“
You need to spend time crawling alone through shadows to truly appreciate what it is to stand in the sun.
”
”
Shaun Hick
“
Things people say to depressives that they don’t say in other life-threatening situations:
‘Come on, I know you’ve got tuberculosis, but it could be worse. At least no one’s died.’
'Why do you think you got cancer of the stomach?’
‘Yes, I know, colon cancer is hard, but you want to try living with someone who has got it. Sheesh. Nightmare.’
‘Oh, Alzheimer’s you say? Oh, tell me about it, I get that all the time.’
‘Ah, meningitis. Come on, mind over matter.’
‘Yes, yes, your leg is on fire, but talking about it all the time isn’t going to help things, is it?’
‘Okay. Yes. Yes. Maybe your parachute has failed. But chin up.
”
”
Matt Haig (Reasons to Stay Alive)
“
You must be life for me to the very end," so he writes. "That is the only way in which to sustain my idea of you. Because you have gotten, as you see, tied up with something so vital to me, I do not think I shall ever shake you off. Nor do I wish to. I want you to live more vitally every day, as I am dead. That is why, when I speak of you to others, I am just a bit ashamed. It's hard to talk of one's self so intimately
”
”
Henry Miller (Tropic of Cancer (Tropic, #1))
“
As the two-thousand-year-old saying goes, you can have eyes and still not see. But a hard life improves vision.
”
”
Aleksandr Solzhenitsyn (Cancer Ward)
“
St. Clair gets a crush on Anna. He's torn between her and Ellie, and he spends so much time running between them that he hardly has time left for Josh. And the more time that Josh spends alone, the more he realizes how alone he actually is. All of his friends will be gone the next year. Josh grows increasingly antagonistic toward school, which makes Rashmi increasingly antagonistic toward him, which makes him increasingly antagonistic toward her. And she's upset because Elie dropped her as a friend, and Meredith is upset because now St. Clair likes two girls who aren't her, and Anna is upset because St. Clair is leading her on, and then St. Clair's mom gets cancer.
It's a freaking soap opera.
”
”
Stephanie Perkins (Isla and the Happily Ever After (Anna and the French Kiss, #3))
“
Most people think life sucks, and then you die. Not me. I beg to differ. I think life sucks, then you get cancer, then your dog dies, your wife leaves you, the cancer goes into remission, you get a new dog, you get remarried, you owe ten million dollars in medical bills but you work hard for thirty five years and you pay it back and then one day you have a massive stroke, your whole right side is paralyzed, you have to limp along the streets and speak out of the left side of your mouth and drool but you go into rehabilitation and regain the power to walk and the power to talk and then one day you step off a curb at Sixty-seventh Street, and BANG you get hit by a city bus and then you die. Maybe
”
”
Denis Leary
“
It is not hard. Don’t you dare tell us this is hard. Quitting heroin is hard. Beating cancer is hard. Drinking your coffee black. Is. Not. Hard.
”
”
Melissa Urban (The Whole30: The 30-Day Guide to Total Health and Food Freedom)
“
Cancer seems a high price to pay for an innocuous-looking habit. You get into smoking and you are robbed of the last 25 years of your life. Some cocky souls will say, 'Ah yes, but they are the worst 25 years.' Nobody feels like that in a cancer ward. There are no cocky souls in a cancer ward. But there's a lot of pain, not just of the excruciating physical kind that they shoot you full of morphine to smother. There are a lot of tears. All round. It is hard to say goodbye to the people you love. And it's scary. Cancer wards have a way of knocking the cockiness out of you. And for what? Another cigarette?
”
”
Tony Parsons
“
And then he spent three years wondering why everyone found that so hard to understand. All he was doing was living instead of dying. Some people get cancer. Some people get crazy. Nobody tries to take the chemo away.
”
”
John Corey Whaley (Highly Illogical Behavior)
“
I can't reconcile the way that the world is jolted by events that are wonderful and terrible, the gorgeous and the tragic. Except that I am beginning to believe that these opposites do not cancel each other out. I see a middle aged woman in the waiting room of the cancer clinic, her arms wrapped around the frail frame of her son. She squeezes him tightly, oblivious to the way he looks down at her sheepishly. He laughs after a minute, a hostage to her impervious love. Joy persists somehow and I soak it in. The horror of cancer has made everything seem like it is painted in bright colors. I think the same thoughts again and again. Life is so beautiful. Life is so hard.
”
”
Kate Bowler (Everything Happens for a Reason: And Other Lies I've Loved)
“
We can raise the dead. We can cure cancer. We can make the world better in every possible way, save one: No matter how hard we try, we just can't cure stupid.
”
”
Mira Grant (Please Do Not Taunt the Octopus (Newsflesh, #3.4))
“
But maybe it's wrong of me to complain … I'm alive after all … and I lose an enemy or two every day … cancer, apoplexy, gluttony … it's a pleasure the number that pass on! … I'm not hard to please … a name! … another! … there are good things in life …
”
”
Louis-Ferdinand Céline (Castle to Castle)
“
Even now, it's still hard for him to say it. I don't blame him. It's an icky word. Why couldn't whoever was in charge of naming things call cancer 'sugar' and sugar, 'cancer'? People might not eat so much of the stuff then. And it's so much more pleasant to die of sugar.
”
”
Sarah Wylie (All These Lives)
“
So if I asked you about art, you'd probably give me the skinny on every art book ever written. Michelangelo, you know a lot about him. Life's work, political aspirations, him and the pope, sexual orientations, the whole works, right? But I'll bet you can't tell me what it smells like in the Sistine Chapel. You've never actually stood there and looked up at that beautiful ceiling; seen that. If I ask you about women, you'd probably give me a syllabus about your personal favorites. You may have even been laid a few times. But you can't tell me what it feels like to wake up next to a woman and feel truly happy. You're a tough kid. And I'd ask you about war, you'd probably throw Shakespeare at me, right, "once more unto the breach dear friends." But you've never been near one. You've never held your best friend's head in your lap, watch him gasp his last breath looking to you for help. I'd ask you about love, you'd probably quote me a sonnet. But you've never looked at a woman and been totally vulnerable. Known someone that could level you with her eyes, feeling like God put an angel on earth just for you. Who could rescue you from the depths of hell. And you wouldn't know what it's like to be her angel, to have that love for her, be there forever, through anything, through cancer. And you wouldn't know about sleeping sitting up in the hospital room for two months, holding her hand, because the doctors could see in your eyes, that the terms "visiting hours" don't apply to you. You don't know about real loss, 'cause it only occurs when you've loved something more than you love yourself. And I doubt you've ever dared to love anybody that much. And look at you... I don't see an intelligent, confident man... I see a cocky, scared shitless kid. But you're a genius Will. No one denies that. No one could possibly understand the depths of you. But you presume to know everything about me because you saw a painting of mine, and you ripped my fucking life apart. You're an orphan right?
[Will nods]
Sean: You think I know the first thing about how hard your life has been, how you feel, who you are, because I read Oliver Twist? Does that encapsulate you? Personally... I don't give a shit about all that, because you know what, I can't learn anything from you, I can't read in some fuckin' book. Unless you want to talk about you, who you are. Then I'm fascinated. I'm in. But you don't want to do that do you sport? You're terrified of what you might say. Your move, chief.
”
”
Robin Williams
“
The horror of cancer has made everything seem like it is painted in bright colors. I think the same thoughts again and again: Life is so beautiful. Life is so hard.
”
”
Kate Bowler (Everything Happens for a Reason: And Other Lies I've Loved)
“
Because there is no challenge, there is no reason to work hard. And with no reason to work hard, we all have become lazy. Lazy people are like cancer. They spread. Before you know it, the entire country is destroyed.
”
”
Tahir Shah (In Arabian Nights: A Caravan of Moroccan Dreams)
“
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.
”
”
Lance Armstrong (It's Not About the Bike: My Journey Back to Life)
“
Have you ever played Maximum Happy Imagination?"
"Sounds like a Japanese game show."
Kat straightens her shoulders. "Okay, we're going to play. To start, imagine the future. The good future. No nuclear bombs. Pretend you're a science fiction writer."
Okay: "World government... no cancer... hover-boards."
"Go further. What's the good future after that?"
"Spaceships. Party on Mars."
"Further."
"Star Trek. Transporters. You can go anywhere."
"Further."
"I pause a moment, then realize: "I can't."
Kat shakes her head. "It's really hard. And that's, what, a thousand years? What comes after that? What could possibly come after that? Imagination runs out. But it makes sense, right? We probably just imagine things based on what we already know, and we run out of analogies in the thirty-first century.
”
”
Robin Sloan (Mr. Penumbra's 24-Hour Bookstore (Mr. Penumbra's 24-Hour Bookstore, #1))
“
Sometimes the body is a weight pulling you the way down. And it's hard to love the stone that drowns you.
”
”
Kate Bowler (No Cure for Being Human: And Other Truths I Need to Hear)
“
You had a fucking friend who needed you. What the hell was that, Jocelyn?"
He shook his head slowly. "Don't," he whispered hoarsely, dipping his head so our noses were almost touching. "Don't do this. Not now. Whatever shit your spinning in that head of yours, stop. She needs you, babe." He shallowed hard, his eyes glimmering in the streetlights. "I need you."
I felt that familiar choking in the bottom of my throat. "I didn't ask you to need me," I whispered back.
I saw it. The hurt flickered across his face before he quickly banked it. Abruptly, he let go of me. "Fine. I don't have time for your multitude of emotional issues. I have a wee sister who may or may not have brain cancer, and she needs me, even if you don't. But I'll tell you something Jocelyn," he stepped forward, point a finger in my face, his own hardened with anger, "If you don't see her through this, you'll hate yourself for the rest of your life. You can pretend you don't give a shit about me, but you can't pretend Ellie means nothing to you. I've seen you. Do you hear me?" He hissed, his hot breath blowing across my face, his words cutting though my soul. "You love her. You can't sweep that under the rug because it's easier to pretend she means nothing to you than it is to bear the thought of losing her. She deserves better than that.
”
”
Samantha Young (On Dublin Street (On Dublin Street, #1))
“
One can see now how the idea of heaven takes hold of men's consciousness, how it gains ground even when all the props have been knocked from under it. There must be another world beside this swamp in which everything is dumped pell-mell. It's hard to imagine what it can be like, this heaven that men dream about.
”
”
Henry Miller (Tropic of Cancer (Tropic, #1))
“
I am praying hard for the day that Cancer is just a Zodiac Sign and no longer a Disease...
”
”
Nitya Prakash
“
So quietly flows the Seine that
one hardly notices its presence. It is always there, quiet and unobtrusive, like a great
artery running through the human body. In the wonderful peace that fell over me
itseemed as if I had climbed to the top of a high mountain; for a little while I would be
able to look around me, to take in the meaning of the landscape.
Human beings make a strange fauna and flora. From a distance they appear
negligible; close up they are apt to appear ugly and malicious. More than anything they
need to be surrounded with sufficient space – space even more than time.
The sun is setting. I feel this river flowing through meits past, its ancient soil, the
changing climate. The hills gently girdle it about: its course is fixed.
”
”
Henry Miller (Tropic of Cancer (Tropic, #1))
“
At the moment developing a nice little inoffensive cancer somewhere on dry land seemed infinitely preferable to what she was grimly convinced was soon to be her death by drowning way too far out at sea.
”
”
Dana Stabenow (Dead in the Water (Kate Shugak, #3))
“
I was already thirty, a legal adult for ten years, and was old enough to know that my mother did not exist solely to hinder my existence but was a person in her own right who had fought hard making her way through life. She just happened to be unlucky. In other words, the fact that our relationship had been so terrible was as natural as cancer or fungus or the rotation of our planet or sunspots.
”
”
Sang Young Park (Love in the Big City)
“
I know we agree that civilisation is presently in its decadent declining phase, and that lurid ugliness is the predominant visual feature of modern life. Cars are ugly, buildings are ugly, mass-produced disposable consumer goods are unspeakably ugly. The air we breathe is toxic, the water we drink is full of microplastics, and our food is contaminated by cancerous Teflon chemicals. Our quality of life is in decline, and along with it, the quality of aesthetic experience available to us. The contemporary novel is (with very few exceptions) irrelevant; mainstream cinema is family-friendly nightmare porn funded by car companies and the US Department of Defense; and visual art is primarily a commodity market for oligarchs. It is hard in these circumstances not to feel that modern living compares poorly with the old ways of life, which have come to represent something more substantial, more connected to the essence of the human condition.
”
”
Sally Rooney (Beautiful World, Where Are You)
“
Jesus. Every single think about cancer fucking sucked.
”
”
Mari Carr (Falling Hard for her Roommate (Falling Hard, #1))
“
It shouldn't take a life-changing event for you to change your life.
”
”
Shaun Hick
“
My season of weakness has taught me the joy of receiving, the strength of brokenness, and the importance of looking for God in each moment. Before cancer, I would have said
”
”
Kara Tippetts (The Hardest Peace: Expecting Grace in the Midst of Life's Hard)
“
He added, We knew it was going to be a big problem. You’ve got this guy with an army of upward of forty walking corpses that he acquired legally but was meant to bury a while back, it’s time for some hard conversations. He’s curing cancer, that’s great, but he’s bookended by two zombies that they’ve dressed in outfits, that’s bad. You’ve got a wizard out in the wop-wops who’s now got blanket bans from nearly every video upload site and a whole bunch of people have entered the country because of his YouTube channel, the government isn’t all, Love that small-business entrepreneur spirit. The government says, This is a cult.
”
”
Tamsyn Muir (Nona the Ninth (The Locked Tomb, #3))
“
It felt—nearly twenty-five hundred years after Hippocrates had naively coined the overarching term karkinos—that modern oncology was hardly any more sophisticated in its taxonomy of cancer.
”
”
Siddhartha Mukherjee
“
I am in this same river. I can't much help it. I admit it: I'm racist. The other night I saw a group (or maybe a pack?) or white teenagers standing in a vacant lot, clustered around a 4x4, and I crossed the street to avoid them; had they been black, I probably would have taken another street entirely. And I'm misogynistic. I admit that, too. I'm a shitty cook, and a worse house cleaner, probably in great measure because I've internalized the notion that these are woman's work. Of course, I never admit that's why I don't do them: I always say I just don't much enjoy those activities (which is true enough; and it's true enough also that many women don't enjoy them either), and in any case, I've got better things to do, like write books and teach classes where I feel morally superior to pimps. And naturally I value money over life. Why else would I own a computer with a hard drive put together in Thailand by women dying of job-induced cancer? Why else would I own shirts mad in a sweatshop in Bangladesh, and shoes put together in Mexico? The truth is that, although many of my best friends are people of color (as the cliche goes), and other of my best friends are women, I am part of this river: I benefit from the exploitation of others, and I do not much want to sacrifice this privilege. I am, after all, civilized, and have gained a taste for "comforts and elegancies" which can be gained only through the coercion of slavery. The truth is that like most others who benefit from this deep and broad river, I would probably rather die (and maybe even kill, or better, have someone kill for me) than trade places with the men, women, and children who made my computer, my shirt, my shoes.
”
”
Derrick Jensen (The Culture of Make Believe)
“
When a desperate, hungry spirit appears and makes the guinea pigs squeal it is because he knows where to put the live wire of sex, because he knows that beneath the hard carapace of indifference there is concealed the ugly gash, the wound that never heals.
”
”
Henry Miller (Tropic of Cancer (Tropic, #1))
“
Three days ago, I was fired from my job teaching at a college because one of my students
bet me that you don’t cum when you get a prostate exam and it took me seven minutes
to prove that dumb fucking kid wrong. It was hard to touch my own prostate, but
ultimately, I was correct. I came onto the floor and onto the person in the desk up front.
I said, “Kids, that is what is known as ‘empirical evidence’.
”
”
Sam Pink (Dragons With Cancer)
“
It takes courage, humiliating courage, to step aside from your own sovereignty and imagined control and begin looking for the gift that comes unmerited. Yes, I’m talking about grace. Grace by my definition is the gift that comes unearned. In a world of unbelievably able bodies, where new diets are fashioned every day to keep my brand of story away, it is hard to realize you may be living in the middle of the best story ever told. That the story of breast cancer could possibly be a good story? A great story even? It would be easier to shake my fist at the test results and scream that this isn’t the right story, but to receive—humbly receive—the story no one would ever want, and know there is goodness in the midst of its horror, is not something I could ever do in my own strength. I simply cannot. That receiving comes from the One who received His own suffering for a much greater purpose than my own.
”
”
Kara Tippetts (The Hardest Peace: Expecting Grace in the Midst of Life's Hard)
“
My work is to love my body, all of it. Whole and entire. The whole aging mortal troublesome failing miraculous intricate breathing doomed cancerous warm mortifying unreliable hard-working imperfect beautiful appalling living struggling tender frightened frightening living dying living breathing temporary wondrous mystifying afflicted mortally-ill assemblage of the atoms of the universe that is my self, is me, for this space of time.
”
”
Irvin D. Yalom (Creatures of a Day: And Other Tales of Psychotherapy)
“
Judgment separates us from the people we want to be close to incredibly quickly. Whether it’s our internal self-judgment that shuts down opportunity for connection or our judgment of others that makes it hard for loved ones to open up to us, judgment is cancer for authenticity in
relationships.
”
”
Gina Senarighi (Love More, Fight Less: Communication Skills Every Couple Needs: A Relationship Workbook for Couples)
“
Sean: …………And I'd ask you about war, you'd probably throw Shakespeare at me, right, "once more unto the breach dear friends." But you've never been near one. You've never held your best friend's head in your lap, watch him gasp his last breath looking to you for help. I'd ask you about love, you'd probably quote me a sonnet. But you've never looked at a woman and been totally vulnerable. Known someone that could level you with her eyes, feeling like God put an angel on earth just for you. Who could rescue you from the depths of hell. And you wouldn't know what it's like to be her angel, to have that love for her, be there forever, through anything, through cancer. And you wouldn't know about sleeping sitting up in the hospital room for two months, holding her hand, because the doctors could see in your eyes, that the terms "visiting hours" don't apply to you. You don't know about real loss, 'cause it only occurs when you've loved something more than you love yourself. And I doubt you've ever dared to love anybody that much. And look at you... I don't see an intelligent, confident man... I see a scared shitless kid. But you're a genius Will. No one denies that. No one could possibly understand the depths of you. But you presume to know everything about me because you saw a painting of mine, and you ripped my life apart. You're an orphan right?
[Will nods]
Sean: You think I know the first thing about how hard your life has been, how you feel, who you are, because I read Oliver Twist? Does that encapsulate you? Personally... I don't give a shit about all that, because you know what, I can't learn anything from you, I can't read in some book. Unless you want to talk about you, who you are. Then I'm fascinated. I'm in. But you don't want to do that do you sport? You're terrified of what you might say. Your move, chief.
”
”
Matt Damon
“
We cannot outrun our past trauma. We can’t bury it and think that we will be fine. We cannot skip the essential stage of processing, accepting, and doing the hard, yet necessary trauma recovery work. There’s a body-mind connection. Trauma can manifest itself into chronic physical pain, cancer, inflammation, auto-immune conditions, depression, anxiety, PTSD, Complex PTSD, addictions, and ongoing medical conditions.
”
”
Dana Arcuri (Soul Rescue: How to Break Free From Narcissistic Abuse & Heal Trauma)
“
Why is it so hard to say good-bye to something even when you know it's a slow-growing cancer?
”
”
Koren Zailckas (Mother, Mother)
“
It's very hard not to commit cancer suicide in America.
”
”
Jonathan Ames (Wake Up, Sir!)
“
pessimism is a risk factor for depression in just the same sense as smoking is a risk factor for lung cancer or being a hostile, hard-driving man is a risk factor for heart attack.
”
”
Martin E.P. Seligman (Learned Optimism: How to Change Your Mind and Your Life)
“
It’s often pretty hard to speak to others about my cancer. I have a number of pet peeves. Many folks are overly solicitous. They can’t do enough for you. There’s that Kaiser nurse who keeps asking “Isn’t there someone who can drive you here?” And some people are too prying. I think they are voyeuristic and attempt to satisfy their morbid curiosity about having cancer. I don’t like that and have sometimes wanted to say, “Go get your own damn fatal illness.
”
”
Irvin D. Yalom (Creatures of a Day: And Other Tales of Psychotherapy)
“
Oh Mickey, it was wonderful, it was fun - the whole kitten and kaboozle. It was like living. And to be denied that whole part would be a great loss. You gave it to me. You gave me a double life. I couldn't have endured with just one."
I'm proud of you and your double life."
All I regret", she said, crying again, crying with him, the two of them in tears..."is that we couldn't sleep together too many nights. To commingle with you. Commingle?"
Why not."
I wish tonight you could spend the night."
I do, too. But I'll be here tomorrow night."
I meant it up at the Grotto. I didn't want to fuck any more men even without the cancer. I wouldn't do that even if I was alive."
You are alive. It is here and now. It's tonight. You're alive."
I wouldn't do it. You're the one I always loved fucking. But I don't regret that I have fucked many. It would have been a great loss to have had otherwise. Some of them, they were sort of wasted times. You must have that, too. Haven't you? With women you didn't enjoy?"
Yes."
Yes, I had experiences where the men would just want to fuck you whether they cared about you or not. That was always harder for me. I give my heart, I give my self, in my fucking."
You do indeed."
And then, after just a little drifting, she fell asleep and so he went home - "I'm leaving now" - and within two hours she threw a clot and was dead.
So those were her last words, in English anyway. I give my heart, I give my self, in my fucking. Hard to top that.
To commingle with you, Drenka, to commingle with you now.
”
”
Philip Roth (Sabbath's Theater)
“
We’re good at addressing specific, individual problems: colon cancer, high blood pressure, arthritic knees. Give us a disease, and we can do something about it. But give us an elderly woman with high blood pressure, arthritic knees, and various other ailments besides—an elderly woman at risk of losing the life she enjoys—and we hardly know what to do and often only make matters worse.
”
”
Atul Gawande (Being Mortal: Medicine and What Matters in the End)
“
I understand that for the people who really care about you the fact that you are facing cancer is very hard to swallow. They will need time managing and dealing with their emotions just as you do.
”
”
Yilda B. Rivera (Courage Under Fire)
“
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.
”
”
Alexandra Almeida (Parity (Spiral Worlds, #2))
“
Those who have not been trained in chemistry201 or medicine may not realize how difficult the problem of cancer treatment really is. It is almost—not quite, but almost—as hard as finding some agent that will dissolve away the left ear, say, and leave the right ear unharmed. So slight is the difference between the cancer cell and its normal ancestor. —William Woglom Life
”
”
Siddhartha Mukherjee (The Emperor of All Maladies)
“
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.
”
”
Rachel Naomi Remen (Kitchen Table Wisdom: Stories that Heal)
“
See, that divine plan shite is what the pulpit-hucksters feed you when things start to go wrong. After they've passed around the collection plate, of course. When your crops fail or your cancer spreads or whatever else you've begged him for doesn't come to pass. That's the solace they'll offer. It's God's will, they'll tell you. Part of the divine plan.
What they don't point out is, if he has a plan? There's no sense praying for anything. If His will be done is the golden rule, then God's going to do what he wants, regardless of how hard you beg him. And imagine, just for a second, the sense of entitlement it takes to ask him for anything in the first place. The fucking ego you'd need to think that this is somehow all for you. What if you ask for something that's not his will? You want him to alter the course of the divine plan? For you? See, that's the grift of it all. That's the genius. You get what you pray for? Huzzah, God fucking loves you. But your prayers go unanswered? Just wasn't part of the plan.
”
”
Jay Kristoff (Empire of the Vampire (Empire of the Vampire, #1))
“
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.
”
”
Kara Tippetts (The Hardest Peace: Expecting Grace in the Midst of Life's Hard)
“
It’s hard to know, when you’re in such a jam, which is worse—not having a place to sleep or not having a place to work. One can sleep almost anywhere, but one must have a place to work. Even if it’s not a masterpiece you’re doing. Even a bad novel requires a chair to sit on and a bit of privacy.
”
”
Henry Miller (Tropic of Cancer)
“
I looked at her, then back at him. “If you really loved me, you’d do it.”
Jealousy is the rust that eats away at morality’s hard steel. It’s cancerous, and once it starts it spreads, and spreads. At first it lets small concessions through. He watched me drink, do drugs. He looked the other way when we stole things. He was in love. He never realized all these lapses were weakening him, that a moment would come when I’d push harder than before and the entire structure would crumble into red powder.
Armin gave me the gun. Took the bat. Closed his eyes and inhaled. Opened them and swung and exhaled.
He’d gone for the head.
”
”
Leah Raeder (Black Iris)
“
Jayni dropped her gaze and asked quietly, “Will I get a
small box since I haven’t had cancer?”
“Oh, child, life in your shadow world is hard, even
without cancer. Suffering comes in many forms. But joy comes when you understand that this is the real world, here with me, and all those troubles in your world won’t last forever.
”
”
Colleen Elisabeth Chao (Out of the Shadow World)
“
My dad died of cancer in the month when spirits walk among the living. He's still here because I'm having a hard time letting him go. I need him to help me sort out the feelings inside me, like the funnel clouds that drop from the sky when you least expect them. You may think I'm mad, but when you read my story, you'll see that it's not about madness. Its about hating the person you love the most. It's about the guilt that keeps October's dark chill in my heart and won't allow the spring to come in.
”
”
C. Lee McKenzie (The Princess of Las Pulgas)
“
By the way,” I said, “I wanted to tell you—about why I decided to hike the PCT? I got divorced. I was married and not long ago I got divorced, and also about four years ago my mom died—she was only forty-five and she got cancer suddenly and died. It’s been a hard time in my life and I’ve sort of gotten offtrack. So I …” He opened his eyes wider, looking at me. “I thought it would help me find my center, to come out here.” I made a crumpled gesture with my hands, out of words, a bit surprised that I’d let so many tumble out.
”
”
Cheryl Strayed (Wild: From Lost to Found on the Pacific Crest Trail)
“
I heard a lot about the idea of dying "with dignity" while my mother was sick. It was only near her very end that I gave much thought to what this idea meant. I didn't actually feel it was undignified for my mother's body to fail--that was the human condition. Having to help my mother on and off the toilet was difficult, but it was natural. The real indignity, it seemed, was dying where no one cared for you the way your family did, dying where it was hard for your whole family to be with you and where excessive measures might be taken to keep you alive past a moment that called for letting go. I didn't want that for my mother. I wanted her to be able to go home. I didn't want to pretend she wasn't going to die.
”
”
Meghan O'Rourke (The Long Goodbye)
“
Mmmm,” I said after the waiter left, and Augustus smiled crookedly as he stared down the canal while I stared up it. We had plenty to look at, so the silence didn’t feel awkward really, but I wanted everything to be perfect. It was perfect, I guess, but it felt like someone had tried to stage the Amsterdam of my imagination, which made it hard to forget that this dinner, like the trip itself, was a cancer perk. I just wanted us to be talking and joking comfortably, like we were on the couch together back home, but some tension underlay everything.
”
”
John Green (The Fault in Our Stars)
“
Cancer is a gift. There, I said it. I can say that cancer and suffering give the beautiful gift of perspective. It is the gift you never wanted, the gift wrapped in confusion and brokenness and heartbreak. It’s the gift that strips all your other ideas of living from you completely. The beautiful, ugly raising to the surface of the importance of each and every moment.
”
”
Kara Tippetts (The Hardest Peace: Expecting Grace in the Midst of Life's Hard)
“
As much as we complain about other people, there is nothing worse for mental health than a social desert. A study of Swiss cities found that psychotic disorders, including schizophrenia, are most common in neighborhoods with the thinnest social networks. Social isolation just may be the greatest environmental hazard of city living—worse than noise, pollution, or even crowding. The more connected we are with family and community, the less likely we are to experience colds, heart attacks, strokes, cancer, and depression. Simple friendships with other people in one’s neighborhood are some of the best salves for stress during hard economic times—in fact, sociologists have found that when adults keep these friendships, their kids are better insulated from the effects of their parents’ stress. Connected people sleep better at night. They are more able to tackle adversity. They live longer. They consistently report being happier.
”
”
Charles Montgomery (Happy City: Transforming Our Lives Through Urban Design)
“
life had been building potential, potential that would now go unrealized. I had planned to do so much, and I had come so close. I was physically debilitated, my imagined future and my personal identity collapsed, and I faced the same existential quandaries my patients faced. The lung cancer diagnosis was confirmed. My carefully planned and hard-won future no longer existed. Death, so familiar to me in my work, was now paying a personal visit. Here we were, finally face-to-face, and yet nothing about it seemed recognizable. Standing at the crossroads where I should have been able to see and follow the footprints of the countless patients I had treated over the years, I saw instead only a blank, a harsh, vacant, gleaming white desert, as if a sandstorm had erased all trace of familiarity.
”
”
Paul Kalanithi (When Breath Becomes Air)
“
I'm a Cancer, you know," I tell her. "So it's hard for me to talk. And I have all these weird dreams, not the ones with the Sony Girls - ha-ha - but mostly where I mow the lawn. Sometimes I just wash the car, like Gupta! But there's this voice in my head, and Lt. Kim thinks that once we get it to go away, I'll stop worrying that the good things in life are destined to fail, like you and me. But I'm up in this satellite dish, and I'm thinking: what if this is the voice that still believes things can be okay, that believes in good and warns me from bad? It wants to protect me, just like the United Nations.
”
”
Adam Johnson (Emporium)
“
We knew it was going to be a big problem. You’ve got this guy with an army of upward of forty walking corpses that he acquired legally but was meant to bury a while back, it’s time for some hard conversations. He’s curing cancer, that’s great, but he’s bookended by two zombies that they’ve dressed in outfits, that’s bad. You’ve got a wizard out in the wop-wops who’s now got blanket bans from nearly every video upload site and a whole bunch of people have entered the country because of his YouTube channel, the government isn’t all, Love that small-business entrepreneur spirit. The government says, This is a cult.
”
”
Tamsyn Muir (Nona the Ninth (The Locked Tomb, #3))
“
The default to studying men at times veered into absurdity: in the early sixties, observing that women tended to have lower rates of heart disease until their estrogen levels dropped after menopause, researchers conducted the first trial to look at whether supplementation with the hormone was an effective preventive treatment. The study enrolled 8,341 men and no women. (Although doctors began prescribing estrogens to postmenopausal women in droves - by the midseventies, a third would be taking them - it wasn't until 1991 that the first clinical study of hormone therapy was conducted in women.) An NIH-supported pilot study from Rockefeller University looked at how obesity affected breast and uterine cancer didn't enroll a single woman. While men can develop breast cancer - and a small number of them do each year - as Rep. Snowe noted drily at the congressional hearings, 'Somehow I find it hard to believe that the male-dominated medical community would tolerate a study of prostate cancer that used only women as research subjects.
”
”
Maya Dusenbery (Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick)
“
he still had ten times that amount of aconite stored back at home. No, the trouble really was, here was this lovely woman with the light brown eyes and radiant face, with whom it was wonderful to be talking—and yet he would never be able to kiss her. When he got home to the backwoods he’d hardly believe that he’d been sitting here, right next to such a radiant woman, and that she had wanted to save his life, whatever the cost.
”
”
Aleksandr Solzhenitsyn (Cancer Ward: A Novel (FSG Classics))
“
An NIH-supported pilot study from Rockefeller University that looked at how obesity affected breast and uterine cancer didn’t enroll a single woman. While men can develop breast cancer—and a small number of them do each year—as Rep. Snowe noted drily at the congressional hearings, “Somehow, I find it hard to believe that the male-dominated medical community would tolerate a study of prostate cancer that used only women as research subjects.
”
”
Maya Dusenbery (Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick)
“
Kent Myers was an asshole. We had the unfortunate pleasure of sitting across from each other at our chemotherapy appointments. Or as Kent liked to call it, ‘Fuck this bullshit in the fucking ass.’ He had a way with words. He always gave the nurses a hard time, calling them dumbasses when they missed his veins for the IVs. He called one nurse Susie, even though his name was Steven. He called me the annoyingly positive cancer girl who quoted dead people.
”
”
Brittainy C. Cherry (Art & Soul)
“
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,
”
”
John Berryman
“
It's easy for me to accept that I am bacteria, or a parasite, or cancer. It's easy for me to accept that my life is trivial, and that I am a speck of dust. It is hard for me to accept that for the people around me, however. It's hard for me to accept that my brother's life doesn't matter, or that old women who die don't matter, or even that rabbits or cats don't matter. I feel simultaneously intensely insignificant and hyperaware of how important everyone is.
”
”
Emily R. Austin (Everyone in This Room Will Someday Be Dead)
“
You wouldn’t understand, of course, but the bond between a mother and child, it’s . . . how best to describe it . . . unbreakable. The two of us are linked forever, you see—same blood in my veins that’s running through yours. You grew inside me, your teeth and your tongue and your cervix are all made from my cells, my genes. Who knows what little surprises I left growing inside there for you, which codes I set running? Breast cancer? Alzheimer’s? You’ll just have to wait and see. You were fermenting inside me for all those months, nice and cozy, Eleanor. However hard you try to walk away from that fact, you can’t, darling, you simply can’t. It isn’t possible to destroy a bond that strong.
”
”
Gail Honeyman (Eleanor Oliphant Is Completely Fine)
“
But one of the rather open secrets about Catholicism is that plenty of Catholics don't toe the line as hard as the Vatican does. Each Catholic examines her conscience, and if her conscience says that an abortion done to save the life of the mother keeps at least one person alive, or if a condom worn by a guy with AIDS keeps AIDS from spreading, or if a cancer-racked body needs to depart the world painlessly, then so be it. The God we believe in, after all, is a God of mercy and compassion.
”
”
Kaya Oakes (Radical Reinvention: An Unlikely Return to the Catholic Church)
“
It’s normally agreed that the question “How are you?” doesn’t put you on your oath to give a full or honest answer. So when asked these days, I tend to say something cryptic like, “A bit early to say.” (If it’s the wonderful staff at my oncology clinic who inquire, I sometimes go so far as to respond, “I seem to have cancer today.”) Nobody wants to be told about the countless minor horrors and humiliations that become facts of “life” when your body turns from being a friend to being a foe: the boring switch from chronic constipation to its sudden dramatic opposite; the equally nasty double cross of feeling acute hunger while fearing even the scent of food; the absolute misery of gut–wringing nausea on an utterly empty stomach; or the pathetic discovery that hair loss extends to the disappearance of the follicles in your nostrils, and thus to the childish and irritating phenomenon of a permanently runny nose. Sorry, but you did ask... It’s no fun to appreciate to the full the truth of the materialist proposition that I don’t have a body, I am a body. But it’s not really possible to adopt a stance of “Don’t ask, don’t tell,” either. Like its original, this is a prescription for hypocrisy and double standards. Friends and relatives, obviously, don’t really have the option of not making kind inquiries. One way of trying to put them at their ease is to be as candid as possible and not to adopt any sort of euphemism or denial. The swiftest way of doing this is to note that the thing about Stage Four is that there is no such thing as Stage Five. Quite rightly, some take me up on it. I recently had to accept that I wasn’t going to be able to attend my niece’s wedding, in my old hometown and former university in Oxford. This depressed me for more than one reason, and an especially close friend inquired, “Is it that you’re afraid you’ll never see England again?” As it happens he was exactly right to ask, and it had been precisely that which had been bothering me, but I was unreasonably shocked by his bluntness. I’ll do the facing of hard facts, thanks. Don’t you be doing it too. And yet I had absolutely invited the question. Telling someone else, with deliberate realism, that once I’d had a few more scans and treatments I might be told by the doctors that things from now on could be mainly a matter of “management,” I again had the wind knocked out of me when she said, “Yes, I suppose a time comes when you have to consider letting go.” How true, and how crisp a summary of what I had just said myself. But again there was the unreasonable urge to have a kind of monopoly on, or a sort of veto over, what was actually sayable. Cancer victimhood contains a permanent temptation to be self–centered and even solipsistic.
”
”
Christopher Hitchens (Mortality)
“
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.
”
”
Atul Gawande
“
Etien’s very depressed,” Ghosh said. “Not about the cancer, but over his colostomy. He can’t accept the idea of waste coming out from an opening in his abdomen.” Etien had the sheet over his head. When Ghosh examined him, and then said the colostomy looked beautiful, tears welled up in Etien’s big eyes. He wouldn’t look down there. All he said was “Who will marry me now?” Ghosh was surprisingly firm. “Etien, that’s not the part of your body I cut off, the marrying part. You’ll find a woman who loves you, and you’ll explain it to her. If she loves you for yourself, you’ll both be glad that you are alive.” Ghosh’s facial expression brooked no argument, but then he softened. “Etien, imagine if all humans were born with their anus on the belly and that’s where everyone’s waste emerged. Then imagine if someone said they were going to operate on you and reroute your bowel so it opened behind you, between your buttock cheeks, somewhere where you couldn’t see it except in a mirror, and where you could hardly reach it or easily keep it clean …” It took a few seconds, but then Etien smiled. He dabbed his eyes. He ventured a glance down at his colostomy. It was a small step in the right direction.
”
”
Abraham Verghese (Cutting for Stone)
“
If I don't beat the cancer growing inside of me, I want you to go on. I want you to find another woman to love. You have so much to give, so much love to share that I never want you to be alone again. If I’m not here anymore, I want to know that you’re happy and not alone. Don’t fall into the same despair you did after losing Maggie. Remember that sometimes it’s all just part of the journey we’re meant to travel to be with the one who’s destined to be ours.” The words are hard to say. Facing my mortality and knowing I can pass away makes my chest ache and my heart pound furiously, almost out of control.
”
”
Chelle Bliss (Enshrine)
“
C. S. Lewis, who called pride “the great sin,” and “spiritual cancer,” wrote: It is Pride which has been the chief cause of misery in every nation and every family since the world began . . . Pride always means enmity—it is enmity. And not only enmity between man and man, but enmity to God. In God you come up against something which is in every respect immeasurably superior to yourself. Unless you know God as that—and therefore know yourself as nothing in comparison—you do not know God at all. As long as you are proud you cannot know God. A proud man is always looking down on things and people: and, of course, as long as you are looking down, you cannot see something that is above you. That raises a terrible question. How is it that people who are quite obviously eaten up with Pride can say they believe in God and appear to themselves very religious? I am afraid it means they are worshipping an imaginary God.1
”
”
John F. MacArthur Jr. (Hard to Believe: The High Cost and Infinite Value of Following Jesus)
“
I learn so much that I previously did not know about the world of the immobile that it is hard to believe it all takes place over a few hours. At random: I learn about the casual indifference of the London cabbie to the wheelchair user and that the clearance on accessible entrances is measured in millimetres less than a knuckle. I learn how intractable it is to push a grown man around for hours and how spontaneity is the privilege of the able-bodied. In solid counterpart to all this grief, I learn about the lengths nurses are prepared to go to assist a purely recreational and ambitious project by one of their patients.
”
”
Marion Coutts (The Iceberg)
“
Regulation-writers find it much easier to address safety than health hazards. The former are technically easier to find, describe, assess, and control than the latter. A worker falls from a platform. The cause is clear - no railing. The effect is clear - a broken leg. The cost is easily calculated - so many days in the hospital, so many days of lost wages, so much to build a railing. The directive is easy to write: "Install railings on platforms." But if a worker develops cancer fifteen years after starting work in a chemical plant, the cause of the cancer will be uncertain and controversial. The cost of the disease will be hard to calculate. The solution will be hard to specify:
”
”
James Q. Wilson (Bureaucracy: What Government Agencies Do and Why They Do It)
“
the Bhutanese scholar and cancer survivor. “There is no such thing as personal happiness,” he told me. “Happiness is one hundred percent relational.” At the time, I didn’t take him literally. I thought he was exaggerating to make his point: that our relationships with other people are more important than we think. But now I realize Karma meant exactly what he said. Our happiness is completely and utterly intertwined with other people: family and friends and neighbors and the woman you hardly notice who cleans your office. Happiness is not a noun or verb. It’s a conjunction. Connective tissue. Well, are we there yet? Have I found happiness? I still own an obscene number of bags and am prone to debilitating bouts of hypochondria. But I do experience happy moments. I’m learning, as W. H. Auden counseled, to “dance while you can.” He didn’t say dance well, and for that I am grateful. I’m not 100 percent happy. Closer to feevty-feevty, I’d say. All things considered, that’s not so bad. No, not bad at all. Waterford, Virginia, July 2007
”
”
Eric Weiner (The Geography of Bliss: One Grump's Search for the Happiest Places in the World)
“
But Project 56 revealed that a nuclear detonation wasn’t the only danger that a weapon accident might pose. The core of the Genie contained plutonium—and when it blew apart, plutonium dust spread through the air. The risks of plutonium exposure were becoming more apparent in the mid-1950s. Although the alpha particles emitted by plutonium are too weak to penetrate human skin, they can destroy lung tissue when plutonium dust is inhaled. Anyone within a few hundred feet of a weapon accident spreading plutonium can inhale a swiftly lethal dose. Cancers of the lung, liver, lymph nodes, and bone can be caused by the inhalation of minute amounts. And the fallout from such an accident may contaminate a large area for a long time. Plutonium has a half-life of about twenty-four thousand years. It remains hazardous throughout that period, and plutonium dust is hard to clean up. “The problem of decontaminating the site of [an] accident may be insurmountable,” a classified Los Alamos report noted a month after the Genie’s one-point safety test, “and it may have to be ‘written off’ permanently.
”
”
Eric Schlosser (Command and Control: Nuclear Weapons, the Damascus Accident, and the Illusion of Safety)
“
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
”
”
Jane Kenyon (Otherwise: New and Selected Poems)
“
We do not consider the many causes of weight loss. We don’t remember troubling weight loss is sometimes prompted by grief from a breakup, divorce, or death. We don’t think about weight loss caused by cancer or chemotherapy. We don’t consider that the person in front of us might be going through a medical crisis, their weight loss a sign of abrupt and troubling change rather than hard-fought victory. And we don’t consider that weight loss is sometimes linked to declining mental health or a new wave of disordered eating. In our eagerness to compliment what we assume is desired weight loss, many of us end up congratulating restrictive eating disorders, grief, and trauma in the process, revealing that we are in a constant state of surveillance, monitoring and assessing the bodies of those around us. We keep our disappointment and displeasure quiet, revealing our disapproval of fatness only in our celebration of thinness.
”
”
Aubrey Gordon (“You Just Need to Lose Weight”: And 19 Other Myths About Fat People)
“
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.
”
”
James C. Dobson (Life on the Edge: The Next Generation's Guide to a Meaningful Future)
“
I could take one wrong step off a curb and be crushed by a bus. I could choke on a piece of bread. The arteries around my heart might be clogging right now. I probably already have cancer. Someone in my apartment building might burn a frozen pizza tonight and fry me to death in my sleep. A mosquito could give me malaria. I don’t know how to tell if I’m inhaling carbon monoxide. I could be struck by lightning. I could have an aneurysm. I could starve to death. A tornado could tear me from my seat and pitch me into the sky. I could have a stroke. I could be crushed in a tsunami or an earthquake. I could get rabies. I could drown in an undertow. I could catch the plague. The earth could open up a sinkhole and swallow me. I could get typhoid… and a psychopath could kill me? The fact that a person could deliberately end another person’s life is hard for me to wrap my mind around. Given all the ways to die that are already looming over me, I have to worry about psychopaths, too?
”
”
Emily R. Austin (Everyone in This Room Will Someday Be Dead)
“
Anyway, as I was saying, marriage sucks. It sucks the life and soul out of you. There are days I want to kill him, and there are days I want to torture him before I kill him.” Lizzy is working so hard at containing her laughter that she almost falls out of her chair. “There are days I wish he’d never been born. There are days I wish I’d never been born. But, listen to this carefully. They are just thoughts. Random fleeting thoughts that cross my mind when I’m upset about accidentally burning supper. Did he make me burn supper? No, he didn’t, but I heaped that blame on him. Or when I forgot about a load of his underpants in the washer and they soured. He bore the brunt of that blame, too. What about the abuse he got when I gave birth to our child? Twelve hours of non-stop name calling during labor, and that man took every last bit of it and fed me words of love and encouragement to boot!” Lizzy and I are now captivated by her speech. “When and if you get married, those thoughts will come to you. You’re going to fight. You’re going to have resentful moments. You’re going to wonder if it’s worth it all. My Stanley is eighty-six years old, and he was diagnosed with terminal cancer four weeks ago. If we’re lucky, I might have another couple of months with him the doctors say. All that complaining I did earlier… all that truth I gave you… you’d think I regretted marrying him, wouldn’t you? Well, I don’t. I’d give anything to have sixty-eight more years with him.
”
”
Rhonda R. Dennis (Yours Always)
“
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,
”
”
Eric Weiner (The Geography of Bliss: One Grump's Search for the Happiest Places in the World)
“
WHEN I DESCRIBED THE TUMOR IN MY ESOPHAGUS as a “blind, emotionless alien,” I suppose that even I couldn’t help awarding it some of the qualities of a living thing. This at least I know to be a mistake: an instance of the pathetic fallacy (angry cloud, proud mountain, presumptuous little Beaujolais) by which we ascribe animate qualities to inanimate phenomena. To exist, a cancer needs a living organism, but it cannot ever become a living organism. Its whole malice—there I go again—lies in the fact that the “best” it can do is to die with its host. Either that or its host will find the measures with which to extirpate and outlive it. But, as I knew before I became ill, there are some people for whom this explanation is unsatisfying. To them, a rodent carcinoma really is a dedicated, conscious agent—a slow–acting suicide–murderer—on a consecrated mission from heaven. You haven’t lived, if I can put it like this, until you have read contributions such as this on the websites of the faithful:
Who else feels Christopher Hitchens getting terminal throat cancer [sic] was God’s revenge for him using his voice to blaspheme him? Atheists like to ignore FACTS. They like to act like everything is a “coincidence.” Really? It’s just a “coincidence” [that] out of any part of his body, Christopher Hitchens got cancer in the one part of his body he used for blasphemy? Yeah, keep believing that, Atheists. He’s going to writhe in agony and pain and wither away to nothing and then die a horrible agonizing death, and THEN comes the real fun, when he’s sent to HELLFIRE forever to be tortured and set afire.
There are numerous passages in holy scripture and religious tradition that for centuries made this kind of gloating into a mainstream belief. Long before it concerned me particularly I had understood the obvious objections. First, which mere primate is so damn sure that he can know the mind of god? Second, would this anonymous author want his views to be read by my unoffending children, who are also being given a hard time in their way, and by the same god? Third, why not a thunderbolt for yours truly, or something similarly awe–inspiring? The vengeful deity has a sadly depleted arsenal if all he can think of is exactly the cancer that my age and former “lifestyle” would suggest that I got. Fourth, why cancer at all? Almost all men get cancer of the prostate if they live long enough: It’s an undignified thing but quite evenly distributed among saints and sinners, believers and unbelievers. If you maintain that god awards the appropriate cancers, you must also account for the numbers of infants who contract leukemia. Devout persons have died young and in pain. Betrand Russell and Voltaire, by contrast, remained spry until the end, as many psychopathic criminals and tyrants have also done. These visitations, then, seem awfully random. My so far uncancerous throat, let me rush to assure my Christian correspondent above, is not at all the only organ with which I have blasphemed. And even if my voice goes before I do, I shall continue to write polemics against religious delusions, at least until it’s hello darkness my old friend. In which case, why not cancer of the brain? As a terrified, half–aware imbecile, I might even scream for a priest at the close of business, though I hereby state while I am still lucid that the entity thus humiliating itself would not in fact be “me.” (Bear this in mind, in case of any later rumors or fabrications.)
”
”
Christopher Hitchens (Mortality)
“
Shortly after becoming a Christian, I counseled a woman who was in a closeted lesbian relationship and a member of a Bible-believing church. No one in her church knew. Therefore, no one in her church was praying for her. Therefore, she sought and received no counsel. There was no “bearing one with the other” for her. No confession. No repentance. No healing. No joy in Christ. Just isolation. And shame. And pretense. Someone had sold her the pack of lies that said that God can heal your lying tongue or your broken heart, even cure your cancer if he chooses, but he can’t transform your sexuality. I told her that my heart breaks for her isolation and shame and asked her why she didn’t share her struggle with anyone in her church. She said: “Rosaria, if people in my church really believed that gay people could be transformed by Christ, they wouldn’t talk about us or pray about us in the hateful way that they do.” Christian reader, is this what people say about you when they hear you talk and pray? Do your prayers rise no higher than your prejudice? I think that churches would be places of greater intimacy and growth in Christ if people stopped lying about what we need, what we fear, where we fail, and how we sin. I think that many of us have a hard time believing the God we believe in, when the going gets tough. And I suspect that, instead of seeking counsel and direction from those stronger in the Lord, we retreat into our isolation and shame and let the sin wash over us, defeating us again. Or maybe we muscle through on our pride. Do we really believe that the word of God is a double-edged sword, cutting between the spirit and the soul? Or do we use the word of God as a cue card to commandeer only our external behavior?
”
”
Rosaria Champagne Butterfield (The Secret Thoughts of an Unlikely Convert)
“
It may be hard to convince ourselves that something we can't see, hear, touch, taste, or smell can still hurt us so dreadfully. Yet the fact must be faced, just as we've learned a healthy fear of nuclear radiation. Certain scientists, some perhaps acting in a program of deliberate disinformation, keep telling the public that we still don't know whether electropollution is a threat to human health. That's simply not true. Certainly we need to know more, but a multitude of risks have been well documented.
Three dangers overshadow all others. The first has been conclusively proven: ELF electromagnetic fields vibrating at about 30 to 100 hertz, even if they're weaker than the earth's field, interfere with the cues that keep our biological cycles properly timed; chronic stress and impaired disease resistance result. Second, the available evidence strongly suggests that regulation of cellular growth processes is impaired by electropollution, increasing cancer rates and producing serious reproductive problems. Electromagnetic weapons constitute a third class of hazards culminating in climatic manipulation from a sorcerer's-apprentice level of ignorance.
”
”
Robert O. Becker (The Body Electric: Electromagnetism and the Foundation of Life)
“
Few chemicals confer maleness, but many take it away. Which, if any, are responsible for our own troubles is hard to say.
The Pill changed men's lives in more ways than one. It caused reproductive hormones to leak into tap water and has been blamed both for the sex changes in freshwater fish and for the drop in our own sperm count. The jury is still out on the issue, but other hormones have had a disastrous effect. A drug called diethylstilbestrol was once thought - in error - to prevent miscarriage. Five million mothers took it and for a time it was even used as a chicken food supplement. A third of the boys exposed to the drug in the womb suffer from small testes or a reduced penis. In rats, the chemical causes prostate and testicular cancer (although there is as yet no sign of those problems in ourselves).
To give a powerful steroid to pregnant women was at best unwise, but the effects of other chemicals were harder to foresee. The 1950s saw a wonderful new chemical treatment for banana pests. Soon the substance was much used. Twenty years later the workers noticed something odd: they had almost no children. Their sperm count had dropped by five hundred times.
”
”
Steve Jones (Y: The Descent of Men)
“
You have a life stretching out in front of you with a million possibilities,” Gat says. “It—it grates on me when you ask for sympathy, that’s all.”
Gat, my Gat.
He is right. He is.
But he also doesn’t understand.
“I know no one’s beating me,” I say, feeling defensive all of a sudden. “I know I have plenty of money and a good education. Food on the table. I’m not dying of cancer. Lots of people have it much worse than I. And I do know I was lucky to go to Europe. I shouldn’t complain about it or be ungrateful.”
“Okay, then.”
“But listen. You have no idea what it feels like to have headaches like this. No idea. It hurts,” I say—and I realize tears are running down my face, though I’m not sobbing. “It makes it hard to be alive, some days. A lot of times I wish I were dead, I truly do, just to make the pain stop.”
“You do not,” he says harshly. “You do not wish you were dead. Don’t say that.”
“I just want the pain to be over,” I say. “On the days the pills don’t work. I want it to end and I would do anything—really, anything—if I knew for sure it would end the pain.”
There is a silence. He walks down to the bottom edge of the roof, facing away from me. “What do you do then? When it’s like that?”
“Nothing. I lie there and wait, and remind myself over and over that it doesn’t last forever. That there will be another day and after that, yet another day. One of those days, I’ll get up and eat breakfast and feel okay.”
“Another day.”
“Yes.”
Now he turns and bounds up the roof in a couple steps. Suddenly his arms are around me, and we are clinging to each other.
He is shivering slightly and he kisses my neck with cold lips. We stay like that, enfolded in each other’s arms, for a minute or two and it feels like the universe is reorganizing itself, and I know any anger we felt has disappeared.
Gat kisses me on the lips, and touches my cheek.
I love him.
I have always loved him.
We stay up there on the roof for a very, very long time. Forever.
”
”
E. Lockhart (We Were Liars)
“
War means endless waiting, endless boredom. There is no electricity, so no television. You can't read. You can't see friends. You grow depressed but there is no treatment for it and it makes no sense to complain — everyone is as badly off as you. It's hard to fall in love, or rather, hard to stay in love. If you are a teenager, you seem halted in time.
If you are critically ill — with cancer, for instance — there is no chemotherapy for you. If you can't leave the country for treatment, you stay and die slowly, and in tremendous pain. Victorian diseases return — polio, typhoid and cholera. You see very sick people around you who seemed in perfectly good health when you last saw them during peacetime. You hear coughing all the time. Everyone hacks — from the dust of destroyed buildings, from disease, from cold.
As for your old world, it disappears, like the smoke from a cigarette you can no longer afford to buy. Where are your closest friends? Some have left, others are dead. The few who remain have nothing new to talk about. You can't get to their houses, because the road is blocked by checkpoints. Or snipers take a shot when you leave your door, so you scurry back inside, like a crab retreating inside its shell. Or you might go out on the wrong day and a barrel bomb, dropped by a government helicopter, lands near you.
Wartime looks like this.
”
”
Janine Di Giovanni (The Morning They Came for Us: Dispatches from Syria)
“
Did you have a kid in your neighborhood who always hid so good, nobody could find him? We did. After a while we would give up on him and go off, leaving him to rot wherever he was. Sooner or later he would show up, all mad because we didn't keep looking for him. And we would get mad back because he wasn't playing the game the way it was supposed to be played.
There's hiding and there's finding, we'd say. And he'd say it was hide-and-seek, not hide-and-give-UP, and we'd all yell about who made the rules and who cared about who, anyway, and how we wouldn't play with him anymore if he didn't get it straight and who needed him anyhow, and things like that. Hide-and-seek-and-yell. No matter what, though, the next time he would hide too good again. He's probably still hidden somewhere, for all I know.
As I write this, the neighborhood game goes on, and there is a kid under a pile of leaves in the yard just under my window. He has been there a long time now, and everybody else is found and they are about to give up on him over at the base. I considered going out to the base and telling them where he is hiding. And I thought about setting the leaves on fire to drive him out. Finally, I just yelled, "GET FOUND, KID!" out the window. And scared him so bad he probably wet his pants and started crying and ran home to tell his mother. It's real hard to know how to be helpful sometimes.
A man I know found out last year he had terminal cancer. He was a doctor. And knew about dying, and he didn't want to make his family and friends suffer through that with him. So he kept his secret. And died. Everybody said how brave he was to bear his suffering in silence and not tell everybody, and so on and so forth. But privately his family and friends said how angry they were that he didn't need them, didn't trust their strength. And it hurt that he didn't say good-bye.
He hid too well. Getting found would have kept him in the game. Hide-and-seek, grown-up style. Wanting to hide. Needing to be sought. Confused about being found. "I don't want anyone to know." "What will people think?" "I don't want to bother anyone."
Better than hide-and-seek, I like the game called Sardines. In Sardines the person who is It goes and hides, and everybody goes looking for him. When you find him, you get in with him and hide there with him. Pretty soon everybody is hiding together, all stacked in a small space like puppies in a pile. And pretty soon somebody giggles and somebody laughs and everybody gets found.
Medieval theologians even described God in hide-and-seek terms, calling him Deus Absconditus. But me, I think old God is a Sardine player. And will be found the same way everybody gets found in Sardines - by the sound of laughter of those heaped together at the end.
"Olly-olly-oxen-free." The kids out in the street are hollering the cry that says "Come on in, wherever you are. It's a new game." And so say I. To all those who have hid too good. Get found, kid! Olly-olly-oxen-free.
”
”
Robert Fulghum (All I Really Need to Know I Learned in Kindergarden)
“
We're in her bedroom,and she's helping me write an essay about my guniea pig for French class. She's wearing soccer shorts with a cashmere sweater, and even though it's silly-looking, it's endearingly Meredith-appropriate. She's also doing crunches. For fun.
"Good,but that's present tense," she says. "You aren't feeding Captain Jack carrot sticks right now."
"Oh. Right." I jot something down, but I'm not thinking about verbs. I'm trying to figure out how to casually bring up Etienne.
"Read it to me again. Ooo,and do your funny voice! That faux-French one your ordered cafe creme in the other day, at that new place with St. Clair."
My bad French accent wasn't on purpose, but I jump on the opening. "You know, there's something,um,I've been wondering." I'm conscious of the illuminated sign above my head, flashing the obvious-I! LOVE! ETIENNE!-but push ahead anyway. "Why are he and Ellie still together? I mean they hardly see each other anymore. Right?"
Mer pauses, mid-crunch,and...I'm caught. She knows I'm in love with him, too.
But then I see her struggling to reply, and I realize she's as trapped in the drama as I am. She didn't even notice my odd tone of voice. "Yeah." She lowers herself slwoly back to the floor. "But it's not that simple. They've been together forever. They're practically an old married couple. And besides,they're both really...cautious."
"Cautious?"
"Yeah.You know.St. Clair doesn't rock the boat. And Ellie's the same way. It took her ages to choose a university, and then she still picked one that's only a few neighborhoods away. I mean, Parsons is a prestigious school and everything,but she chose it because it was familiar.And now with St. Clair's mom,I think he's afraid to lose anyone else.Meanwhile,she's not gonna break up with him,not while his mom has cancer. Even if it isn't a healthy relationship anymore."
I click the clicky-button on top of my pen. Clickclickclickclick. "So you think they're unhappy?"
She sighs. "Not unhappy,but...not happy either. Happy enough,I guess. Does that make sense?"
And it does.Which I hate. Clickclickclickclick.
It means I can't say anything to him, because I'd be risking our friendship. I have to keep acting like nothing has changed,that I don't feel anything ore for him than I feel for Josh.
”
”
Stephanie Perkins (Anna and the French Kiss (Anna and the French Kiss, #1))
“
We were both seniors in college when we learned she had cancer. By then we weren’t at St. Thomas anymore. We’d both transferred to the University of Minnesota after that first year—she to the Duluth campus, I to the one in Minneapolis—and, much to our amusement, we shared a major. She was double majoring in women’s studies and history, I in women’s studies and English. At night, we’d talk for an hour on the phone. I was married by then, to a good man named Paul. I’d married him in the woods on our land, wearing a white satin and lace dress my mother had sewn. After she got sick, I folded my life down. I told Paul not to count on me. I would have to come and go according to my mother’s needs. I wanted to quit school, but my mother ordered me not to, begging me, no matter what happened, to get my degree. She herself took what she called a break. She only needed to complete a couple more classes to graduate, and she would, she told me. She would get her BA if it killed her, she said, and we laughed and then looked at each other darkly. She’d do the work from her bed. She’d tell me what to type and I’d type it. She would be strong enough to start in on those last two classes soon, she absolutely knew. I stayed in school, though I convinced my professors to allow me to be in class only two days each week. As soon as those two days were over, I raced home to be with my mother. Unlike Leif and Karen, who could hardly bear to be in our mother’s presence once she got sick, I couldn’t bear to be away from her. Plus, I was needed. Eddie was with her when he could be, but he had to work. Someone had to pay the bills.
”
”
Cheryl Strayed (Wild: From Lost to Found on the Pacific Crest Trail)
“
Depression, that is,” I continue. “People who’ve never experienced it think it’s a mask, but it’s not. It’s a curtain. And when it falls, it shuts you off from your life, plunging you into complete darkness. There you stand, arms flailing around you, reaching for anything to find your way back. But after exhausting yourself, grasping at only more darkness, you give up and drop to the floor in resignation. “And so you sit. You and the blackness. You and the accusations. You and the self-hatred, the lies that become truth, the failure and pain and hopelessness and black thoughts that twist through you, impaling you to the floor. There you bleed, alone in your black hole, convinced the audience on the other side of the curtain has given up and gone home. The show is over. “Before you know it, you realize the curtain has turned into a cement wall, and you couldn’t escape the darkness even if you wanted to, but by now you don’t care anymore. What’s the point? There’s nothing waiting for you on the other side, and even if there was, you’re such a useless waste of space that you wouldn’t dare to contaminate the world outside with your cancer anyway.” I stop, my eyes burning, my voice heavy in my throat. “You feel like crying all the time but you rarely do. Depression isn’t sadness; it’s numbness. You don’t have the energy for sadness. You can’t sleep. You don’t eat. You have no desire for the things you used to love, but it doesn’t matter because you can’t love anyway. You feel nothing, just a dull, heavy ache that makes it hard to breathe sometimes, let alone get up to start the search again. You fantasize about disappearing, just erasing your pointless existence and sparing the Earth from your toxic presence. By now you’re so exhausted just from the effort of living that there’s nothing left to live it.” I
”
”
Alyson Santos (Night Shifts Black (The Hold Me NSB Series Book 1))
“
BILL MURRAY, Cast Member: Gilda got married and went away. None of us saw her anymore. There was one good thing: Laraine had a party one night, a great party at her house. And I ended up being the disk jockey. She just had forty-fives, and not that many, so you really had to work the music end of it. There was a collection of like the funniest people in the world at this party. Somehow Sam Kinison sticks in my brain. The whole Monty Python group was there, most of us from the show, a lot of other funny people, and Gilda. Gilda showed up and she’d already had cancer and gone into remission and then had it again, I guess. Anyway she was slim. We hadn’t seen her in a long time. And she started doing, “I’ve got to go,” and she was just going to leave, and I was like, “Going to leave?” It felt like she was going to really leave forever. So we started carrying her around, in a way that we could only do with her. We carried her up and down the stairs, around the house, repeatedly, for a long time, until I was exhausted. Then Danny did it for a while. Then I did it again. We just kept carrying her; we did it in teams. We kept carrying her around, but like upside down, every which way—over your shoulder and under your arm, carrying her like luggage. And that went on for more than an hour—maybe an hour and a half—just carrying her around and saying, “She’s leaving! This could be it! Now come on, this could be the last time we see her. Gilda’s leaving, and remember that she was very sick—hello?” We worked all aspects of it, but it started with just, “She’s leaving, I don’t know if you’ve said good-bye to her.” And we said good-bye to the same people ten, twenty times, you know. And because these people were really funny, every person we’d drag her up to would just do like five minutes on her, with Gilda upside down in this sort of tortured position, which she absolutely loved. She was laughing so hard we could have lost her right then and there. It was just one of the best parties I’ve ever been to in my life. I’ll always remember it. It was the last time I saw her.
”
”
James Andrew Miller (Live From New York: The Complete, Uncensored History of Saturday Night Live as Told by Its Stars, Writers, and Guests)
“
After a series of promotions—store manager at twenty-two, regional manager at twenty-four, director at twenty-seven—I was a fast-track career man, a personage of sorts. If I worked really hard, and if everything happened exactly like it was supposed to, then I could be a vice president by thirty-two, a senior vice president by thirty-five or forty, and a C-level executive—CFO, COO, CEO—by forty-five or fifty, followed of course by the golden parachute. I’d have it made then! I’d just have to be miserable for a few more years, to drudge through the corporate politics and bureaucracy I knew so well. Just keep climbing and don't look down. Misery, of course, encourages others to pull up a chair and stay a while. And so, five years ago, I convinced my best friend Ryan to join me on the ladder, even showed him the first rung. The ascent is exhilarating to rookies. They see limitless potential and endless possibilities, allured by the promise of bigger paychecks and sophisticated titles. What’s not to like? He too climbed the ladder, maneuvering each step with lapidary precision, becoming one of the top salespeople—and later, top sales managers—in the entire company.10 And now here we are, submerged in fluorescent light, young and ostensibly successful. A few years ago, a mentor of mine, a successful businessman named Karl, said to me, “You shouldn’t ask a man who earns twenty thousand dollars a year how to make a hundred thousand.” Perhaps this apothegm holds true for discontented men and happiness, as well. All these guys I emulate—the men I most want to be like, the VPs and executives—aren’t happy. In fact, they’re miserable. Don’t get me wrong, they aren’t bad people, but their careers have changed them, altered them physically and emotionally: they explode with anger over insignificant inconveniences; they are overweight and out of shape; they scowl with furrowed brows and complain constantly as if the world is conspiring against them, or they feign sham optimism which fools no one; they are on their second or third or fourth(!) marriages; and they almost all seem lonely. Utterly alone in a sea of yes-men and women. Don’t even get me started on their health issues. I’m talking serious health issues: obesity, gout, cancer, heart attacks, high blood pressure, you name it. These guys are plagued with every ailment associated with stress and anxiety. Some even wear it as a morbid badge of honor, as if it’s noble or courageous or something. A coworker, a good friend of mine on a similar trajectory, recently had his first heart attack—at age thirty. But I’m the exception, right?
”
”
Joshua Fields Millburn (Everything That Remains: A Memoir by The Minimalists)
“
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.
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Gabor Maté (When the Body Says No: The Cost of Hidden Stress)
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In 1950, a thirty-year-old scientist named Rosalind Franklin arrived at King’s College London to study the shape of DNA. She and a graduate student named Raymond Gosling created crystals of DNA, which they bombarded with X-rays. The beams bounced off the crystals and struck photographic film, creating telltale lines, spots, and curves. Other scientists had tried to take pictures of DNA, but no one had created pictures as good as Franklin had. Looking at the pictures, she suspected that DNA was a spiral-shaped molecule—a helix. But Franklin was relentlessly methodical, refusing to indulge in flights of fancy before the hard work of collecting data was done. She kept taking pictures. Two other scientists, Francis Crick and James Watson, did not want to wait. Up in Cambridge, they were toying with metal rods and clamps, searching for plausible arrangements of DNA. Based on hasty notes Watson had written during a talk by Franklin, he and Crick put together a new model. Franklin and her colleagues from King’s paid a visit to Cambridge to inspect it, and she bluntly told Crick and Watson they had gotten the chemistry all wrong. Franklin went on working on her X-ray photographs and growing increasingly unhappy with King’s. The assistant lab chief, Maurice Wilkins, was under the impression that Franklin was hired to work directly for him. She would have none of it, bruising Wilkins’s ego and leaving him to grumble to Crick about “our dark lady.” Eventually a truce was struck, with Wilkins and Franklin working separately on DNA. But Wilkins was still Franklin’s boss, which meant that he got copies of her photographs. In January 1953, he showed one particularly telling image to Watson. Now Watson could immediately see in those images how DNA was shaped. He and Crick also got hold of a summary of Franklin’s unpublished research she wrote up for the Medical Research Council, which guided them further to their solution. Neither bothered to consult Franklin about using her hard-earned pictures. The Cambridge and King’s teams then negotiated a plan to publish a set of papers in Nature on April 25, 1953. Crick and Watson unveiled their model in a paper that grabbed most of the attention. Franklin and Gosling published their X-ray data in another paper, which seemed to readers to be a “me-too” effort. Franklin died of cancer five years later, while Crick, Watson, and Wilkins went on to share the Nobel prize in 1962. In his 1968 book, The Double Helix, Watson would cruelly caricature Franklin as a belligerent, badly dressed woman who couldn’t appreciate what was in her pictures. That bitter fallout is a shame, because these scientists had together discovered something of exceptional beauty. They had found a molecular structure that could make heredity possible.
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Carl Zimmer (She Has Her Mother's Laugh: What Heredity Is, Is Not, and May Become)