Friday, August 28, 2009

Curiosity I Guess...


Before I was diagnosed with cancer, most of the stories I heard about cancer patients were not flattering. More or less I was bombarded with stories that sounded like parables from the Bible. What I mean by that is that every story seemed to follow a nice and neat narrative arc that began with impossibility, moved to anger, slid to reflection, and transformed into peace and acceptance. In short, the stories of the cancer patients that I heard did not sound like real life; rather, they reminded me of the hundreds of predictable stories that I'd read in the years of studying English literature. All you ever hear about with the stories of people with cancer is the anger and then the reconciliation of that anger, but there are very rarely real, tangible feelings that come out of those stories. I'm going to try and break that trend.

Fear is a crippling emotion. It makes you do things you would not do, but it also stops you from doing things that you would do. Besides those relatively obvious conclusions, fear is a word that people thoughtlessly use. I would assume that many of you will say that you know what fear is and that you have truly felt it through and through. I would, however, be surprised if most of you have ever felt a fear that actually changed the way your mind operated from that moment onward. 

In this blog I have been reticent to distinguish myself from anyone else because I truly believe that I am not different from you just because I have cancer; nevertheless, I have felt a fear that has altered my life and I believe that most of you have not, despite your feelings to the contrary. Most individuals have moments where they fear for their lives, but the things about those times are that they are moments and nothing more. Try and imagine taking that moment, those seconds, those minutes, or hours even, and extending them for three years. Imagine feeling the most fear you have ever felt - imagine feeling that life-and-death situation - but that you feel it every single second for three whole years straight. Imagine that fear never gets less, but in fact has frequent moments in those three years where the fear grows stronger. But fear is perhaps the easiest of all the emotions I've experienced.

The secret emotion, the one that slips under the rug, and the one that you probably imagine is nonsensical is guilt. I have been inundated for three years with a guilt the extent of which I can never truly make clear to you. Fear is difficult to endure, but one can endure. Guilt, though, is inescapable, because you are not battling an emotion with an origin from within. The guilt I feel each and everyday comes from the pain, hurt, panic, fear, and worry that I've caused my family, friends, and loved ones.

You see, most people are too preoccupied with the difficulties facing the cancer patient to see how the loved ones of the patient are being affected. My fiancee Katie spends almost every single second of her life worrying about me - how I'm feeling, have I thrown up today, did I eat enough, is my abdomen filling up with fluid, does my back hurt, do I feel nauseous. She is constantly tired because her mind is so preoccupied with me that she sleeps lightly just in case something happens to me she can be there in a moment's notice. Her life is completely altered because of my deficiencies. And this is more or less the same for my father and my mother, not to mention the preoccupation of my brother, sister, and other loved ones, though it may not be to the same extent. 

Those of you who know me well should know that I have never been a person who depended on other people very much. My parents have always been there for me and that has been a comforting safety net, but I have always done things on my own. I've always been considered a man's man. A guy who could fend for himself, who could physically handle most things, I was a guy that you would call to move your furniture, or to back you up in a fist fight. Cancer has taken so many things from me - my health, my hair, my appetite, my iron-clad stomach (I'll be back in form one day Emanuel), my strength - and it has forced me to be a burden to my loved ones. They of course will say that I am not a burden, but I feel like a burden. The albatross that hangs from their necks, that keeps them from sleeping comfortable at night, that impedes them from carrying on their days as they normally would. 

When I visit friends and family for dinner, they have to adapt their planned menu around me, and if they don't then they are made to feel guilty when I don't eat. You see, everyday I manage to change in some way the way a person would normally conduct their life. At work, my cousin, who is very serious about working hard, is willing to allow my work to go uncompleted if he even suspects that I am feeling less than well. I appreciate that he is so understanding of my difficulties, but it's difficult to accept that I am now the person who has excuses made for him. I used to be the rock that everyone could count on for a die hard demeanor, but now I'm looked upon as a weaker, less capable version of my former self.

I am humbled by so many of these things, but humility cannot take away the guilt. Even as I write down my consumption of guilt here, it is not an adequate description of what I feel. It's a lose-lose situation because if I make it out of this situation alive, which I whole-heartedly believe that I will, then the last three years will have taken so many opportunities away from those who are closest to me. If, however I do not make it out of this situation, then not only have those who care about me altered their lives to make mine even a little more tolerable, but they will also have to reconcile the loss of their son, fiance, brother, cousin, nephew, or uncle. Lose-lose... 

You always hear about the anger, the pain, the nausea, the difficulty, the strength, the determination, and the perseverance of the cancer patients, but what you do not hear about (perhaps because you refuse to listen, or maybe because the sufferer is reluctant to explain) is how the cancer patient suffers from an overwhelming guilt. My life means nothing to me if not for my family and my fiancee. That's why the guilt breaks me down. I hope you understand that I know it seems silly for me to feel guilty that the people who love me care about me enough to alter their own lives. You will tell me that they do it because they care. I know they care and I know that's why they do it; but you must know that I feel guilty nonetheless. I hate making people worry and my loved ones, especially my Katie, can't help but constantly worry about me. 

She's a worrier. That's why I call her "Whiskers"... 

Tuesday, August 25, 2009

I'm Just Trying to Graduate...

Some people have asked me how I am able to find the strength to deal with the difficulties I've faced in my life. Still others have wondered why I am so determined to face my obstacles head on without slowing, without rest. The questions may seem reasonable from your perspective, but you must understand that they are difficult for me to comprehend from my vantage point.

When I was still in school, I was given homework assignments, and we had quizzes, and there were tests, and papers and what not. I never really enjoyed school and I definitely did not enjoy school work. Yet I did my homework, and took the quizzes, studied (somewhat) for tests, and researched and wrote my papers. I did not complete my assignments because I wanted to nor because I enjoyed doing it. I completed the tasks that the teachers laid in front of me because that was what was required of me if I wanted to pass the class. I needed to do the work if I wanted to move on, that is, if I wanted to make it to the next grade level. If, however, my goal was to remain exactly where I was at that moment, then I could have chosen not to do that work. I could have chosen not to complete my tasks, my obstacles, and I would have been left back. The only way to move forward in school was to complete whatever assignment was laid in front of me, to the best of my ability. There were no other options. Either I could deal with whatever crap was laid in front of me and move on or I could choose not to confront the challenges laid in from of me.

Most people that I know didn't make their way through school because of some inherent sense of enjoyment. I think for the most part, we did our school work because we wanted to move towards the things that lay beyond school. In essence, we wanted to keep on living at the same pace as everyone else our age rather than being left behind in their dust. The assignments were obstacles on our pathways to our goals and they were obstacles that needed to be overcome. And either we overcame them and we were able to realize our goals or else we did not overcome them and we had to reset our goals.

Finding the how and the why to exhibiting strength in living with cancer is very much the same to me as finding the how and the why to getting through school. I do not go to my treatments because I enjoy them or because I think that they are "fair." I go to my treatments because those are the obstacles laid in front of my pathway to my goal. I do not force myself out of bed, tired and in pain, to go to work because I'm a man filled with unequivocal inner strength. My goal is to beat my cancer, no matter the difficulties and no matter the consequences, and in order to reach my goal I must first overcome the obstacles that lie between my goal and myself. 

If I did not want to move on or move forward in my life then I could very easily choose not to attempt to overcome the difficulties and challenges presented to me. Before you throw around words like strength and determination and perseverance, we must look at the entire scope of the situation. I'm trying to survive, and that's all I'm trying to do. It's not about strength, determination, and perseverance, just like it wasn't about strength, determination, and perseverance when I was trying to move from seventh grade to eighth grade. Back then, just like now, all I was trying to do was keep moving forward. There were no pats on the back nor praise when I passed from grade to grade, because I was seen as having done nothing more than completing the assignments required of me. My struggle with cancer is exactly the same thing: I'm just completing the assignments required of me. 

It seems simple enough to know that a law student deals with the difficulties of studying law with vigor and determination because he hopes to become a lawyer and enduring those difficulties are necessary in his pursuit. Similarly, it seems commonplace to note that a presidential hopeful withstands the hardships that come with running a presidential campaign because we understand that he deals with those things because he wants to be the president. For me, it's easy enough to understand that a person who wants to survive will complete any task that is necessary for that person to survive. 

I don't know about words and titles that one may attach to my life right now because the only thing I'm focused on is completing the task at hand. Maybe I'll look back when this ordeal is over and I will say that strength, determination, and perseverance got me through my fight against cancer and against death. As for now though, I'm just trying to do my homework so that I don't get left back.

Wednesday, August 5, 2009

"Because I Said So" Doesn't Count Here

You are nonchalantly walking down 7th Avenue in New York City passing in front of the Madison Square Garden side of Pennsylvania Station. You glance up to look at the world famous arena, and a man, dressed in an expensive, custom tailored suit punches you directly in the face, shattering your left eye socket. The man continues to walk down the street, southbound, and you decide (without any evidence to substantiate your claim) that he is heading to Nevada Smiths on 3rd Avenue and 11th Street to watch an English Premier League match between Liverpool and Arsenal. Nobody around you seems to have noticed what has just happened to you, despite it being 5:15 p.m. with the crowd of rush hour commuters scrambling to make their trains. You pick yourself up off the ground, gather your wits about you and board the New Jersey Coast Line 5:26 train heading towards Bayhead, NJ. As you sit down you finally are given the time to reflect back on what your Guinness drinking (speculation) English soccer watching (further speculation) assailant has done to you.


My question: are you more concerned with the manner in which this man came to punching your eye socket into pieces (HOW) or the reason he punched you in the face (WHY)?


If you want to know HOW this man wearing a dark gray, Joseph Aboud suit with a red and white, thatch patterned Burberry tie and Prada shoes came to punch you in the face, that’s easy. Electrical signals traversed the synapses between the billions of neurons his brain, which then travelled down the spinal cord, locating the proper nerve vessels to trigger muscular reaction in a wave-like successive manner producing a fluid movement of the arm in a punching motion. The motion itself created a determinate kinetic force, which was transferred at the moment the business man’s fist made contact with your face, at which point the force generated by his movement was beyond the force that the ocular bones of the skull could absorb and so the bones fractured. Understanding HOW the man punched you is like understanding how two plus two equals four. It’s a matter of INFORMATION only. And it’s about as useful as trying to uncover HOW our lives are lived, whether we are “free” to make choices or the choices have already been made. What are you going to do to change it anyway?


Let’s say when you die, you go up to Heaven and you ask God, “Did I have free will or did you already know everything that was going to happen?” And God responds saying, “You had free will AND I already knew what you were going to do.” Are you going to engage God in a debate about how if He already knew then you were not really FREE to choose? I mean He’s God! Or even if you die and there is no Heaven, but you just die, would you like to die having spent your life worrying about whether you were "free" to make choices or not?


But understanding WHY the man punched you is something altogether different. It’s not about asking “Oh goodness, WHY me? What did I do to deserve this?” That’s cowardly, not to mention, asking why it happened to you is not going to make whatever happened to you UN-happen. Asking WHY is about understanding what can come out of whatever has taken place. Asking WHY is about coming to an UNDERSTANDING. I assure you that nothing that is worth knowing can be attained by acquiring information. It must be understood. It at least must be contemplated, thought about, ingested, digested, excreted and studied. 


There's some things that we have talked about a lot. We are all going to die some day. We can't control the things that happen to us, but only our responses to what happens. Life is perhaps meaningless and absurd. Fine... But we are here so... We have already spent so much time asking HOW. Mathematics, physics, quantum physics, Darwin, evolution, natural selection, genetics, surgery, medicine, and on and on and on... We have so many answers to so many questions, but we have only been in the pursuit of INFORMATION. And so all we have is a whole lot of information, but not that much UNDERSTANDING. We know how the seasons change, how weather happens, how obesity causes heart disease, how how how HOW. We think we understand the way the world works, but most scientists will tell you that despite all the things we do know there are an infinite number of things we do not know and may never know. Like how does an otherwise perfectly healthy 21 year old man develop a highly fatal form of cancer with such a bleak prognosis that over 80% of the times affects people between the ages of 55-75... How does that happen? I don't know and neither do any of you, or anyone else... So, why not try to start answering the question of WHY?


God is a choice that some make to answer why. Buddhism, Islam, Judaism, Atheism, Satanism, Hedonism, and many other "-isms" all try to answer the question why. Look: sometimes your eye socket gets smashed, sometimes you get into a fender-bender, and sometimes you get cancer. It's hard to anticipate how your life is going to pan out, because that entails having to know the future and unless you are a super-intelligent, perfectly predicting alien then that might be hard. But "why" is about experiencing something and then being asked to look back over it in the hopes of understanding it. Or "why" is about understanding now why you will do something in the future. But it's not about information it's about understanding.


This was long, but I leave you with perhaps one of the most thoughtful quotations I've ever read (and I will try and make this the last Kierkegaard quote for a little while):


"Life can only be understood backwards; but it must be lived forwards." - Soren Kierkegaard

Sunday, August 2, 2009

To Thine Own Self Be True...

Imagine that we are the figurative prisoners of Plato's Allegory of the Cave, which he represents in The Republic. Imagine that we are chained to a wall in an underground cave and we cannot move our limbs nor swivel our heads. We are forced to look straight in front of us. This is the only world we have ever known. We were born into bondage and have remained fettered thus since our birth. Meanwhile, our captors have taken to create puppets that are in the likeness of objects that appear in the "real" world such as puppets imitating men, women, trees, balls, dogs, cats, the sun, the moon, etc. The have decided to build a fire behind our chained backs and pass the puppets in front of the fire in order to cast shadows against the wall of the cave which we are facing. We see the shadows passing across the cave wall and, becoming familiar with the shadows, we begin to name the images that we see before us. In this "reality" the most "intelligent" individuals would be the ones who can identify the shadows most quickly and most accurately.

Now imagine that our captors decided to unchain half of us. We would now be able to stand up and turn around and walk around. Instead of seeing only shadows cast by an indeterminate light source, for the first time we would see the puppets and the fire itself. Our eyes would be blinded by the brightness of the fire after so many years spent in darkness. We would be unfamiliar with the puppets having only experienced their distorted shadows cast on the wall. Slowly we would begin to become familiar with the light of the fire and the forms of the puppets. The most knowledgeable of the individuals in this reality would be the ones who could understand manner in which the fire created light which cast the shadows of the puppets when the puppets were passed in front of them. The fire would become the new light and the puppets would become the knew objects. Together the fire and the puppets would be the new truth and our "truth" would be more correct than the "truth" understood by those still chained to the wall.

Now imagine that our captors decide to take you alone out of the cave and force you above ground for the first time. The brightness of the sun in relation to the fire would once again blind you. Eventually, your eyes would once again become acclimated to the new light and for the first time you would see the objects in whose image the puppets of the cave were created. For the first time, you would see men and women, trees, balls, dogs, cats, etc. We would understand the true source of light and the true nature of objects. Our "truth" would be more correct than either "truths" we "knew" in our other circumstances.

I know that was long and drawn out, but it's important that we know these references. There is a reason why nearly every individual who receives a higher education reads Plato and Descartes, Aeschylus and Shakespeare, Homer and Dostoevsky. These things have reference to our lives STILL. Lessons have been learned from reading them for years and will continue to be learned for years. The lesson learned from the Allegory of the Cave is to understand that the pursuit of truth, knowledge, and understanding is not about increasing achievements, but is rather more about successive disappointments. As we "understand" more, we are disappointed to learn that what we previously understood as true was not actually true (or at least it was true in a much lesser or different form). 

My cousin Elie posted a comment in which he wrote that our life is not about whether or not we are "free" to make choices, but is more about understanding why we make the choices we make. He makes a reference to the Latin phrase temet nosce (or more properly nosce te ipsum) which means Know Thyself. We worry about being free to make choices. We worry about free will. We worry about valid and sound reasoning. We concern ourselves with our moral responsibilities. We never stop to concern ourselves with understanding "why." "Why" what? "Why" anything? We are too busy being concerned with the manner in which our lives unfold to stop and ask why our lives unfold the way they do. In the previous post I wrote about the truths that a confused human concludes in the face of a meaningless and absurd world. Still, however, there lacked an understanding of why. My cousin does well to refocus our attention to the why rather than to the how.

All things being equal, we will understand neither the how nor the why... But it would seem that the more relevant futile pursuit would be in trying to understand why I have a deadly form of cancer that threatens my life each day, each hour, each second, each moment rather than trying to figure out some reason as to how this happened to me. Not "why" as in "God, why have you done this to me." By "why" I mean trying to discover what the purpose is for me having this disease. In other words, how am I supposed to "know thy(my)self" through this cancer. If any person in the world can contract this disease, then why has the world decided to give it to me. Remember: our purpose is to find meaning. 

"Life has its own hidden forces which you can only discover by living." - Soren Kierkegaard