Thursday, August 24, 2023

Bonus Time Blues

 My treatment continues to go well and the side effects continue to be manageable, and somehow I am finding it a little bit easier now to be more optimistic about my prospects to survive healthily for perhaps another year or even more. But I am learning that that mindset comes with emotional side effects too, and they are not always quite so positive.

 

For most of the time I find myself feeling more and more blessed by this bonus time. I have even found ways to enjoy the dreaded New York summer rather more than usual, primarily by escaping it for as many as 55 days. We had 31 days in Portugal, then seven in Italy. Then this month I enrolled on a ten-day singing course in Massachusetts, followed by a week in Canada with my wife visiting her brother and his lovely family. Even the time stuck in New York has been more bearable than usual, with our weather on the benign side while it seems everybody else has had extremes to deal with.

 

One thing I have noticed as I move further and further into bonus time is that I feel less need to talk about my cancer. Partly that may be due to my own expectations of healthy survival time. The odds on lasting five years or more have not budged much, but the chances of getting half that far certainly have. When I recall the expressions in the eyes of medical professionals and loved ones and people with relevant experience, around the time of my major operation, I saw an expectation that I was not long for this world, and inevitably that affected my own expectation too. Now I am more optimistic, and the urgency of explaining the situation to others has diminished as a result. Partly it may also be physical, specifically how my head looks. After the operation and the start of radiation therapy, the scar on my head was clearly visible to all, and perhaps that led to some need to explain it. Now a lot of hair has grown back, weirdly in its original dark brown colour. Weird hair colours are commonplace these days so don’t beg an explanation, but it has covered over the wound, so fewer people look at me quizzically.

 

Perhaps I am also more cognizant of the preferences of others too. Most people going on a singing holiday want to cheer themselves up by singing, not depress themselves by hearing tales of the failing health of their fellow singers. I think I judge better now who to share with. Anybody under thirty, even close relatives, have no idea how to respond, so now I save them the bother by avoiding the topic altogether. On the singing course, I was selective and, I hope, smart, in choosing who might be interested in my story. 

 

Then I have noticed a new darker side of optimism. While every waking thought was about cancer, I found it easier to move quickly past any other possible sources of anger. I would follow the news less closely and less critically, perhaps because a part of me was always thinking that the consequences of that news were increasingly irrelevant to me. People I would previously have been annoyed by no longer had such a detrimental effect on my mood. And I even became somewhat less critical of the USA, after a period earlier in 2022 when its flaws became close to an obsession for me, one that only made me feel more and more judgemental and miserable. After the diagnosis I found that I could be more serene in many situations, especially once the steroids had been removed from my list of medications.

 

On my travels I found my more critical traits to have returned. On the singing course, why could I not simply celebrate day after day of singing in lovely surroundings and the chance to meet many truly wonderful people? I could do all that, but I also found myself comparing the charms of Northampton and its Smith campus unfavourably to its European peers, and noting how much even a small fraction of the alumni generosity showered at Smith could improve the decrepit public school system. I also started griping about some singers who talked too much and caused us to learn pieces more slowly than we could have, and the many flaws I perceived in the workshop design and teaching. This was the old curmudgeonly Graham re-emerging, to the detriment of everyone, including me. By the penultimate evening I was really quite angry, and it took me some days to realise how this anger only rebounded on myself and those unfortunate souls who happened to be in its path.

 

The same sort of thing happened again in Canada. Why could I not simply celebrate a joyful, relaxed week with my wife and her impressive, generous and kind family? I could indeed do that, but less benign thoughts came to the fore as well. We visited the splendour of Niagara Falls, but I could not help but feel angry about how the pristine natural wonder had been compromised by the horrors of US and Canadian urban planning, pandering to ugly corporate interests and the worst aspects of human nature. Then we returned to Mississauga, as ugly a sprawling suburb of an ugly city as could be imagined. My wife’s relatives have found happiness there and made wise choices, but I could not stop myself becoming angry at the endless rows of boxy houses, all with multiple large cars parked outside, interspersed only with shopping malls and parking lots.

 

This sort of negative thought came frequently to my mind during the long anti-US phase immediately prior to diagnosis, and now I see how I managed to move past them over the months when cancer expunged almost everything else. But in bonus time, cancer sometimes takes a welcome back seat, and the negative stuff occasionally takes its place alongside the positive emotions centred on gratitude. For a long time I managed to avoid becoming too angry with the US news, but now the prospect of another Trump-infested election cycle starts to fill me with horror, as does the other relentless garbage that passes for news, while real public policy issues are completely ignored. How can somewhere so wealthy tolerate so many of its people living in abject poverty? What on earth is the rationale behind China policy, beyond a childish macho desire to remain top dog? Six months ago I felt ready to delegate such challenges to the next generation, but now I find myself being sucked back into the ugly mess.

 

Fortunately, most of the time I still find myself able to move past these negative thoughts, relying on the good practices I acquired during the period before the start of bonus time. Anger and bitterness help nobody, grief and sadness are fine but can be overcome by love and kindness and gratitude, leading to companionship, acceptance and peace. I can be thankful to have been granted this bonus time to strengthen these positive emotions, for my sake and that of those that I love. It is not so difficult.     

Tuesday, August 1, 2023

attitudes and Decisions

 US Sports have some strange contrived rituals. Today is baseball trade deadline day, the last chance for teams to juggle their rosters before the playoffs. Teams in with a chance of success might pay more than usual for a player that could make a difference. It makes sense, but is a bit depressing for teams and their fans on the selling end of the equation. On Saturday my team traded one of their best players and it surprised me not at all when I tuned in to watch their game that evening to discover they were already losing 9-1 to a poor opponent. Talent matters, but a winning attitude and team mentality matter more.

 

It reminds me of when my career was on the rise and I could expect to be moved to new locations and positions quite frequently. I learned quickly that one imperative when arriving at a fresh outpost of the empire was to give the impression to the locals that I hoped and planned to be there a long time. I had to say it often, and I even had to believe it and act like it, or I would have no chance of building any respect and to create a winning team. As an itinerant expatriate, one of my family rules was to operate as if we would be staying forever, right up until the day we knew we were not. That also helped the family to invest in their situation and to stay happy.

 

Now I am on a very different journey and the advice I receive most often is that a positive attitude is the most important driver of sustained good health. Some people attribute the effect to prayer or superstition of some other external influence. In any case I find it to be true, and I have discovered some related facts too, such as the benefits of staying active when tired or eating when nauseous and not fancying much food. The problem with the advice about attitude is that it is not easy to act on it. You can’t create positivity out of thin air; instead you have to things to help stay positive. As well as saying it, you have to believe it and act on it, and that can be tough when your body is sending wholly different messages.

 

So far I have managed to follow my own advice most of the time, mainly because I have the advantages of feeling physically well and a strong medical and support team. I don’t judge those who can’t stay positive, because many of those people cannot share my very practical reasons for optimism and thankfulness.

 

Even within a general spirit of positivity and an attitude of getting on with life, there are limitations arising from my situation. As well as maintaining hope, I insist that it is important to try to be ready for what lies ahead and what may confront us at any time. If bad news comes as a complete shock, we are less likely to find a smart response to it when it arrives.

 

This dichotomy arises on an almost daily basis via practical decisions. Yesterday I received a renewal notice in the post for my favourite magazine, The Economist.  There are options to renew for one, two or three years, with discounts on a per issue basis for the longer options. The subscription does not break the bank, but certainly adds up over time.

 

For how many years should I renew? Previously I would have taken the three-year option without much thought, once I had confirmed that it was cost free to change the delivery address in mid-subscription. Now I will probably opt for a single year. Even though it also cost-free to cancel at any time, I cannot imagine my wife getting around to it in the event of my death or incapacity, and the odds of those eventualities have changed, whatever attitude I choose to take. This would be like all those streaming subscriptions we pay for month after month after having accepted an offer of a short free trial for a particular program and then not got around to cancelling. Another of my principles is not to create unnecessary complications for her.

 

It is amazing how many such smallish decisions face me week after week. The hard part is not the decision per se, it is the small reminder of an unwelcome reality. In a way it is just like my New York Mets struggling to compete after being separated from some of their best players.

 

I face this reality daily, and I have come to embrace it and to let it affect my mood only marginally. Others around me have to face it too. Imagine the people running some of my choral groups, in the process of signing people up for the coming season and hoping for enough certainty to enable them to plan repertoire and dates and budgets. I am not much use to them, only able to commit with a series of caveats, yet still creating guilt in their minds so they want to try to indulge me. None of this is made simpler by the complex decisions we face relating to my wife’s work and our possible relocation at some point.

 

My old expatriation rules surely apply. For most items and decisions, I must expect to be around here for a long while and have to actually want that eventuality. I have to say it, sound as though I believe it and act on it. For most decisions that is the determining principle. Six months expensive car insurance became payable this week too, and I simply paid it and moved on swiftly.

 

There is some sort of threshold in play here, and The Economist renewal lies somewhere near the boundary. For the biggest decisions we have to take the new reality into account. We now renew our apartment lease for one year instead of two and insist on a clause whereby we can exit cost-free and with limited notice. That ten-year debenture for membership of the new golf club in Portugal does not make much sense to consider now.

 

As with so much on this journey, the emotional and practical aspects interact, which I suppose is this the basis of the advice to try to stay positive. Every choice, every waking thought really, comes with the very clear context, the context of cancer. Still, that is how things are, and it is not hard to stay positive most of the time, given all the blessings I can count. Remembering lessons from former experiences does no harm either.