Cancer Suffering Quotes

It can be difficult to leave a long-term relationship, even when our inner-wisdom tells us it's time to let go. At this point, we can choose let go and endure the intense pain of leaving behind the familiar to make way for a new chapter in our life. Or we can stay and suffer a low-grade pain that slowly eats away at our heart and soul, like an emotional cancer. Until we wake up, one day and realize, we are buried so deep in the dysfunction of the relationship that we scarcely remember who we were and what we wanted and needed to be.

This sentence is made of lead (and a sentence of lead gives a reader an entirely different sensation from one made of magnesium). This sentence is made of yak wool. This sentence is made of sunlight and plums. This sentence is made of ice. This sentence is made from the blood of the poet. This sentence was made in Japan. This sentence glows in the dark. This sentence was born with a caul. This sentence has a crush on Norman Mailer. This sentence is a wino and doesn't care who knows it. Like many italic sentences, this one has Mafia connections. This sentence is a double Cancer with a Pisces rising. This sentence lost its mind searching for the perfect paragraph. This sentence refuses to be diagrammed. This sentence ran off with an adverb clause. This sentence is 100 percent organic: it will not retain a facsimile of freshness like those sentences of Homer, Shakespeare, Goethe et al., which are loaded with preservatives. This sentence leaks. This sentence doesn't look Jewish... This sentence has accepted Jesus Christ as its personal savior. This sentence once spit in a book reviewer's eye. This sentence can do the funky chicken. This sentence has seen too much and forgotten too little. This sentence is called "Speedoo" but its real name is Mr. Earl. This sentence may be pregnant. This sentence suffered a split infinitive - and survived. If this sentence has been a snake you'd have bitten it. This sentence went to jail with Clifford Irving. This sentence went to Woodstock. And this little sentence went wee wee wee all the way home.

In a perfectly designed world —one with no history— we would not have to suffer everything from hemorrhoids to cancer.

Besides being blind to lots of good things, the GDP also benefits from all manner of human suffering. Gridlock, drug abuse, adultery? Goldmines for gas stations, rehab centers, and divorce attorneys. If you were the GDP, your ideal citizen would be a compulsive gambler with cancer who’s going through a drawn-out divorce that he copes with by popping fistfuls of Prozac and going berserk on Black Friday. Environmental pollution even does double duty: One company makes a mint by cutting corners while another is paid to clean up the mess. By contrast, a centuries-old tree doesn’t count until you chop it down and sell it as lumber.

So at family gatherings… I try to stick to the acceptable script. Indeed, I discover that the less I say, the happier everyone seems to be with me. I sometimes wonder if I wouldn’t have been better off as a paraplegic or afflicted by some tragic form of cancer. The invisibility and periodicity of my disorder, along with how often I border on normalcy, allows them to evade my need for their understanding. And because our most enduring family heirloom is avoidance and denial of pain and suffering, I don’t need much prompting to shut myself down in their presence.

When cells are no longer needed, they die with what can only be called great dignity. They take down all the struts and buttresses that hold them together and quietly devour their component parts. The process is known as apoptosis or programmed cell death. Every day billions of your cells die for your benefit and billions of others clean up the mess. Cells can also die violently- for instance, when infected- but mostly they die because they are told to. Indeed, if not told to live- if not given some kind of active instruction from another cell- cells automatically kill themselves. Cells need a lot of reassurance. When, as occasionally happens, a cell fails to expire in the prescribed manner, but rather begins to divide and proliferate wildly, we call the result cancer. Cancer cells are really just confused cells. Cells make this mistake fairly regularly, but the body has elaborate mechanisms for dealing with it. It is only very rarely that the process spirals out of control. On average, humans suffer one fatal malignancy for each 100 million billion cell divisions. Cancer is bad luck in every possible sense of the term.

When I went on my first antidepressant it had the side effect of making me fixated on suicide (which is sort of the opposite of what you want). It’s a rare side effect so I switched to something else that did work. Lots of concerned friends and family felt that the first medication’s failure was a clear sign that drugs were not the answer; if they were I would have been fixed. Clearly I wasn’t as sick as I said I was if the medication didn’t work for me. And that sort of makes sense, because when you have cancer the doctor gives you the best medicine and if it doesn’t shrink the tumor immediately then that’s a pretty clear sign you were just faking it for attention. I mean, cancer is a serious, often fatal disease we’ve spent billions of dollars studying and treating so obviously a patient would never have to try multiple drugs, surgeries, radiation, etc., to find what will work specifically for them. And once the cancer sufferer is in remission they’re set for life because once they’ve learned how to not have cancer they should be good. And if they let themselves get cancer again they can just do whatever they did last time. Once you find the right cancer medication you’re pretty much immune from that disease forever. And if you get it again it’s probably just a reaction to too much gluten or not praying correctly. Righ

America today is a "save yourself" society if there ever was one. But does it really work? The underdeveloped societies suffer from one set of diseases: tuberculosis, malnutrition, pneumonia, parasites, typhoid, cholera, typhus, etc. Affluent America has virtually invented a whole new set of diseases: obesity, arteriosclerosis, heart disease, strokes, lung cancer, venereal disease, cirrhosis of the liver, drug addiction, alcoholism, divorce, battered children, suicide, murder. Take your choice. Labor-saving machines have turned out to be body-killing devices. Our affluence has allowed both mobility and isolation of the nuclear family, and as a result, our divorce courts, our prisons and our mental institutions are flooded. In saving ourselves we have nearly lost ourselves.

We are left wondering why we are having good days, why we are surviving. It is curious that survivor's guilt could befall a cancer patient.

[...]as Sylvester says, a man who has never been afflicted with a neurosis does not know the meaning of suffering.

If a person is continually stressed, the stress uses up the immune system and there’s nothing left to fight cancer. (Research has shown that children who suffer abuse are about 50 percent more likely to get cancer than other children.)

I had no specific bent toward science until my grandfather died of stomach cancer. I decided that nobody should suffer that much.

Society has three stages: Savagery, Ascendance, Decadence. The great rise because of Savagery. They rule in Ascendance. They fall because of their own Decadence." He tells how the Persians were felled, how the Romans collapsed because their rulers forgot how their parents gained them an empire. He prattles about Muslim dynasties and European effeminacy and Chinese regionalism and American self-loathing and self-neutering. All the ancient names. "Our Savagery began when our capital, Luna, rebelled against the tyranny of Earth and freed herself from the shackles of Demokracy, from the Noble Lie - the idea that men are brothers and are created equal." Augustus weaves lies of his own with that golden tongue of his. He tells of the Goldens' suffering. The Masses sat on the wagon and expected the great to pull, he reminds. They sat whipping the great until we could no longer take it. I remember a different whipping. "Men are not created equal; we all know this. There are averages. There are outliers. There are the ugly. There are the beautiful. This would not be if we were all equal. A Red can no more command a starship than a Green can serve as a doctor!" There's more laughter across the square as he tells us to look at pathetic Athens, the birthplace of the cancer they call Demokracy. Look how it fell to Sparta. The Noble Lie made Athens weak. It made their citizens turn on their best general, Alcibiades, because of jealousy. "Even the nations of Earth grew jealous of one another. The United States of America exacted this idea of equality through force. And when the nations united, the Americans were surprised to find that they were disliked! The Masses are jealous! How wonderful a dream it would be if all men were created equal! But we are not. It is against the Noble Lie that we fight. But as I said before, as I say to you now, there is another evil against which we war. It is a more pernicious evil. It is a subversive, slow evil. It is not a wildfire. It is a cancer. And that cancer is Decadence. Our society has passed from Savagery to Ascendance. But like our spiritual ancestors, the Romans, we too can fall into Decadence.

We live in truly unbelievable times. Autism is an epidemic in most western countries, western governments are nothing more than corrupt corporations, and corporations are routinely suppressing information regarding the toxicity of many common household items. The result is that many people are unnecessarily suffering from easily preventable developmental problems, sickness and cancer.

Children with multiple ACEs are more likely to struggle with anxiety and depression, to suffer from heart disease and obesity, and to contract certain types of cancers. They’re also more likely to underperform in school and suffer from relationship instability as adults. Even excessive shouting can damage a kid’s sense of security and contribute to mental health and behavioral issues down the road. Harvard

A landmark 2010 study from the Massachusetts General Hospital had even more startling findings. The researchers randomly assigned 151 patients with stage IV lung cancer, like Sara’s, to one of two possible approaches to treatment. Half received usual oncology care. The other half received usual oncology care plus parallel visits with a palliative care specialist. These are specialists in preventing and relieving the suffering of patients, and to see one, no determination of whether they are dying or not is required. If a person has serious, complex illness, palliative specialists are happy to help. The ones in the study discussed with the patients their goals and priorities for if and when their condition worsened. The result: those who saw a palliative care specialist stopped chemotherapy sooner, entered hospice far earlier, experienced less suffering at the end of their lives—and they lived 25 percent longer. In other words, our decision making in medicine has failed so spectacularly that we have reached the point of actively inflicting harm on patients rather than confronting the subject of mortality.

Good things can come from thinking about and facing your death. It's about understanding life.

Once you have faced what could kill you, there's no going back.

Do not be blind in love and try not to suffer in silence. -Alba Castillo

I became a student of my own depressed experience, trying to unthread its causes. What was the root of all this despair? Was it psychological? (Was it Mom and Dad's fault?( Was it just temporal, a 'bad time' in my life? (When the divorce ends will the depression end with it?) Was it genetic? (Melancholy, called by many names, has run through my family for generations, along with its sad bride, Alcoholism.) Was it cultural? (Is this just the fallout of postfeminist American career girl trying to find balance in an increasingly stressful alienting urban world?) Was it astrological? (Am I so sad because I'm a thin-skinned Cancer whose major signs are all ruled by unstable Gemini?) Was it artistic? (Don't creative people always suffer from depression because we're so supersensitive and special?) Was it evolutionary? (Do I carry in me the residual panic that comes after millennia of my species' attempting to survive a brutal world?) Was it karmic? (Are all these spasms of grief just the consequences of bad behavior in previous lifetimes, the last obstacles before liberation?) Was it hormonal? Dietary? Philosophical? Seasonal? Environmental? Was I tapping into a universal yearning for God? Did I have a chemical imbalance? Or did I just need to get laid?

Honesty is the best approach - and some understanding of how cancer patients see their illness can help. Cliched terms and thoughtless positives don't work, such as, 'You look good, though.' 'At least you got the good cancer.' 'Be strong.' 'You got this.' 'This is just a season.

I’d asked the same question a few years earlier in Amsterdam and learned that in the Netherlands you’re more apt to bring a disease into it. “Like if someone drives in a crazy way, it’s normal to call them a cholera sufferer,” a Dutch woman told me. “Either that or a cancer whore.

Being afraid is one thing. Being alone and afraid is far worse. Find others who understand your fears and problems.

If a relative has suffered Ovarian or Breast Cancer, get the genetic screening. It saves lives.

A patient, long before he becomes the subject of medical scrutiny, is, at first, simply a storyteller, a narrator of suffering—

She did not begin to tell real lies until Rosa was in hospital suffering that filthy rot that left her all eaten out inside, as light and fragile as a pine log infested with white ant

Well, my dear sisters, the gospel is the good news that can free us from guilt. We know that Jesus experienced the totality of mortal existence in Gethsemane. It's our faith that he experienced everything- absolutely everything. Sometimes we don't think through the implications of that belief. We talk in great generalities about the sins of all humankind, about the suffering of the entire human family. But we don't experience pain in generalities. We experience it individually. That means he knows what it felt like when your mother died of cancer- how it was for your mother, how it still is for you. He knows what it felt like to lose the student body election. He knows that moment when the brakes locked and the car started to skid. He experienced the slave ship sailing from Ghana toward Virginia. He experienced the gas chambers at Dachau. He experienced Napalm in Vietnam. He knows about drug addiction and alcoholism. Let me go further. There is nothing you have experienced as a woman that he does not also know and recognize. On a profound level, he understands the hunger to hold your baby that sustains you through pregnancy. He understands both the physical pain of giving birth and the immense joy. He knows about PMS and cramps and menopause. He understands about rape and infertility and abortion. His last recorded words to his disciples were, "And, lo, I am with you always, even unto the end of the world." (Matthew 28:20) He understands your mother-pain when your five-year-old leaves for kindergarten, when a bully picks on your fifth-grader, when your daughter calls to say that the new baby has Down syndrome. He knows your mother-rage when a trusted babysitter sexually abuses your two-year-old, when someone gives your thirteen-year-old drugs, when someone seduces your seventeen-year-old. He knows the pain you live with when you come home to a quiet apartment where the only children are visitors, when you hear that your former husband and his new wife were sealed in the temple last week, when your fiftieth wedding anniversary rolls around and your husband has been dead for two years. He knows all that. He's been there. He's been lower than all that. He's not waiting for us to be perfect. Perfect people don't need a Savior. He came to save his people in their imperfections. He is the Lord of the living, and the living make mistakes. He's not embarrassed by us, angry at us, or shocked. He wants us in our brokenness, in our unhappiness, in our guilt and our grief. You know that people who live above a certain latitude and experience very long winter nights can become depressed and even suicidal, because something in our bodies requires whole spectrum light for a certain number of hours a day. Our spiritual requirement for light is just as desperate and as deep as our physical need for light. Jesus is the light of the world. We know that this world is a dark place sometimes, but we need not walk in darkness. The people who sit in darkness have seen a great light, and the people who walk in darkness can have a bright companion. We need him, and He is ready to come to us, if we'll open the door and let him.

The results of the study were astoundingly clear: The more childhood trauma someone had suffered, the worse their health outcomes were in adulthood. And their risk for contracting diseases didn’t go up just a few percentage points. People with high ACE scores were about three times as likely to develop liver disease, twice as likely to develop cancer or heart disease, four times as likely to develop emphysema.[2] They were seven and a half times more likely to become alcoholics, four and a half times more likely to suffer from depression, and a whopping twelve times more likely to attempt suicide.[3] Scientists have learned that stress is literally toxic. Stress chemicals like cortisol and adrenaline surging through our bodies are healthy in moderation—you wouldn’t be able to get up in the morning without a good dose of cortisol. But in overwhelming quantities, they become toxic and can change the structure of our brains. Stress and depression wear our bodies out. And childhood trauma affects our telomeres. Telomeres are like little caps on the ends of our strands of DNA that keep them from unraveling. As we get older, those telomeres get shorter and shorter. When they’ve finally disappeared, our DNA itself begins to unravel, increasing our chances of getting cancer and making us especially susceptible to disease. Because of this tendency, telomeres are linked to human lifespan. And studies have shown that people who suffered from childhood trauma have significantly shortened telomeres.[4]

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.

Cold flu looks nothing in front of cancer...complications in our personal life is like a flu and killing people on name of God or borders or countries is cancer...you can help this planet...there are ways...willingness is an action We are one...the only difference is ...few are awake, few are ready to wake up and few are just ignorant and time is coming when there will be no choice for those who is ignorant because of suffering and pain .... Bigger EGO is always drawn to Bigger Ego so many times Bigger ego ignores the important message being delivered by not a famous person. Love heals...Love not from mind...deep from heart....Mind brings games and play around with relationships...Something sacred deep from heart....L ♥ V E...Unconditional...No business of give and take....unconditional giving.... Don't be afraid and run away from loneliness and start seeking securities....Try to enjoy every part of it and then you will see ...Loneliness turned into something which we never want to loose....investigate your feeling when you feel lonely We always want something in return...we have made LOVE a business...I did it too in the past that's why I know it...this is the reason that we should change...you change, I change....everyone should think again on the way of living life and thinking and specially who thinks they know what life is. 2 births in the same life....physical and spiritual....you break the bondage (psychologically) with physical attributes of life ( detached state of mind) and try to find real "maksad" (purpose) of your existence as Being not Doing If you want to enjoy your relationship with your special one then please keep these tools handy:1) Patience2) Trust3) Freedom4) Honesty5) Respect we are all stars... twinkling with love and when there is love then there is no conflict 4 letters L ♥ V E ..imagine these letters on your hand and try to feel the deep meaning and power of these letters...feel the love you have for this life...start from there and spread love to everyone you see or meet...LOVE

Every time you come to the limit of what is demanded of you, you are faced with the same problem - to be yourself! And with the first step you make in this direction you realize that there is neither plus nor minus; you throw the skates away and swim. There is no suffering any more because there is nothing which can threaten your security. And there is no desire to be of help to others even, because why rob them of a privilege which must be earned? Life stretches out from moment to moment in stupendous infinitude. Nothing can be more real than what you suppose it to be. Whatever you think the cosmos to be it is and it could not possibly be anything else as long as you are you and I am I. You live in the fruits of your action and your action is the harvest of your thought. Thought and action are one, because swimming you are in it and of it, and it is everything you desire it to be, no more, no less. Every stroke counts for eternity. The heating and cooling system is one system, and Cancer is separated from Capricorn only by an imaginary line. You don't become ecstatic and you are not plunged into violent grief; you don't pray for rain, neither do you dance a jig. You live like a happy rock in the midst of the ocean: you are fixed while everything about you is in turbulent motion. You are fixed in a reality which permits the thought that nothing is fixed, that even the happiest and mightiest rock will one day be utterly dissolved and fluid as the ocean from which it was born.

PRAISE FOR 'THE JOURNEY HOME' Many saints are known and praised by all. We pray to them in litanies and celebrate their feast days. But the vast majority of holy men and women live heroic lives quietly before God. Loyal to family, lovers of God, servants in the Church, these unsung saints live everyday life as an example for us. David Hanneman is one such man. His story is exemplary and should be told to the world. He not only lived a noble life, but also suffered with heroism and grace as he passed into glory. This is a story to encourage and bless us all. We are thankful to Joseph Hanneman for sharing his father and making his story known to us who need such examples to encourage us as we face the difficulties and challenges of life.

There are more sociopaths among us than people who suffer from the much-publicized disorder of anorexia, four times as many sociopaths as schizophrenics, and one hundred times as many sociopaths as people diagnosed with a known scourge such as colon cancer. —Dr. Martha Stout, The Sociopath Next Door

One day, when I thought I was alone, I prayed in church. While making this offering before the cross, a parishioner came up to me, put her arm around my shoulder and prayed, ‘Dear God, please heal Father Jim. And give me his cancer.’ I was incredulous. I looked at her, and then back to the Lord and quietly prayed, ‘If she insists, Lord, hear our prayer!’ Later I was able to pray, ‘Lord, rather than give my cancer to her, give her heart of love to me – the love that prompted her to deny her very self and pray in such a loving way.

I needed someone to tell me how God could allow someone He loved to suffer so much when I wouldn't do this to someone I hated.

Help me to get my eyes off my suffering and onto you, God.

Etymologically, patient means sufferer. It is not suffering as such that is most deeply feared but suffering that degrades. —Susan Sontag, Illness as Metaphor

Eventually sinking into despair, [Heinrich von Kleist] shot himself in 1811 as part of a suicide pact made with a woman suffering from incurable cancer.

The number of people who suffer from hole phobia apparently trumps the number who suffer from cancer phobia, which is number 11 on the list, while the fear of death itself sits at number 12.

Although a male physician could quite easily, and convincingly, assert that ovarian cancer was “silent,” if you were to really listen to women who have had ovarian cancer speak, you’d find that it wasn’t so much that the disease process was silent—but that they were. Conditions that seem to lurk unnoticed in a woman’s body go unnoticed by others because, for one thing, they are an assumed part of womanhood, and, for another, women are taught to keep those pains private. I’ve often found it curious that when a woman is suffering, her competence is questioned, but when a man is suffering, he’s humanized. It’s a gender stereotype that hurts both men and women, though it lends itself to the question of why there is a proclivity in health care, and in society, to deny female pain.

As my nostrils filled with the stench of burnt hair and my friends scurried to clean up the mess, I thought, 'If your hair catches on fire while you're making a wish, does that mean it isn't coming true?

Part of me was afraid that if I raised my fist to the sky and demanded an answer now, I would hear a thundering and calloused, 'Because I said so," from God in heaven. And I may not ever want to speak to Him again.

It is during my times of great suffering, of feeling alone and scared, that I find my deepest sense of faith - when I actually feel the presence of something much greater than me, encouraging me to take the next right step.

Studies on the phenomenon indicate that a person with a high tolerance for pain is likely to also have above-average capacity to cope with the stress of a job layoff or a cancer diagnosis, and this same person is more likely as well to have experienced a moderate amount of psychological trauma in his or her past. It would appear that a certain amount of misfortune is needed to toughen the mind against suffering and hardship, but excessive trauma leaves scar tissue.

I return one last time to the places of death all around us, the places of slaughter to which, in a huge communal effort, we close our hearts. Each day a fresh holocaust, yet, as far as I can see, our moral being is untouched. We do not feel tainted. We can do anything, it seems, and come away clean. We point to the Germans and Poles and Ukrainians who did and did not know of the atrocities around them. We like to think they were inwardly marked by the after-effects of that special form of ignorance. We like to think that in their nightmares the ones whose suffering they had refused to enter came back to haunt them. We like to think they woke up haggard in the mornings and died of gnawing cancers. But probably it was not so. The evidence points in the opposite direction: that we can do anything and get away with it; that there is no punishment.

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.

Selfishness comes from too little self-love, not too much, as we compensate for our lack. There's no such thing as caring for the self too much, just as there's no such thing as too much genuine affection for others. Our world suffers from too little self-love and too much judgment, insecurity, fear, and mistrust. If we all cared about ourselves more, most of these ills would disappear.

Children with multiple ACEs are more likely to struggle with anxiety and depression, to suffer from heart disease and obesity, and to contract certain types of cancers. They’re also more likely to underperform in school and suffer from relationship instability as adults.

Our world is suffering from metastatic cancer. Stage 4. Racism has spread to nearly every part of the body politic, intersecting with bigotry of all kinds, justifying all kinds of inequities by victim blaming; heightening exploitation and misplaced hate; spurring mass shootings, arms races, and demagogues who polarize nations, shutting down essential organs of democracy; and threatening the life of human society with nuclear war and climate change. In the United States, the metastatic cancer has been spreading, contracting, and threatening to kill the American body as it nearly did before its birth, as it nearly did during its Civil War. But how many people stare inside the body of their nations' racial inequities, their neighborhoods' racial inequities, their occupations' racial inequities, their institutions' racial inequities, and flatly deny that their policies are racist? They flatly deny that racial inequity is a signpost of racist policy. They flatly deny the racist policy as they use racist ideas to justify the racial inequity. They flatly deny the cancer of racism as the cancer cells spread and literally threaten their own lives and the lives of the people and spaces and places they hold dear. The popular conception of denial--like the popular strategy of suasion--is suicidal.

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.

Well it seems to me that there are books that tell stories, and then there are books that tell truths...," I began. "Go on," she said "The first kind, they show you life like you want it to be. With villains getting what they deserve and the hero seeing what a fool he's been and marrying the heroine and happy ending and all that. Like Sense and Sensibility or Persuasion. But the second kind, they show you life more like it is. Like in Huckleberry Finn where Huck's pa is a no-good drunk and Jim suffers so. The first kind makes you cheerful and contented, but the second kind shakes you up." "People like happy ending, Mattie. They don't want to be shaken up." "I guess not, ma'am. It's just that there are no Captain Wentworths, are there? But there are plenty of Pap Finns. And things go well for Anne Elliot in the end, but they don't go well for most people." My voice trembled as I spoke, as it did whenever I was angry. "I feel let down sometimes. The people in the books-the heroes- they're always so...heroic. And I try to be, but..." "...you're not," Lou said, licking deviled ham off her fingers. "...no, I'm not. People in books are good and noble and unselfish, and people aren't that way... and I feel, well... hornswoggled sometimes. By Jane Austen and Charles Dickens and Louisa May Alcott. Why do writers make things sugary when life isn't that way?" I asked too loudly. "Why don't they tell the truth? Why don't they tell how a pigpen looks after the sow's eaten her children? Or how it is for a girl when her baby won't come out? Or that cancer has a smell to it? All those books, Miss Wilcox," I said, pointing at a pile of them," and I bet not one of them will tell you what cancer smells like. I can, though. It stinks. Like meat gone bad and dirty clothes and bog water all mixed together. Why doesn't anyone tell you that?" No one spoke for a few seconds. I could hear the clock ticking and the sound of my own breathing. Then Lou quietly said, "Cripes, Mattie. You oughtn't to talk like that." I realized then that Miss Wilcox had stopped smiling. Her eyes were fixed om me, and I was certain she'd decided I was morbid and dispiriting like Miss Parrish had said and that I should leave then and there. "I'm sorry, Miss Wilcox," I said, looking at the floor. "I don't mean to be coarse. I just... I don't know why I should care what happens to people in a drawing room in London or Paris or anywhere else when no one in those places cares what happens to people in Eagle Bay." Miss Wilcox's eyes were still fixed on me, only now they were shiny. Like they were the day I got my letter from Barnard. "Make them care, Mattie," she said softly. "And don't you ever be sorry.

Some years ago a Belgian couple committed euthanasia together. He (eighty-three) had terminal cancer and she (seventy-eight), suffering from other serious age-related ailments, didn’t want to go on living without him. Hand in hand they stepped out of life. There’s something very romantic about that.

A patient suffering with cancer of the throat was informed of a new X-ray machine that would cure his condition. This man could neither read nor write, nor was he informed about any of the instruments or procedures of medical practice. When he first sat down in the doctor's office and received into his mouth a thermometer with which the doctor sought to take his temperature, he believed he was undergoing X-ray treatment. The doctor, alert to the practices of psychology, recognized this, and after leaving the thermometer in the patient's mouth for ten minutes, excused him and told him to return in two days. Three weeks of treatment with a thermometer cured this patient's cancerous condition! Obviously, it wasn't the thermometer that did it. It was Faith!

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.

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

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

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.

I took on my depression like it was the fight of my life, wich of course, it was. I became a student of my own depressed experience, trying to unthread its causes. What was the root of all this dispair? Was it psychological? (Mom and Dad's fault?) Was it just temporal, a "bad time" in my life? (When the divorce ends, will the depression end with it?) Was it genetic? (Melancholy, called by many names, has run through my family for generations, along with its sad bride, Alcholisme.) Was it cultural? (Is this just the fallout of a postfeminist American career girl trying to find balance in an increasingly stressful and alienating urban world?) Was it astrological? (Am I so sad because I'm a thin-skinned cancer whose major signs are all ruled by unstable Gemini?) Was it artistic? (Don't creative people always suffer from depression because we're so supersensitive and special?) Was it evolutionary? (Do I carry in me the residual panic that come after millennia of my species' attempting to survive a brutal world?) Was it Karmic? (Are all these spasms of grief just the consequences of bad behavior in previous lifetimes, the last obstacles before liberation?) Was it hormonal? Dietary? Philosophical? Seasonal? Environmental? Did I have a chemical imbalance? Or did I just need to get laid?

We fight good wars in medical laboratories, endlessly seeking to cure the scourges of cancer, heart disease, diabetes, and mental illness. We fight good wars when we devote time, energy, and money to relieve the suffering of hungry people around the world. We fight good wars when we come to the aid of those struck by the overwhelming forces of capricious nature: fire, flood, drought, hurricanes, and earthquakes. We fight good wars when we refuse to allow injustice to be done to others. We fight good wars when we oppose hate, bigotry, and ignorance. These

To take estrogen or not to take estrogen: That is the question. Whether 'tis nobler to abstain and suffer The sweat and puddles of outrageous flashes Or to take arms against a sea of mood swings, And by opposing end them? To die: to sleep; No more; at first the studies say 'twill end The heart attacks and thousand bouts of bloat That flesh is heir to, 'tis a true confusion - For then they say 'twill cause us all to die Perchance from breast cancer; ay, there's the rub; For who can dream or even sleep while worrying about What doctors might be saying come next week?

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

Comparative suffering is a function of fear and scarcity. Falling down, screwing up, and facing hurt often lead to bouts of second-guessing our judgment, our self-trust, and even our worthiness. I am enough can slowly turn into Am I really enough? If there’s one thing I’ve learned over the past decade, it’s that fear and scarcity immediately trigger comparison, and even pain and hurt are not immune to being assessed and ranked. My husband died and that grief is worse than your grief over an empty nest. I’m not allowed to feel disappointed about being passed over for promotion when my friend just found out that his wife has cancer. You’re feeling shame for forgetting your son’s school play? Please—that’s a first-world problem; there are people dying of starvation every minute. The opposite of scarcity is not abundance; the opposite of scarcity is simply enough. Empathy is not finite, and compassion is not a pizza with eight slices. When you practice empathy and compassion with someone, there is not less of these qualities to go around. There’s more. Love is the last thing we need to ration in this world. The refugee in Syria doesn’t benefit more if you conserve your kindness only for her and withhold it from your neighbor who’s going through a divorce. Yes, perspective is critical. But I’m a firm believer that complaining is okay as long as we piss and moan with a little perspective. Hurt is hurt, and every time we honor our own struggle and the struggles of others by responding with empathy and compassion, the healing that results affects all of us.

If you have cancer and you don’t have health care, you are not free. You are probably going to suffer and die. If you are in a car accident and suffer multiple injuries and don’t have health care, you are not free – you may be disabled for life, or die. Even if you break your leg, do not have access to health care, and cannot get it set, you are not free. You may never walk or run freely again. Ill health enslaves you. Disease enslaves you. Even cataracts that rob your vision and can easily be healed by modern medicine will enslave you to blindness without health care. When states turn down funds for Medicaid, that is a freedom issue – both for people who are being denied health care, and for everyone else to whom a curable disease can spread when health care is denied to a significant number of the people they interact with everyday.

Suffering seems to destroy so many things that give life meaning that it may feel impossible to even go on. In the last weeks of his life, my father faced a great range of life-ending, painful illnesses all at once. He had congestive heart failure and three kinds of cancer, even as he was dealing with a gall bladder attack, emphysema, and acute sciatica. At one time he said to a friend, "What's the point?" He was too sick to do the things that made his life meaningful- so why go on? At my father's funeral, his friend related to us how he gently reminded my father of some basic themes in the Bible. If God had kept him in this world, then there were still some things for him to do for those around him. Jesus was patient under even greater suffering for us, so we can be patient under lesser suffering for him. and heaven will make amends for everything.

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.

When a soul in sin, under the impetus of grace, turns to God, there is penance; but when a soul in sin refuses to change, God sends chastisement. This chastisement need not be external, and certainly it is never arbitrary; it comes as an inevitable result of breaking God’s moral law. But the entrenched forces of the modern world are irrational, men nowadays do not always interpret disasters as the moral events they are. When calamity strikes the flint of human hearts, sparks of sacred fire are kindled and men will normally begin to make an estimate of their true worth. In previous ages this was usual: a disordered individual could find his way back to peace because he lived in an objective world inspired by Christian order. But the frustrated man of today, having lost his faith in God, living as he does, in a disordered chaotic world, has no beacon to guide him. In times of trouble he sometimes turns in upon himself, like a serpent devouring its own tail. Given such a man, who worships the false trinity of (1) his own pride, which acknowledges no law; (2) his own sensuality, which makes earthly comfort it goal; (3) his license, which interprets liberty as the absences of all restraint and law—then a cancer is created which is impossible to cure except through an operation or calamity unmistakable as God’s action in history. It is always through sweat and blood and tears that the soul is purged of its animal egotism and laid open to the Spirit … Catastrophe can be to a world that has forgotten God what a sickness can be to a sinner; in the midst of it millions might be brought not to a voluntary, but to an enforced crisis. Such a calamity would put an end to Godlessness and make vast numbers of men, who might otherwise lose their souls, turn to God.

I ate a lot of candy and engaged in light stalking: I prowled Blythe’s Instagram and Twitter, I read her reviews, considered photos of her baked goods and watched from a distance as she got on her soapbox – at one point bragging she was the only person she knew who used her real name and profession online. As my fascination mounted, and my self-loathing deepened, I reminded myself that there are worse things than rabid bloggers (cancer, for instance) and that people suffer greater degradations than becoming writers. But still, I wanted to respond.

What, then, shall we say to our patient with the imaginary cancer? I would tell him: “Yes, my friend, you are really suffering from a cancer-like thing, you really do harbour in yourself a deadly evil. However, it will not kill your body, because it is imaginary. But it will eventually kill your soul. It has already spoilt and even poisoned your human relations and your personal happiness and it will go on growing until it has swallowed your whole psychic existence. So that in the end you will not be a human being any more, but an evil destructive tumour.

Lots of concerned friends and family felt that the first medication’s failure was a clear sign that drugs were not the answer; if they were I would have been fixed. Clearly I wasn’t as sick as I said I was if the medication didn’t work for me. And that sort of makes sense, because when you have cancer the doctor gives you the best medicine and if it doesn’t shrink the tumor immediately then that’s a pretty clear sign you were just faking it for attention. I mean, cancer is a serious, often fatal disease we’ve spent billions of dollars studying and treating so obviously a patient would never have to try multiple drugs, surgeries, radiation, etc., to find what will work specifically for them. And once the cancer sufferer is in remission they’re set for life because once they’ve learned how to not have cancer they should be good. And if they let themselves get cancer again they can just do whatever they did last time. Once you find the right cancer medication you’re pretty much immune from that disease forever. And if you get it again it’s probably just a reaction to too much gluten or not praying correctly. Right?

Two-thirds of the terminal cancer patients in the Coping with Cancer study reported having had no discussion with their doctors about their goals for end-of-life care, despite being, on average, just four months from death. But the third who did have discussions were far less likely to undergo cardiopulmonary resuscitation or be put on a ventilator or end up in an intensive care unit. Most of them enrolled in hospice. They suffered less, were physically more capable, and were better able, for a longer period, to interact with others. In addition, six months after these patients died, their family members were markedly less likely to experience persistent major depression. In other words, people who had substantive discussions with their doctor about their end-of-life preferences were far more likely to die at peace and in control of their situation and to spare their family anguish.

If prayer works, why can’t God cure cancer or grow back a severed limb? Why so much avoidable suffering that God could so readily prevent? Why does God have to be prayed to at all? Doesn’t He already know what cures need to be performed? Dossey also begins with a quote from Stanley Krippner, M.D. (described as “one of the most authoritative investigators of the variety of unorthodox healing methods used around the world”): [T]he research data on distant, prayer-based healing are promising, but too sparse to allow any firm conclusion to be drawn. This after many trillions of prayers over the millennia.

Throughout our research, we were continually reminded of the “hardiness” research studies done by the International Committee for the Study of Victimization. These studies looked at people who had suffered serious adversity—cancer patients, prisoners of war, accident victims, and so forth—and survived. They found that people fell generally into three categories: those who were permanently dispirited by the event, those who got their life back to normal, and those who used the experience as a defining event that made them stronger.53 The good-to-great companies were like those in the third group, with the “hardiness factor.

It’s a Buddhist meditation that Teza uses to calm his mind, to put aside not just the physical pain but the sadness and rage he’s feeling: He starts to whisper a prayer. “Whatever beings there are, may they be free from suffering. Whatever beings there are, may they be free from enmity. Whatever beings there are, may they be free from hurtfulness. Whatever beings there are, may they be free from ill health. Whatever beings there are, may they be able to protect their own happiness.” “I particularly like that last phrase,” Mom said. “About protecting your own happiness.” “But how can you protect your own happiness when you can’t control the beatings?” I asked. “That’s the point, Will. You can’t control the beatings. But maybe you can have some control over your happiness. As long as he can, well then, he still has something worth living for. And when he’s no longer able, he knows he’s done all he can.” In my mind, I replaced the word beatings with cancer.

In 1994, Friedman wrote a memo marked “Very Confidential” to Raymond, Mortimer, and Richard Sackler. The market for cancer pain was significant, Friedman pointed out: four million prescriptions a year. In fact, there were three-quarters of a million prescriptions just for MS Contin. “We believe that the FDA will restrict our initial launch of OxyContin to the Cancer pain market,” Friedman wrote. But what if, over time, the drug extended beyond that? There was a much greater market for other types of pain: back pain, neck pain, arthritis, fibromyalgia. According to the wrestler turned pain doctor John Bonica, one in three Americans was suffering from untreated chronic pain. If that was even somewhat true, it represented an enormous untapped market. What if you could figure out a way to market this new drug, OxyContin, to all those patients? The plan would have to remain secret for the time being, but in his memo to the Sacklers, Friedman confirmed that the intention was “to expand the use of OxyContin beyond Cancer patients to chronic non-malignant pain.” This was a hugely audacious scheme. In the 1940s, Arthur Sackler had watched the introduction of Thorazine. It was a “major” tranquilizer that worked wonders on patients who were psychotic. But the way the Sackler family made its first great fortune was with Arthur’s involvement in marketing the “minor” tranquilizers Librium and Valium. Thorazine was perceived as a heavy-duty solution for a heavy-duty problem, but the market for the drug was naturally limited to people suffering from severe enough conditions to warrant a major tranquilizer. The beauty of the minor tranquilizers was that they were for everyone. The reason those drugs were such a success was that they were pills that you could pop to relieve an extraordinary range of common psychological and emotional ailments. Now Arthur’s brothers and his nephew Richard would make the same pivot with a painkiller: they had enjoyed great success with MS Contin, but it was perceived as a heavy-duty drug for cancer. And cancer was a limited market. If you could figure out a way to market OxyContin not just for cancer but for any sort of pain, the profits would be astronomical. It was “imperative,” Friedman told the Sacklers, “that we establish a literature” to support this kind of positioning. They would suggest OxyContin for “the broadest range of use.” Still, they faced one significant hurdle. Oxycodone is roughly twice as potent as morphine, and as a consequence OxyContin would be a much stronger drug than MS Contin. American doctors still tended to take great care in administering strong opioids because of long-established concerns about the addictiveness of these drugs. For years, proponents of MS Contin had argued that in an end-of-life situation, when someone is in a mortal fight with cancer, it was a bit silly to worry about the patient’s getting hooked on morphine. But if Purdue wanted to market a powerful opioid like OxyContin for less acute, more persistent types of pain, one challenge would be the perception, among physicians, that opioids could be very addictive. If OxyContin was going to achieve its full commercial potential, the Sacklers and Purdue would have to undo that perception.

Naturally, it causes psychological harm as well; it shouldn’t surprise you that a national survey of 24,000 workers found that men and women with few social ties were two to three times more likely to suffer from major depression than people with strong social bonds.9 When we enjoy strong social support, on the other hand, we can accomplish impressive feats of resilience, and even extend the length of our lives. One study found that people who received emotional support during the six months after a heart attack were three times more likely to survive.10 Another found that participating in a breast cancer support group actually doubled women’s life expectancy post surgery.11 In fact, researchers have found that social support has as much effect on life expectancy as smoking, high blood pressure, obesity, and regular physical activity.12

I’ll never forget the crippling headaches Grandpa suffered, the nausea from chemo and radiation. I watched Daddy wrestle with decision after decision, ultimately withholding IV antibiotics to treat the pneumonia that took Grandpa more quickly and far more gently. Barrons is voicing the legitimate question of anyone who’s ever agreed not to resuscitate, to cease life-sustaining measures for a loved one, to accept a Stage 4 cancer patient’s decision to refuse more chemo, or euthanize a beloved pet. Throughout the caretaker experience, your loved one’s presence is intense and exquisitely poignant and painful, then all the sudden they’re gone and you discover their absence is even more intense and exquisitely poignant and painful. You don’t know how to walk or breathe when they’re no longer there. And how could you? Your world revolved around them.

Bear in mind that Mother Teresa’s global income is more than enough to outfit several first-class clinics in Bengal. The decision not to do so, and indeed to run instead a haphazard and cranky institution which would expose itself to litigation and protest were it run by any branch of the medical profession, is a deliberate one. The point is not the honest relief of suffering but the promulgation of a cult based on death and suffering and subjection. Mother Teresa (who herself, it should be noted, has checked into some of the finest and costliest clinics and hospitals in the West during her bouts with heart trouble and old age) once gave this game away in a filmed interview. She described a person who was in the last agonies of cancer and suffering unbearable pain. With a smile, Mother Teresa told the camera what she told this terminal patient: “You are suffering like Christ on the cross. So Jesus must be kissing you.” Unconscious of the account to which this irony might be charged, she then told of the sufferer’s reply: “Then please tell him to stop kissing me.” There are many people in the direst need and pain who have had cause to wish, in their own extremity, that Mother Teresa was less free with her own metaphysical caresses and a little more attentive to actual suffering.

Mine is not the first voice to suggest that as patients, as families, and even as doctors, we need to find hope in other ways, more realistic ways, than in the pursuit of elusive and danger-filled cures. In the care of advanced disease, whether cancer or some other determined killer, hope should be redefined. Some of my sickest patients have taught me of the varieties of hope that can come when death is certain. I wish I could report that there were many such people, but there have, in fact, been few. Almost everyone seems to want to take a chance with the slim statistics that oncologists give to patients with advanced disease. Usually they suffer for it, and they die anyway, having magnified the burdens they and those who love them must carry to the final moments. Though everyone may yearn for a tranquil death, the basic instinct to stay alive is a far more powerful force.

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

No death, no suffering. No funeral homes, abortion clinics, or psychiatric wards. No rape, missing children, or drug rehabilitation centers. No bigotry, no muggings or killings. No worry or depression or economic downturns. No wars, no unemployment. No anguish over failure and miscommunication. No con men. No locks. No death. No mourning. No pain. No boredom. No arthritis, no handicaps, no cancer, no taxes, no bills, no computer crashes, no weeds, no bombs, no drunkenness, no traffic jams and accidents, no septic-tank backups. No mental illness. No unwanted e-mails. Close friendships but no cliques, laughter but no put-downs. Intimacy, but no temptation to immorality. No hidden agendas, no backroom deals, no betrayals. Imagine mealtimes full of stories, laughter, and joy, without fear of insensitivity, inappropriate behavior, anger, gossip, lust, jealousy, hurt feelings, or anything that eclipses joy. That will be Heaven.

At the same time, medical experts of every persuasion agree that African Americans share the most deplorable health profile in the nation by far, one that resembles that of Third World countries. When Dr. Harold Freedman observed that the health status of Harlem men resembles that of Bangladeshis more closely than that of their Manhattan neighbors, he did not exaggerate. Twice as many African American babies as babies of other ethnic groups die before their first birthday. One and half times as many African American adults as white adults die every year. Blacks have dramatically higher rates of nearly every cancer, of AIDS, of heart disease, of diabetes, of liver disease, of infectious diseases, and they even suffer from higher rates of accidental death, homicide, and mental illness. Before they die young in droves from eminently preventable diseases, African Americans also suffer far more devastating but equally preventable disease complications, such as blindness, confinement to wheelchairs, and limb loss.

Health outcomes for black people are worse across the board during non-pandemic times. Black women are 22% more likely to die from heart disease than white women and 71% more likely to die from cervical cancer. Blacks are diagnosed with diabetes at a 71% higher rate than whites. Minorities receive lower quality care for their diabetes, resulting in more complications, such as chronic kidney disease and amputations. The list of conditions which Blacks suffer more extend to mental health, cancer, and heart disease.

Does God "temper the wind to the shorn lamb"? Does He never ask more of us than we can endure? My experience, alas, has been otherwise. I have seen people crack under the strain of unbearable tragedy. I have seen marriages break up after the death of a child, because parents blamed each other for not taking proper care or for carrying the defective gene, or simply because the memories they shared were unendurably painful. I have seen some people made noble and sensitive through suffering, but i have seen many more people grow cynical and bitter. I have seen people become jealous of those around them, unable to take part in the routines of normal living. I have seen cancers and automobile accidents take the life of one member of a family, and functionally end the lives of five others, who could never again be the normal, cheerful people they were before disaster struck. If God is testing us, He must know by now that many of us fail the test. If He is only giving us the burdens we can bear, I have seen Him miscalculate far too often.

The only proven way in which to lengthen the life span of an animal is through caloric restriction. In other words, if you eat 30 percent fewer calories, you can live roughly 30 percent longer, depending on the animal being studied. This general rule has been tested across a vast array of species, from insects, mice, dogs and cats, even to apes. Animals eating fewer calories live longer than their counterparts that gorged themselves. They have fewer diseases and suffer less frequently from the problems of old age, such as cancer and hardening of the arteries.

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.

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.

When Franklin D. Roosevelt signed the Social Security Act in 1935, old age was defined as sixty-five years, yet estimated life expectancy in the United States at the time was sixty-one years for males and sixty-four years for females.62 A senior citizen today, however, can expect to live eighteen to twenty years longer. The downside is that he or she also should expect to die more slowly. The two most common causes of death in 1935 America were respiratory diseases (pneumonia and influenza) and infectious diarrhea, both of which kill rapidly. In contrast, the two most common causes of death in 2007 America were heart disease and cancer (each accounted for about 25 percent of total deaths). Some heart attack victims die within minutes or hours, but most elderly people with heart disease survive for years while coping with complications such as high blood pressure, congestive heart failure, general weakness, and peripheral vascular disease. Many cancer patients also remain alive for several years following their diagnosis because of chemo-therapy, radiation, surgery, and other treatments. In addition, many of the other leading causes of death today are chronic illnesses such as asthma, Alzheimer’s, type 2 diabetes, and kidney disease, and there has been an upsurge in the occurrence of nonfatal but chronic illnesses such as osteoarthritis, gout, dementia, and hearing loss.63 Altogether, the growing prevalence of chronic illness among middle-aged and elderly individuals is contributing to a health-care crisis because the children born during the post–World War II baby boom are now entering old age, and an unprecedented percentage of them are suffering from lingering, disabling, and costly diseases. The term epidemiologists coined for this phenomenon is the “extension of morbidity.

It seems we do not believe what we teach. If we did, we would know that an abuser is a slave and cannot simply stop. We would understand that the narcotic of self-deception has become so powerful in his life that he not only cannot stop lying; he does not even know when he is and has lost his capacity to tell truth from lies, good from evil. We would know that habituated sin has roots and tentacles and has long done damage to the soul so it is not easily routed out. And we would know that exposure, consequences, and treatment are necessary if there is ever to be freedom from the cancer that has sent tentacles throughout his life.

You can make quite a life for yourself hosting charity dinners and collecting art. You can find a way to be happy with whatever the truth is. Until your daughter dies. Connor was diagnosed with late-stage breast cancer two and a half years ago, when she was thirty-nine. She was given months to live. I knew what it was like to realize that the one you love would leave this earth well before you. But nothing could prepare me for the pain of watching my child suffer. I held her when she puked from the chemo. I wrapped her in blankets when she was so cold she was crying. I kissed her forehead like she was my baby again, because she was forever my baby. I told her every single day that her life had been the world’s greatest gift to me, that I believed I was put on earth not to make movies or wear emerald-green gowns and wave at crowds but to be her mother. I sat next to her hospital bed. “Nothing I have ever done,” I said, “has made me as proud as the day I gave birth to you.” “I know,” she said. “I’ve always known that.” I had made a point of not bullshitting her ever since her father died. We had the sort of relationship where we believed each other, believed in each other. She knew she was loved. She knew that she had changed my life, that she had changed the world. She made it eighteen months before she passed away. And when they put her in the ground next to her father, I broke like I have never broken before. The devastating luxury of panic overtook me. And it has never left.

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

It is unlikely that those who provide housing, food, medicine or a host of other goods and services, can continue to provide us with the same quantity and quality of these when the costs involved in providing that quantity and quality of goods and services cannot be recovered. . This may not be immediately obvious, a reason why price controls are popular, but the consequences are long-lasting and usually get even worse over time. Homes do not disappear immediately when there is rent control, but they deteriorate over time without being replaced by newer and more suitable ones. Currently available medicines do not disappear when price controls are implemented, but new medicines for the treatment of cancer, AIDS, Alzheimer's and others will probably not continue to be developed at the same speed, when the money to pay for their development is no longer there. Present. But everything takes time to be noticed and the memory of most people may be very short-term and they cannot connect the bad consequences they suffer with the popular policies they supported a few years ago.

Between 1995 and 1997 the California-based healthcare network Kaiser Permanente gave more than 17,000 patients a questionnaire to assess the level of trauma in their childhoods. Questions included whether the patients' parents had been mentally or physically abusive or neglectful and whether their parents were divorced or had abused substances. This was called the Adverse Childhood Experiences (ACE) study. After taking the questionnaire, patients were given an ACE score on a scale of 0 to 10. The higher the score, the more trauma a person experienced in childhood. The results of the study were astoundingly clear: The more childhood trauma someone had suffered, the worse their health outcomes were in adulthood. And their risk for contracting diseases didn't go up just a few percentage points. People with high ACE scores were about three times as likely to develop liver disease, twice as likely to develop cancer or heart disease, four times as likely to develop emphysema. They were seven and a half times more likely to become alcoholics, four and a half times more likely to suffer from depression, and a whopping twelve times more likely to attempt suicide. Scientists have learned that stress is literally toxic. Stress chemicals surging through our bodies like cortisol and adrenaline are healthy in moderation—you wouldn't be able to get up in the morning without a good dose of cortisol. But in overwhelming quantities, they become toxic and can change the structure of our brains. Stress and depression wear our bodies out. And childhood trauma affects our telomeres. Telomeres are like little caps on the ends of our strands of DNA that keep them from unraveling. As we get older, those telomeres get shorter and shorter. When they've finally disappeared, our DNA itself begins to unravel, increasing our chances of getting cancer and making us especially susceptible to disease. Because of this, telomeres are linked to human lifespan. And studies have shown that people who have suffered from childhood trauma have significantly shortened telomeres. In the end, these studies claimed that having an ACE score of 6 or higher takes twenty years off your life expectancy. The average life expectancy for someone with 6 or more ACEs is sixty years old.

Some people God cures and some he slays. Fat denies that God slays anyone. Fat says, God never harms anyone. Illness, pain and undeserved suffering arise not from God but from elsewhere, to which I say, How did this elsewhere arise? Are there two gods? Or is part of the universe out from under God’s control? Fat used to quote Plato. In Plato’s cosmology, noös or Mind is persuading ananke or blind necessity—or blind chance, according to some experts—into submission. Noös happened to come along and to its surprise discovered blind chance: chaos, in other words, onto which noös imposes order (although how this “persuading” is done Plato nowhere says). According to Fat, my friend’s cancer consisted of disorder not yet persuaded into sentient shape. Noös or God had not yet gotten around to her, to which I said, “Well, when he did get around to her it was too late.” Fat had no answer for that, at least in terms of oral rebuttal. Probably he sneaked off and wrote about it in his journal. He stayed up to four A.M. every night scratching away in his journal. I suppose all the secrets of the universe lay in it somewhere amid the rubble.

People always feel sorry for you if you’re physically sick. It doesn’t matter if you have cancer or a cold. People always feel sorry for you and ask you if you’re okay. You need money? You got it! You want to meet a celebrity? Of course you can! You want to go to a convention, ComiCon, Disney World, anywhere in the world? You’re going to go there. That doesn’t happen when you’re mentally ill. If you’re mentally ill, people look at you differently. People roll their eyes when you talk about how sad you are. People won’t lift a finger to help you. “Get a job,” they’ll tell you. “Stop being so lazy. Be grateful you don’t have cancer. Get over it. It’s in the past. You have no reason to be sad.” And that isn’t how it works. But, of course, they wouldn’t know that. They’ve never been mentally ill, they don’t know how you can be so permanently damaged by your past that your present is painful and your future looks bleak. They don’t understand that most days getting out of bed is a chore. They don’t get that sometimes getting a job is out of the question because you’re just too damn afraid to even speak to anyone. That isn’t something you can just get over. But no one knows that because mental illnesses aren’t a real problem apparently. Apparently, the fact that over 800,000 million people die from suicide each year isn’t a real problem. Apparently, the fact that 15% of the adolescent population self-harms isn’t a real problem either. And, apparently, it isn’t a cause to worry that one in 200 American women suffer from an eating disorder. And, as I stand on the balcony, staring at the glittering city, thinking about the short time I spent in Paperthin Hearts, meeting all of the damaged children, I wonder how in the world people don’t understand what a mistake they’re making when they assume that having cancer is worse than being depressed or anxious or wanting to starve yourself to the point of death. How is that a mystery to anyone? Cancer patients are told they’re brave. They’re all made out to be martyrs. They’re given everything they need. Almost all of them. Mental health patients? They’re lucky if they get the right treatment they need before their broken, bleeding hearts, desperate only for love, destroy a part of them that can never be repaired.

tried to go to a counselor, but it was just too weird. Talking to some stranger about my feelings made me want to vomit. I did go to the library, and I learned that behavior I considered commonplace was the subject of pretty intense academic study. Psychologists call the everyday occurrences of my and Lindsay’s life “adverse childhood experiences,” or ACEs. ACEs are traumatic childhood events, and their consequences reach far into adulthood. The trauma need not be physical. The following events or feelings are some of the most common ACEs: •​being sworn at, insulted, or humiliated by parents •​being pushed, grabbed, or having something thrown at you •​feeling that your family didn’t support each other •​having parents who were separated or divorced •​living with an alcoholic or a drug user •​living with someone who was depressed or attempted suicide •​watching a loved one be physically abused. ACEs happen everywhere, in every community. But studies have shown that ACEs are far more common in my corner of the demographic world. A report by the Wisconsin Children’s Trust Fund showed that among those with a college degree or more (the non–working class), fewer than half had experienced an ACE. Among the working class, well over half had at least one ACE, while about 40 percent had multiple ACEs. This is really striking—four in every ten working-class people had faced multiple instances of childhood trauma. For the non–working class, that number was 29 percent. I gave a quiz to Aunt Wee, Uncle Dan, Lindsay, and Usha that psychologists use to measure the number of ACEs a person has faced. Aunt Wee scored a seven—higher even than Lindsay and me, who each scored a six. Dan and Usha—the two people whose families seemed nice to the point of oddity—each scored a zero. The weird people were the ones who hadn’t faced any childhood trauma. Children with multiple ACEs are more likely to struggle with anxiety and depression, to suffer from heart disease and obesity, and to contract certain types of cancers. They’re also more likely to underperform in school and suffer from relationship instability as adults. Even excessive shouting can damage a kid’s sense of security and contribute to mental health and behavioral issues down the road. Harvard pediatricians have studied the effect that childhood trauma has on the mind. In addition to later negative

I know. I think they probably just want to see you performing the full load of a chief. It’s because they like you. Seriously.” I realized it was true: For the past few months, I had been acting merely as a surgical technician. I had been using cancer as an excuse not to take full responsibility for my patients. On the other hand, it was a good excuse, damn it. But now I started coming in earlier, staying later, fully caring for the patients again, adding another four hours to a twelve-hour day. It put the patients back in the center of my mind at all times. The first two days I thought I would have to quit, battling waves of nausea, pain, and fatigue, retreating to an unused bed in down moments to sleep. But by the third day, I had begun to enjoy it again, despite the wreck of my body. Reconnecting with patients brought back the meaning of this work. I took antiemetics and nonsteroidal anti-inflammatory drugs (NSAIDs) between cases and just before rounds. I was suffering, but I was fully back. Instead of finding an unused bed, I started resting on the junior residents’ couch, supervising them on the care of my patients, lecturing as I rode a wave of back spasms. The more tortured my body became, the more I relished having done the work. At the end of the first week, I slept for forty hours straight. But I was calling the shots:

the slow, contemplative “academic” mechanism of drug testing, Kramer groused, was becoming life-threatening rather than lifesaving. Randomized, placebo-controlled trials were all well and good in the cool ivory towers of medicine, but patients afflicted by a deadly illness needed drugs now. “Drugs into bodies; drugs into bodies,” ACT UP chanted. A new model for accelerated clinical trials was needed. “The FDA is fuckedup, the NIH is fucked-up… the boys and girls who are running this show have been unable to get whatever system they’re operating to work,” Kramer told his audience in New York. “Double-blind studies,” he argued in an editorial, “were not created with terminal illnesses in mind.” He concluded, “AIDS sufferers who have nothing to lose, are more than willing to be guinea pigs.” Even Kramer knew that that statement was extraordinary; Halsted’s ghost had, after all, barely been laid to rest. But as ACT UP members paraded through the streets of New York and Washington, frothing with anger and burning paper effigies of FDA administrators, their argument ricocheted potently through the media and the public imagination. And the argument had a natural spillover to other, equally politicized diseases. If AIDS patients demanded direct access to drugs and treatments, should other patients with terminal illnesses not also make similar demands? Patients with AIDS wanted drugs into bodies, so why should bodies with cancer be left without drugs?

HISTORICAL NOTE There are no nuclear power stations in Belarus. Of the functioning stations in the territory of the former USSR, the ones closest to Belarus are of the old Soviet-designed RBMK type. To the north, the Ignalinsk station, to the east, the Smolensk station, and to the south, Chernobyl. On April 26, 1986, at 1:23:58, a series of explosions destroyed the reactor in the building that housed Energy Block #4 of the Chernobyl Nuclear Power Station. The catastrophe at Chernobyl became the largest technological disaster of the twentieth century. For tiny Belarus (population: 10 million), it was a national disaster. During the Second World War, the Nazis destroyed 619 Belarussian villages along with their inhabitants. As a result of Chernobyl, the country lost 485 villages and settlements. Of these, 70 have been forever buried underground. During the war, one out of every four Belarussians was killed; today, one out of every five Belarussians lives on contaminated land. This amounts to 2.1 million people, of whom 700,000 are children. Among the demographic factors responsible for the depopulation of Belarus, radiation is number one. In the Gomel and Mogilev regions, which suffered the most from Chernobyl, mortality rates exceed birth rates by 20%. As a result of the accident, 50 million Ci of radionuclides were released into the atmosphere. Seventy percent of these descended on Belarus; fully 23% of its territory is contaminated by cesium-137 radionuclides with a density of over 1 Ci/km2. Ukraine on the other hand has 4.8% of its territory contaminated, and Russia, 0.5%. The area of arable land with a density of more than 1 Ci/km2 is over 18 million hectares; 2.4 thousand hectares have been taken out of the agricultural economy. Belarus is a land of forests. But 26% of all forests and a large part of all marshes near the rivers Pripyat, Dniepr, and Sozh are considered part of the radioactive zone. As a result of the perpetual presence of small doses of radiation, the number of people with cancer, mental retardation, neurological disorders, and genetic mutations increases with each year. —“Chernobyl.” Belaruskaya entsiklopedia On April 29, 1986, instruments recorded high levels of radiation in Poland, Germany, Austria, and Romania. On April 30, in Switzerland and northern Italy. On May 1 and 2, in France, Belgium, the Netherlands, Great Britain, and northern Greece. On May 3, in Israel, Kuwait, and Turkey. . . . Gaseous airborne particles traveled around the globe: on May 2 they were registered in Japan, on May 5 in India, on May 5 and 6 in the U.S. and Canada. It took less than a week for Chernobyl to become a problem for the entire world. —“The Consequences of the Chernobyl Accident in Belarus.” Minsk, Sakharov International College on Radioecology The fourth reactor, now known as the Cover, still holds about twenty tons of nuclear fuel in its lead-and-metal core. No one knows what is happening with it. The sarcophagus was well made, uniquely constructed, and the design engineers from St. Petersburg should probably be proud. But it was constructed in absentia, the plates were put together with the aid of robots and helicopters, and as a result there are fissures. According to some figures, there are now over 200 square meters of spaces and cracks, and radioactive particles continue to escape through them . . . Might the sarcophagus collapse? No one can answer that question, since it’s still impossible to reach many of the connections and constructions in order to see if they’re sturdy. But everyone knows that if the Cover were to collapse, the consequences would be even more dire than they were in 1986. —Ogonyok magazine, No. 17, April 1996

And, even more important for our purposes, these facts are sturdy enough that we can build a sensible diet upon them. Here they are: FACT 1. Populations that eat a so-called Western diet—generally defined as a diet consisting of lots of processed foods and meat, lots of added fat and sugar, lots of refined grains, lots of everything except vegetables, fruits, and whole grains—invariably suffer from high rates of the so-called Western diseases: obesity, type 2 diabetes, cardiovascular disease, and cancer. Virtually all of the obesity and type 2 diabetes, 80 percent of the cardiovascular disease, and more than a third of all cancers can be linked to this diet. Four of the top ten killers in America are chronic diseases linked to this diet. The arguments in nutritional science are not about this well-established link; rather, they are all about identifying the culprit nutrient in the Western diet that might be responsible for chronic diseases. Is it the saturated fat or the refined carbohydrates or the lack of fiber or the transfats or omega-6 fatty acids—or what? The point is that, as eaters (if not as scientists), we know all we need to know to act: This diet, for whatever reason, is the problem. FACT 2. Populations eating a remarkably wide range of traditional diets generally don’t suffer from these chronic diseases. These diets run the gamut from ones very high in fat (the Inuit in Greenland subsist largely on seal blubber) to ones high in carbohydrate (Central American Indians subsist largely on maize and beans) to ones very high in protein (Masai tribesmen in Africa subsist chiefly on cattle blood, meat, and milk), to cite three rather extreme examples. But much the same holds true for more mixed traditional diets. What this suggests is that there is no single ideal human diet but that the human omnivore is exquisitely adapted to a wide range of different foods and a variety of different diets. Except, that is, for one: the relatively new (in evolutionary terms) Western diet that most of us now are eating. What an extraordinary achievement for a civilization: to have developed the one diet that reliably makes its people sick! (While it is true that we generally live longer than people used to, or than people in some traditional cultures do, most of our added years owe to gains in infant mortality and child health, not diet.) There is actually a third, very hopeful fact that flows from these two: People who get off the Western diet see dramatic improvements in their health. We have good research to suggest that the effects of the Western diet can be rolled back, and relatively quickly.

In my youth . . . my sacred youth . . . in eaves sole sparowe sat not more alone than I . . . in my youth, my saucer-deep youth, when I possessed a mirror and both a morning and an evening comb . . . in my youth, my pimpled, shame-faced, sugared youth, when I dreamed myself a fornicator and a poet; when life seemed to be ahead somewhere like a land o’ lakes vacation cottage, and I was pure tumescence, all seed, afloat like fuzz among the butterflies and bees; when I was the bursting pod of a fall weed; when I was the hum of sperm in the autumn air, the blue of it like watered silk, vellum to which I came in a soft cloud; O minstrel galleons of Carib fire, I sang then, knowing naught, clinging to the tall slim wheatweed which lay in a purple haze along the highway like a cotton star . . . in my fumbling, lubricious, my uticated youth, when a full bosom and a fine round line of Keats, Hart Crane, or Yeats produced in me the same effect—a moan throughout my molecules—in my limeade time, my uncorked innocence, my jellybelly days, when I repeated Olio de Oliva like a tenor; then I would touch the page in wonder as though it were a woman, as though I were blind in my bed, in the black backseat, behind the dark barn, the dim weekend tent, last dance, date's door, reaching the knee by the second feature, possibly the thigh, my finger an urgent emissary from my penis, alas as far away as Peking or Bangkok, so I took my heart in my hand, O my love, O my love, I sighed, O Christina, Italian rose; my inflated flesh yearning to press against that flesh becoming Word—a word—words which were wet and warm and responsive as a roaming tongue; and her hair was red, long, in ringlets, kiss me, love me up, she said in my anxious oral ear; I read: Milton! thou shouldst be living at this hour; for I had oodles of needs, if England didn't; I was nothing but skin, pulp, and pit, in my grapevine time, during the hard-on priesthood of the poet; because then—in my unclean, foreskinned, and prurient youth—I devoutly believed in Later Life, in Passion, in Poetry, the way I thought only fools felt about God, prayer, heaven, foreknowledge, sin; for what was a poem if not a divine petition, a holy plea, a prophecy: [...] a stranger among strangers, myself the strangest because I could never bring myself to enter adolescence, but kept it about like a bit of lunch you think you may eat later, and later come upon at the bottom of a bag, dry as dust, at the back of the refrigerator, bearded with mold, or caked like sperm in the sock you've fucked, so that gingerly, then, you throw the mess out, averting your eyes, just as Rainer complained he never had a childhood—what luck!—never to have suffered birthpang, nightfear, cradlecap, lake in your lung; never to have practiced scales or sat numb before the dentist's hum or picked your mother up from the floor she's bled and wept and puked on; never to have been invaded by a tick, sucked by a leech, bitten by a spider, stung by a bee, slimed on by a slug, seared by a hot pan, or by paper or acquaintance cut, by father cuffed; never to have been lost in a crowd or store or parking lot or left by a lover without a word or arrogantly lied to or outrageously betrayed—really what luck!—never to have had a nickel roll with slow deliberation down a grate, a balloon burst, toy break; never to have skinned a knee, bruised a friendship, broken trust; never to have had to conjugate, keep quiet, tidy, bathe; to have lost the chance to be hollered at, bullied, beat up (being nothing, indeed, to have no death), and not to have had an earache, life's lessons to learn, or sums to add reluctantly right up to their bitter miscalculated end—what sublime good fortune, the Greek poet suggested—because Nature is not accustomed to life yet; it is too new, too incidental, this shiver in the stone, never altogether, and would just as soon (as Culp prefers to say) cancer it; erase, strike, stamp it out— [...]