June 7, 2016- Dodged the bullet

I used to jokingly say “I need a lung transplant” anytime I got a nasty cold. The hacking fits that would double you over, you’ve been there yourself. Well tonight as I am sitting here feeling like crud and hacking up a lung, I say that no more.  Isn’t it interesting how something so benign and trivial said in jest totally takes a drastic turn to not so funny when faced with the real possibility? I dodged the bullet back in December (and “dodged the bullet” certainly wouldn’t be funny in someone else’s circumstances) and it left an impact. I no longer joke about my lungs. It’s too close to home. 

Interesting how we can go from being carefree/comical in tossing around colloquialisms about certain scenarios, and then drastically in 24 hours time with one brush of fear we can transition over instead to an advocate.  “I need a lung transplant”, “He rides the short bus”, “ we certainly dogged that bullet”, “it made me want to blow my brains out”, “I’d rather jump off a bridge”. Carefree, right?... until you have to face one of them for real.  You would never use these latter words so carelessly with someone who lost a daughter to suicide. Words carry a different meaning once you've been there. 

And take the advocate into play. Isn’t there always a story there? Who actually advocates for something they know nothing about? Chances are, I mean super high chances, if someone is speaking out for or against something, they’ve had a brush with it themselves.  I have a friend who is highly visible in the world of human trafficking. She’s had a brush with it herself. I work with parents who devote their lives to raising awareness for genetic diseases. They lost a child to its horrible grasp. I have another friend who lost a spouse in battle. They now serve on a foundation for helping widows of war. Think about the things you are passionate about. Are they not fueled by experience? We want women to be more open about infertility and miscarriage. If you advocate for that, I bet you’ve been there.  I advocate for women in mastectomy. Yep, I’ve been there. It’s so easy to care about issues we have traversed, either first hand or second hand), and in contrast it’s simply so hard to have lasting care for things we have not. Experience carries forward a motivation and a little tug at the heart strings. However, it’s very difficult to maintain a stance on something we know very little about. For example, it’s easy for me to feel care and concern for your battle with heart failure while you are there in the moment digging your way through the trenches, but that care and concern rarely morphs into a passion as we move further away from your event. A month or two later and I’m back to feeling something less than advocacy for your struggle.  My concern for your experience over time is replaced by the urging demands of my own life. This is why there is often loneliness in our plight after initial diagnosis. It’s just a reality of doing life with other people. By design, we simply care a whole lot about other people as they face the giant, but as the giant becomes familiar and yesterday’s news, the giant takes a back seat for the rest of us as we watch from the side lines. But give me a personal scare with pulmonary fibrosis and I quickly become an expert in everything fibrosis and that expertise will last for years to come.

I think God was brilliant in this design. We can’t all be advocates for everything. The pool would be watered down. Unbelievable. Un-motivating. If we all ganged up on raising awareness of absolutely everything, we would put less than 1% of our efforts and wisdom into each issue. Instead, don’t we become more relate-able, believable, trustworthy, impacting by advocating for issues having been there ourselves? For example, I truly do not think you want me to advocate for women on divorce. I simply know very little about it.  I’ve never been divorced, no one in my family had been divorced, I have very few friends that have been divorced. My knowledge is third hand, from books, from movies, from conversations. So what merit do I bring to the divorce table? In fact, instead of merit, if we all are going to be honest here, I more likely bring a little bit of judgement to that table. I am happy to support you, cry with you, pray for reconciliation with you, but I seriously doubt I would have any impact as the advocacy-face of women going through divorce, and because I haven’t been there myself, I risk coming to the table full of preconceived ideas and judgement that simply doesn’t pan out. And as someone looking for someone to advocate on my behalf for any topic I’m facing do I not want someone who truly knows ( not from books but from experience) my stance? I want to tell my deepest struggles to someone who has been there, someone who gets it and brings no judgement to the table, someone who I believe truly knows what I am fighting through and for. We are creatures of relationship, and we naturally navigate toward what we know, and we also want to be known by other people who have been there too. Our advocacy is a testament of our experiences.  And 24 hours, 6 months, 1 year from now, we have no idea what we might find ourselves suddenly an advocate for.

Full transparency? I used to get really frustrated with the Susan G. Komen platform. There, I said it, it’s out there on paper. If I had to guess, breast cancer (BC) gets the most research, financial backing, commercial propaganda, of anything else out there in the malignancy world (maybe even of any disease state). Make something pink and sell it in October and it will be bought. It wasn’t that I didn’t think BC was a worthy cause, it most certainly was, but working in oncology and seeing all the malignancies not advocated for…well, it frustrated me.  Take pancreatic cancer where the 5 year survival rate is a miserable 8%. Where is a month devoted to it (it does exist but I bet most of us don’t know when it is)? Where are all the football uniforms colored purple during pancreatic awareness month? I simply wanted the attention/finances/research to be spread evenly across the causes.  Breast cancer is worthy, but it totally overshadows other killers out there. Then….I got my mastectomy news. I can’t say my position on everything has changed, but it changed enough because now I wasn’t an onlooker looking in from outside but rather a women staring statistics in the face.  We simply care about what we have experienced, and that can change at a moment’s notice. I now realize it isn’t the Susan G. Komen Foundation that is at fault for the imbalance, she totally did her part to get the news out there and sets the bar very high. It’s the under representation of advocates for other areas of life. Liver cancer awareness exists, but it’s not so in your face. Same with depression, Alzheimer’s, Krabbe disease. ALS got a huge publicity projection with the recent Ice Bucket Challenges. It all came down to someone fighting the fight and then someone picking up the reigns and being creative in their advocacy. 

I need that creativity. I need that passion. I need to shout out for the scars of mastectomy and so many other things in life. I need to be empowered to fight for what I experience. I would have never even considered giving pulmonary fibrosis a single funding dollar before last December. I would have given breast cancer some funding because it’s so highly visible thanks to advocates that are hard core. So I ask myself, what should I be advocating for that I am not? What is going to happen in the next year of your life or my life that will suddenly change my awareness? What has already happened in your life that you now need to be a voice for? We won’t have the same passions. We aren’t designed to do so. We should all be passionate about some things at baseline (injustice, persecution, abuse, neglect, etc) and then we should individually become advocates for other things because God allowed events in our lives to change us, or change someone around us (malignancy, abuse, infertility, oh how the list goes on and on and on). In the former we carry commonality (it’s a mandate of being a moral and ethical humanity). The latter we sort of find ourselves in after we experience life unfolding. We very simply need to be an advocate…for something. Otherwise, what’s the point? Does it not instead become an experience and then an opportunity lost?  Do I not owe the next victim my voice and experience? I certainly can’t save the world from everything, but I certainly can use my individual experiences to do my best trying, in whatever way I can no matter how big or how small. I’d say I get a failing grade on this most days, but I’m hoping to one day be Most Improved.

Thank you, cleft lip, lymphoma, mastectomy, fibrosis, personal failure, insecurity, and everything else that is still to be determined. I hope to not let you down.


(As an update on my friend from my last post, her cancer has returned. Hers is not my story to tell, but I do ask that you pray for her as she navigates this again. We have been talking behind the scenes over the last 10 days and what a motivation her story is and will be to those she tells. God does great things, even in pain.)



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