Wednesday, December 21, 2011

Good health

It’s the festive season – a time to gather with friends and family to celebrate the year passed, a time to toast one another’s good health.

Health. Such a deceptively dull word and yet the word itself tells the story of why good health is our primary universal human need, and why life without it is so terribly trying.

Health evolved from the Middle English word hale (which we still use in the phrase ‘hale and hearty’), as did whole. So health really means ‘wholeness’. When our health is poor we are not whole and our quality of life suffers. Nothing is more essential to us than our good health.

And this year – for me and my family – health has been our preoccupation.

In February my father was diagnosed with stage 2 cancer and a week later my uncle-in-law was diagnosed with stage 4 cancer. I felt deeply unsettled, not just for the obvious reasons, but also because the situation was unfamiliar to me but depressingly commonplace in our society. Cancer is literally swathing its way through our friends and families.

Up steps modern healthcare (bravo), immediately trailed by the dark shadow that every cancer sufferer must face: the treatment dilemma. Cancer is so damnably invasive that conventional treatments invariably damage (painfully) a patient’s health to improve a patient’s health, and therein lies the dilemma. Do I throw everything at the disease and risk losing quality of life for the slim chance of prolonged life, or do I jump straight to palliative care and try to squeeze out as much quality of life from the short time I have left?

I imagine (I can only imagine) that for most cancer patients, there is only one option: fight it with all guns blazing, not least to show loved ones that you want to remain with them at any personal cost. The more advanced the cancer, the greater the heroism: I have seen firsthand the price paid. Both my father and uncle chose this option. My father survived, my uncle did not (and tears still well when I think of his selfless bravery – he would have done anything to be here for his wife and children).

But the dilemma remains: the other option is equally valid – immensely brave, loving, and wise in different ways. And if I ever have to face the awful choice, I will consider both options.

Understandably, this situation caused me to think about ‘life’ even more than I already do. I reflected that, despite our society’s obsession with materialism, life is not something you accumulate: the longest lives are not necessarily the best. Each day is a life. On any day, in any hour, we can attain the best of life. And when quality is the goal – as I sense it should be – then even a short life can be gloriously abundant. My uncle’s life was so.

Have I suddenly changed my lifestyle in response to these illnesses? No. Not at all. I already knew where health sits in the pecking order (see my human needs theory), and I already live in a manner configured around that reality – and perhaps I always have. You see, my father is a doctor and the principles of primary health care are familiar topics. Put the fence at the top of the cliff; not the ambulance at the bottom. Visit your GP regularly. Eat well and take every opportunity to exercise. Prioritise primary health care. Educate.

Fittingly, a few weeks ago I began some consulting work at Ko Awatea, the centre for healthcare improvement and innovation at the Counties Manukau District Health Board at Middlemore, South Auckland. How will I contribute as a wordsmith with nothing more than an appreciation for medicine? I will simply try my best to help the dedicated staff to share more widely and persuasively their valuable knowledge, so that more benefit can be gained from it.

Please, wish me well, the stakes are high.

And if your life isn’t already configured around good health, may I gently (but persuasively) urge you to reconfigure it, starting today.

Saturday, September 17, 2011

Book review: Never Let Me Go

Never Let Me Go
by Kazuo Ishiguro

2010 Faber and Faber (UK paperback)
ISBN: 978 0571272129
282 pages
First published 2005

This delicate story has recently been made into a movie (which I haven't seen), resulting in the publication of a new, heavily marketed paperback which caught my eye on a recent trip to London. Ishiguro had long been on my radar as I loved The Remains of the Day (both the novel and the movie).

The Sunday Times endorsement described Never Let Me Go as 'Masterly ... A novel with piercing questions about humanity and humaneness.' I cannot argue with the assessment, but this novel didn't do the thing I most want from a novel: it didn't fully absorb me.

I am sure its assured understatement and slow pace will fulfill many readers - I have enjoyed the combination in other novels - but the 'dreadful secret' was delivered in such a slow and fractured way that by the time the picture was complete in my mind, I had already become used to its substance. The secret was indeed weighty - sad, tragically explicable - but not dreadful and, crucially, not believable.

The three main characters (Kathy, Ruth, and Tommy) were believable, touchingly so, and I did care for them. But I just couldn't engage with their world. Was that because it was openly not this world - the setting more science fiction than merely fiction? I don't think so: I have 'bought into' much more extraordinary settings as a reader. No, I think pace was to blame. Bluntly put, not enough happened to maintain my engagement. A brilliant tableau, but a flawed novel. 

Friday, September 16, 2011

Measured quotes

We quote others because their words resonate and reveal, often capturing a liberating truth or 'bringing light to bear on the dark corners where troubles fester'. At times their words shock or provoke us, causing us to stop and think. I am often inspired by quotations and I appreciate the regular supply I receive in my A.Word.A.Day newsletters (subscribe at Wordsmith.org). So here are some of my favourites — via AWAD and other sources. I'll kick off with ten and will update when inspired. For now, the quotations are ordered merely by surname. I hope they inspire you.


Simplicity is the ultimate sophistication.
- Leonardo da Vinci, painter, engineer, musician, and scientist (1452-1519)

When I go into the garden with a spade, and dig a bed, I feel such an exhilaration and health that I discover that I have been defrauding myself all this time in letting others do for me what I should have done with my own hands.
- Ralph Waldo Emerson, writer and philosopher (1803-1882)

Nothing is more full of grace in the human condition than the presence of a most excellent friend.
- Marsilio Ficino, philosopher (1433-1499)

All changes, even the most longed for, have their melancholy; for what we leave behind us is a part of ourselves; we must die to one life before we can enter another.
- Anatole France, novelist, essayist, Nobel laureate (1844-1924)

He who listens to truth is not less than he who utters truth.
- Kahlil Gibran, poet and artist (1883-1931)

Most people are mirrors, reflecting the moods and emotions of the times; few are windows, bringing light to bear on the dark corners where troubles fester. The whole purpose of education is to turn mirrors into windows.
- Sydney J. Harris, journalist and author (1917-1986)

Communication skills are one of the most important competencies needed in the 21st-century workforce. If one is to succeed, he or she will need a mastery of English because it is the language of business, science, diplomacy and academia. [6 September 2011]
Lee Kuan Yew, former prime minister of Singapore (1923-)

The Earth is a very small stage in a vast cosmic arena. Think of the rivers of blood spilled by all those generals and emperors so that, in glory and triumph, they could become the momentary masters of a fraction of a dot. Think of the endless cruelties visited by the inhabitants of one corner of this pixel on the scarcely distinguishable inhabitants of some other corner, how frequent their misunderstandings, how eager they are to kill one another, how fervent their hatreds.
- Carl Sagan, astronomer and writer (1934-1996)

Clear thinking requires courage rather than intelligence.
- Thomas Szasz, author, professor of psychiatry (1920-)

How far should one accept the rules of the society in which one lives? To put it another way: at what point does conformity become corruption? Only by answering such questions does the conscience truly define itself.
- Kenneth Tynan, critic and writer (1927-1980)