Upon arriving early in the morning, I was paired with a very experienced hospice nurse. The first patient’s room we entered was occupied by a man in his 70’s and his wife, who was watching her husband die of metastatic lung cancer. He had been a client of the hospice unit for about two or three weeks and she hadn’t left his side. In his room was his bed draped lovingly with a handmade blanket, a collection of family photos, and his wife’s cot in the corner, impeccably dressed with sharp plaid sheets. Her suitcase was packed with care, neatly pushed under the cot. The nurse told me she had done this every morning, by 7 o’clock, since her husband’s admission. I remember thinking how strange packing that bag would have been. What type of clothes are appropriate for this setting and, worse, how many days worth should be brought?

The man in the bed had recently made a significant change in condition. Two days prior to my meeting him, this dying man had stopped speaking, stopped responding, and slowly slipped into what appeared to be unconsciousness. He was receiving ample pain medication as well as a medication to help keep his airway as clear as possible. This man with whom I never had the pleasure of speaking took slow, irregular breaths, often with many seconds between them. I noticed that his breaths produced a unique, calming rhythm as we all sat with him in near silence.

When we walked back into the corridor, the red-haired woman with the tightly packed suitcase ran to us with an unmistakable urgency. “I think something has happened” she whispered, “He hasn’t taken a breath in a long time.” The nurse and I hurried into the man’s room. Indeed, his slow, off-tempo respirations were eerily absent this time. He lay there, in his bed, without even his chest moving up and down. The three of us stood surrounding him, saying nothing, watching. Then after what seemed like an eternity of silence, the nurse went to the nurse’s station to retrieve a stethoscope. With it, she listened to the exited man’s silent chest, waiting in vain for any sound to be made. The nurse removed the stethoscope from her ears and took a step back.

“He’s gone” she stated. The man’s wife started to slowly shake and cry quietly. The nurse, who had developed a very special relationship with her, went to her to offer a very soft touch on the arm. Seemingly, with the sensation of this touch, the woman’s quiet tears became one long, loud wail, the sound nearly animalistic. She began to violently shudder, her shoulders wrapping in on her chest.

“Don’t go, Dad” she sobbed. “I won’t know what to do without you.”

I stood alone at the foot of the bed while the nurse and the newly widowed woman cried and touched the peaceful man. I attempted to hold in the tears which threatened to burn my cheeks, but listening to the woman’s guttural pleas to her dead husband forced them from my eyes. While I cried, I began to realize the overwhelming power of lifelong love and the devastation of losing it. I began to envision myself as an old woman, standing by the side of my future husband. I could see our life together, rolling up a screen like such slow film credits; a life of love, of struggle, of joy, gone in one moment. Now, this woman was left to continue a paired life alone. I began to wonder whether the life with this man was worth the devastation of losing him in the end. Would it be better to live and die alone than suffer the pain of such severe loss and longing? Amidst my naive mid-twenties thoughts came a pain in my chest--MY heartache I felt for the broken heart personified standing beside me. At that moment, I knew the depth with which I felt for this stranger’s lost love, all emotion is worth it in the end. However, the END was no longer the finale of some metaphor or extended romance novel. The end of this shared life stood before me in such explicit, blinding detail. Real heartbreak is something my 25 years had no way of preparing me for. So…I cried.