‘Can I sit next to you?’

I love random meetings when I travel. Most of the time these moments prove far more memorable and meaningful than the trip one sets out upon, even when one is traveling for a purpose.

In my case, my trip to St. Louis, Missouri, from Sept. 28-30, 2022, involved seeing a very sick family member. It was a heavy trip, and I had a lot to do. At that moment, thoughts of life and death weighed on my mind, so I was in a reflective mood. Perhaps I was willing to share stories with a stranger.

This short cross-country jaunt was also my first out-of-state trip from Portland, Oregon, in more than 15 months. I had booked a cheap flight, which meant I would leave at an early hour.

Because I always prefer to arrive early, I parked my car at the airport extended car park parking lot around 1:30 a.m. and quickly got the shuttle bus without much waiting time. That meant I walked into the nearly empty Portland International Airport for my 5 a.m. flight far before I expected.

It was still the dead of night, when nearly no one was in the facility. Because of that hour, Transportation Security Administration (TSA) staff had not opened the check-through area for the gate I would use. That meant I had an hour to wait and perhaps read my books I had brought for the flights.

I sat in the nearly empty front lobby by the empty check-in area, until the full staff would arrive. Few other travelers were around, and a handful of security personnel walked the quiet space. A few weary travelers had crashed in the lobby area, sleeping on the floor, perhaps waiting for another early morning flight too.

An older woman, who I learned was 81, approached my seating area with four seats. We both were wearing masks. She asked, “Can I sit next to you.”

“Of course,” I replied.

That was the beginning of a conversation that meandered for an hour. I never got her name. I should have asked.

The retired nurse told me she was a widow. Her husband died more than a decade earlier, she said. She now lived alone in an apartment in downtown Portland, which she liked. She told me about her life, like her recent trip to the Alps this past summer to hike with a group. She told me she needed to go on that trip, before she could do trips like this in the future. She loved it, she said.

She then talked about her coming travels. She was estranged from her family, back in Kansas. But now she was traveling to Topeka, Kansas, for an indefinite time. She was going to care for a slightly younger sister dying of cancer. She did not know how long she would be there.

I learned that her oldest daughter, who lived in Portland, was also dying of stage four breast cancer. I did not probe with questions. I could sense it was not going well and would end badly. The pending deaths in her family made her increasingly aware that her days also were numbered, she mused.

Though she said she had left her family decades earlier, it was now time to connect with kin who would be passing. I concurred. I told her it was very caring for her to be so generous to her sister. She nodded, in agreement.

I told her I was seeing my ailing family member, who was not well and living in a nursing home. I told her briefly about my mom, who had died in early 2020 from Alzheimer’s after a seven-year battle. Mostly, though, I was the listener.

Near 3 a.m., we noticed the TSA team had arrived and the security checkpoint was open. We both walked over. That was the last time we spoke. I saw her get a seat ahead of me on the plane. She got off the connecting flight in Denver before me, and I never saw her again.

The encounter, with a stranger I will likely never see again, reminded me why it is good to listen to people and let them share their burdens. We all need to listen when we can and just be kind.

Planning for the inevitable is not a fearful thing

My mother’s misfortune of developing Alzheimer’s still shapes my way of navigating the world. She endured the horrible disease for more than seven years, before finally dying, with little left of her cognitive functions.

Roman artwork Memento Mori, in the Naples National Archaeological Museum

To deal with the illness as a family member, I had to readjust my way of navigating the world. I had to deal with stress. I had to deal with family conflict. I had to deal with helping someone who could never be cured.

Most of all I had to practice what philosophers did more than 2,000 ago, meditate on one’s mortality, or memento mori.

Death, as the ultimate end of my mother’s condition, became relentless as a nagging thought. I had to think about it because it was the way her suffering would end. This is simply an honest reflection, because that is what Alzheimer’s was truly like. It was worse for my step-father, who was her dutiful and loving caregiver.

However, practicing memento mori was not a scary thing. It was and remains a pragmatic thing, as all human life ends, and avoiding thoughts about this is folly. All of us will die, regardless of our station in life or our deepest fears about the end.

Because of this knowledge, I continue to tidy up my plans. I have attended to my probate planning instead of putting off the boring but critical details.

I also realize that by living alone, I am at much greater risk of misfortune, mostly because no one will care for me. This is also a byproduct of being adopted, which is a related and complex story.

So I have started making plans for logical “what if” possibilities.

What if I am hit by a bus? What if I have a bike accident that goes tragically wrong if I am struck by a car? What if I get a serious illness that arrives suddenly?

Too many things have happened in my immediate world of family and friends lately to forestall such thinking and planning.

Tonight I took another small but practical step. In my apartment, I hung a very visible sheet of paper on a wall that could be seen and found in the event of an emergency. It is my cheat sheet who to contact if I am not there and there is a need to reach my emergency contacts. It is a small thing, but it was both easy to and logical. I will add this to my wallet too. And why not?

My mom and step-father had a similar list on their refrigerator door for years as she was sliding to her end. I know hundreds of thousands of others may have done the same thing. They are like the paintings Romans made of skulls and skeletons, reminding all of us our end will eventually come.

When a public school teacher retires from a life of service

I cannot remember if it was 21 or 22 years ago, but the timing was right around this time of year, as classes were ending for public schools. What I do remember well is that my mom officially retired from her career as a public school teacher with the University City Public Schools system.

Woman and her adult son
My mother poses with me shortly after her retirement from lifelong service as a public school teacher.

I joined her the day she turned in her paperwork at the district office. I happened to be traveling from my home in Seattle to the St. Louis area. I wanted to be there to congratulate her for her years of service to kids, many from families with many difficulties. She was mostly happy, and the staff were pleasant, but there was no big celebration for her many years with the University City Public Schools. I wish I had been more thoughtful and treated my mom that day. I let her down.

Today, as I think about the stresses facing kids and teachers over the last two years in particular, I recall the way my mom’s career of service ended. I now wish I had pictures of her in the classroom. Unfortunately, this was before the social media era. What I have is a photo is from that era, maybe two years after she left the classroom.

My mom’s post-retirement life went well for a while, until she succumbed to Alzheimer’s disease, and then her life was hell for seven years, until her death in February 2020, just before the world experienced the COVID-19 pandemic.

At her funeral, the minister who led the sermon, and who I helped with some stories about my mom’s life, said these words: “She was one who devoted her life to teaching and encouraging little children. She was also ahead of the disciples, and on the same page with Jesus, as much of her career was teaching and nurturing those of differing communities. As the little bio notes, much, if not most, of her career was engaged in teaching young African American children. Jesus’ own teaching and ministry was inclusive. In fact that was a major point of his teaching — to teach and demonstrate that the community of faith, the community of God did not discriminate. This is a justice issue, but it is also a deeply spiritual issue, and faithful to the one who calls us to follow … . What the children recognized was a relationship, someone who cared for them, wanted them to learn, as she would want her own children to learn, to be cared for.”

It still saddens me that the school district, which I contacted repeatedly, never acknowledged my mom’s passing in their official communications. It was COVID-19 time, but this willful shunning of a public teacher still left me upset how even school districts remembered their own.

With June around the corner, millions of kids and families are getting ready to head into summer. It is an uncertain time too, with school safety foremost on the minds of many, along with so many other economic issues facing the kinds of families my mom served. So, if you can, please remember to thank a teacher before the school year ends, in person, if you know one. They will always remember that kindness.

And so a year passes

A year has passed since my mom died from Alzheimer’s disease. It’s an illness that will crush and humble most mere mortals, and even the brave and the strong.

I had been awaiting for this day, contemplating its meaning as it got closer and then arrived.

The markers of time the past year have been unlike anything I can remember.

Collectively we have lived through a global pandemic, which was just taking off right after I flew home. The United States’ imperfect democracy nearly collapsed under the continued assault by Donald Trump and his fascist enablers. Wildfires engulfed my state, and I worked through that for weeks as part of the state’s response. Now I find myself working on the state’s pandemic response, never slowing down.

I am relieved my mother is no longer suffering, nor her husband (my stepfather).

I feel like I have changed too. Luckily my solace has been the music of Johann Sebastian Bach.

At the ceremony of life for my late mom, on Feb. 11, 2020, the church choir and musicians performed Bach’s Jesu, Joy of Man’s Desiring (from Cantata 147).

It was if Bach was speaking to my heart across time and space and said: Peace had come. Her journey had ended. All would be fine. I listened again to this piece over the weekend, and it brought great comfort. Bach’s music has let me say farewell.

Saying goodbye and finding meaning

The writer Robert Green, author of many books on human behavior, shared these words that make me think of Mom. Green wrote: “But despite what you may think, good luck is more dangerous than bad luck. Bad luck teaches valuable lessons in patience, timing, and the need to be prepared for the worst; good luck deludes you … making you think your brilliance will carry you through. Your fortune will inevitably turn, and when it does you will be completely unprepared.”

Mom at the Seattle Wooden Boat Festival, July 2004.

Like all of us, Mom had good and bad luck. Unlike many, she always learned from her misfortune and knew exactly when she finally found the tide turning. And she also knew good luck simply didn’t happen. She worked hard for it.

Mom was a child of the Depression and the daughter of an immigrant, who was fortunate to leave Germany before a much worse misfortune befell her homeland. Those immigrant lessons were passed down to Mom from her mother.

Being a child of that era, it shaped Mom and her generation. She spent her early years in a working class community of New Jersey—something that I think taught her about working hard and knowing that others around you could be less fortunate. She never forgot this her whole life.

Mom also grew up in the shadow of a great city, the epicenter of culture, and finance. The Big Apple’s glow could be a draw to anyone, particularly a woman like my mom who had an abundance of great looks. Those looks, however, never went to her head.

Mom attended Bronxville in NY (Concordia College, Bronxville, today) to pursue professional studies that the sexist workplace of the 1950s offered single women of lesser means. She made lifelong friends there. One became the godmother of one of her children (me). They were called the “Triple Threat.”

Mom, when she would turn heads during her college years in New York.

I don’t know the full story how Mom moved from greater New York to soggy Saginaw, MI in the mid-1950s. My guess is she needed work. When she had to work, she would always “crack on.” I learned this from her early on.

In 1958, she met her first husband. They moved to Detroit. They adopted my sister and I and raised a family. They moved to Boston for a spell in late 1965 and then to Clayton, Missouri, in late 1966. The pair divorced in 1973 and she re-entered the workforce as a teacher, eventually in the St. Louis Public School System and the University City Public Schools system.

She was a lifelong teacher, completing her career in University City Public Schools as a reading specialist. She devoted her professional life to the wellbeing of young people, many of whom were lower income, minority, and had higher needs.

Despite Mom’s great looks, she was remarkably grounded in the world around her, in people, her church, her community, and her family.

She was profoundly spiritual. She didn’t need to tell the world about her faith. It resided in her. She was devoted in the fullest Christian sense to her Christian identity and the congregations she belonged to. She dragged me and my sister to church. She knew better than we did why our nearby Lutheran church would be good for us. She was right. Her faith stayed with her to her last days.

Mom always had style. I never saw my mom look shabby. It’s the style the world saw on the show Mad Men, of women of that era. Mom always carried herself this way.

Mom had style, always

Mom also had an artistic side. Her creative outlets included fixing furniture, making beautiful outfits with her hands by sewing. She could throw herself into project and be unmoved by distractions. The house she purchased together with her second husband became an art gallery. They both loved great art and had impeccable taste.

Mom was very smart—like all her family members. She loved crossword puzzles, which she did for decades. I could never keep up with her when she’d work them out on the kitchen table.

Mom managed the impossible: navigating a divorce, reinventing herself, raising two kids, switching jobs, buying a home on a teacher’s salary without any help. And then, with two kids in tow, she found her lifelong soul mate, who she married in 1983.

Mom may have felt she didn’t see the world, but she did.

With her second husband, they travelled nearly everywhere in the United States and Canada. She even travelled nearly 50 miles up a dirt road outside of Cordova, Alaska, in the pouring rain, just to see a glacier and laugh at how beautiful and crazy that was.

Mom and her second husband lived for a short spell in England, where he had a position for a short term. They also travelled to multiple destinations in Europe together: England, Scotland, Ireland, France, Belgium, Italy, Greece (I believe a couple of times).  They always looked like there were glowing in their holiday pictures. Snap, here we are in Paris. Snap, here we are in in Florence. Snap, here we are in in Rhodes. Wait, here’s Thurso, Scotland and Bruges, Belgium.

Author, Rudy Owens, and Mom, about four months before she finally succombed to Alzheimer’s disease.

She was a great cook. I loved her Christmas stollen and cookies. She taught me this art. She kept learning new recipes and growing with her expanding love of food outside of her St. Louis world.

Through thick and thin, Mom was devoted to my sister and remained generous to her. Mom was always about doing.

Mom was tough. Her friend from college shared some stories about that with me, and I can see that throughout her long life. I call it grit. It’s the virtue I respect the most in people who matter.

I think all that she confronted in life–stuff that might bend or break others–did not push my mom down.

She could weather storms because she always knew something good was ahead.

Mom during one her several moves in the mid-1960s

Mom was right, of course, and her marriage to her second husband was the highlight of her life.

The thing she said the most to me, for the last seven years of her life, when her illness took hold, was, “I have the best husband in the whole world.” I would always say: “I know mom. He’s a great guy.” She was would always laugh and smile. We had this conversation literally hundreds of times. She last said it to me on Thanksgiving Day, on the phone. I said, “Yup, mom. You are a lucky woman.”

Mom was the best friend and loving wife of her second husband for 37 years. She welcomed his family as her own and devoted herself to their shared relations. In the end, her marriage was the enduring happiness and the good luck that came in her life. She earned it and knew how to live it well, only the way those who know the fickleness of fortuna can.

Mom, I salute your memory. Thanks for making us richer.

Saying Goodbye

In December 2019, my mom began her stay at the Barnes-Jewish Extended Care facility in Clayton, Missouri. The place is close to my stepfather, who decided at last to put her into a care home. He has been my mother’s primary and dutiful caregiver for years. The decision was entirely his alone to make.

He felt good about the facility and its staff. It is partially owned and managed by the most respected medical system in metro St. Louis — Barnes and Jewish Hospital.

I first arrived at my mom’s new and likely final home on the first night of my four-day trip in late January 2020. I had flown out from my current home on the West Coast, in Portland. My plan was simple: spend as much time as I could with my ailing mother.

From the outside, the place looked remarkably plain, testifying to its focus on function. The three-story brick building has a gated courtyard and no fancy design features. It mostly resembles thousands of other care homes, where families, loved ones, and our society place our sickest, frailest, and oldest residents to live out their final days and die, hidden from public view.

My trip here also marked the final arc of my family’s life, not far from where we spent our early years together. Over the course of four days, I visited my mom daily, spending a couple hours each day with her.

My mom turned 83 last fall. When I came, she was at the end of her long, seven-year odyssey since she was first diagnosed with early onset Alzheimer’s in 2013. That diagnosis changed everything. Those who care for patients with Alzheimer’s, like my stepdad and my mother’s husband of more 35 years, travel in the deep and dark valley of this horrible disease for intolerably long periods, with few moments of joy.

Though I lived nearly 2,000 miles away, my life also changed completely. I stopped taking vacations. Nearly all the free time I could pull from my work schedule went to trips two or three times a year to see her. I ceased to care about petty squabbles at my job, wanting to conserve my energy and health to focus on my family. It probably allowed unhelpful situations at my job to get worse because I refused to waste time on inconsequential issues and people who were not important to my life.

Every time I saw my mom, her conditions had deteriorated more. By time I came out this January 2020, my mom had already had two emergency room visits the previous month. She first stayed at another care facility nearly 30 miles from her and my stepdad’s cozy home, where her offered loving care for years. He found the Barnes-Jewish facility after lots of rejections and queries. It offered extended care, and he immediately liked it.

This is an expression I had much of the time during my four-day visit to see my mother at her new care home.

Over my four days in St. Louis, I visited my mom’s room on the third floor, where I got to slightly know some of the patients. Most of them were mentally sharp. Some had severe cognitive disabilities. Many were old and friendly to me. I had several conversations with mom’s neighbors during two lunches.

For those lunchtime meals, I spoon fed my mom what little amounts of nourishment she could swallow. When she did, she would smile at me, but not really see me because of her eyesight had long since failed.

I also befriended some nurses and nurses aides. All were cheerful and caring. They lovingly helped my mom with her basic functions: showering, eating, being wheeled in and out of the recreation and dining room. They were pros at moving her around. They also did the diaper changes and clothes changes. I couldn’t do that. Most were African American.

This sign decorates the rec room/lunchroom at my mom’s care home.

I particularly liked a day nurse, a man with tattoos covering his arms and about my age. I also liked another nurse, a South Asian woman who helped me get my mom out of bed and ready for lunch one day.

Since I last saw my mom in September 2019, she appeared to have aged about five years. She now had nearly totally gray hair. She was so weak, she was unable to walk.

According to my stepdad, on most days, she slept. Sometimes the TV was left on. Other times my stepdad said he put on music, which she liked. He set up some pictures on her bureau of happier times for all of us and put one of my mom’s favorite posters, from the 1904 St. Louis World’s Fair, above her bed.

My stepfather has arranged a loving display on the bureau in my mom’s room.

During each visit, I talked to her. I held her frail, withered hands. Sometimes she smiled. I liked that a lot.

The last morning of my final visit, a Sunday, began as a beautiful winter day in St. Louis. I awoke at 6:30 a.m. I took a brisk walk to clear my head. During those three miles I exchanged friendly hellos to friendly Midwesterners. I wondered to myself how many of them might have family members who were ill or experiencing dementia like my mother.

I arrived at my mom’s facility shortly after 10 a.m. It was quiet. As usual I signed in and walked to the elevator upstairs, through the institutional hallways.

I first went to my mom’s room and it was empty. I briefly panicked. I thought, she might have died the night earlier. I went back to the recreation and lunchroom. There she was, in her red sweat pants, a red sweater, and curled in a fetal position on the chair next the table below the blaring TV. I walked up to her and told her it was Rudy. I could see her smile, but I knew she did not see me.

That morning, a woman minister in her late 60s, wearing a blue turtleneck and blue pants, was leading a Protestant church service in the same room. About 10 of the mostly older patients participated.

I heard the minister speak the Lord’s Prayer, and half of the patients said it with her. She came up to me and asked if we wanted communion. I asked mom, and she agreed, likely not understanding what I asked. She ingested about one half of the wafer.

Mom began to curl up, wanting to sleep again. I ran to her room and grabbed a pillow to give her something more comfortable than a wooden chair arm to rest her head on. The minister, having finished her service, then sat at the piano and began to play hymns. She played and sang How Great Though Are, Go Tell it on the Mountain, Down by the Riverside, Amazing Grace, and other hymns I didn’t recognize immediately. At that moment I couldn’t think of a better thing to be doing for those here, and for visitors like me.

I started crying when the minister and an older African American patient sang Amazing Grace.

This was it, I realized. This was the end. I knew I would never see my mom alive again. My eyes were turning red and I wiped away the tears on my jacket.

I told my mom I was leaving. She smiled and asked where I was going. I said, I’m going to Portland. She smiled. I don’t know if she heard me. I blew her a kiss, not wanting to give her my minor throat illness. Then I got I got a nurse’s aide to punch in the security code to open the secure elevator to leave.

Alone, I started to cry. I mostly kept up my straight-faced appearance in the lobby as I signed out. Once in the small parking lot, I bent over and wept. It has been years since I cried like this. I must have been a pitiful sight to someone looking out a window.

I got in the car and continued to weep. I turned the ignition and began to leave the parking lot, still crying.

Enough of this, I told myself. I wanted to be strong. So I pulled out my stoic shell and put on my public mask. It is the face I show the world, even when things go very, very bad.

I turned my rental car onto Forest Park Parkway, turned north on Interstate 170, and headed to St. Louis International Airport to catch my flight home.

Letting go of the living

During the last six years, I have been forced to confront the collapsing health of my family. Not by coincidence, my reflections on these changes and death itself led me to writers like Viktor Frankl and branches of thinking such as Existentialism and the Greek and Roman school of philosophy known as Stoicism.

The Stoic philosophers from ancient Greece and Rome provide a roadmap that remains remarkably relevant today. The most famous ancient stoics—Epictetus, Seneca, Marcus Aurelius—did not focus on abstractions. Rather, they wrote about the most pressing realities of life and issues of what define us and how we live each day.

At this point in my own life’s journey, I found comfort in old ideas that embraced questions about death. As Seneca wrote, “A man cannot live well if he knows not how to die well.” Stoic ideas helped me think about how all of us can prepare ourselves for misfortune and navigate through the worst possible events, in order to confront what inevitably lies ahead.

My journey, with my family, was now one confronting inevitable loss. This chapter of my life story, with my family, will perhaps soon end in the death of the remaining two members of my nuclear family—my mother and sister.

Losing my Mom

My father died in 1985, when I was 20, and I can scarcely remember him as a person. He was an alcoholic and unimportant in my life. I unfortunately lost my mother more than six years ago, but this loss is ongoing.

In 2013, she was diagnosed with early onset Alzheimer’s disease. The illness has been especially cruel to her husband, my stepfather, who saw his intimate partner and best friend of 30 years slowly lose her mental abilities and her ability to function as an independent adult. I have observed her slow decay, mostly during short visits and on phone calls that always got worse with each week, month, and then year.

My mother changed from being someone with a razor-sharp mind and who loved crosswords to a woman who could no longer remember the names or even faces of her neighbors and family.

On this last trip to St. Louis in September 2019, we were alone. I asked her, “Who am I?” She gave me a long look with that blank stare, created by the destruction of her neurons and the accumulation of amyloid plaques in her brain. She replied with my stepfather’s name. I said, “No, mom, it’s your son, Rudy.” She didn’t reply. She then asked me a question she had asked half a dozen times earlier in the last 15 minutes.

I have spent these last six years flying back and forth from Seattle and then Portland to her home in the St. Louis area. My trips were motivated by personal concern for her and her husband caregiver and a sense of duty to help as her son.

I have shed tears. I have felt anguish. I have gnashed my teeth. I have cursed scores of times to myself as I walked alone after work, daylight or dark. I have felt powerless. I have felt my desires for my own dreams bend and be extinguished, just so I could be there for her, albeit from afar.

When I read about my friends’ lives, involving travel or a life where the future is filled with promise, I compare it to my stepdad’s world. His involves non-stop and constant care for my mom.

I have, in the end, simply abandoned thoughts of vacation and time alone that don’t involve flying halfway across the continent, so I can spend time with her. On past trips we have held hands and took walks. We could even squeeze in visits to the St. Louis Art Museum and Missouri Botanical Garden. Even those stopped on my last trip.

On this trip, like the ones before, she asked me questions she had asked dozens of times before: Where do you live? Why do you live n Portland? Why won’t you live here? Do you have a girlfriend?

My mom often chastised me, saying, that’s too far away, you should be closer, even when she has no idea who I am or that she even had a son.

Losing my Sister

During these last six years, and for at least a decade earlier, I have also watched my sister slowly spiral out of control.

She has battled addiction, obesity, mental health issues, a long spell of homelessness, and finally the collapse of her body. Her obesity finally made it nearly impossible for her to walk. After living on the mean streets of St. Louis for months, and then in an unsanitary drug house in a very unsafe St. Louis neighborhood, she rebounded with the help of my mom and stepdad. My sister found a low-paying but stable job with Missouri’s welfare office.

Yet each visit, from 2000 on, turned into a portrait in loss. By the last time I saw her in January 2019, just before she had a heart-attack, she was out of her job, living in squalid conditions alone, and having no contact with anyone or any person except a former drug addict neighbor in a poor south St. Louis suburb.

Each time I came, her apartment looked dirtier and more cluttered and chaotic. I am choosing not to share the details. They are too depressing and also private.

Finally, in July 2019, she called for first responders who discovered her collapsed on her apartment floor, unable to walk. She had deep and open pressure ulcers and was immediately taken the emergency room at Barnes-Jewish Hospital in St. Louis. From there the hospital managers and social workers placed her in skilled nursing facility in the city that accepted Medicaid eligible patients. She moved into the facility that month and has been bedbound and no longer able to walk.

Her new home is a facility for indigent patients, all eligible for Medicaid-paid care. The population is a mix of mostly older African Americans and fewer whites. When I visited in September 2019, more than half appeared bedbound. Patients with mental illnesses wandered the halls, without interference from staff. The front door was coded, and no one but staff could get out without the punch key.

To me, it felt like a madhouse from the Victorian era, with staff unconcerned with the patient wards in their care or visitors from the streets who could walk in the facility without even signing in.

No staff member required me to present my ID or sign in. So I could wander the facility without interference, startled that no one cared who I was. In one of the community rooms, I saw silent, elderly, and sick patients gaze blankly at their television. Others sat in the courtyard, silent and hunched over. Still others in their rooms lay silent, with their televisions blaring reality shows and their faces staring blankly at the blue light. I imagined this was like hundreds of others similar facilities nationwide.

My sister looked like she had aged 10 years. She had lost one of her front top teeth. She had a bad rash and dirty, unkempt hair. She remained unable to walk.

The hardest part of my trip was visiting my sister’s cluttered, dirty apartment that had long gone to hell. Amid the clutter that littered each room, I found evidence of her past life. I located her diaries she had kept from the time she was in her 20s, still with dreams of living a good life, even as it was slowly going sideways from her substance-abuse problems. I found her jewelry she made as a hobby for years, as her mobility began to decline and her world closed in on her.

I spent about two hours finding all of her legal documents and her writings. That was my plan from the start. I put those in a pink plastic tub and filled another with her nicest dresses, pants, and shirts, even though I knew she likely would never wear them again.

We had a falling out when I refused to help her rent a storage locker to put her stuff. She cried, feeling betrayed. I knew from all I had seen she would not leave this place or another. She still believed she could walk again and live on her own with her public assistance.

On my last morning in St. Louis, I visited her room again. Her roommate, who is in her 30s and likely had a mental health disorder, was there. I held my sister’s hand and said I was happy I had come to see her. She looked at me, and said, “I love you.” I responded the way I always had in the past, with a smile.

I then left her room and found one of the young, African-American nurses dressed in purple scrubs. She smiled, punched the code, and the door opened. I walked out into the fresh-smelling fall morning and the sunshine on a beautiful St. Louis day. It was time to catch my flight and leave behind this warehouse for the infirmed.

After three decades, and there was nothing

We all die some day. I too will pass away, and I hope my wishes are honored, and my ashes are scattered when I do.

I recently visited the tombstone of a man who died three decades ago and who I never really knew. It was the first time I stood over his bones.

He impacted my life and that of my family in ways that I never could control as a kid, but what I could do was determine how I wanted to live my life at a very, very young age.

I also  decided that I would not carry a name given that did not reflect who I was in any way, and instead I would choose my own name, which honored my past and ancestors.

Others will judge how well I succeeded in being better than the family name on this headstone. I have worked at this for decades, and every day I ask myself, how am I doing? Am I living the life I intended to live and not making the mistakes I have seen around me? No one will ever really understand this quest but me, and there will be no rewards for this quest, for that is called living your life.

I also continue to be questioned by many who will never understand why I made my choices to not bear this name when I part from this life to whatever awaits us all. I am comfortable with that. I have been questioned for decades about my choices, and anything worth doing will upset people who do not have the imagination to comprehend a world they do not live or understand.