Friday, March 23, 2012

It’s not always about me

Next time something you would label as “bad” happens to you, take a look around. You’re in that situation for a reason. And that reason might be an opportunity to be helpful to someone else.

When I was hospitalized following my stroke, I was placed in a room with another man who was really sick. Not that I wasn’t really sick – people are usually not admitted to a hospital unless they are really sick – but my roommate was pretty miserable.

His name was Tom, and I guess he was probably in his 30s. Shortly after I arrived in the room, he received some visitors. I quickly discerned that Tom’s visitors were his fellow residents from a group home for developmentally disabled adults. Over the next 24 hours I also picked up that Tom had a severe lung infection. He had a tube in his chest to drain fluid, but each time a nurse came in to check him, he or she would comment that there wasn’t much drainage.

Tom and I gradually got to know each other. I explained to him my situation and he explained his. Tom wasn’t stupid, but it was evident to me why he lived in a group home.

Eventually, the doctors began talking about getting Tom into surgery because not only was the fluid not draining from his lungs, it was solidifying. Tom was miserable, in pain, and frightened by the idea of surgery. “I don’t want to die,” he said.

The surgeon did a fantastic job of explaining to Tom why he was recommending surgery, doing so using imagery that Tom could understand. The liquid in his lungs at first was like liquid Jello, but like Jello, it was beginning to solidify into a wriggly mess in the lining of his lungs. If nothing was done, that Jello-like stuff in his lungs would eventually become like Jello left out in the air – it becomes hard and stiff. What the surgeon wanted to do was open a small hole in Tom, stick something into his lungs and scrape this gunk out of his lungs.

As all doctors must say, the surgeon said there were risks involved. But with someone like Tom, enumerating these risks, while legally required, just frightened him more. His sister, whom I also got to know, did her best to explain to her brother that while these risks were real, the surgery could make him feel better.

Tom was lost in a thicket of views. He didn’t know what to do. He would agree to the surgery, but it was evident he was simply agreeing with what the adults around him were suggesting. So he was saying what they wanted to hear. It was clear, however, that Tom was scared shitless.

After he and his sister talked some more about the surgery, she got up to go to the cafeteria. When she was gone, Tom said, “Richard, what do you think I should do?”

Me: “Tom, do you like the way you feel right now?”

Tom: “No.”

Me: “You’re in a lot of pain right now, aren’t you?”

Tom: “Yes, and it’s not getting better.”

Me. “Right, it’s not getting better. And I know you are in pain, because having a chest tube stuck inside of you like you have is one of the most painful things to go through. And I must say you have been really strong dealing with that, you know that?”

Tom: “Yes. But I don’t want to be like this.”

Me: “Well, if you don’t have the surgery done, what will happen?"

Tom: “I won’t get better.”

Me: “That’s right, you won’t. And what did the surgeon say if nothing was done?”

Tom: “The stuff in my lungs will get hard and I will get worse.”

Me: “Yes, that stuff will get hard and you will get worse. And what else did he say?”

Tom: “I will die.”

Me: “So you know that, you know you do not like how you feel right now, and you know if you don’t do anything about it, it will get worse and you will die. But if you have the surgery, what can happen?”

Tom: “I can get better.”

Me: “You will get better."

Tom: “But I could die in the surgery.”

Me: “Yes you could. But that’s a maybe. You know you will die if you do nothing. You know you won’t get better if you do nothing, right? So let me ask you this. Are you willing to go through some more pain for a short time after the surgery, but knowing the pain will go away and you will feel better?”

Tom thought about it for about 10 seconds and then said, “I’m going to do the surgery.”

The day Tom was wheeled into surgery was also the day I was sent home. I gave his sister one of my email addresses to let me know how things turned out. A couple days later I got her missive explaining that the surgery went well and that Tom was rapidly recovering. She thanked me for being a calming presence for Tom and helping him sort through this frightening experience.

Did karma put me in that room? I can’t say. But I can say this. I was there and I had a choice. I could either dwell in my own world of woes – and I might even have had a legitimate reason to do that – or I could recognize an opportunity to alleviate someone else’s suffering.

We face these choices every day. They may not be as grand as my situation, but we face them nonetheless. All it took was a small step outside of my inner world and be aware that it’s not always about me.

Photo courtesy of my friend Jimmy Huang.

Tuesday, March 13, 2012

A new meaning of mindfulness

There’s nothing like having a stroke to change the way you think about mindfulness. Sure, I had a conception of what it meant, what being mindful was all about. And in that notion was a root connected to raw awareness. But it seems I've been looking beyond that raw awareness and seeking something else that I thought was mindfulness.

That is, until I had a stroke.

It was a minor stroke, one cause by a clot in the vision center of my brain. It’s affected my peripheral vision on my left side in both eyes. Everything else – motor skills, speech, cognitive abilities, taste, smell – remain unaffected. To give you an idea, when I’m sitting in the passenger seat of a car, I can see just fine straight ahead. And I have normal peripheral vision to the right. But my vision ends at the center console. I can’t see the driver at all unless I turn my head.

Needless to say, I bump into doorways on the left side frequently because I can’t see the left side of the door jam. People or other moving objects coming up from behind me and passing on the left startle me because I don’t see them until they’ve already past and are almost in front of me. And unless I look directly at what I am reaching for, I may misjudge and fail to grasp it if it’s on my left.

There is a possibility that my field of vision may return to normal. Since my stroke, which was this past Friday, the blind spot has shrunk a bit. But it’s still there. It’s still significant.

In the meantime, I am learning some rather harsh and immediate lessons about mindfulness. And it’s changing the way I think about mindfulness. It’s not this overall gestalt that I used to think it as; rather it’s very specific. Mindfulness doesn’t just mean being aware of the world around me any longer. It means being aware of what I am doing right now in this world around me, and that means just a small part of this world around me, not this big expansive world that I had been thinking about.

My moment of realization was when I was being discharged from the hospital. I was elated I was finally getting out. I’d spent four days there waiting for tests to be completed. As I was gathering my belongings, I reached to my left for a Styrofoam cup of ice water I knew was there. But instead of grasping the cup, I closed my hand too soon, puncturing my thumb through the side of the Styrofoam and spilling water onto the table.

It was then I realized what being mindful really meant, what was really required of me. And it also made me aware of how I had taken for granted my awareness and my ‘mindfulness.’ No longer could I be casual about even the simplest thing like reaching for a cup of water. No longer could I be automatic while doing something as simple as walking through a doorway. When dining out, I must be extra sensitive to a server coming in from my left, or a glass or utensil on my left. And when I cross the street from now on, my life depends on my mindfulness more than it ever has before.

I’m actually finding all this quite thrilling. Believe me, if given a choice I would not want to reach such understanding by having a stroke. But I did have one. That can’t be changed. And now I’m ready for a new day.

Wednesday, March 7, 2012

Capture Kony in 2012

Not necessarily a Buddhist topic per se, but watch the video and do what you can. No matter how small your effort, whatever you do will help. Sometimes the video doesn't show up, just click the reload link if you see it below and the video should appear.



KONY 2012 from INVISIBLE CHILDREN on Vimeo.