by Kaufman Chapel in 1996 involved home deaths. Twenty years ago, he said, it was "impossible" to die at home. If you were dying, chances were good you would be rushed to the hospital. "No Jewish family goes through hospice and doesn't love it," he said. "And we're talking about dying. But 20 years ago, no- body talked about death. It was simply hidden. Now it's an issue we talk about. You had these massive institutions that needed to be filled with patients. Now, peo- ple are going home to die." Like Rabbi Freedman, Lia Wiss, the Jewish chaplain of the Ann Arbor hospice, believes it's important to know when to administer care, and when to step out of the way. "From where I sit, this is an end-of-life transition," she said. "We have to sanctify these last holy moments on earth. It sounds wonderful, doesn't it? But it's sometimes a hard concept to sell. When you are giving spiritual care, you aren't trying to fix any- thing. You are merely there for the people." When it's over, it's difficult for him to forget the person, the family, Rabbi Freedman said. Breathing Life Into A Scenario Of Death I PHIL JACOBS EDITOR his is probably not something I should write about as an "objec- tive" observer. That is what a jour- nalist, after all, should be. Writing this article on hospice, how- ever, makes it impossible to push it out of the front of my mind. Maybe writing about it helps. How many times do we say, "I under- stand"? I've written stories on divorce, AIDS, drug abuse, gambling. How can I say I understand what is going on in any of these cases when I haven't experienced any part of them? During the interview process with hospice, I could honestly say that I understood all too well what the families had experienced or were going through. So, this is what I offer you. My father, my hero, Morton Jacobs, died in October 1984. He died of colon cancer. In a mat- ter of eight months, he went from a strong, healthy 70-year-old man with a great sense of humor to a human skele- ton, barely able to lift his arm. When he complained of a stomach ache that wouldn't go away, his physician ex- amined him in the hospital emergency room. Next, a surgeon came to talk to my father. Finally, a doctor I didn't know came into the curtained-off area in the emer- gency room where I stood with my father. The doctor asked to speak to Mr. Jacobs. I said, "I'll leave you two alone." He an- swered, "No, Mr. Jacobs, I mean I'd like to speak to you." He told me my father had a cancerous tumor. "We'll need to open him up and see how far it has spread. He could live maybe a few months more." I don't have a monopoly on any of this. So many have had a similar experience. The only image I could come up with was free falling in space without a parachute. I remember walking alone through the Sinai Hospital parking lot, thinking, 'This isn't happening. What's going on here? Did that really happen to me?" They opened him up , and closed him. He was going to die. Ken Glick had just met my dad. He was my internist, and he was head of the Sinai Hospital of Baltimore Home Care and Hospice Dept. He and my dad were both New Yorkers. They both loved to laugh. Dr. Glick introduced hospice to Me and my family. What was hospice to us: • A lady whose name was actually Mrs. Rock (what a great name for a hos- pice worker) came every morning and got my father bathed and ready for the day. • Nurses who would answer any ques- tion, and come over at any time to check on my dad. But they'd also come over to check on me, my wife and my child. • A phone call to the hospital nurses' station to let my little daughter run around her grandfather's room. She'd jump on him, draw with him, make him laugh. Better medicine, Dr. Glick said, could not be found anywhere. What I'll remember most: A Thursday night phone call. My dad was in terrible pain. His last words to me were "no heroics." We understood that to mean no tubes. Dr. Glick responding to a page. He showed up at our house at 11:30 p.m. This man has a family of five children, yet he was there with my dad. Two things on the most remarkable night. First, he called a pharmacist friend named Phil Weiner. It was midnight. I was told to go to Weiner's Pharmacy where the phar- macist himself would fill a prescription of morphine. Again, another angel from God. Returning home, Dr. Glick was still there. He'd administer the morphine. Then he brought my wife and I into an- other room. "You need to go to your dad now," he said. 'Tell him that you love him and that _ Rabbi Bunny Freedman, the man who brings Judaism to so many Hospice patients. you did everything you could do to keep It was an awful experience watching him here. Tell him, now, anything you him lose weight until he resembled a have inside that you need to say." Holocaust survivor. It wasn't easy going Have you ever walked up to the bed- to bed each night, expecting the sound of side of your loved one with that sort of a bell he'd ring if he'd need help. prescription? In the first few minutes of But it was one of the greatest experi- a Friday morning, we told Morton Jacobs ences I've ever had in my life. It bonded what a hero he was. We told him how and sealed us as a family. We were with we'd never forget him, and that his him when he died, and when we look in strength and compassion were examples. that figurative mirror, we did everything We also told him that we'd take care of possible for him. his granddaughter, and that she'd grow You know who taught us how? up in his image as a mensch. Hospice. How could we not cry? But as workers would tell us now, we Morton Jacobs' breath got very strange already had what to do inside of us. They the next night. It was the breath of a life just pointed us in the right direction. coming to an end. I had never heard any- I'll never forget Dr. Kenneth Glick and thing like it. all of the hospice nurses and workers. My dad died Oct. 17, 1985. It was like They breathed life into a scenario of yesterday for me. death.