
Photo: amy_b / Flickr
note: This is a true account of how a rural Missouri farming community handled death before WWII, as told by Letty Owings, age 87.
The customs and traditions pertaining to death in our community were in place prior to the Civil War and remained unchanged until after WWII. Prior to the Civil War, the land that would become our farm was multi-crop plantation territory where corn, wheat and clover grew. After the Civil War, the plantation area was divided into farms. Our farm was 160 square acres. We had no street address; we were part of a community that included a population of about 300 in the country and 600 in the nearby town.
A woman I knew named Minni had lived through the period prior to the Civil War, and I would often visit her and listen to her stories. On the way to her house, I passed a slave graveyard of about twenty graves that remained on the property. Many of the graves were simple stone markers indicating a child’s burial. In those days death was common among infants and young children in general, and it was not regarded with the same concern that it is today. It wasn’t that people were mean about it, they were just more honest. In other words, deaths of infants and children were almost expected. Causes of death among slave children in particular were never noted or studied during that time, although looking back one can speculate that tuberculosis, pneumonia, and other diseases and childbirth complications common to that era for all children may have been the cause. We must bear in mind that penicillin was not available until after WWII.
Although the Civil War ended slavery, it did not end segregation, nor did it end mindsets, attitudes or plantation thinking. There was no end to segregation until Martin Luther King came along. Minni’s aristocracy mindset was evident in her velvet curtains with beads and her velvet chair and velvet footstool, and in her marriage to a man named George. George had not hailed from the upper echelon of plantation hierarchy, and Minni never let him forget it. While George tended to the chickens, for example, Minni stayed inside on her velvet throne, reminiscing.
One day, George died. Death in those days was in the living room. There were no funeral homes before WWII, so when someone died, an embalmer, usually the local undertaker, came to the home, embalmed the body, placed it in an open casket and took the casket to the living room. The body was never removed from the house before the funeral. Death was also a community affair, so when someone died, a person rang the phone six times on a party line to spread the news. The local German Evangelical Church in the community, on receipt of news of a death, would ring the church bell one time for each year of a person’s life. This practice of ringing the bell was repeated at the funeral. As the casket was carried into the church, the bell chimed one time for each year of the person’s life. There was only one possible exception to tradition that I remember. Someone shot a man named Red in the middle of the day, in the middle of town. The news spread by word of mouth in the form of “Someone shot ‘Ole Red today,” followed by the reply indicating consensus that went something like, “Good riddance.”
After death and embalming, while the body waited in the living room, the custom at the time was never to leave the body alone. People were assigned the duty of ‘setting,’ which amounted to sitting with the body, in shifts. Death was all a part of life, and I mention these customs because most kids today have probably never seen a body. As kids in those days, we might be assigned to sit with the body for a couple of hours during the day. Night shifts were arranged among the men in the community who would ask each other, “Who is setting up tonight?” My father often took the duty. He also sat with the dying. The person doing the night duty would light a candle at each end of the coffin, and sit all night with the body.
Minni did not want to attend George’s funeral, but my father forced her to attend. My father saw no distinction in a person’s worth based on economic status or social class. He saw everyone as equal. In the end, Minni attended the funeral.
My father also took the position that all people were equal regardless of the color of their skin, which was remarkable for the time. Racism was not delineated as unacceptable in those days. Rather, it was an integral and accepted part of the culture, so much so that we had no other perspective. My father forbade the use of the n-word in any conversational utterance. That my father’s view was a dramatic departure from acceptable norms of the times became apparent many years later.



29 Comments

How very different from today. People generally do not “drop dead” any more. The paramedics are called and even if the person has no pulse or respiration, is not pronounced dead until in the emergency room or trauma center.
The paperwork for the Paramedics is simpler that way.
They usually do not die at home unless they die in their sleep. Most often death is at a hospital or hospice. Drugged up and attached to some machines.
We have taken the humanity out of it for the most part.
http://www.youtube.com/watch?v=h67k9eEw9AY
Very true, we seem to have removed the humanity, and even taken things a step further in creating an industry out of it. Funeral insurance that only turns out to be bogus is just one example that comes to mind. The neglect associated with nursing home placement that sometimes happens is another. A person’s true wishes are also often hijacked and lost in a sea of paperwork and disagreement among loved ones. It never used to be this way. Death was part of life and not dictated by various agendas.
Thank you for your comment.
Thanks Crane-Station. I wish to be dropped in the ocean, that which i pulled so much fish from. I just want to give back to that which i drew from. But the PTB say that aint going to happen. I would rather crawl into the woods and die than be in some hospital. I am a part of this earth why cant i give it back. As my friends come closer to death i see some loss of understanding of what it’s all about. People have not really been in touch with this for some time as you so well point out.
Dying at home does not run up thousands of dollars of medical bills.
P.S. If you have not appointed a medical proxy, please do so, whether you are 22 or 92.
Your doctor or hospital may have forms. If not, google the name of your state and the words medical proxy.
And, in certain circumstances, you may want to post DNR (do not resuscitate) prominently on your bedroom door.
No one likes to take care of this kind of thing, but be a grown up, for your own sake and the sake of your family.
Probably why the PTB don’t like people doing it.
” I am a part of this earth why cant i give it back. ”
A good point, homeroid, and I agree. For personal reasons I do not wish to be confined to a coffin after death. I do not think we are alone in this. How we are handled after we die often fulfills the wishes of others, I think, and that is unfortunate.
Excellent point. Last time I checked, each state has specific rules about advance directives, and if they are not followed and renewed properly, medical staff will likely default to some pretty unfortunate extraordinary measures that turn out to be futile while prolonging suffering. In some circles it’s called ‘playing God.’ An example that comes to mind is the case of Terry Schiavo. Her wishes never included being maintained in a chronic vegetative state in order to promote a political agenda.
Your point should not be taken lightly. People need to do this.
“The news spread by word of mouth in the form of “Someone shot ‘Ole Red today,” followed by the reply indicating consensus that went something like, “Good riddance.””
This reminds me of the story of Ken McElroy.
Thanks, this is very interesting. Probably most of the world still functions in this way.
and there are still large segments of society in North America that are very familiar with death from sickness and violence.
As a pastor, I’m well acquainted with death and dying. In many/most places, paramedics are not allowed to legally pronounce someone dead — that’s reserved for doctors. Thus, bringing the deceased to the hospital is not about keeping the paperwork simple for the paramedics but about adhering to the law for their locality.
Also, per the CDC [pdf], in 2005 the location of death statistics looked like this:
inpatient hospital: 906,318
outpatient/ER: 182,156
at home: 603,433
nursing home/long term care facility: 545,271
hospice: 33,752
DOA: 23,183
other: 151,227
unknown: 7,166
The story of Ole Red came from a question that I posed to Letty: Was there ever a murder in the community, and if so, how was it handled? What it boiled down to was a consensus situation in the aftermath of Ole Red’s demise where there was widespread yet unspoken agreement that someone simply ‘needed killin.’
I had to look up Ken McElroy! Yes, sounds very similar. Small Missouri community, only fairly recently (wiki):
“Ken Rex McElroy (June 1, 1934 – July 10, 1981) was a resident of Nodaway County, Missouri, near the town of Skidmore. Known as “the town bully”,[1] his unsolved (as of 2012) murder became the focus of international attention. Over the course of his life McElroy was accused of dozens of felonies, including assault, pedophilia, rape, arson, hog and cattle rustling, and burglary.[2]”
and
“The next day, McElroy was shot to death in broad daylight while he sat with his wife, Trena, in his pickup truck on Skidmore’s main street.[2] Evidence indicated that he was struck by bullets from at least two weapons, in front of a crowd of people estimated to be between 30 and 46.[1] To date, no one has been charged in connection with McElroy’s death.[1]”
…None of those 30-46 witnesses saw a thing…in the middle of the day in the middle of town….right?
Don’t mean to hijack your response, but thank you for this information. I would like to add that hospital chaplains and family pastors are often called upon to address crisis situations that involve some pretty excruciating decisions and ethical dilemmas. It is not an easy job, nor is it publicized enough. My heart goes out to pastors in these situations.
For a truly eye opening expose of the business of dying I recommend Jessica Mitford’s ‘The American Way of Death’ 1963.
Who would dare refute that in our predatory capitalistic system if there is any semblance of a profit to be reaped from any aspect of human misfortune and misery, it will be exploited with the name of ‘god’, America, and democracy on the business man’s withered, greedy, soulless lips.
It ain’t nice here, and it’s only getting worse.
Thanks again for your enlightenment and, of course, recommended.
Another wonderful accounting from Letty. Thank you CS, and please thank Letty for all of us.
These stories are my absolute favorite diaries on the lake of late.
As for Ole’ Red, and Ken McElroy, it sounds like these small communities ‘took care of their own’. I don’t agree with it, but I can certainly understand it.
yes, that’s the one.
the book written about that is very interesting.
“Who would dare refute that in our predatory capitalistic system if there is any semblance of a profit to be reaped from any aspect of human misfortune and misery,…”
You won’t get any argument from me on this one. People in mourning are vulnerable, even when a death was expected. Being in a state of grief qualifies people as prey. Beyond sad. I’m pretty sure that anyone who has navigated the business end of death in today’s, well, market can cite several examples involving withered, greedy, and soulless lips!
(snark alert: Next time, please be a little more clear in expressing your point of view, LOL!)
Thank you for the read and for the comment, much appreciated.
Oh, thank you so much, Kris! Letty will see these comments today, and I am positive she will be delighted for the kind feedback. She will also address the subjects of birth and marriage in the near future, which should be interesting. Thank you again.
You also inspired me to find the movie, which is here:
http://www.youtube.com/watch?v=7gWR5krAka8
cmaukonen–
Actually, the Obama administration is BIG on pushing people to not seek medical care, and die. Remember, the ACA allows payments to doctors now to discuss “living wills,” etc. (And, I’m OK with that–we’ve both got one.)
I’m all for reason being applied to “end-of-life” medical decisions, etc, also. And, foregoing expensive funerals, etc., for some folks, if they’d be happier being cremated, etc.
But, underlying much of our so-called corporate medical reform, is the subliminal message “get over yourself, when your time comes, just “let go,” and don’t run up a huge Medicare bill.”
The use of so-called “best practices” is being used to deny demonstrably better diagnostic (medical) screening tests, due to costs. Obviously, well- or better-heeled folks will go ahead and “spring for” the more expensive tests, while the masses (under Medicare and Medicaid, and to some extend, Obamacare) will receive sub par medical care.
Dying at home would surely be preferable to most folks, IF they can afford home nursing, and home health care, until the end.
Obama’s 2011 budget that he presented to the Super Committee calls for “home health care” visits (which presently, under Medicare, don’t have a co-pay, just the general deductible) will start costing seniors. His proposed payment structure in this budget, is to charge $100 for every 60 days of “home health care visits” (unless the home health care, is needed immediately after a hospital discharge). That’s not a lot of money to many folks, but if all a senior has to live on is a measly Social Security check, it a lot of money.
Beware.
C-S, thanks for another story from Letty. They always make my day.
Blue
C-S–
Of course, highly recommended.
Blue
Thank you for the rec and for joining the discussion, Blue, very much appreciated.
You’re welcome.
A little OT, but . . .
I’m thinking that I’ve seen mention that you’re an RN. If I’m correct, could I ask your opinion of a recent government-funded study?
Here’s the link to a WSJ article that discusses a study which, imo, will precipitate the “sigmoidoscopy” becoming the recommended procedure (or best practice) for government-funded medical insurance programs, instead of the “many years accepted gold-standard” colonoscopy.
http://blogs.wsj.com/health/2012/05/21/colonoscopy-alternative-reduces-cancer-deaths-study-shows/
Here’s a couple of excerpts:
“But as Berg notes, colonoscopy remains the gold standard for catching colon cancer. The researchers estimated that using colonoscopy instead of sigmoidoscopy in the study would have increased the number of screening-detected cancers by about 16 percentage points — from less than 25% to approximately 40% of colorectal cancers — that were diagnosed in participants assigned to sigmoidoscopy.”
“But he says the evidence is good for sigmoidoscopy as a screening tool, and notes that not all people agree to undergo a colonoscopy and the lower costs of sigmoidoscopy may make it more attractive in the current health-care environment. (Though costs vary widely around the country, base costs for sigmoidoscopy are about $300 versus $800 to $1,200 for colonoscopy, not including other costs such as anesthesia). Patients may prefer the less invasive procedure, and “in this case, the best test is the one that gets done.”
Now, I am in agreement with the following paragraph:
” . . . says getting screened at 50 “makes the most sense” to catch growths that might not be cancers yet and sigmoidoscopy is a “reasonable” away to start for those who want a less-invasive test.”
Anyway, since you are the health care professional, would a change in federal-funded health care programs which “restrict” the higher priced colonoscopy (over the sigmoidoscopy) concern you? Please be frank–maybe I am too concerned. (In my defense, I did read recently that the sigmoidoscopy only “views” the bottom third of the colon.)
Thanks–
Blue
looks like a very good movie,thanks a lot.
thank you, letty. i love reading your stories. i hope they’ll all be collected into a book.
Well, Blue, I am afraid I have to defer to another medical specialist on this one. My past nursing experience included, for the most part, trauma orthopedics, ICU and that sort of thing, so I do not have enough knowledge to comment in the area of colon cancer screening. That said, I do notice that the very large and comprehensive study being published in the New England Journal of Medicine is a coup for the makers of sigmoidoscopy equipment! Wow. My second ‘that said’ is that restrictions in general do concern me from a philosophical standpoint. I believe that doctors, and not government, should guide individual patient care. Each individual case is different, and restrictions make it harder for doctors who have to present creative rationale and justifications for what turns out to be simply providing adequate care, just my .02. Do let us know if you hear from others about this.
On edit. I did not explain that very well. Take just for the sake of argument, ten people age 50-55 walk into the office for a screening. The doctor asks some very basic questions about each patient’s history. Nine of the patients have nothing particularly noticeable. One patient, however, reports that both parents died of colon cancer, and so did pretty much everyone else in the genetic family tree. (You see where I am going here, LOL) In light of the family history the doctor decides on the more comprehensive screening. The health plan denies approval. The doctor does the less invasive test. A cancer is missed, that would have been revealed in the more comprehensive test. See what I mean? Moreover, the doctor carries the burden of liability. So surely, there is a way for the doctor to argue for the test that standard of practice dictates. At least I hope that’s the case.
Tell me that’s the case with these new health plans. Otherwise I’m apt to throw myself out a window.
She is working on it, and I can vouch that she has seen this comment and thanks you!
Crane-Station, thank you for this post, those were indeed, different times. All I can add is that for people with terminal conditions, hospice is a kinder, gentler care than aggressive therapy especially when the end result is inevitable. I had an uncle who had prostate cancer in his 50′s which went into remission after chemo. Of course it came back in his early 60′s and he took another course of chemo which caused a condition of ARDS that left him a vegetable on a respirator for the next six weeks after which his heart failed & he died. Had he chosen hospice instead he might have had another six months or more in which to say goodbye and to make whatever amends he felt he needed to. My wife is a hospice nurse and while she does administer pain meds she also tries to keep her non-dementia patients as lucid as possible while easing their pain issues. FWIW she has had many patients who lived far longer than expected after they stopped the aggressive treatments and went on hospice…
Well, thank you for sharing this, and I totally agree about hospice. My heart goes out to anyone who develops ARDS, a grave condition and a complication that is, from what I have seen in the past, very often fatal. You are right, ARDS is aggressively addressed in the critical care setting. I would rather die peacefully and comfortably in hospice than to be subjected to aggressive and ultimately futile treatment. Excellent point. Very sorry this happened in your family.
ARDS:
http://en.wikipedia.org/wiki/ARDS
Thanks, C-S. Bad enough to “hijack” a diarist’s thread, but after I thought about it, it really takes a lot of “gall” to then ask “said diarist,” to participate. LOL!
(Seriously, won’t ask you to put on your medical hat, again.)
Regarding your comment: “Moreover, the doctor carries the burden of liability. So surely, there is a way for the doctor to argue for the test that standard of practice dictates. At least I hope that’s the case.”
That’s the reason that I’m so concerned. Both establishment Dems and Repubs agree that we should have strict limitations on medical liability under Obamacare, and I’ve heard several so-called experts discuss “medical courts,” which will basically restrict doctor’s, hospitals, etc., to “actual damages incurred” for medical expenses only.
That’s the reason that they are setting up a “best practices” regime.
IOW, all doctors who participate in government health insurance plans such as Medicare and Medicaid (I’m not 100% certain if it would also include insurance purchased through the new exchanges that will be set up in 2014, but I think that it does) will be “shielded” from liability suits IF they follow the government recommended best practices. That’s what I’ve heard various experts say on C-Span’s Washington Journal. I’m still trying to find a think tank white paper, or serious medical article, regarding this new policy.
Which really means that the real purpose of having an universally-accepted set of best practices, is to keep doctors from practicing “defensive medicine,” in order to keep down medical expenses, but at the same time, shield doctors from liability, if a patient suffers adversely (from withholding tests, etc.). Pretty scary, huh?
Thanks, C-S. I won’t bother you again about this. (But if you should run into an article about this in one of your medical journals, I’m “all ears” if you won’t to let me know, what you find out. (I can only hope that those think tank experts, were blowing smoke. :-)
One last comment on the real topic of Letty’s story. In no way, do I mean to belittle the notion that death was handled, if you will, in perhaps a healthier and more pragmatic manner many years ago. My Father lost two infant siblings to Whooping Cough, and my Mother lost her oldest sister to pneumonia, at age eight. These three siblings all died before my parents were born, and their birth years were 1905 and 1912, respectively.
I suppose during Letty’s childhood, death was a very regular part of life, so to speak. I don’t remember my parents mentioning “keeping or holding vigil” with deceased family members. But they probably did that too, at one time.
Thanks, again, for sharing her stories.
Blue