Welcome to Perspectives, a blog of thoughts, commentary and observations ranging from autistic adolescents to intimate portraits of urban communities.


Converging Lives

This morning’s paper brought news of the sudden death of Dennis McCullough, a doctor who pioneered the “slow medicine” movement, which seeks to let elderly patients live out their last days as they wish to, instead of as the recipients of well-meaning medical interventions – what my mother called “heroics” – aimed at prolonging their often-lonely and anguished lives. He chronicled his own path to enlightenment in his book, My Mother, Your Mother. I recognized the name. Dennis McCullough was my classmate at college, where we had a nodding acquaintance. Raised by a single mother on welfare in a poor mining community on Michigan’s Upper Peninsula, he went on to captain Harvard’s hockey team and graduate from Harvard Medical School. He died in Bar Harbor, Maine, just down the road from where I write, where he had come to a conference of community nurses to talk about slow medicine.

His description of his mother crying out, near the end of her life, “Why is dying so hard?” reminded me of my own mother asking, in both bemused wonder and exasperation, “How did I get to be so old?” She no longer wanted to be “encouraged” to walk painfully down the hall, to eat food she’d never liked, to be awakened when all she wanted to do was live in her dreams. As my sisters and I came to understand that, we watched her anger turn into acceptance, and we had some of our best moments together in the little time she had left.

I wish I’d known Dennis McCullough better. I think Mum will like him.

Earth’s Old and Weary Cry