Write for Advice
Cary’s classic column from TUESDAY, OCT 6, 2009
I’ve got only a genetic disease and old age to look forward to
I have been reading your column for a while and always find your advice useful in a roundabout way, but I especially find it honest.
I’m going to be turning 50 this year and have learned I have a fairly rare genetic disease that will (and, indeed, has already begun to) cause great suffering in the years to come, though it likely won’t end my life prematurely.
Unfortunately, I have seen what this disease has done to my father, who is now in his 80s, and I have no desire to go through the endless hospitalizations, treatments, etc., that he endures just to keep on living. I feel tense and anxious most of the time, and also sad.
I’m realizing, however, that the disease is not the only factor in my feelings. Frankly, life in middle age is a tedious, boring chore. I become sad when I think back to my 20s, which was really my peak — a series of endless mental and physical challenges, pleasures and obstacles to overcome.
I’m stuck in an unchallenging but well-enough paying job that I despise. Leaving it would mean competing with people half my age for less pay, and I probably can never get health insurance again, so that option is out.
My home life isn’t much better. I’m stuck with a partner who offers, at best, extremely mediocre sex once every couple weeks. I watch porn to remember the types of adventures I used to have in real life, but it only makes me more sad, angry and resentful.
I’ve given up most of my hobbies as they were fairly pointless wastes of time. Even volunteer work became unsatisfying. For every person or animal I was able to help, there were hundreds of others for whom I could do nothing.
My one true pleasure, hiking in the hills with my dog for hours on end, ended when the dog became severely ill and I had to euthanize her a month ago. Yes, I could get another dog, and yes, I realize everyone anthropomorphizes their pets, but this dog was indeed unique and irreplaceable and her spirit is sorely missed. Her sweet nature and enthusiasm could melt even the most cynical heart.
Well, I will stop with this pity party, but it seems to me that nature had the right idea with human life spans that used to be so short. Now it seems we get 30 or so good years, then 50 years to sit around and wait for the inevitable.
In youth, there is excitement of the unknown. Unfortunately, at this point, I pretty much know how my life is going to go: a slow, steady, physical decline; deaths of more friends and loved ones; and a relationship that will become nothing more than buried resentment over a complete lack of sexual fulfillment.
Frankly, I see very little to look forward to, and I’m not even sure what I’m asking you.
Nothing to Look Forward To
Dear Nothing to Look Forward To,
Well, my friend, I don’t have the skills to persuade you of what I intuit, or the power to compel you to do as I ask, nor do I have the kind of deep responsibility toward you that a family member or loved one might feel, so I am just going to say what is clear to me and hope that you can overcome the voices in your own head telling you the contrary long enough to act on my suggestion. First of all, and I don’t know why I really want to say this, but I’m just going to trust the impulse: You are going to be taken care of. You’re on a road. You’re not just a forlorn sack of chemicals in a marriage; you’re a human being; you’re a person; you’re a being; you have a place in this world. I also feel this: I feel that you are grieving. You may be depressed, but “depressed” feels vague. To me, you are grieving. “Depression” feels like the damming-up of that grief, not the grief itself. You are grieving the loss of your dog and your connection to nature. You are grieving the loss of your dog and your connection to nature but you are also berating yourself for your grief, perhaps to protect yourself from its full, wracking extent.
You also sound like you are grieving for your youth. For that I salute you. Yes, I salute you. Why don’t more of us openly grieve our youths? Why don’t more of us admit that when we wake up one day and find ourselves no longer 20 and hard, indefatigable and quick, irresistible all night, a world ahead of us just for the asking, etc., etc., (I’m not trying to lyrically eulogize it; I’m just trying to name it), why don’t more of us admit that we are filled with a deep and painful sadness? Why don’t we have rites for this? Why do we have to say goodbye to our youth alone, in the shame of our advancing decrepitude?
(I tried to do this publicly, in a way, seven years ago, back in 2002, and indeed it did help to acknowledge publicly that I was no longer 20, although of course it did not arrest the arrow of time.)
You are grieving the loss of your youth and the loss of your dog and you are also living in fear of the future.
That makes you a perfect candidate for membership in the moment.
So, my friend, make your application now!
Yes, you, my friend, are a perfect candidate for membership in the moment. There is always room for one more. So welcome. Come on in. Welcome to the now. Welcome to the now that’s up on the trail, the glistening, humming, vibrating, iridescent, incalculable, inescapable now: Welcome to this very moment, wherever you are. Unless one of us is traveling faster than the speed of light, you and I are both inhabiting this mathematical simultaneity we call the now; we are in it, you and I, right now, so it might be said, though it sounds silly, that we are even together in the now, that as I sit near the window of the cafe in early morning, shivering in the first frost (there was ice on my truck this morning, for heavens sake!) and wondering idly why the employees have the windows and the door open (I know, it gets hot back there) that you and I are, in this moment, perhaps sharing a breath; perhaps as I breathe in you are breathing in too, and the innumerable creatures and souls who also inhabit this moment are also breathing in or breathing out, and the unfathomable underpinnings of our enterprise are operable; the equations and magics of chlorophyll and ganglia are in effect; the infinite, expanding factory of existence is running all night; it’s all going on right now. Welcome.
In this moment you have many choices. You can concentrate on the breath alone, climbing the breath like a rope into the heavens, following the breath back to the beginning of time, rising and falling with the breath like a column of smoke, with every inhalation and exhalation rehearsing the beginning and the end, the creation and the obliteration of the cosmos and the beginning and the end of your life, your wakefulness and your sleep. You can do that in this moment. You can do that in this moment and it may free you momentarily from your stranglehold on the future, or the future’s stranglehold on you, or however you want to place subject and verb in expressing that asphyxiating entanglement.
You can also in this moment allow thoughts of your next move to arise. You can, for instance, determine to contact a cognitive therapist and see about pruning some of the vines.
Yes, you can also in this moment choose to contact a cognitive therapist and get to work on that pattern of thinking that has overtaken you like a vine overtaking a healthy tree. You are wrapped in vines of dread, vines of grief. You are wrapped in vines. You have fed them and given them a home and now they are suffocating you. But you are not yet so completely entwined that you cannot reach out just far enough to gain the attention of a skilled cognitive therapist who can show you how to clip the vines back and get some air.
It is both the joy and the curse of this job that I cannot make you do this. If I could make you do this, my job would be unbearable; every time I failed to make someone do something I would be burdened; every time someone exercised their freedom of choice I would be a failure. Every time someone failed I would fail as well. Luckily, that is not the case. I can say what I say and that is that. We are just two living strangers inhabiting the same moment. It is as though you might overhear me in a cafe advising someone else to go get some cognitive therapy to clip back the vines of depression. I am speaking to the wind. That is fine. I am happy doing that. I am happy speaking to the wind.
But I speak hoping you will overhear me and take it to heart.