2 MUST Views: Portraits of the Elderly as They Once Were and Jane Lotter Obituary

I wanted to draw GeriPal readers attention to two websites that you must view.  Really, right now. If you have 5 minutes, you won't regret it.  The first is a series of images, the second a self-authored obituary.  Both evoke a profound sense of the passage of time, of what was and what is, and manage to be wistful about the past while at the same time at peace with the present.

The first is a series of images called Reflections: Portraits of the Elderly as They Once Were by the professional photographer Tom Hussey.  In these images, the photographer portrays the elderly both as they are and as they were at a younger age in the mirror.  These images must have taken a tremendous amount of photoshop wizardry, and represent the best marriage of traditional and digital photography.  Notice how the background in the reflection has been altered to completely match the room in the portrait. 

You can use these images in your teaching with a palliative care or geriatrics team on teaching rounds.  What thoughts do they evoke? How do our patients see themselves?  Who were they? Who are they now?

Here is an example:

The second is a self-authored obituary by Jane Catherine Lotter, age 60, of Seattle WA. 

You may note that at the bottom it states Jane took advantage of Washington state's Death with Dignity Act. I am not sharing this website as a proponent of the death with dignity movement - it is, in fact, a subject about which I am deeply ambivalent. And it's been something of a wedge issue in the palliative care community.

No matter how you feel about this subject, we can all agree that Jane Lotter's obituary is truly remarkable, and captures the sense of peace and possibility at the end of life. This is common ground for all of us. 

If this obituary doesn't bring a tear to your eye, I'm not sure what will.  Here is an excerpt:

I was given the gift of life, and now I have to give it back. This is hard. But I was a lucky woman, who led a lucky existence, and for this I am grateful. I first got sick in January 2010. When the cancer recurred last year and was terminal, I decided to be joyful about having had a full life, rather than sad about having to die. Amazingly, this outlook worked for me. (Well, you know, most of the time.) Meditation and the study of Buddhist philosophy also helped me accept what I could not change. At any rate, I am at peace. And on that upbeat note, I take my mortal leave of this rollicking, revolving world-this sun, that moon, that walk around Green Lake, that stroll through the Pike Place Market, the memory of a child's hand in mine.  

 by: Alex Smith @alexsmithmd