Just a year after his first album was released at age 29, self taught jazz composer and pianist Fred Hersch was diagnosed with HIV. Hersch was recently interviewed on NPR's All Things Considered.

"For at least the first number of albums I made on my own, I really had this kind of dramatic feeling like this is going to be my last statement and I just wanted to create enough of a body of work that if I died I might somehow be remembered. That was like the thrust."

In 2008, Hersch developed an AIDS related delirium. He developed pneumonia and septic shock. He required a feeding a tube. He states he was in a coma for 2 months. When he came out of his coma, he couldn't walk, talk or swallow. He suffered from vocal cord paralysis.

Now 54, Hersch has released more than 2 dozen albums. "...Now that I've been on the scene and achieved some degree of success and respect I don't feel the need to prove my self in any particular way. I can take more risks." He recently released the album Whirl, his first since his prolonged illness.

How did his illness effect his music? "I think in ways I may be better. I feel certainly more relaxed as a player. I think I'm digging deeper. There are a few little technical things that were easier before that now I have to compensate for, but the small technical things, nobody would notice but me."

Below is one of the songs from Whirl, "Still Here". It is not actually about Hersch himself. It was inspired by Wayne Shorter, jazz saxophonist and composer who is still playing and composing at age 76. (A couple more of his songs, "Snow is Falling" and "Skipping" can be heard on the NPR website, here.)


I find it amazing that Hersch not only recovered from such a serious illness, he went on to create terrific jazz. When I heard his NPR interview, it stuck in my head because of his interesting outlook on his illness. His health problems didn't hinder his music career. They seemed to spur it on.

Departures (2008) is a Japanese film that is a must see for those in the palliative care field. I first learned of it from a family member of a patient I was caring for. The son felt it so necessary that I see the film that he acted out part of the movie, dropping to his knees to act out a scene while I was rounding.

A death mask is a cast made of a persons face hours after death, a process that goes back to ancient times and was common until the mid 20th century. These are usually done in plaster or wax. The casts are then used as mementos of the dead or to create portraits. (J Edgar Hoover kept a death mask of John Dillinger in his office as a souvenir of his war on crime.) The History Channel made a documentary on the topic, entitled Death Masks.

The documentary focuses on the death and life masks (made while the person was still alive) of several famous historic figures, Abraham Lincoln, George Washington, Julius Caesar, William Shakespeare, Napoleon, John Dillinger . They then use modern computer scans to create life like images of how the person would look in real life. They go into the process of how the masks are made. A life mask made in Lincoln's time had to set about an hour on the persons face to dry. Not a big deal if you were already dead, but I would imagine a long hour if you were alive. (Below is a death mask of Shakespeare.)

Mostly the documentary focused on what the masks could tell us about the deceased. Was the man shot in Chicago really John Dillinger? Is the dollar bill an accurate portrait of George Washington? It seems that sometimes more than one death mask will surface for a particular person and it is a challenge to find which is the right one. The two life masks of Lincoln, taken 5 years apart (one before he became president and one just weeks before he died) shows a marked decline in his health. The last mask made has actually be confused for a death mask.

The documentary goes into some of the psychology behind the desk masks. "From ancient times, capturing the faces of the dead for all to see was a macabre reminder that we all end up as dust." Death masks were not just meant to be mementos but to serve as a warning to the living. "Death masks in particular are dark. This is not a living person. This is a corpse. In many ways they are a message to the living. They are about your mortality. About this is what you will become. They are designed to frighten in many ways." There are some very frightening death masks shown in the documentary.

The death masks reminded me a lot of the death photography. Both I find interesting but just a bit creepy. I'm not sure I would want either hanging in my living room. (Who wants a reminder of their own mortality hanging above their television?) I think I would much rather of a life mask of a loved one. Remember how they were before death, not after.