
All the world’s a stage,
And all the men and women merely players,
They have their exits and entrances,
And one man in his time plays many parts… – Shakespeare – Seven Ages of Man (Painting, at left, Seven Ages of Woman, by Titian (c. 1485-1576)
I’m told that there is a Buddhist prayer which can be said when someone acquires something material. It is a sympathy prayer. Were I, for example, to get a new car, this prayer might be said with compassion toward me for having this possession. It reflects the awareness that: 1)This material thing will one day depart, perhaps leaving me sad, and 2) Any happiness connected to things may distract me from my spirit.
This notion is not meant to imply a glum attitude toward the world. Yet, I wonder about gain and loss in terms of our relationships and communities. Our friends and family and patients are no more our possessions than are the material things of the world. Yet, we sometimes mourn their departures as if they were. One of the strangest lines I sometimes hear from nurses is: "My patient died on me." It is as if they imagine the death as a personal crime committed to hurt them.
We are always entering and leaving – closer to beginnings, or nearer to ends. Each day caregivers, for example, encounter patients whose presence is restricted, in part, by a strange measurement used in hospitals: ‘length of stay." What is our length of stay in any community?
On Sunday, I returned for the first time to a church I used to attend but left in favor of another. Familiar faces greeted me not as a regular member of their community but as a vaguely familiar visitor.
It’s true with every aspect of our lives. We enter a new job, form new relationships, and one day leave that community for another life role. We enter the world of our families at birth and one day exit, returning periodically to a family that changes just as we change. We enter many new relationships. Some of them will last a lifetime, terminated only by our passing (the ultimate exit.) But, most relationships are brief…

Some of our sweetest relationships are with those we never meet. Like you, I learned of Paul
Newman’s exit from this earth at age 83. I was filled with warm memories this man has given us and sadness over his parting. He became my friend in "Hud," my pal as Butch Cassidy and the star of "The Sting." And he was someone I empathized with when he portrayed the lawyer in "The Verdict." More than most people who have occupied the world, Paul Newman, through his movies, his salad dressings, his charity and his legacy of car racing will continue to play a role in our lives
Over the weekend, I also heard a voice on the radio that brought back other memories. I remember Joan Baez’ entrance into my life in the early 1960s. Beyond her gray hair, I can see the woman with the guitar singing her plaintive songs of 
protest throughout that decade and into the next, when she began to exit the consciousness of most. Baez no longer occupies center stage, and she will, of course make her physical exit some day. If it happens before I make my own, I know I will feel the same kind of pang of sadness I feel about the death of the great Paul Newman. Icons are integral to our life experience.
I remember so many entrances and exits. Today, I find this truth heartbreaking. For the first time in 47 years, I heard last week from a great friend from high school. The encounter caused me to think of all the school communities of which I have been privileged to be a part, from early education in California and Ohio, to college and graduate schools in Chicago, Washington and Nashville. I think of so many different work communities where I was once included – some as small as a 30-person law firm or the six-person office I occupy now, some as large as an 11,000-member health system.
I wonder about the team of which you are a part this day. As you go about your work, do you ever imagine your exit? Do you ever picture yourself walking out the door the final time? What thoughts does this introduce to your heart?
Caregiving is such a privilege. I suppose the appropriate attitude toward all of life is gratitude – thanks to God for all the opportunities and the experiences we have had. Yes, gratitude is definitely the "right" attitude. That’s the best way to enjoy the "now," right?
Today, however, I find myself feeling a touch of melancholy. After all, I am so much closer to my exit than I once was to my entrance.
-Erie Chapman

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