I Am No Stranger to Grief

"Grief is not a train track toward acceptance.  Instead, it is more of a 'getting lost in the woods.'"

~ Alan D. Wolfelt, PhD

I am no stranger to grief.   I have walked the path of grief alone and as a companion of family members and friends many times in my 78 years.  I have grieved openly over the assassinations of my youth and the shootings too common these past few years.  I am no stranger to grief.

So I thought I was prepared for John's death.  I was naive enough to think I was "ready".  Moreover, I was more concerned that I would be relieved rather than bereaved.  I wasn't - either ready or relieved.  I was shocked, that the pain and fear and regret were so crippling; also shocked that I was shocked.

It has been 12 weeks now, 12 weeks today, and the initial shock waves after subsided.  I have put my feet forward into the woods, deliberately, albeit with no small measure of anxiety and trepidation.  It is helping to think of this as a journey on an unchartered path through a dense forest.  This metaphor helps me when I'm going along, seemingly upright and grief descends like an unexpected branch that smacks me in the chest or an unseen root sending me tumbling face forward to the ground.  It helps when is a ray of sunshine breaks through the canopy of grief and for a moment I feel guilty that I feel OK.

I'm pretty sure not everyone thinks in metaphors nor finds solace in them, but this one works for me.  Grief as a path, an unchartered path through a dark forest.  A path that one has to create slowly, carefully, a step at a time.  Sometimes moving in the wrong direction, sometimes stumbling, sometimes frightened and disillusioned, but eventually finding the clearing.

I remind myself that I am no stranger to grief.  I may not have been lost in so vast, so dark a forest before, but I have made it through a miscarriage, a divorce, the loss and betrayal of friends, my own cancer - I will survive.  Someday, I may even thrive again.

My Hero

"You must bear losses like a soldier, a voice told me, bravely and without complaint, and just when the day seems lost, grab your shield for another stand, another thrust forward.  That is the juncture that separates heroes from the merely strong."

~ Margaret George, The Memoirs of Cleopatra

I admit it, I'm addicted to quotes.  I can spend hours trolling quote sites whenever I get interested in a topic, but especially when preparing to blog.  And I did so when I decided to post this week on the topic of loss.  Because loss is ever present in our lives these days.  Not just the constant presence of the Ghost of Christmas Future, but the onslaught of loss that John has been experiencing of late.  

I set out to find a quote that might capture the feelings I have experienced as I watch him. My concern as I see him walk more slowly, tire more easily, require still another transfusion.  The sorrow I felt when he recently divested himself of his business, his "baby" that he nurtured for almost 30 years.  The heartbreak of watching him sell his car, accepting that the progression of his macular degeneration necessitates my chauffering.  The loss of stamina and energy, the loss of a piece of his identity, the loss of freedom and independence.  Loss upon loss.  I hate this for him.

And then I came upon the above quote and literally, in the moment, realized that this is how John thinks about loss and that the feelings I need to hold onto are my profound respect and gratitude for how he is managing his.  For he doesn't complain, doesn't even see complaining as a choice.  He takes life a day at a time, reorganizes quickly, and moves forward as best he can with amazing agility and dignity.  

I have often described my husband as resilient or persistent.  Strong.  But now, heroic.  My hero - and he will never lose that.

 

Standing in a Hammock

"So, how was Houston? What did you learn?"  "How is John?" "How are you holding up?"

Today, three weeks since our trip to MD Anderson Cancer Center in Houston, I would answer these questions somewhat differently than when we first returned, having the advantage of hindsight.  First, Houston was in better shape as a city than we had anticipated, remaining water viewed more from the air than in the area of the Center.  The Center itself as busy, as challenging to navigate as ever.  The sight of so many folks in distress as difficult to handle. 

But for us, the fact that they could not get a sufficient bone marrow sample added stress and uncertainty as we had traveled there specifically to check the progress of John's disease.  What we did learn was that currently there were no clinical trials available to pursue.  And that we would have to wait another week for whatever further information could be retrieved from the sample.  The best advice we received was to resume monthly chemotherapy treatments.

I would have said on the morning we left Houston that nothing much had changed as a result of the trip.  And then, in the airport, waiting for our departure, I heard John tell a friendly stranger that he has an incurable cancer and is not sure he will survive another year.  Something I had never heard him acknowledge before, even at times seemed unable to acknowledge.  It broke my heart - and it was such a relief.

For, it has been very challenging for me to hold the reality of this prognosis without impacting his optimism, his conviction that he could endure this long enough for a cure to be found.  That, at least there might be a clinical trial that would provide a better treatment plan.  After all, he beat cancer before. That optimism, however, has been an obstacle to getting our "ducks in a row" should he or before he loses this battle.

Oddly enough, admitting this is a possibility, even a probability has decreased our stress and anxiety.  Rather than be depressed, it has brought us both a sense of calm relief and purpose.  And subsequently, we have adjusted our expectations and aligned behind a commitment we can manage.  We are focusing on three months at a time and a laundry list of to do's that keeps us grounded, energized and in tandem.  

So, how am I doing?  I told someone recently that I'm learning to ride the waves.  "No," she said, "you're learning to stand in a hammock."

And John, well, he recently reminded me that doctors could be wrong.

Nevertheless, He Persists

John is my husband of 34 years, my best friend, my partner, my love, and my hero.  My hero, because over the years, I have watched him endure three bouts of skin cancer, five hernia operations, the gradual loss of hearing, and a stem cell transplant for non-Hodgkin's Lymphoma.  Each time with perseverance, courage and a belief that he could handle whatever was thrown at him.  And he did.  And so, we did.

Last September he was diagnosed with Therapy Related MDS, ironically brought on by the transplant he received 15 years ago, the result of a mutating chromosome impacting his ability to produce red blood cells. One of his first questions was whether there was a gene for orneriness, for though we have been told his condition is currently incurable and the prognosis for survival is approximately two years, he is determined to prove the experts wrong.  After all, the original lymphoma prognosis was three years and he made it for fifteen!

His determination and his persistence are remarkable, and perhaps the most critical reason he has survived so many physical challenges with a modicum of grace.  I watch him as he gets chemo shots for five consecutive days each month, wait with him to hear if he might need another transfusion (we've lost count of how many now) and marvel that he can get yet another round of Neupogin shots for declining white blood cell counts with calm acceptance. The most he has ever complained is to say he is feeling like a human pin cushion. The most impatient he becomes is when he has to wait more than 15 minutes for an appointment.  I can almost predict the moment I'll hear, "C'mon doc, I'm ready," 

I have always ascribed his survival to resiliency or to pure stubbornness, to that hypothetical gene for orneriness.  Today we had an exchange that made me reconsider.  We were driving back from an appointment with the eye doctor, because on top of everything else, John was diagnosed with macular degeneration earlier last year.  The diagnosis today confirmed our observations that his eyesight is worsening, perhaps the result of the chemo, and our decision to curtail his driving, though difficult, is appropriate. I told him how much I respect him, how much I admire his inner strength.  How much he inspires me to remain optimistic, to stay strong, to fight the good fight.  How much he is my hero.

His response was to repeat a quote I had never heard before.  "Persistence and determination alone are omnipotent." ~ Ray Kroc,  the founder of MacDonald's. Persistence, determination, not stubbornness, not orneriness.  I asked when he first came across the quote; he said many years ago.  He had to look omnipotent up in a dictionary, but the quote has been one of the most important in his life, and consequently in ours.  I asked if it has become a silent mantra.  He paused and said no, he just has tried to live his life with those values at his core.  And in my experience, he has.

There are many people who, over the years, have commented on my strength.  I know I would not be as strong as I agree I am were he not as strong as he is.  As persistent and determined as he is.  He is my best friend, my partner, my love, my hero.

Thank you, Ray Kroc.