Mirth in the mirthless. A great mercy.

Mirth in messiness… another night drive to the ER, so cold, what were we leaning into? Five degrees, maybe six? The stars above the river ice a mockery of light. Kindness and Dilaudid, another scan, a hurry-up-and-wait, the three of us talking about nothing in particular save for a hike we once took in a thunderstorm and an orange water bottle confiscated (gone, forever) at the Albuquerque airport.

It’s the small hospital not far from our house, not the cancer complex with its soaring blue-green glass. On this zero-degree night, my daughter presses her feet against the room’s wall heater. There’s hardly any patients, save for a man we never see who insists that he must be heard. In the night of dim small lamps, I sleep and wake, talk with a woman from the high plateau country of the upper midwest. She remarks wistfully that Vermont is too tiny and cramped for the sweep of the midwestern sky. Maybe it’s just the Dilaudid, but when sleep folds over me, I dream of those childhood summers my siblings and cousins and I chased fireflies while the grownups drank bourbon and ate our leftover birthday cake and kept at their two-week conversation. The dew washed our bare feet.

The hospital morning flicks on before the sun has dulled the night’s darkness. Mirthless, indeed, I become, crabby with human lack and inhuman fate. Words, words, mine and others’, in a repeating loop. I text my nurse friend. On her lunch break, she appears, and then there’s laughter from nurses in my room. People come and go. I sign for more billing. (How much is this going to cost me, anyway?) The chaplain appears who’s read my book and wants to talk Flannery O’Connor and death. I’m not about to be funeral planning for myself anytime soon, but I plunge right into that death question. Indeed, this wretched cancer, my uninvited guest, perhaps the truest teacher of my life.

He asks, To know to savor every day?

Oh sure. But the disease has whittled me down to a glittering core, to ignore the petty fluff that not so long ago stung my eyes, and certainly my heart, too. What remains is real, both beautiful as those fireflies winking in the sultry midwest night, and ineffably, unbearably sorrowful.

I intend to live a long life; I’ll at least go on for some while, which is all any of us can say. In the meantime, this rarefied illness journey? Not lacking for writing material.

From Flannery O’Connor, The Habit of Being (1988):

In a sense sickness is a place, more instructive than a long trip to Europe, and it’s always a place where there’s no company, where nobody can follow. Sickness before death is a very appropriate thing and I think those who don’t have it miss one of God’s mercies.

What the living do.

I’ve written about the strange and often terrifying world of cancer here over the past few months. In the past week, my eyelashes have thinned. At first, my eyelashes looked as though I had walked through a rainstorm. I’m not at all adverse to rain and lousy about remembering a jacket, so I often end up in a deluge. Last July, I explored trails on a friend’s property. Over the past years, she’d designed and cut narrow trails. I walked through what seemed like enchanting forests of moss, stands of cedar so dense the light darkened, around a former beaver pond filled in as swamp, and finally discovered great white pines. She had unearthed pieces of white quartz and marked the edges of the trail. Walking back, rain fell, hard. By the time I reached my Subaru, I was drenched. I wiped my face on a sweater I’d left on the passenger seat. In the rearview mirror, my eyelashes held crystals of raindrops, diminutive pieces of that forest’s quartz.

January, temperature hovering around ten degrees, rainfall is in no immediate forecast.

As an andidote to the national clamor, here’s a few lines poet Marie Howe wrote for her brother from “What the Living Do.”

Johnny, the kitchen sink has been clogged for days, some utensil probably fell down there.
And the Drano won’t work but smells dangerous, and the crusty dishes have piled up

waiting for the plumber I still haven’t called. This is the everyday we spoke of.
It’s winter again: the sky’s a deep, headstrong blue, and the sunlight pours through

the open living-room windows because the heat’s on too high in here and I can’t turn it off.
For weeks now, driving, or dropping a bag of groceries in the street, the bag breaking,

I’ve been thinking: This is what the living do….

Tiny flames, ice.

Bootstep by bootstep, my strength begins to return. It’s cold, darn darn cold, slicing at my eyes and cheeks. The cold and I are no strangers. I made maple syrup for years in an unheated outbuilding, raised my daughters in a house with scant heat, have spent decades of my life tromping beneath snowy trees in search of…. what? The usual things I suppose, by which I mean the unexpected. Or maybe just the sheer loveliness of a fresh snowfall.

Here’s my barometer for how I know I am improving, the cancer lessening. A long ago college friend appears at my house with the flu, explaining away his symptoms. At first, I don’t understand; what is he asking me? My old moxie rears up, fueled perhaps by the Red Devil chemo drugs. I’m taking in a poison to save my life, after all. As if it’s not enough to have cancer, I had to send him away, banish him from our hearth, point that what, whatever he thought he might be doing had nothing to do with me at all. It was all him. At this precise moment, there’s no space here for that, or for the flu.

Later that night, neighbors appeared with ice lanterns made from five-gallon buckets. I grabbed my coat and stood outside, talking, while they lit beeswax candles and shared news of town. When they left, the tiny flames glowed brightly in the starless night, sure evidence that fire can burn even surrounded by fat ice.

Vessels, Rooms, the Unbounded Sky.

16 degrees on this sun-kissed Sunday, my cat considering the squirrels.

In cancer land, still putting my muscles together, I’m outdoors only with someone else these days, the long solitary walks yet a future promise, again. Early mornings, I brew coffee, fill the cats’ bowls with their breakfast. All day long, we’re filling and emptying things: water glasses and soup bowls and cat dishes (again), filling a notebook page with penciled words, a suitcase with my daughter’s clean clothes as she heads back to college, a new lightbulb in an empty socket.

Likewise, this disease has filled my body for months, now emptying; illness has slipped into every crevice in my family’s life, too, like the power of freeze in a river, rearranging the flow.

In a year that’s begun with so many families losing their homes on the other side of the country, the sunlight on this morning, a chilly walk this afternoon, the cold scraping at my cheeks – yes, yes – a scrap of gratitude for January Vermont sunlight. Here’s line from one of my favorite writers, Andre Dubus, who knew loss keenly.

“We receive and we lose, and we must try to achieve gratitude; and with that gratitude to embrace with whole hearts whatever of life that remains after the losses.”

Three things of varying importance…

Because I’m writing from Vermont, first, the weather: cheek-slashing cold, furious wind.

Second, back at Dartmouth these past few days for a consult and an infusion. Checking in, my insurance card was denied. Denied because it’s January and the new year wasn’t set correctly, or denied because some system is broken? I imagine these numerous co-pays, from ninety-cents to $750, piling up in my electronic portal. I’ll kick that to Monday, begin to straighten that out then…

Halfway through my treatments, the Good Doctor gives me the heads up about what’s to come, including the shift from what I’m calling Cancer Land back to the Everyday World. Although I’m sure he hears this repeatedly, I say how otherworldly is this cancer journey. Rarefied isn’t precisely the word I’m looking for, as so much of disease isn’t lofty or grandiose but mundane and sometimes miserable. But the journey is like nothing else I’ve undertaken, laced through at times with impending death, elevating the stakes to the utter center point of what matters. There’s nothing trivial here.

Third (and certainly not last), I’m so grateful for the lovely mail in my P.O. Box – cards and books, seeds and poems, such as this one by Danusha Laméris.

Insha’Allah

I don’t know when it slipped into my speech

that soft word meaning, “if God wills it.”

… How lightly we learn to hold hope,

as if it were an animal that could turn around

and bite your hand. And still we carry it

the way a mother would, carefully,

from one day to the next.

Refusal that the World is Random.

Cancer or not, the everyday world proceeds. I renegotiate the dullard car insurance (why would I pay to insure myself when I’m not driving?). This morning, the cat, seeking the milk jug on the counter, leaps on the kibble container I didn’t properly close. Kibble mounds over the kitchen floor. For the briefest moment, both cats stare, unable to process their astounding luck: a landslide of food.

Among minor domestic changes which involved a ridiculous amount of discussion: we swapped one washing machine for another. I posted the old one (a workhorse from the previous century) for free on the local digital bulletin board. While I was heating up the pot roast my friend dropped off, a young man I’ve known since he before he lost his milk teeth asked if the washing machine was available.

He arrived not long afterwards. We stood in the kitchen, talking about infected wisdom teeth (his, removed) and cancer (mine, in process of removal) and the medical system and capitalism. He asked if I knew what gave me the cancer, what empowered one gene to divide and divide again and again.

I have my theories, my guesses about this answer, nothing hard and set chiseled into stone. But isn’t it often the way that a sudden shift in events is triggered by multiple strands of actions, working seen or unseen? Leaning against the door, rose-cheeked with cold, he posits that nothing happens without a reason, that the universe is never capricious. I set my wooden spoon on the counter.

Here’s a thing: two months — 60 days — into the cancer world, with two rushed ER visits and two dodges of the grave, two chemo sessions, a complete upheaval of my life, my family’s, my colleagues’ — I woke early one recent morning and realized cancer will be with me until I cross into the next realm. But likewise, what I’ve labored hardest and most tenaciously and (often) most joyously will be with me, too. Raising babies into women, writing books, sobriety, cutting off a troubled marriage and recreating my life. But aren’t we all that way? Shouldering along with us the stones of our lives we’ve chosen, and the rain that’s fallen from the heavens and soaked us, too?

Here’s a Vermont Public Radio interview with Vermont Almanac editors Dave Mance and Patrick White, about this unique books and the non-cliché Vermont world.

A few lines from Dave Mance’s preamble to a book packed with plenty more….

…. seek out things that are real and hard…. Gravitate towards things that are beautiful. Lean in to things you cannot understand…. Tell stories where trees are protagonists. Look at the lines on your palm and see that, like wood, your skin has grain.