My father’s passing
Last week, my 93-year-old father, Irving Rimer, (and father of Liz and Sara) died after a brief illness, peacefully, as he had wished, without extraordinary measures. All of us were present, and his ease in passing was possible because of a compassionate medical team at UNC Hospital that listened as Irving Rimer spoke compellingly about his life, preferences and values. When it became clear that his condition could not be treated surgically, and that nothing could be done to restore him to his prior health status, he decided, and we agreed, that the end was at hand. We were grateful to be together, and that amazing medical professionals supported our father’s last few days. They provided palliative care that allowed our father the dignity and comfort he had wanted in those last hours without being transferred to another facility.
Treatments at the end of lifeThe merits of increasingly aggressive treatment have been debated, but most experts say that the use of multiple and intensive services at the end of life is of little clinical benefit to the patient, and in many cases, brings chaos and pain to what could otherwise be a peaceful dying experience. Dr. Atul Gawande’s account, “Letting Go,” in The New Yorker illustrates the heartbreaking effects of over treatment.
The team’s care was a gift for our father and the family, and such care may be increasingly rare in this country, where there is often a desire by medical staff and family members to “just try one more thing.” Medicare data show how much intervention often occurs in the last month of a person’s life, when last-ditch medical treatments may be layered on top of each other. These measures often do not save lives and may diminish quality of life, adding cost without value.
In the end, if we live long enough, we all will suffer the same terminal illness—Aging. For many families, last days spent with family members close by, in earnest communication of memories, wishes and hopes for survivors may be replaced by feeding tubes, fruitless attempts at revival, surgery, and accumulating medical bills, all forestalling the inevitable, unavoidable end. This is not what most people want, but it may be what they get if the foundation has not been laid for a different trajectory.
Our father achieved the dignified, gentle death he wanted, in part because he was fortunate in his last illness, and partly because he’d taken the necessary legal steps to specify his wishes, and then repeated those wishes clearly and directly to every medical person with whom he interacted. As a family, we’d talked openly about death and our preferences, without putting these blunt talks off for another day. We’d signed the forms. Having done all that, one can go about the business of living fully until the last moment of life.
A life well-lived
I’m proud of the person Irving Rimer was—the child of two Lithuanian immigrants he described as barely literate, whose father worked from sun-up to sun-down and struggled through the depression as a small- business owner who never had much material wealth.
A medic in World War II, Irving was awarded the Silver Star for bravery. He went to graduate school at Boston University, where he met Joan Rimer in class. Together, they went to Chicago where he completed his master’s in social work and public relations at the University of Chicago. In a more than 30-year career at the American Cancer Society (ACS), he helped to create a new genre of communication—hard-hitting, emotionally gripping public service announcements about the dangers of smoking that are credited with helping to reduce smoking rates from an all-time high in the 1950s to be
low 20 percent overall today. The PSAs, which reflected his collaborations with some of the most talented ad agencies in the U.S., garnered such attention that well-known actors and actresses approached the ACS, offering to star in them or tell their stories through them. Irving Rimer wasn’t afraid to take on difficult subjects and to deviate from received wisdom. I recall wonderful Peter Max anti-smoking posters that some ACS division directors thought were too psychedelic, but he persisted in rolling them out. He was one of the first people at the ACS who recognized breast reconstruction as a legitimate step after mastectomy. Back in the 1970s, that was considered heretical.
After retiring from the ACS, our parents moved to North Carolina, where they immersed themselves in auditing a wide range of UNC-Chapel Hill courses. Irving volunteered with the UNC Jaycees Burn Center, which was a great source of satisfaction, played tennis (until he couldn’t), read voraciously, starred in plays, worked New York Times crossword puzzles relentlessly, took up the exercise bike and made many friends. He mastered the Kindle at age 93 and said he wanted an iPad. Among the descriptors that have meant the most to me are “moral courage,” “creative,” “brilliant,” and “always had something kind to say to people and recognized them by name,” even in his last years at Carolina Meadows.
Thank you to all the people who have reached out to me and my sisters. We are very grateful. Losing parents is part of the human condition, and it is a tie that binds us all.
my father moved through dooms of love
because my Father lived his soul
love is the whole and more than all