Zen and the Art of Illness
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About this ebook
Zen and the Art of Illness is a collection of gentle and insightful reflections on single days, sometimes single moments, in a year-long journey that began following her husband's cancer diagnosis. In it, Ronna invites us to 'transverse the landscape of life-threatening illness' 'neither in fear nor in hope, and yet not without hope.' Ronna combines the personal and intimate voice of the spouse moving through the days of diagnosis, treatment and recovery, with snapshots, both visual and textual, of moments of stillness or transition. Zen and the Art of Illness offers remarkable insights into times when 'life and death were a possibility,' when memory making, as a conscious practice, helped provide a life-line into the future. Rarely do we get the opportunity to view philosophy made real through practice, but those familiar with Ronna's teaching on hope will see her match the talk of hope with the walk in hope, and find inspiration in her micro-stories of hope, love, and surrender to the moment.
Dr. Jaklin Eliott, Associate Professor, Counselling and Psychotherapy,
School of Public Health, University of Adelaide
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Zen and the Art of Illness - Ronna Fay Jevne
Dedication
To Allen
You are my miracle
and
To:
Dr. Debra Jeffrey
Dr. Toni Reiman
Dr. Raeleen Cherry
Without whom hope and illness
could not have been
on an equal playing field.
Acknowledgments
The capacity to be in the moment is a lifetime practice. With time, I have come to understand that freedom comes with acknowledging reality, not with the effort to avoid it. A special thank you to Kuya Minogue, for helping me deepen the practice of being here in this moment. Thank you Allen for never losing hope. Thank you family and friends for being there in the ways that you were able. Thank you to all who have walked this path before we walked it and for having compassion for those who have yet to visit the landscape of suffering and uncertainty. Thank you Hal, for your support in launching Zen and the Art of Illness.
Thanks to every person who works to sustain a health care system that recognizes that each of us is only a diagnosis away from being a victim of circumstances beyond our control. Because of you, we had access to treatment without threatening our future or limiting our choices.
We have an appointment with life, and that appoinntment takes place in the present moment.
Thich Nhat Hahn
Table of Contents
Praise for Zen and the Art of Illness
Dedication and Acknowledgments
Introduction
PRE-DIAGNOSIS: Waiting in uncertainty
IN-PATIENT: Living in a medical culture
OUT-PATIENT: In limbo, but home
RETURNING TO LIFE: Finding normal again
Epilogue & Epilogue 2
It was a time when life was supposed to get gentler, a time when there would be the resources for pampering a body and soul that had done 24/7 for 30 years. Time to play and host. Time to write and do photography and create. Time to be off the center of the stage. Time for freedom.
It was a time that turned on a dime. Turned to surrendering to reality, the reality that life and death were a possibility most days. Turned to mature sacrifice, without resentment. It was a time, not of fear, but of gratitude. Gratitude for the time we have stolen from fate. Time to live together with hope, despite the raging cancer.
It was a time of special moments, a time of memory making. A time of unspoken allegiance. A time when my appointment with life was today.
Journal Entry October, 2008
On February 12th 2008, my husband Allen was diagnosed with a high grade non-Hodgkin’s lymphoma. In a matter of weeks, he went from a six-foot relatively vibrant 75 year old who had recently returned to university to take his third degree to a 129 pound frail elderly man. The cancer swept into our lives like a tsunami, undetected until it was nearly too late.
The wave of illness continues to ripple on the landscape of our lives. It is, however, now only the consequences of the backwash we are dealing with. The threat of death has been abated, at least temporarily. This is not our first encounter with the power of disease or injury. Life has given us several introductions to our mortality. Perhaps the practice has equipped us to navigate yet another unknown.
We have both survived poor prognoses more than once, most often with the unquestionable support of our health care providers and occasionally, in spite of them. Allen had open heart quadruple bypass surgery in 1981 followed by heart events
off and on over the years. In 1996, he had prostate cancer surgery. He faced recurrence in 1998. Then in 2008, the lymphoma appeared.
I am myself no stranger to ill health. I remember those haunting words spoken by a compassionate physician in 1978 at my bedside while I was at St. Mary’s Hospital (associated with the Mayo Clinic). We hope we have given you a year.
I have not been consistently symptom free but can say, with considerable satisfaction, I am healthier in my sixties than I was at thirty. In other words, we are veterans of illness.
It was also to our benefit that I have spent much of my professional career in the service of those who experience chronic and life-threatening illness. However, being a clinician, and later a researcher addressing quality of life issues for those populations is a different journey than living the uncertainty of illness as the spouse of a very ill person.
Early in Allen’s cancer experience, in the twilight of a late night in a hospital room, we agreed that the common metaphor, the war metaphor, didn’t fit for us. The common expression about ‘fighting cancer’ was simply not Allen, simply not me, simply not us. Cancer was not the enemy
. There was no battle to win or lose. Cancer just was. Allen had done nothing to