Why, Why Now, How, and So What?

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I’ve come to the end of my short essays on the Five Remembrances, though I have certainly not completed my contemplation of aging, ill health, death, impermanence, and karma.

Several of my readers have expressed concern that such an intense focus on these subjects might be mentally and emotionally unhealthy. For some, reading these reflections has been a downer; for others, it has provided an opportunity to face fears and cultural taboos and to explore new emotional territory. Some are curious about why I undertook this focus and what effect it has had on my life over the last six months. So, here are some answers.

Why do this? Why now? How?

It has been my lifelong inclination to face difficult truths about myself and the world around me, rather than avoiding or deflecting them. My fascination with death stems from a natural curiosity about a mystery that no one seems to have solved. It feels rebellious and even somewhat subversive to look directly at something that most people would rather look away from. Those who know me well are not surprised when I raise uncomfortable truths.

Several factors contributed to the decision to focus my attention on death in 2026. I have previously mentioned that for the last couple of years I have participated with several other women in an online discussion group focused on aging. This group provided an outlet and support for facing common problems as we age. However, we seemed to shy away from discussion of our mortality.

Then, last fall, my church sponsored a series of discussions about death, focusing on advance directives, end-of-life planning discussions with family, funeral arrangements, and dealing with grief. It was a good introduction but seemed to me and a few others to dance around the subject of our mortality. A smaller facilitated discussion hosted by the church this spring came closest to exploring feelings about our own deaths and our experiences with the deaths of those closest to us.

Meanwhile, my retirement community is currently hosting a program on death led by Leona Oceania, founder of Die Well Death Education, comprised of thirteen two-hour sessions conducted over thirteen months. The room is packed for every session!

This trifecta of opportunities intersected with my personal realization that my time is short. I’m 74; both parents died of pancreatic cancer at 84 and 90, so my life expectancy is about 12-15 years. That’s a relatively short time in my lifespan. It is possible, even likely, that I may experience serious pain and discomfort leading up to death. Suddenly, the questions of how I want to spend my remaining healthy years, and how I might deal with illness when it arrives, became urgent.

I asked myself how I would approach the exploration of these questions, and my Buddhist practice provided a ready suggestion. My reading had made me aware of the Five Remembrances and the practice of Maranasati, which I introduced in the first article in this series. The Remembrances would provide the structure and arc for my reflections.  

So what? What difference has it made?

Looking back on the last six months of meditating on and writing about the Remembrances, I ask myself whether this practice has affected how I live daily life. Are there practical and transformative impacts to pondering aging, ill-health, death, impermanence and karma?

For me, there have been several.

During this period, I’ve often found myself stopping in the middle of a walk with my dog or on my way to an early-morning workout, looking around me with fresh eyes, listening intently to the silence of falling snow, the sound of birds, or the rain. In those moments, I felt deeply aware of the world’s beauty and the intense joy of being alive. I recognized and experienced my place in nature. The ability to stop, tune in to the reality of the moment, and feel grateful to be alive has grown over the months.

While accepting the inevitable—whether it be wrinkles, sickness, death, change, loss, or consequences—takes a certain degree of daring, determination, and discipline, the most compelling motivation for coming to terms with all of these is this: the sages of all ages and religions have promised that doing so wakes you up to the essence of life. I still have much to see, do, and understand. I want to heighten my awareness to have the best possible chance of experiencing everything. So, it is now common for me to silently say to myself several times throughout the day, “Moriah, you are going to die? This may be the last time you see, hear, taste, smell, or feel this. Pay attention, appreciate it fully.” And, I do.

Contemplation of death has revealed what I truly fear: pain, disfigurement, suffocation, cold, hunger, sleeplessness, and shame. Recognizing and naming those fears is the first step in relaxing their grip. It has been revelatory that death is not one of them.

Rather than fearing death, I’ve come to realize that contemplating it brings a deep feeling of sadness and loss—sadness at the loss of my most precious possession, my consciousness, my awareness. I wonder if mourning this loss now is a facet of my personal death work.

Contemplating impermanence has made me more conscious of the things I cling to. So, I have become more aware of the ordinary things I am challenged to let go of—my desire to see a situation resolved, my need for my contribution to be recognized, my wish to remain in a friend’s good graces, my plan for the day. The frequency with which I am required to let go convinces me of how much I am holding onto. Though intellectually, I recognize that control is an illusion, practically, I’m still operating in control mode. I have more work to do.

A powerful “letting go” metaphor emerged recently in a vivid dream. I stood beside a sheer cliff with the ocean at its base. I was aware of an intense desire to reach a destination beyond the cliff, one that felt like home. The only way to get there was to climb along the almost smooth rock, clinging to the few tiny hand and foot holds carved into it. Crossing without falling seemed impossible. But I had no other choice, so I began the climb, gripping each crevice with all my strength and concentration. About halfway across, I looked ahead and saw that there were no more cracks to cling to; the surface was completely smooth. I could not proceed. I knew I had two choices: to go back or to let go. I let go. And then I woke up.

Life in a retirement community surrounds me with the realities of aging and death daily. It’s impossible to avoid them. Death comes often to my friends and neighbors, and because it is such a frequent occurrence, it is always top of mind. This, for me, is a plus, enabling me to learn from my peers how to age and die gracefully and peacefully, and how to cope with separation from those we love. Observation is an excellent teacher.

Also, I have recently wrapped up a five-year stint as a hospice volunteer and had the privilege of accompanying many clients on their end-of-life journeys. Being near folks who are dying, especially sitting at their bedsides for long hours in the middle of the night, has familiarized me with the signs and stages of dying. It has formed my understanding of the work of dying, the solitariness of the process, and the range of death experiences. All of this has encouraged me to consider my own last wishes and prepare the appropriate associated documents.

The last of the Five Remembrances has prompted me to ponder the importance of the energy I emit into the world, the footprint I make and will leave behind, the things I can and cannot change, and the healing power of forgiveness.

So, I’ve begun to consider the next decade as my end-of-life journey, and 2026 as the first steps on that path.

A spiritual companion suggested the image of a threshold to mark the transition into this journey. I used it in meditation, imagining myself approaching, contemplating, leaving behind the old, stepping through, and hovering just inside the threshold of this new season of life. I created a slideshow of photographs I’ve taken over the years that suggest the crossing of thresholds—movement through an opening, leading towards something new—set it to music and meditated on the photos as they cycled through their sequence. This became a ritual marking the transition to a new reality, one where I embrace death as the culmination rather than the end of life.

I will wrap up with a koan from the Tao Te Ching, Chapter 33, Stephen Mitchell’s translation.

“If you stay in the center and embrace death with your whole heart, you will endure forever.”

A koan is a paradoxical anecdote or riddle without a solution, used in Zen Buddhism to demonstrate the inadequacy of logical reasoning and provoke enlightenment. Koans are meant to be repeated, pondered, forgotten, remembered, abandoned, despaired of, and rediscovered until their meaning is written in the heart, not the head.

As I step into this new season of life, I find myself opening to the koan’s invitation: to stay in the center, to meet death wholeheartedly as a profound teacher. The Remembrances have challenged me to stay at the center of awareness, tenderness, and the intent to live fully in the time that remains. If accepting impermanence softens our grip on what cannot be held, it may also enhance our appreciation for what is passing through right now. So, I offer these reflections not as conclusions but as invitations to step across the threshold into the next season of your life, and ultimately, into forever.

Questions for Reflection:

  • How does acknowledging my mortality change the way I move through an ordinary day?
  • What fears arise when I imagine the end of my life, and what happens when I name them honestly?
  • In what moments do I feel most vividly alive, and how might awareness of impermanence sharpen those moments?
  • How do I want to show up in the final season of my life, and what small practices today might prepare me for that?
  • Where do I sense a threshold in my own life, and what might it mean to step through it with intention?

~~~~~~

I mentioned that I have been taking a death education course from Die Well Death Education. A few weeks ago, I interviewed the founder of this organization, Leona Oceania, intending to introduce her and her work as the final article in this series on death and the other Remembrances. She is a kindred spirit in her fascination with and respect for death, and I hope that her story will add some perspective to my own. Look for that in my next blog post. Then I will move on to other topics, though I can’t promise I will not return to death before 2026 is over.

The Butterfly Effect

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The Fifth Remembrance: “I inherit the results of my actions of body, speech, and mind. My actions are my continuation.”

How do I inherit the results of my actions, and how do those results become my continuation after I die? My reflections on the Fifth Remembrance led me to explore two concepts: karma and continuation.

The notion of karma found in religions such as Hinduism, Buddhism, Jainism, Sikhism, and certain schools of Taoism expresses the rather ominous idea that our intentions, words, and actions have consequences. Once they are thought, spoken, or performed, their consequences can’t be reversed.   Eastern religions are not the only ones to stress the effects of what we think, say, and do. Christianity, Judaism, and Islam also emphasize that God rewards good deeds and that they lead to a pleasant afterlife, and bad ones earn a negative payback.

However, as the Fifth Remembrance solemnly reminds us that we will reap what we sow, it also introduces the more affirmative notion of our legacy, or, as the last brief sentence says, our continuation after death.

First, consequences. What we think, say, and do creates lasting consequences. It’s easiest to see them in speech and physical actions, but our thoughts are the source of our words and actions. So, even our secret, unexpressed thoughts, the ones we keep to ourselves or share with only our closest confidants, create karma or outcomes. The thoughts we entertain or ruminate on eventually shape our character, and our character determines our choices. So, our thinking is important even if it doesn’t directly result in specific actions.

I like to think of thoughts as generating invisible energy. Every tiny bit of energy we emit subtly changes the world. The effects of our ideas, speech, and actions influence other beings and, in turn, give rise to further actions and effects. Like molecules, these collide and bounce in unintended and unpredictable directions. On and on it goes.

Second, continuation. If the first four remembrances are about change, impermanence, and therefore the need to let go of whatever we cling to, the fifth is about what lasts, what continues. Therefore, it points to our responsibility for the world in which we live. If you will, it reminds us of our interbeing with everything.

I have been captivated by the story of the Butterfly Effect, a metaphor of a butterfly flapping its wings in Brazil and setting off a tornado in Texas. The metaphor originated with Edward Lorenz, a meteorologist and mathematician, in the 1960s and describes how subtle changes in conditions in one area of the world might affect weather patterns in distant regions. It has become a central idea in chaos theory and is now applied widely beyond meteorology. It reminds us that in complex, interconnected systems, such as our families, workplaces, towns, cities, and countries, small actions can have large, unintended, and unforeseeable consequences.

For instance, a stranger honks at me in traffic. “What an idiot,” I think. “Obviously, I can’t move.” I stew over his disrespect all the way to the grocery store, and become impatient and out of sorts, so when the cashier is slow to scan my items, I snap at her. She remains silent but rolls her eyes at the bagger. He’s a teenager on his first summer job and thinks what a rude old woman I am. He worries about the next senior-citizen customer’s possible negative attitude as he continues to ruminate on my discourtesy, so when she checks out, he throws her purchases into her bags without paying attention. When she gets home, the peaches are bruised, and the tomato he threw on the bottom is squashed. She remembers that a high school kid packed her purchases and vows the next time she shops there she’ll avoid baggers under twenty-five. She files a complaint with the store, and the manager calls all the teenage employees into his office, accusing them of poor job performance. On and on it goes.

The Fifth Remembrance asks us to live as if every moment and how we use it matters. It advises self-awareness and other-awareness. Each of us has a unique effect on the world, a unique contribution to make. As your mind hums with thoughts, your tongue flaps with words, and your hands busily build and tear down, what energy is being transmitted to the next person, the next town, state, country, planet, and universe?

Think about it. When you are dead, and your body has disintegrated, what energy will you leave behind? The Fifth Remembrance reminds us that we continue to impact our complex interconnected world even after death. Small actions ripple outward even beyond our lifetime. My metaphorical wings may create a tornado or a cooling summer breeze, war or peace, hatred or love.

Questions for reflection: What energy am I putting out into the world? How do I want to continue after I die?

Change and Loss

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“All that is dear to me and everyone I love are of the nature to change. There is no way to escape separation from them.”

The Fourth Remembrance would appear, at first glance, to contradict a core Buddhist principle, the concept of interbeing: the interconnectedness and interdependence of all things. The notion that we inter-are with everything seems difficult to reconcile with this remembrance’s stark prediction that we will inevitably be separated from the things and people we hold dear. 

While the Fourth Remembrance purports to be about the core Buddhist principle of impermanence, or constant change, it speaks to me of the fundamental paradox at the heart of the human experience—love and loss. We remain essentially unbreakably interconnected and interdependent despite change and separation.

The paradox becomes more accessible when viewed through the lens of letting go. The first four remembrances are all about letting go. The first three, letting go of youth, health, and life itself. The fourth, letting go of everything we hold dear and often cling to: people, relationships, situations, possessions, habits, and ideas.

So, why must we let go? Why must we suffer separation? Because everything changes, including me. For instance, relationships change. The person I met and fell in love with last year is different this year, and I don’t love him as much or at all. Or I’m different, and he doesn’t love me.

Possessions deteriorate. The house I bought six months ago has been invaded by carpenter ants and is disintegrating, the lawn has weeds now, and the basement is damp when it rains. Time to consider selling?

Circumstances evolve or devolve. The job I thought was a perfect fit for my talents has turned into a nightmare since the new supervisor arrived.

Habits intensify and may become unhealthy. The glass of wine each evening to relax has become two, then three, then four, and it is no longer helping me to relax; now I can’t sleep.

Beliefs and ideas harden and narrow our perspective. My creative idea for solving a problem in my community has become an obsession, and I can’t see the situation from any other perspective. My mind is closed. I’ve become part of the problem instead of the solution.

Letting go is difficult, often painful. Feelings of sadness and loss linger, sometimes forever. Letting go can cause or contribute to a wound that may stubbornly resist healing. Holding on, though, can also cause suffering. The choice can seem like a no-win proposition. We can feel trapped between the pain of holding on and the sadness of letting go.

If, indeed, loss is unavoidable, how do we live with that reality? Are we meant to love at all? If so, how do we love when everything we love is constantly changing? By accepting that loss is inherent in love?

The  Tao Te Ching offers some profound but practical advice.

If you open yourself to loss,

you are at one with loss,

and you can accept it completely.

(Verse 23, Stephen Mitchell translation)

To open to loss, one must open to risk—the risk of loving, valuing, or holding dear. One must be open to caring, vulnerability, and desire. These emotions are big risks. They carry the potential for getting hurt. You cannot let go of something you are not holding on to. You cannot lose something you have not gained, or at the very least desired. Holding something dear—even lightly or slightly—must inevitably lead to letting go. If it doesn’t, it will lead to suffering. The Fourth Remembrance does not recommend loving less; rather, it recommends accepting change and loss. The Tao speaks of loss as something worth opening to, worth accepting, becoming one with.

Why might that be so? Like the other remembrances, the Fourth is not a belief, but an observable or experienced truth. Change, and therefore separation or loss, happens to everyone. We know this from personal experience. Accepting it unites us with reality and with all other sentient beings. Therefore, loss is one way our interbeing, our connection to others, is revealed.

Losing or letting go also creates an opening for something new. As terrifying as this opening may appear, as sad as it may feel, it is the way forward, the only way. While letting go might provide an opportunity for something better, more importantly, it allows us to remain responsive to reality. The Fourth Remembrance does not ask us to stop loving, but to love without expecting permanence, to let what we hold dear rest in open hands, to receive what comes, accept the loss of what goes, and be fully present to what is here now.

Questions for reflection: Is the price of love loss? Can we love deeply without clinging? Does knowing something is temporary make it more or less precious? Am I being asked to let go of something or someone?

The Threshold

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I stand before the open door
Wondering if I am ready for
Whatever lies on the other side.

The view from here is blurred,
The invitation is barely heard,
And the details are unclear.

Questions flood my mind.
Have I misjudged the time?
Am I ready to enter there?

Worthiness, too, is in doubt,
And now the secret is out!
It’s failure that I most fear.

And yet, I sense it’s time
To leave old patterns behind,
And seek a novel theme.

Just one short step in trust,
Balance and readjust,
And then begin again.

Alive with Death

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Here’s the paradox: awareness of death clarifies life.

In my introduction to this series on The Five Remembrances, I mentioned the Buddhist practice of Maranasati or mindfulness of death and its benefits in fostering appreciation for life. In practicing Maranasati, I’m discovering that death is one of life’s foremost teachers.

So, I find it helpful to ask myself how the awareness of my inevitable death clarifies each area of my life:  my close relationships, the decisions and commitments I make, my interactions with acquaintances and strangers, how I use my time, how I use my money, what I think, say, and do. Pick any one of these and look at it in the light of your death. When I do so, I find that I have a clearer view of what is vitally important in each situation, what I can let go of, and what I most deeply desire. 

Yes, it makes a difference whether death is imminent or far off, but we don’t know, do we, when we will die. What would you change about how you live now if you fully accepted your death and the uncertainty of the time you have left? You are going to die, that is certain. When you will die is uncertain. How will you live today, knowing those truths?

Someone recommended that I consider how I would choose to live if I knew I had one year left, one month, one week, one day, one hour. So, I made a list.

Moriah, if you had one year left to live, who would you want to be and how would you want to use your time? First, I would want to spend no time trying to change the things I cannot change, which is just about everything except myself and how I choose to live. I would seek every opportunity to love, give generously, be present, and celebrate life. Of course, high on my list of how to use my time would be finishing end-of-life planning tasks for the sake of those left behind. I’d dispose of all my possessions except the essentials for the same reason. I’d hope to finish my novel and memoir because they are a kind of legacy. I’d spend as much time as possible in nature, and I’d want to write goodbye letters or have conversations with those to whom I have something particular to say. (Amusing that I think they might be more likely to listen if I am dying!)

And if you had one month of life left, Moriah? I suspect my energy would be waning, I would be sleeping more, turning inward, and disengaging from events and people. Still, if anything remains unresolved, I would like to try to resolve it, while understanding that it might be beyond my power. I’d like to flow with the process of letting go.

With one week left, I’ll be too weak to do anything but look at what’s around me; I’d like it to be nature. I’ll want to sleep and keep letting go.

One day? Love.

One hour? Love.

If these activities and attitudes become most important when my lifetime is short, are they not crucial for me in this moment as well, when my life expectancy is unknown?

Contemplating death causes me to ponder the meaning of my life. As hard as I have tried to change the world, the difference I’ve made is minuscule.

Still, every breath I take, every move I make has had an unfathomable effect, an irreversible impact. I will never know all my karma. So, while I can consciously change so very little, I am constantly changing everything. I want to do good, promote justice, relieve pain, and make peace, but I find myself with so little power to do so. However, my slightest movement, even my smallest thought, alters the world forever. What an enormous responsibility. What a paradox.

I am going to die. I don’t know when, but I want to be ready. I want, at the very least, to have my arms open to embrace death. I’d prefer for my life to be tidy, organized, complete, and meaningful, at least in my own eyes. It may be, but it may not. If death comes today, there will still be loose ends for sure.

Perhaps this year of focus on death is meant merely to clear the path, to let go of distractions so that the real work can begin. Perhaps this year is the first step, the step close in, as the poet David Whyte would say, the first step in preparation for whatever follows.

This year, I’m meeting monthly with a spiritual companion to discuss my reflections on death. I’m taking a Death Education Course and preparing all the appropriate legal and legacy documents. I’m trying to pare down my material belongings and my organizational commitments to open space and free up time for the essential. I hope to practice letting go of pet beliefs, projects, and habits in myriad situations every day.

I’ve been a Gandhi fan since early adulthood, especially attracted to his principle of the unity of means and ends: “the means are the ends, the path is the destination.” If the means are the ends, then living well is not separate from preparing to die. If the path is the destination, every attentive moment, every time I let go, every act of love foreshadows the way I will die.

Death is not only in store for me at the end of life; it is showing me, here and now, how to live.

Questions for Reflection: If you knew you had one year left to live, what would you stop doing? What would you begin? If you had only one day left, what would matter most? If you had only one hour?

Third Remembrance: Inconceivable Certainty

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Moriah, you are going to die.

No, really. Seriously. You are going to die.

This is the one thing you can be certain of.

Death is inconceivable, unimaginable, yet certain. That is the paradox: something that happens to every one of us—something we have known about since our minds became capable of self-awareness—remains fundamentally unknowable.

How do we respond to such inconceivable certainty?

First, by contemplating it as little as possible. Conventional wisdom encourages us to avoid thinking about death, to live as though we will continue indefinitely. Several readers have told me that my posts on aging and death are too much, too intense to dwell upon. They feel compelled to look away.

I understand. The temptation to look away is powerful.

Yet I am convinced that death, the one certainty, deserves a sustained and respectful gaze.

Real-life encounters with death may be frightening, ugly, mundane, or occasionally peaceful, but they reveal little about what dying actually feels like. Death is always happening to someone else, and we cannot enter another person’s experience.

For several years, I served as a hospice volunteer and kept vigil at many deathbeds. During long hours, often in the middle of the night, I watched the work of dying. I hoped these experiences would grant me insight into its mystery, but death remains incomprehensible. What I carried away instead was another paradoxical truth: death is both my unique work and completely beyond my control.

Some people seek understanding through stories of near-death experiences, many of which describe light, warmth, joy, and the presence of loved ones. One friend found comfort in the belief that her beloved grandmother and several cherished pets would greet her when she died. Yet just before her final breath, she became conscious, looked around, and asked, “Where is everyone? I thought they would have come for me?”

Rather than confronting death directly, we often surround it with metaphors. These images may comfort us, but they are necessarily imperfect because we do not know what they point to. Common metaphors include journeys (“walking each other home”), sleep and rest (“every falling asleep is a little death”), transformations (“passing away”), thresholds (the pearly gates), personifications (death as a thief), and natural cycles (winter as the season of death). While intellectually interesting, they all seem like attempts to describe what ultimately resists description.

Despite all the pain, sadness, disappointment, and failure I have experienced—along with joy, of course—I do not want life to end. I want this awareness, this self I call me, to continue in some form. Though I am tired and will become more so as I age, I cannot truly conceive of my own nonexistence. Some people speak of death as peace or rest. I worry instead that it might resemble a never-ending anxiety dream—something with which I am intimately familiar—when I would much prefer it to resemble the complete blankness of sedation for a medical procedure.

This raises a knotty question: Moriah, are you afraid of death?

Not exactly.

I am afraid of pain, disfigurement, suffocation, cold, hunger, sleeplessness, and shame. But death itself? How can I fear something I cannot imagine?

Over time, I have replaced fear with curiosity and experimented with different theories about what death might be.

I once believed in heaven and hell. For a while, those ideas fit comfortably. Eventually, however, they lost their hold on me as I came to see many religious traditions as attempts to understand the divine through human images and characteristics.

As I explored Buddhism and Taoism, other possibilities became more compelling. At present, two concepts compete for my allegiance.

The first is death as nothingness: a vast, dark void. The metaphor for this theory is outer space. I imagine myself floating endlessly in a 1980s-style spacesuit through silent, sightless, senseless emptiness. Yet even here, some faint awareness remains—not awareness of anything, but awareness of nothingness itself.

The second theory is inspired by the law of conservation of energy. In this view, the consciousness I now experience as Moriah does not simply end but transforms into something entirely new and unrecognizable, even to itself. My physical remains return to the earth or ocean, nourishing other forms of life, while whatever energetic essence animates me returns to the source from which all things arise.

I am not especially a fan of The Black Eyed Peas, but the opening track on their 2009 album The E.N.D. has captured my imagination. The lyrics begin:

“Welcome, welcome to the E.N.D. Do not panic. There is nothing to fear. Everything around you is changing. Nothing stays the same … The energy never dies.”

The Buddhist teaching of “no birth, no death” offers a similar perspective. Life and death are not singular events but aspects of an ongoing process of transformation. The concentrated energy that is presently me will disperse and perhaps reassemble into something that will no longer be identifiable as Moriah. Yet it will not disappear.

In that sense, I am infinite.

These theories satisfy my longing for connection with the source of life. They also address my incomprehension of annihilation by allowing for some form of continuation, whether formed or formless.

So I have looked death in the face—there is another metaphor—as best I can for now. I have acknowledged its certainty and its mystery. I have admitted my worry, sadness, and sense of loss when contemplating the end of my life. I have indulged my curiosity. Yet every attempt to explain death through language, metaphor, or imagination ultimately falls short.

I know I will die.

I cannot imagine what death is.

And I cannot look away from it.

What does all this contemplation of death mean for how I live today? Does it shape my daily choices and attitudes?

I will explore those questions in the next post: Alive with Death.

Questions for Reflection: How do we live with absolute certainty about something we cannot imagine? What is your own theory about what happens at death, and what emotional need does that theory satisfy?

No Escape-Only a Path

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The Second Remembrance: I am of the nature to have ill health. There is no way to escape ill health.

Ill-health is part of life—one that challenges our illusions of control, inviting us into deeper acceptance, compassion, and understanding.

.        .        .

What, exactly, is “ill-health”?

Something in the body is not functioning as it should. The result may be pain, nausea, fatigue, or an inability to perform basic functions such as walking, breathing, digesting, or eliminating. Ill-health may or may not take the form of a disease like diabetes, multiple sclerosis, or cancer, but it causes a sense of dis-ease.

Why does ill-health happen? The causes may be many, and are often beyond my control: genetics, environment, toxic exposure, or accident. Or, as discussed in the previous post, my body may be wearing out with age. Sometimes there is no discernible cause for ill-health. For those of us used to seeking answers at the tip of our fingers, this can be the most disturbing kind of dis-ease. Though we like to think that if we use our bodies well and carefully, we can avoid ill-health, discipline and preventative action can only take us so far, they do not create an impervious protective shield.

Why do we resist ill-health? We are a control-prone culture. Lack of control can provoke reactions from mild discomfort to intense fear, so we collude with one another to perpetuate the illusion of control. Faced with loss of control over our bodies, we will go to almost any length to reassert it.

Modern Western medicine focuses on control: identify the cause, intervene, cure if possible, and if not, manage symptoms. We tend to consider health our birthright, even as we refuse to recognize health care as a basic human right.  When a cure is possible, we pursue it intensely, sometimes indiscriminately, if we have the financial means. If a cure is not possible, or we can’t afford it, we rebel and rail against our misfortune.  Only as a last resort, we reluctantly accept our ill-health and turn to palliative care—to relieve instead of fix.

I’ve been fortunate. None of my conditions of ill-health is immediately life-threatening, and most are at least partially treatable. Still, since my mid-forties, ill-health has been my reality, and I, too, have struggled before reaching a measure of acceptance.  I inherited Restless Leg Syndrome (RLS) from my mother. Peripheral neuropathy followed on its heels, producing numbness, tingling, and pain in my hands and feet. A couple of years ago, a cardiologist informed me I have lived with hypertrophic cardiomyopathy all my life, but I only recently became symptomatic, experiencing shortness of breath, chest tightness, pain, and fatigue.  I’ve dipped my toe into cancer, skin cancer to be exact, with a melanoma in situ on the right side of my face and squamous cell cancer on my arm. My family has a history of colon and pancreatic cancer, so I have some anxiety about developing these. Add the chronic conditions: GERD (Gastroesophageal Reflux Disease), osteoporosis, and sleep apnea, and the picture of my ill-health is complete. Naming these conditions is, in a roundabout way, part of my attempt to both control and accept them.

I‘ve patched together my own brand of palliative care, combining medications, diet, and exercise. These interventions help me exert as much control as possible; the rest I must accept, because I am of the nature to have ill-health, and more of it as I age.  

But does ill-health bring only negatives and losses, or does it, like aging, also offer opportunities and graces?  What can I learn from ill-health? Are there any up sides?  

At a basic level, ill-health may provide an opportunity to loosen control and soften into self-compassion and empathy with others who share my conditions. It may enable me to touch into my vulnerability, reveal interdependence, and offer a chance to receive care from others.  Or, with a more active approach, I can study my condition, support research financially, or participate in trials that may lead to a treatment or a cure. In this way, I may help others who share my form of ill-health.

I live in a retirement community where most of us are seventy or older. We are all experiencing some form of ill-health, and we are famous for reciting our ailments and their treatments; it’s one of our common pastimes. Even this can have its benefits. Sometimes my ill-health forges a bond with others—an understanding that can, in itself, be palliative.

The Second Remembrance is not only a caution, but also a summons. Like everything else, ill-health may provide an occasion for growth and transformation. Is this not what the Five Remembrances as a whole teach us? What cannot be avoided can be met with curiosity, awareness, acceptance, and perhaps even wonder. So, we face into ill-health, looking for the opening along with the closing, looking for the way through rather than the way out. There is no escape, but there may be a path, otherwise overlooked, toward unanticipated freedom and unexpected meaning.

Before closing this brief essay on the second of the Five Remembrances, let me remind you that my reflections arise, not from formal study, but from meditation and observation—from my attempt to grapple with the choice to intervene or accept, to discern whether to flow with or swim against the inescapable tide.

Questions for Reflection: Is ill-health as inevitable as aging and death? How do I meet ill-health—with resistance, acceptance, or both?  Do I seek to escape ill-health more than aging?  Why?

Of the Nature to Grow Old–B

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The First Remembrance: I am of the nature to grow old.  There is no way to escape growing old.

. . .

Aging comes inevitably, step by slower step—inviting us to slow down and move inward, toward acceptance, simplicity, and the essence of love.

I can no longer walk up a hill, heck, even a small incline, without feeling out of breath.

The ghosts of old pains live in my body as diminished fantoms—sciatica in my left leg, rotator cuff pain in my left shoulder, occasional pain in my left lower abdomen.

Unexplained neuralgia has made my feet and hands numb and tingly.  In the winter, I am in danger of frostbite when I walk the dog on days when the temperature is below freezing.  I’ve purchased rechargeable hand warmers.  I haven’t found a solution for my toes, which are perpetually inflamed on the tips. My numb fingers are clumsy.  I’m surprised when things slip through them. I live in fear of dropping a knife on the cat.

My nose runs continuously.  I could single-nosedly keep Puffs Plus Lotion in business.  I drool embarrassingly, noticing only when it is too late.

My neck is constantly stiff; it’s painful when I turn left or right.  Thank goodness for the backup camera on my car!

All this diminishment, though I exercise five days a week: swimming, cardio, weights, and yoga; now and then a little Qigong, and have done so for 30 years.  I eat and drink in moderation.  Sleeping is another matter. 

I feel exhausted doing half of what I used to do.  I used to work in the yard all day long on weekends.  Now, after an hour, I need a nap. When I shovel snow, I must stop to catch my breath every three or four shovelfuls.

All these symptoms of aging require new and creative workarounds. If I can find none, I must let go.  No more mountain climbing, even small ones like Bradbury. I can’t walk the dog or hurry on foot to a meeting after breakfast or lunch.  If I try, I’ll have to stop multiple times along the way to catch my breath. I stopped going out after dinner in the evenings long ago. Many physical activities require planning, asking, “Is it safe, doable, can you sustain it?  What will be the effects the following day?” Travel is complicated: time changes throw my medication schedule off whack, I have to lug my CPAP machine with me, I can’t always find easily digestible food, and bowel irregularity is a problem. Staying home becomes increasingly attractive.

I counsel myself: bundle up, slow down, plan, embrace the inner journey. Celebrate the possible.  One hour of gardening is a cause for delight. Simplify. Rest. Draw the circle closer in, nearer the core of life. At the same time, let your tenderness and compassion ripple further out into the universe. Drill down to the essence of love. Stay there; make it home.

Questions for reflection:  Are you grateful for what remains possible?  Has slowing down deepened your experience of life?  What does it mean to make love your home?

Of the Nature to Grow Old-A

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The First Remembrance: I am of the nature to grow old.  There is no way to escape growing old.

The first of the Five Remembrances invites us to face the truth of growing old, and to recognize it as a path toward humility, authenticity, and coming home.

The First Remembrance: I am of the nature to grow old.  There is no way to escape growing old.

Let’s start with the body.  And let’s be ordinary and practical. As the years pass, I change physically. What a cliché—and yet, how true!

My internal organs—heart, kidneys, liver, etc.—wear out from constant work, 24/7/365. Joints need to be replaced. Plaque builds up in arteries, and skeletal injuries worsen.  Sun, wind, water, and chemicals all take their toll. Wrinkles and age spots appear, skin sags, and tears.  My prescription lenses grow thicker; cataracts form and must be removed. Though my hearing continues above average, I watch others struggling, even with hearing aids. My balance is compromised, and I’m slower and less steady. I forget names, words, and appointments, and I can’t express myself as fluently as I once could. I may not have dementia yet, but I’m not as sharp as I used to be.

 If I’ve eaten well, exercised, slept well, have a healthy social network, and engage in meaningful work and activities, I may put off the worst effects of aging until my nineties or even one hundred. But while aging can be managed or delayed, it cannot be escaped. The years stack up inexorably.

Aging is not only physical.  I am seen differently now. No longer am I identified by my education, career, or accomplishments.  Instead, I’m classified as “retired” and viewed as vulnerable, dependent, and without purpose. I’m seen as a liability rather than an asset, a drain on resources rather than a contributor. Not surprisingly, if I’m wealthy, this ageist judgment may be mitigated slightly.

Sometimes, not too often to be a bore, I hope, I may catch myself reciting my resume—former jobs, publications, achievements—or, if I have children and grandchildren, their successes, as if to reassure myself that I mattered; that I still do.   

I may resist becoming dependent and fear being a burden. Perhaps that’s why I keep driving longer than I should, put off using a cane or walker, and don’t admit that I can no longer bend over to clean the bathtub or see the thick layer of dust on the baseboards.  Asking for help makes me feel diminished.

Others might notice that I need assistance and might even offer it, but perhaps I’m stubborn. Help can be expensive, whether one pays for it or asks for it, and refusing it can become its own burden.  If I have the resources to purchase assistance, I can preserve my dignity a little longer. Acknowledging dependence changes relationships. 

Friends drift away, not always by choice. They can’t see to write, can’t hear to call, can’t drive; energy fades, or they die. I may feel lonely and isolated. I could fix that by moving to a retirement community if I have the resources and the courage. Living in community as we age is probably the best option, but the aging process continues relentlessly.  

Aging is not only erosion, though; that’s only half of the story. The glass-half-empty part.

There’s another half to the glass.  I can accept that I am of the nature to grow old.  Acknowledge the drawbacks of aging but embrace the benefits.

I am happier now than when I was young; more content, less competitive and ambitious. I have more time to indulge my creative urges and nurture my friendships.  The inevitable physical decline and the social transformation shaped by cultural norms are offset by a new openness to gratitude, simplicity, and authenticity.

I may feel freer, more comfortable in my skin, and confident. Paradoxically, my physical diminishment is accompanied by an inner expansion, a movement away from the material and toward the spiritual. I may now have the courage to face challenges I once found threatening and therefore resisted or rejected. At the same time, simplicity is more attractive, and rest beckons. 

I have time—glorious time—to sit still, stare into space, do nothing, nap without apology, and love what is right in front of me. I know intuitively that the past can be redeemed by forgiveness and love. The future? Well, it’s unknown, and I waste less time imagining or trying to control it.  Because I know my time is limited, I can more clearly recognize and choose the opportunity that this moment offers.  I’m on a journey home, and I’m getting closer and less afraid of arriving.

My many experiences, both painful and joyous, have mellowed and moderated me. The middle way is more appealing than the extremes. My intuitions have proven true repeatedly, so I increasingly trust myself.  But my failures have humbled me, and I’ve learned that self-compassion is the only path to empathy for others.

These are the graces of growing old—the invitations that aging offers each of us.

So yes, I am frail, vulnerable, and dependent, but I’m also grounded, grateful, authentic, and vibrantly alive. All of these are my nature.  Why should I want to escape?

Question for reflection:   How are you experiencing aging—loss, expansion, or both?

There is no escape

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The Five Remembrances (Plum Village Version, Thich Nhat Hanh)

  • I am of the nature to grow old. There is no way to escape growing old.
  • I am of the nature to have ill health. There is no way to escape ill health.
  • I am of the nature to die. There is no way to escape death.
  • All that is dear to me and everyone I love are of the nature to change. There is no way to escape being separated from them.
  • My actions are my only true belongings. I cannot escape the consequences of my actions.

For the past five or six years, every January, I have chosen—or been chosen by—a single word as a linchpin for the year ahead.  It’s called the One-Word practice.  The chosen word becomes the subject of intense reflection, aspiration, and intention.  My One-Words have included: slowly, rest, flow, love, write, and Wu Wei (non-forcing).

My word for 2026 is Death.

“Why do you want to focus so intensely on death?” a friend asked.  I responded that in Buddhist practice, meditation on death is recommended to foster the fullest possible experience of life.  Maranasati, or “mindfulness of death,” reminds us that life is transient and precious and we must live with intention and purpose.

My time is limited, I explained, and I want to live as fully and consciously as possible. My friend and I both admire Mary Oliver, and, particularly, her poem “When Death Comes.”

When it's over, I want to say all my life
I was a bride married to amazement.
I was the bridegroom, taking the world into my arms.
When it's over, I don't want to wonder
if I have made of my life something particular, and real.
I don't want to find myself sighing and frightened,
or full of argument.
I don't want to end up simply having visited this world.

Like Mary Oliver, I don’t want to just pass through life as a visitor.  I want to embrace and inhabit it with amazement.

One way I am practicing mindfulness of death this year is by meditating daily on The Five Remembrances, Buddhist contemplations that acknowledge the inevitability of aging, illness, and death, the reality of impermanence, and the consequences of every action (karma).

I’ve been doing so since the beginning of January: reciting the words of each remembrance, looking deeply into their meaning, reflecting on my experience of each, and writing those reflections in my journal.  The following series of brief articles is based on those journal entries. These posts are not a scholarly exploration of Buddhist philosophy. They are personal and experiential.  I offer them in the hope that they will resonate with others—especially those who are no longer young and are approaching “The Big Let Go,” Death.