Cancer Hope Quotes

He hung up on me. I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled Jerk on the first line. One the line beneath it, I added, Smokes cigars. Will die of lung cancer. Hopefully soon. Excellent physical shape. I immediately scribbled over the last observation until it was illegible.

She had this dark cancer water dripping out of her chest. Eyes closed. Intubated. But her hand was still her hand, still warm and the nails painted this almost black dark blue and I just held her hand and tried to imagine the world without us and for about one second I was a good enough person to hope she died so she would never know that I was going, too. But then I wanted more time so we could fall in love. I got my wish, I suppose. I left my scar.

I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled ' Jerk ' on the first line. On the line beneath it I added, ' Smokes cigars. Will die of lung cancer. Hopefully soon.

I am not afraid to die; I am only afraid of saying goodbye to you forever.

Romance has killed more people than Cancer. Ok…maybe not killed but dulled more lives. Removed more hope, sold more medication, caused more tears

We are focusing on the small details and hiding the misery in the world. Look at the smoker and we miss global warming, war, and the crap we eat--not the bad guys but smoking. I smoke and they talk about cancer, I eat and they talk about cholesterol, I make love, it's AIDS. Before AIDS and cholesterol and cancer there's the pleasure of making love and eating and smoking. I have to die someday, so if the thing that gave me pleasure all of my life kills me instead of me going under a truck, that's fine. Besides, why should I live so that when I die I give fresh meat to the worms? I hope that I am rotted and they don't want to eat me. F@#$ck the worms.

But it's just because the chances are all against you, just because there is so little hope, that life is sweet over here.

A world without hope, but no despair

Van Houten, I’m a good person but a shitty writer. You’re a shitty person but a good writer. We’d make a good team. I don’t want to ask you any favors, but if you have time – and from what I saw, you have plenty – I was wondering if you could write a eulogy for Hazel. I’ve got notes and everything, but if you could just make it into a coherent whole or whatever? Or even just tell me what I should say differently. Here’s the thing about Hazel: Almost everyone is obsessed with leaving a mark upon the world. Bequeathing a legacy. Outlasting death. We all want to be remembered. I do, too. That’s what bothers me most, is being another unremembered casualty in the ancient and inglorious war against disease. I want to leave a mark. But Van Houten: The marks humans leave are too often scars. You build a hideous minimall or start a coup or try to become a rock star and you think, “They’ll remember me now,” but (a) they don’t remember you, and (b) all you leave behind are more scars. Your coup becomes a dictatorship. Your minimall becomes a lesion. (Okay, maybe I’m not such a shitty writer. But I can’t pull my ideas together, Van Houten. My thoughts are stars I can’t fathom into constellations.) We are like a bunch of dogs squirting on fire hydrants. We poison the groundwater with our toxic piss, marking everything MINE in a ridiculous attempt to survive our deaths. I can’t stop pissing on fire hydrants. I know it’s silly and useless – epically useless in my current state – but I am an animal like any other. Hazel is different. She walks lightly, old man. She walks lightly upon the earth. Hazel knows the truth: We’re as likely to hurt the universe as we are to help it, and we’re not likely to do either. People will say it’s sad that she leaves a lesser scar, that fewer remember her, that she was loved deeply but not widely. But it’s not sad, Van Houten. It’s triumphant. It’s heroic. Isn’t that the real heroism? Like the doctors say: First, do no harm. The real heroes anyway aren’t the people doing things; the real heroes are the people NOTICING things, paying attention. The guy who invented the smallpox vaccine didn’t actually invented anything. He just noticed that people with cowpox didn’t get smallpox. After my PET scan lit up, I snuck into the ICU and saw her while she was unconscious. I just walked in behind a nurse with a badge and I got to sit next to her for like ten minutes before I got caught. I really thought she was going to die, too. It was brutal: the incessant mechanized haranguing of intensive care. She had this dark cancer water dripping out of her chest. Eyes closed. Intubated. But her hand was still her hand, still warm and the nails painted this almost black dark blue and I just held her hand and tried to imagine the world without us and for about one second I was a good enough person to hope she died so she would never know that I was going, too. But then I wanted more time so we could fall in love. I got my wish, I suppose. I left my scar. A nurse guy came in and told me I had to leave, that visitors weren’t allowed, and I asked if she was doing okay, and the guy said, “She’s still taking on water.” A desert blessing, an ocean curse. What else? She is so beautiful. You don’t get tired of looking at her. You never worry if she is smarter than you: You know she is. She is funny without ever being mean. I love her. I am so lucky to love her, Van Houten. You don’t get to choose if you get hurt in this world, old man, but you do have some say in who hurts you. I like my choices. I hope she likes hers.

I love to walk. Walking is a spiritual journey and a reflection of living. Each of us must determine which path to take and how far to walk; we must find our own way, what is right for one may not be for another. There is no single right way to deal with late stage cancer, to live life or approach death, or to walk an old mission trail.

Toxic people are like Cancer. If you keep them in your life, they will destroy your dreams, hopes and ambitions.

God didn’t design your life so you would constantly fall down, but he does hope that you will be brought to your knees.

...the monstrous thing is not that men have created roses out of this dung heap, but that, for some reason or other, they should want roses. For some reason or other man looks for the miracle, and to accomplish it he will wade through blood. He will debauch himself with ideas, he will reduce himself to a shadow if for only one second of his life he can close his eyes to the hideousness of reality. Everything is endured- disgrace, humiliation, poverty, war, crime, ennui- in the belief that overnight something will occur, a miracle, which will render life tolerable. And all the while a meter is running inside and there is no hand that can reach in there and shut it off.

I hope he died of intestinal cancer in a part of the world where morphine is as of yet undiscovered.

I have cancer. Cancer doesn't have me.

If you were to go, and hopefully someday you will, you would see a lot of paintings of dead people. You'd see Jesus on the cross, and you'd see a dude getting stabbed in the neck, and you'd see people dying at sea and in battle and a parade of martyrs. But Not. One. Single. Cancer. Kid. Nobody biting it from the plague or smallpox or yellow fever or whatever, because there is no glory in illness. There is no meaning to it. There is no honor in dying of.

love. she liberated me to life, she continued to do that. and when she was in her final sickness i went out to san francisco and the doctor said she had 3 weeks to live, i asked her "would you come to north carolina?" she said yes. she had emphysema and lung cancer, i brought her to my home. she lived for a year and a half ..and when she was finally in extemis, she was on oxygen and fighting cancer for her life and i remembered her liberating me, and i said i hoped i would be able to liberate her, she deserved that from me. she deserved a great daughter and she got one. so in her last days, i said "i understand some people need permission to go… as i understand it you may have done what god put you here to do. you were a great worker, you must've been a great lover cause a lot of men and if I'm not wrong maybe a couple of woman risked their lives to love you. you were a piss poor mother of small children but a you were great mother of young adults, and if you need permission to go, i liberate you". and i went back to my house, and something said go back- i was in my pajamas, i jumped in my car and ran and the nurse said "she just gone". you see love liberates. it doesn't bind, love says i love you. i love you if you're in china, i love you if you're across town, i love you if you're in harlem, i love you. i would like to be near you, i would like to have your arms around me i would like to have your voice in my ear but thats not possible now, i love you so go. love liberates it doesn't hold. thats ego. love liberates.

It was how wars really ended, Dieffenbaker supposed -- not at truce tables but in cancer wards and office cafeterias and traffic jams. Wars died one tiny piece at a time, each piece something that fell like a memory, each lost like an echo that fades in winding hills. In the end even war ran up the white flag. Or so he hoped. He hoped that in the end even war surrendered.

Hope was a cancer inside him. He didn't want it; he did not want it. He could not bear these shoots of tender green hope springing up within him any longer. (45)

Then let's do the interview over the phone. I've got a list of questions right-' He hung up on me. I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled Jerk on the first line. On the line beneath it I added, smokes cigars. Will die of lung cancer. Hopefully soon. Excellent physical shape.

Like so many of life's varieties of experience, the novelty of a diagnosis of malignant cancer has a tendency to wear off. The thing begins to pall, even to become banal. One can become quite used to the specter of the eternal Footman, like some lethal old bore lurking in the hallway at the end of the evening, hoping for the chance to have a word. And I don't so much object to his holding my coat in that marked manner, as if mutely reminding me that it's time to be on my way. No, it's the snickering that gets me down.

Love will cost you dearly. And it will break your heart. But in the end, it will save the world.

And while a bald head and a looped ribbon were seen as badges of courage and hope, her reluctant vocabulary and vanishing memories advertised mental instability and impending insanity. Those with cancer could expect to be supported by their community. Alice expected to be an outcast.

Sadness was like a cancer, she thought, a presence that staked it's claim so quietly you might not even notice it until it was too late. She hoped her other daughters didn't see.

The majority of people dismiss those things that lie beyond the bounds of their own understanding as absurd and not worth thinking about. I myself can only wish that my stories were, indeed, nothing but incredible fabrications. I have stayed alive all these years clinging to the frail hope that these memories of mine were nothing but a dream or a delusion. I have struggled to convince myself that they never happened. But each time I tried to push them into the dark, they came back stronger and more vivid than ever. Like cancer cells, these memories have taken root in my mind and eaten into my flesh.

Relying on his own strength and the support of his family and community, Paul faced each stage of his illness with grace—not with bravado or a misguided faith that he would “overcome” or “beat” cancer but with an authenticity that allowed him to grieve the loss of the future he had planned and forge a new one. He cried on the day he was diagnosed. He cried while looking at a drawing we kept on the bathroom mirror that said, “I want to spend all the rest of my days here with you.” He cried on his last day in the operating room. He let himself be open and vulnerable, let himself be comforted. Even while terminally ill, Paul was fully alive; despite physical collapse, he remained vigorous, open, full of hope not for an unlikely cure but for days that were full of purpose and meaning.

This isn’t about karma. I’m not trying to rack up I’m-a-Good-Person points.” You shouldn’t donate to charity, help the elderly cross the street, or rescue puppies in the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way. Not that I’m saying any of this to Rufus, since all my classmates used to mock me for saying things like that, and no one should feel bad for trying to be good. “I think we made his day by not pretending he’s invisible. Thanks for seeing him with me.

--- What is the victory of a cat on a hot tin roof? --- I wish I knew ... Just staying on it, I guess, as long as she can ... [More croquet sounds] Later tonight I'm going to tell you I love you an' maybe by that time you'll be drunk enough to believe me. Yes, they're playing croquet ... Big Daddy is dying of cancer ... What were you thinking of when I caught you looking at me like that? Were you thinking of Skipper? [Brick crosses to the bar, takes a quick drink, and rubs his head with a towel] Laws of silence don't work ... When something is festering in your memory or your imagination, laws of silence don't work, it's like shutting a door and locking it on a house on fire in hope of forgetting that the house is burning. But not facing a fire doesn't put it out. Silence about a thing just magnifies it. It grows and festers in silence, becomes malignant .... Get dressed, Brick.

I don't want you to be afraid of dying. All those people have survived cancer. You just watched hundreds of reasons to have hope drift off into the sky.

We all die. Not all of us live.

I was alive. But I was alive without a memory, without a name; I was cut off from hope as well as from remorse or regret. I had no past and would probably have no future; I was buried alive in a void which was the wound that had been dealt me. I was like the wound itself.

Hope is a cancer. One of two things happens. Either you never learn the truth, in which case it gnaws down to the bone until there’s nothing left, or worse, you do, and you go through that windshield at ninety because hope told you it was okay to make the drive without a seat belt.

The night before brain surgery, I thought about death. I searched out my larger values, and I asked myself, if I was going to die, did I want to do it fighting and clawing or in peaceful surrender? What sort of character did I hope to show? Was I content with myself and what I had done with my life so far? I decided that I was essentially a good person, although I could have been better--but at the same time I understood that the cancer didn't care. I asked myself what I believed. I had never prayed a lot. I hoped hard, I wished hard, but I didn't pray. I had developed a certain distrust of organized religion growing up, but I felt I had the capacity to be a spiritual person, and to hold some fervent beliefs. Quite simply, I believed I had a responsibility to be a good person, and that meant fair, honest, hardworking, and honorable. If I did that, if I was good to my family, true to my friends, if I gave back to my community or to some cause, if I wasn't a liar, a cheat, or a thief, then I believed that should be enough. At the end of the day, if there was indeed some Body or presence standing there to judge me, I hoped I would be judged on whether I had lived a true life, not on whether I believed in a certain book, or whether I'd been baptized. If there was indeed a God at the end of my days, I hoped he didn't say, 'But you were never a Christian, so you're going the other way from heaven.' If so, I was going to reply, 'You know what? You're right. Fine.' I believed, too, in the doctors and the medicine and the surgeries--I believed in that. I believed in them. A person like Dr. Einhorn [his oncologist], that's someone to believe in, I thought, a person with the mind to develop an experimental treatment 20 years ago that now could save my life. I believed in the hard currency of his intelligence and his research. Beyond that, I had no idea where to draw the line between spiritual belief and science. But I knew this much: I believed in belief, for its own shining sake. To believe in the face of utter hopelessness, every article of evidence to the contrary, to ignore apparent catastrophe--what other choice was there? We do it every day, I realized. We are so much stronger than we imagine, and belief is one of the most valiant and long-lived human characteristics. To believe, when all along we humans know that nothing can cure the briefness of this life, that there is no remedy for our basic mortality, that is a form of bravery. To continue believing in yourself, believing in the doctors, believing in the treatment, believing in whatever I chose to believe in, that was the most important thing, I decided. It had to be. Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you. I didn't fully see, until the cancer, how we fight every day against the creeping negatives of the world, how we struggle daily against the slow lapping of cynicism. Dispiritedness and disappointment, these were the real perils of life, not some sudden illness or cataclysmic millennium doomsday. I knew now why people fear cancer: because it is a slow and inevitable death, it is the very definition of cynicism and loss of spirit. So, I believed.

One might say my life has been tragic. Yet, as I sat in pain in the hospital I raised my tired hands toward the sky, palms facing in, fingers spread, and I gave thanks.

There is no shame in asking for help; it is one the most courageous things you’ll ever do and will lead to greater connection with those around you.

A category of government activity which, today, not only requires the closest scrutiny, but which also poses a grave danger to our continued freedom, is the activity NOT within the proper sphere of government. No one has the authority to grant such powers, as welfare programs, schemes for re-distributing the wealth, and activities which coerce people into acting in accordance with a prescribed code of social planning. There is one simple test. Do I as an individual have a right to use force upon my neighbor to accomplish this goal? If I do have such a right, then I may delegate that power to my government to exercise on my behalf. If I do not have that right as an individual, then I cannot delegate it to government, and I cannot ask my government to perform the act for me…In reply to the argument that a little bit of socialism is good so long as it doesn't go too far, it is tempting to say that, in like fashion, just a little bit of theft or a little bit of cancer is all right, too! History proves that the growth of the welfare state is difficult to check before it comes to its full flower of dictatorship. But let us hope that this time around, the trend can be reversed. If not then we will see the inevitability of complete socialism, probably within our lifetime.

Beauty is sometimes born of pain

I am crying for more and more disasters, for bigger calamities, for grander failures. I want the whole world to be out of whack, I want everyone to scratch himself to death.

If you go to the Rijksmuseum, which I really wanted to do- but who are we kidding, neither of us can walk through a museum. But anyway, I looked at the collection online before we left. If you were to go, and hopefully someday you will, you would see a lot of paintings of dead people. You'd see Jesus on the cross, and you'd see a dude getting stabbed in the neck, and you'd see people dying at sea and in battle and a parade of martyrs. But Nor. One. Single. Cancer. Kid. Nobody biting it from the plague or smallpox or yellow fever or whatever, because there's no gory in illness. there is no meaning to it. There is no honour of dying of

I thank God every day for this life, and I want there to be more, though that’s not known. What is known is that I’m alive today, this minute. And that’s pretty much what we all have – this day, this moment.

You shouldn’t donate to charity, help the elderly cross the street, or rescue puppies in the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

It’s a blessing when the person you love shows the kind of instincts you’d hoped they’d have when push comes to shove. Illness is the great equalizer. It doesn’t matter who you are, rich or poor, young or old, fat or thin, sick is sick. And if you’re blessed, those around you will rise to the occasion in your hour of need.

Elena's lesson is not one of death and cancer; instead it is one of hope and life. She taught me how to live, how to love, and how to laugh. I will never forget that lesson.

Hope for the best,brace yourself for the worst and no matter what you’re faced with, make a plan to KEEP GOING!

I'm never going to give in. I'm never going to give up, and I will fight back with every breath I have." - Dionne Warner, seven-time cancer survivor and subject of Never Leave Your Wingman

Offering care means being a companion, not a superior. It doesn’t matter whether the person we are caring for is experiencing cancer, the flu, dementia, or grief. If you are a doctor or surgeon, your expertise and knowledge comes from a superior position. But when our role is to be providers of care, we should be there as equals.

This isn’t about karma. I’m not trying to rack up I’m-a-Good-Person points.” You shouldn’t donate to charity, help the elderly cross the street, or rescue puppies in the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

It may be that we are doomed, that there is no hope for us, any of us, but if that is so then let us set up a last agonizing, bloodcurdling howl, a screech of defiance, a war whoop! Away with lamentation! Away with elegies and dirges! Away with biographies and histories, and libraries and museums! Let the dead eat the dead. Let us living ones dance about the rim of the crater, a last expiring dance. But a dance!" - Tropic of Cancer

Dear Mr. Peter Van Houten (c/o Lidewij Vliegenthart), My name is Hazel Grace Lancaster. My friend Augustus Waters, who read An Imperial Affliction at my recommendationtion, just received an email from you at this address. I hope you will not mind that Augustus shared that email with me. Mr. Van Houten, I understand from your email to Augustus that you are not planning to publish any more books. In a way, I am disappointed, but I'm also relieved: I never have to worry whether your next book will live up to the magnificent perfection of the original. As a three-year survivor of Stage IV cancer, I can tell you that you got everything right in An Imperial Affliction. Or at least you got me right. Your book has a way of telling me what I'm feeling before I even feel it, and I've reread it dozens of times. I wonder, though, if you would mind answering a couple questions I have about what happens after the end of the novel. I understand the book ends because Anna dies or becomes too ill to continue writing it, but I would really like to mom-wether she married the Dutch Tulip Man, whether she ever has another child, and whether she stays at 917 W. Temple etc. Also, is the Dutch Tulip Man a fraud or does he really love them? What happens to Anna's friends-particularly Claire and Jake? Do they stay that this is the kind of deep and thoughtful question you always hoped your readers would ask-what becomes of Sisyphus the Hamster? These questions have haunted me for years-and I don't know long I have left to get answers to them. I know these are not important literary questions and that your book is full of important literally questions, but I would just really like to know. And of course, if you ever do decide to write anything else, even if you don't want to publish it. I'd love to read it. Frankly, I'd read your grocery lists. Yours with great admiration, Hazel Grace Lancaster (age 16)

Because really, what do you have to lose? Your life? That's no big deal, I promise you. When you find out you might die, you're finally allowed to live like you never have before. If you lose your life while living the shit out of it, then you've done the best you could, and you shouldn't worry about death. When you're dead, you can't screw up. But while you're here, all you have are a few things to call your own. You have your integrity, your family, and your hope for the future. These are important and you should keep them somewhere safe where you'll remember them.

When we feel like giving up, like we are beyond help, we must remember that we are never beyond hope. Holding on to hope has always motivated me to keep trying. I have found this hope by connecting with others. I’ve found it not only in individuals who have dealt with eating disorders but also in people who have battled addictions and those who have survived abuse, cancer, and broken hearts. I have found much-needed hope in my passions and dreams for the future. I’ve found it in prayer. Real hope combined with real actions has always pulled me through difficult times. Real hope combined with doing nothing has never pulled me through. In other words, sitting around and simply hoping that things will change won’t pick you up after a fall. Hope only gives you strength when you use it as a tool to move forward. Taking real action with a hopeful mind will pull you off the ground that eighth time and beyond.

He hung up on me. I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled Jerk on the first line. On the line beneath it I added, Smokes cigars. Will die of lung cancer. Hopefully soon. Excellent physical shape.

The most compassionate and peaceful thing you can do for yourself and others is to let go of the past, let go of the anger, let go of trying to hurt people that wronged you. There are thousands of people dying from cancer that wish they had someone to care about them and be with them during their final days. There are children being sold into sex trafficking and are hoping someone would rescue them. There are homeless people that wish they had something warm to wear or eat. There is an entire species being wiped out because not enough people care about our oceans. Today, remember that there is someone praying for the very things you take for granted. Spend your effort where God needs you to be--on the front lines of the war on earth, not on the battlefields of the past.

With certainty, I can predict that there will never be a cure to cancer. The only hope for any of us is to concentrate on cause and prevent the misery.

Heaven is freakin' not ready for me!" - seven-time cancer survivor Dionne Warner in Never Leave Your Wingman

You have the power to feel good—or not—just by being conscious of what you choose to think. Choose to focus on hope and healing.

Its palliation is a daily task, its cure a fervent hope. —William Castle, describing leukemia in 1950

The cerebral processing of that visceral input as a signal of death was accurate. Without the kinds of therapy that had been developed over the decades, this cancer would have been fatal. Hope, then, is constructed not just from rational deliberation, from the conscious weighing of information; it arises as an amalgam of thought and feeling, the feelings created in part by neural input from the organs and tissues.

You shouldn't donate to charity, help the elderly cross the street, or rescue puppies in the hopes you'll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

Scientists and inventors alike, they first guess a new explanation—a hypothesis—as wild and innovative as they can conjure. And then they test it rigorously, their hearts filled with the hope they’ll find a door or a window that reframes their understanding of the universe, of life, of a flower, or a cure for cancer. And it all starts with a guess, a good explanation as unlikely as it is plausible. A story at the knife’s edge of innovation, bleeding truth and pushing the limits of knowledge further afield. That impossibly sharp place where dreams and reality converge. A hard-to-vary idea as powerful as the one that broke Einstein’s General Relativity and his assumption that the laws of nature don’t depend on the motion of an observer.

Hopefully, this is a durable remission.” Durable. This isn’t the first time he’s used the word. Boy, do I miss the days of them saying cured. Those were the good, unrealistic times. Am I to be durable now? Cancer will be splashed across me like juice onto tile, only to be wiped away, then again splashed and again wiped away.

As a society, we denounce "delinquents," "hoodlums" and "hooligans," but the truth is that we routinely fail troubled kids before they fail us. More children die each year in the United States from abuse and neglect than from cancer. For every child who dies, thousands are injured, raped or brutally abused. We shrug as millions of children undergo trauma in ways that harm them and unravel our social fabric--and then we blame the kids when things go wrong.

One of the things he had learned in life, and which he hoped he could rely on, was that a greater pain drives out a lesser one. A strained muscle disappears before toothache, toothache disappears before a crushed finger. He hoped - it was his only hope now - that the pain of cancer, the pain of dying , would drive out the pains of love. It did not seem likely.

I’m forever hopeful,” he said. “That’s what friends do. They hope. They have faith in each other.” “Well, I have faith that she’ll forget,” I said, hiking my backpack up onto my shoulders. “You have to be a realist with Caro.” “I’m a hopeful realist,” Drew said. “I’m a healist! Like those guys on TV late at night that cure people of cancer.” He grinned down at me.

At almost every meeting since then, Big Bob has made me cry. I never went back to the doctor. I never chewed the valerian root. This was freedom. Losing all hope was freedom. If I didn't say anything, people in a group assumed the worst. They cried harder, I cried harder. Look up into the stars and you're gone. Walking home after a support group, I felt more alive than I'd ever felt. I wasn't host to cancer or blood parasites; I was the little warm center that the life of the world crowded around.

As a physician, I was trained to deal with uncertainty as aggressively as I dealt with disease itself. The unknown was the enemy. Within this worldview, having a question feels like an emergency; it means that something is out of control and needs to be made known as rapidly, efficiently, and cost-effectively as possible. But death has taken me to the edge of certainty, to the place of questions. After years of trading mystery for mastery, it was hard and even frightening to stop offering myself reasonable explanations for some of the things that I observed and that others told me, and simply take them as they are. "I don't know" had long been a statement of shame, of personal and professional failing. In all of my training I do not recall hearing it said aloud even once. But as I listened to more and more people with life-threatening illnesses tell their stories, not knowing simply became a matter of integrity. Things happened. And the explanations I offered myself became increasingly hollow, like a child whistling in the dark. The truth was that very often I didn't know and couldn't explain, and finally, weighed down by the many, many instances of the mysterious which are such an integral part of illness and healing, I surrendered. It was a moment of awakening. For the first time, I became curious about the things I had been unwilling to see before, more sensitive to inconsistencies I had glibly explained or successfully ignored, more willing to ask people questions and draw them out about stories I would have otherwise dismissed. What I have found in the end was that the life I had defended as a doctor as precious was also Holy. I no longer feel that life is ordinary. Everyday life is filled with mystery. The things we know are only a small part of the things we cannot know but can only glimpse. Yet even the smallest of glimpses can sustain us. Mystery seems to have the power to comfort, to offer hope, and to lend meaning in times of loss and pain. In surprising ways it is the mysterious that strengthens us at such times. I used to try to offer people certainty in times that were not at all certain and could not be made certain. I now just offer my companionship and share my sense of mystery, of the possible, of wonder. After twenty years of working with people with cancer, I find it possible to neither doubt nor accept the unprovable but simply to remain open and wait. I accept that I may never know where truth lies in such matters. The most important questions don't seem to have ready answers. But the questions themselves have a healing power when they are shared. An answer is an invitation to stop thinking about something, to stop wondering. Life has no such stopping places, life is a process whose every event is connected to the moment that just went by. An unanswered question is a fine traveling companion. It sharpens your eye for the road.

Somehow the realization that nothing was to be hoped for had a salutary effect upon me. For weeks and months, for years, in fact, all my life I had been looking forward to something happening, some extrinsic event that would alter my life, and now suddenly, inspired by the absolute hopelessness of everything, I felt relieved, felt as though a great burden had been lifted from my shoulders.

Reflecting on his physical therapy reminds me that I’m not a fan of the “fighting” metaphor for cancer. I don’t think you fight it, or beat it. The effort I saw Henry expend, again and again, at the age of one, under such duress, suggests someone who could beat anything that can be beaten. Cancer’s pretty much going to do what it wants. Should it come for me, I hope I’ll just ride the wave.

…of a child dying an agonizing death from diphtheria, of a young mother ravaged by cancer, of tens of thousands of Asians swallowed in an instant by the sea, of millions murdered in death camps and gulags and forced famines…Our faith is in a God who has come to rescue His creation from the absurdity of sin and the emptiness of death, and so we are permitted to hate these things with a perfect hatred…As for comfort, when we seek it, I can imagine none greater than the happy knowledge that when I see the death of a child, I do not see the face of God, but the face of his enemy. It is…a faith that…has set us free from optimism, and taught us hope instead.

as to our hopes, our dreams, our secret desires, we couldn't talk about those. They were to vague, too frightening, too important. And so they stayed inside us, growing like a cancer, a body eating away at itself. In retrospect I'm amazed how long our marriage lasted.

Hope is a cancer. One of two things happens. Either you never learn the truth, in which case it gnaws down to the bone until there's nothing left, or worse, you do, and you go through that windshield at ninety because hope told you it was okay to make the drive without a seat belt.

The cruciform does not like pain. Nor do I but, like the cruciform, I am willing to use it to serve my purposes. And I will do so consciously, not instinctively like the mindless mass of alien tissue embedded in me. This thing only seeks a mindless avoidance of death by any means. I do not wish to die, but I welcome pain and death rather than an eternity of mindless life. Life is sacred--I still hold to that as a core element of the Church's though and teachings these past twenty-eight hundred years when life has been so cheap--but even more sacred is the soul. I realize now that what I was trying to do with the Armaghast data was offer the Church not a rebirth but only a transition to a false life such as these poor walking corpses inhabit. If the Church is meant to die, it must do so--but do so gloriously, in the full knowledge of its rebirth in Christ. It must go into the darkness not willingly but well--bravely and firm of faith--like the millions who have gone before us, keeping faith with all those generations facing death in the isolated silence of death camps and nuclear fireballs and cancer wards and pogroms, going into the darkness, if not hopefully, then prayerful that there is some reason for it all, something worth the price of all that pain, all those sacrifices., All those before us have gone into the darkness without assurance of logic or fact or persuasive theory, with only a slender thread of hope or the all too shakable conviction of faith. And if they have been able to sustain that slim hope in the face of darkness, then so must I... and so must the Church.

Jesus didn’t have to extend His love. He didn’t have to think of me when He went up on that cross. He didn’t have to rewrite my story from one of beauty to one of brokenness and create a whole new brand of beauty. He simply didn’t have to do it, but He did. He bought me. He bought me that day He died, and He showed His power when He overcame death and rose from the grave. He overcame my death in that moment. He overcame my fear of death in that unbelievable, beautiful moment, and the fruit of that death, that resurrection, and that stunning grace is peace. It is the hardest peace, because it is brutal. Horribly brutal and ugly, and we want to look away, but it is the greatest, greatest story that ever was. And it was, and it is.

An overweight officer, having delivered a batch of children to the home, started telling one of the guards about his heart problem. “You think you want to be a cop, but you don’t, because it kills you,” said the officer, mopping his brow. Then he told of another officer with a lung problem, and one who had cancer, and of others who were stress-sick, and of how none of them earned enough to afford decent doctors. Abdul hadn’t previously thought of policemen as people with hearts and lungs who worried about money or their health. The world seemed replete with people as bad off as himself, and this made him feel less alone.

In reply to the argument that a little socialism is good so long as it doesn't go too far. It is tempting to say that, in like fashion, just a little bit of theft or a little bit of cancer is alright, too! History proves that the growth of the welfare state is difficult to check before it comes to it's full flower of dictatorship. But let us hope that this time around, the trend can be reversed. If not then we will see the inevitability of complete socialism, probably within our lifetime.

Your health, your experiences, and your life do not have to be at the mercy of your negative emotions. When you consciously choose to focus on a thought or belief that is positive, comforting, or hopeful, you’re clearing out that emotional clutter that’s weighing you down. You’re energetically shifting yourself to a better place.

I saw a star and its light was like something woven of hope and music, and the shimmer of it was a voice crying out to my spirit to keep hold, to take joy, and for a moment the whole of my suffering seemed unmade. The darkness became the false thing and the joy of that light, it was the truest thing I had ever known. How can we believe what beauty speaks to us in the darkness of mental illness and cancer and abuse and death? Because beauty calls to us with the voice of God. We are answered not with argument or angry demands for obedience but with the presence of Immanuel, God here with us in the shadows. What beauty reveals is the intimacy of the divine in our grief. God gives us beauty, not as his argument but as his offering - a gift that immersed us in something that allows us to touch hope, to taste healing, to tangibly encounter something opposite to disintegration and destruction. Where suffering has made God abstract and distant to us, where brokenness leaves us with unanswerable questions, beauty allows us to taste and see God’s presence as he breaks into the circles of our inmost grief to remake the broken world. Beauty offers us a theodicy of encounter.

If it is true that a picture paints a thousand words, then there was a Roman centurion who got a dictionary full. All he did was see Jesus suffer. He never heard him preach or saw him heal or followed him through the crowds. He never witnessed him still the wind; he only witnessed the way he died. But that was all it took to cause this weather-worn soldier to take a giant step in faith. “Surely this was a righteous man.”1 That says a lot, doesn’t it? It says the rubber of faith meets the road of reality under hardship. It says the trueness of one’s belief is revealed in pain. Genuineness and character are unveiled in misfortune. Faith is at its best, not in three-piece suits on Sunday mornings or at V.B.S. on summer days, but at hospital bedsides, cancer wards, and cemeteries. Maybe that’s what moved this old, crusty soldier. Serenity in suffering is a stirring testimony. Anybody can preach a sermon on a mount surrounded by daisies. But only one with a gut full of faith can live a sermon on a mountain of pain.

Just when I think you’ve hit bottom you continue to amaze me,” Kyle said. “Or, does this get worse? Nothing would surprise me after this. Are you sleeping with a married man whose wife is dying of cancer?” Elroy didn’t think he’d done anything wrong. “I know nothing about his wife, or his husband for that matter. I don’t ask and I’m not out to break up his home. Lighten up, man. Everybody does it. It’s not like I’m going to freaking marry this dude. I’m only having a little fun with him. You wanna come with me? We’ll have a three-way. You should see the way this guy moves. It will blow your mind.” With that remark Kyle shoved his hands into his pockets and walked faster. “No, thank you. That’s not something I’m interested in doing. Meeting nice, decent people is the only thing that blows my mind. I just hope you’re using condoms, you goddman asshole.

Hope is one of our central emotions, but we are often at a loss when asked to define it. Many of us confuse hope with optimism, a prevailing attitude that "things turn out for the best." But hope differs from optimism. Hope does not arise from being told to "Think Positively," or from hearing an overly rosy forecast. Hope, unlike optimism, is rooted in unalloyed reality. Although there is no uniform definition of hope, I found on that seemed to capture what my patients had taught me. Hope is the elevating feeling we experience when we see - in the mind's eye- a path to a better future. Hope acknowledges the significant obstacles and deep pitfalls along that path. True hope has no room for delusion.

The question that lingers is, how much was I a factor in my own survival, and how much was science, and how much miracle? I don't have the answer to that question. Other people look to me for the answer, I know. But if I could answer it, we would have the cure for cancer, and what's more, we would fathom the true meaning of our existences. I can deliver motivation, inspiration, hope, courage, and counsel, but I can't answer the unknowable. Personally, I don't need to try. I 'm content with simply being alive to enjoy the mystery. Good Joke: A man is caught in a flood, and as the water rises he climbs to the roof of his house and waits to be rescued. A guy in a motorboat comes by, and he says, "Hop in, I'll save you." "No thanks," the man on the rooftop says. "My Lord will save me." But the floodwaters keep rising. A few minutes later, a rescue plane flies overhead and the pilot drops a line. "No, thanks," the man on the rooftop says. "My Lord will save me." But the floodwaters rise ever higher, and finally, they overflow the roof and the man drowns. When he gets to heaven, he confronts God. "My Lord, why didn't you save me?" he implores. "You idiot," God says. "I sent a boat, I sent you a plane." I think in a way we are all just like the guy on the rooftop. Things take place, there is a confluence of events and circumstances, and we can't always know their purpose, or even if there is one. But we can take responsibility for ourselves and be brave.

It was how wars really ended, Dieffenbaker supposed—not at truce tables but in cancer wards and office cafeterias and traffic jams. Wars died one tiny piece at a time, each piece something that fell like a memory, each lost like an echo that fades in winding hills. In the end even war ran up the white flag. Or so he hoped. He hoped that in the end even war surrendered.

Only Jesus can hold things like this in tandem. Only Jesus can simultaneously attend to the one with the broken foot and the one with stage IV cancer. Only Jesus can concurrently care about the child withering away from starvation and the child weeping over his parents’ divorce. Only Jesus can cry with the girl sobbing over a high school breakup and the wife who is widowed, left with mouths to feed and an empty bed. He is the only one who can see that all pain is real and valid, regardless of how the world would rank it. He is the only one who can validate our suffering—and he does.

Case in point: Warnings on cigarette packages can increase a smoker’s urge to light up. A 2009 study found that death warnings trigger stress and fear in smokers—exactly what public health officials hope for. Unfortunately, this anxiety then triggers smokers’ default stress-relief strategy: smoking. Oops. It isn’t logical, but it makes sense based on what we know about how stress influences the brain. Stress triggers cravings and makes dopamine neurons even more excited by any temptation in sight. It doesn’t help that the smoker is—of course—staring at a pack of cigarettes as he reads the warning. So even as a smoker’s brain encodes the words “WARNING: Cigarettes cause cancer” and grapples with awareness of his own mortality, another part of his brain starts screaming, “Don’t worry, smoking a cigarette will make you feel better!

I have a tiny little secret hope that, after a decent period of silence and prose, I will find myself in some almost impossible life situation and will respond to this with outcries of rage, rage and love, such as the world has never heard before. Like Yeats's great outburst at the end of his life. This comes out of a feeling that endowment is a very small part of achievement. I would rate it about fifteen or twenty percent, Then you have historical luck, personal luck, health, things like that, then you have hard work, sweat. And you have ambition. The incredible difference between the achievement of A and the achievement of B is that B wanted it, so he made all kinds of sacrifices. A could have had it, but he didn’t give a damn.[...] But what I was going on to say is that I do strongly feel that among the greatest pieces of luck for high achievement is ordeal. Certain great artists can make out without it, Titian and others, but mostly you need ordeal. My idea is this: the artist is extremely lucky who is presented with the worst possible ordeal which will not actually kill him. At that point, he's in business. Beethoven's deafness, Goya's deafness, Milton's blindness, that kind of thing. And I think that what happens in my poetic work in the future will probably largely depend not on my sitting calmly on my ass as I think, "Hmm, hmm, a long poem again? Hmm," but on being knocked in the face, and thrown flat, and given cancer, and all kinds of other things short of senile dementia. At that point, I'm out, but short of that, I don't know. I hope to be nearly crucified,

I have another scan this week," I say lightly, hoping to reassure my loved ones that it is safe to rejoin my orbit. There is always another scan, because this is my reality. But the people I know are often busy contending with mildly painful ambition and the possibility of reward. I try to begrudge them nothing, except I'm not alongside them anymore. In the meantime, I have been hunkering down with old medical supplies and swelling resentment. I tried— haven't I tried? — to avoid fights and remember birthdays. I showed up for dance recitals and listened to weight-loss dreams and kept the granularity of my medical treatments in soft focus. A person like that would be easier to love, I reasoned. I try a small experiment and stop calling my regular rotation of friends and family, hoping that they will call me back on their own. _This is not a test. This is not a test._ The phone goes quiet, except for a handful of calls. I feel heavy with strange new grief. Is it bitter or unkind to want everyone to remember what I can't forget? Who wants to be confronted with the reality that we are all a breath away from a problem that could alter our lives completely? A friend with a very sick child said it best: I'm everyone's inspiration and and no one's friend. I am asked all the time to say that, given what I've gained in perspective, I would never go back. Who would want to know the truth? Before was better.

They all knew this was coming. They all knew war would reach into the pools of kinship between countless people and gut the innards of it like emptying out a pumpkin. So many seeds torn away and crushed into nothing; seeds of friendship, seeds of romance, seeds of family. All of them planted and ruined in various stages, left with nothing but growing pains and, worse than that, the pain of absent growth altogether. War is cruel. It's cancerous. The end of the world is always tied to war, isn't it? Maybe this is why; because war is so much more than just war. It goes beyond bullets and blood and bodies. War comes in like a flood, like a disease, and it claims anyone who comes in contact with it. Even the living can't get free from it; they're as claimed as the dead are. Once war touches them, they're branded to their last breath. In this world, most people have been branded for a lot longer than they stepped on their first battlefield.

The idea that there could be one solution to breast cancer- screening, early detection, some universal cure- is certainly appealing. All of us, those who fear the disease, those who live with it, our friends and families, the corporations who swath themselves in pink, wish it were true. Wearing a bracelet, sporting a ribbon, running a race, or buying a pink blender expresses our hopes and that feels good - even virtuous. But making a difference is more complicated than that.

The average person walks into their doctor's office ready to accept whatever is said and handed to them. Without taking time to research or gain more insight, they accept pills and treatment without looking into other options. Our nation overeats. We put toxic fake food into our bodies, but wonder why we're sick. We continue a vicious cycle of consuming the wrong foods and drinks along with a stressful lifestyle, yet question why cancer is so rampant. Most of our society live in fear and believe they have no control. My positive message is that we do have control. We need to take back ownership of our bodies and minds. Don't blindly fill prescriptions without first checking into potential side effects, adverse reactions, and long-term damage to your body and mind. Be conscious of what you are consuming. Be informed. Take the initiative to gain more knowledge. Understand your options so you may be in a better position to make an informed choice.

Meanwhile, Mme Mao and her cohorts were renewing their efforts to prevent the country from working. In industry, their slogan was: "To stop production is revolution itself." In agriculture, in which they now began to meddle seriously: "We would rather have socialist weeds than capitalist crops." Acquiring foreign technology became "sniffing after foreigners' farts and calling them sweet." In education: "We want illiterate working people, not educated spiritual aristocrats." They called for schoolchildren to rebel against their teachers again; in January 1974, classroom windows, tables, and chairs in schools in Peking were smashed, as in 1966. Mme Mao claimed this was like "the revolutionary action of English workers destroying machines in the eighteenth century." All this demagoguery' had one purpose: to create trouble for Zhou Enlai and Deng Xiao-ping and generate chaos. It was only in persecuting people and in destruction that Mme Mao and the other luminaries of the Cultural Revolution had a chance to "shine." In construction they had no place. Zhou and Deng had been making tentative efforts to open the country up, so Mme Mao launched a fresh attack on foreign culture. In early 1974 there was a big media campaign denouncing the Italian director Michelangelo Antonioni for a film he had made about China, although no one in China had seen the film, and few had even heard of it or of Antonioni. This xenophobia was extended to Beethoven after a visit by the Philadelphia Orchestra. In the two years since the fall of Lin Biao, my mood had changed from hope to despair and fury. The only source of comfort was that there was a fight going on at all, and that the lunacy was not reigning supreme, as it had in the earlier years of the Cultural Revolution. During this period, Mao was not giving his full backing to either side. He hated the efforts of Zhou and Deng to reverse the Cultural Revolution, but he knew that his wife and her acolytes could not make the country work. Mao let Zhou carry on with the administration of the country, but set his wife upon Zhou, particularly in a new campaign to 'criticize Confucius." The slogans ostensibly denounced Lin Biao, but were really aimed at Zhou, who, it was widely held, epitomized the virtues advocated by the ancient sage. Even though Zhou had been unwaveringly loyal, Mao still could not leave him alone. Not even now, when Zhou was fatally ill with advanced cancer of the bladder.

Somehow the realization that nothing was to be hoped for had a salutary effect upon me. For weeks and months, for years, in fact, all my life I had been looking forward to something happening, some intrinsic event that would alter my life, and now suddenly, inspired by the absolute hopelessness of everything, I felt relieved, felt as though a great burden had been lifted from my shoulders. At dawn I parted company with the young Hindu, after touching him for a few francs, enough for a room. Walking toward Montparnasse I decided to let myself drift with the tide, to make not the least resistance to fate, no matter in what form it presented itself. Nothing that had happened to me thus far had been sufficient to destroy me; nothing had been destroyed except my illusions. I myself was intact. The world was intact. Tomorrow there might be a revolution, a plague, an earthquake; tomorrow there might not be left a single soul to whom one could turn for sympathy, for aid, for faith. It seemed to me that the great calamity had already manifested itself, that I could be no more truly alone than at this very moment. I made up my mind that I would hold on to nothing, that I would expect nothing, that henceforth I would live as an animal, a beast of prey, a rover, a plunderer. Even if war were declared, and it were my lot to go, I would grab the bayonet and plunge it, plunge it up to the hilt. And if rape were the order of the day then rape I would, and with a vengeance. At this very moment, in the quiet dawn of a new day, was not the earth giddy with crime and distress? Had one single element of man's nature been altered, vitally, fundamentally altered, by the incessant march of history? By what he calls the better part of his nature, man has been betrayed, that is all. At the extreme limits of his spiritual being man finds himself again naked as a savage. When he finds God, as it were, he has been picked clean: he is a skeleton. One must burrow into life again in order to put on flesh. The word must become flesh; the soul thirsts. On whatever crumb my eye fastens, I will pounce and devour. If to live is the paramount thing, then I will live, even if I must become a cannibal. Heretofore I have been trying to save my precious hide, trying to preserve the few pieces of meat that hid my bones. I am done with that. I have reached the limits of endurance. My back is to the wall; I can retreat no further. As far as history goes I am dead. If there is something beyond I shall have to bounce back. I have found God, but he is insufficient. I am only spiritually dead. Physically I am alive. Morally I am free. The world which I have departed is a menagerie. The dawn is breaking on a new world, a jungle world in which the lean spirits roam with sharp claws. If I am a hyena I am a lean and hungry one: I go forth to fatten myself.

In an ideal world, a young man should not be an ironical person. At that age, irony prevents growth, stunts the imagination. It is best to start life in a cheerful and open state of mind, believing in others, being optimistic, being frank with everyone about everything. And then, as one comes to understand things and people better, to develop a sense of irony. The natural progression of human life is from optimism to pessimism; and a sense of irony helps temper pessimism, helps produce balance, harmony. But this was not an ideal world, and so irony grew in sudden and strange ways. Overnight, like a mushroom; disastrously, like a cancer. Sarcasm was dangerous to its user, identifiable as the language of the wrecker and the saboteur. But irony – perhaps, sometimes, so he hoped – might enable you to preserve what you valued, even as the noise of time became loud enough to knock out window-panes. What

I argue against purism not because I want a devastated world, the Mordor of industrial capitalism emerging as from a closely aligned alternate universe through our floating islands of plastic gradually breaking down into microbeads consumed by the scant marine life left alive after generations of overfishing, bottom scraping, and coral reef–killing ocean acidification; our human-caused, place-devastating elevated sea levels; our earth-shaking, water poisoning fracking; our toxic lakes made of the externalities of rare-earth mineral production for so-called advanced electronics; our soul-and-life destroying prisons; our oil spills; our children playing with bits of dirty bombs; our white phosphorus; our generations of trauma held in the body; our cancers; and I could go on. I argue against purism because it is one bad but common approach to devastation in all its forms. It is a common approach for anyone who attempts to meet and control a complex situation that is fundamentally outside our control. It is a bad approach because it shuts down precisely the field of possibility that might allow us to take better collective action against the destruction of the world in all its strange, delightful, impure frolic. Purism is a de-collectivizing, de-mobilizing, paradoxical politics of despair. This world deserves better.

We Let the Boat Drift I set out for the pond, crossing the ravine where seedling pines start up like sparks between the disused rails of the Boston and Maine. The grass in the field would make a second crop if early autumn rains hadn't washed the goodness out. After the night's hard frost it makes a brittle rustling as I walk. The water is utterly still. Here and there a black twig sticks up. It's five years today, and even now I can't accept what cancer did to him -- not death so much as the annihilation of the whole man, sense by sense, thought by thought, hope by hope. Once we talked about the life to come. I took the Bible from the nightstand and offered John 14: "I go to prepare a place for you.""Fine. Good," he said. "But what about Matthew? 'You, therefore, must be perfect, as your heavenly Father is perfect.'" And he wept. My neighbor honks and waves driving by. She counsels troubled students; keeps bees; her goats follow her to the mailbox. Last Sunday afternoon we went canoeing on the pond. Something terrible at school had shaken her. We talked quietly far from shore. The paddles rested across our laps; glittering drops fell randomly from their tips. The light around us seemed alive. A loon-itinerant- let us get quite close before it dove, coming up after a long time, and well away from humankind

Long before there were effective treatments, physicians dispensed prognoses, hope, and, above all, meaning. When something terrible happens-and serious disease is always terrible-people want to know why. In a pantheistic world, the explanation was simple-one god had caused the problem, another could cure it. In the time since people have been trying to get along with only one God, explaining disease and evil has become more difficult. Generations of theologians have wrestled with the problem of theodicy-how can a good God allow such bad things to happen to good people? Darwinian medicine can't offer a substitute for such explanations. It can't provide a universe in which events are part of a divine plan, much less one in which individual illness reflects individual sins. It can only show us why we are the way we are, why we are vulnerable to certain diseases. A Darwinian view of medicine simultaneously makes disease less and more meaningful. Diseases do not result from random or malevolent forces, they arise ultimately from past natural selection. Paradoxically, the same capacities that make us vulnerable to disease often confer benefits. The capacity for suffering is a useful defense. Autoimmune disease is a price of our remarkable ability to attack invaders. Cancer is the price of tissues that can repair themselves. Menopause may protect the interests of our genes in existing children. Even senescence and death are not random, but compromises struck by natural selection as it inexorably shaped out bodies to maximize the transmission of our genes. In such paradoxical benefits, some may find a gentle satisfaction, even a bit of meaning-at least the sort of meaning Dobzhansky recognized. After all, nothing in medicine makes sense except in the light of evolution.

Two decades ago the federal government invited 150,000 men and women to participate in an experiment of screening for cancer in four organs: prostate, lung, colon, and ovary. The volunteers were less likely to smoke, more likely to exercise, had higher socioeconomic status, and fewer medical problems than members of the general population. Those are the kinds of people who seek preventive intervention. Of course, they are going to do better. Had the study not been randomized, the investigators might have concluded that screening was the best thing since sliced bread. Regardless of which group they were randomly assigned to, the participants had substantially lower death rates than the general population—for all cancers (even those other than prostate, lung, colon, and ovary), for heart disease, and for injury. In other words, the volunteers were healthier than average. With randomization, the study showed that only one of the four screenings (for colon cancer) was beneficial. Without it, the study might have concluded that prostate cancer screening not only lowered the risk of death from prostate cancer but also deaths from leukemia, heart attack, and car accidents (although you would hope someone would raise the biological plausibility criterion here).

Amy found out she had cancer not long after finishing Textbook, and she called me. She knew that in the years after my book The Fault in Our Stars was published, I’d come to know many young people who were gravely ill, and she wanted to know if I had advice for her. I told her what I think is true—that love survives death. But she wanted to know how young people react to death. How her kids would. She wanted to know if her kids and her husband would be okay, and that ripped me up. Although I’m usually quite comfortable talking with sick people, with my friend I found myself stumbling over words, overwhelmed by my own sadness and worry. They won’t be okay, of course, but they will go on, and the love you poured into them will go on. That’s what I should’ve said. But what I actually said, while crying, was, “How can this be happening? You do so much yoga.” In my experience, dying people often have wonderful stories of the horrible things healthy people say to them, but I’ve never heard of anybody saying something as stupid as, “You do so much yoga.” I hope that Amy at least got some narrative mileage out of it. But I also know I failed her, after she was there for me so many times. I know she forgives me—present tense—but still, I desperately wish I could’ve said something useful. Or perhaps not said anything at all. When people we love are suffering, we want to make it better. But sometimes—often, in fact—you can’t make it better. I’m reminded of something my supervisor said to me when I was a student chaplain: “Don’t just do something. Stand there.

The monstrous thing is not that men have created roses out of this dung heap, but that, for some reason or other, they should want roses. For some reason or other man looks for the miracle, and to accomplish it he will wade through blood. He will debauch himself with ideas, he will reduce himself to a shadow if for only one second of his life he can close his eyes to the hideousness of reality. Everything is endured – disgrace, humiliation, poverty, war, crime, ennui – in the belief that overnight something will occur, a miracle, which will render life tolerable. And all the while a meter is running inside and there is no hand that can reach in there and shut it off. All the while someone is eating the bread of life and drinking the wine, some dirty fat cockroach of a priest who hides away in the cellar guzzling it, while up above in the light of the street a phantom host touches the lips and the blood is pale as water. And out of the endless torment and misery no miracle comes forth, no microscopic vestige of relief. Only ideas, pale, attenuated ideas which have to be fattened by slaughter; ideas which come forth like bile, like the guts of a pig when the carcass is ripped open. And so I think what a miracle it would be if this miracle which man attends eternally should turn out to be nothing more than these two enormous turds which the faithful disciple dropped in the bidet. What if at the last moment, when the banquet table is set and the cymbals clash, there should appear suddenly, and wholly without warning, a silver platter on which even the blind could see that there is nothing more, and nothing less, than two enormous lumps of shit. That, I believe would be more miraculous than anything which man has looked forward to. It would be miraculous because it would be undreamed of. It would be more miraculous than even the wildest dream because anybody could imagine the possibility but nobody ever has, and probably nobody ever again will. Somehow the realization that nothing was to be hoped for had a salutary effect upon me. For weeks and months, for years, in fact, all my life I had been looking forward to something happening, some intrinsic event that would alter my life, and now suddenly, inspired by the absolute hopelessness of everything, I felt relieved, felt as though a great burden had been lifted from my shoulders. At dawn I parted company with the young Hindu, after touching him for a few francs, enough for a room. Walking toward Montparnasse I decided to let myself drift with the tide, to make not the least resistance to fate, no matter in what form it presented itself. Nothing that had happened to me thus far had been sufficient to destroy me; nothing had been destroyed except my illusions. I myself was intact. The world was intact. Tomorrow there might be a revolution, a plague, an earthquake; tomorrow there might not be left a single soul to whom one could turn for sympathy, for aid, for faith. It seemed to me that the great calamity had already manifested itself, that I could be no more truly alone than at this very moment.

To the infra-human specimens of this benighted scientific age the ritual and worship connected with the art of healing as practiced at Epidaurus seems like sheer buncombe. In our world the blind lead the blind and the sick go to the sick to be cured. We are making constant progress, but it is a progress which leads to the operating table, to the poor house, to the insane asylum, to the trenches. We have no healers – we have only butchers whose knowledge of anatomy entitles them to a diploma, which in turn entitles them to carve out or amputate our illnesses so that we may carry on in cripple fashion until such time as we are fit for the slaughterhouse. We announce the discovery of this cure and that but make no mention of the new diseases which we have created en route. The medical cult operates very much like the war office – the triumphs which they broadcast are sops thrown out to conceal death and disaster. The medicos, like the military authorities, are helpless; they are waging a hopeless fight from the start. What man wants is peace in order that he may live. Defeating our neighbor doesn’t give peace any more than curing cancer brings health. Man doesn’t begin to live through triumphing over his enemy nor does he begin to acquire health through endless cures. The joy of life comes through peace, which is not static but dynamic. No man can really say that he knows what joy is until he has experienced peace. And without joy there is no life, even if you have a dozen cars, six butlers, a castle, a private chapel and a bomb-proof vault. Our diseases are our attachments, be they habits, ideologies, ideals, principles, possessions, phobias, gods, cults, religions, what you please. Good wages can be a disease just as much as bad wages. Leisure can be just as great a disease as work. Whatever we cling to, even if it be hope or faith, can be the disease which carries us off. Surrender is absolute: if you cling to even the tiniest crumb you nourish the germ which will devour you. As for clinging to God, God long ago abandoned us in order that we might realize the joy of attaining godhood through our own efforts. All this whimpering that is going on in the dark, this insistent, piteous plea for peace which will grow bigger as the pain and the misery increase, where is it to be found? Peace, do people imagine that it is something to cornered, like corn or wheat? Is it something which can be pounded upon and devoured, as with wolves fighting over a carcass? I hear people talking about peace and their faces are clouded with anger or with hatred or with scorn and disdain, with pride and arrogance. There are people who want to fight to bring about peace- the most deluded souls of all. There will be no peace until murder is eliminated from the heart and mind. Murder is the apex of the broad pyramid whose base is the self. That which stands will have to fall. Everything which man has fought for will have to be relinquished before he can begin to live as man. Up till now he has been a sick beast and even his divinity stinks. He is master of many worlds and in his own he is a slave. What rules the world is the heart, not the brain, in every realm our conquests bring only death. We have turned our backs on the one realm wherein freedom lies. At Epidaurus, in the stillness, in the great peace that came over me, I heard the heart of the world beat. I know what the cure is: it is to give up, to relinquish, to surrender, so that our little hearts may beat in unison with the great heart of the world.

When the time comes, & I hope it comes soon, to bury this era of moral rot & the defiling of our communal, social, & democratic norms, the perfect epitaph for the gravestone of this age of unreason should be Iowa Senator Chuck Grassley's already infamous quote: "I think not having the estate tax recognizes the people that are investing... as opposed to those that are just spending every darn penny they have, whether it’s on booze or women or movies.” Grassley's vision of America, quite frankly, is one I do not recognize. I thought the heart of this great nation was not limited to the ranks of the plutocrats who are whisked through life in chauffeured cars & private jets, whose often inherited riches are passed along to children, many of whom no sacrifice or service is asked. I do not begrudge wealth, but it must come with a humility that money never is completely free of luck. And more importantly, wealth can never be a measure of worth. I have seen the waitress working the overnight shift at a diner to give her children a better life, & yes maybe even take them to a movie once in awhile - and in her, I see America. I have seen the public school teachers spending extra time with students who need help & who get no extra pay for their efforts, & in them I see America. I have seen parents sitting around kitchen tables with stacks of pressing bills & wondering if they can afford a Christmas gift for their children, & in them I see America. I have seen the young diplomat in a distant foreign capital & the young soldier in a battlefield foxhole, & in them I see America. I have seen the brilliant graduates of the best law schools who forgo the riches of a corporate firm for the often thankless slog of a district attorney or public defender's office, & in them I see America. I have seen the librarian reshelving books, the firefighter, police officer, & paramedic in service in trying times, the social worker helping the elderly & infirm, the youth sports coaches, the PTA presidents, & in them I see America. I have seen the immigrants working a cash register at a gas station or trimming hedges in the frost of an early fall morning, or driving a cab through rush hour traffic to make better lives for their families, & in them I see America. I have seen the science students unlocking the mysteries of life late at night in university laboratories for little or no pay, & in them I see America. I have seen the families struggling with a cancer diagnosis, or dementia in a parent or spouse. Amid the struggles of mortality & dignity, in them I see America. These, & so many other Americans, have every bit as much claim to a government working for them as the lobbyists & moneyed classes. And yet, the power brokers in Washington today seem deaf to these voices. It is a national disgrace of historic proportions. And finally, what is so wrong about those who must worry about the cost of a drink with friends, or a date, or a little entertainment, to rephrase Senator Grassley's demeaning phrasings? Those who can't afford not to worry about food, shelter, healthcare, education for their children, & all the other costs of modern life, surely they too deserve to be able to spend some of their “darn pennies” on the simple joys of life. Never mind that almost every reputable economist has called this tax bill a sham of handouts for the rich at the expense of the vast majority of Americans & the future economic health of this nation. Never mind that it is filled with loopholes written by lobbyists. Never mind that the wealthiest already speak with the loudest voices in Washington, & always have. Grassley’s comments open a window to the soul of the current national Republican Party & it it is not pretty. This is not a view of America that I think President Ronald Reagan let alone President Dwight Eisenhower or Teddy Roosevelt would have recognized. This is unadulterated cynicism & a version of top-down class warfare run amok. ~Facebook 12/4/17