overcoming anxiety

i only know of only one character in the whole world who is anxiety-free; alfred e. neumann, the "what, me worry?" guy of mad magazine. on the other hand, there's good ol' charlie brown, who worries that even the sky will fall on him.

in between these two are you, me, and the rest of the world. we worry about our health, our wealth; our parents' conditions, our children's future, our friends' loyalty, and the enmity of others. we fret about our jobs or the lack thereof. we agonize over both our future and our past, which we would change if we could.

we deal with our anxieties in different ways. we seek relaxation through yoga or massages. we escape in tv, movies, social \networking sites, and video games. we sweat out our tensions in sports. we turn artistic and play the guitar or the piano, or we dance, or write a poem. we succumb to our dark side with drugs, alcohol, and other vices. in times of desperation, we turn to a God we may or may not fully believe in, but who we hope will help us just the same.

in may of this year, cris and i had our 4-1/2 storey house (half the house was 3 bedrooms one on top of the other, all over the garage; the other half, a single level with living room, dining room, kitchen, and another bedroom and bathroom.), torn down. we started the construction of a real 4-storey apartment building.

a construction project is a journey through unknown perilous territory. most mornings, i'd wake up bright and early, full of hope and excitement about the anticipated progress for the day, but almost before i finish my breakfast, problems rise up to darken our day.

for example: one fine day while the old house was being demolished, our foreman came to report that the wrecking crew had knocked a hole in our neighbor's downstairs wall.

instant nightmare visions of an irate neighbor demanding reparation. "rebuild my wall at your expense, or else!" anxiety attacks the body! the heart palpitates, the temper rises. the stomach rumbles, the head aches, the vision blurs, the blood pressure shoots up, and the voice drops to a growl. "you knocked down the neighbor's wall!?"

at times like these, there's no time for yoga. sports would be inappropriate. and you feel more like beating up someone with your guitar, or better yet, your piano, than playing him a tune. so i aim a silent knee-jerk plea heavenward, "help!", without any expectation of a response.

i walk over to the site, my intestines all tied up in knots. i look at the damage, and see a hole in their downstairs bathroom wall, the size of my racing heart. after inspecting the damage carefully, our mason reports that the affected portion has no concrete hollow blocks. no hollow blocks, no wall. tiles were simply added to our wall. naturally, when we tore down our walls, the hole appeared on their wall. what a relief. it's not our fault after all!

but wait! we still have to explain things to our neighbor and hope he accepts the situation. what if he refuses our finding? what if he says his house was quietly standing there, minding its own business, when we messed with it?

but next day, the neighbor is very reasonable. he owns up to the mistake in their construction. he agrees to pick up the tab for the damaged wall.

at another time, we needed to buy the 2nd-hand steel beams for our place. the beams were in a warehouse in valenzuela. the agent, whom i had met only once before, told me over the phone that we had to pay a reservation fee for the steel beams so they would hold the beams for us. ok, no problem. the reservation would have to be paid in cash. no problem. deposited to their bank account. waaiiittaminute. and what proof would i have that i paid them money? the deposit slip of course. and what proof do i have that they owe me goods in return? well, you get a provisional receipt once they see the deposit slip. oh, really, nellie? i haven't even seen the beams yet, nor have i met the owner. well, that's just the way it works, boss.

fine! here's the plan. i leave at 930am, probably get there by 11 latest; deposit the money at the bank a few hundred meters from their office, and rush to their office for my receipt.

only, the best plans get waylaid by metro manila traffic, especially approaching noon time in valenzuela. i was able to meet my agent at 12:10. i say, "let's deposit the reservation fee, then go immediately to their office."

"actually, boss, it's their lunch break so we'll have to wait until 1pm. in the meantime, you're right, we deposit the money so we don't waste time, then wait for them to open up again. just hang on to the deposit slip."

oh, that's a great comfort! if i have the deposit slip, they can't withdraw the money, is that it?

the moment we enter the bank, anxieties begin to torment me. is this wise? am i being ripped off? i start with my silent prayers again. "oh, please God, help! protect our money. protect me from con men."

when i hand the money to the teller, she tugs at it but i don't let go. she looks up at me. i smile sheepishly and force my fingers to open up one by one. "God, bless this money that it may be used for its purpose." bye-bye, money.

i get the deposit slip and look at it forlornly. it's not as impressive as the blue bills i gave up. it doesn't even have my name on it to prove that it was once mine. "God, bless this deposit slip that it may bind the steel owners to our transaction."

we have to wait for their office to open. do we have lunch somewhere while we wait? not on your life. i park the van right at the gate. forget the food. i'll eat the steel beams when i see them. "God, help me keep my sanity while we wait for the gates to open."

finally, finally! FINALLY!! it's 1pm! the gates open and we are allowed into the sanctum sanctorium. the place is a huge 1,000 sqm warehouse packed with different kinds of steel products. my fears are appeased. the deposit slip goes to the office and out comes the provisional receipt. ahh, relief. my fears subside, my heartbeat slows, and my stomach quiets down. i won't eat the steel beams.

an hour later, i whisper, "thank you, God!" gratitude is an afterthought.

a little later, we had to buy a 2nd-hand generator for the welding machines to be used in erecting the steel structure. my crew checked it out and the verdict was it was very good, with only 120 hours logged in the meter, it was practically unused. it looked so good, they didn't even bother to start it.

we got it back to the construction site and did a detailed inspection. several parts were missing - the motherboard for the electric gauges, the oil pump, a few other things. my crew assured me, these were minor problems.

minor! MINOR? the thing won't start! that's not minor. for the amount we paid for it. that's a major disaster.

we decided to get a maintenance engineer from the distributor of the generator brand to conduct a thorough assessment. between the time we called the guy and the time he came, a week passed by. i wasn't too worried because i was told there were lots of spare parts for this model.

the engineer came and conducted his assessment. he reports to me. "boss, it'll take a month and half again of your purchase price to get it running." A MONTH!? the parts have to be sourced from singapore, boss. AND ADDITIONAL HALF OF THE PURCHASE PRICE!!?? singapore dollars, boss, with conversion fees, transportation costs, import tariffs, "for the boys" in customs. you know how it goes, boss.

this time, an extreme anxiety attack is called for. i'm responsible for construction purchases. the money's been paid, the generator delivered, but it will take more money to get it working. more than the money, i worried about my family. what will happen to my children when cris finds out i screwed up big time, and wrings my neck? how will they take not having a father around?

buy some time. stall. don't mention this to cris. maybe a miracle will happen. "God, help! what do i do? where can i go? what will happen to me?" in the meantime, i lie awake in bed at night thinking of the inutile generator. every morning, i wake up hoping it was all a nightmare, and that the generator works. and then, i go out and see it sitting there, useless.

on an exceptionally despondent day, i frantically plead with God for a solution to the problem. He says, "have i let you down yet? have i been sleeping on the job? or do you think your frenzied ranting and worrying solved your problems? did your friends or your crew ? did your money buy you out of your predicaments?"

belatedly, i realized the pattern wasn't: problem,resolution; problem; resolution. something was missing. when problems appeared, solutions just didn't magically pop up. the pattern was problem-prayer-resolution; problem-prayer-resolution. the prayer after the problem resulted in the resolution. cause and effect. logical.

today, we still face other problems; diminishing funds, construction mistakes, missed deadlines. do i fret? do i worry?

of course i do! i haven't nailed down this complete faith and total surrender business down to where i no longer worry. i do. if i had faith the size of a mustard seed, i would tell the mulberry bush to be uprooted and plant itself in the sea , and it would. but i still can't do that, even if i happen to see a mulberry bush. i still have a way to go before my faith gets to be the size of a mustard seed.

st. paul says faith is believing in things yet unseen. your faith leads you to expect answers to your prayers. but expectant faith is only the beginning. earnest and immediate gratitude to the God who provides, closes the circle of faith. without an acknowledgment of the gift or the Giver, faith is without foundation.

you might say we never faced any real problems, so no solutions were needed, or the solutions didn't require miracles. maybe so, but then about 80% to 90% of our problems aren't real anyway. just products of our fears because we don't control every facet of our lives. if we did, we'd feel so secure, we'd have no worries.

but the 10% - 90% of our problems are very real, totally beyond our control. our health deteriorates, we lose our wealth, things that brought us a feeling of security fail us. we realize that despite our intelligence, our money, our talents, even our good looks, we are helpless in the face of what's out there. that's when we look to miracles. that's when i turn to God.

my health issues last year brought me awareness of my Lord. i've gotten over my cancer with His healing. this year, my health problems are no less threatening with two blood clots in my brain. but i worry less about my health these days because i've learned to entrust it to the Lord. this year, i'm learning to leave the rest of my life up to Him, without abdicating my responsibilities. it's a comfortable feeling that reduces my fears.

and that's life as benjie, getting over anxiety with generous helpings of faith.

oh, about the generator. we got it working at half the estimated cost of the maintenance engineer, though it it still look 3 weeks to get all the needed parts from bulacan, novaliches, and p. florentino st. it's working very well and easily handles the load of 4 welding machines.

Fellow travelers on different pathways

at the beginning of this journey, ate aiding asked me whether i had heard the recording of randy pausch's 'the last lecture'. i had heard a lot about it, of course. since it was a cause celebre among professors, teachers, and even seminar facilitators. i guess everyone looked up to him as an exemplary educator and a person living his last days to the fullest, asking for neither special consideration, much less pity, from the people around him.

actually, i didn't read randy's lecture until just a few weeks ago. one of the reasons it didn't appeal to me before i got sick, was that i knew it was grounded on his dying of an incurable disease. although i loved to boast that i wasn't afraid of dying because of 'encounters with a yaqui indian' or more popularly known as 'don juan', carlos castaneda's experiences with a peyote-imbibing mexican sorcerer, and because of my Catholic faith. (how can you fear dying when it only means being reunited with the God you swear you love with all your heart, with all your soul, with all your mind, and with all your strength. those two factors taught me to accept death as a constant companion. yet truth to tell, i never wanted to turn to him and face him squarely in the face. i kept him at bay, beside me, but only in the periphery of my vision. so randy's lecture was not as inviting to me as it was to others.

when i finally gave in to ate aiding's urging and downloaded a copy of randy's 'the last lecture', i felt a distant closeness to him. 'distant' because i never knew him, yet close because of connections i saw between us.

obviously, we shared the same illness, tho he had pancreatic cancer, the most lethal of cancers, while i had renal cancer.

i didn't major in computer science because the course didn't exist in the phils when i was in college, but i did go into computer programming.

he was a professor, and i did some sort of teaching. he loved stuffed animals, and so did i: stuffed squid, lechon with paella stuffing, rellenong bangus, chicken galantina.

and we both were able to make some childhood dreams come true. mine didn't result in anything as world-changing or consciousness-expanding like his did – floating in zero-gravity, making virtual reality a reality (or is it, realizing virtual reality? or making real virtual reality?), creating new courses that challenged students to learn simultaneously in diverse disciplines - but i got some of my own humble, selfish dreams done just the same.

my list of dreams included: 1) living in europe. done, 9 months in bonn, 4 years in madrid. 2) hitchhiking in europe. oh, very well done! 3) living out michener's 'the drifters' in spain, and to a degree, in morocco. de puta madre, tio! 4) coming home to do my little bit to end the marcos dictatorship. rallies in ayala, including one where i faced down a gun-toting marcos supporter, and the big one on edsa.

randy doled out some valuable pieces of advice: 'brick walls' (problems) allow us banner our dedication. 'don't bail', 'show gratitude', 'don't complain. just work harder.', 'be good at something', 'work hard.' and one i never really bothered with in my life, until lately, 'find the best in everybody.' amen. amen. and amen.

because i started feeling this affinity with him, i wanted to follow him on his journey from the first phases of his illness to the end. i looked for his story and found 'randy pausch's update page'.

http://download.srv.cs.cmu.edu/~pausch/news/index.html

his journey started in early sept 2006, when he was diagnosed with pancreatic cancer. he had a successful operation that removed all the tumor. he found a chemotherapy treatment that gave him a 45% chance of living up to 5 years. previously, his doctors had given him a 10%-20% chance of lasting that same length of time.

he went to houston from philadelphia for his chemotherapy that took 2 months, from nov to end dec 2006 . then another 5-month session back in philadelphia from late jan 2007 to end april 2007. after that, all indications were great for randy. he survived the chemo sessions with minimal discomfort, although he was fatigued for periods at a time.

may 2007 was a great time for randy. he had finished his chemotherapy treatment; his ct scan was clear and his ca19-9 tumor marker level was 9, which in his words, was 'well within the normal range'. he was well enough to resume his biking. he was able to play flag football with friends after a long absence, and that was only 6 days after finishing his chemo! he and jai even celebrated their 7th wedding anniversary with their children at a resort where he rode a zip line.

then at the end of may, he has an mri exam at john hopkins hospital and discovers a cyst and other lesions. his cancer is back. he has vaccine shots to arrest the growth of the tumors. his treatments take him till the end of july. he gets his last vaccine shot on 23 jul and expects to be back every 6 months for booster shots. he writes, 'Interestingly, this marks the last thing I can do to help myself, which is a little unnerving. I'm channeling that anxiety into starting to hit the gym with real vigor - building my body up in case there are more surgeries or chemo down the road....'

on 26 aug, he gets devastating news. a ct scan reveals he has 10 tumors in his liver and smaller ones in his spleen. the doctors estimate about 3 – 5 months of relatively good health left. after that, they have no way of telling how fast the cancer will progress, but they say it will not be a good way to go. he settles on pallative chemotherapy which will buy him a few more months, but the chances even of that are only 15% – 20%. There is no doubt about the diagnosis. in about a month's time, he will give his 'last lecture' in carnegie-mellon.

in the next months, he goes out of his way to enjoy his remaining days. he and his eldest son, dylan, take a 4-day father and son trip to orlando, florida. the entire pausch family celebrates halloween dressed as 'the incredibles'. in early november, randy and jai take a vacation on their own in virginia, and get to meet sting and the police at a concert. jai is a big police fan.

in the following months, the pallative chemotherapy works and keeps randy strong enough to receive the numerous awards he is granted. he is also commissioned by hyperion, the publishing arm of disney, to turn his 'last lecture' into a book. he works with the pancreatic cancer action network (PanCAN) to drum up funds from private donors and congress for research. he goes scuba diving in the cayman islands.

and most thrilling of all for randy, he is cast in the movie 'star trek: the future begins'. he has a very brief speaking part, but got to keep his own star trek uniform. how's that for making dreams come true?

in early march, randy receives a bit of good news and some bad news. the growth of his tumors seem to have been held in check. however, he has started to suffer from the side effects of his treatments. his chemo drugs have become too toxic for him. his kidneys are functioning at 50%; his blood pressure is up to 200/100. in addition, fluid is suspected in his abdomen which pushes against his lungs and heart, making it difficult for him to sleep on his back.

he is hospitalized and a needle tap is done to draw fluid from around his right lung. the fluid in his left lung is left to be treated with diuretics. he is very weak the whole month of march, but bounces back slightly in april, ready to do battle again.

then, good news! 'the last lecture' is launched and is an instant success. diane sawyer does a talk show on it. great stuff.

on 18 may, he and jai attend the carnegie mellon graduation. a couple of days later, he starts a new chemo treatment. a week later, he starts vomiting and has high fever. the chemo doesn't work. new drug combinations have to be tried.

on 26 jun, randy writes that he continues to recover, albeit very slowly. his ca19-9 level which started at 9 in jun 2007, then went to 94 in feb a year later, to 216 by the end of mar 2008, and then at 634 by mid-may, is now at 1400.

randy dies on 25 jul 2008. given 3 – 5 months to live 12 months earlier, he beats the odds. sadly though, he never reached his goal of 5 years.

my own journey started on 16 april, when i was hospitalized. on 23 apr, i had my radical nephrectomy. in simple terms, i had my right kidney removed because a mass had imploded causing me to piss blood. biopsy on the mass confirmed that it was a carcinoma.

a bone scan conducted previous to the operation, while i was waiting in the hospital for the urologists to arrive from a conference abroad and had really nothing to do, showed that the cancer had probably spread to my left lung and my right clavicle, down to my right arm. a subsequent ct scan showed the same thing. an mri done about 1-½ months later confirmed the bone scan and ct scan findings. the diagnosis was that my right bone structure had “osseous metastasis”. that's what traditional western medicine equipment said. traditional western medicine statistics said i had barely 6 months to live, maybe 2 years if i took the 'right' medicines.

when i consulted my alt med guide, he told me i did have slight traces of cancer cells in my left lung, but that the findings in my right upper bone structure was caused by osteoporosis, not by cancer, tho it had almost the same effect. my bone density was compromised and my bones were brittle; subject to fracture if i wasn't careful.

he said i could cure the cancer with his guidance. i could be free of cancer in 6 months my chances of success? 100% if i followed the protocol religiously. i couldn't help but like those odds. i liked it even more that he was giving me control of my treatment, my health, and my life. he spoke frankly saying that he woudn't be able to cure me. only i would be able to.

and you know about my conversations with God. He gave me the faith and the courage to make my choice of going with alternative medicine. 4 months on, i'm swimming 18 laps, i still drive myself around. (i'm not bed-ridden, nelia.) i function well. and hey! i look great at 160 lbs. my thick, wiry hair has even turned fine and soft. cris and nanay say it's because of my raw vegan diet.

if i had taken the 'gold standard path, i'd be down, net, about p500,000, be nauseous, feel weak, and really scared shitless, all thanks to the 'gold standard' drugs.

i don't mean to say that taking the western medicine path randy took is wrong for everyone, it's just not for me. but i do want to stress that my gratitude belongs more to God than to alternative medicine. He is the Healer.

i loved randy's 'last lecture'. he was intelligent, witty, informative, and above all, brave. yet it bothered me that in his whole lecture, not once did he mention God. his only reference to the spiritual was when he said at the start that he wouldn't talk about spirituality or religion, then joked about having a deathbed conversion and buying a mac.

even in his update page, the only mention of anything relating to God was after more tumors were found in his liver and was given only 5 more months of good health, he thanked carnegie-mellon, his church, his friends, and his family, in that order. even then, no mention of God.

i believe randy believed in God, but like most men of science, he seems to have believed in science more. he believed he had the best doctors in the world, and if you believe that you have 'the best doctors', then how can you look for other alternatives? science gave him 3 – 5 months of good health, and he believed. science told him chemotherapy is the best treatment available, and he believed. science said he had a 15% – 20% chance of lasting 5 years, and he believed. and you know what? what he believed came to pass.

i had a conversation recently with a friend of mine along the same line. the conversation went, 'we have very good doctors who have been taking care of us very well. but when the day comes that they tell us there is nothing more to be done, then we'll just have to give up.' it saddened me because when people say there is no longer any hope, that's when you should start to hope, simply because there is nothing left but giving up.

so, do i have any lessons learned? nothing nearly as profound as randy's. only this one – never give up!

whatever you encounter in your journeys, whatever obstacles, whatever hardships, whatever life throws at you. duck! then, move on. don't bail. don't stop. don't give up.

and that's life with benjie these days, enjoying your company on this journey of life, tho on different pathways.

The beginning of the rest of my life

11 days, countless bouts of incredicle pain, 1 major operation, several tests, 1 less kidney, innumerable pledges of support and prayers, and a few realizations later, I'm back home. It has been a personal journey for me, with Cris constantly by my side.
I do not wish to speak of the pain I felt, for there was considerable pain. Perhaps it will be enough to say that simply being able to urinate was such a relief that it brought tears of joy. Fear was a constant that was blotted out by the pain. Even the fear of a major operation was unable to dampen my hoped for release from pain.
I've lost one kidney, but doctors say we are able to live well with just one, if we take good care of it. I plan to.
The tests aren't over yet. We're still awaiting the results of other tests. This time, there is no pain to make me forget the fear, so it is there. Something I will have to learn to live with and deal with.
Now, for the more important realizations I've had during this journey.
Realization #1: We are not indestructible.
Since my youth, I have played games with my health believing that I would overcome all possible illnesses, recuperate from the wear and tear I placed on myself, and rebuild any damage I sustained. Now the lesson has been driven home painfully and frighteningly – Superman comes from Krypton; we are of the planet earth, without superpowers, subject to the frailties of our humanity.
I will not advise against vices, for I did get some pleasure out of them, but I will advice caution and judiciousness. Vices require us to pay a price, the very least of which is to regularly seek medical advice. When the doctors tell us it's time to pay the price for our 'good times', then do so readily and wholeheartedly. Nothing is free in this world, except God's grace.
Realization #2: Our time on earth is limited.
This is a corollary to #1. Early in my life, books I read taught me to live as if everyday were the last day of my life. In this way, we would value every minute of our time and use the minutes wisely. It is a lesson I thought I learned well, but now realize, never really did. I spent too much time on careless pursuits. Today I find so many things left undone, so many lessons not learned, and lessons learned but never shared, so many people left unaided or uncared for, and much love left ungiven.
Value your time. There's too little of it to squander. Learn what you want to. Live your dreams. And most of all, share your life. Every life you enrich, enriches your own.
Realization #3: No matter what we think of ourselves, there are people who truly love us.
It does not matter much whether we are rich or poor, wise or foolish, good-looking or plain, people will love us despite our faults and shortcomings. I never considered myself as extraordinarily caring, or friendly, or helpful. In fact, many times I have been mean and hurtful to friends. Yet the outpouring of support Cris and I have received during this trial in our life together has shaken me. People do care for me, not because of what I am, but because of who they are.
I am humbled. Thank you.
Realization #4: Never take the love of a good woman or a good man, for granted.
For the same unknown reasons that people care for me, my wife Cris loves me. She has been by my side from the day we first went to the hospital and has taken care of me most lovingly and patiently. Her patience was greatly tested by my irritability especially right after the operation. I would ask her to raise the head of my hospital bed, and in the next instant, tell her to lower it. I asked her to massage by back first, gently, then, more vigorously, only to shout at her when her touch would trigger pain in my wound. She asked for prayers when I could not, or would not. (Remember, I did not think anyone would care enough for me to pray, except my close family and a few friends.) She would fetch things for me and even emptied my urinal when the nurses were not around.
To put things into perspective, Cris until recently, efficiently headed an ATM consortium. She is currently a highly-valued consultant for a conglomerate. Her advice is much sought-after and heeded, by presidents and top officials of banks and other companies. She has proven herself a success in her chosen field.
Yet, she has also chosen to serve me with great concern and humility. If that isn't love, then it doesn't exist. And I can only respond with a simple, heartfelt, “I love you too, Cris.”
Realization #5: Prayers live out our faith.
During this time, I realized that prayers for others is a concrete realization of Christ's second commandment to love others as you love yourself. But unless one truly believes in God and in His love for us, our prayers lack faith and strength, and therefore will not be effective. So before we get to the second commandment, we must first live the first which is to love the Lord with all heart, with all our mind, with all our soul, and with all our strength. Your prayers for me have been effective, and so I know you live the two greatest commandments of God.
Please continue to pray for me, as we should pray for one another, for we all need prayers in our lives. I can think of nothing in our mundane, everyday lives that allows us to give glory and praise to our Father than our prayers for each other.
Realization #6: God is life.
Faith in God saves us. Being saved is not living forever, nor is it living without fear, or pain, or hardships. Being saved is being reunited with God. Faith will bring us there.
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Next week, the doctors will discuss the results of the biopsy of my kidney's mass with us. They've already warned us that the mass is most likely to be malignant. The results of the bone scan showed 'occult' traces of cancer cells. We've been asked to shop around for an oncologist.
There is fear and anxiety, but also faith and hope.
This journey of mine will go on. With Cris. With our children. With our extended family. With our friends. And with God.
Let us be thankful for the time we have together, and let us rejoice in our lives!