The glass clinked against the shelf, a sharp, crystalline protest as I slid the Cardamom between the Caraway and the Cayenne. It was exactly 11:01 PM. My fingers were stained a light, dusty yellow from the Turmeric that had leaked, just a tiny bit, onto the labels I’d printed 31 days ago. There are 41 jars in total on this rack. I know because I counted them three times, making sure each lid was tightened until it couldn’t turn another millimeter. People tell me this is a symptom of something deeper, some frantic need to curate the universe when my daytime hours are spent watching it dissolve. They think my obsession with the alphabetization of spices is a reaction to the 11th-hour chaos I manage for a living. Maybe they are right. Or maybe they are completely flawed in their assessment of what it means to hold onto a single, solid thing in a world that behaves like smoke.
In the hospice ward, where I spend 31 hours a week as the volunteer coordinator, nothing stays in its row. People leak. Emotions spill over the edges of plastic chairs and stain the linoleum. We try to alphabetize the end, don’t we? We have the ‘Stages of Grief,’ which is perhaps the most misguided piece of fiction ever sold to the public. There are no stages. There is just a 101-degree fever and a sudden, sharp realization that you never actually liked the smell of lavender, even though everyone keeps bringing it to your bedside. My name is River J.-P., and I am the person who has to tell 11 different families a week that their expectations of a ‘quiet transition’ are about to be shattered by the messy, loud, and inconvenient reality of biology.
The core frustration of my work-and really, the core frustration of modern mortality-is the insistence on a sanitized exit. We want the movie version. We want the soft lighting, the whispered confessions of love, and the gentle closing of eyes. But death is rarely polite. It’s 1:01 in the afternoon and someone is screaming because the morphine hasn’t kicked in, or it’s 3:01 in the morning and a long-lost cousin is arguing with a nurse about a 21-year-old grudge. We have turned the end of life into a project to be managed, a set of boxes to be checked, and when the boxes don’t fit the person, we feel like we’ve failed. We haven’t failed; we’ve just been lied to by a culture that treats dying like a luxury spa retreat instead of a raw, physical surrender.
The Lie of the Sanitized Exit
The pervasive myth that death can be a “clean” or “neat” process, devoid of messy human realities.
I remember one particular volunteer, a young woman named Sarah who had been with us for 11 weeks. She came in with such bright eyes, carrying 21 copies of a book on ‘spiritual alignment.’ She thought she could fix the atmosphere of the ward with sheer intention. I watched her try to organize a room for a man who had spent 71 years being a difficult, stubborn mechanic. He didn’t want alignment. He wanted a cigarette and his dog. Sarah was devastated when he told her to get out. She felt like she had done something incorrect. I had to sit her down in the breakroom, which has exactly 11 chairs, and explain that her need for a ‘good’ death was actually an obstacle to his actual death. We are so busy trying to make people comfortable in the way *we* think they should be comfortable that we ignore the jagged edges that made them who they were in the first place.
It’s much like my spice rack, I suppose. I spent 41 minutes yesterday making sure the Ginger was perfectly aligned with the Garlic powder. But if I actually want to cook something meaningful, I have to take them out. I have to spill them. I have to create a mess of the counter to create a flavor that matters. You cannot make a 101-ingredient stew without getting a little bit of grease on your apron. And yet, in hospice, we act like the apron should remain pristine. We act like the mess is a mistake rather than the point. We’ve become obsessed with the aesthetics of care rather than the gut-wrenching presence of it.
I recently made a mistake-an erroneous assumption about a patient in Room 11. I thought he needed silence. I had directed the 11 volunteers on his shift to speak in hushed tones, to keep the lights at a 11-percent dim, to maintain a sanctuary of stillness. On the 21st day of his stay, he finally regained enough strength to throw a plastic water pitcher at the wall. He shouted that he felt like he was already in a tomb. He wanted the radio on. He wanted the window open to the 91-degree heat and the sound of traffic. He wanted the friction of the world. I had been so focused on the ‘proper’ way to facilitate his passing that I had forgotten he was still, for at least a few more days, very much alive.
Perceived Control
Raw Surrender
There is a contrarian angle here that most people in my profession hate to admit: the more organized we try to make grief, the more we rob people of their agency. Efficiency in grief is a scam. It is a 21st-century invention designed to get people back to work faster. We want the mourning period to be a straight line, but it’s more like a circle that someone has stepped on. It’s 11 steps forward and 21 steps back. When I go home and look at my spice rack, I am looking at a lie. I am looking at the illusion that I can control the outcome of a recipe if I just keep the jars in the right order. But the heat of the stove, the quality of the pan, the 11 variables I can’t see-those are what determine the meal.
Speaking of control and the sanctuaries we build, I’ve found that the only place I can truly decompress is in the water. After 11 hours in a room that smells of antiseptic and fading echoes, the first thing I do is head for the bathroom. I installed a set of shower uk doors last spring because I needed to see through the steam, to feel like the boundary between my skin and the water was the only thing that mattered. It is the one place where I am not River the Coordinator, not River the daughter of 71-year-old parents, not River the alphabetizer. I am just a person in a 111-degree stream of water, letting the day wash down the drain. The clarity of the glass reminds me that even when things are clouded by steam, the structure remains. It’s a physical manifestation of the boundary I fail to keep at the office.
I often think about the 111th patient I ever worked with. She was a woman who had 21 cats and a house that smelled like old newspapers and peppermint. She was a chaos agent. When she arrived at our facility, she brought 11 different types of tea and insisted on brewing them all at once. The staff was annoyed. The volunteers were confused. But she was the happiest person in the building because she refused to let the clinical environment dictate her identity. She taught me that relevance isn’t found in the system; it’s found in the rebellion against it. We think the relevance of hospice is ‘dignity,’ but dignity is a word we use when we don’t know how to handle someone’s humanity. True relevance is found in the 31 minutes she spent laughing at a bad joke while her tea got cold.
I once spent $121 on a set of vintage spice tins because I thought they would make my kitchen look like a magazine. I spent 41 hours cleaning them, labeling them, and filling them with the freshest ingredients I could find. Within 11 days, I realized I couldn’t tell which was which without opening them because the labels were too small. My search for aesthetic perfection had made my kitchen unusable. This is exactly what we do with death. We label it so precisely, we wrap it in such beautiful language, that we can no longer see the substance of what is happening. We’ve traded the pungency of the experience for the cleanliness of the container.
The Pungency of the Experience
Prioritizing the authentic, messy truth over superficial, clean appearances.
I’m rambling. I know I am. It’s a 1-o’clock-in-the-morning habit. My mind tends to wander toward the 11th-century philosophers who understood death better than we do. They didn’t have 21-page intake forms. They had the dirt and the stars and the 101 ways the body eventually gives up. They didn’t try to hide it behind a 51-decibel white noise machine. There is something incredibly lonely about the modern way of leaving-not because people aren’t there, but because the people who *are* there are performing a script. We are all actors in a play where no one is allowed to forget their lines, even when the stage is collapsing.
If I could change one thing about the 121-page volunteer manual I wrote 11 months ago, I would delete the section on ‘appropriate conversation.’ I would replace it with a single instruction: ‘Sit down and be quiet for 31 minutes.’ We are so afraid of the silence that we fill it with platitudes that mean nothing. We offer 11 different versions of ‘everything happens for a reason,’ which is a 100-percent falsehood. Things happen because they happen. Cells divide incorrectly. Hearts wear out after 81 years of beating. A car swerves on a 101-highway. There is no reason that makes the loss acceptable, and trying to find one is just another way of alphabetizing the spice rack.
I look at the ‘S’ section of my shelf. Sage, Salt, Sesame, Star Anise. They are all in their places. Tomorrow, I will go back to the ward and I will see 11 people whose lives are anything but orderly. I will see a woman who has 21 days left and is spending every one of them worrying about a 31-year-old debt. I will see a man who has 11 children who haven’t spoken to each other in 41 years. And I will realize, once again, that my spice rack is a monument to my own fear. It’s a 1-foot-tall fortress built against the inevitable.
But maybe that’s okay. Maybe we need the 11th-hour rituals. Maybe we need the alphabetized spices and the clear shower doors and the 31-minute silence. Not because they fix anything, but because they give us a place to stand while the floor is moving. We don’t have to be perfect at this. We just have to be present. We have to be willing to get our hands stained with the turmeric of someone else’s life, even if it takes 11 washes to get it out. The phone is ringing now. It’s 1:31 AM. That will be the night nurse calling about the man in Room 41. I’ll put the lid back on the Cumin, straighten my apron, and go back into the beautiful, unorganized mess.