Monday, November 28, 2011

Requiem for a true friend

On Thanksgiving Day before my brother and his wife and my sister and her husband arrived for the weekend, I got in a workout at the gym and then met a friend afterward for lunch. We went to Chinatown on the north side in Uptown and ate at Pho 777 where Stephen filled me in on how his medical internship was going.

Stephen speaks English very well. He’s from Taiwan and here on a visa completing a medical residency/internship program that has been really difficult for him at a Chicago hospital. Although he speaks English very well, his listening comprehension isn’t quite as good, particularly if the English speaker is a non-native English speaker. It’s been very stressful for him; at one point he was ready to give up and go back to Taiwan where he is already a licensed radiologist. But he selected internal medicine for his residency program in the U.S.

Anyway, we had lunch and I listened to him, encouraged that his really difficult rotations were about to end. He was optimistic that his next two rotations won’t be as difficult.

After lunch I returned home knowing that I would need to feed Symba again. Following the surgery in early October that removed a horrible infection in his mouth – and which revealed that he had a very aggressive form of cancer – he could only eat soft food from a can. The surgery removed most of his teeth and he needed to gain weight. His appetite was voracious, and he managed to keep the food down as well. His coat was gradually getting shinier, although he wasn’t grooming himself. However, brushing him we both enjoyed as it gave me some quality time with him. I knew his days were numbered.

When I returned home Symba was snoozing on his usual spot – a small pile of brown grocery sacks on the kitchen table. He perked up when he saw me, anticipating his feast as I got the canned food out as well as some dishes. He meowed nosily as usual. When he jumped down from his spot on the table I noticed some dried blood on his right front leg. There was no injury to the leg, but it looked like he may have been bleeding from the mouth. This happened before and the incident was brief despite being quite alarming. It was a small amount of dried blood, so I just made a mental not to keep track of these incidents.

Symba wolfed his food as usual. It was quite obvious there were no issues with his appetite, not that there ever was really. I gave Tazz some soft food also, although just a tiny amount as Tazz was able to eat the dry food left out for him. I then went to clean up some new hairballs Tazz had hurled on the carpet. I had returned to the kitchen where I was rinsing out the rag I used to clean these spots up when I noticed Symba at the kitchen doorway.

Although sitting on his haunches, he was very unsteady, his body teetering side to side, and there was bright red blood dripping from his mouth. He then took his paw and furiously pawed at the side of his head as if there was something crawling all over his face. I crouched down next to him to get a closer look, to try and determine what happened, what I should do. I petted him as I examined his mouth – he immediately sensed my petting and responded with affection – and saw with this incident there was a lot more blood than before.

And he was still bleeding.

Then the most extraordinary event occurred, something I will find hard to forget. Symba’s entire front end, his front legs and all just collapsed as he fell face-first to the floor, his hind legs still up. His body was stiff and he uttered a baleful meow that was quickly followed by his back end falling sideways to the floor.

Alright, I’m not sure of the exact sequence of events, but somewhere in all this I got my phone and called my vet, who I knew wouldn’t answer, but I also knew the message at the office would have the phone number for the pet emergency hospital. Symba seemed to recover somewhat. He sat up, shook his head, which nearly knocked him over because he was so unsteady, and then he got back up on the kitchen table to be on his pile of grocery sacks just like he always did after eating. The hemorrhaging had abated, but there were drips of blood coming from his mouth. Symba looked really out of it.

I got the pet emergency hospital on the phone and began describing what was going on. When Symba collapsed, it was just like the videos I had seen in the past of farm animals when they founder – the collapse begins at the front of the body with the back end falling 2 to 3 seconds later. I got directions to the hospital, then went to get the travel cage as I called my brother to find out where he and his wife were. It was about 3 p.m. I think and I was expecting them around 5. He said they were in Indiana, so they weren’t that far. I told them I might not be home when they got to my apartment, so would they mind waiting in the street until I got back?

“I think Symba is dying,” I said.

It was difficult for me to drive at first. Seriously, I was freaking out and starting to cry. Symba was starting to bleed again. But I told myself it wouldn’t do anyone any good if I crash the car because I’m blubbering and couldn’t see the road or wasn’t paying attention. So I pulled it together and began the drive. One thing nice about Chicago on Thanksgiving: traffic is not a problem. Symba traveled as best as can be expected, but I think he went through another one of those collapses about half-way to the animal hospital.

The pet emergency room was a bit busy when I arrived with at least a dozen other people there. I put the pet carrier on the counter as I told the receptionist I was there and that I had called just a bit ago.

“And what is Symba’s problem?” The receptionist kindly asked. Consternation is such a mild term, but it described her expression as she looked at the pet carrier while I spoke.

“He’s hemorrhaging from the mouth and I think he’s been seizing.”

I didn’t have to wait; she took me to an examination room and called for a physician. They began examining Symba as I retold the sequence of events. When they went to weigh him, he seized again as he was being placed on the scale. They took Symba to another examination room where they sought to raise his body temperature and observe him. The doctor came back and we talked options. She explained that she believed that he was almost blind, that he saw motion, but it didn’t appear that he could clearly see forms. The size of his head and the shape of his skull suggested that the cancer was not just in his jaw, but very likely in his brain. There were tests if I wanted them done …

I had heard enough.

They brought Symba back to me. He was wrapped up in soft blankets to keep him warm. I held him in my arms and gently stroked the back of his head. I was left alone with him for a while. He responded affectionately to my petting, pushing his head against my hand as he always did. But one thing I noticed right away: he wasn’t purring.

After a few minutes the doctor returned and explained the procedure. I requested that I be allowed to hold him when it happened. They took Symba for just a few minutes to insert a catheter into his left foreleg, then returned him to my lap. First they sedated him. He quietly went limp in my arms. Then they injected him with propofol, the same drug that killed Michael Jackson.

I kept petting Symba as I told the vet about how I had Symba since he was a kitten, that he was rescued from the pound when he was 6 weeks old. I then handed Symba to her. Would I like to take his ashes home, she asked?

I shook my head. “Symba’s gone. That’s just a body.”

They did make a paw print, however, and gave that to me. A very cute Asian boy cleaned the blood out of his carrier for me. And then I drove back home to meet my brother and his wife. We later went out to eat dinner.

So why am I telling you all this? It’s not for sympathy. I guess it’s partly to get things out of my head in a thoughtful, cogent way. But it’s also to talk about kamma.

Yes, I created some kamma that day when I agreed to have Symba killed. You can call it euthanasia, “putting him down,” “putting him to sleep,” whatever pretty little name or phrase you like. It doesn’t change the fact that Symba is dead because I killed him. You can rationalize all you want, but Symba died at the moment that he did die because I authorized someone to kill him. You can say he was going to die anyway, but that can be said for all of us. We’re all going to die. In this case I deliberately and with forethought had Symba killed.

But here’s where I think many are wrong. Some may say that it was the compassionate thing to do. Perhaps. Some may say that by my doing this, I’ve interfered with Symba’s experiencing his own kamma. Maybe. I say the truth lies somewhere in the middle.

Symba’s kamma and my kamma are not isolated from one another. Just as the Buddha taught, kamma is not linear, but involves multiple feedback loops over time and even lifetimes. With the simile of the Salt Crystal the Buddha teaches us that even with very bad things that we’ve done, we have every succeeding moment to work through and eliminate the kamma we create.

But we don’t create kamma alone. My own kamma and Symba’s kamma were intertwined. We were both suffering. While one may say that to kill him would be interfering with Symba’s kamma, one may also say for me to allow “nature to run its course” could potentially interfere with my kamma. It’s simply not black and white.

No living creature wants to die. Even the tiniest spider will do all it can to preserve its life. Heck, even an amoeba will flee from pain. Which is why, when given the opportunity and even the advice to kill Symba earlier on as soon as cancer was even a possibility, I rejected the idea of killing Symba despite most advising it. If that’s really how we’re going to manage life, then my parents should have killed me when I was 2 years old and stricken with pneumonia. We’re all going to die anyway, right? Why go through all that suffering?

Symba didn’t need the power of speech to tell me he didn’t want to die. And it’s not difficult to conclude that I didn’t want to see him suffer any longer. What I wanted to avoid for both my own and Symba’s sake was turning this event into a matter of convenience.

Some may say my decision was still ultimately made around a notion of convenience. I do not disagree. Just remember, you weren’t there.

Symba: May 1, 1996 - Nov. 24, 2011

Sunday, October 30, 2011

Do Buddhists worship idols?

Ajahn Yuttadhammo addresses the issue of idol worship in Buddhism, pointing out that while ostensibly Buddhists do not worship idols, many Buddhists do, in fact, worship idols (and not just Madonna or Lady Gaga). The fact that many Buddhists do worship idols is a central issue with why many Muslims and Christians are so hostile toward Buddhism and Buddhists.


Yuttadhammo


Yuttadhammo has a series of videos "Ask a Monk" that are interesting and informative. They're worth checking out.

I have used the explanation that Yuttadhammo mentions of my possessing a Buddha statue and the creation of an altar is not idol worship, but a point of focus in my endeavor to develop mindfulness. And the Buddha didn't really say no to idols, just as he didn't completely rule out rites and rituals, as long as the practitioner was mindful that rites and rituals (and presumably idols) were empty and held no significance in and of themselves. If such objects or practices were helpful for developing mindfulness, then fine, they are useful as tools (I do believe somewhere in the Tipitika the Buddha warned of relic worship following his death). But the Buddha was not, is not, a god.

But it's easy to understand how some non-Buddhists are confused, particularly when many practitioners talk about "praying" to the Buddha, etc. (Again, someplace in the Tipitika I believe the Buddha is quoted as saying something to the effect that there is nothing to pray for because there is nothing to pray to)

I hope you take the time to investigate Yuttadhammo's other videos, particularly the ones on meditation. They're very informative and helpful.

Thursday, October 27, 2011

Does success lead to indifference?

About a week ago a horrific incident in China spread across the interwebs with videos popping up showing the world the unbelievable – a hit-and-run crash in which a truck runs over a toddler in a Chinese market. But it wasn’t just the hit-and-run itself that was so shocking. It was the nearly two-dozen people who walked by the toddler as she lay injured and bleeding in the alley. Of all people, it was an immigrant woman collecting trash who saw the child and came to her aid.

There was plenty of U.S. media coverage of the incident; this particular video is stunning, although there are more graphic videos out there that show the actual collision between the truck and the child. An article in the Chinese newspaper Xinhua revealed how quickly Chinese and the world shared the story across the Internet. But perhaps much more revealing was this statement in the Xinhua article:

“The incident has left many people to wonder if China's rapid economic development has had an effect on ethics and morality in the general public.”

This particular incident in China may recall to some a similar event that occurred in the U.S. in 1964, the Catherine “Kitty” Genovese murder. The lead in the New York Times article about the murder, published two weeks after the killing, present an ugly and horrifying picture of fear and apathy:

“For more than half an hour 38 respectable, law-abiding citizens in Queens watched a killer stalk and stab a woman in three separate attacks in Kew Gardens.


“Twice their chatter and the sudden glow of their bedroom lights interrupted him and frightened him off. Each time he returned, sought her out, and stabbed her again. Not one person telephoned the police during the assault; one witness called after the woman was dead.”

This literally became a textbook example in many schools – I know we talked about it in a high school class of mine – of how people become numbed by fear and no longer show any interest in their fellow human beings.

How do people become so insensitive to others? It’s a natural question to ask, but it’s not really the right question to ask, the skillful question to ask. We can examine why people become insensitive, why they lack compassion or are unwilling to show compassion toward others, until we have what we might consider a definitive answer. But finding that answer won’t ensure we become compassionate ourselves, it does not lead one to being more compassionate.

When I was 10 or 11 years old, I was with a buddy of mine and his mom as we walked through downtown Midland, Mich., for the annual carnival days and sidewalk sales. It was such a gay time, but as we walked along I saw how people were making way for something. As we got near we saw a man lying on the sidewalk, blood streaming from his nose. Apparently he had been in a fight right there and was knocked down, his assailant nowhere to be seen. I’d never seen that much blood come out of a person’s nose before. He was conscious, but just lying there. My friend’s mom without hesitation, with not a shred of shock or dismay on her face, took her handkerchief out of her handbag and offered it to the man. I can still picture her in her slim dress, probably a Jackie O kind of thing that all the women were wearing at the time, it had to be about 1968, just as prim as can be offering her clean white lace-trimmed hanky to this brute on the ground with blood forming a pool just below his face. He at first declined her offer. She insisted, said it wasn’t doing her any good and it would likely do him some good. He acquiesced. Could she get some medical help? No, he wanted to be left alone. So be it, and we moved on. All during that episode, dozens of other people just walked by, taking only furtive glances before hurrying on. As we walked on, a couple medics were apparently on their way to help.

There were a lot of other children around that day. For most of them, the lesson was don’t pay attention, don’t get involved, pretend it doesn’t exist.

We don’t need to understand why people lack compassion. We simply must instill it within ourselves and express it to others. Unsurprisingly, the Buddha had plenty to say about this because even monks are not immune to indifference.

In the Kucchivikara-vatthu, the Buddha encounters a sangha where there is a monk seriously ill with dysentery, fouled with his own urine and excrement. But none of the other monks are attending to the sick monk. The Buddha asks the sick monk why.

"I don't do anything for the monks, lord, which is why they don't attend to me."

Now, the Buddha is a level headed guy, not given to extreme fits of emotion. Nonetheless, I have to think that when the Buddha heard this, he was freaking fucking mad. But the first thing the Buddha did was to immediately start attending to the monk, bathed him and put him to bed. After that, the Buddha went to the rest of the monks and asked them why they hadn’t been attending to the ailing monk. Their answer?

"He doesn't do anything for the monks, lord, which is why (we) don't attend to him."

Being the level-headed guy that he was – I mean really, getting all angry and bent out of shape accomplishes nothing – the Buddha firmly reminded the monks that they have abandoned their homes, which means they have no mothers or fathers or siblings or anyone else to attend to them. That means they must attend to each other.

It’s part of the Four Right Efforts when you think about it: Remove negative behavior and thinking from ourselves that already exists; prevent new negative behavior and thinking from arising in us that doesn’t already exist; further develop positive thinking and behavior that is already developed in us; and nurture and encourage new positive thinking and behavior in us that doesn’t already exist. We don’t need to understand why; we just need to do it because the benefits of such self-directed action will be readily apparent.

That’s not to say that there aren’t many obstacles out there that actively discourage being compassionate. As the title of this post suggests, new-found prosperity can lead to callousness, even without us being aware of it. We live in such a litigious society that we may fear aiding others because we might get sued. And particularly with children, men – especially gay men – need to be extra careful. If I see an obviously lost or distressed child, I don’t help the child. Instead, I seek out a woman and ask her to help the child, because if I do it, someone will carelessly accuse me of being a child molester.

But I think the most dangerous and destructive mental attitude we must be alert for is this line of thinking: This doesn’t pertain to me, it’s none of my business.

That Chinese toddler died from her injuries. Had she received help promptly, it might have been a different outcome. Then again, she might have died anyway. But all those people who ignored her? Oh, the kamma they have made.

The image with this post is not mine, but was given to me with permission to use. However, I can't recall whose image it is, so let me know so I can give you proper credit.