Not long after I began social work it was common to hold generic caseloads comprising children and family cases, older persons, mental health clients and various supervision order cases.  I liked the variety, though it was soon to be replaced by specialism as part of the response to greater concern about child protection.

Older persons' cases were often for assessment, followed by various services such as Home Help, Day Care or respite or residential care. An assessment would cover a range of psycho-medico-social aspects. One aspect to address was continence, or rather incontinence, and whether it was single or double. I know, exciting stuff.

Many years later, after I had opted for specialist children and families work and had no continuing professional cause to consider incontinence of any kind, the term suddenly found a new use in my thinking.  I have often reflected on the endless volume of words some people spout, and in a flash I saw this as a new and pernicious form of incontinence. 'Incontinent of speech' became an apt (but private) description for various people I encountered. They seemed unable to shut up, and mostly inept in the ability to listen. I later came across the wonderful term, to 'overtalk' and posted about that here.

Some people link the overtalkers - those who are 'incontinent of speech' - with the arrival of social media platforms. For sure these provide additional avenues for endless gas-bagging, but the condition was already at epidemic levels. What is it that makes a substantial proportion of the human race gas on so much and listen so little? They have as little control over what constantly spouts from their vocal chords as the traditionally incontinent do over their sphincters.

Oh, you thirsty of every tribe
Get your ticket for an aeroplane ride
Jesus our Saviour is coming to reign
And take you to glory in his aeroplane

I did not know of The Watersons, or of this fab song and sentiment. "....in the 1930s, [you'd hear] what they call a “brush arbour hymn” in the backwoods districts of America. Itinerant evangelists of a kind too modest to use a big tent might select a clearing near a spring and get helpers to build a “tabernickle” consisting of a framework of poles roofed over with leafy branches and lit by kerosene or petrol lamps. Advertisements seen at mountain filling stations as recently as 1976 say: “Please come and bring a carload of unsaved”... What gets sung is a mixture of standard hymns filled out with punchy choruses and more or less local compositions of touching naivety. Hymns using symbols from the world of mechanical transport have a venerable enough lineage. The long-lasting favourite Life's Railway to Heaven was widespread on broadsides in both USA and England in the mid-nineteenth century."  Listen (above), and follow the lyrics (below). Have your Boarding Cards ready.
And a happy Christmas to us all.

Oh, one of these days around twelve o'clock
The whole wide world will reel and rock
The sinner will tremble and cry for pain
And the Lord will come in his aeroplane

Chorus (after each verse):
Oh, you thirsty of every tribe
Get your ticket for an aeroplane ride
Jesus our Saviour is coming to reign
And take you to glory in his aeroplane

Oh, talk of rides in automobiles
Talk of fast times in motor wheels
We'll break all records as we upwards fly
For an aeroplane joy ride in the sky

You must get ready if you take this ride
Leave all your sins and humble your pride
Furnish a lamp both bright and clean
And a vessel of oil to run the machine

When our journey's over and we all sit down
At the marriage supper with a robe and crown
We'll blend our voices with a heavenly throng
And praise our Saviour as the years roll on

Tomorrow is Remembrance Sunday in the UK. I shall call to mind the uncle after whom I am named, who was shot down over the Netherlands on 20 September 1943. I shall remember also the countless souls not known to me, who died as a result of human ambition and violence.

Here is a telling voice: that of Jacob Bronowski. It is the concluding sequence of his 1973 BBC series The Ascent of Man. It is said that this scene was unscripted and unrehearsed by him. "The words just came to me" he was quoted as saying.

Today I visited one of my favourite silent places (see this post) and as usual found it empty, and so welcome and welcoming. Although it was around 1pm, I said the Evening Office, made easy by some app on my iPhone. The wonder of it all. Before entering I walked around the churchyard, reading such headstones as remained legible. I came across this one, and the text that clamoured for attention read "Gone but not forgotten".

This is almost certainly no longer true. The person had been born in 1819 and had died in 1900. Remembered for a while, no doubt. But those doing the remembering - who knew the deceased - are themselves long dead. I read the inscription as a statement of hope and comfort, and of unexpressed fear. We shall all be 'forgotten'.

I have long suspected that at the root of much human difficulty, evasion, maladaptation and anxiety is fear of our death and oblivion, our being forgotten. This is hardly ever faced (truly, hardly ever faced), and so we remain unaware of the cause but routinely suffer the consequences.

Ernest Becker's The Denial of Death (1973) deals with this matter directly. It is a sobering but strangely liberating read. See the wiki summary here. Socrates advised that we practice dying (that is, face it, meditate upon it, live with its inevitability) in order to become morally serious (authentic) persons.

"Human beings are mortal, and we know it. Our sense of vulnerability and mortality gives rise to a basic anxiety, even a terror, about our situation. So we devise all sorts of strategies to escape awareness of our mortality and vulnerability, as well as our anxious awareness of it. This psychological denial of death, Becker claims, is one of the most basic drives in individual behaviour, and is reflected throughout human culture. Indeed, one of the main functions of culture, according to Becker, is to help us successfully avoid awareness of our mortality. That suppression of awareness plays a crucial role in keeping people functioning – if we were constantly aware of our fragility, of the nothingness we are a split second away from at all times, we’d go nuts. And how does culture perform this crucial function? By making us feel certain that we, or realities we are part of, are permanent, invulnerable, eternal. And in Becker’s view, some of the personal and social consequences of this are disastrous." (Source: The Ernest Becker  Foundation).

Acquainting ourselves with the certainty of our death and our eventually being forgotten only enhances life. Its something we should practice.

To Clinic 12 (Retina), Moorfields Eye Hospital, London for the (roughly) biennial check on my right eye where a haemangioma, a vascular oddity, lurks. It was first discovered by the zealous students in the ophthalmology clinic of the university I attended, and when I moved to London in 1983 Moorfields took an interest. I have never needed treatment to it (‘we will leave it alone until it causes trouble’) and their interest was as much a teaching aid for their own students. I’ve been going for an astonishing 38 years. And today, I was discharged. Quite a rupture to a relationship if you ask me. And without warning. I was discombobulated only for a few seconds. I admire and value the NHS (concept and reality) and have no wish to tie up resources unnecessarily.
 
Over the years, I have come to know the professors, though the students turn over quite quickly. Clinic 12 is in the basement of the building that dates from 1899, a warren of corridors that are hard enough to navigate with decent vision. Others have to be guided. Over the decades, I have seen improvement in medical photography and diagnostics (Fluorescein Angiography was the only one I found disagreeable). At the start of our relationship, photographs were hard copy. Now they are available on screen, and with remarkable depth, seconds after being taken.
 
My abandonment was done in a kindly way, and they will see me again whenever necessary. Of course, it was no abandonment, just the proper use of resources and a decision based on reasoning. I’ll get over it. Thinking about this, I concluded that the relationship with Moorfields over these years has represented, in some way, being cared for (always the same lead medic), and that this stands in contrast to my experience of GP practices nowadays. Thanks Moorfields. It’s been great knowing you.

Related post — The Eyes Have It