Fresh Air - Parenting A Child With Terminal Cancer

Episode Date: February 3, 2025

Sarah Wildman's daughter Orli died from cancer when she was 14. "She would sometimes ask me, 'What do you think I did to deserve this?' And of course, that's not an answerable question," Wildman says.... The NYT Opinion writer spoke with Terry Gross about her daughter's treatment and death and living with grief.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

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Starting point is 00:00:00 President Trump is back in Washington pursuing major policy changes on his own terms. We know from the past that means challenging precedent, busting norms, and pushing against the status quo. NPR is covering it all with Trump's Terms, a podcast where we curate stories about the 47th president with a focus on how he is upending the way Washington works. Listen to Trump's Terms from NPR. This is Fresh Air. I'm Tarik Gross. Parents want to protect their children, but how can you possibly protect your adolescent child from a terminal illness and inevitable death?
Starting point is 00:00:36 My guest Sarah Wildman realized the inevitability after her older daughter Orly was enrolled in hospice. That was after three years of treatment for a rare form of liver cancer that had metastasized. Orly was 14 when she died in 2023. She endured several rounds of chemo, a liver transplant, two brain surgeries, and a tumor that pinched her spine, leaving her unable to walk. Wildman is a staff writer and editor for the opinion section of the New York Times, where she wrote several pieces during Orly's illness and after her death, reflecting on what it was like to be a parent of a child facing mortality, and the differences between how hospitals, hospice, and Judaism deal with illness and
Starting point is 00:01:18 death of a child compared to an adult. She described the expert medical care Orly received and the reluctance of some doctors and nurses to speak openly and realistically about what Orly was facing. She also wrote about the impact on her younger daughter Hannah who was nine when Orly passed away. Several years before Orly's diagnosis, Wildman wrote the book Paper Love about her grandfather who fled Austria after the Nazi invasion and his girlfriend who he left behind. No one in the family knew what happened to her, but the book describes how Wildman spent years tracking down the story. She is no stranger to writing
Starting point is 00:01:59 about death and the importance of memory, whether it's the memory of an individual child or genocide. Let's start with a video that Wildman posted on Instagram when Orly was 12 and sixth grade and Sarah interviewed her about what she was experiencing. It was 16 months after the initial diagnosis. She was in the middle of a second round of chemo and as a result was bald. People just assume that I'm not confident with how I look and I think that's just really strange because I'm really happy with being bald. Like I think I'm beautiful and not everybody has to agree but that's what I think about myself and I think a lot of people
Starting point is 00:02:43 don't see that as a norm, which it obviously isn't, but people think it's not beautiful. So they try to remind me over and over again, which is really nice. But I already know that, so I find it really strange because you wouldn't tell a normal person that they're beautiful over and over and over again. And eventually that makes me feel like, oh, if you're only saying that because you think I'm not, is that what you're saying? Yeah, it does. It's interesting. It's like they're somehow reinforcing its non-normativity by constantly telling you you're beautiful as though you think it was strange. I mean,
Starting point is 00:03:24 you happen to look really good with a bald head. I'm just gonna say that. Do you feel like that regular life is just sort of continuing on and you're still in this cancer space? Yes. I think it's also because it was really, really big deal. Like, when I got diagnosed for a whole month, everybody talked about it, everybody tried to help. And then after that, a lot of people ditched me.
Starting point is 00:03:50 I mean, I just think that it was, cancer helps me also see how real friends are, but just so many people went out without me and just forgot that I was going through all this stuff. I think that yeah, it goes on without me. And sometimes I feel alone. Everybody feels like this year has been hard. We actually did that. You know, when you made your reels the other day, you know, everybody felt that 2020 was really tough. And even the beginning of 2021 hasn't been terribly easy. So does that make you feel like people get it more,
Starting point is 00:04:32 what it feels like to be in isolation? Or do you feel even it's been distanced? No. More distance because I feel like I see so many people complaining and then I'm like, well you really nothing to complain about and then I realized that it's just what they think is like the end of the world.
Starting point is 00:04:54 But really my world ended two years ago. It ended. That makes me sad really for you to say that, but I mean. Oh, like, what they think is the world ending. So that was Sarah Wildman interviewing her late daughter Orly when Orly was 12 and in sixth grade going through her second round of chemo. Sarah Wildman, welcome to Fresh Air. You write so beautifully about your daughter and your family. Thank you for coming to our show. Why did you want to do that interview
Starting point is 00:05:30 with your daughter? I wanted to do that interview with her because I had actually just written a piece about how she had used TikTok despite my reluctance about how incredibly public a TikTok account could be and did become. But also because I wanted people to see what it meant to be a kid in cancer care, a really articulate kid, a kid who was really grappling with it and thinking about it and considering it, especially at a time in the mid-pandemic where people were weary of lockdown, really feeling quite sorry for themselves. And what Orly does in that interview, in addition to sort of winning over everyone who watches it, is to sort of realign the way people are
Starting point is 00:06:19 thinking about their own sadness, their own sense of isolation, and to show how she was so joyful even during extremely hard experiences. AMT. Were you able to ask her questions, because this was an interview that you wouldn't otherwise have asked her, because it's a more formal situation that kind of begs for a serious conversation that reveals things. So I'm wondering if the interview format gave you a kind of safe space to ask things that would be uncomfortable to just bring up at dinner. I think it did. It also allowed us a different kind of focus. When you're
Starting point is 00:07:03 chatting with your kid, you're often multitasking. You're making dinner, you're driving, you're getting them from one place to another, and a focus 30 or 40 minutes where you're asking question after question, waiting for the answer. It's sort of an unusual format for parent and child. It's just not exactly how it goes, you know, outside of how a school, tell me something interesting, who did you sit with at lunch. And in this context, it also allowed us a total lack of distraction. A lot of the time we have our phones on us, something is dinging, you say, let me just quickly check this text. And both of us had to put aside all devices
Starting point is 00:07:43 and just focus on this question Did she have difficult questions for you over the years that you had trouble answering? Yes She would often ask me starting at the very beginning had I ever Experienced pain like she was experiencing and at first I said well I've you know I've had two pregnancies and two rounds of childbirth, long labors that ended in C-sections. I thought I understood pain, but she was facing a kind of pain I realized I really had never
Starting point is 00:08:16 encountered. And I didn't know anyone who had encountered a physical pain. And she would sometimes ask me, what do you think I did to deserve this? And of course, that's not an answerable question. There was nothing. And it really challenged us to look at this question of, is there such a thing as deserving pain? She would ask me about God, you know, both girls. We had a very severe experience where Orly ended up in the ICU in Hawaii. We were on a Make-A-Wish trip. It was brutal and terrifying. And Hana said, Do you think God doesn't love us? The kinds of questions that they asked during this really showed my hand, if you will. I was not able to really offer a
Starting point is 00:09:08 concrete answer to any of these things. I would say I don't think that there is a God that is that activist in this way because there is so much pain around the world. And we are experiencing this, but I don't think it's about God not loving us. You have to see divinity in the people who are helping us. I would try to turn it into thinking, how can we see good in the situation? But sometimes I was really stymied. Did you have your own questions about God and your child's suffering? You know, at the very beginning, we have a very close relationship with our rabbis. And
Starting point is 00:09:45 early on, one of them asked me, are you angry with God? And that's a question that actually has come up again and again within the family. But for me, it wasn't angry. It was more as my grandfather would have said, voist got, like, where is God? Is there a, can you even see God in this? How does it even, What does it mean to have come from a faith tradition and feel like you've done the right things? Whatever that means, whether it means religiously, because we actually have Shabbat, we keep a kosher house, we follow many of the rules, we thought of ourselves as relatively good people. I mean, what does it mean, you know, to face this question and have the whole world turned upside down? It felt like there
Starting point is 00:10:34 wasn't really a space for God within it, and you had to constantly search for what that looked like. I had to really see it in the divinity of people who went out of their way to help us and that weren't afraid of us. It is very easy to be afraid of a family going through a catastrophe. Yeah, you describe in one of your pieces how sometimes when friends or neighbors would see you, they would just kind of break down into tears. How did that make you feel when friends saw you and just started to cry? It's really difficult because sometimes I also felt that people wanted me to cry with them and I cry a lot, but I can't cry every time someone cries to me. And I sometimes
Starting point is 00:11:20 felt that it was hard. I didn't know who to comfort in that space. Sometimes what ends up happening if someone cries to me is that the roles reverse. I end up comforting them. I can't say it's okay because it's not, right? And I think one of the really difficult things about facing a parent who has lost a child, facing anyone who's lost anyone, but particularly in parental bereavement, is that you cannot make it better. There is no betterment of this. There's no It's going to get better. She's not coming back. What's easier though is when people aren't afraid of mentioning her name or reminding me of a story or
Starting point is 00:12:01 telling me something I didn't know that she told them or that she'd done for them. It's very hard when people cry to me and I am a little bit at a loss as to where I fit in their grief. You write about how doctors and nurses tend to treat children who have terminal illness or who are at the end stage differently than they would treat an adult. What are some of the differences you observed? My sense is that the medical establishment sees the death of a child as a failure. Their failure, the doctor's failure? As the doctor's failure, yeah.
Starting point is 00:12:45 I think there is a reluctance to face the idea that medicine has limits. Children's hospitals really are always advertising that they will cure children. As a result, they don't invest in psychoemotional care for the end of life or the transition from curative care into maintenance care and then finally end of life care, which means that families are left sort of reading tea leaves, if you will, you know, trying to figure out
Starting point is 00:13:19 between the lines of what is being said, what's truly happening. When I was told that Orly's cancer was incurable, hearing incurable didn't necessarily translate to me to, and now she'll die. I think it was very hard to absorb, but it also went somewhat unspoken. And part of the reason why it's so hard to absorb is that you sort of have to hear it again and again because it feels so catastrophically impossible that
Starting point is 00:13:52 you can't fight it. Especially because I had spent so much time researching. I'm a journalist. I sort of applied all those journalistic skills. I read every paper. I made myself into an expert in liver cancer, as did her dad, Ian. We thought we could outsmart cancer in some way. But it turned out the type of cancer that Orley had, hepatoblastoma, which is typically seen in toddlers, does not have a good cure rate for children who are older. They do very well under the age of three, and then older children, or they was 10 at diagnosis, they don't tend to survive. You know how you were saying that, you know, terminal is the kind of thing
Starting point is 00:14:39 you have to hear over and over before you're capable of absorbing it, because it's so catastrophic. I mean, you write that conversations about death were discouraged in and out of the doctor's office. Maybe that's why, because they have to give you a small dose at a time before you're ready to hear and comprehend the full reality. It's hard to say. I think there are a couple different stages that I would have liked, a different type of conversation. For example, in the spring of 2022, when Orly was feeling really good, she had metastasy
Starting point is 00:15:15 to her lung. And we asked if we could travel before she had another surgery. It was to be her third lung surgery, and the lung surgeries were very, very painful. And then we were beginning an experimental treatment. And at that time actually, she was doing really well. And they were concerned to wait, but they didn't say to us, well, there's a new calculation here, which is to say you're facing a third metastasy. We don't know if delaying surgery will affect our ability to get on top of this cancer. They weren't yet talking about it being incurable. Instead they said we should make sure we do everything we can and
Starting point is 00:15:56 what I would have preferred was to say let's let her travel, let's let her do something while she's doing well because I actually think they knew then the trajectory wasn't great. And I think there's a way to do that that still allows for hope. Orlew cancer metastasized her brain in June. And Ian asked providers, does this mean she'll die? People really were reluctant to answer that question. And I was reluctant to hear it. So I think to your question, if they'd given it out in small doses, what they could have said was, this is resetting the table. She won't outrun this. We don't know how much time we have. What are the things you want to do? If they'd started to say that when she was still able to do more things, it would have been terrifying. And I think it's part
Starting point is 00:16:51 of the reason why it's really hard to have those conversations. You know, with hope and with optimism, it's sometimes hard to tell when hope and optimism are really more like denial and not helpful. And it seems to me that's one of the things you were grappling with. Yes, I think hope can be a form of denial. It can also be a motivating force. It can mean that you do seek out treatments that do give you days, months, maybe even years. I think that the hope is essential because cancer care is grueling. It can be demoralizing to face the consequences of cancer care. The cancer care itself comes with pain, it comes with nausea, it comes with obviously hair loss.
Starting point is 00:17:50 I can come with all sorts of indignities. It must be so hard to watch as a parent. It was brutal because she really tried to live each moment in such an enormous way. She really, really loved living. And she would try to make life different in the hospital. I mean, she made every single nurse do TikTok dances with her. She would make the music therapist sing Lizzo and Olivia Rodrigo and Taylor Swift. And she would play Taylor Swift and Lizzo in Olivia Rodrigo and Taylor Swift and she would play Taylor Swift
Starting point is 00:18:26 and Lizzo in every operating room and she had many many surgeries. She would force people again and again to see her not as a patient but as a person and to see that she wasn't able to do that as much as she would have liked outside of the hospital. For example, she loved acting. In the fall of 2022, she'd already had two brain surgeries, and she won a lead in Twelfth Night. And I have videos of her practicing for the part. But by late fall, she felt too tired to go to rehearsal. And it's these indignities as well, to not get these small pieces of joy that are really easy to take for granted and to not be able to give her that.
Starting point is 00:19:16 I wanted to give her everything. I wanted to buy her time. If you're just joining us, my guest is Sarah Wildman. She's a writer and editor in the opinion section of the New York Times, where she wrote a series of articles about being the mother of her daughter Orly, who had terminal cancer. We'll talk more after this short break. I'm Terry Gross, and this is Fresh Air. This message comes from Wwise, the app for doing things and other currencies. Sending or spending money abroad? Hidden fees may be taking a cut. With Wyze, you
Starting point is 00:19:50 can convert between up to 40 currencies at the mid-market exchange rate. Visit Wyze.com. TNCs apply. Matt Wilson spent years doing rounds at children's hospitals in New York City. I had a clip-on tie. I wore Heelys, size 11. Matt was a medical clown. The whole of a medical clown is to reintroduce the sense of play and joy and hope and light into a space that doesn't normally inhabit.
Starting point is 00:20:15 Ideas about navigating uncertainty. That's on the TED Radio Hour podcast from NPR. If you love NPR podcasts, you don't need me to tell you the value of public media in your life. To support our mission and get perks like sponsor-free podcast listening across more than 20 NPR podcasts and exclusive bonus episodes, sign up for the NPR Plus bundle at plus.npr.org. Our long national nightmare is over.
Starting point is 00:20:44 Beyoncé has finally won the Grammy for Album of the Year. How and why did it take so long for Beyonce to win the top prize at Music's Biggest Night? We're talking about her big wins and breaking down the Grammys for Kendrick Lamar, Chappell Rhone, and Sabrina Carpenter. Listen to the Pop Culture Happy Hour podcast from NPR. This is Fresh Air. I'm Terri Gross. Let's get back to my interview with Sarah Wildman. She's a staff writer and editor for the opinion
Starting point is 00:21:11 section of the New York Times, where she wrote several pieces during her older daughter, Orly's illness and after her death. Orly died of metastasized liver cancer in 2023, at the age of 14. Wildman's writings reflect on what it was like to parent a child facing mortality and the differences between how hospitals, hospice, and Judaism deal with the illness and death of a child compared to an adult. She described the expert
Starting point is 00:21:37 medical care Orly received and the reluctance of some doctors and nurses to speak openly and realistically about what Orley was facing. She also wrote about the impact of Orley's ordeal and death on her younger daughter, Hannah, who was nine when Orley died. When it was time for tough conversations about turning points in Orley's healthcare, including it's time for hospice because there's probably no cure. Are there things you wanted to tell Orley yourself, or did you want like the professionals,
Starting point is 00:22:12 the doctors, the nurses, the hospice care people to tell her? Which did you think would be easier for her to digest? So I'm gonna back up to before hospice on that one. When Orly first presented with a brain tumor in June of 2022, it was after a week of vomiting and terrible headaches. And her oncologist pulled me into the room and was really upset and said, it's her brain. We had just gotten a scan. And then she led me back to Orly's room and she walked away. And I said,
Starting point is 00:22:51 aren't you going to come and tell me with her? Am I telling her alone? And the doctor came in with me and said, Orly, it's your brain. And Orly said, so I'm going to die. And the doctor said, you're so mature. And I was shaking. I would have these sort of physiological responses to really extreme moments where even if I was extremely calm, and I was always really calm for her sake, and in fact, very early on, she had asked me not to cry in front of her and so I really didn't for a very long time but sometimes I couldn't control shaking and she was upset with me later that I didn't contradict her that I didn't say
Starting point is 00:23:36 no that's not true we're going to be okay I really didn't know in that moment what to do and to your question on hospice, hospice was introduced to us not as she's dying and she's going on hospice. It was introduced because later that fall, after she'd actually bounced back, I mean, she had, after that brain surgery, after that first brain tumor, two weeks later,
Starting point is 00:24:04 she was on a surfboard. She read 15 books. She joined a pottery class. She traveled. She got a few weeks of life. But that fall she was in terrible pain. And in the hospital they said to me, hospitals and pediatrics is different for adults. In adults, you give up options of curative care, but for children since Obamacare, you can have concurrent care, you can continue curative treatments, you can enter into drug trials, you won't be giving anything up, you will just get some extra assistance at home. You'll have home nursing. But it turned out, first of all, where I live, there wasn't a home nursing option within our hospice care insurance benefit,
Starting point is 00:24:52 one. And two, when the hospice nurse called for the intake, I said, we're starting a drug trial. You know, we're not giving up concurrent care. We've agreed to talk to you because we need some home assistance. And she said, yes, but you know that they told me she has six months to live, right? And I said, no, you're the first to tell me that. When you were wondering how much to try to talk with your daughter about the inevitability of death, did you try to feel her out and about the inevitability of death. Did you try to feel her out and see what is she ready to hear and what is she not ready to hear?
Starting point is 00:25:31 Did you wait for her to bring it up instead of you bringing it up? AMT. SHANNON DOERRDY We often let her bring it up. And she actually had an idea for a podcast that's a little bit like what Shannon Doherty ended up doing herself, although this didn't exist at the time. She told me she wanted to create a podcast, conversations with her until she died, that would have this sort of frisson of anxiety about it, you know, how you wouldn't know how long it would last. And so, she was very, very funny. She once had a text argument with a friend, and the friend said, I think you sound strange, and orally texted, well, I'm literally dying.
Starting point is 00:26:15 Because she was an adolescent, you know. And at the same time, she very much did not want to die. And she would tell us, sometimes she would cry about it. In one email that I read that she sent to someone that was not me, she said she learned how far the metastasis had gone. And in that fall of 2022, the cancer spread further. And she said, no one is talking about a miracle. And she said, no one is talking about a miracle. But there's some small part of her, I think, that hoped we would. We did try three different last-ditch efforts of various drugs to slow things down. What the doctors would do is ask for her consent at this point in starting a new drug. And when the doctor said, are you sure
Starting point is 00:27:07 you want to do this? Are you sure you want to try yet another treatment? And she said, she really like yelled, yes, yes, you've given up on me. I think she didn't want to give up. And yet at the same time, she did want to grapple with it. Well, let me reintroduce you here. If you're just joining us, my guest is Sarah Wildman. She's a writer and editor in the opinion section of the New York Times, where she wrote a series of articles about being the mother of an adolescent with terminal cancer and what it was like at the end, three and a half years after the diagnosis. Her daughter Orly died in 2023 at the age of 14. We'll be right back. This is Fresh Air.
Starting point is 00:27:46 Extreme weather disasters like wildfires and floods can devastate communities. On the Sunday story from Up First, we ask, are there places that just aren't safe to live anymore? People are going to die. They will be me and my neighbors and I don't want that to happen. How we respond to disasters in an era of climate insecurity. Listen now on the Up First podcast from NPR. Hey, it's Robin Hilton from NPR Music. Many years ago, I helped start the Tiny Desk Concert Series. Right now, NPR is looking for the next great undiscovered musician to perform behind the
Starting point is 00:28:21 famous desk. Think you've got what it takes? Submit a video of you playing an original song to the Tiny Desk Contest by February 10th. Find out more and see the official rules at npr.org slash tiny desk contest. I've read so much about how family members grow closer when they know a member of the family is dying.
Starting point is 00:28:41 You make every minute count. You love each other more. But unless it's a sudden death or like, you know, a few weeks before death, there's still plenty of time to get on each other's nerves and to argue. And you wrote that you still fought with Orly sometimes. What would you fight about? And I wonder how it would make you feel when you did fight about something. I mean, you know, she was 13 and then 14. We obviously disagreed about things. I mean, before things really took an extremely dark turn and she was still trying to go to school, one day she emerged from her room and told me very proudly that instead of doing any schoolwork
Starting point is 00:29:25 at all, she had watched every single Marvel movie back to back to back to catch herself up on the entire Marvel series. And I should feel extremely proud that she had reached this accomplishment. And I was a little nonblussed, you know. She was very annoyed that I didn't see this as the remarkable achievement of, you know, she'd barely slept, she'd read none of her assignments, and all she had done was catch herself up entirely and knew absolutely everything now about Marvel there was to know. She had this ability to do this, you know, she did this, I used to say she had a Talmudic relationship with Harry Potter, where she really started to read it
Starting point is 00:30:05 against the grain and started to be very angry with Dumbledore for knowing all along that Harry would face the things he faced. It's interesting, and she talked about this in her own bat mitzvah, that she struggled with Dumbledore as a savior character in the same way that she struggled with the idea of God because in her hospital room, no deity showed up. And, you know, I think we all would argue, but I would try to make up with her immediately. I wouldn't go to bed angry. I would apologize faster than probably I should. It was really challenged parenting, and it still does, because I didn't know how to discipline in this space when all the rules seemed to have been thrown out the window.
Starting point is 00:30:51 I didn't know how to put limits on things. How do you put limits on phone use when you have so little outside interaction? How do you say you have to really focus on algebra when you don't know actually if any of it will matter. It's really difficult. And I once said to her, well, isn't it good that we have so much time together and we really get to bond? And she said, this is the time I'm supposed to be breaking away from you. She was hilarious and cynical and tenacious and would often really try to push the boundaries of permissibility when she could. You know, we had one perfect week and weekend right before her brain tumor.
Starting point is 00:31:33 We went to New York. We were all extras on Fleshman is in Trouble. Oh, seriously? Yes. How'd you do that? I wrote to Taffy Ackner and I said, this is Orly's dream to be an actor and she's just gone through this third lung surgery, you know, one of many, many, many surgeries she's had. What do you think, could she be an extra?
Starting point is 00:31:55 And she said, how about all four of you? And I ended up nine hours on a television set in a bathing suit, which was not what I had planned. But... AMT. SILVERMAN You both worked at the Times, so you probably had some kind of connection. MS.
Starting point is 00:32:11 BIRDMAN I did, yes. I did. And I knew her from the Times and also she had followed our story. And she was really happy to do something for Orly. But the thing that Orly did on that set was she left us and the extras were sort of corralled together and she sat with the stars and the directors and watched the dailies and sort of insinuated herself among them and no one was unhappy with it. It was such a gift. She liked to push boundaries as much as she possibly could.
Starting point is 00:32:44 She liked to whenever she could much as she possibly could. She liked to whenever she could see the moment of autonomy. So you know Orly had her reasons to be angry at God. You had to like redefine for her and for you the meaning of God. What about your younger daughter, Hannah, who was only nine when Orly died and that was like three and a half years after her diagnosis. What did Hannah make of this, and how did she interpret God, or was she angry at God? Hannah was six when Orly was diagnosed, and nine when she died. And the week after the shivah, we borrowed a friend's
Starting point is 00:33:27 apartment in New York and she started hysterically crying on the street one night. And we said, what's happening for you now? What are you feeling? And she said, she was so angry with God, she was worried she'd be punished. She was worried that there would be some sort of consequence of this anger. And we ended up calling up one of our rabbis and saying, let's talk to Hannah about this idea. And the rabbi said, Hannah, we are all angry with God about losing Orly. And in fact, in Jewish tradition, there's a lot of anger with God. It's not very strange to be angry with God. But sometimes Hannah will get very upset. She really does not know how to have any relationship with God right now. And she's very, very angry that God could have taken away someone as
Starting point is 00:34:14 young, someone as vital, someone as important as Orly. AMT. You write about grieving and how the Jewish tradition is different when grieving for a parent than when grieving for a child. What is the difference? So Jewish morning practices, many people know, you bury immediately. You have a week-long shiva period of time where people come to you and you're not supposed to cook or do anything. All of that's the same. Yeah, everybody's supposed to do it for you. And you're not supposed to look in a mirror. I didn't do that. I did look in the mirror.
Starting point is 00:34:53 You aren't supposed to make your own food. Everything's brought to you. And you sit, you're supposed to really sit low. And every single day, the entire community is supposed to surround you. And then you emerge out of that and you have a 30-day period of mourning. And then you emerge out of that. And if you're a child mourning a parent, you then have a whole following year where every single day for 11 months, you stand up and you say the mourner's prayer, the mourner's Kaddish. If you lose a child, all the morning rituals end at 30 days. There's nothing beyond it. There are no rules. If you lose a parent, you're not supposed to attend a wedding, to go to a concert. You're not supposed to attend
Starting point is 00:35:37 a joyful dinner. You're not supposed to incur joy in some way. You're not supposed to go out of your way to do something that's particularly delightful unless it has to do with your work. As a parent who's lost a child, you can do whatever you want. I found this completely destabilizing. I wanted them to tell me that I needed a policy of abnegation. I wanted them to tell me that you should be recognized as a mourner every day because in truth, in the modern world, you are seen as a mourner. Someone who's lost a child is seen differently, is sort of outside society all the time. And yet, because these rules were set in antiquity, when unfortunately child loss was far more prevalent, you had no rules.
Starting point is 00:36:23 You could do whatever you wanted. And that felt like you were in free fall. And so we started to sort of change things a little bit. And, you know, one thing Orly did really early on, after the first brain tumor and that when she got back on a surfboard and got back on a bike, one day she biked off from me. We had been gifted a house, a very, very tiny, beautiful little space on Martha's Vineyard, and she biked away from me. And I found her sitting on a jetty, looking out to the sea with a book and a journal. And she said, this is what I needed. This is so good for my mental health. And it was just all this beauty. And she was able to take in that beauty. And I thought, okay, that's what she tried to do. That's what we'll do in this first year morning period in freefall
Starting point is 00:37:10 when we don't have to do anything. We don't have to say a prayer every day. We're not recognized in the community in the same way. So we're going to have to reset this and make our own path. Let's take a short break here and then we'll talk some more. If you're just joining us, my guest is Sarah Wildman. She's a writer and editor at the Opinion section of the New York Times where she wrote a series of articles about being the mother of an adolescent with terminal cancer and what it was like at the end three and a half years after the diagnosis. We'll be right
Starting point is 00:37:40 back. This is Fresh Air. Desk Concert and a U.S. Tour. To learn more visit npr.org slash tiny desk contest. Are you the greatest musician the world has never heard? Unsigned artists now's your opportunity to play the tiny desk. Enter the 2025 Tiny Desk Contest our nationwide search for the next undiscovered star. The winner will play a Tiny Desk concert and a US tour. To learn more, visit npr.org slash tiny desk contest. It's a new year and according to Pew, 79% of resolutions are about one thing, health. But there are so many fads around
Starting point is 00:38:38 how to keep ourselves healthy. On It's Been A Minute, I'm helping you understand why some of today's biggest wellness trends are, well, trending. Like why is there protein in everything? Join me as we uncover what's healthy and what's not on the It's Been A Minute podcast from NPR. You continued to do your job at the New York Times writing and editing for the opinion
Starting point is 00:39:01 section. Did you feel this sense of guilt and inadequacy in both places at home, feeling like you're not doing a job at work and orc feeling like you're not home with Orly in the hours that she's not in school and in the days when she couldn't go to school? How did you handle that combination of having, you know, a stressful job and a stressful life at home that were both really time-consuming. I mean, I think all parents feel at some point that they're failing in both spaces. But strangely for me, work was an enormous respite. For one, I leaned heavily into
Starting point is 00:39:42 editing a lot of the time during Orly's illness, and I would edit at crazy hours, you know. Ian and I would trade off every day at the hospital, 24 hours on, 24 hours off. But I could edit at 2 in the morning in the dark while she slept, and it would allow me to focus for an hour, two hours, five hours, in increments, away from the trauma of my immediate present. And I also think it gave me a different sense of the world's vulnerabilities. I would often say this to people after I really died that I understand loss differently. I understand pain differently in all forms. I think it made me a hope. It made me a better editor and a better writer. What's really strange is that I sometimes feel that
Starting point is 00:40:48 But I sometimes feel that it has been some of the best writing I've ever done, which feels really awful in some strange way that it can write to write beautiful sentences. And yet in some way, I think it's about honoring her with them. I want so much for people to know her. But yes, I think even now when I'm working, I worry, am I giving enough to Hana? Hana needs a lot right now. Can I drop everything when she gets home for the day and pick it back up later at night? Do I just sacrifice, let's say sleep? Maybe I just won't sleep as much. There is this sense that it's hard. It's impossible to do both, but I was in a really really fortunate position in the most unfortunate of times to be working with a team of people who
Starting point is 00:41:35 constantly said to me if you need to take a break take a break if you want to step away and take a leave of absence take a leave of absence and that was very fortunate because it allowed me to be present and advocate for Orly in the hospital and outside of it in ways that I wouldn't have been able to do in most other positions. LARISA At The New York Times now, as an opinion editor, are you focusing on editing people who have endured trauma or who are currently suffering or who are in the middle of a war?
Starting point is 00:42:09 I mean, for example, you worked with Rachel Goldberg, the mother of Hirsch Paulin Goldberg, who was abducted by Hamas on October 7th, and in the attack, one of his arms was blown off. He was used by Hamas in a hostage video and he died in captivity. Was Orley why you wanted to work with Rachel? Did you initiate that? Yes, in some way, yes. And I worked with, I was privileged to get to work with Rachel on both two audio projects for the New York Times and added her first essay for us. I met her across the airwaves
Starting point is 00:42:49 the week of October 7th and what was remarkable to me was at the end of our conversation and it didn't make it into our audio production was she said she was glad that it was me. She'd read the Orly stories and she was sorry for what I had been through and it was really a remarkable moment of someone going through tremendous trauma, being able to step outside themselves and then offer empathy outside of their space. I produced a number of the hostage stories that we ran, and I've also worked with Palestinians because I do think there is a commonality
Starting point is 00:43:33 of loss and grief and pain that transcends conflict and to some degree is possibly one way out of it. Seeing our human connection feels to me one of the most important things that we can do right now. It sounds so cliched or like something that could go on a mug, but I actually really mean it. I think it feels to me very important to hear the stories of these individuals. And yes, so yes, I've worked on a number of these stories in addition to right now, after this most recent inauguration, I'm working on stories of immigration, refugees, asylum seekers, and trying to look at this question of who are we as a nation?
Starting point is 00:44:25 Are we a nation that welcomes in the huddled masses yearning to breathe free? Are we a nation that closes its doors? And I think all of this connects back to this question of what is our role to each other in the world? It goes back to your question of finding divinity. Do we have a responsibility to each other as human beings? What is that responsibility? How far does it go? How far can we take it? I have one last question for you, and that is, where are you now in the process of mourning
Starting point is 00:44:57 your daughter who died in March of 2023? You know, Terry, I think the thing to really know is that the loss of a child is not a one-time event, right? It's constant. You are always, you sort of lose her again and again every day. You know, it's every time you set the table. It's in the way in which we all respond to the world and the idea of how people understand us or don't understand us. It's about this sense of are we broken and how do we repair an understanding that the pieces don't ever really quite fit the same way again.
Starting point is 00:45:38 Because it's the loss of both present and future, it shifts something about how you see the world and it really challenges your optimism every day. She should have turned 16 on January 13th and Hana and I spent the weekend doing things we thought she would have done or would have liked. There are some days where I step outside and I want to cry my entire walk and there are some days where I step outside and I want to cry my entire walk, and there are some days where something happens and it just makes me smile. When I spoke to your producer to prepare for this conversation, and I stopped the call, I looked at my phone, and we had been speaking for one hour and 13 minutes and Orley was born on January 13th And I sometimes see those moments as her
Starting point is 00:46:29 So Wildman, I'm really grateful that you spoke to us. Thank you for sharing everything that you did Thank you so much for having me on and letting me share a little bit of Orley's story and mine Sarah Wildman is a staff writer and editor for the New York Times opinion section, where you can find her personal essays. Tomorrow on Fresh Air, our guest will be Grammy-winning pop star and actress Ariana Grande. She's nominated for an Oscar for her role as Galinda in Wicked. She started acting on Broadway and TV when she was in her teens. I hope you'll
Starting point is 00:47:05 join us. To keep up with what's on the show and get highlights of our interviews, follow us on Instagram at NPRFreshAir. Fresh Air's executive producer is Danny Miller. Our managing producer is Sam Brigger. Our technical director and engineer is Audrey Bentham. Our interviews and reviews are produced and edited by Phyllis Meyers, Ann Riebel Donato, Lauren Krenzel, Theresa Madden, Monique Nazareth, Daya Challener, Susan Yacundi, and Anna Bauman. Our digital media producer is Molly Sivi Nesper. Roberta Shorrock directs the show.
Starting point is 00:47:51 Our co-host is Tanya Mosley. I'm Terry Gross. Support for NPR comes from NPR member stations and Eric and Wendy Schmidt through the Schmidt Family Foundation, working toward a healthy, resilient, secure world for all, on the web at theschmidt.org.

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