Sunday, February 27, 2011

Today's Gratitudes

1. Friends who cry for and with me.
2. Husband cleaning with the kids even though he is tired and needs to pack for a business trip.

Saturday, February 26, 2011

Today's Gratitudes


1. Rolo candy
2. Fruit slice-shaped gumdrops

Husband, Huckle, and Sally gave me candy for my birthday, since the camera I got for Christmas costed two gift-giving holidays' worth of money.

Normally, I'd feel guilty about eating candy for breakfast, especially two days in a row. Double especially when breakfast is followed by a big slice of leftover birthday cake this morning (breakfast dessert, naturally!).

However, it's not like it's going to give me cancer or something.

But seriously, as someone who has always been health conscious (I even consider getting a cavity to be a horrible health crisis), it has been hard to continue to care about a healthy diet and exercise. It sometimes feels as if it didn't do me any good.

I know that's not logical, but it's my own little rebellion.

Friday, February 25, 2011

The Big 4-0

Today is my 40th birthday. Under most circumstances, this would be a big deal, a time to somberly reflect on my "youth" coming to an end and my smile and frown wrinkles becoming permanent facial fixtures.

HOWEVER...
1. There's nothing like cancer to make you grateful to be alive. Perhaps I'm not as grateful as I should be: I still struggle with feeling that my diagnosis is somehow unfair, as if I don't deserve it or something irrational like that. We Americals feel entitled to long, satisfactory lives! But then I take a step back and realize that I am blessed that my cancer was discovered early and that I have a good chance of leading a normal, healthy life after this ordeal.
2. Getting cancer at age 39 is a sure way to be told again and again how young you are! Doctors, nurses, friends, acquaintances, cancer survivors -- so many sigh and say, "But you are so young!"

But, really, cancer and its treatment feels like a crash course in aging. I mourn that my body is going to be losing parts and losing strength. I mourn that medications will put me prematurely into menopause. In my weakest moments, I feel as if a decade has been ripped from the middle of my life.
But, in my very weakest moments, I remember to meditate on Psalm 46 and again reach peace and a heaven-centered perspective.

 1 God is our refuge and strength,
   an ever-present help in trouble.
2 Therefore we will not fear, though the earth give way
   and the mountains fall into the heart of the sea,
3 though its waters roar and foam
   and the mountains quake with their surging.
 4 There is a river whose streams make glad the city of God,
   the holy place where the Most High dwells.
5 God is within her, she will not fall;
   God will help her at break of day.
6 Nations are in uproar, kingdoms fall;
   he lifts his voice, the earth melts.
 7 The LORD Almighty is with us;
   the God of Jacob is our fortress.
 8 Come and see what the LORD has done,
   the desolations he has brought on the earth.
9 He makes wars cease
   to the ends of the earth.
He breaks the bow and shatters the spear;
   he burns the shields with fire.
10 He says, “Be still, and know that I am God;
   I will be exalted among the nations,
   I will be exalted in the earth.”
 11 The LORD Almighty is with us;
   the God of Jacob is our fortress.

Friday, February 18, 2011

Today's Gratitudes

Today, I am grateful that Husband does our taxes and other boring paperwork for our family. I'd rather do the dishes ANY DAY than deal with financial stuff.

We also re-enrolled Huckle and Sally for the 2011-2012 school year in the Christian school they attend. I am grateful that we can swing it financially, and I am grateful to have such an amazing school just minutes from our house. Our whole family has been blessed by The Wilberforce School.

Thursday, February 17, 2011

Science and the Christian

I define myself as a Christian and as a scientist. Both are deeply ingrained in who I am and influence the way I look at the world.

One of the great dis-satisfactions of my life is the apparent contradiction between faith and science in most people's minds. This is most obvious in the evolution "debate".

The average scientist (and non-Christian of a scientific bent) is suspicious of faith. This is because faith, by definition, cannot be proven or reasoned: it is "confidence in what we hope for and assurance about what we do not see" (Hebrews 11:1). As a result, the message of salvation looks like foolishness (I Corinthians 1:18-25) to those who see reason as the only means of attaining knowledge.

Similarly, scientific inquiry, by definition, precludes the concept of faith: science is "systematic knowledge of the physical or material world gained through observation and experimentation."

Therefore, faith and science answer completely different sets of questions. Faith addresses what we cannot see/prove, and science what we can see/prove.

God's existence is outside the scientific realm: it cannot be proven or disproven through observation or experimentation. It must be accepted by faith. Hebrews 11:6 says, "And without faith it is impossible to please God, because anyone who comes to him must believe that he exists and that he rewards those who earnestly seek him."

The danger of the creation/evolution debate -- the reason it is debated at all, much less debated with such strong emotions -- is that both sides think the answer to this debate will prove or disprove God's existence.
One side reasons: if the natural world can be proven to have come about through evolution, then God is unnecessary and therefore must not exist.
The other side reasons: if the 6-day creation can be proven, then God must exist.

However, I think both arguments are flawed. If evolution were proven fact (and it pretty much is), this would not in any way address the existence of God. God could still be "for whom and through whom everything exists" (Hebrews 2:10).

As a product of my alma mater Calvin College, I have been influenced on this subject by the teachings of present-day philosopher Alvin Plantinga. I came across a good quotation from Dr. Plantinga (on Wikipedia, of course!) which concisely shows his stance as a Christian on evolution. It is from a letter to the editor published on April 11, 2010, in the Chronicle of Higher Education:
As far as I can see, God certainly could have used Darwinian processes to create the living world and direct it as he wanted to go; hence evolution as such does not imply that there is no direction in the history of life. What does have that implication is not evolutionary theory itself, but unguided evolution, the idea that neither God nor any other person has taken a hand in guiding, directing or orchestrating the course of evolution. But the scientific theory of evolution, sensibly enough, says nothing one way or the other about divine guidance. It doesn't say that evolution is divinely guided; it also doesn't say that it isn't. Like almost any theist, I reject unguided evolution; but the contemporary scientific theory of evolution just as such—apart from philosophical or theological add-ons—doesn't say that evolution is unguided. Like science in general, it makes no pronouncements on the existence or activity of God.

As for the 6-day creation, the evidence supporting it is inconsequential compared to the stack of evidence for evolution, and I think God did this on purpose. Again, if His existence could be proven scientifically (by proving a 6-day creation), then what would be the value of faith? This would go against the teaching of the Bible that the only way to God is through faith.

Now, I have close friends who take the Genesis account of creation literally, and I respect them for it. This is a subject I do NOT discuss with church friends -- there is no need to proselytize on an issue that does not impact salvation. My only qualm is when Christians want and seek scientific evidence supporting a 6-day creation. As I mentioned, evidence from God's own world supports evolution -- genetics, molecular biology, comparative anatomy, anthropology, geology, astronomy. So the only argument for a 6-day creation that I could support is one that that does not rely on scientific evidence:
(1) when sin entered the world, the whole creation fell (Romans 8:22);
(2) as a result, the fallen world lies about its Creator.
(3) If the creation lies about it's Creator, then evolution could be false. The literal version of creation in the Bible is more reliable and must be accepted on faith rather than the world's evidence.
However, again, I do not think this is true. I think God purposely made scientific inquiry neutral, unable to prove or disprove His existence, since proving His existence scientifically would undermine faith.


Nevertheless, there is a growing movement among evangelical Christians to search for scientific evidence supporting the 6-day creation. Actually, in the absence of data supporting Creationism, proponents of this "intelligent design" movement essentially try to undermine evolution by proving that it could not have happened without the direct interference of a rational designer. They resurrect the 'God of the gaps' explanations of long ago: that anything we do not understand, such as great complexities in nature, must be evidence that God stepped in and zapped things into their current form. I reject that as naive and dangerous. If gaps are necessary to prove God's existence to you, then any advance in scientific knowledge is a threat to your belief in God. (No wonder you would be fearful of science!) Thinking these gaps prove God is merely setting yourself up for trouble (or delaying your unbelief) as science inevitably makes gains in our understanding of this beautifully complex world.

I believe that God certainly could zap that way but would not chose to do so at random moments in creation -- I believe that the natural laws He put into place to govern our world throughout its existence are beautiful and sufficient. He can oversee and guide without blatant interference, as if the world had hiccups and He needed to stand by and pound it on the back now and then. (I don't mean to imply that He doesn't ever zap -- those are miracles.)

Here is Dr. Plantinga's take on the matter, taken from the same source:
Like any Christian (and indeed any theist), I believe that the world has been created by God, and hence "intelligently designed." The hallmark of intelligent design, however, is the claim that this can be shown scientifically; I'm dubious about that.

Nevertheless, I'm grateful to proponents of intelligent design for actually caring about and studying science! I am often appalled by how few Christians have taken the time to understand the theory of evolution and its supporting evidence. They shy away from science as if it were something tainted or less worthy of their consideration than other pursuits. They worry that it will undermine their belief in God. This, again, I think, goes back to the mistaken belief that evolution proves that God does not exist.

To me, Christians should love to consider and explore God's creation, the work of His hands. The more we explore, the more we can marvel and glorify our Creator God. The Bible makes it clear that God's world is irrefutable evidence of His power and divinity "so that men are without excuse" (Romans 1:20). The psalmist states that the heavens declare the glory of God (Psalm 19).

However, before being too hard on Christians for their ignorance of evolution, I have noticed that many practicing scientists take evolution for granted without themselves studying the evidence -- they are often as ignorant as the average creationist layman. They hold to the philosophies of naturalism and reductionism without ever having heard the terms or considered the feasibility of the alternatives. (The image below, a duck automaton built in 1739 by Jacques de Vaucanson, is an extreme illustration of reductionism: the duck as a product of its digestive parts) They also do not reject belief in God but are unwilling to discuss it -- they are as fearful of the subject as Christians often are of science.

I could go on and on about Christianity and evolution but will stop here for today. Another day I will set down my reflections about the Genesis account of creation and about Christian views of reductionism and naturalism.


Today's gratitude (unrelated to the above thoughts): Today's warmer weather reminds me of the promise of spring. No matter how cold and long winter seems, we can be absolutely assured that it will end in glorious spring. Like the sunrise, spring's inevitability is a beautiful illustration of hoping in the Lord -- He faithfully delivers on His promises. Hope in God is not wishful thinking but absolute certainty.

A link to Dr. Plantinga's letter to the editor

Monday, February 14, 2011

Today's Gratitudes

I spent the weekend at a church women's retreat. I'm grateful for time with lovely close friends and grateful for deep, honest friendships. There were also many women there that I did not know or only knew by name. What a pleasure to meet some of them. And, again, I'm humbled that so many of these women have been faithfully praying for me and, though I'm a stranger to them, have offered to help with childcare and meals. What an amazing church family!

It's Valentines Day, which also reminds me how grateful I am for Husband. February 14th is our half anniversary -- 17.5 years now. I am reminded of God's faithfulness and of all the lessons I have learned through marriage about His perfect love. And what a blessing for Husband and I to have married young and experienced our own and each other's emotional and spiritual growth over the years. We have grown up together in many ways.

Friday, February 11, 2011

Today's Gratitudes

The Psalms. These ancient poems express raw human emotion -- the whole range -- before God. From anger and frustration and fear, to joy and peace and gratitude. It's good to be reminded that God invites us to pour out our hearts to Him and that all these emotions are acceptable to Him. He desires this sort of honest dialog.

The Psalms often talk about enemies, praying for protection from enemies or the defeat of enemies. For many years, I skimmed over the enemy parts, thinking that I certainly don't have that problem. Besides, some of it sounds bloodthirsty and 'un-Christian', to desire the bloody defeat of your foes. But I've learned as an adult that enemies do not need to be people who hate you or who follow you around trying to kill you. Anxiety and shame can be enemies, as can any other internal battle that impedes your faith. I think of those who struggle with addiction.

My mom reminds me that 'cancer' can be an enemy too. As she sat through chemotherapy, she meditated on the Psalms with that in mind.

Psalm 41 particularly struck me today.

1 Blessed are those who have regard for the weak;
the LORD delivers them in times of trouble.
2 The LORD protects and preserves them—
they are counted among the blessed in the land—
he does not give them over to the desire of their foes.
3 The LORD sustains them on their sickbed
and restores them from their bed of illness.

4 I said, “Have mercy on me, LORD;
heal me, for I have sinned against you.”
5 My enemies say of me in malice,
“When will he die and his name perish?”
6 When one of them comes to see me,
he speaks falsely, while his heart gathers slander;
then he goes out and spreads it around.

7 All my enemies whisper together against me;
they imagine the worst for me, saying,
8 “A vile disease has afflicted him;
he will never get up from the place where he lies.”
9 Even my close friend,
someone I trusted,
one who shared my bread,
has turned[b] against me.

10 But may you have mercy on me, LORD;
raise me up, that I may repay them.
11 I know that you are pleased with me,
for my enemy does not triumph over me.
12 Because of my integrity you uphold me
and set me in your presence forever.

13 Praise be to the LORD, the God of Israel,
from everlasting to everlasting.
Amen and Amen.

In this Psalm, the enemies can so easily be visualized as cancer. I imagine the enemy (cancer) standing beside the sickbed, just waiting for the author to die. The image of the enemy spreading lies "he goes out and spreads it abroad" -- how malignant!

For me, the "close friend" who betrays the speaker represents my body -- something I've trusted and been (literally) attached to me entire life (can't get much closer than this "friend"!). The friend is described as "sharing my bread" and "lifting up his heel against me" -- interesting that the author uses the body-related imagery of eating and the foot. My body, close and trusted friend that it has been over the course of my healthy life, has betrayed me to my enemies. That my physical body cannot be relied upon for support is a shocking lesson but also a lesson valuable to learn as I age. Cancer is a crash course in the untrustworthiness of the body. And, if I weren't learning it now, I would certainly get the same lesson slowly over the (God willing) post-40 decades of my life that start in 2 weeks!

Thursday, February 10, 2011

Today's Gratitudes

1. A family friend who is also an oncologist talked to me today (on his day off); our discussion convinced me to use his close-by clinic instead of traveling >1 hour to a big cancer center for my chemotherapy. I am greatly relieved, since this will save time and will be less burdensome to friends and family who will take me to my appointments

2. My mother, who will be staying with us for most of the month of March to care for us during/after my mastectomy. She is also planning to give me her head-coverings and make me some new ones. She is a breast cancer survivor so is also an amazing source of information and understanding

3. Husband who is working on our taxes (I'm so grateful that he's willing to do that miserable task!) and who is watching the kids this weekend while I attend our church women's retreat

4. That there are some decent-looking wigs out there!

Wednesday, February 09, 2011

A Vacation in Denial -- I Mean in Mexico

We just returned from a 6-day vacation in the Mayan Riviera, the eastern coast of Mexico. It was beautiful -- sunny and warm and perfect. Husband and I snorkeled and read and soaked up vitamin D. Huckle and Sally swam in the pool and "snorkeled" off an innertube and built sandcastles. It was a wonderful escape from an especially cold winter.

All vacations are bittersweet. They have the highs of anticipation and of leaving regular life behind for relaxation and/or adventure; and they have the lows of returning to reality (work! school! laundry!) afterward and no longer having a vacation to anticipate. When on vacation, we are always aware in the backs of our minds that it will come to an end. That's part of the fun -- that it's something new and different, a break from normal life. The temporariness of vacation heightens the experience.

In the case of our vacation, this one was more bittersweet than ever. The highs were higher and the lows were lower than the typical vacation. The trip was an escape from a reality that has been very hard to accept. It's still a shock to me that I, someone who cares about and vigilantly guards my health, have been diagnosed with cancer. More than ever, I needed a temporary escape from dealing with constant appointments and tough decisions, a break from cancer taking over my life. And so the days on the beach were sweeter than ever before -- more of a break than any other vacation has been. Six whole days without a doctor appointment or even a phone call about doctor appointments!

But the return was also harder. Not just seeing snow falling as the plane landed, but knowing that the following day would be more setting up appointments and smoothing out insurance issues. Despite how healthy I feel and look, it's time to own up to the fact that I am soon to undergo a big surgery and months of chemotherapy that will alter how I feel and look.

Today's gratitudes:
- a safe vacation that met my high expectations for relaxation and sunshine and family time
- 2 phone calls from friends offering help as needed
- a chance to volunteer at the kids' school, something I will not take for granted as my health worsens
- quiet time alone in the house

Going Public

After much thought, I've decided to blog specifically about my health and cancer treatment for friends and family.

It has been difficult to keep those who love me abreast (HA! I even love bad puns) of my treatment decisions -- 2 churches, 2 sets of families, neighbors, friends through the kids' school, childhood friends, friends scattered around the US. I've been blessed by those who have taken the time to write or call. It has been so encouraging. I wish it were possible to write every one of these kind people a personal note every time something happens, but (though I do my best) it's not.

Cancer treatment centers offer a blog-like service that helps keep family informed -- family members access the site to get updates and to leave comments. It's the "one stop shopping" mode of disseminating news and answering questions and encouraging the patient.

At first, I considered using this blog for such updates. But I do not want to feel compelled to write about my health all the time. Although cancer is often on my mind and affects many of my blog postings, I refuse to let this diagnosis take over my every thought. Plus, I have kept this site anonymous and private rather than presume that anyone would want to know my thoughts. Few even know it exists. This blog has been a personal exercise in writing my thoughts on any topic and without continually rehashing and reworking and researching and second guessing -- just writing it down and walking away. Although I certainly would not mind anyone reading it or commenting on it, I do not want to write with an audience in mind. I want to remain unapologetic in my spiritual ramblings on anything in life that strikes me.

So, since this blog is non-specific for treatment updates, I decided to link it to a more cancer-specific blog. The new one will cover my medical state, whereas this original one will capture my emotional state.

I also mean to exercise my gratitude by regularly posting things for which I'm thankful as a reminder to myself of all that is good. After all, SO MUCH is good in my life. I want to live my whole life joyfully, already assured that I'm a survivor.

Wednesday, February 02, 2011

Update: Now we're cookin'

After a month of nothing happening, I finally have cancer treatments lining up. The lumpectomy in early January did not have 'clean margins', meaning that the next step involves the removal of more tissue. Meaning, I will have a mastectomy on March 3. Blah. For awhile there, I thought I would get off easy. (Then again, for awhile there, I was expecting a call back from my doctor telling me they were wrong: no cancer. Funny how delusional one can get.)

Today we also met with a medical oncologist at Fox Chase Cancer Center to discuss chemotherapy:
-will I need it?
- if so, what regimen?

Here's what was taken into account:
-what is the tumor size? (smallish)
-did it spread to my lymph nodes? (no)
-positive for cancer-related BRCA mutations? (no)
-what grade of cancer (grade 1/2)
-Oncotype DX results (high end of intermediate risk)

The last one is the sinker. The results of this test of 21 breast cancer related genes, convinced the doctor that I'll need the "big guns": doxorubicin (Adriamycin), and cyclophosphamide (Cytoxan), and paclitaxel (Taxol) or docetaxel (Taxotere). That's ACT in cancer lingo.

Let's cut right to the chase: this means I'll be losing my hair in about 2 months.
Bother.
Oh, and there will likely be nausea and fatigue.
Double bother.
And part of it will happen over the summer when the kids are not in school.
Triple bother.

But, surprisingly, I'm just grateful to finally have information. The waiting and unknown were difficult to handle. This was a case when any news is good news. The next big hurdle is getting past the surgery (and my surgery related anxieties) and then hitting a routine.

I am so very grateful for a group of three friends from church who have decided to undertake the coordination of my care: they are going to help me arrange rides to my treatments, childcare during treatment and recovery, help with errands or meals, and anything else that arises. Again, I did nothing to deserve this. They are in no way indebted to me, and I haven't been some sparklingly selfless friend. These are godly women just being obedient to God's calling and following Christ's example to serve one another in love. I am again humbled and in awe.