Alby's Words

in no particular order

Alexandria Dobkowski

Alexandria Dobkowski
Location
Austin, Texas, USA
Birthday
August 03
Bio
I was born and raised in Maine, where I attended a small private prep school and was taken into foster care at 16. Post legal majority, I spent time traveling the US, staying with friends and living out of my car. I settled in Memphis, Tennessee for several years, working for a book publisher. I am currently a writer, editor, and mother in Austin, Texas. Via Salon, I once debated with Camille Paglia over whether girls can rock.

MY RECENT POSTS

SEPTEMBER 5, 2008 10:30PM

Women, Heart Attacks, and My Aunt Joan

Rate: 12 Flag

“Thank goodness he’s gone and finally out of my hair.”

She pictures him, briefly, with his friends: out fishing in the sun, without a thought in the world for her. Far from sadness or resignation at this, she feels freedom and a measure of joy. For the first time in weeks she relaxes enough to become aware of the ache in her upper shoulders. She reaches up, rubs that tight triangle of flesh, decides the gesture is pointless, and opts instead to think about all the chores she wants to complete before he gets back. The possibility of a clean house and neatly stacked piles of clean laundry is something that usually energizes her as his persistent but well-meaning interference often leaves their apartment in something of a disarray. Today, however, she’s unexpectedly tired, as if she could sleep for days, tired from the immensity of a half-century of life, by the weight of the angry yoke across her shoulders.

My Aunt Joan, Joan of the Bronx, walks like an old woman to the kitchen, although she is not that old. In her own kitchen, a woman alone, she brews a pot of coffee, because she is god-awful tired. The smell of coffee fills the apartment, and she leans on the little countertop bar, looking into the living room. Finally she can take the fatigue no more and postpones the long list of all her chores.

“I’ll just have myself a catnap on the sofa, and if one or two things don’t get done, well, I’ll just have to leave it alone.”

A day later, her husband returns. The apartment smells like coffee, and Joan is lying on the sofa. When he bends to wake her, he finds that she is dead.

 

At the funeral, Joan’s husband says to one of her surviving sisters, “Whatsa matter witchu O’Keefes? Yehs sure die awfully early.”

Notwithstanding that he was a) distraught and b) an insensitive pig, he did have a point, which I can explain.

Joan died of a heart attack and probably didn’t have to, even though heart disease is the number one killer of women in the United States. If she had called for help because she recognized the signs, early treatment could easily have saved her. A neighbor who performed CPR could have saved her.

Even so, to pass away on your own sofa amid the lingering scent of coffee isn’t the worst way to go. Slán Go Fóill, Joan.

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My condolences, Alix - very sorry for your loss.

Also, I hate how whenever I read a list of symptoms, the hypochondriac in me comes out and I'm sure they all apply to me.

All kidding aside, this is valuable information - thanks for posting it.
Based on over two decades of working in ICUs, I can attest to the fact that females having heart attacks have much more subtle symptoms (or even no symptoms) than males and that their long term prognosis and survival tends to be poorer than males. The research literature backs this up. Further, the rates of survival for victims that are found in the field tend to be poor and are highly contingent on the time from the heart arrested to the initiation of basic and advanced life support.

Dying in your own home on your favorite couch may be far preferable to dying in a hospital with a tube down your throat and your hands restrained or several years of increasing disability with frequent hospitalizations ending in death. We are social animals. When a member of our family or friend dies, part of us dies. Life is hard, but that is the nature of being human. I am sorry for your loss.
I'll just second Stellaa's remarks.
I don't know if we are related somehow through our Irish forebears, but people in my family have been dying this way ever since I can remember. We don't have a long shelf life. I am within eyeshot of a lovely deep red leather sofa we bought last Summer. We paid way too much, buying the one we wanted rather than something we could afford, and I think it would be a fine place to die.

I hope your Aunt Joan enjoyed hers as much.
Recognizing the signs of a heart attack is not simple, and don't even show up in the emergency room and mention chest pains unless you are prepared to be admitted and stick around for a few days. A lot of things can hurt in the same areas that signal heart attack, including a variety gall bladder, colon, or reactions to meds.

We all want to live as long as we can, but we will only live as long as we do. In my mind's eye, I am comparing your aunt's heart attack, where she died peacefully on her sofa, to my father's stroke, where he spent weeks in ICU and a final three years blind, partially paralyzed and at the mercy of a shrewish new wife who was emotionally unprepared to be a caretaker for a new husband. You aunt's demise seems preferable.
I'll add my condolences, Alix. And a similar story: when I was a child my father's first cousin, Charlotte, died on her sofa. She had felt tired, just as your Aunt did, and thought a nap would help. But her fatigue was the too-subtle sign of a heart attack.

She was young, in her 40s, and her early death has haunted me all my life. It cemented in me the knowledge that I am vulnerable, that I may not live for a century as my maternal grandmother did.

Thank you for reminding us that we need to pay attention and take seriously any sudden or unusual physical symptoms, or maybe even more crucially, to heed that little inner voice that tells us something is just not right.
I'm sorry, Alix.

But truly, that's exactly how I want to go. (Although there would surely be a slug of good Irish whiskey in the coffee cup--just for flavor.)
Zol er likhtik ru'en un lang vartn!

I think this Yiddish phrase has the same essence as the Gaelic one you employed to conclude this moving tribute.
Rather extraordinary, wouldn't you say, that you would post about your Aunt Joan and I would post about my wife Joan at roughly the same time, following the recognition of each other's work.
Your aunt Joan was what I would call a 'strong woman'. She withstood a cold world with little sharing and somehow consoled herself. That final movement towards the sofa: how many times have I witnessed that scene being played out by women who look for relief and can only find it amongst their own dusted and vacuumed furniture. A return to the mattress, and drapery, and wallpaper of a glimmerless life for a fading scent of love, perfume, humanity. Sliping by us all, so quickly. God bless.
While it may be more difficult to detect heart problems with women, I believe it's also fact that we have spent less money in research on the kinds of heart difficulties women experience.

Anyway - as always, alix, a very resonating piece. I'm sorry for your loss.
Here's to Joan of the Bronx, Alix. I bet she's smiling down on you for this one...I just made a pot of coffee and I'm going to have a cup in her honor, and yours. Great piece!
Even so, to pass away on your own sofa amid the lingering scent of coffee isn’t the worst way to go. Slán Go Fóill, Joan.

I can think of few more pleasant ways to have to leave this place, Alix. Wonderful post, and of course my deepest sympathies on your aunt's passing.

My aunt Mary used to live on 241st and White Plains Road, with the el right outside her windows. Visiting was always a treat. Guess I need to check up on Mary and see what's happening, it's been a while. Thanks for the kick in the pants on that one. :-D
Thank you all so much for the well wishes. Due to distance and...um, family issues, I didn't know her all that well. But my few encounters with her have always been pleasant, and I am glad she went peacefully

Susanne, it's funny you mention that. Many of the women on that side of my family have died quite young, despite living comparatively healthy lives (although not ones without some stress). Some of the reason revealed itself when both my mom and my other aunt were diagnosed with morbidly high cholesterol levels (don't ask me to get in to the whole good/bad differential. Suffice to say, at its highest, my mom's number reached 420--a measurement that had to be tested twice for the docs to believe she was still, in fact, among the living). So yes, I think the ubiquitous tubes employed by physicians kind of suck, but early testing, medication and better eating habits (we do love the butter in my fam) might have postponed the sofa nap a few years.
Sorry, Alexandria, been trying to get to this post for a day or two. I am so sorry for your loss.