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Doughty moves from San Francisco to Los Angeles to attend mortuary school. She finds an apartment in Koreatown and is excited to finally be in the same city as Luke. However, when she confesses her feelings for him in a letter, she does not hear from him for days. She finally receives an email from him that reads, in its entirety: “Don’t ask me for this. I can’t see you again” (161). Doughty is devastated by this loss and sees it as a kind of death.
While she waits for mortuary school to start, Doughty takes a trip to northern California to hike the Cathedral Trees Trail. As she looks for the entrance to the trail, she gets lost and becomes so frustrated that she almost drives her car off a cliff. Later, when she has found the trail and hiked down to the bottom, she realizes “[she] had gone there to die” (162). She feels cheated of certain things promised to her by society: fairy-tale true love and protection from thinking about death. She wants wild animals to eat her body and sees herself as “just as much an animal as the other creatures in the redwood forest” (163).
Eventually, Doughty realizes she wants to live and decides to walk out of the redwood forest. In the parking lot, she meets a woman who is lost and gives her directions. The woman’s husband died the year before, and the two talk at length about death and cremation. Doughty tells her, at the woman’s request, about the cremation process, and the woman tells her she is comforted to know the details, and that she is glad they met. Doughty realizes that she has the power to do something important and valuable for others in her capacity as a death worker.
Doughty begins mortuary school at Cypress College of Mortuary Sciences. She hopes that she will find others who also want to change the funeral industry the way she does, but she is disappointed to find this is not the case. Most of her professors and classmates are similarly old-fashioned in their approach to death. In their class on embalming, Doughty is distressed that students use the bodies of unhoused people for practice. There is a vast gulf, she realizes, between the treatment of the corpses of celebrities versus the bodies of unhoused people.
Embalming class requires the students to use various chemicals and creams to make corpses look more “natural” after embalming. There are specific techniques used for the bodies of babies. Mortuary school takes a toll on Doughty: The stress often makes her physically ill. Throughout her experience at school, she becomes more and more sure that she wants to open a funeral home that would help families “reclaim the process of dying, washing, dressing, and attending to the body as humans had done for thousands of years” (173). She is frustrated that she and her classmates are being taught that dead bodies are unsanitary, when she knows that in reality, a dead body generally poses little risk to living people.
As she approaches the end of her time at mortuary school, Doughty is unsure where her future will take her. She is told that it is unlikely she will get a job at a crematorium in Southern California, as most hire immigrants to do the labor-intensive work of body removal and cremation. She briefly considers moving to Japan, where embalming is a comparatively new but increasingly popular practice, before deciding to apply for jobs in Los Angeles. She lands two interviews and decides to go to both.
The first place Doughty interviews at is a fancy, traditional cemetery and funeral home, not unlike Forest Lawn. During the interview, the funeral director tells her she can handle all arrangements except for the arrangements for celebrities. He tells her that she is hired at the end of the interview, but then a month passes with no word from the funeral home, and Doughty eventually receives an email telling her they decided to hire internally.
Her second interview is at a gigantic crematorium. She gets a job there, not working as a crematory operator but as a body-transport driver, collecting bodies to bring to the crematorium. She drives for many hours a day and thinks often about death and death values. Although belief is an important part of death for many people, death culture in America is disconnected from culture, obligation, and belief. There are post-mortem norms, like cremation or embalming and burial, but culture and religious beliefs do not influence these norms. Doughty begins to write essays and manifestos that she publishes on the Internet under the name “The Order of the Good Death” (180). Through this, and her YouTube series Ask a Mortician, Doughty connects with people all over the world who also want to change society’s relationship to mortality and death.
One day, while Doughty drives her own car (not the body van), the car’s back tire explodes, causing the wheel to spin off the axle. The car spins out of control across four lanes of oncoming highway traffic. Doughty thinks she is going to die, but miraculously, the car makes it to the other side without being hit. Doughty is relieved to still be alive and proud of herself for feeling calm in the face of death.
Doughty discusses the Ars Moriendi (The Art of Dying), Christian instruction manuals about how to die a “good death.” She notes the lack of instruction manuals for dying in modern American society and decides to write her own, not just for religious people, but also for “the growing number of atheists, agnostics, and vaguely ‘spiritual’ among us” (186). She describes her idea of a good death but says that everyone must decide for themselves what their own good death would look like.
Doughty meets a doctor on a flight, and they discuss the shortage of doctors and care workers for an aging population. Doughty reflects that because of modern medicine, many people now spend years at the end of their lives actively dying, kept alive much longer than they would have been in previous centuries. The cost of keeping people alive for so long can be severe: Her own grandmother sustained a traumatic brain injury when she was 88. For the last four years of her life, until she was 92, she experienced increasing neurological problems, though her body lived on. Despite saying that she did not want to live in such a state before the accident, she was kept alive by modern medicine.
Doughty reflects that her grandmother was relatively lucky: She got to live her last years in comfort with a devoted caretaker. Many elderly people do not get such a luxury, and many linger in overcrowded nursing homes or are otherwise neglected during their final years. This can result in agonizing medical complications like decubitus ulcers, also known as bed sores. Doughty encourages people to talk about death and end-of-life plans so that people will not be “robbed of a dignified death by a culture of silence” (191). She also examines the growing industry looking to extend peoples lifespans, even to the point of pursuing immortality and points out how often it is rich, white men who take part in this pursuit. She points out the irony of attempting to gain immortality, as mortality is the very thing that inspires people to achieve greatness.
One day, Doughty receives news of her grandmother’s death. She makes all of the arrangements with the funeral home in Hawai’i and flies home that afternoon. At the viewing of her grandmother’s body, Doughty is disappointed that she let the funeral home wire her mouth shut and put makeup on her that she never would have worn. She is upset that she let her “own grandmother’s body fall victim to the postmortem tortures [she] was fighting against” (194) and that she did not insist on keeping her body at home for longer. She encourages readers to start thinking about their own death and the deaths of their loved ones and to make plans and talk about death together. She returns to her desire to open her own crematorium, an intimate space where families can take part in cremating their loved ones. She expresses a desire for better municipal, state, and federal laws surrounding burial so that more natural burials are allowed, as well as open-air pyres, and “grounds where bodies can be laid out in the open and consumed by nature” (196). She closes the final chapter by encouraging people to talk more about death instead of hiding from it.
Four years after leaving Westwind, Doughty returns. She is greeted by Mike, who gets her to help him fingerprint a body. The fingerprints are going to be turned into a laser-etched memorial necklace. He asks her if she would like to accompany Chris on a body retrieval, and she agrees. Chris is happy to see her again and they go to collect the body together. As Doughty leaves San Francisco and drives back to Los Angeles, she is seized by anxiety. She realizes that she is not anxious about the “afterlife, of pain, of a void of nothingness, or even a fear of [her] own decomposing corpse” (202), but rather that when she dies, all the projects of her life will come to an end. This fear is her final obstacle in completely accepting death.
She stops that night at the Cambria Cemetery. She walks among the graves and mist and sees an enormous buck. The creature appears to be a spiritual messenger to Doughty, and she tries to follow it, but it slips away into the mist. She sits in the dark in the graveyard and makes the decision that when she dies, she will die content, believing the silence of death to be a “reward for a life well lived” (203).
In the final chapters of Smoke Gets in Your Eyes, Doughty tackles a few more Challenges of Working in the Death Industry. Among the most striking of these are the factual inaccuracies taught in mortuary school. Myths about death, particularly about the necessity of embalming and the alleged dangers dead bodies pose, are so pervasive that they have made it into the standard curriculum for many death workers. Doughty is one of a small community of death workers trying to eliminate these misconceptions from both mortuary school and the public imagination. Limited job prospects are another significant issue of working in the death industry, particularly since, with an aging population, end-of-life care is in such high demand. An aging population is an issue that overlaps with the death acceptance movement. Keeping people alive at any cost, even when their quality of life is very poor, is another manifestation of death denial and the fear of death.
Doughty also highlights issues of classism within the death industry. A major challenge of mortuary school is the embalming class, when she learns that the corpses they practice on were unhoused people. People are meant to have a say in what happens to their bodies after death: Even organ donation requires prior consent. In the case of bodies of unhoused people that become the responsibility of the state, there is far less consideration of an individual’s desires, dignity, and beliefs regarding death, which means their bodies might be used for embalming practice regardless of their wishes. In contrast, Doughty describes the special handling of celebrity funerals, as well as the pursuit of immortality among rich white men. Dignity and choice in death—or attempting to stay alive perpetually—is a privilege that is directly tied to one’s socioeconomic class status.
Doughty’s journey toward Personal Acceptance of Death is a major focus in this part of the book. After Luke rejects her, she must overcome one of her biggest personal hurdles when she goes on her walk among the redwoods. Realizing that she has the ability to make a meaningful difference in people’s lives as a death worker helps her engage more fully with her own life, even if that life is not the one she expected or hoped to have. In the Epilogue, Doughty is able to accept that she will one day die, and she will be able to accept that death when it comes instead of being horrified or pushing back against it.
One of the biggest shifts in her journey of death acceptance is her own brush with mortality. Encountering death in real time and believing that she is about to die helps Doughty align her priorities and realize that she actually is prepared to embrace death in a positive way when the time comes. While not everyone can have this kind of near-death experience, those who survive moments like this may gain greater clarity about how to interact with their own mortality. Everyone’s journey to death acceptance looks different, just as everyone’s idea of a good death will be unique.
By the end of the book, Doughty reaches a point of acceptance regarding death and is ready to help other people reach a similar point in their own lives; she has a clear idea of the kind of funeral home she would like to open. Since publishing Smoke Gets in Your Eyes, Doughty has indeed opened such a funeral home, and she has had a meaningful impact on North American Death Culture. Doughty and other death-positive activists have campaigned for more environmentally friendly death options, including a relatively new process called flameless cremation or water cremation, as well as a natural decomposition process called human composting, which several states have now legalized. The funeral home Doughty describes in Smoke Gets in Your Eyes—which is not really called Westwind—is a real funeral home in San Francisco. The company’s website now offers water cremation alongside traditional options like burial and cremation. Doughty’s YouTube channel, where she covers alternative death care, death acceptance, and more, has over 2 million subscribers. Death doulas are gradually gaining recognition, as are other alternative death workers. The funeral industry has long been a frightening mystery to many people, but Doughty highlights that change is possible. Talking about death is not always easy, but it has many benefits. The process of death acceptance in North America has already begun.
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