Wednesday, November 30, 2016

Rearranging one's activities following a diagnosis of cancer

Recently, I read some notes that I had made when taking a transition assistance course for senior officers prior to retiring from the Navy. In those notes, I found a list of my hobbies: travel, an active lifestyle that included exercising several times per week and frequent walks with my wife, learning about and enjoying good food and wine, and reading.
This autumn, cancer has disrupted all four. My damaged vertebra, caused by my cancer leaching calcium from my spine, no longer permits travel or an active lifestyle. I have gone from comfortably walking ten miles to feeling tired after walking a half-mile. (At times, my oncologist (pro-walking) and my neurosurgeon (anti-walking to avoid damaging my spinal cord) have debated whether I should walk a half-mile.) I'm currently taking eleven different medications, each with its own schedule. Three are for chemotherapy; eight are for coping with side effects that the chemotherapy causes. Even reading is often difficult because the drugs have shortened my attention span, altered my moods, and, along with my injured spine, generally made sitting comfortably for an extended period time impossible.
Now that my cancer is approaching remission, some of my interest in food (but not in drink, interestingly) has returned. I continue to find dining in restaurants less attractive, perhaps because it tends to be less physically comfortable than eating at home. I still do not feel like traveling or leading the active a lifestyle that I led a year ago. I am reading more, though in much shorter sessions than prior to having cancer.
These four sets of activities were important factors in my wife deciding to live in Honolulu and to opt for a condominium in the heart of Honolulu. We had planned to travel less, taking a major trip biennially instead of annually. However, we had also intended occasional visits to the other Hawaiian islands, something that presently exceeds my physical abilities. In time, I hope that I shall at least have the strength and physical capacity to travel the relatively short distances to the other islands. Honolulu's climate is conducive to an active lifestyle. Similarly, I hope that when I have completed chemotherapy, dining in restaurants, savoring different cuisines, and exploring different drinks relaxing and pleasurable.
We chose our condominium because of its proximity to the airport; the building has amenities suitable for an active lifestyle (pool, tennis courts, etc.); lastly, the building is located within two blocks of a major beach park and a block from two major shopping areas, hundreds of restaurants, and otherwise supports a pedestrian lifestyle. Now I wonder whether a condominium in a less congested, less developed area of Oahu that offered a less pedestrian friendly lifestyle and fewer amenities might have been the better choice.
However, humans do well to make decisions based upon the best available information, recognizing that circumstances may change and that no amount of research will ever lead to making perfect decisions. Living in this condo does provide an incentive for doing everything I can to regain as much health as possible. I also know that is likely that I will predecease my wife and that we live in a location and with the possibility of enjoying the lifestyle that she prefers.

I also wonder how many of my hobbies I will be able to enjoy in the future and to what degree I will be able to pursue those hobbies. My cancer has been a catalyst for reexamining what I want to achieve in the remainder of my life: how I can best use and enjoy those years. My next Ethical Musings post explore those topics.

Thursday, November 24, 2016

My 2016 Thanksgiving

This year Thanksgiving is special because my cancer has deepened my appreciation for life in several ways. One can give thanks to God (as I do) or to the family and friends with whom one shares mutual love and affection (as I recommended for non-believers in my previous Ethical Musings' post, Rethinking Thanksgiving). In either case, I hope that my thoughts on giving thanks will help you to give thanks for the good that you enjoy and that enriches your life.
First, the treatment of my multiple myeloma is progressing very well and I am nearing remission. I am grateful for all of the persons who made this possible: research scientists and their staffs; the healthcare personnel who administer the treatment to me in a highly professional manner complemented with personal caring; and the healthcare the nation provides to its military retirees.
Second, I am similarly grateful for the potential gains to my mobility, comfort, and decreased risk of some of vertebrae collapsing with subsequent irreversible damage to my spinal cord and the adverse effects that entails. The list of personnel involved in this is long, including radiologists, neurosurgeons, wound care specialists, interventionist radiologists, research scientists, and others.
Third, I am thankful to be part of an extended network of family and friends, especially friends and colleagues within the Anglican Communion worldwide and the Episcopal Church in the US. Prayers, best wishes, visits, and other forms of support have helped to buoy my spirit and to support the healing process. The best available scientific research suggests but does not prove that prayer is efficacious. I am especially thankful for my wife of 43 years. She entered into our marriage with no knowledge of what the future might hold. Nevertheless, she has willing supported me with unstinting encouragement, bravely facing she negative development, and willing providing care and assistance as I have needed.
Fourth, I daily appreciate living on a beautiful, semi-tropical island in a very comfortable condo and having the resources to pay for both daily expenses and any costs we incur because of my disease or treatments. In other words, I daily recognize the importance of protecting the environment and the benefits of living in harmony with nature.
For these things, I give thanks to God and to the people involved.

I pray that all of you and your loved ones will have a blessed Thanksgiving.

Tuesday, November 22, 2016

Rethinking Thanksgiving

The historical roots – at least the mythical if not the factual version – of the Thanksgiving holiday in the US are widely known. Pilgrims fleeing religious persecution in England immigrated to the rocky shores of what would become Massachusetts. These pilgrims would not have survived without the assistance, especially gifts of food and agricultural instruction, which they received from the natives. Thanksgiving for these pilgrims, as for many in subsequent observances of the holiday, believed their perceived blessings to be God's gifts.

Today, describing our perceived blessings as God's gifts increasingly rings hollow among believers in God, agnostics, and atheists. Scripture reminds us that the rain falls indiscriminately on both the just and the unjust. That is, good and bad things happen to everyone and are not special blessings intended for a select few. We more accurately attribute the pilgrims' perceived blessing of a bountiful harvest to help from their neighbors than to God's direct intervention.

More broadly, belief that God is responsible for everything that happens is diminishing among believers and rejected in principle by atheists. For example, positing God's direct control of everything that occurs problematically makes God responsible for evil as well as good. In short, Thanksgiving's underlying premise that the good things we enjoy in life come from God whom we rightly thank for blessing us is increasingly suspect if not dismissed as erroneous.

Concurrently, the continuing urbanization of the US population distances people from having a personal appreciation for Thanksgiving as a harvest festival.

Yet, in spite of the erosion of the historical reasons for celebrating Thanksgiving, the feast remains popular. Attendance at religious and communal Thanksgiving services has precipitously declined as have the number of people who self-identify as religious. Nevertheless, families and friends persist in gathering annually at Thanksgiving, often travelling great distances at considerable cost to attend.

Thus, Thanksgiving is a feast that invites rethinking. Proposed below are an alternative reason to give thanks to one another if not to God and an ethical imperative that observing the feast of Thanksgiving can strengthen.

First, give thanks to those we love and those who love us. These relationships give life meaning. Believers appropriately include God among those we love and those who love us. Believers and non-believers appropriately express their gratitude to family and friends whom they love and by whom they are loved. Important expressions of gratitude include spending time together, sharing a special, festive meal together, and verbalizing why a mutual relationship is life enhancing. Observing Thanksgiving celebrations over the last several decades suggests that numerous people have already shifted from a theocentric feast to a feast that celebrates the important persons in their lives.

Second, reinterpret Thanksgiving's traditional harvest imagery in terms of contemporary ecological concerns. Thanksgiving is an excellent opportunity to renew our commitment to caring for the earth and most life forms that dwell on the earth. Giving thanks for most life forms is more honest than giving thanks for all life forms, e.g., I personally find it impossible to give thanks for mutant cells that cause cancer, bacteria and viruses that cause severe suffering or death, etc.

The Church as well as the US presently lack an annual, widely observed festival focused on ecological concerns. Although Earth Day has gained some traction, it falls far short of Thanksgiving's enduring popularity. Reinterpreting Thanksgiving in ecological terms is an excellent opportunity to heighten awareness and to strengthen our commitment to safeguarding the earth and most of its life forms. Ideally, families and friends who gather to share a Thanksgiving meal might develop a new tradition of engaging in an ecological action in addition to current traditions of watching televised parades and football games, playing pickup football games, and shopping.

These two reasons for rethinking Thanksgiving broadly overlap. Illustratively, a prime reason for protecting the environment is to preserve opportunities for future generations to live rich, fulfilling lives.


Rethinking Thanksgiving will require the Church to rework its Thanksgiving liturgies and observances to emphasize giving thanks to those we love, receiving thanks from those who love us, and living as stewards responsible for caring for creation. Rethinking Thanksgiving will better align the feast with what is already occurring while preserving links to the holiday's historical origins.

Monday, November 14, 2016

Thoughts on Trump's electoral victory

Donald Trump achieved an amazing, unpredicted upset to win election as the next President of the United States. What does his victory portend for life in the US, for the future of the US, and for the world?
First, the conciliatory, unifying themes that Trump, Clinton, and Obama adopted in their post-election remarks are encouraging. Democracy entails living with outcomes not of our own choosing and while far from perfect is the best form of government known to humans. I personally wish that the energy devoted to protesting Trump's victory had been expended in working for a Clinton win. But to refuse to accept Trump as President of all US citizens and of the whole nation invites more problems than it resolves. Insisting on the dignity and right of all persons to equal respect and treatment represents a more constructive agenda and one that is likely to resonate with Trump's family if not the President-elect.
Second, Trump has provided few specifics about policies and programs that he intends his administration to adopt. He has also repeatedly moved from extreme positions toward more moderate positions, that is, he is a pragmatist more than an ideologue. Some of this pragmatism will, I suspect, be evident in differences between positions held by hard-right GOP House members, the more divided Senate in which Democrats by filibustering can wield significant power, and Trump's administration.
Trump's vagueness about his goals, his pragmatism, and his ability to shift positions may have some positive aspects. Illustratively, a Trump presidency may be the catalyst for returning to a stronger federalist system. For example, instead of attempting to centralize education standards states may have more latitude in adopting their own standards. One historic advantage of federalism that has long appealed to me is that when uncertainty obscures clarity about the best policies, practices, or programs allowing states to experiment provides fifty "labs" for testing various approaches. Contrary to single-issue politics and advocates, identifying best policies, practices, and programs is often a lengthy, difficult endeavor.
Third, Trump's lack of foreign policy knowledge and experience, a weakness that attracted repeated attention during the extended campaign, greatly concerns me. Like Trump, I favor rarely using US military power abroad. US intentions for its interventions are generally laudable. Unfortunately, often nobody, including US decision makers, has sufficient knowledge to predict the consequences of such interventions accurately. Sometimes an intervention ends in disaster (Vietnam), achieves short-term goals yet fails to achieve long-term stability (Afghanistan), or results in a less stable, less secure, less advantageous for the US outcome (Iraq).
Trump is not the first US president in recent history to lack significant foreign policy knowledge and experience. Hopefully, Trump will surround himself with competent advisors and quickly come up to speed on dealing with foreign policy.
Reviewing this post in a couple of years, I would not be surprised to discover that my optimism was unwarranted. Divisions within the US are deep, e.g., the chasm between the wealthiest 1% of the poorest 50%. Rapid change (though much of it is for the good in my estimation) has challenged people to adapt to a society with which they feel out of step. Globalization, economic shifts toward services and content instead of things, and greater justice for all are irreversible trends. Nevertheless, the rapid pace of change too often has been an excuse for treating persons who have not adapted to the changes, for whatever reason, as social misfits and inferiors, moves clearly incompatible with according all persons equal dignity and respect. And continued US hegemony as the world's only superpower is far from assured regardless of who is president or policies the US implements.
However, at this moment when the US is poised on the cusp of a new presidential administration, optimism is likely to produce results that are more positive by seeking to make the best of a potentially very problematic electoral outcome than is pessimism.