42 pages • 1 hour read
Didion’s grief is inflated by her worry for her daughter who remains unconscious in the ICU. She attempts to reconstruct the events leading up to her husband’s death, including her daughter’s rapid decline in health over the Christmas holidays. What appeared at first to be strep or flu soon escalated to labored breathing, so Quintana’s husband rushed her to the emergency room for X-rays. She was diagnosed with pneumonia, but doctors assured Didion and Quintana’s husband that there was nothing to worry about. By that same evening, Quintana’s fever had worsened, and she was no longer able to breathe on her own. Pneumonia had flooded both her lungs. The day after Christmas, they were informed that Quintana had gone into septic shock. When they arrived back home from the hospital—five days after Quintana had been admitted—their apartment was starkly ordinary. The couple struggled to understand how their seemingly healthy daughter could suddenly cause a doctor to indicate that she may not make it, reflecting upon how the ordinary can so quickly turn into chaos.
Five months before Quintana was admitted to the hospital, Didion and Dunne attended Quintana’s wedding. Like her mother’s wedding, Quintana had wanted something simple. Didion’s memory of the events of her daughter’s illness and her husband’s death are interspersed with memories of her daughter’s wedding, as well as her own. She recalls buying her wedding dress on the day Kennedy was assassinated. She remembers how Quintana wore her hair in a long braid on her wedding day, just as she did when she was a child. The memories unravel in quick succession, and Didion feels unable to face the photos on the wall of her apartment that capture the early years of her marriage. However, she cannot escape them as they are etched into her brain.
Didion recalls moments in her own life that felt like a foreshadowing of death. One occurred while she was walking on a fall day and light and leaves seemed to shower down upon her. The other was a beautiful dream that, upon waking, she was certain was meant to represent death. Both experiences were positive, yet Didion found herself railing against the reality of her husband’s passing. She concludes that this is born out of her own self-pity.
Dunne’s death was preceded by signs. His health was failing as his heart continued to enter atrial fibrillation. Dunne told Didion multiple times that he believed he was dying. During an argument about where to go for vacation, Dunne insisted that if they did not visit Paris in November, he would never again have the opportunity. On the ride home from the hospital on the day he died, he lamented that everything he had written lately had not been good. A depression had overtaken him, but Didion believed it was due to Quintana’s situation.
When Quintana regains consciousness, Didion is burdened with how to tell her of her father’s death. Because Quintana is in and out of consciousness for several days, always insisting on knowing where her father is, Didion is forced to retell the story three times. Quintana stays with Didion for weeks after leaving the hospital, still extremely weak and unable to hold herself up. On January 25th, she is readmitted to the hospital with a diagnosis of pulmonary emboli and discharged once more on February 3rd. Didion and Quintana plan and schedule a funeral for Dunne for March 23rd. Shortly after, Quintana and her husband Gerry travel back home to California.
After Quintana’s departure, Didion thinks about her all day, imagining her at the airport, boarding the plane, taking Gerry to all her favorite spots in California. She sees this as the start of the rest of Quintana’s life and resolves that it also will be the start of the rest of her own life. She cleans her office and prepares to go to dinner with friends. She receives a phone call from a friend to let her know that Quintana is receiving emergency neurosurgery in Los Angeles.
Didion pieces together what occurred after Quintana left her home. Quintana and Gerry arrived at the airport in Los Angeles. As they were leaving, Gerry looked back and saw Quintana flat on the ground. An ambulance took her to UCLA, and Quintana was awake and talking. Once at the emergency room, she began convulsing and lost brain function. They performed immediate surgery to address subdural hematoma. Didion calls Gerry, who has just received word that Quintana’s outlook is more optimistic than it was at first: The surgeons believe she may survive the surgery, but they cannot speak to her condition. Quintana survives the surgery and the bleeding on her brain subsides. Didion studies her daughter’s condition, as well as fixed pupils which Quintana exhibited in the emergency room. She learns that 75% of patients with this condition do not survive.
Didion’s memoir slips easily between memory and the present, and the lines between the two become blurred. The chapters are a mixture of dates and times, and the reader must pay close attention to follow the woven tapestry of time presented by Didion. Certain images trigger the author and send her into past realms: sitting at breakfast with her husband, attending the wedding of her daughter, making soufflés with friends. Although she cannot look at the photos in her apartment, the memory of her experiences represented by the images flood her mind. These instances contribute to the theme “The Interconnected Nature of Memory.” Didion’s relationship with the past and the present is fluid. She tries desperately to piece together the chronological order of experience, but she is repeatedly pulled into the past.
The chapters in this section are brief and more clinical in style. Didion detaches herself from her emotions and presents the facts of her daughter’s condition. In doing so, Didion displays her attempts at being the “cool customer” (15). As she does throughout her memoir, Didion returns to research and writing to help her understand her experience. As her daughter undergoes neurosurgery, she researches her daughter’s condition to understand the technical ins and outs. She describes this research as an attempt to regain her cognitive function, something that she knows is failing her as irrationality and magical thinking overtake her decision-making. While completing a crossword, she is confronted with a simple and easily solvable clue, but grief overshadows her thinking, and she believes that she has the logical answer—a response that most would recognize immediately as irrational. She is forever pulled between the need to present herself as outwardly high-functioning and rational—a product of the modern sensibility about grief—and the internal struggle she experiences of disordered thinking and overwhelming pain.
Quintana’s illness leaves both her own grief for her father and Joan Didion’s grief for her husband in a state of arrested development. The wide pendulum swings of Quintana’s health halt the ability to process the loss normally, and Didion finds herself in a grief that is longer-lasting and more pervasive. Just when Didion feels that she may be able to start to grieve normally and piece together a new life for herself, the metaphorical roof crashes down on her due to her daughter’s condition. The clinical nature of these chapters shows her need to separate her grief from experience to focus on and help her daughter. She must ignore as much as possible the irrational self to cope with and function within her reality.
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