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intractable suffering). But her pain became increasingly excruciating. She starte
to fall. Then her hip seized up on her again, this time in the subway on a day
when the escalator was not working. Her boyfriend carried her up the stairs. Sh
took a cab home. The subway was no longer a reliable form of transportation.
That March we bought Mikhaila a 50cc motor scooter. It was dangerous to let
her ride it. It was also dangerous for her to lack all freedom. We chose the
former danger. She passed her learner’s exam, which allowed her to pilot the
vehicle during the day. She was given a few months to progress towards her
permanent licence.
In May her hip was replaced. The surgeon was even able to adjust for a pre-
existent half centimetre difference in leg length. The bone hadn’t died, either.
That was only a shadow on the x-ray. Her aunt and her grandparents came to se
her. We had some better days. Immediately after the surgery, however, Mikhail
was placed in an adult rehabilitation centre. She was the youngest person in the
place, by about sixty years. Her aged roommate, very neurotic, wouldn’t allow
the lights to be off, even at night. The old woman couldn’t make it to the toilet
and had to use a bedpan. She couldn’t stand to have the door to her room closed
But it was right beside the nurses’ station, with its continual alarm bells and lou
conversations. There was no sleeping there, where sleeping was required. No
visitors were allowed after 7 p.m. The physio—the very reason for her
placement—was on vacation. The only person who helped her was the janitor,
who volunteered to move her to a multi-bed ward when she told the on-duty
nurse that she couldn’t sleep. This was the same nurse who had laughed when
she’d found out which room Mikhaila had been assigned to.
She was supposed to be there for six weeks. She was there three days. When
the vacationing physio returned, Mikhaila climbed the rehab-centre stairs and
immediately mastered her additional required exercises While she was doing
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immediately mastered her additional required exercises. While she was doing
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that, we outfitted our home with the necessary handrails. Then we took her
home. All that pain and surgery—she handled that fine. The appalling rehab
centre? That produced post-traumatic stress symptoms.
Mikhaila enrolled in a full-fledged motorcycle course in June, so she could
continue legally using her scooter. We were all terrified by this necessity. What
she fell? What if she had an accident? On the first day, Mikhaila trained on a re
motorcycle. It was heavy. She dropped it several times. She saw another
beginning rider tumble and roll across the parking lot where the course was hel
On the morning of the second day of the course, she was afraid to return. She
didn’t want to leave her bed. We talked for a good while, and jointly decided th
she should at least drive back with Tammy to the site where the training took
place. If she couldn’t manage it, she could stay in the car until the course
finished. En route, her courage returned. When she received her certificate,
everyone else enrolled stood and applauded.
Then her right ankle disintegrated. Her doctors wanted to fuse the large
affected bones into one piece. But that would have caused the other, smaller
bones in her foot—now facing additional pressure—to deteriorate. That’s not s
intolerable, perhaps, when you’re eighty (although it’s no picnic then either). B
it’s no solution when you’re in your teens. We insisted upon an artificial
replacement, although the technology was new. There was a three year-waiting
list. This was simply not manageable. The damaged ankle produced much more
pain than her previously failing hip. One bad night she became erratic and
illogical. I couldn’t calm her down. I knew she was at her breaking point. To ca
that stressful is to say almost nothing.
We spent weeks and then months desperately investigating all sorts of
replacement devices, trying to assess their suitability. We looked everywhere fo
quicker surgery: India, China, Spain, the UK, Costa Rica, Florida. We contacte
the Ontario Provincial Ministry of Health. They were very helpful. They locate
a specialist across the country, in Vancouver. Mikhaila’s ankle was replaced in
November. Post-surgery, she was in absolute agony. Her foot was mispositione
The cast was compressing skin against bone. The clinic was unwilling to give
her enough oxycontin to control her pain. She had built up a high level of
tolerance because of her previous use.
When she returned home, in less pain, Mikhaila started to taper off the
opiates. She hated oxycontin, despite its evident utility. She said it turned her li
grey. Perhaps that was a good thing, under the circumstances. She stopped usin
it as soon as possible. She suffered through withdrawal for months, with night
sweating and formication (the sensation of ants crawling upside down under he
ki ) Sh b bl i
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skin). She became unable to experience any pleasure. That was another effect o
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opiate withdrawal.
During much of this period, we were overwhelmed. The demands of everyda
life don’t stop, just because you have been laid low by a catastrophe. Everythin
that you always do still has to be done. So how do you manage? Here are some
things we learned:
Set aside some time to talk and to think about the illness or other crisis and
how it should be managed every day. Do not talk or think about it otherwise. If
you do not limit its effect, you will become exhausted, and everything will spir
into the ground. This is not helpful. Conserve your strength. You’re in a war, no
a battle, and a war is composed of many battles. You must stay functional
through all of them. When worries associated with the crisis arise at other time
remind yourself that you will think them through, during the scheduled period.
This usually works. The parts of your brain that generate anxiety are more
interested in the fact that there is a plan than in the details of the plan. Don’t
schedule your time to think in the evening or at night. Then you won’t be able t
sleep. If you can’t sleep, then everything will go rapidly downhill.
Shift the unit of time you use to frame your life. When the sun is shining, an
times are good, and the crops are bountiful, you can make your plans for the ne
month, and the next year, and the next five years. You can even dream a decade
ahead. But you can’t do that when your leg is clamped firmly in a crocodile’s
aws. “Sufficient unto the day are the evils thereof”—that is Matthew 6:34. It is
often interpreted as “live in the present, without a care for tomorrow.” This is n
what it means. That injunction must be interpreted in the context of the Sermon
on the Mount, of which it is an integral part. That sermon distills the ten “Thou
shalt-nots” of the Commandments of Moses into a single prescriptive “Thou
shalt.” Christ enjoins His followers to place faith in God’s Heavenly Kingdom,
and the truth. That’s a conscious decision to presume the primary goodness of
Being. That’s an act of courage. Aim high, like Pinocchio’s Geppetto. Wish upo
a star, and then act properly, in accordance with that aim. Once you are aligned
with the heavens, you can concentrate on the day. Be careful. Put the things you
can control in order. Repair what is in disorder, and make what is already good
better. It is possible that you can manage, if you are careful. People are very
tough. People can survive through much pain and loss. But to persevere they
must see the good in Being. If they lose that, they are truly lost.
social, hierarchical, and domesticated. They are happy at the bottom of the
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family pyramid. They pay for the attention they receive with loyalty, admiration
and love. Dogs are great.
Cats, however, are their own creatures. They aren’t social or hierarchical
(except in passing). They are only semi-domesticated. They don’t do tricks.
They are friendly on their own terms. Dogs have been tamed, but cats have mad
a decision. They appear willing to interact with people, for some strange reason
of their own. To me, cats are a manifestation of nature, of Being, in an almost
pure form. Furthermore, they are a form of Being that looks at human beings an
approves.
When you meet a cat on a street, many things can happen. If I see a cat at a
distance, for example, the evil part of me wants to startle it with a loud pfft!
sound—front teeth over bottom lip. That will make a nervous cat puff up its fur
and stand sideways so it looks larger. Maybe I shouldn’t laugh at cats, but it’s
hard to resist. The fact that they can be startled is one of the best things about
them (along with the fact that they are instantly disgruntled and embarrassed by
their overreaction). But when I have myself under proper control, I’ll bend
down, and call the cat over, so I can pet it. Sometimes, it will run away.
Sometimes, it will ignore me completely, because it’s a cat. But sometimes the
cat will come over to me, push its head against my waiting hand, and be please
about it. Sometimes it will even roll over, and arch its back against the dusty
concrete (although cats positioned in that manner will often bite and claw even
friendly hand).
Across the street on which I live is a cat named Ginger. Ginger is a Siamese,
beautiful cat, very calm and self-possessed. She is low in the Big Five
personality trait of neuroticism, which is an index of anxiety, fear and emotiona
pain. Ginger is not at all bothered by dogs. Our dog, Sikko, is her friend.
Sometimes when you call her—sometimes of her own accord—Ginger will tro
across the street, tail held high, with a little kink at the end. Then she will roll o
her back in front of Sikko, who wags his tail happily as a consequence.
Afterward, if she feels like it, she might come visit you, for a half a minute. It’s
nice break. It’s a little extra light, on a good day, and a tiny respite, on a bad day
If you pay careful attention, even on a bad day, you may be fortunate enough
to be confronted with small opportunities of just that sort. Maybe you will see a
little girl dancing on the street because she is all dressed up in a ballet costume
Maybe you will have a particularly good cup of coffee in a café that cares abou
their customers. Maybe you can steal ten or twenty minutes to do some little
ridiculous thing that distracts you or reminds you that you can laugh at the
absurdity of existence Personally I like to watch a Simpsons episode at 1 5
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absurdity of existence. Personally, I like to watch a Simpsons episode at 1.5
12 Rules fortimes
Life Anregular
Antidote speed: all the laughs; two-thirds the time.
to Chaos.pdf D O W N LO A D
And maybe when you are going for a walk and your head is spinning a cat
will show up and if you pay attention to it then you will get a reminder for just
fifteen seconds that the wonder of Being might make up for the ineradicable
suffering that accompanies it.
Pet a cat when you encounter one on the street.
P.S. Soon after I wrote this chapter, Mikhaila’s surgeon told her that her
artificial ankle would have to be removed, and her ankle fused. Amputation
waited down that road. She had been in pain for eight years, since the
replacement surgery, and her mobility remained significantly impaired, althoug
both were much better than before. Four days later she happened upon a new
physiotherapist. He was a large, powerful, attentive person. He had specialized
in ankle treatment in the UK, in London. He placed his hands around her ankle
and compressed it for forty seconds, while Mikhaila moved her foot back and
forth. A mispositioned bone slipped back where it belonged. Her pain
disappeared. She never cries in front of medical personnel, but she burst into
tears. Her knee straightened up. Now she can walk long distances, and traipse
around in her bare feet. The calf muscle on her damaged leg is growing back.
She has much more flexion in the artificial joint. This year, she got married and
had a baby girl, Elizabeth, named after my wife’s departed mother.
Things are good.
For now.
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Coda
At first glance, this seems like nothing but a testament to the magic of prayer, in
the sense of entreating God to grant favours. But God, whatever or whoever He
may be, is no simple granter of wishes. When tempted by the Devil himself, in
the desert—as we saw in Rule 7 (Pursue what is meaningful [not what is
expedient])—even Christ Himself was not willing to call upon his Father for a
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