‘Death Cafes’ and Me

Death Cafes” are springing up in cities throughout the world to address the subject of death and how-to live with death’s inevitably.

Apparently, the movement was started to give people a “safe place” to talk about death without being accused of morbidity. Billed as a philosophical inquiry on mortality, people looking for a grief support group will be disappointed. “Eat cake, drink tea and discuss death”, is the benign motto. The decor includes mugs, teacups and posters with creepy skulls, skeletons, and ravens painted on them. I admit that I’m put off by the skull mugs in the Death Cafes. death mug

But these venues and discussion groups deserve more than half a point. The vast majority of Americans live in the mythical state of immortality. ‘Mythical immortality’ (my term) is the belief that other people die, I don’t. (See, ‘I Like the New Metastatic Me’) When we do think about death it is in the context of avoiding it. Anne Patchett writes:

“The fact is, staving off our own death is one of our favorite national pastimes. Whether it is exercise, checking our cholesterol or having a mammogram, we are always hedging against mortality……Despite our best intentions, it (death) is still, for the most part, random. And it is absolutely coming.” 1


Death cafes, though they deal with an inevitability ignored by most, do not capture rightly the travesty of death or the Christian hope of triumph over it.


The point of Death Cafes is to make death less fearful in an age of anxiety. I get it.  But the death mug approach to the subject does not capture the travesty of death. I say travesty because the Bible makes it clear that death is an enemy that is finally destroyed with the coming of the new heavens and earth at the culmination of time. And that is where the Christian hope comes in. The story is not over with our deaths. There is the hope that Christ ushers us into his glorious presence where every tear is wiped away and grand reunions are still to come. So maybe what I could benefit from would be a café whose moniker is “death does not have the last word”. A safe place where my faith tradition is shared with others so that I hear stories about people who have died well within the confidence of being on the threshold of an eternal reality. Granted my death café sounds a bit exclusive as it would possibly not be very attractive to secularists or folks from other faith traditions; but at the end of the day, with facing my own mortality I want to hear a café filled with conversations about hope, faith, courage, love and forgiveness. I want to hear and talk about Jesus. I want to live life in the moment with increasing gratitude. Hearing stories about people who lived well up to the moment of their deaths is my cup of tea and I will happily eat some cake while doing so.

 

  1.  Ann Patchett, “Scared Senseless,” The New York Times Magazine, October 20, 2002.

A Dangerous Cancer Diagnosis Revealed Surprising Parallels to the Good News

A surprising diagnosis of metastatic breast cancer in December left my nerves frayed and my capacity to see the positive challenged. That is not quite accurate. Anybody who knows me well knows that my capacity to see the negatives in a situation is formidable. I like to refer to myself as a troubleshooter who can sniff out DANGER with remarkable neurotic accuracy, a source of endless frustration to a husband, who is a natural optimist.

My first consult after a series of scans taken 3 months into treatment was tense (you think!). Theresa, my oncologist’s right-hand nurse practitioner, read me the radiologist’s report which sounded alarmingly ambivalent to my ears and apparently my facial expression exposed my alarm.

“Dona, what is going on? I’m not encouraging you. I can tell by looking at you. “

All I was hearing was something like this little tune, “Cancer here, cancer there, a little cancer sprinkled everywhere.”

She tried again to give me the report’s findings with more color commentary and positive caveats. No dice, I just couldn’t hear what was good in the report.
Finally, Theresa looked at David, “David, help me out, why am I not able to encourage Dona?”

They started talking about the way I process new information as if I wasn’t in the room. I finally said, “OK, Theresa, bottom line – should I be happy from what I’m hearing? It sounds confusing and unconvincing.”

Theresa’s response helped, “Dona, you should be ecstatic!”

I breathed my first deep breath. But as David explained, I still needed to process (David, gets me and most of the time he is supernaturally patient. Bless him). I hounded him the next few days with a ton of questions. I wanted to understand and emotionally experience the good news of this first 3 months of treatment on a new drug.  Since that day I’ve wondered about my reactions and wondered whether there were spiritual parallels.

Life and death information takes serious processing
I, like most people, want straight forward explanations. If people are like me, they want a simple dopamine rush of good news; end of story, no caveats and no qualifiers.
I was confronted with a report about life or death. If ever there was a time to seek clarification and interpretation wasn’t that the moment? I can be forgiven for not being easily placated considering the gravity of my health situation. There was another problem. I was mentally and emotionally dense to the language, descriptions and vocabulary of this serious diagnostic report. I needed help to figure this out. Where was the good news? I kept asking until it finally seeped in, but it was a struggle.

There was another time long ago when good news didn’t sound immediately like good news. When I was an undergraduate, I was walking a dorm hall and was roped in to a bible study in a dorm room. By the time I left I was handed my first New Testament. I read and read and read. The good news that these dorm Christians were talking about was escaping me. The more I read the worst I felt about my spiritual condition and how little my life reflected the teachings of Jesus. I wasn’t getting this good news thing. In retrospect, I was feeling the bad news of being a sinner. The good news – relief from disappointment and guilt – was only a whisper at that point. I entertained chucking it for something spiritually benign, mellow and nonjudgmental. I tried transcendental meditation but continued private reading of the New Testament. Jesus was compelling, but he said some things that I didn’t understand or even like. Some of what was written provoked an angst that was akin to despair. I wanted to read something that made me feel good and accepting of where I was with no changes required. Where was this good news? This New Testament document was serious. There was an alarming truth that intuitively felt like I was being confronted with life and death. I got that far but I was stuck.

Clarification and interpretation are needed
I needed help with the vocabulary and concepts of the New Testament. I had questions, tons of questions, with no one to go to but books that I read while sitting on floors of book stores and libraries. Eventually I found smarter, wiser and older people than me to throw all my questions. I was a dog on a bone; stubbornly holding on but growling along the way, refusing to be distracted or relaxed. Accepting this Good News about Jesus without fully understanding would not stand the test of time. Giving up on the whole thing was a viable option – too much cognitive dissonance. But in hindsight that ‘dog on a bone’ compulsion was a gift of the Holy Spirit. I had to face and humbly accept the bad news about myself to get to the good news: that through believing in Christ, his sacrifice and resurrection, I could be forgiven and receive the peace I had been longing for. Ultimately, I received the good news, ended the growling and began to enjoy and relax within the joy of my “bone”.

Final parallel: Discipleship can feel like medical treatment
Long term Christian discipleship, all those moments of your life after you receive the Good News, many times is like reviewing the reports of full body scans and looking for malignancies. The news can be bad. We may realize there is more work to be done. Questions and doubts will come up. A treatment plan may need to be developed and rigorously implemented in ways that are not comfortable. However, we will have the Great Physician treating and encouraging us to “fight the good fight” for knowledge of the truth and then persevering (2 Timothy 4:7) until that one day when we rest in the presence of God forever.

A Post of Lament

I walk into the Roswell Park Cancer Institute with my senses sharp-focused and on high alert. I’m in another culture and whether I like it or not, it’s now my culture. I belong. I can speak the language, navigate the geography and obey the protocols. But I am determined to remain who I am before I was initiated into this new culture, so I smile a lot for no other reason than to maintain some normalcy. I am a smiler by nature, but smiles are not common in a cancer hospital, hardly surprising but I refuse to stop smiling, just yet. (For more reflection on my Roswell culture and smiling see Duchenne Smiles Only, Please of March 2014.)

Other than smiling, I am scanning the population, looking carefully at faces. The faces resemble mine – lined and showing some wear.

This fact brings me around to a beauty tip that will keep you baby boomers from spending your retirement at the cosmetic counter for one of the billion products promising to be age-defying. Smiling lifts those sagging nasolabial folds, so you look younger. Better yet, you don’t look grumpy even if grumpiness is the furthest thing from your disposition.

My point? The vast majority of the people at Roswell Cancer Institute look like they are 60 and older and that’s a good thing. Cancer is predominantly a condition of the aged. I am reassured by that. Occasionally in the  breast cancer clinic I see a young mom with a helper who is attempting to corral a small child as she waits to be seen. It breaks my heart. It just shouldn’t be. I think of my daughters with their young children and my heart’s response is, “Can I take it for the family?” But we know it doesn’t work that way. Cancer is not a respecter of family life nor of anything remotely related to matters of fairness, kindness or common decency.

When I was first diagnosed with stage 3 breast cancer in 2014 my youngest daughter said, “Mom, as awful as this is going to be for you what I know for sure is that if this was happening to me or my sister you would be a basket case.” Yep, at that moment I had my first moment of thankfulness. Grateful it was me and not them.

african-american-mother-praying-clipart-6Weird back story: when my first child was a toddler a good family friend died of lymphoma. I became obsessed with the fear of cancer. My neck was bruised from searching, prodding and poking for swollen lymph nodes. I went to the doctor pointing out some swollen bits. The doctor was annoyingly unimpressed. I went to another doctor. No satisfaction there either. I drove my poor husband crazy with the “what ifs.” (David lovingly refers to that period of our lives as the neurotic imaginary cancer scare of the 80’s). So, what was going on? The therapist in me analyzes that period of my life as a sort of coming of age process. Motherhood, with its great love for a vulnerable dependent human being, also came with great anxiety, realizing that life held little control. A  little toddler needed her mother and I developed a neurotic need to reassure myself that we could never be separated. Time passed and more life happened (another child was born) there was less time to focus on the scary “what ifs” of this life. My neurosis took a rest. But I am not apologizing nor thinking its neurotic to hold to the view that there is something terribly wrong with a world that takes loving mothers or fathers from their vulnerable young children.

Kate Bowler is a young professor of Christian history at Duke Theological Seminary, author and speaker. She also happens to have stage 4 cancer and has written sharply, poignantly and honestly about how she is supposed to make sense of a young mother dying, leaving behind a husband and young son. She is a Christian trying to make sense of her new reality. Her articles and books are hard reading at times. The caustic wit and   honesty are not typical of female Christian writers who attempt to make us feel better. Be prepared to squirm.

grown daughter and mother_standingBowler is living out my younger self’s worst fear. Now, I have stage 4 metastatic breast cancer but I am long past being that young mother of a small child who lived in dreaded fear of cancer. I’m saddened and anxious about an unknown future but grateful that I saw my little children grow up to be amazing women. But before I come across as too ready to cross the finish line of motherhood, clarity is needed. I am pursuing the best medical treatment, staying as positive as possible, and praying for miraculous healing. I love my adult children and long to see them grow into their 40’s with all the self-awareness and maturity that awaits them. I adore my grandsons and long to live long enough for them to have memories of their Nona. I fret about my 93 year old mother being without her only child. I love, love my best friend and husband of almost 40 years and grieve as I think of his loneliness and aging beyond his 65 years without me. But the utter panic of leaving small children behind has thankfully been replaced with a swipe of my brow that a bullet has been dodged.

What’s the point to this post? Hmm… not exactly sure except to answer the question my husband asked me as I was going down the other day into an abyss of miserable complaining (and it was not the first time) about a miserable world where so much miserable suffering happens to women and children and innocents through disease, cruelty, poverty, corruption, and greed.

“So, Dona, where would you be right now without a hope of an eternity where all injustice and suffering has its comeuppance and end? where all wrongs are made right?”

Hard to know where I would be. I have piled up decades attempting to live the life of a faithful follower of Christ so its hard to imagine living a reality without thought of Him and its implications. But I will say that that belief includes something so important to my spiritual and psychological well being that I quake to imagine myself without it. It’s the belief that I am loved by a “thick-skinned God” who can take my many complaints without flinching, frowning or regretting he knows and loves me. I take my cue from the psalms of lament and the book of Job and the Old testament prophets and from Christ, Himself. As Kate Bowler says, “This life is hard, and this life is beautiful.” I’m just so thankful that I can live my remaining life steeped in the meaning and mystery of a thick–skinned God who gets me even when I struggle to get Him.

Go figure.

Footnote:  In the Hebrew Bible there are approximately 67 Psalms of Lament.  In them the Psalmist complains to God directly about an injustice or tragedy and unabashedly asks God to do something.  With only the rare exception, these poems start with grief and end with trust in God, even joy.  My personal favorite, Psalm 22, is quoted in part by Jesus on the cross, and serves as a wonderful companion to the famous Psalm 23.

lamet scriptures

The Horse is Out of the Barn

Shucks, the horse just got out of the barn…..

On March 15, 2014horse-leaving-barn, I posted a blog titled, “Fear of Dying.” It described my anxiety while undergoing a CT scan to determine whether my breast cancer had metastasized. It had not. My worst fear was not realized. The “horse was still in the barn,” to use my surgeon’s phrase.

 

That was then, this is now. Shortly before Christmas 2018 we discovered that the breast cancer of 2014 had metastasized to bone and liver. This begins a new journey. The horse is out of the barn, cannot be returned (it is not curable), but can be chased around the pasture (it is treatable). I have been started on a promising new drug that was not available in 2014. My doctors are encouraging me, I’m feeling God’s peace. That does not mean I don’t have a fear of death or more accurately a fear of dying. But I’m learned that my worst fear, then or now, is not metastatic cancer. I’m learning what I only got a glimpse of in March 2014, that my worst fear – to be abandoned by God – can never be realized.

Here is an insert from that post almost 5 years ago; a time when the horse was still in the barn. It holds true today with that darn horse out of the barn.

“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.”

Jesus, the Crying Judge

15 + 6 = 17_revOn March 15, 2015 the Buffalo News published a story about an arranged Indian wedding that ended with the bride walking away from the wedding festivities before the final pronouncement of marriage. Her reason? The groom could not correctly answer the question: “What is 15 plus 6?” When he replied 17 she called off the marriage.  She judged him as uneducated and there was no convincing her otherwise. The bride’s family came to her defense and accused the groom’s family of misleading them regarding their son’s educational status.  According to the local police, who were called by the groom’s family, the incident caused ‘quite a flutter.’  Matters were finally settled when the respective families returned the gifts and jewelry exchanged prior to the wedding.

Both funny and sad, this story is fascinating with its layers of cultural and societal expectations gone awry.  It is an eastern drama that leave us westerners bemused and confused.  Or does it?  If we distill this story down to one of humanity’s basic concepts we should not be surprised by such an outcome.  There is judgment and there are tests to pass in this world in every time and in every place under the sun. Judgement is part and parcel of our interactions with each other despite our modern protests of “don’t judge me,” “don’t judge me,” and “don’t judge me”.  “You don’t have the right to judge me.”  We know how the refrain goes because each of us have either said it, felt it, or been accused of it.

So, does anyone have a right to judge?  And a related question: If someone has the right to judge does it follow that there will there be a judgement day? I think so and apparently Jesus cried out about it. Text reference can be found in the Gospel of John, chapter 12, verses 44-50

If you have been a follower of my blog it will come as no surprise that I am impressed with the articulation of faith and culture presented by the pastor and writer, Tim Keller. I credit his book, “Walking with God in Pain and Suffering, “ as instrumental in helping me through an intensive 9-month cancer treatment last year.  Recently, I have been listening to podcasts of Keller’s sermons from his six thousand member church in Manhattan.  One message, given on February 18, 2015, called, “Accepting the Judge,” I found very provocative as he explained the need for judgement.  To tease you into listening I offer the first two of four propositions that he makes.  Here are the first two: 1) Why we need a judgement day; 2) Why we can’t have a judgement day.  If I listed propositions 3 & 4 they would spoil the sermon for you so listen to the podcast here.  (Click podcast on lower left of the page.)

Post script:  After listening to the podcast I would appreciate your comments.  I won’t publish them but would like to work them into future posts.

Confessional post script: I first wrote this post with the following: “The groom could not correctly answer the question, what is 12 plus 5?  He answered 17 and then she walked out of the wedding ceremony.”  I caught my error before I posted.  I’m grateful the only question asked me at my wedding was, “Do you take this man to be your husband?”

One Journey, Two People: Part 3

My two most recent posts set the stage for a conversation with my husband about his baby boomer angst. Read One Journey, Two People: Part 2 and Part 1 before you judge David’s navel gazing (his words, not mine).

Simply put, he described himself as content a few years back, even to a place where he could “leave this life for the next tomorrow without regret.”  Although far from ready to quit and head for the golf course in his twilight years, a life suddenly interrupted would not be one of ‘I-wish-I-had’s’.  He felt satisfied about his contribution and life’s purpose.  He felt at peace.  An even better description would be shalom; a Hebrew word normally translated as peace but meant to be more – a state where everything is where is should be; a whole and complete existence.  We have all had those fleeting moments when our since of joy or contentment was so complete that we could ‘die this very moment happy.’  To my way of thinking that captures the essence of shalom.

My cancer diagnosis wasn’t the catalyst for Dave’s discontent.  Although often a tremendous strain, providing physical and emotional support to someone you love provides tremendous meaning and purpose.  But he has found himself often flummoxed and pained by not being able to reassure a wife whose fear and angst could be impenetrable at times.  His feeling of inadequacy in being my comforter brought out some deeper stuff.

We both knew that something else was going on.  I agreed to do some research on middle life angst but my findings were not very satisfying to him or me. Previous post explains.

Through this process David has done his own work.  He listed the components of the problem in typical bullet point format.  He felt this angst might be brought on by the following:

  • Loss of influence, insider status or being needed. (This is in part due to his age. Younger people are taking the reins of responsibility and leadership as they should.  Another factor is that at this point in our lives we do not stay in one geographical location long enough to built the connections that can make a difference.)
  • The grand adventure might be over. (Throughout his life David has worked hard to place himself in situations where he could generate stories to tell the grandchrisk-takingildren.  And he does have some great stories that he would love to tell you about.  These opportunities are now mostly in the past.)
  • But still busy. To use a David phrase, “I’m in a rat race in the wrong race.”

David realizes these feelings are not as negative as they might indicate on paper. To his mind, most of the time his world is one of satisfaction and opportunity. He is doing a reasonably good job navigating the transition from the back side of a career peak with its mantle of influence and insider status to one that involves more of a support role. But every so often, and these days more often than he wants, he feels those bullet points as forceful shots across the bow.

Of course, he sees this trap and realizes he must reintegrate himself emotionally into the grand purposes of God.  I say emotionally because he has always put mind and feet to loving God and people.

At this point I have to resist the desire to write something original.  Ego says, “Dazzle David and my readers with my unique insights.”  Common sense says, many wise ones have tread this road before.  If I really want to be helpful then capture their insight.  To quote CS Lewis from Mere Christianity, “Even in literature and art no man who bothers about originality will ever be original whereas if you simply try to tell the truth (without caring two pence how often it has been told before) you will nine times out of ten become original without ever having noticed it.”

So, with that caveat be prepared to hear from a few wise folks who have articulated insights with clarity and spiritual maturity that make sense to David and me.

The Problem:

Tim Keller from his book, “Counterfeit Gods,”

“How can we break our heart’s fixation on doing “some great thing” in order to heal ourselves of our sense of inadequacy in order to give our lives meaning? Only when we see what Jesus, our great suffering servant, has done for us will we finally understand why God’s salvation does not require us to do “some great thing.” We don’t have to do it because Jesus has. Jesus did it all for us and he loves us – that is how we know our existence is justified. When we believe in what he accomplished for us with our minds, and when we are moved by what he did for us in our hearts, it begins to kill off the addiction, the need for success at all costs.

The gospel does not work directly on the emotions or the will. The gospel asks, what is operating in the place of Jesus Christ as your real, functional salvation and Savior? What are you looking to in order to justify yourself? Whatever it is, it is a counterfeit god and to make a change in your life you must identify it and reject it as such.” Tim Keller, page 174 of counterfeit gods.”

The Process

In the book “The Sensation of Being Somebody”, the late Dr. Maurice Wagner, gives a formula for a rock solid self-concept. “God plus me equals a sense of being a somebody.”  He explains that dependence on status, performance and appearance – attributes that many times come out of insecure attachments or over attachments in our childhood – are our default for feeling significant but they end up “biting us in the butt” (Dona’s words).  They are fleeting and unreliable in taking us through life’s challenges and natural aging processes of loss and deficits. They are also dependent on others to justify ourselves as significant. Others, are people like ourselves-imperfect who will eventually die, disappoint or both.

Dr. Wagner gives an explanation for the Trinity that is psychologically unique. From God, the Father we get our sense of belonging as we submit to the Creator of us all; from Jesus Christ we get our sense of acceptance as we embrace the forgiveness he offers and from the Holy Spirit we receive our sense of competence as he leads, teaches, counsels and redirects.  Belonging, Acceptance and Competence are the building blocks of a healthy self-concept and we get them all in relationship with the triune God who is perfect, permanent and predisposed to carry us through all of life’s stages, disappointments and losses into a forever life of ultimate significance and wonder.

So, how do we absorb the above in a tangible way that makes for the closeness with God that we are longing for?  We (David and me) need help to move from intellectual assent and understanding to a heartfelt sense of what truly validates us and makes us feel known and loved by God. Tim Keller tells us what the problem is and what needs to be believed and understood. The late Dr. Wagner tells us the anatomy of true self-worth and significance as found in the trinity.  But, there is another leg to this three legged stool which still needs to be addressed. Part 4 of “One Journey, Two People” is coming next as David and I need to further digest a book by Dr. Curt Thompson called, Anatomy of the Soul.

One Journey, Two lives: part 1

No regrets 

“At this point in my life the thought of dying does not bother me that much.  I feel that I have lived a fairly faithful life (to Christ), a full life; accomplished a few meaningful things that have made a difference and been blessed beyond anything I deserved or earned.  I don’t want to die, but I think I would depart without regrets.”

This sentiment was not expressed by me, the recent cancer survivor, but by my husband about 4 years ago.  But recently some of his reflections seem to modify that original statement.

The lyrics of a song in one of David’s iTunes playlists by John Mayer, “Stop This Train,” has made me wonder whether he has had a change of heart.

Stop this train
I want to get off and go home again
I can’t take the speed it’s moving in
I know I can’t but honestly won’t someone stop this train

So scared of getting older
I’m only good at being young
So I play the numbers game to find a way to say that life has just begun
Had a talk with my old man
Said help me understand
He said turn 68, you’ll renegotiate
Don’t stop this train
Don’t for a minute change the place you’re in
Don’t think I couldn’t ever understand
I tried my hand
John, honestly we’ll never stop this train

Long journeys

Today, an eleven hour car drive from Buffalo to Hampton Roads, Virginia prompted the question I had been meaning to ask.

“Hey David, here is what I have noticed in the last several years… You were once content and now, not so much … Am I off or on track and do you care to talk about it?”

Long car rides or walks are the business for relationship talks and/or philosophical musings. They are better in some ways than the prescribed, “sit across the table from one walkinganother and talk.” There is something about movement of two bodies in close proximity to each other that feels safe, purposeful and engaging. Looking ahead together as opposed to looking at each other allows spoken thoughts to be free of the distraction of disconcerting facial expressions.

”Why are you looking at me like that?”

“Like what?”

“I don’t know but your eyes did a weird thing when I said…”

Expectations are high when sitting across the table (excluding sit down meal times) to have ‘the talk.’  A contrived setting has been established for a limited time to reach a resolution, solve a problem, or discuss a serious topic.  The pressure is on and so is the stress that there could be a misstep. Long distance journeys are not limited on time and have just the right amount of boredom, leaving room for the spontaneous and reflective.

We can all probably think of some piece of literature or a movie where people on a journey together make observations of life, people, and relationships. The topics range from the sublime to the ridiculous to the evil.  A pastor once quoted someone as saying, “all good stories begin and end with a journey.”  I would add that if that journey is accompanied with other individuals the possibilities of new insights and revelations are heightened, deepened and possibly breathing lessonshealing. Many books (here are a few from my recent reading list) verify such insight:  “Peace Like a River” by Leif Enger (a family’s journey of discovery) and Pulitzer prize winning, “Breathing Lessons” by Anne Tyler (a married couple’s long car journey revealing the meaning of a long marriage with its ups and downs).  But lest I sound naïve, people on journeys together can also prompt the ridiculous, mischief and evil, i.e.…  “Dumb and Dumber”, “Thelma and Louise”, “Bonnie and Clyde” and “Natural Born Killers” to name a few.

Easter-Road-To-Emmaus1Jesus on the road to Emmaus appearing to two disciples (Luke 24:13-35) is an example of the sublime. The gospel reports that on that journey the post resurrected-Christ walked and talked incognito to the two unnamed disciples, giving time to answering questions and explaining deep scriptural truths that revealed His true nature and life’s purpose.  “Didn’t our hearts burn within us as He talked,” exclaimed the two after Christ disappeared from their midst.  That journey changed them forever.

Back to David and Dona’s 11-hour care drive journey:

“You are insightful, Dona, up to a point.  It is not about fear of dying but contentment.  I have more discontent than 4 years ago.  Not a big deal but something is going on.  In fact, it is part of the reason I have asked you to blog about late middle age baby boomer insecurity. I was hoping that you could do a little research and then enlighten me to what may be going on.”

So, I am taking his challenge and will do the research for next week’s blog.  For now, I will stop writing and make sure I am not wasting a journey’s relationship discovery possibilities.

read this-its inspiring

In my last post I promised an article by Todd Billings which inspired the telling of my mild story in comparison.  The following is the article with the link.

Inhttp://www.christianitytoday.com/behemoth/2014/issue-10/deadly-healing-medicine.html?utm_source=gallireport&utm_medium=Newsletter&utm_term=13341127&utm_content=319474811&utm_campaign=2013

Incurable cancer.

I could hardly believe it when I heard the diagnosis. My wife and I had just celebrated our tenth anniversary, and our lives were spinning in joyful commotion with one- and three- year-olds at home. Initial testing brought back some worrying results. I had researched the possibilities, and I didn’t sound like a likely prospect for this cancer. The average diagnosis age is about 70; I had just turned 39. But here it was: an active cancer that had already been eroding the bones in my skull, arm, and hip.

With the Psalmist I cried out, “Heal me, Lord, for my bones are in agony. My soul is in deep anguish. How long, Lord, how long? Turn, Lord, and deliver me; save me because of your unfailing love” (Ps. 6:2b–4).

What was this “healing” for my bones and soul? The cancer has no cure, but it can be fought with special treatment. This treatment to extend my lifespan was not going to come through a gentle pill. Ready or not, I was in the midst of a battle. I needed strong medicine for healing to come. Within a week I was on a chemotherapy and steroid treatment as part of a five-month preparation for this strong medicine: a stem cell transplant.

I soon discovered this was not a regular transplant—replacing a sick organ with a healthy organ, or infusing health-filled medicines into my body. Quite the opposite. Receiving this “medicine” involved taking a lethal poison. First I had stem cells gathered from my blood. Next I received an intense form of chemotherapy derived from mustard gas, a World War I chemical weapon. These toxins attacked both healthy and cancerous cells in my bone marrow; they would definitely have killed me if there were not a way to revive me. My white blood count dropped close to zero, leaving me with virtually no resistance to infection. You can’t live like that. And yet, the only way to heal was to infuse this poison into my blood.

In the third step, the healthy stem cells taken earlier were infused back into my body. At first, they just float around, but the doctors hope that after a number of days, “engrafting” will take place: the healthy stem cells start helping the body produce an immune system again. Because this procedure so compromises the immune system, I would remain hospitalized for a month at a cancer lodge designed for avoiding infection, followed by several more months of quarantine.

The doctors referred to the final bottoming out of white cells as “the valley.”

During my transplant process, I was kept under close watch by doctors and nurses as my white blood cell count plummeted. The heavy toxins were infused into my body from dark bags labeled “hazardous drug” and “high risk med.” As my white counts fell, I experienced bouts of sharp pain, nausea, heavy fatigue, and discouragement. The doctors referred to the final bottoming out of white cells as “the valley.” During this time, I was walking through “the valley of the shadow of death” (Ps. 23:4, ESV). The doctors brought me down the path of death, for the path of death was the only way to healing.

Thankfully, engraftment eventually started to occur; slowly the healthy blood cells joined my body in recreating my immune system.

No Engraftment = No Life

Engraftment is a horticultural practice: uniting a branch to a plant in such a way that the branch is incorporated into the plant, becoming a part of the plant itself. In my case, before the stem cell transplant, I had to sign a consent form indicating my understanding that if engraftment did not occur, I could die. Because of the death-dealing powers of the chemo, the consent form probably could have used a simpler formula: no engraftment means no life.

Engraftment evokes biblical imagery, of course. In Romans 11:13–24, Paul uses rich horticultural imagery from the Old Testament to speak about how Gentile believers have been graciously grafted into the people of God. In the Gospel of John, Christ himself speaks about how he is the vine and his disciples are the branches, who can bear fruit only by abiding in him (15:1–8). For “apart from me you can do nothing” (15:5, ESV). No engraftment means no life.

As I lived through my ordeal, my eyes were opened anew to what it means for sinners like us to receive deep healing from God. We don’t just need a vitamin; we don’t just need a bandage to cover a flesh wound. We need strong medicine—we need death and new life united to Christ in order to be healed. Far too often, I have acted as if the gospel were a self-improvement plan to strengthen a muscle, to heal a small wound, to enhance my success. But the gospel is about losing our lives for the sake of Jesus Christ, tasting death to the old self in order to experience true life and healing. “Count yourselves dead to sin but alive to God in Christ Jesus” (Rom. 6:11). Our hope is not in ourselves, but in our engraftment—our union with Christ. “We were therefore buried with him through baptism into death in order that, just as Christ was raised from the dead through the glory of the Father, we too may live a new life” (Rom. 6:4).

There is no way to healing apart from death. This is a reality for all of us. God’s gospel medicine is not a light massage or an energizing pill. We cannot have only resurrection, skipping over our union with Christ in his death, our death to the old self. We desperately need healing. And the Great Physician provides this in mysterious ways.

As Martin Luther notes, even our “spiritual trials, sorrow, grief, and anguish of heart” are “the medicines with which God purges away sin.” This purging actually restores true human health. This medicine may feel like poison, and it does involve a kind of death, but it is actually coming to life in Christ. For when we cry out for “healing” we are crying out to a crucified and risen Lord who brings us life by uniting us to both his death and his life. That is strong medicine, indeed.

J. Todd Billings is Gordon H. Girod Research Professor of Reformed Theology at Western Theological Seminary in Holland, Michigan. This article has been adapted from his forthcoming book, Rejoicing in Lament (Brazos Press, February 2015), with permission.

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Also in this Issue

Images and Infusions pointing to spiritual truths

An Image of hope in crisis:

My story:  Half way through chemotherapy I found myself in an acute medical state that would require a rapid response team in the hospital to revive me and three days in the hospital to stabilize me.  Monitoring and intravenous products were needed: antibiotics, hydrating fluids and 3 units of whole blood.

My husband’s story:  “When I brought you into the hospital because of a shocking 104 degree temperature, you were conscious, lucid and chatty.  But while the intake nurse took your vitals you suddenly became unresponsive.  The rapid response team was paged over the hospital PA and within a minute a seeming chaos of a dozen or more people gathered around you.  It was like one of those ER movie scenes where the door closes in the face of the panicked family member who is left in the lobby alone and fearing the worst.  Within those lonely powerless moments, I had a God given image: Christ was in the corner of the room with His arm stretched out over you and all those attending to you.  It was reassuring.”

“Lo, I am always with you even to the ends of the age.”  Matthew 28:20b

“I will never leave you nor forsake you.”  Hebrews 13:5b

“Even if it were possible a mother could forget her nursing child, I will never forget you.”    Isaiah 49:15b

An image of restoration:

Back to my story:  Later in the hospital room as I looked up at the IV pole with a unit bag of blood hooked in its place I thought of all the people who gave their blood for future needy unknown recipients. I was grateful.  Much later, I realized that the blessing of my medical emergency was those 3 units of whole blood.  I had not realized how bad I felt during the past two months of chemo.  That whole blood was a ‘miracle’ of rejuvenation.  I could now face the remaining two months of infusions.  And predictable to someone who thinks “Christian-ly”, my thoughts went to the One who gave His blood that we might have life. The New Testament makes it clear that like a blood donor, Christ’s blood was willingly given for life. In some transcendent and mysterious way that death and giving of blood was meant to secure forgiveness, life and hope.   Christ’s ‘blood shed for me’ was always a reality but it was not quite the obscure reality it once was for the ‘new fortified’ (3 units worth) Dona.

David needed an image for comfort in crisis; I got an image for restoration.  They both were God-given, but our knowledge of the promises of God in scripture provided the brush strokes for these pictures.

It’s not always a crisis that proves the reality of God’s love and presence.  But often an intense emotional experience can give us biblical insight into a reality that is bigger than ourselves.  Cosmic truths reach deep into our personal stories and transform them.

What about you?   Could you go back and revisit a crisis or ‘intense period’ in your life?  What biblical metaphor, image or teaching does the crisis highlight that makes the God of the universe relevant to your finite human dilemma?  And, if appropriate, could you share it in the comment section of this post?

Next week’s post will be someone else’s article, an excerpt from J.Todd Billings’ forthcoming book, Rejoicing in Lament (Brazos Press, copied with permission).  His cancer story will challenge us with the truth of God’s “engrafting.”  It is a seriously moving and insightful story.

 

Living the New Normal

I finished cancer treatment over two weeks ago and have returned to my home in Juneau, Alaska.

I left Alaska in January of this year with a vision of myself as a healthy woman with exciting plans of seeing family and friends on the east coast and then a two month ministry in the Middle East; a routine that has gone uninterrupted for the last 8 years.  On February 26th those plans were profoundly interrupted with a sudden diagnosis of stage 3 breast cancer. For those of you who have walked this path or cared for someone who has, you know the common expressions: “Everything changed in a moment’s time.  The rug was suddenly pulled out from under me.  I went from living a life to surviving for a life, and etc…”

David, who likes the country western star Alan Jackson, shared the lyrics from the song Jackson wrote and recorded for Denise, his wife of 33 years, after she had completed her cancer treatment:

Ain’t it funny how one minute your whole life’s looking fine

And a short few words later it all just comes untied?

You can’t believe you’re looking at what was always someone else,

Now it’s staring right there at you, yesterday you couldn’t tell. (1) 

Once the shock was processed then came the emotions: some sadness, some anxiety and some frustration, guilt and worry.

Then the anger starts to surface, lookin’ up, askin’ why

Then you realize He (God) probably wants the best the same as I.

But there were two other emotions that couldn’t be laid to rest.  They would show up in unexpected ways and times.  Gratefulness and humbleness were two friends that would visit uninvited so I began looking for them in unexpected places and, seeing them often, would greet them by name.  Calling a thing by its name whether that thing is a person or abstraction carries its own blessing and power.  Why are we embarrassed when we can’t Grateful humble_revremember someone’s name when we see that person?  It’s because we intuitively know that saying the name out loud will validate that person as significant and valuable in relation to us. “Oh wow, you remembered my name!” Of course I did because you made an impression on me and I gave you enough care and consideration to file your name away.  Unspoken thoughts perhaps, but none the less operating to create meaningful relationship.  Well, it happens much the same way with abstractions.  You name an abstraction in relationship to yourself enough times you will begin to feel its connection and power in your life: love, kindness, endurance, thankfulness, to name a few. The New Testament has a list and refers to them as the fruits of the Spirit.  (Galatians 5: 22-23, Colossians 3:2-17)  If you have read even a few of my previous blog posts you will see these two not-so-now-abstract feelings pop up a lot.

More Alan Jackson:

And the seconds turn to minutes, and minutes wouldn’t last

And the hours, days, and weeks and months, seem endless and too fast

And the blessin’s poured from Heaven, like the rain on that first spring.

But now, there is a new challenge in my life.

The treatment protocol for my particular cancer is complete.  Now there are new thoughts, feelings and behaviors.  I’m learning to live “the new normal.”  I like to compare this state with how I felt when I had my first baby.  Lots of attention from medical staff during pregnancy, delivery, birth and the few days in hospital and then, “voila”, the release into the world with my new human responsibility to figure out how to do this thing of living with baby without the hand holding.

Now, I don’t want to overdo this analogy because in reality there is support after birth and there is support after cancer treatment.  After all, there are the checkups and the knowledge that if anything goes haywire I can pick up the phone and say, “help,” and I will get it.[2]

But since being home I have experienced some trepidation of my future health possibilities, some crankiness and anxiousness reserved for the person who deserves it the least.  (You husbands out there will be happy to know that he doesn’t take it lying down.  He emailed me one of my own past blog posts the other day as a reminder of, hmm… I am not sure but I think it was a clever way to say, “Hey, be nice” or “be true to your blog post”.  Fair enough.)   Now, all of the above reactions are not uncommon for cancer patients and survivors.  There are plenty of studies out there to point to an handholding revincrease of depression in cancer patients after treatment so it does not surprise me that I may be having a few ups and downs since being done with treatment and realizing my cancer care providers are a couple thousand miles away. But, I am now having to learn to live this “new normal” and start fine tuning my radar for gratefulness and humbleness in many different places and circumstances and when finding it, start naming it.  I need these and other “fruits of the spirit” to wash over, overwhelm and subdue the fearful musings and emotions about an unknown future.   The hand holding treatment days may have come to an end for now but the Spirit didn’t go away.  The Holy Spirit is with me reminding me that there is a boatload of gratefulness to be named out loud.

So, I’m going hunting in new territory and I won’t be alone.

 

(1) ‘When I Saw You Leaving’

Writer: Alan Jackson
Copyright: Tri-angels Music, Emi April Music Inc

[2] Help for those of us of the middle class, that is.  It should be like that for everyone but sadly we know it isn’t. And that is not because no one is willing to help. In many places there are those willing to lend a hand.  The problem many times is that the marginalized have a lack of confidence and trust in the system to get what is needed. But then again there are many places in this world where those willing to help are few and far apart. This is all grist for future postings.