Mortality

Shakespeare had been written by Bacon. This is an unfailing sign of advanced intellectual and mental prostration.

(I take a slight interest in this, because not long ago I was invited onto a Christian radio station in deepest Dixie to debate religion. My interviewer maintained a careful southern courtesy throughout, always allowing me enough time to make my points, and then surprised me by inquiring if I regarded myself as in any sense a Nietzschean. I replied in the negative, saying that I had agreed with some arguments put forward by the great man but didn’t owe any large insight to him and found his contempt for democracy to be somewhat off-putting. H. L. Mencken and others, I tried to add, had also used him to argue some crude social-Darwinist points about the pointlessness of aiding the “unfit.” And his frightful sister, Elisabeth, had exploited his decline to misuse his work as if it had been written in support of the German anti-Semitic nationalist movement. This had perhaps given Nietzsche an undeserved posthumous reputation as a fanatic. The questioner pressed on, asking if I knew that much of Nietzsche’s work had been produced while he was decaying from terminal syphilis. I again responded that I had heard this and knew of no reason to doubt it, though I knew of no confirmation either. Just as it became too late, and I heard the strains of music and the words that this would be all we would have time for, my host stole a march and wondered how much of my own writing on god had perhaps been influenced by a similar malady! I should have seen this “gotcha” coming, but was left wordless.)

Eventually, and in miserable circumstances in the Italian city of Turin, Nietzsche was overwhelmed at the sight of a horse being cruelly beaten in the street. Rushing to throw his arms around the animal’s neck, he suffered some terrible seizure and seems for the rest of his pain-racked and haunted life to have been under the care of his mother and sister. The date of the Turin trauma is potentially interesting. It occurred in 1889, and we know that in 1887 Nietzsche had been powerfully influenced by his discovery of the works of Dostoyevsky. There appears to be an almost eerie correspondence between the episode in the street and the awful graphic dream experienced by Raskolnikov on the night before he commits the decisive murders in Crime and Punishment. The nightmare, which is quite impossible to forget once you have read it, involves the terribly prolonged beating to death of a horse. Its owner scourges it across the eyes, smashes its spine with a pole, calls on bystanders to help with the flogging… we are spared nothing. If the gruesome coincidence was enough to bring about Nietzsche’s final unhingment, then he must have been tremendously weakened, or made appallingly vulnerable, by his other, unrelated sufferings. These, then, by no means served to make him stronger. The most he could have meant, I now think, is that he made the most of his few intervals from pain and madness to set down his collections of penetrating aphorism and paradox. This may have given him the euphoric impression that he was triumphing, and making use of the Will to Power. Twilight of the Idols was actually published almost simultaneously with the horror in Turin, so the coincidence was pushed as far as it could reasonably go.

Or take an example from an altogether different and more temperate philosopher, nearer to our own time. The late Professor Sidney Hook was a famous materialist and pragmatist, who wrote sophisticated treatises that synthesized the work of John Dewey and Karl Marx. He, too, was an unrelenting atheist. Toward the end of his long life he became seriously ill and began to reflect on the paradox that—based as he was in the medical mecca of Stanford, California—he was able to avail himself of a historically unprecedented level of care, while at the same time being exposed to a degree of suffering that previous generations might not have been able to afford. Reasoning on this after one especially horrible experience from which he had eventually recovered, he decided that he would after all rather have died:

I lay at the point of death. A congestive heart failure was treated for diagnostic purposes by an angiogram that triggered a stroke. Violent and painful hiccups, uninterrupted for several days and nights, prevented the ingestion of food. My left side and one of my vocal cords became paralyzed. Some form of pleurisy set in, and I felt I was drowning in a sea of slime. In one of my lucid intervals during those days of agony, I asked my physician to discontinue all life-supporting services or show me how to do it.

The physician denied this plea, rather loftily assuring Hook that “someday I would appreciate the unwisdom of my request.” But the stoic philosopher, from the vantage point of continued life, still insisted that he wished he had been permitted to expire. He gave three reasons. Another agonizing stroke could hit him, forcing him to suffer it all over again. His family was being put through a hellish experience. Medical resources were being pointlessly expended. In the course of his essay, he used a potent phrase to describe the position of others who suffer like this, referring to them as lying on “mattress graves.”

If being restored to life doesn’t count as something that doesn’t kill you, then what does? And yet there seems no meaningful sense in which it made Sidney Hook “stronger.” Indeed, if anything, it seems to have concentrated his attention on the way in which each debilitation builds on its predecessor and becomes one cumulative misery with only one possible outcome. After all, if it were otherwise, then each attack, each stroke, each vile hiccup, each slime assault, would collectively build one up and strengthen resistance. And this is plainly absurd. So we are left with something quite unusual in the annals of unsentimental approaches to extinction: not the wish to die with dignity but the desire to have died.

Professor Hook eventually left us in 1989, and I am a generation younger than him. I haven’t sailed as close to the bitter end as he had to do. Nor have I yet had to think of having such an arduous conversation with a physician. But I do remember lying there and looking down at my naked torso, which was covered almost from throat to navel by a vivid red radiation rash. This was the product of a monthlong bombardment with protons which had burned away all of the cancer in my clavicular and paratracheal nodes, as well as the original tumor in the esophagus. This put me in a rare class of patients who could claim to have received the highly advanced expertise uniquely available at the stellar zip code of MD Anderson Cancer Center in Houston. To say the rash hurt would be pointless. The struggle is to convey the way that it hurt on the inside. I lay for days on end, trying in vain to postpone the moment when I would have to swallow. Every time I did swallow, a hellish tide of pain would flow up my throat, culminating in what felt like a mule kick in the small of my back. I wondered if things looked as red and inflamed within as they did without. And then I had an unprompted rogue thought: If I had been told about all this in advance, would I have opted for the treatment? There were several moments as I bucked and writhed and gasped and cursed when I seriously doubted it.

It’s probably a merciful thing that pain is impossible to describe from memory. It’s also impossible to warn against. If my proton doctors had tried to tell me up front, they might perhaps have spoken of “grave discomfort” or perhaps of a burning sensation. I only know that nothing at all could have readied or steadied me for this thing that seemed to scorn painkillers and to attack me in my core. I now seem to have run out of radiation options in those spots (thirty-five straight days being considered as much as anyone can take), and while this isn’t in any way good news, it spares me from having to wonder if I could willingly endure the same course of treatment again.

But mercifully, too, I now can’t summon the memory of how I felt during those lacerating days and nights. And I’ve since had some intervals of relative robustness. So as a rational actor, taking the radiation together with the reaction and the recovery, I have to agree that if I had declined the first stage, thus avoiding the second and the third, I would already be dead. And this has no appeal.

However, there is no escaping the fact that I am otherwise enormously weaker than I was then. How long ago it seems that I presented the proton team with champagne and then hopped almost nimbly into a taxi. During my next hospital stay, in Washington, D.C., the institution gifted me with a vicious staph pneumonia (and sent me home twice with it) that almost snuffed me out. The annihilating fatigue that came over me in consequence also contained the deadly threat of surrender to the inescapable: I would often find fatalism and resignation washing drearily over me as I failed to battle my general inanition. Only two things rescued me from betraying myself and letting go: a wife who would not hear of me talking in this boring and useless way, and various friends who also spoke freely. Oh, and the regular painkiller. How happily I measured off my day as I saw the injection being readied. It counted as a real event. With some analgesics, if you are lucky, you can actually feel the hit as it goes in: a sort of warming tingle with an idiotic bliss to it. To have come to this—like the sad goons who raid pharmacies for OxyContin. But it was an alleviation of boredom, and a guilty pleasure (not many of those in Tumortown), and not least a relief from pain.

In my English family, the role of national poet was taken not by Philip Larkin but by John Betjeman, bard of