Cancer Awareness Day Quotes

But most days, if you’re aware enough to give yourself a choice, you can choose to look differently at this fat, dead-eyed, over-made-lady who just screamed at her little child in the checkout line — maybe she’s not usually like this; maybe she’s been up three straight nights holding the hand of her husband who’s dying of bone cancer, or maybe this very lady is the low-wage clerk at the Motor Vehicles Dept. who just yesterday helped your spouse resolve a nightmarish red-tape problem through some small act of bureaucratic kindness. Of course, none of this is likely, but it’s also not impossible — it just depends on what you want to consider. If you’re automatically sure that you know what reality is and who and what is really important — if you want to operate on your default-setting — then you, like me, will not consider possibilities that aren’t pointless and annoying. But if you’ve really learned how to think, how to pay attention, then you will know you have other options. It will actually be within your power to experience a crowded, loud, slow, consumer-hell-type situation as not only meaningful but sacred, on fire with the same force that lit the stars — compassion, love, the sub-surface unity of all things. Not that that mystical stuff’s necessarily true: The only thing that’s capital-T True is that you get to decide how you’re going to try to see it. You get to consciously decide what has meaning and what doesn’t. You get to decide what to worship…

But most days, if you're aware enough to give yourself a choice, you can choose to look differently at this fat, dead-eyed, over-made-up lady who just screamed at her kid in the checkout line. Maybe she's not usually like this. Maybe she's been up three straight nights holding the hand of a husband who is dying of bone cancer. Or maybe this very lady is the low-wage clerk at the motor vehicle department, who just yesterday helped your spouse resolve a horrific, infuriating, red-tape problem through some small act of bureaucratic kindness. Of course, none of this is likely, but it's also not impossible. It just depends what you want to consider. If you're automatically sure that you know what reality is, and you are operating on your default setting, then you, like me, probably won't consider possibilities that aren't annoying and miserable. But if you really learn how to pay attention, then you will know there are other options. It will actually be within your power to experience a crowded, hot, slow, consumer-hell type situation as not only meaningful, but sacred, on fire with the same force that made the stars: love, fellowship, the mystical oneness of all things deep down. Not that that mystical stuff is necessarily true. The only thing that's capital-T True is that you get to decide how you're gonna try to see it. This, I submit, is the freedom of a real education, of learning how to be well-adjusted. You get to consciously decide what has meaning and what doesn't. You get to decide what to worship.

IT IS SENSIBLE of me to be aware that I will die one of these days. I will not pass away. Every day millions of people pass away—in obituaries, death notices, cards of consolation, e-mails to the corpse’s friends—but people don’t die. Sometimes they rest in peace, quit this world, go the way of all flesh, depart, give up the ghost, breathe a last breath, join their dear ones in heaven, meet their Maker, ascend to a better place, succumb surrounded by family, return to the Lord, go home, cross over, or leave this world. Whatever the fatuous phrase, death usually happens peacefully (asleep) or after a courageous struggle (cancer). Sometimes women lose their husbands. (Where the hell did I put him?) Some expressions are less common in print: push up the daisies, kick the bucket, croak, buy the farm, cash out. All euphemisms conceal how we gasp and choke turning blue.

I started to walk the day I was told I was dying of cancer. I believe walking has kept me alive. I live with a constant, pressing awareness of death. Once I start to walk, I am not afraid anymore; all is well.

In 2008, the national Coping with Cancer project published a study showing that terminally ill cancer patients who were put on a mechanical ventilator, given electrical defibrillation or chest compressions, or admitted, near death, to intensive care had a substantially worse quality of life in their last week than those who received no such interventions. And, six months after their death, their caregivers were three times as likely to suffer major depression. Spending one’s final days in an I.C.U. because of terminal illness is for most people a kind of failure. You lie on a ventilator, your every organ shutting down, your mind teetering on delirium and permanently beyond realizing that you will never leave this borrowed, fluorescent place. The end comes with no chance for you to have said goodbye or “It’s O.K.” or “I’m sorry” or “I love you.” People have concerns besides simply prolonging their lives. Surveys of patients with terminal illness find that their top priorities include, in addition to avoiding suffering, being with family, having the touch of others, being mentally aware, and not becoming a burden to others. Our system of technological medical care has utterly failed to meet these needs, and the cost of this failure is measured in far more than dollars. The hard question we face, then, is not how we can afford this system’s expense. It is how we can build a health-care system that will actually help dying patients achieve what’s most important to them at the end of their lives.

Self-love is about slipping up, having the bad days and loving ourselves despite of them, forgiving ourselves and, most importantly, having compassion for ourselves and how we’re feeling. So, give yourself permission to fall down, but don’t give yourself permission to stay there.

Cassie, you need to understand that he only agreed to undergo treatment because of you. He made this choice solely for you, and no one else. Despite being aware of the limited time he has left and the financial burden the treatment will impose on his family, he chose to stay by your side.” I knew, had known the moment he’d agree to undergo the treatment. I hated myself for being the cause of his pain. He continued to push. “Xuan is doing the cancer therapy stuff even though he didn’t want to. He loves you that much. And because you asked him to do this, he is. And one day, because of love, you will stand by Xuan until the end and you’ll have to watch him die. And because he loved you, you will eventually have to let him go, because that’s what he would want.

Dr. Richard Selzer is a surgeon and a favorite author of mine. He writes the most beautiful and compassionate descriptions of his patients and the human dramas they confront. In his book Letters to a Young Doctor, he said that most young people seem to be protected for a time by an imaginary membrane that shields them from horror. They walk in it every day but are hardly aware of its presence. As the immune system protects the human body from the unseen threat of harmful bacteria, so this mythical membrane guards them from life-threatening situations. Not every young person has this protection, of course, because children do die of cancer, congenital heart problems, and other disorders. But most of them are shielded—and don’t realize it. Then, as years roll by, one day it happens. Without warning, the membrane tears, and horror seeps into a person’s life or into the life of a loved one. It is at this moment that an unexpected theological crisis presents itself.

Dying isn’t the end of the world,” my mother liked to joke after she was diagnosed as terminal. I never really understood what she meant, until the day I suddenly did—a few months after she died—when, at age thirty-eight, the breast cancer I’d been in treatment for became metastatic and incurable. There are so many things that are worse than death: old grudges, a lack of self-awareness, severe constipation, no sense of humor, the grimace on your husband’s face as he empties your surgical drain into the measuring cup.

ultimately, most of us would choose a rich and meaningful life over an empty, happy one, if such a thing is even possible. “Misery serves a purpose,” says psychologist David Myers. He’s right. Misery alerts us to dangers. It’s what spurs our imagination. As Iceland proves, misery has its own tasty appeal. A headline on the BBC’s website caught my eye the other day. It read: “Dirt Exposure Boosts Happiness.” Researchers at Bristol University in Britain treated lung-cancer patients with “friendly” bacteria found in soil, otherwise known as dirt. The patients reported feeling happier and had an improved quality of life. The research, while far from conclusive, points to an essential truth: We thrive on messiness. “The good life . . . cannot be mere indulgence. It must contain a measure of grit and truth,” observed geographer Yi-Fu Tuan. Tuan is the great unheralded geographer of our time and a man whose writing has accompanied me throughout my journeys. He called one chapter of his autobiography “Salvation by Geography.” The title is tongue-in-cheek, but only slightly, for geography can be our salvation. We are shaped by our environment and, if you take this Taoist belief one step further, you might say we are our environment. Out there. In here. No difference. Viewed that way, life seems a lot less lonely. The word “utopia” has two meanings. It means both “good place” and “nowhere.” That’s the way it should be. The happiest places, I think, are the ones that reside just this side of paradise. The perfect person would be insufferable to live with; likewise, we wouldn’t want to live in the perfect place, either. “A lifetime of happiness! No man could bear it: It would be hell on Earth,” wrote George Bernard Shaw, in his play Man and Superman. Ruut Veenhoven, keeper of the database, got it right when he said: “Happiness requires livable conditions, but not paradise.” We humans are imminently adaptable. We survived an Ice Age. We can survive anything. We find happiness in a variety of places and, as the residents of frumpy Slough demonstrated, places can change. Any atlas of bliss must be etched in pencil. My passport is tucked into my desk drawer again. I am relearning the pleasures of home. The simple joys of waking up in the same bed each morning. The pleasant realization that familiarity breeds contentment and not only contempt. Every now and then, though, my travels resurface and in unexpected ways. My iPod crashed the other day. I lost my entire music collection, nearly two thousand songs. In the past, I would have gone through the roof with rage. This time, though, my anger dissipated like a summer thunderstorm and, to my surprise, I found the Thai words mai pen lai on my lips. Never mind. Let it go. I am more aware of the corrosive nature of envy and try my best to squelch it before it grows. I don’t take my failures quite so hard anymore. I see beauty in a dark winter sky. I can recognize a genuine smile from twenty yards. I have a newfound appreciation for fresh fruits and vegetables. Of all the places I visited, of all the people I met, one keeps coming back to me again and again: Karma Ura,

Mike the Cat was already a senior citizen by the time I met him, a reality I had trouble adjusting to. I had never owned a pet, yet from knowing people who did I was aware that we bring animals into our lives in tacit acknowledgment of the heartbreak to come, recognizing that in the normal course of events we will eventually have to watch them grow arthritic and rheumy, then say a final, wrenching goodbye. From the minute I met Mike the Cat, I lived in fear of the day we would find him splayed on the living room rug, seized by respiratory failure or colitis or the final agonizing throes of cat cancer.

On the eve of my move to New York, my parents sat me down to talk. “Your mother and I understand that we have a certain responsibility to prepare you for life at a coed institution,” said my father. “Have you ever heard of oxytocin?” I shook my head. “It’s the thing that’s going to make you crazy,” my mother said, swirling the ice in her glass. “You’ll lose all the good sense I’ve worked so hard to build up in you since the day you were born.” She was kidding. “Oxytocin is a hormone released during copulation,” my father went on, staring at the blank wall behind me. “Orgasm,” my mother whispered. “Biologically, oxytocin serves a purpose,” my father said. “That warm fuzzy feeling.” “It’s what bonds a couple together. Without it, the human species would have gone extinct a long time ago. Women experience its effects more powerfully than men do. It’s good to be aware of that.” “For when you’re thrown out with yesterday’s trash,” my mother said. “Men are dogs. Even professors, so don’t be fooled.” “Men don’t attach as easily. They’re more rational,” my father corrected her. After a long pause, he said, “We just want you to be careful.” “He means use a rubber.” “And take these.” My father gave me a small, pink, shell-shaped compact of birth control pills. “Gross,” was all I could say. “And your father has cancer,” my mother said. I said nothing. “Prostate isn’t like breast,” my father said, turning away. “They do surgery, and you move on.” “The man always dies first,” my mother whispered.

It may seem paradoxical to claim that stress, a physiological mechanism vital to life, is a cause of illness. To resolve this apparent contradiction, we must differentiate between acute stress and chronic stress. Acute stress is the immediate, short-term body response to threat. Chronic stress is activation of the stress mechanisms over long periods of time when a person is exposed to stressors that cannot be escaped either because she does not recognize them or because she has no control over them. Discharges of nervous system, hormonal output and immune changes constitute the flight-or-fight reactions that help us survive immediate danger. These biological responses are adaptive in the emergencies for which nature designed them. But the same stress responses, triggered chronically and without resolution, produce harm and even permanent damage. Chronically high cortisol levels destroy tissue. Chronically elevated adrenalin levels raise the blood pressure and damage the heart. There is extensive documentation of the inhibiting effect of chronic stress on the immune system. In one study, the activity of immune cells called natural killer (NK) cells were compared in two groups: spousal caregivers of people with Alzheimer’s disease, and age- and health-matched controls. NK cells are front-line troops in the fight against infections and against cancer, having the capacity to attack invading micro-organisms and to destroy cells with malignant mutations. The NK cell functioning of the caregivers was significantly suppressed, even in those whose spouses had died as long as three years previously. The caregivers who reported lower levels of social support also showed the greatest depression in immune activity — just as the loneliest medical students had the most impaired immune systems under the stress of examinations. Another study of caregivers assessed the efficacy of immunization against influenza. In this study 80 per cent among the non-stressed control group developed immunity against the virus, but only 20 per cent of the Alzheimer caregivers were able to do so. The stress of unremitting caregiving inhibited the immune system and left people susceptible to influenza. Research has also shown stress-related delays in tissue repair. The wounds of Alzheimer caregivers took an average of nine days longer to heal than those of controls. Higher levels of stress cause higher cortisol output via the HPA axis, and cortisol inhibits the activity of the inflammatory cells involved in wound healing. Dental students had a wound deliberately inflicted on their hard palates while they were facing immunology exams and again during vacation. In all of them the wound healed more quickly in the summer. Under stress, their white blood cells produced less of a substance essential to healing. The oft-observed relationship between stress, impaired immunity and illness has given rise to the concept of “diseases of adaptation,” a phrase of Hans Selye’s. The flight-or-fight response, it is argued, was indispensable in an era when early human beings had to confront a natural world of predators and other dangers. In civilized society, however, the flight-fight reaction is triggered in situations where it is neither necessary nor helpful, since we no longer face the same mortal threats to existence. The body’s physiological stress mechanisms are often triggered inappropriately, leading to disease. There is another way to look at it. The flight-or-fight alarm reaction exists today for the same purpose evolution originally assigned to it: to enable us to survive. What has happened is that we have lost touch with the gut feelings designed to be our warning system. The body mounts a stress response, but the mind is unaware of the threat. We keep ourselves in physiologically stressful situations, with only a dim awareness of distress or no awareness at all.

I still don't know to this day how she managed to climb the 94 stairs; she was dying from an overdose. The gate at the bottom of the stairwell did not make a sound when she entered the building, being so ill and alone. It was odd. Where could she have been? Almost as if she had been dropped off at my doorstep like a package silently by a (Polish) giant. She was pale and could barely open the door with her keys. When she entered, she fell into my arms; she was drunk and high, her legs buckling so that she couldn't stand. I tried to figure out what she had taken and what she had drunk, but she could barely talk; her eyes were rolling back in her skull. She was crying with her head in the toilet bowl, unable to stop the cramps running through her insides and her entire body shaking. - What did you drink? - Two … beers. - I am not your father. What did you take? Where have you been? - Beers and tequila - she mumbled, saliva drooling out of her mouth and her head hanging down like she was dead already. Then I asked her what else she had taken. She still wouldn't answer, so I repeated. - Answer me Martina, who gave it to you?! - I shouted. - Where have you been?! But she didn't answer, and her condition was critical, so I had to rush her to the hospital in my arms as she was about to lose consciousness. I had to grab her and take her to the closest hospital across Parallel, two blocks away. This was the first time I had taken her to the hospital since she'd split her chin by falling off my bicycle allegedly before, although it wasn't the last. Interestingly, whenever she got involved with a new group of criminals, she wound up in the hospital both times, and both times I took her there. She had no energy to lift her head out of the toilet bowl. As soon as I entered the hospital with her, the staff and I had to put her in a wheelchair. They took her inside and 20 minutes later when I was sitting by her bed, she already felt better with an IV dripping slowly into her vein, but she was unable to move; she was lying in her hospital bed, barely able to open her eyes to look at me. She was between life and death, or between real life and just a dream. I remembered less than a year earlier she was so full of life and happy and healthy when I put her up on that set of chairs that night when we took off the 'for sale' sign. The doctors told me after she fell asleep that they wanted to rinse her stomach, but she didn't authorize that. I was not fully aware that she was on drugs time to time or all the time and with what kind of people she was associated with. She almost only showed up at home in September 2014 when she overdosed. I was in love and worried for her so much, so I filled out the forms while they treated her in the hospital. I prayed to God to save her, asking for Him to show her the Truth. All I had was a prayer—50/50 if it worked. And I remembered that two years before, I had prayed for the life of our kitten Sabrina was playing with, making friends. This time, however, I had to rush to the hospital, not the vet, with my 20-year-old girlfriend who would soon be 21 in October 2014. And I felt like Sabrina, trying to make friends again but by the wrong people was the reason why I, an atheist, was praying for a puppy or a kitten or a bunny's life this time again. I didn't know that lies and secrets were eating away at her from deep inside once in a while as well, it wasn't just the drugs that were killing her insides like cancer. Just like her brother's intestines silently began to consume him and her, unbeknownst to them, but I could almost sense it like a dog if I could not see it, smell it inside them like X-ray. They were unaware of what my eyes had seen, as I watched their vibrations and faces silently change.

[P]lease don’t think that I’m giving you moral advice, or that I’m saying you are supposed to think this way, or that anyone expects you to just automatically do it. Because it’s hard. It takes will and effort, and if you are like me, some days you won’t be able to do it, or you just flat out won’t want to. But most days, if you’re aware enough to give yourself a choice, you can choose to look differently at this fat, dead-eyed, over-made-up lady who just screamed at her kid in the checkout line. Maybe she’s not usually like this. Maybe she’s been up three straight nights holding the hand of a husband who is dying of bone cancer. Or maybe this very lady is the low-wage clerk at the motor vehicle department, who just yesterday helped your spouse resolve a horrific, infuriating, red-tape problem through some small act of bureaucratic kindness. Of course, none of this is likely, but it’s also not impossible. It just depends what you want to consider. If you’re automatically sure that you know what reality is, and you are operating on your default setting, then you, like me, probably won’t consider possibilities that aren’t annoying and miserable. But if you really learn how to pay attention, then you will know there are other options. It will actually be within your power to experience a crowded, hot, slow, consumer-hell type situation as not only meaningful, but sacred, on fire with the same force that made the stars: love, fellowship, the mystical oneness of all things deep down.