Conversations Before Dying

 

BOB FAW, correspondent: If you’d like to know what a hospice chaplain does, watch Kerry Egan in New Bedford, Massachusetts as she visits seventy-one-year-old Jim Burgo, who didn’t want his face shown and who is dying from liver disease.

JIM BURGO: I don’t want to suffer. I know I am going to die, but I don’t want to suffer.

FAW: At life’s end, when Burgo is anguished and needs to talk about dying, the hospice chaplain listens and comforts.

BURGO: There are a lot of things about Vietnam that I am not proud of either.

KERRY EGAN: And I think God forgives those things.

BURGO: I hope so. I really hope so.

FAW: If one aspect of her healing ministry can be somber, her visit to the Fall River home of ninety-seven-year-old Mary Labrie shows another.

Singing: “When we all see Jesus, we’ll sing and shout the victory.”

FAW: Here the mood is upbeat, because Mary, unlike Jim Burgo, faces death with absolutely no fear—indeed, looks forward to being in heaven and being reunited with her late husband of 75 years.

MARY LABRIE: Oh yeah, I’ll see them again. We will all be together one day.

EFAN: What will be like, being together again?

LABRIE: Oh, that will be wonderful.

FAW: Kerry Egan counsels people of all different faiths, and not all of her patients are religious. But the common thread in her work, she says, is helping people give meaning to their lives.

EGAN: How do you make sense of all of this that is going on in your life? For every person that I go in to see, my goal is the same, which is to find out what their goal is, to help them meet it.

FAW: A chaplain for thirteen years, Kerry Egan says that what is crucial is learning how to listen.

EGAN: I hear terrible stories sometimes—terrible stories, and the most compassionate thing you can do is not turn away. Oftentimes for you to go in and say, “It’s okay. It’s okay,” when they full well know it is not okay, it shuts them up. So now they can’t say, “I’m frightened. I’m angry. I’m confused,” because now they need to act like everything is okay.

Kerry EganFAW: Listening is the most important thing?

EGAN: Yes. Deeply listening to what it is they’re saying.

FAW: Kerry says something was brewing with Jim Burgo. Finally, she understood. His father had taken him away from his mother when he was very young, and Burgo was afraid it was going to happen again.

EGAN: So are are you afraid that you will die and you’ll go to heaven?

BURGO: I am not afraid of going to heaven.

EGAN: I know, but that your mother and father will be there, and your father will take your mother away again?

BURGO: That is very, very possible in my mind, yeah.

EGAN: Well, there’s no point in sugarcoating it, right? That’s not helpful. If someone is dying, and they’re sick, they know it.

(reading from Bible): “…teaching them to observe all things that I have commanded you. And lo, I am with you always…”

LABRIE: Oh, that is my favorite verse.

EGAN: I know it is.

Some people really come to the end, and they feel good. You know, they’ve done a lifetime of work and of thinking about this and they just want someone to be there with them, to sort of enforce those strengths they already have.

FAW: But others struggle, and Kerry Egan tries to see them come to terms with what ultimately matters.

EGAN: For some people there’s an incredible relief to have someone come in and say, “What did this all mean? What did my life mean? What does my death mean? Why am I sick? Is there a God? Is there a God who knows I’m sick? Is there a God who cares that I am sick?”

FAW: For a while, what Kerry couldn’t understand was why her patients talk to a chaplain so much about their families.

EGAN: It took me a long time to realize that is how people are talking about God. Again, they might not use the term “God,” but that’s how they talk about ultimate meaning. They’re trying to get at love. They’re trying to get at what God is. Jim is a great example of that. He was talking about his mother, and he was talking about love. What does the love of God look like? Am I going to get to see my mother again? Is the love my father showed me or didn’t show me, is that what God is like?

FAW: Raised Catholic, now an Episcopalian, Kerry Egan isn’t always successful. One patient actually threw a bedpan at her. But Jim Burgo’s wife, Elaine, says that every time hospice chaplain Egan visits, Jim isn’t the only one who benefits.

ELAINE BURGO: She helps me by helping him. If I want to talk, I know she is there, and she’s just an excellent, excellent listener. We don’t only discuss the Holy Spirit and God. I know she is there just knowing he is going to die. If I want to discuss anything, she is available.

FAW: Just a few months ago, Mary was near death. Kerry and the hospice team brought her back to good health, and it was only with Kerry, says Mary’s daughter, Judy, that Mary was able to reveal how she worried about the grief her death would bring her children.

JUDY BIDDLE: It gave me that peace, knowing that Mom is not in denial, that she was just worried about us. She was worried about us children. That was really precious. You know, it’s so good to have someone from outside the family that she can share with, so that she might say things to Kerry that she might not feel comfortable sharing with me as a daughter.

FAW: Family members, of course, are not the only ones who appreciate Kerry.

JIM BURGO (to Kerry Egan): You make people better. You explain God to me. You’ve given me a whole bunch.

FAW: You read the Bible sometimes.

MARY LABRIE: I read it every day.

FAW: Every day.

LABRIE: And there is some good information there to keep you going if you are concerned about things.

FAW: And seeing Kerry, does that help you keep going too?

LABRIE: Oh, yes.

FAW: Kerry meets every day with members of the hospice team. This day she talks with nurse Patty Martin about Mary’s progress.

PATTY MARTIN (to Chaplain Egan): She’s walking around. She is eating better. She is gaining weight.

FAW: Mary is doing so well soon she will have to be taken off hospice care. That worries Kerry because for patients it’s hard to lose the care they’ve come to depend upon. It’s just another issue a hospice chaplain confronts. What helps her cope and decompress, says Egan, is a happy home life: two children, a supportive husband, two dogs. She prays, meditates, hikes, and dances. It helps, too, she concedes, to maintain a certain distance from her patients.

EGAN: I have to remember that it’s not about me, right? It’s not personal. I’m a passing person in their life. You know, I’m not his wife, I’m not his daughter, I’m not his mother. Not even his best friend. You know, I’m his chaplain, and that’s a very different role.

FAW: And when that distancing isn’t enough, Kerry says, she relies on her faith.

EGAN: That gives me a lot of strength to do this. To be able to say that this is not the end and that life is hard, and really hard things happen but that we can be with each other. We can help each other through it, and that is how God functions in this world.

FAW: With Jim Burgo or with Mary, Kerry Egan says she’s learned that while there are miracles, her role is not to be a miracle worker.

EGAN: It really is between the patient and God, right? And that the patient and God are going to do the work. It’s not like I have some magical presence in there. Not at all.

FAW: And what does Kerry get out of it?

EGAN: I get enormous joy. People know so much more than they think they know when they’re allowed to explore it themselves, and God is so much more present than anybody usually gives God credit for. And I get to see that. I get to know that.

FAW: Caring for them when their bodies are failing and their spiritual needs are crying out, too.

EGAN (to Jim Burgo): You’re such a good man.

BURGO: I am not, but someday…

FAW: For Religion & Ethics NewsWeekly this is Bob Faw in New Bedford, Massachusetts.

ABERNETHY: We are sorry to add that shortly after that interview Jim Burgo died.

  • M.A. Waterbury

    …good story and not sorry that Jim Burgo died as he is on his way to paradise, just you wait and see….

  • Diane Fehling

    Thank you for this interview. I am an elderly care giver and share Kerry’s heart for the dying. To be an instrument of reconciliation through the gift of listening and the ministry of Gods love to reach his children. Bless you Kerry.

  • Terry Allen

    I would truly be interested in learning more about being a Hospice Chaplain, what training is available and the cost of the training.

    Thank You
    Terry

  • JOE

    Filling the elderly and dying with false hope and claims of an afterlife that are flatly false is not a good thing. A chaplain is a job of good intentions, but grossly misguided and very sad. It is a deceitful religious practice.

  • Joanne Gurion

    My dad is on hospice care. He has Alzhemiers Ds. Our conversations often include his fears of what will happen after he dies. Will he see loved ones again? Will. He go to heaven? He has a lot of anxiety about this. Joe, I don’t feel it’s misguided to talk about this. After all, no one really knows for sure. We all have our own beliefs. As a nurse I have witnessed death. My own beliefs coincide with the teachings of Elizabeth Kubler Ross. Those who are dying need comfort and compassion. They need someone willing to be with them and listen. Within my own family there are those who don’t feel comfortable being around my dad now that he is dying. I respect their feelings. The hospice team members, including the chaplain, perform an invaluable service for dad and for our family. They listen. They reassure. They are kind. They are truly present. And after all Is said and done Joe, what does it matter anyway if there’s there is nothing afterwards?

  • Channah

    In my way of thinking-you live and then you die. I cannot understand all of this going to heaven and life everlasting. G-d gave us the universe, the world, and all of life. We come and do our share of what we need to do to make it better, and then go on our way. I think it is best said by something said in one of your other articles of today. ”RABBI ADIN STEINSALTZ: The Lord says I made the world. It’s pretty good, but there are all kinds of holes in it. You people go, and you make the amendments—bigger ones, smaller ones. But you, that’s your duty”. And, I believe that when your days are done, let the next generation take over, and you quietly pass into memory….not into heaven, but into memory.

  • secundra beasley

    For anyone interested in becoming a chaplain, here are two starting point links. http://www.professionalchaplains.org/

    and http://www.acpe.edu/

    If you are interested in a specific form of chaplaincy ex: hospice chapliancy, start by volunteering wth the organization or call around and ask to speak with a member of the organization that has a chaplain.

    Also, let your faith leader know that you are interested in becoming a chaplain. There may be some contacts and information that you may need prior to begininning the process.

    Good luck and thanks for the story.

  • Andrew Schulman

    Kerry Egan gets the balance just right. I have been a musician for hospice care and critical care for many years and can see and hear that Kerry is really helping people in that most difficult time. Not an easy thing to do, and something much needed.

  • Kim

    As a nurse for 26 years it has taken me probably 20 years before becoming comfortable in talking about death with patients. After experiencing a long battle with lung cancer, watching my father pass away helped me realize how important it is to be honest with patients and their families. Of course they all progress through the stages of loss and grief differently. Just byholding someones hand, a touch or sitting next to them and listening is a wonderful comforting measure any person can do for someone who is dying. My mission as a nurse has always been to reduce a patient’s suffering whether it be by helping them to heal or comforting them to a death without fear and always with dignity.