The Rumble of Panic beneath Everything

Anxiety (1894) by Edvard Munch
Anxiety (1894) by Edvard Munch

The counselor in me has always had a vulnerable side when the professional hat is not worn.

I’ve been an interested and emphatic listener of others’ stories since my twenties when the Jesus story first made its impact (coincidentally or consequentially, I’m not sure).  But I’ve not always been able to be a dispassionate empathetic listener. This vulnerability presents itself when I move from empathy to over-identification. The self-centered and self-protective side of my psyche hijacks the genuinely compassionate side and the fearfulness of “this sounds too close to home and could happen to me or a loved one” takes over and I am sorry I ever listened to that person’s story. I don’t know why but this does not happen when I am “clinical Dona” which is a good thing or I would have been admitted to a psych ward after my first year of practice.

I just spent three days in the hospital after getting an acute infection driven bya low white blood cell count due to chemotherapy.  I spent 24 hours in the ICU and two and a half days on a regular floor. In both situations I was in better health than the patients around me and because of this I had conversations with worried and distressed family members that I would meet in the hall or waiting room. I heard stories of protracted and acute suffering and misery in a very short period of time. The empathetic listener had not turned off while I was hospitalized.text for rumble_rev

But there were times during my hospital stay that I wanted it to turn off; like when the descriptions of misery were too raw and graphic. At that point cancer would interrupt the counselor – butt her out with one quick unexpected slam – reminding her that there could be much more misery in store down the road of cancer treatment.  So, after a while compassionate listening would give way to cowardly recoiling and shutdown. I would walk back to my room with more Dona-sadness than with Jack-sadness or Terri-sadness.  Not pretty or admirable.  Thankfully this overly anxious display of self-pity did not last long and did not keep me from praying for these folks and their distressed families.

My guess is that most of you readers are not going to be too hard on me.  In most of us there is that nagging feeling and suppressed thought that suffering and loss are not that far from any of us regardless of the many precautions we take to stay them off. They blindside even the most cautious and genetically hearty of us.

In the introduction of his book, Walking with God through Pain and Suffering, Timothy Keller quotes Ernest Becker:

 “I think that taking life seriously means something like this: that whatever man does on this planet has to be done in the lived truth of the terror of creation…… of the rumble of panic underneath everything.  Otherwise it is false.”

So how are we to live with peace, purpose, joy, love, and hope in light of this rumble of panic?  How are we to recognize a caring, loving God who is for us when at any time the shoe can drop or has already dropped?  I am a novice in this world of suffering but let me offer a couple of thoughts.

David my husband says that in times of crisis we are what we have been trained to be. My experience in watching others who have walked various kinds and degrees of suffering, ranging from tragic losses to debilitating and sometimes fatal illnesses, is that getting through it required leaning on spiritual resources previously learned or acquired.  I am not going to be so presumptuous as to imply that only those who rely on spiritual resources weather their tragedies well.  I have read or heard  inspiring stories of people who have weathered great hardship without apparently leaning on God.

But my experience in working in the US and the Middle East as well as meeting people from all over the world is that when push comes to shove it is spiritual resources that provide comfort and strength in times of critical helplessness; not perfectly or always heroically, but nonetheless “a leaning on” that brings comfort.  I heard similar disclosures last week in the hospital’s halls and waiting rooms.

So, what are these spiritual resources that I hear about from the sufferer?

  • Praying
  • Complaining to a God who is both there and not too thin skinned to take it.
  • Drawing on scripture for comfort
  •  Developing a Biblical awareness of the myriad of sufferings addressed in the biblical text with its various antidotes.
  • Receiving the practical and sacrificial helps and prayers of the church and friends that show the compassionate face of Christ, and finally,
  • Acknowledging that something supernatural is at work; ideally, a healing but certainly a feeling of the Holy Spirit’s presence. THEY ARE NOT ALONE.

I, too, have been relying on the above resources; not perfectly or even consistently . In a previous post called, Chipmunk Cheeks, I mentioned the futility of expecting God to give me the grace for my grim or fearful imaginings. He has not promised to do that. He has promised to be with me in the present and give grace for that present. If I lay hold of that truth once again I will be able to be fully present with those who tell me their woeful stories of pain and grief.  Only then can I be numbered as one of the spiritual resources on which they can rely. “Oh God let it be true about me.”

An exclusive moment within diversity

blessedThere was only one black man in the phlebotomy waiting room. Unusual because the waiting room was crowded and usually representative of ethnic origins and different races living in this city. One of the many reasons I love Buffalo.

I came in first and was seated. I noticed him because he was also the only one of us wearing a mouth mask, not an uncommon sight in a cancer institute but noticeable. He sat across the room from me and I smiled at him.  His eyes told me he had smiled back.  I had not had much luck with anyone else (smiles are important to me; see my post, Duchene’s Smiles, Please).  Everyone seemed wrapped in their world of worry or boredom with yet another routine to follow for the care they need.

He pulled down his mask so I could see him smile and said, “Are you having a nice day?”

I answered back, “I have no complaints.”

As if talking to himself he said, “You trust in God and leave everything up to him” to which I answered “amen.”

He then directed his comments back at me as if returning from a place of prayer. “I am a blessed man, a very blessed man”.

Since we were talking across the room from each other I wondered what people were thinking.But it was like the two of us were there alone.  I continued, “I can tell you are a blessed man because of your ball cap.”

He seemed momentarily confused until he took it off, exposing his baldness, and read the words on the cap, “I AM A BLESSED MAN.” He laughed as he explained he forgot that he had that particular ball cap on but agreed with it wholeheartedly.  At this point I was called in to have blood drawn.  I left the waiting room feeling the exclusivity of a tender moment with a man who openly and unabashedly shared my hope.

“Always be ready to give account for the hope you have……”

–          I Peter 3:16

Fear of Dying

The atmosphere was tense in the CT scan waiting room.  Nothing seemed particularly different at first blush – several men and women waiting their turn to have a machine tell them something about their tumors.  Like me, many were being accompanied by a family member or friend.  By this time, I had been in the breast cancer waiting room several times.  The atmosphere in the BC waiting room I now see as qualitatively different.  A friend referred to it as, “You and your sisters waiting together.”  None of that filial bonding in the CT scan waiting room.  We were a mixed gender and we were there representing a variety of different malignancies.  No one likes the word “cancer” but I imagined you flinched a bit when you read “malignancies.”  But that is how it felt.  I think that it had more to do with fear than anything else.  I wasn’t seated long before I heard the frustration and anger of one man directed at the two receptionists.  He and his wife had been waiting a long time and he was upset, “this place is incompetent and needs more accountability” was one of his many comments.  His disgust and self-righteousness was difficult to hear.  But later his gait to the CAT scan room told the story of great pain and a life threatening condition.  Another woman was angrily defending her cell phone’s dependability with one of the CT scan techs. “I have my phone with me all the time so there was no way you tried to call me to change the appointment.”  She pleaded, “I need this to happen today so that my oncologist can start my meds again for my liver and pancreas.”  I wanted to cry for her.

Things calmed down for me a bit until the two mega TV screens came on with a feature story on the plight of Syrian refugee children.  The shocking statistics of children who had already died in the Syrian war and the continuing health crisis of children in the refugee camps including an outbreak of polio only served to increase the malignant atmosphere of the waiting room.  By the time I was ushered into the CT scan room I was praying, “Come Lord Jesus, Come.  There is too much pain and fear of dying in this world so just come and set everything right.”

Laying on the CT machine’s gurney, I thought I was doing well emotionally considering my experience in the waiting room.  But I was suddenly betrayed by my limbic system.  Out of nowhere, my heart was racing and my breathing was rapid and shallow.  Where did this come from?  Within a nana-second I knew why.  My body was picking up the physical sensations of fear before a rational thought was registered.  The classic case of the amygdala beating the frontal cortex to the punch.  “Oh no, the test is over so why is the tech taking so long to come back to me?  They must be seeing something that is of concern.  The horse is out of the barn!  Metastasis!”

The fear of dying had just made itself known.  So, I did what a few friends had suggested in fearful situations.  I started quietly quoting relevant bible verses audibly. Verses that I had memorized in my twenties, the time in life to memorize as the young brain seals the deal.  It helped. I can’t say with confidence that the fear of dying will never find its way back to me again or that the way out of it will be to always quote scripture but there is a scripture verse I am taking to the bank of heaven.  It’s a verse that doesn’t depend on me to muster up a no-fear-of-dying feeling in order for it to be operative.  In Romans 8 verses 37-39 of the New Testament the Apostle Paul writes,

“No, in all these things we are more than conquerors through him who loved us. For I am convinced that neither death nor life, neither angels nor demons, neither the present nor the future, nor any powers, neither height nor depth, nor anything else in all creation, will be able to separate us from the love of God that is in Christ Jesus our Lord.”

By the way, I found out two days ago and now, four days before my surgery that the CT, bone and MRI scans were clear.  The horse is still in the barn.

It’s not the Sword of Damocles

There are so many moments that I forget that I have cancer- not totally surprising since I haven’t had anything done yet except for the 3 biopsies on the right breast. But I am pleased to say that I am able to forget that this is hanging over me especially when I am with my daughters and their families, laughing at the antics of my grandsons.  The lively conversations and activity make me feel so normal and vibrant. Then there are other times when I am counseling someone and able to be fully present with their pain and confusion. Or the times when my husband, David says something outrageously funny and the laughing and joking makes me feel lighthearted without a care in the world.  I really do forget at moments like these that I have cancer.  I am so grateful that this can happen. But then unease sets in and I can’t shake the feeling of a Damocles who ate dinner at the court of Dionysius with a sword hanging over his head by the single hair of a horse’s tail.  The thought ominously glistens above my head, “you have cancer”. Wow that’s scary”. “I could have gone longer without that realization to sober me up” or worse yet, “why? After all I am (was) a healthy woman who had regular mammograms and no family history”.

But then I am reminded that we live in a fallen world where sickness and tragedy hit so many with far more intense and terrifying force than anything I will ever experience. And many, many will experience that hardship with far less support and love than I am receiving.  And if it has anything to do with who is deserving of good fortune well count me out for I have already had more than my share.  So, here is what I believe from the scriptures which life seems to accurately validate: “The rain falls on the just and the unjust” (Matthew 5:45) and so does the drought.  The promise we have is that Jesus is with us through it all. I don’t want to come across super spiritual or strong because I am not naive. This will be a journey with pain and discouragement that will possibly provoke reactions that I will be less than proud of. But for today I am going to go with gratefulness for the prayers and love from others and “God’s peace that transcends all understanding” (Phil. 4:7).

My balled up hand

I found out that I had breast cancer three days ago but it feels like I have been dealing with it for weeks.  Hopefully it’s not a foretaste of my inability to deal with the tough stuff that is still yet to come.

After all I haven’t had a mastectomy yet, chemo yet, radiation yet, the good or bad news about what stage of cancer this is and or whether it is aggressive or not or whether “the horse has left the barn” (the surgeon’s metaphor for cancer metastasizing (I will never again look at a horse in a barn with  an Andrew Wyeth painting in mind)) or nausea, fatigue, hairlessness, insomnia, bloating, weight loss or weight gain, hot flashes, shunts , neuropathy.  Oh my, this list is a flash back of a 6 year old OCD Dona who thought that if she named every known monster, calamity, illness and scary thing in her prayers without missing a single one, then and only then, would she be protected. Well, it doesn’t work that way so I will resist the listing of all possible harsh realities including the big one and instead think seriously why it feels like so much of life has happened since finding out I had cancer.

I have to say it again, “I have cancer”.  Wow, it is so weird to put the most personal of all personal pronouns to the word cancer “I” have cancer.  It is scary but also awesome in some strange way.  I am a Christian so among other things I number with those who sometimes think they have answers to these sort of things but really have doubts that what they are saying, they really, really believe. But that reality  doesn’t keep me from walking through the grocery store with my husband after leaving the Cancer hospital acting like I’m just looking for groceries with my right hand balled up when in fact I am literally imagining Jesus  holding that hand, letting me know that I am not without Him. And so any blog entry will have Him in mind even if he is not always mentioned and when I am not typing I will have my hand balled up literally and/ or metaphorically reminding me that he is with me.  This is all I can hope to know right now. And this is a lot if you really think about it.