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For the Week of November 1, 2014: Turning Back the Hands of Time

Posted in writing prompts for cancer survivors, writing to heal, tagged , , , , , , , , on November 2, 2014 | 2 Comments »

I awakened with the light this morning, at first, thinking I’d overslept, but then remembering the time change.  For weeks, I’ve been waking and dressing in darkness before taking our terrier, Maggie, out for her morning walk.  But this morning was already light as we went outside.  Maggie trotted happily along, stopping to pick up seeds and stones to toss and chase as I smiled as we welcomed the sunrise.  Around us, the houses were quiet as neighbors slept, happy for an extra hour this Sunday morning as clocks everywhere were turned back an hour.

Cher’s voice, belting out the lyrics “If I could turn back time,” played in my mind as we began walking.  It made me wonder, as I do each autumn, how it might be to have a “do-over,” to really turn back time and live events in my life differently…like taking the other road at the fork Robert Frost wrote about, a different set of choices than the ones I made so long ago.  Maggie romped and I followed, indulging my daydreams, the “what ifs” of my life.  What if…I’d chosen a different university that the one I did, or if my first husband and I had taken the offer in Colorado instead of the one in Canada…  Or if I’d stayed in Halifax for graduate school instead of going to Toronto, or if my present husband and I hadn’t decided to return to California …or if…

I’m not alone in those lazy daydreams, wondering what life would have been like if I’d chosen or acted differently.  Ben Franklin may have been responsible for introducing daylight saving time, but novelists, filmmakers, singers, science fiction writers, and poets have long been intrigued with the idea of turning back time. Think of H.G. Wells’ 1895 novella, The Time Machine, adapted for film, radio and television many times since its publication, Michael J. Fox in Back to the Future, or Bill Murray in Groundhog Day.  Fox’s character traveled to the past in an attempt to influence the outcomes of life in the future.  Murray’s arrogant, self-absorbed news reporter was doomed to repeat the same day over and over until he learned to care about others’ lives.  Ken Grimwood’s protagonist in his novel, Replay dies of a heart attack in 1988 and awakens as an eighteen year old in 1963 with a chance to relive his life, although his memories of the next twenty-five years remain intact.  He replays his life and death, each time awakening in 1963 before he realizes he can’t prevent his death, but he can change the events for himself and others before it happens.

When Neil Sedaka wrote and recorded his signature tune, “Turning Back the Hands of Time,” in 1962, it quickly became a hit, the lyrics capturing the longing many of us experience as we look back over our lives.

Turning back the hands of time

To see the house I lived in,

To see the streets I walked on…

 

To touch the face of friends and loved ones,

To hear the laughter and to feel the tears,

What a miracle this would be,

If only we can turn the hands of time…

If only we could turn back the hands of time…Let’s face it, we all daydream about it from time to time, but when we open our eyes, we’re still faced with the life we have now.  How many times have you begun a sentence with the words, “if only I had…” and wished you did something differently, could rediscover that “simpler time,” a place you loved, see old friends, a deceased parent or grandparent, or have a chance to choose differently that you did, return to a time before illness or loss dominated your daily life …if only you could turn back time.

Next time I won’t waste my heart
on anger; I won’t care about
being right. I’ll be willing to be
wrong about everything and to
concentrate on giving myself away.

Next time, I’ll rush up to people I love,
look into their eyes, and kiss them, quick…

and I will keep in touch with friends,
writing long letters when I wake from
a dream where they appear on the
Orient Express. “Meet me in Istanbul,”
I’ll say, and they will.

(“Next Time” by Joyce Sutphen, from After Words. © Red Dragonfly Press, 2013.)

Imagine, this week, that you were given free rein to that longing, write about what you would do if you could turn back time?  What events in your life would you replay?  What might you do differently, knowing what you know now?  Write about it—without constraint or apology, beginning with the line “If I could turn back the hands of time…” and let it take you into that memory or longing.  Once finished, read what you’ve written and then write again—but this time, with an eye to discovering the gratitude for the life you have.

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For The Week of August 17, 2014: When Life Doesn’t Come With Instructions

Posted in Uncategorized, tagged , , , , , , on August 18, 2014 | Leave a Comment »

I bought a portable stand up desk last week, part of a series of actions I’ve taken to manage the bouts of pain associated with my damaged tailbone.  It came, as so many of our household accessories do today, in several pieces, along with various sized screws, bolts, a small (highly ineffective) screwdriver and a set of instructions.  Instructions I tried my best to follow, since I tend toward the “plug and play” mentality and have, on numerous occasions, put together various sections of Ieka furniture backwards before reading those instructions with a more careful eye. 

Although compact, the desk took longer to assemble than it probably should have.  I made several trips to the garage to find other tools to help me put it together, since the small disposable screw driver was only minimally functional.  But I finally succeeded, and the desk sits in my home office, providing me with a way to vary and relieve the pressure of sitting while continuing to work.

Unlike “assemble-it-yourself” furniture, life doesn’t come with a set of instructions.  I remember devouring Benjamin Spock’s books on child-rearing when my first child was born, but a year later, quickly discovered that what worked with one baby didn’t necessarily have the same results with the younger one.  Several years later, as I was “getting” the hang of marriage (or so I thought), my marital status changed so quickly from “married” to “separated” to “widow” introducing an entirely new set of life circumstances, the best I could do was “play it by ear.”  It all worked out, of course, but then my daughters’ adolescence turned my apple cart upside down again, and I discovered life rarely remained neat and tidy for long.  Fast forward another ten years, and a diagnosis of early stage breast cancer did more than interrupt life; it changed mine forever.

In her poem, “There’s Not a Book On How To Do This,” Sharon Doyle reminds us that a cancer diagnosis, like so many of life’s difficult chapters, does not come with a set of instructions.  Sure, there’s treatment, but our lives are entirely disrupted and forever altered.  We are left to figure out things ourselves, hopefully with a little help from our friends and family, just what to do with this changed life.  Doyle uses the act of sketching the composition of her fall garden as a metaphor for creating new life and beauty after cancer:

There’s not a book on how to do this,
but there is an emphasis on composition.

The trucks that slug by under our window
hold trombones, mirrors, dictionaries.
It’s not my fault they invade
the calm of trees like cancer.  I

don’t have cancer anymore…

…I rarely remember the
uterus I don’t have.  One of my sons said,
“You were done with it right away, right, Mom?”
I guessed so…

Doyle plans her garden, but in the process, lets us see how loving gifts  –family, birdsong and flowers–offered hope, recovery and are symbolized in the design for her garden.  As the poem concludes, the design is completed, but among the flowers and colors, she leaves space to celebrate life:

I left vacant fourteen
trellis lightscapes for
balloons.

(from The Cancer Poetry Project, p. 52)

This week, think about your cancer—or another difficult and challenging–experience.  It’s unlikely you were handed a book of instructions for any of it.  What helped you navigate an altered body, a changed life?   Where did you find the resources, the knowledge, that offered you hope and new life?

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For the Week of August 10th, 2014: Take One a Day & Smile

Posted in Uncategorized, tagged , , , , , , , on August 10, 2014 | Leave a Comment »

…when you are raised with the gift of laughter, as I was, it can’t stay suppressed forever… I eventually could see bits of “ha-ha” in my own life. Certainly not in the cancer, but in the mind-blowing circumstances that suddenly consumed my life. And laugh­ing at parts of those experiences made me feel a little more alive.The funniest part of it all was that the more I allowed myself to laugh, the more therapeutic my tears became.  ( “Finding Humor in the Midst of Cancer,” By Jim Higley, In: Coping with Cancer Magazine, March/April 2012)

 

“You’re a lot perkier since you’ve gotten your dog,” a friend remarked last night as we sat together at an outdoor concert in a local park.  I laughed and said that my husband made the same observation a week or two earlier.  She laughed too as I described Maggie’s daily antics that keep me smiling– even laughing out loud–several times a day.  When I adopted her two months ago, it was soon after I had damaged my tailbone and right shoulder in a fall.  I was in pain, unable to sit for more than a few minutes and unable to participate in the African drumming classes I have come to love.  Worse, I was turning 70 and feeling as if overnight, I had joined the ranks of the aged and infirm.  Thankfully, it was only a temporary descent into “ain’t it awful,” but my funny little terrier helped pull me out of the doldrums.

The thing is, I like to laugh.  A lot.  On a class conference call with my UCLA writing students earlier this week, someone asked about teaching online vs. the classroom.  “I miss the classroom,” I said, adding that online is great; I can teach from anywhere at any time, but “I laugh more when I’m in the classroom.”

It’s true.  Whether it’s a writing workshop for cancer survivors or a regular creative writing class, a good deal of laughter is shared between us.  Shared laughter breaks the ice; it relaxes people and builds community.  We learn not to take ourselves quite so seriously, and more, even in the midst of something as horrible as a cancer diagnosis, there can still be things that make us smile.  Laughter brightens the day and our outlook.  We feel better.

Laughter is good medicine.  Author Norman Cousins used it to cure himself of a debilitating illness.  And long before Cousins, Mark Twain wrote, “The human race has only one really effective weapon and that’s laughter. The moment it arises, all our hardnesses yield, all our irritations and resentments slip away, and a sunny spirit takes their place.”

We all need a little laughter in our lives, no matter if we’re dealing with cancer, an over-busy and stressful life, remembering those who’ve passed on, or simply sharing time with friends and loved ones.  We need to laugh just as much as sometimes, we need to cry.

It’s one reason I like being around children.  Last night I watched toddlers and kindergarteners frolic together on the grass at the outdoor concert.  I found myself smiling, laughing as they laughed, wishing my grandchildren were not as far away as they are.  Frankly, the laughter they bring to my life is  the primary reason I even check Facebook.  I love to read the funny and imaginative accounts of what comes out of their mouths.  Nathan, my five-year old grandson, offers regular doses of that particular brand of child humor  I find so delightful.  Several times a week, I read what he’s said and laugh out loud.  For example, as Claire drove her children home from a day at the beach this week, he announced: “Mommy, The Moon Master shot an egg into space, and it gave all the stars color. But it was really to send a message to Nathan, I; Nathan. He just said ‘ beee a gooood booyyy’ and so then I will get a white kitty, who is clean, and I will name her Tiger. You Mommy will put her in a basket, in the fridge but only the tail sticks out, so I can be surprised and find her and say ‘OH MY GOD, IT’S TIGER!’ Is that correct?”

I don’t think he’s going to find a white kitten in a basket in the refrigerator any time soon, but it was a good try, but what’s more, I began my day with laughter and a smile—the best medicine in the world.

There’s an old song my mother used to sing  as she did the household chores when I was a child, one made popular at by Louis Armstrong in 1929 and recorded over the years by many others, including Billie Holiday, Louis Prima, Frank Sinatra and more.   And no wonder.  Even singing the lyrics makes me happier.  It’s a good reminder that every day can be a little brighter if you find something to smile about.

When you’re smiling
When you’re smiling
The whole world smiles with you

When you’re laughing
When you’re laughing
The sun comes shining through…

(Lyrics by Larry Shay, Mark Fisher and Joe Goodwin)

Smiling and laughter, as the song reminds us, are contagious.  In a world so fraught with hardship and struggle, it’s good to find something—even a small thing—to smile or laugh about.  This week, write about something that makes you smile—or laugh out loud—each time you remember it.  Notice how a little “ha, ha” lifts your spirits.  Try laughing at least once each day.  It is, as Norman Cousins discovered, the best medicine.

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For the Week of July 20, 2014: Writing as Prayer

Posted in Uncategorized, tagged , , , , writing and spirituality, , on July 20, 2014 | 5 Comments »

I’m on my way to Berkeley this week, teaching “Writing as a Healing Ministry, a week-long intensive course for clergy, seminary students and anyone interested in attending.  During the week, we’ll explore the arena of therapeutic writing, witness many different approaches to leading healing writing groups, and by week’s end, each person will define how writing can be a healing ministry – for themselves and for others.  Part of the course is to also experience what it is like to write, deeply and honestly, from the heartaches and struggles of one’s life.  Invariably, we segue into the spiritual aspects of writing to heal, and for many in the workshop, writing turns to prayer.

Prayer.   It’s interesting that in this day of modern medicine, something as basic as prayer has such beneficial impact on our health and well-being. Dr. Larry Dossey’s book, Healing Words:  The Power of Prayer and the Practice of Medicine, summarizes a number of studies demonstrating the positive influences of prayer on health and healing among patients with breast cancer, HIV, and coronary disease, among others.  “I believe that everyone’s prayers helped me make it through with grace and strength,” one former member of my writing groups once said.

We find prayer in every religion and culture, written in every language.  Studies have found that religion and spirituality are very important to the quality of life among many cancer patients.  Prayer sustains us and offers solace.  My daily writing practice is my meditation, my solace and my prayer.  Although religion and spirituality are related, they are not synonymous.  Religion refers to a specific set of beliefs and practices, usually within an organized group, while spirituality is more concerned with our beliefs about the meaning of life.  You may think of yourself as religious or spiritual or both.

Whatever our religious or spiritual beliefs, our faith or spirituality can provide strength and comfort.  “As part of our wholeness,” Stephen Levine said in a 1994 Sun interview, “we need our woundedness.  It seems written into spirituality that there’s a dark side to which we must expose ourselves.”

Cancer may seem like a dark night of the soul; it may even challenge your faith, but it may also offer you the chance to explore your spirituality by deepening your self-understanding and compassion for others. “My faith grew, and I prayed a lot,” said another.  Laura, who lost her struggle with metastatic cancer, wrote a prayer for mercy as she struggled through long periods of treatment:

A wad of pain
In the pit of my stomach
Lord have mercy

I focus on it
Lord have mercy
Lord have mercy
Lord have mercy…

Writing can be a form of prayer or meditation and it often becomes the prayer itself.  “When you’re caught up in writing…” poet Denise Levertov remarked in her final interview, “it can be a form of prayer.”  Writing takes us on a voyage of discovery, and in the wake of cancer or other life-threatening illnesses or suffering, it can become a deeply spiritual practice.  Writing offers a door into our spiritual journeys. During cancer treatment or other serious illnesses, we’re often face to face with our mortality.  That’s when the irrelevant and unnecessary falls away, revealing the meaning in our lives.  Call it what we will–hope, prayer, faith, or a meditation–we discover a higher consciousness, something larger than ourselves.

Varda, who died of metastatic breast cancer several years ago, wrote throughout her cancer journey, often humorously, sometimes poignantly.  As she neared her final weeks, she examined her faith, acknowledging that even though challenged by cancer, her faith had offered her strength and solace:

But our relationship has changed.  In asking me to surrender to this illness, God has asked me to let go—to trust—float free.  And I have found this to be a most precious time.  My cancer has challenged my faith, and I have found an incredible well I did not know I had.  I have found true surrender, enormous peace.

This week, think about those beliefs or practices that sustain you.  Write about prayer or meditation, about your faith or spiritual journey.  Perhaps your faith has been challenged like Varda’s.  Perhaps your illness or life struggles led you to a spiritual journey you didn’t anticipate.  Write about it.

Geese appear high over us, pass, and the sky closes.

Abandon, as in love or sleep, holds them to their way,

clear in the ancient faith: what we need is here. And we

pray, not for new earth or heaven, but to be quiet in heart,

and in eye, clear. What we need is here.

(Wendell Berry, “What We Need is Here,” Collected Poems, 1957-1982)

 

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For the Week of July 13, 2014: What It Means to Heal

Posted in Uncategorized, tagged , cancer and poetry, , , , , , on July 13, 2014 | 4 Comments »

So much died here last year

but last month rain forced

peach-red mouths out of balding sand,

and within weeks sun coaxed

tiny constellations of yellow,

purple, and white into sandy flats,

along rocky dirt roads . . .

I will never be the same

knowing how effortlessly death

rests in the cells of my body,

yet with each step I am willing

to say yes to the chances I take,

to the hope no one can take from me

here in the midst of my recovery

now that I’ve seen what can thrive

in the bankrupt landscape of the heart.

 (From “Hiking in the Anza-Borrego Desert after Surgery,” by Francine Sterle.  In: The Cancer Poetry Project, Karin Miller, Ed., 2001)

 

“Healing” is a word I frequently use. My cancer writing groups were inspired, in part, by the research on writing’s healing benefits.  Both my books on the subject contain the words “heal” or “healing” in their titles.  But I have new respect for what it means, at this stage in my life, to heal.  Like you, I’ve experienced emotional and physical healing more times in my life than I care to admit.  But for the past several weeks, my life has been concerned with the long, slow process of physical healing.

In early April, I suffered a bruised tailbone when landed on the hardwood floor as my desk chair rolled out from under me when I sat down.  A week later, I strained the muscles in my right arm badly when I threw caution to the wind and lifted one too many potted plants on our deck.  Days before I was headed to spend the month of May in Toronto, I fell, rather badly, as I backed up to take a photograph of my husband and his new car.  I confess my eyes were on the camera, not where I was stepping, and my back heel caught on a garden stone.  I took a fine photograph of the sky and telephone wires as I fell, landing hard on my already bruised tailbone and shoulder before my head hit the pavement.  I felt more embarrassment than injury at the time; the pain came later.  All of this preceded, I might add, the advent of my seventieth birthday.  Not only my body was damaged, but so was my self-image.   I’ve been forced to accept that as I age, I need to be more considered about some of the physical tasks I undertake—or at the very least, pay attention to where I’m stepping!

Healing from all of these mishaps has taken far longer than my body ever required to recover from the bumps and bruises of a rough and tumble childhood—and it’s given me pause for thought.  I’ve seen doctors, been to acupuncture and worked with a physiotherapist.  But my body refuses to be rushed in its healing process, and that new reality is forcing me to learn a tough lesson of patience.

What does it mean to heal?   Obviously, time is involved, but google the word “healing,” and you’ll be confronted with more variations on it than you can possibly read, whether from traditional medicine, psychology, religion, or the alternative healing arts.  Look up “healing” in the dictionary, and you’ll find  “the natural process by which the body repairs itself,” and “tending to cure or restore to health.”

In my cancer writing groups, “healing” has more of an emotional and spiritual context.  During the experience of cancer, terms like “recovery”, “in remission,” and, for some, “cure,” are more commonly used to describe the body’s process of repair during treatment.  “Healing,” on the other hand, carries multiple meanings, and what each person considers as healing is unique to their lives and situation.

It’s not just the body that needs healing during cancer.  A cancer diagnosis threatens our sense of wholeness and of self.  We suffer, although out of that suffering, we may gain new insights into what it means to be human and what truly matters to us—which can be a prelude to healing.  Healing is more than physical repair; it involves transformation.  We emerge from the cancer experience in remission or with “no evidence of cancer,” but we aren’t the same people we were before it.  We’re changed. Our lives are redefined, and so is our sense of meaning.  To come to terms with that change, that altered self also takes time—it’s a process of healing, and it, too, cannot be rushed.

In a May 2005 article by Thomas Egnew,“The Meaning of Healing:  Transcending Suffering,” appearing in the Annals of Family Medicine, the author explored the meaning of healing and translated it into behaviors—all as a way  to help doctors enhance their abilities to be healers. Egnew included three major themes in his definition, and not surprisingly, they are ones that readily apply to anyone:  wholeness (to become or make whole), narrative (a reinterpretation of life), and spirituality (the search to be human; to transcend).

Healing requires that we have the courage to truly plumb the depths of who we are—who we have become as a result of cancer—or any other major life upheaval.  Last summer, I was among a group of presenters at the Omega Institute in New York along with oncologist and pioneer in integrative medicine, Jeremy Geffen, MD, the weekend’s featured speaker.  Dr. Geffen defined seven distinct levels of healing needed to regain wholeness.  According to Geffen, as he listened to his patients their concerns and questions over the years, he saw a pattern emerging,  Patients’ concerns fell into one of seven interwoven, yet distinct, areas.  Ultimately, he labeled them as “The Seven Levels of Healing.  They include:

  1. Information or knowledge
  2. Connecting with others
  3. Exploring safe and effective ways of tending to our health
  4. Emotional healing
  5. Harnessing the power of the mind
  6. Assessing our life’s purpose and meaning
  7. A spiritual connection

(The Journey Through Cancer: Healing and Transforming the Whole Person, by Jeremy Geffen, MD, 2006).

Healing, true healing, is complex and multi-dimensional.  And it takes time.  I thought I understood that, at least during those “big” illnesses and surgeries I’ve endured.  The fact that some bruising and muscle sprains have required me to re-assess so much of what I’ve blithely taken for granted about my body has forced me, again, to slow down and reconsider what it means, this time, to heal.

What about you?  Do Geffen’s seven levels of healing resonate with your experience?  How would you define “healing” if asked by someone newly diagnosed with cancer?  What, in your experience, has been healing for you?  What people, places or activities have been important in your healing process?    Think about what it means to heal.  Write about it.

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For the Week of June 29, 2014: Healing Rituals

Posted in Uncategorized, tagged , , , , , , , , on June 29, 2014 | Leave a Comment »

I awakened a half hour later than usual this morning.  Deep in a dream that ignited long ago memories of a kindergarten playmate, I awoke with a start and looked at the clock.  Six thirty.  “Oh no,” I murmured to my dog, asleep at the side of the bed, “I overslept.”

Normally, I awaken a few minutes before six a.m., but today, I slept well past my usual time.  I hurriedly threw back the covers and groggily made my way down the hall to pull on my walking clothes, brush my teeth and hair.  It took more time than usual to make the coffee, feed the dog, and do my regimen of stretching exercises before I was ready to fasten the leash to her collar, the signal that we’re ready to head out the door.  Normally she waits patiently, used to the routine of my mornings, but today, she found one of my Croc sandals in the hallway and managed to chew a chunk out of the strap before I realized what she’d done.  It seemed we both were unsettled by the disruption and predictability of our early morning routine.

In the poem, “Habit,” Jane Hirshfield describes small rituals that are part of our daily lives:

The shoes put on each time
left first, then right.

The morning potion’s teaspoon
of sweetness stirred always
for seven circlings, no fewer, no more,
into the cracked blue cup.

Touching the pocket for wallet,
for keys,
before closing the door.

How did we come
to believe these small rituals’ promise,
that we are today the selves we yesterday knew,
tomorrow will be?

(Excerpt from “Habit” by Jane Hirshfield, in Given Sugar, Given Salt)

My morning habits, the little rituals of each day, began during a time of difficult transitions, when I adrift in grief and turmoil, coming to terms with the death of a husband and a new life as a single mother.  Writing in the early mornings before my children awakened, became a life line, the port in my storm, the way I could make sense of the myriad of emotion that threatened to overwhelm me. 

There’s comfort in habit, the little rituals that become part of each day.  They allow us to feel connected to ourselves and to the world.  We create rituals around important life events—birth, puberty, marriage, death—a way of honoring our transitions from one chapter to the next.  In times of uncertainty and change, our rituals keep us grounded.    They help us navigate difficult times, provide a sense of familiarity and constancy.

Our daily rituals can even help us heal. They offer time to be quiet and focus on our intentions and actions.  They can also  function as talismen against fear, and give us the assurance we will be all right.

How did we come
to believe these small rituals’ promise,
that we are today the selves we yesterday knew,
tomorrow will be?

Author Barbara Biziou (www.joyofritual.com) writes that our healing rituals, the little habits that offer us solace or replenishment, allow us to be active participants in our healing process.  What defines a healing ritual?  They are the things we take solace in doing, a prayer or meditation, a solitary walk in the woods, working in the garden, listening to music, a massage, or sitting quietly at a window with a cup of tea or coffee..  It doesn’t matter what your healing rituals are.  What matter is that they help you renew and replenish your spirit and able to  hear what’s in your not only your mind, but your heart.

I still write each morning—letting my heart have equal time with my mind on the page.  I do it after my early morning walk with the dog, after she and I sit together on the porch swing and watch the sun creep across the canyon, after my first cup of freshly brewed coffee.  This is my daily meditation, a time of refuge and quiet before the day intrudes with its list of tasks and disruptions.  Without the constancy and regularity of my early morning rituals, I feel, as I did when I overslept this morning, slightly off kilter, not quite ready to take on the day.

What small habits or routines offer calm or comfort in your daily life?  How?  Why do they matter to you?  What do they teach you about yourself?  How, in the midst of pain or suffering, do they provide solace?  Write about those daily habits, the healing rituals, that are important to your life, your sense of well-being.

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For the Week of June 1, 2014: Seasons in Life; Seasons in Cancer

Posted in Uncategorized, tagged , , , , , , , , , on June 1, 2014 | Leave a Comment »

To everything there is a season, and a time to every purpose under the heaven:

A time to be born, and a time to die; a time to plant, and a time to pluck up that which is planted;

A time to kill, and a time to heal; a time to break down, and a time to build up;

A time to weep, and a time to laugh; a time to mourn, and a time to dance;

A time to cast away stones, and a time to gather stones together; a time to embrace, and a time to refrain from embracing;

A time to get, and a time to lose; a time to keep, and a time to cast away;

A time to rend, and a time to sew; a time to keep silence, and a time to speak;

A time to love, and a time to hate; a time of war, and a time of peace.

When the song, “Turn! Turn! Turn!” was recorded released in 1965 by the rock group, The Byrds, I was a college student caught up in the idealism and fervor of the sixties.  The lyrics were nearly verbatim from Ecclesiastes (3:1) of the King James Version of the Bible, but the song captured the sentiments of the time and quickly became number one on Billboard’s “Hot 100.”  The Byrds weren’t the first to record the song.  Earlier versions  by the Limelighters and Pete Seeger preceded the Byrd’s hit recording.  Over the next several years, many other artists recorded the song, including Judy Collins, Joe Cocker, The Seekers, Dolly Parton, and Nina Simone.  Is it any wonder?  The words from Ecclesiastes describe life’s journey, the inevitability of its cycles and seasons, the story of the entire lifespan.

Seasons have been on my mind a lot lately, triggered, in part, by witnessing the “coming out” of springtime in Toronto, realizing how much I miss the distinct change in seasons, and, later this month,  the passing of another decade in my life.  In the book, The Seasons of Life:  Our Dramatic Journey from Birth to Death, authors John Kotre and Elizabeth Hall describe how seasons are metaphors for life’s journey and how human life is intimately connected to the seasons of nature:  times of day, circling of the planets, phases of the moon, or growth and harvesting of the crops (University of Michigan Press, 1997).  In fact, the ancient Greeks used seasons to define life’s stages: childhood was spring; youth became summer; autumn described adulthood, and winter, the metaphor for old age.

The cyclical nature of life and living reflects what we witness in nature. I think of being in the autumn of my life now, described in a French Canadian film I saw many years ago as “the other side of spring.”  My life is still colorful, still vibrant, but I know the colors will gradually fade as I move toward winter, the years of elderhood and old age.

There are other aspects of life—and illness—that are described by seasons, including cancer.  In a 2009 article in Cure Today, Kenneth Miller, MD  described four distinct phases or “seasons” of cancer survivorship.

  1. Acute survivorship: when a person is diagnosed and treated.
  2. Transitional survivorship: when celebration is blended with worry and loss as a patient pulls away from the treatment team.
  3. Extended survivorship: includes those who are living with cancer as a chronic disease and individuals in remission because of ongoing treatment.
  4. Permanent survivorship: people who are in remission and asymptomatic, or,
    cancer-free but not free of cancer because of chronic late and long-term health or psychosocial problems. Others may even develop secondary cancers related to cancer treatment, or develop second cancers not related to the first cancer or its treatment.

Miller’s observations were informed not only by his patients’ experiences, but also by his wife’s.  He compared her stages of cancer and recovery to the seasons of nature:

I have learned just as much about cancer and the seasons of survivorship in my work as a medical oncologist as I have alongside my wife, Joan, he wrote, who was treated 10 years ago for acute leukemia and more recently for breast cancer. Her diagnosis was certainly like the cold, bleak winter, and transition like the rebirth of spring. And while each season was different than the others, each was beautiful in its own way. (http://www.curetoday.com/index.cfm/fuseaction/article.show/id/2/article_id/1142)

It turns out that seasons may be more than metaphors in the cancer journey.  In a 2007 study, researchers from Norway and Oregon found evidence suggesting that men diagnosed with prostate cancer in summer or autumn had better survival rates (see:http://www.medicalnewstoday.com/articles/80625.php for more details).  Vitamin D—the sunshine vitamin–plays a part.  In other studies with early stage lung cancer patients,  high concentrations of Vitamin D appeared to contribute to a better survival rate post-surgery.  Patients whose surgeries occurred in sunny months (May – August) had a 30% higher survival rate than those who had surgery in winter. “Season,” epidemiologist David Christiani noted, “had a pretty strong effect.”

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Whether we’re diagnosed or treated with cancer in summer or winter, the seasons of our illness can dominate our lives.  Marilyn Hacker’s 1994 collection of poetry, Winter Numbers, invokes the darkness and cold of winter as she details the loss of many of her friends to AIDS or cancer as she struggled with breast cancer.  Dan Matthews, using seasons as metaphor, chronicled the journey of his wife’s terminal breast cancer in a poetry collection,  Rain, Heavy at Times: Life in the Cancer Months (Arago Publishing, 2007).  John Sokol wrote about his cancer in a poetry collection entitled In the Summer of Cancer.  And in one of my favorite poems by Barbara Crocker, “For a Friend Lying in Intensive Care Waiting For Her White Blood Cells to Rejuvenate After a Bone Marrow Transplant,” the season of springtime signals a time renewal and rejuvenation:

The jonquils. They come back. They split the earth with

their green swords, bearing cups of light. ‘

The forsythia comes back, spraying its thin whips with

blossom, one loud yellow shout.

The robins. They come back. They pull the sun on the

silver thread of their song.

The iris come back. They dance in the soft air in silken

gowns of midnight blue.

The lilacs come back. They trail their perfume like a scarf

of violet chiffon.

And the leaves come back, on every tree and bush, millions

and millions of small green hands applauding your return.

(From:  The Cancer Poetry Project, 2007, www.cancerpoetryproject.com)

This week, think about how seasonal metaphors describe your life.  Write about the seasons of your life, whether the cancer journey, a marriage, loss and grief, adulthood– any of life’s seasons that have been important or significant to you in some way.

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