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Portrait of a Peculiar Relationship at the End of Life

Last weekend I went to see a strange, slightly unnerving play, The Milk Train Doesn’t Stop Here Anymore by Ten­nessee Williams. It’s a sad take on the end of life, and des­per­ation in some lonely characters.

Olympia Dukakis plays an aging, vain, older woman who’s dying of an unnamed con­dition. She takes mor­phine injec­tions help her “neu­ralgia,” and uses liquor to entertain guests and, without success, to blunt her emo­tional pain. A handsome young man, pre­senting himself as a poet and sculptor of mobiles, climbs up the hill on which rests her Italian villa.

She’s no fool and quickly learns of his moniker, “the angel of death.” It’s said he has a par­ticular fondness for ter­minal, moneyed women. Still he is impov­er­ished; he shows up essen­tially starving and with nearly nothing in his sack; he has not exactly ben­e­fited from his exploits.

Darren Pettie and Olympia Dukakis

Dying alone is scary, unbearable. So she lets him in; her fear out­weighs the final com­promise of being used, and touched, by a stranger seeking some­thing in exchange.

A straight read of the play might make you think it’s the story of a man who flatters older women in exchange for shelter and food. Another take might con­sider the man’s need or desire to comfort, to reduce another’s pain, which might be genuine while patho­logic, and the pleasure he might feel in doing so.

Hard to know what was Williams’ intention in this 1963 work. I found it intriguing.

A medical lesson?

Yes, I’d say it is, espe­cially now as doctors may become as robots. I can’t help but think of a patient who somehow and for whatever reasons alone in the hos­pital at the end of life, who cannot be helped by a machine. One role of the oncol­ogist or other familiar physician, some might say, is to be there – even if paid, “on duty” if you insist — to hold the patient’s hand when the end comes.

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