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Saturday 5 October 2013

In Memoriam Sonya Nelthropp

In Memoriam Sonya Nelthropp
My friend Sonya Nelthropp died this week on her prized coral island of St. Thomas. I conventional the news at the same time as in Holland, but have not had a serious use until now, as I insert this onboard my mass departure back to Boston. Slight any of you, beneficial readers, knew Sonya. But may I ask you to read on very, for two reasons? Previous, acquaint with are aspects of her story that will tinkle with several of you, and will move some of you. Flash, for my own money-oriented reasons, I want you to feel that you recognize her, so you can join me in absent her. This is longer than conventional, so temptation coat with me.

The St. Croix manuscript stamped this obituary. It is suitable and gives hints of an unordinary life. It starts with her teaching science at the local high procession in Charlotte Amalie. After that, what's this about leaving to procession to be a seaman inventor in the seller river, one of very, very few women to so do? And, next a change of organism to get a master's degree in education at Harvard? After that, a lift restrict to train people to run the waste matter treatment insert in Boston Harbor? (That's everyplace we met.) After that, a reappear to St. Thomas to be the make once setting up the Virgin Islands wastewater stage management legitimacy. And, next ultimate at age 62.

Let me meet in some account, commencing near the end. In the coldness of 2010, seeing that I was still CEO of Beth Israel Deaconess Curative Mean, Sonya called me to say she was in Boston for some tests. Biopsy have a row conventional on a Friday afternoon indicated two forms of swelling. She was in a disorder. The people at one of Boston's maximum noble swelling centers had fact her this thoughts and next told her they would set her up to meet with a medical oncologist in ten living.

Ten days? You give a woman test have a row program two forms of harsh cancer; she is over a thousand miles from home, staying independently in a hotel; and the best you can do is get her an authority ten living hence? It is hard to take for granted a additional repressive act. We had dinner the gone night, and she told me the story. I thought, "We will do better for you." I took her medical archives and sent an email at 10 pm that night to atypical doctors at BIDMC, asking them to think about how we may well help.

I called Sonya the gone day, Sunday, at about 1pm, saying that revelry was instinctive to be in touch. She replied, "Dr. Awtrey [our gynecological oncologist] or else called me. He left two hours on the identify with me this begin telling me what to unsure and pledge for treatment and probable to breathing space my care with the extra departments. His secretary will pick up my medical archives from your bifurcate tomorrow begin."

The gone begin, Chris Awtrey's secretary came by the bifurcate, and I asked her to put something through its paces my gratefulness to him for reaching out to Sonya on a Sunday. She looked at me with great wisdom and thought, "Oh, acquaint with is no parley to thank him. Dr. Awtrey believes that the maximum significant part of his job -- yet to be drama any treatment -- is to take advantage of as noticeably time as vital with a woman to help her be less firm about her disease. That is the way he is. I can't think of a additional towering person. It is such a non-discriminatory to work with him."

To spare the momentous weeks, the BIDMC disc went to work -- surgery, radiation, chemotherapy. All aspects of care were well harmonized linking atypical departments, departure Sonya feeling like a queen. She unsaid that they had bought her some time, most likely not a lot of time, but she was incredibly beholden for all that had been over and done with. She was static additional beholden for the degree of organization not in to her by the doctors, nurses, radiation therapists, transporters, wedge service rod, and others fashionable her stints as an in-patient and out-patient.

She went back home to the islands, promise summary care as de rigueur, and next returned to BIDMC for a check-up in August of 2011. "The PET study lit up like a Christmas tree," she reported to me. "They've told me I have six months to a go out with to live. I may possibly be able to increase it by a month or two with chemotherapy, but I don't want to live that way. I'm just leaving to go home to St. Thomas and live well till the end."

I went to postponement her dual, in imitation of in November and again in January. We had a go around, touring St. Thomas, looking at places everyplace our kin may possibly have explicit each extra, accompanying me as I bought establishment made sandals at Zora's, organize to beautiful beaches (her to read, me to whirl), playing backgammon, relishing in carnage mosquitoes with an emotional swatter, playing with the dogs, eating well and, yes, utilization well, too!

We talked luridly and innocuously about end-of-life issues. I spoken harness about her being far from her neighboring friends and family, who live in the US. Would she want to have clinic care at my congress in Boston, or unacceptable near to people who may well help out. We sat discussing this on her balcony: "How can I commence this?" she thought, pointing out over the brilliant river, the regional islands, and the plants, as natural world and peeper frogs sang in the video. "This is paradise. This is my home." And so she stayed.

Sonya was hugely bigheaded of her late parents. They were a marvelous convince in her life. She showed me things from the family history, and I translated some of them into this blog part about her found. Unique her close relative, who had died self-effacingly immediately and whose obituary was in the online send out of the local manuscript, her found had died yet to be the Internet, and so acquaint with were no metaphors of him to be originate on the web. I published a vista of him and her in my blog part. The gone begin, I thought, "Look at this!" I had over and done with a Google image search, and the living example of her found and her was or else on all sides of for the world to see.

Not being very savvy in the ways of social media, she gasped, "That's impressive. How did that fall, and so quickly!" Essentially, little, she was so beholden that I had told his story in a setting that may well be seen openly by others.

A bit about that lift as a cadet in the seller river. Why Sonya wanted to be a seaman inventor was a simple, "I contemplation it would be habitual." Why did she stop? "I was on a training cross in the Suez. A heighten leaked developed in a diesel device. As the cadet, I had the negligible seniority, so I was assigned to go under the device and repair the slick. I had to lie on my back fraud the problem with a welder. It was 140 degrees under acquaint with. I all-inclusive the endeavor and realized that I never wanted to do anything like that again. As soon as I got back to port, I shipped out and figured it was time to get back to teaching and sensible to Harvard for the master's program in education. I never looked back."

We went through dozens of file folders from her drawers, and she piled stuff about her life and her family in my case. She gave me her clomp stack (additional offensive concern): "I won't be needing these." She vacant me her old put out of sight backgammon set. "I'll commence this fashionable," I thought, "so we can play the gone time. Correct," she thought, with a wry grin. That was our personal story. We knew acquaint with would not be a gone time. I would be off drifter for atypical weeks, and we every one knew that the odds would work against additional time together.

I called Sonya a few times in the momentous weeks. Her living had become burdensome as the tumors look and grew into her lungs. She further morphine to her rag routine. After that she further an oxygen generator. I unfinished the identify calls such as I knew it was hard for her to talk. The call I knew would be the continue was a day or two yet to be I not here for Iceland and Holland on March 25. As soon as you have worked in a clinic, you recognize seeing that the end is near. She knew, too, and we hugged on both sides of the identify lines and spoken our love and our appreciation for the times we had had together.

I end with a poem Sonya wrote at the same time as a cadet in the seller river. It is about being assigned to be on watch. But being just a cadet, acquaint with as a consequence had to be a certified seaman on watch. So, as a cadet, you "watched the watch." Impart it is, the product of a young woman who lived a half life to the fullest.

A CADET'S Previous View


So do you do on your first watch?

You watch the watch


Who watches the gauges

and watches the pumps.

You watch the watch, watch his watch.

So do you do on your first watch?

You watch the wipers


You watch the DEMAC

You watch the watch, next you watch your watch.

So do you do near the end of watch?

You watch the watch


Those in the log

Put up the russet china doll

Broaden his legs

And watch the ladder for the gone watch.


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