In the face of grief, it’s hard to find the right words to say. What matters is that you keep trying

No one ever told me that grief felt so like fear. The same fluttering in the stomach, the same restlessness, the yawning. I keep on swallowing.

Thus wrote CS Lewis in A Grief Observed after his wife died from cancer. I have thought a lot about these words while bearing witness to my friend’s grief at the sudden death of her mother.

One ordinary afternoon, she tells me of mother’s heart attack at a relatively young age and the pessimism of her Indian doctors. When she complains that her mind is in tumult, I counsel patience and offer to decode the medical reports while emphasising that I don’t want to be one of those dreaded “foreign” doctors second-guessing the treating team. Alas, we run out of time as the very next day I receive a tragic message: “Mum died. I am on my way to India.”

When I call, she is about to board a flight feared by so many immigrants: the long journey home to see a seriously ill, or worse, deceased parent. Her voice is hushed and dissociated, a world away from the upbeat, happy person I know.

My medical brain is in overdrive. Why did she arrest? Did anyone perform CPR? For how long? What kind of hospital was she in? What did the angiogram show?

A whole morbidity and mortality meeting jostles in my head but thankfully, sense prevails. I tell her I am sorry and slip in just one morsel of medical advice to assuage her guilt: no matter where people arrest, the outcomes are generally poor.

The next time I check in she describes her flight as unbearable, suffocated by her own thoughts. Stunned by the fragility of life, I can imagine neither her awful experience nor an adequate response. What I don’t know at the time........

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