Beyond the high blue air

Lu Spinney's memoir Beyond the High Blue Air is at once a portrait of the fearlessness of familial love and the profound dilemma posed by modern medicine. When Spinney's twenty-nine-year-old son, Miles, flies up on his snowboard, "he knows he is not in control as he is taken by force up the ramp," writes his mother, "skewing sideways as his board clips the edge and then he is hurtling, spinning up, up into the free blue sky ahead . . ." He lands hard on the ice and falls into a coma. Thus begins the erratic loss--Miles first in a coma and then trapped in a fluctuating state of minimal consciousness--that unravels over the next five years. Spinney, her husband, and three other children put their lives on hold to tend to Miles at various hospitals and finally in a care home. They hold out hope that he will be returned to them. With blunt precision, Spinney chronicles her family's intimate experience.