He does not fear death, he
tells his captors. His captors unable to understand then decide to have him
shot then and there. The spy and an officer have struggle and they shoot each
other. Rogatnick and I talked about the fact that while we may not fear death
and be prepared, little by little to let go, the situation would be different
if someone put a gun to our temple. We can never know and Rogatnick, who was
dying could not tell me how he would react.
A few years ago, while driving through a Vancouver back
alley I spotted a gull that was in the last throws of dying. Perhaps it was sick,
perhaps it had been hit by a car. I felt saddened and curiously ashamed to be
watching. I seemed that in dignity we (humans and gulls) have to die alone. In
fact we are often told that we all die alone.
In so many Hollywood, the wounded warrior, sickly wife is
surrounded by friends or relatives. The “expert” gets close and then nods (this
expert is always a man) negatively. He knows the person lying on the floor or
being held by the hero’s arms, is a goner. Mark Twain, famously begged to
differ.
Every time I feel that numbness in my elbows, a knot on my
chest and I am short of breath I think of death. The first time it really
happened (October 2013) in a motel room at the Toronto Airport all I could
think of was, “I am not going to see my Rosemary or our cats again.”
All of the above and more went through my head as I drove (alone) my Malibu to OIiver, BC yesterday Monday. I consciously made it a point not to turn on my radio or play CDs. I wanted the relative silence to mull in my mind that my friend Mark Budgen whom I had met in 1977 had brain tumours and that his prognosis made it doubtful he might see 2016. I was going to visit him at the hospital. Returning home, there was no music in the Malibu. I had too much to digest.
Budgen is an eccentric Englishman who is a connoisseur of
food, good books, music and an orderly and mostly uncomplicated living. He is
also a very good essay writer known for precision and for meticulous
fact-checking. He is well versed in politics and when after having met my first
cousin/godmother, Inesita O’Reilly Kuker in Buenos Aires in the late 80s she
gave Mark the nickname Marx because of his left-of-centre views. To this day
Inesita, who is 92 remembers Marx fondly.
Budgen would invite our mutual friend Ian Bateson (who also
was in Oliver on Monday) and I for sumptuous lunches in his heritage house in
Strathcona. There is one day I remember most fondly (Bateson was not there that
day). By my plate there was a little bowl with a peeled hard-boiled egg. I looked at Budgen quizzically. His
explanation was, “Try putting some of that flaked salt from that little
container on your egg.” The egg exploded in my mouth with flavour I had never
experienced before. His explanation was,
“That’s Maldon Salt. It comes from the Maldon Sea in England. The Danes
defeated the English there. There is blood of Englishman in that salt.
Everybody in my family will not touch, eat or season any
dishes without the glorious Maldon Salt.
There is a curious fact about how Budgen eschews certain
types of technology to the point that he simply ignores it. Consider that he
owned records and record players, but skipped the CD and went straight to podcasts.
Budgen would listen to obscure Norwegian classical music stations at night in
bed. He is a master of his iPhone is and
is good with computers and when he didn’t want to talk to me on the phone his
excuses were many but never repeated. My favourite was, “Alex I cannot talk to
you because I am monitoring my fax machine.”
Budgen when he wants to can be one of the best dressed and
most elegant men around. This is true, even though he has a preference for
strange Mountain Co-Op foot gear. My best memory of his elegance happened in a
VAG party during Expo 86. There was Budgen in an immaculate suit and beautiful
tie. He was standing next to a similar kind of man except that the man, Patrick
Reid was a lot taller.
One of the funniest moments (funny for me) happened in Lima
in 1991. I had arrived to interview and photograph Mario Vargas Llosa. I had,
knowing Budgen was already in Peru, found him a job with Maclean's. He was
furious with me but softened up a bit. Before we even left the airport (he had
come to pick me up) someone had managed to steal his wristwatch. I want to add that both of us were members of
the Explorers Club. We both went to the Lima clubhouse.
The man I saw for about 13 minutes in the Oliver General
Hospital was sitting in bed eating blueberries and peaches. He was dressed in
street clothes. He looked exactly like I remembered him even though I had been
warned that he had lost 20 pounds in two weeks. With his exact and sonorous
diction (he could have made a fortune as a hard news TV reporter) he
gesticulated with his open hands (a very Mark Budgen trait) very much like a
fisherman showing you how big the fish that got away was.
He asked me, “How do you find me?” I answered truthfully,
“You are the same but different only in one way. You are a tall man and you
always looked down on me from up there with your long nose. Now you, on your
bed are at eye-level.” He then said, “You can take my picture.” I declined as
the ones that I took back in 2014 for his future website are much better than
anything I could have taken of a man on a hospital bed.
Budgen told me that in January he had read Being Mortal:
Medicine and What Matters in the End by Atul Gawande. "I read it before I knew
anything about what was going to happen to me." And to inject a bit of that
Budgen taste for good and lofty things he added, “He writes for the New
Yorker.” He then said what seemed so
easy for him to say and something I will never know until, (will I be lucky or
not?) I am in the same boat, “I am dying.”
I told him of my experience with Abraham Rogatnick and
reading him the Ambrose Bierce story.
Budgen was keen to explain to me of his terrible
hallucination/nightmares. In one of them he learned that his policeman brother
(who visited him recently from England) had died. He recounted this “fact” to
his nurse who simply said, that is not true, you dreamed it. She (the night
nurse is a woman) then gave him a pill to take away the anxiety. Budgen
explained that they are not dreams or hallucinations but projections from his
cancerous tumour.
I then said, “Please tell me when I should leave.” He said,
“That is now.”
As I left I thought of a man with lots of dignity. I thought
of a man with tidy habits and extreme pulchritude. I thought of that dignity
and how matter-of-factly he had told me, “I piss through this tube.” At some
point as this man of dignity is pressed by a diminishing of it, I know he will
come to some sort of decision. But then I could be completely wrong. This man
is private and his most innermost thoughts are unknown (at least to me). He
told me that his mother had died of cancer in a little hospital surrounded by
friends and relatives, “She was too polite to tell them to go.” He then told me
while looking at me (with his new cancerous telephoto vision), “Most people
think they will die surrounded by relatives and friends at home. That does not
happen anymore. They now die alone in a big hospital surrounded by unknowns."