Betsy's husband Victor Pollak gave this eulogy at the memorial service on November 2, 2019.Marrying Betsy Russell is the greatest thing that ever happened to me.
My attraction to Betsy in the early days started with her long hair, her bawdy sense of humor, her fancy cooking, and, as she liked to tell, I first had thoughts of a permanent liaison with her when, during our last year at Antioch College in Ohio, I came looking for her one day and found her lying on her back on the ground, doing fiberglass body work on her old red Saab sedan.
We remained just friends for nine years before marrying. For most of those nine we were in different cities. But only a year or two into our friendship I felt her positive impact on me in so many ways.
Betsy was a planner. Her planning pervaded her life and mine. Just being around her drove me to make plans and act on them. When she chose to do something, she found a way to make it happen. And she had a unique capacity to make decisions—a quality essential for a pathologist. After her first cancer diagnosis and big surgery in mid-2012, her planning took on more intensity. Her world—and mine—turned upside down. She was determined to make every hour of every day count. It was exhausting but I am grateful that we had seven years in which to carry it out.
Soon we agreed we’d always plan things to which she could look forward, near-term things and long-term things. And we’d plan for the best, not the worst. We’d make plans assuming that she would experience a long progression-free remission. So, almost immediately—even during her first 18 weeks of chemotherapy—we planned our next international trip, a two-week river cruise in December from Budapest to Amsterdam, fourteen cities in fourteen days,—but from a very small cruise boat docked in town where she could skip some walking tours and rest. During the next six years we took annual trips, including a three-week drive through rural France and then Road Scholar small group tours—with some extensions of our own —in Europe, Peru, Ecuador and Portugal.
Betsy was a life-long reader. But, for her, books were more than a source of knowledge and pleasure. They were tools, and she employed them.
She had read a lot of memoirs, but when her cancer struck, she read every one she could find that had been written by a writer suffering from a life-threatening condition; and she read books on the subject of death and dying. Both as a pathologist, and one who had dealt with her own chronic depression, she had given a lot of thought to death and dying. She shared those thoughts in her testimony to the Utah legislature in the campaign for legislation to permit physician assisted death (or death with dignity) and, at the request of a University professor, gave a presentation to a class about it.
In his book
Being Mortal, surgeon Atul Gawnde, writes that, “Being mortal is about the struggle to cope with the constraints of our biology, with the limits set by genes and cells and flesh and bone. Medical science has given us remarkable power to push against those limits … but such power is finite and always will be.”
Betsy knew she had to come to some understanding of what the larger aims of her life were in her predicament, and what her fears were. Her greatest fears were of loss of control and of the pain that consumes many ovarian cancer patients, and she faced them with courage. She explored those issues, and she and I came to understand that a patient’s attitude toward them can change over time. She sought to achieve at least one more progression-free remission so that she could live again in a mental state not defined by her cancer, with at least one more stretch free of that constraint, enjoying the things she most cherished. But early in her disease she embraced Viktor Frankl’s insight that—regardless of outcome—nothing could take from her the freedom to choose how to respond—to control what she would feel and do about what happens to her.
Betsy had a life-long antipathy toward uncertainty. The overwhelming aspect of an advanced cancer diagnosis is the uncertainty it thrusts on the patient. She had been told following her initial surgery in 2012 that she had less than a 20% chance of surviving five years. Once that surgery and her chemotherapy and wound healing had been completed, she and I faced her quarterly blood tests and periodic CT scans to check for recurrence that caused her anxiety to intensify. It grew each quarter until she received results, then dissipated briefly with each negative test result, and then resumed its intensifying path.
Her first recurrence, in 2016, was treated with surgery and more chemotherapy, and her cancer went back into remission. She had been told that for most patients each remission after recurrence can be expected to last about half as long as the preceding one.
She suffered a second recurrence in 2017 that was not susceptible to surgery. So she entered a clinical trial in late 2017 that required an infusion every three weeks back at the same hospital, and many of the predicted side effects set her back and had to be managed with additional drugs, changes in dosage and a lot of waiting. The trial gave her nearly two years of additional remission, and we made the best of it.
But by this past February, she was suffering from fatigue, difficulty eating, and soon painful spinal fractures that led to another hospitalization and a diagnosis that she’d developed a second form of cancer. Even then the doctors had a strategy for treatment. It would be a challenging treatment with difficult potential side effects, but with prospects for nine or ten years more of active life. So we decided to follow through with our plan to move down to Tucson to live near her sister Nancy and brother Jon and his wife Suzy, and we managed to transfer her care to the medical center there, aiming for her to undergo a bone marrow transplant. We had some very good times with her family in Arizona. But in August, her condition worsened and led to a diagnosis of an aggressive form of a third cancer—that she knew would overwhelm her. She made her decision to enter hospice soon after receiving that new diagnosis, the news delivered to her courageously and lovingly—in unvarnished truth—by her doctor in Tucson. Ten days later her death came in a benign and peaceful setting surrounded by her family and friends. We are grateful that at the end Betsy—by entering hospice—avoided most of the terminal pain and suffering she had feared.
I am grateful for the remembrances that so many of you who are here today have posted on the website Rachel created for Betsy. Your posts reveal that Betsy inspired you.
In those remembrances, you wrote, with love and respect, of her enthusiasm, passion, intensity, sensitivity, feistiness, determination, intellect, imagination, caring and other qualities, describing her in many ways, including as, brave, worldly, smart and literate, competitive, with unflagging spirit and energy, and as engaged, direct, exuberant, unabashed, down to earth, warm and inspirational.
There is an element reflected by those posts that I’d like to highlight: It is virtue.
Betsy’s life was virtuous because, in living it, she adhered to high standards. She lived it well and she examined it continually. She kept journals frequently; and she matched the way she lived to her high standards.
Betsy spoke the truth. You never had to guess what was on her mind. She said it. To speak truth was a core value of hers, and she wove it into the tapestry of her life.
She exhibited self-control and delayed gratification to a high level. In triathlon, after all, 90% of the effort is in the training—a part she came to enjoy.
She embodied diligence and fortitude, restraint and kindness. Her own deliberation led her to honesty and generosity. She walked the talk.
She read books to quench her thirst for learning. She thought about them. She reached conclusions about what they said and she applied them. And from books, she learned lessons about character and motivation and truth—books by Shakespeare, and books of history, and a lot of contemporary books, and she put them to use.
Rachel made a sign for our kitchen that reads “Life is too short to drink bad coffee.” Betsy lived her life under a similar guiding principle: life is too short to waste any day, any hour. Shortly after she woke most mornings, she picked up a book and devoured chapters before getting up—sometimes taking time to read the
New York Times morning briefing, but often not. She did everything deliberately. During her long drives to work over the years and at the gym, she listened to hundreds of teaching company lectures about history, music, literature, history of Western thought, and other subjects she had not had time to study in school. She participated in two book groups for years. She took language and writing classes and participated in writing conferences and a writing group, and she completed almost half of program for a Master of Fine Arts degree in writing.
Each year before our annual August visit for a week to the Shakespeare Festival she would read, or re-read, all or most that year’s Shakespeare plays, and multiple commentaries.
Her life exemplifies the examined life well lived. I hope she inspires others as she did me.
While I worked in offices for all of our marriage, she did more and did it well. After finishing medical school and her internship, she entered her pathology residency, and while there bore our first child, and after her residency worked full time until she bore our second child. She handled the major tasks of raising our kids. I did my share but always—until she got sick—I operated under a caveat that things may come up in my work that would require a change of schedule. For her, no such caveat was possible. She planned most meals and did most cooking, handled most parent-teacher conferences and most family bookkeeping, hired and supervised the housecleaners and daycare, attended the kids’ sporting events, wrote the Christmas letters, maintained contact with her family and mine, did birthdays and Christmas and Thanksgiving and stood by me when I lost a business and when I took time to recover and return to law practice. And for most of our marriage she did all of it while working full time and developing a reputation as a sharp pathologist and valued colleague.
I will miss so much of Betsy. When I wake in the morning it feels like something has been amputated from my being: The part of me that had come into being because of Betsy—that sense of Betsy that I have carried within me. I hope to remember those intimate interactions in which we touched spirits, minds and hearts. I imagine that in a sense I’ll feel like a person who has undergone an amputation of an arm may feel as muscle memories, like remembering lifting a cup of coffee. But in my case, I’ll remember completing one of Betsy’s sentences, as we used to do for each other, or rubbing her ear as we listened to a performance at the symphony or while watching a movie.
As I now look forward to enjoying our adult children in their own marriages and nurturing their own families—and Betsy’s reflections in them—what more can one ask after half a century with such a life companion?