There Is No Fixing It: On Presence, Loss, and the Courage to Stay
by Robert Drake
I have sat with the dying for many years. In pediatric oncology units, in ICUs, in hospice rooms, at bedsides where medical aid in dying was chosen not as an escape from life but as a refusal to endure intolerable suffering at its end. I have accompanied people through the last hours of their lives, and I have accompanied the people who loved them through what came after.
I have also buried both my parents. I lost my sister — two years younger than me, someone who grew up inside the same world I did and sharing the same bedroom and summer camp. I have lost friends taken too soon and too violently, in ways that made no sense then and make no sense now.
I tell you this not to establish my credentials. I tell you because what I have to say comes from inside the experience of loss, not from above it or outside the dying rooms.
There are moments in this work — and in grief itself — when everything you thought you knew about comfort becomes useless to mitigate the pain. When the usual language fails entirely. When every instinct to help, to explain, to offer meaning, to say something — anything — that might ease the unbearable weight of what another person is carrying, loved one or patient, reveals itself as a “reaching away” from them rather than toward them.
I think of my nephew and his wife, who lost their baby girl one month after she was born.
There is no explaining that. There is no comfort to be given, nor any to be had. There is nothing one can say to make things better, nor should one try, because there just is no making it better. There is no making it easier. There is no fixing it.
And the moment we accept that powerlessness — really accept it, not as defeat but as truth — something shifts. We stop “performing” presence and begin actually offering it.
Nicholas Wolterstorff lost his son Eric to a climbing accident at twenty-five. In Lament for a Son, he did something rare: he wrote from inside the grief without reaching for resolution. Without tidying it into some kind, any kind of, meaning. He sat in the wound and stayed there, and in doing so he created one of the most honest documents of catastrophic loss I know.
What Wolterstorff understood, and what decades of sitting with hundreds of the sick, shattered, dying and bereaved has taught me, is that the impulse to comfort is often really the impulse to escape from their pain. To escape the discomfort of witnessing suffering we cannot remedy or help with. To escape our own mortality, which every grieving room holds up like a fractured mirror. To escape the terrible silence that falls when there is simply nothing adequate to say.
But that silence is not empty. It is where presence can live.
The theological tradition I draw from — panentheism, process theology, the mystical strands of Christianity, Buddhism and beyond — does not offer a God who stands outside suffering and permits it for reasons we cannot yet understand. The divine, as I have come to hold it, is not separate from the process of reality but constitutive of reality. Including the violence and the tragedy and the losses that arrive without warning and without reason. Inclusive of the messiness and chaos of reality. All of it — including this. Including the baby who lived one month and her parents who will grieve for the rest of their lives as they strive every day to remain here with those others who love them and rely on them.
This is not a comfortable theology. It does not promise that things will be redeemed or even reconciled, or that we will understand later, or that there is even a plan. It says instead that the ground of being does not abandon the process even in its most catastrophic expressions. That presence — bare, undefended, ever-unexplaining presence — is itself a participation in something real and sacred.
There is a notion the Christian mystics called kenosis: self-emptying. The willingness to be hollowed out rather than armored. To release the need to fix, to explain, to make meaning — and to simply remain — to continue to be.
Your grief is not pathological. It is a natural and normal response to loss.
The medicalization of grief — the clinical frameworks, the staged models, the diagnostic criteria that now classify prolonged grief as a disorder — can quietly communicate that grief is something to be treated, managed, moved through on a schedule, resolved. That if you are still carrying your loss after a certain number of months, something has gone wrong with you.
Nothing has gone wrong with you. You are loving someone who is no longer here. That is not a malfunction. That is what love looks like when it has nowhere left to go.
For those who work in medicine, in chaplaincy, in psychology or social work, in any of the caring professions that place us alongside suffering: we were trained to assess and then to intervene. To diagnose, to treat, to counsel, to resolve. Those skills matter enormously. But there are rooms where they do not apply. There are moments when the most skilled thing we can do is put down our tools and simply be there. Not as professionals. As human beings who are also, beneath all our training, mortal.
For those reading this from inside your own grief: you do not need to be fixed. Your loss is not a problem to be solved. The people who love you cannot take it from you, and the ones who try — however kindly — are, in their way, unintentionally leaving you alone with it. What you need, and what you deserve, is someone who can stay. Who can be present to the reality of what you are carrying without flinching away from it.
That is the hardest gift to give. It is also the one that finally matters.
Perspective, attachment, aversion. These are the hinges on which suffering turns — not because naming them dissolves the grief, but because they illuminate something about how we relate to what we cannot control and cannot keep. We suffer in part because we love and then lose what we have loved. We suffer in part because we grip and try to hold fast to a reality we can’t bear to release. And we suffer in part because we cannot bear to look directly at the fact that everything we love is impermanent.
I am not suggesting we should love less. I am suggesting that the willingness to stay present to loss — our own and others’ — without turning away, without reaching for explanations that do not exist, is itself a form of love. Perhaps the deepest form.
There is no fixing it. There is only the courage to remain.
Robert Drake is a clinical interfaith chaplain, death doula, eco-theologian, mediator and end-of-life educator with nearly twenty years of experience in hospice, palliative care, psychiatric, pediatric oncology, emergency medicine and medical aid in dying. He serves as volunteer Director of Spiritual Care Education for the Academy of Aid in Dying Medicine and works with individuals and families throughout the Pacific Northwest through Drake Living & Dying Design. He can be reached at Support@DrakeLDD.com.