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Ordinary Valor by Robert J. Mignone, M.D.

 
     

 

ORDINARY VALOR
How Prostate Cancer Saved My Life
My journey
ROBERT J MIGNONE, M.D., F.A.P.A.

INTRODUCTION

Slowly, gingerly, I lowered myself into the passenger seat. Susan, my wife, had pulled curbside at the hospital discharge exit. She waited patiently for the strap-in ritual that was unusually deliberate on this cool December morning of 2003. I was still nursing my wounded genitals—they had been invaded the day before with the implantation of some hundred-plus radioactive seeds into my prostate. The cancer already should’ve been on its way to smithereens.

I’d been discharged just an hour previously, immediately upon producing the anxiously awaited golden drops through my catheter. So now it was on to the outpatient X-rays and, finally, home.

I didn’t know whether I was more relieved at having cleared the big hurdle or more apprehensive about the follow-through ahead. I tried to relax with deep breaths, but my pulse wouldn’t settle down.

With that big intervention behind me, I reflected a moment on the events that had led to the surprising diagnosis, chemical castration, external radiation, and—just 24 hours previously—the implanted radioactive seeds. I’d come through a crisis of far more than a death threat. My view of life and of my priorities had been turned upside down. But discharge day was no time for such introspection. I’d already spent a lot of time meditating in the past four months, and more would follow. Right now, I would do well to concentrate on the moment.

After the prior day’s final intervention, the rest of the game was on and I felt like I was at the starting line for the long marathon ahead. My head swirled a bit, and my breathing quickened at such an image, especially since the course was only vaguely mapped out and the finish line unclear.

“Take off, Captain,” I barked, trying to appear lighthearted.

“Roger that,” Susan retorted, ever ready for a spoof.

As she pulled out into traffic, I made a promise to myself. I knew that the years of recovery that lay before me surely would pose mighty challenges and lessons—maybe no more than those faced by any other man with cancer, but they were big time for me. My life had been on the line for four months and would continue to be for the foreseeable future; that was drama enough. Anyhow, I was determined to make the most of the opportunity and come out of it better off than when I went in. That was my nature. So at that moment, I vowed to use the experience to learn and teach.

“Sweetheart, I’m going to write a book about all this. It probably won’t be a thriller. After all, who am I? And who knows what’s ahead? But I think telling my story might help other men, let alone their wives…and maybe our sons.”

“OK, sweetie, but first let’s get you home and settled. Are you OK there?”

“Yes, I’m fine, thanks. It’s just that I might as well put this ordeal to some greater good. I’ll be damned if I won’t come out of this wiser than when I started.”

“Of course, Big Doc. But before you save the world, let’s get your X-rays or scan or whatever and then take you home to rest while I make you a nice cup of tea and some breakfast.”

******

Three years later, I’m still jumping hurdles, still in the race. The familiar cloud of fear hangs far overhead and I try to keep it up there, as does the rest of humanity jogging along with me. Many are limping, but they’re still hanging in. I now realize that life will always be like that.

As it has turned out, by some standards my story has been neither glamorous nor amazing, nor has it been raw or juicy. After all, I didn’t crash and burn and then rise from the ashes to heroic heights. What I did accomplish was what people do all the time: I faced being turned upside down, gathered myself, and did the best I could to carry on with my life. The lab tests say I’m ahead of the Grim Reaper. That’s pretty good. And I grew up a bit. My understanding deepened, and I lost the illusory innocence of a good boy who is rewarded with his prayers coming true, with even getting a pass.

Because my story has been ordinary, I’ve come to regard my experience as remarkable (even spectacular) because I’ve seen how it has reflected the marvelous journeys of gazillions of men and women as they’ve worked and loved and managed their lives as best they could—and all the while no one but their intimates knowing anything of their heartaches. They’ve attended PTA meetings, grooved at concerts, visited families, and showed up at work every day with their game faces on—and never received a medal or a news story. That’s amazing. All over the world, people are quietly winning gold medals of the heart. That’s the human grit, which more than ever brings tears of admiration to my eyes. Celebrities or even unsung heroes may be entertaining and sometimes inspirational, but even more awesome is Everyman’s bouncing back. To me, they’re all heroes and heroines. I’ve come to be proud to be one of them.

In short, I lost my innocence and grew up fast. I reinforced my understanding that all we know is worthwhile only if we apply it—and the application requires clearing all the smoke. Only truth works for change. Even world-class scholars of self-care and spirituality can get bogged down looking for pie in the sky, unaware of what they need to actually do in order to grow. I saw my own version of that folly and committed myself to pass it on.

This is not a textbook about prostate cancer or the psychology of coping, although there are thoughts and information about both. And it’s not a philosophical discourse on the philosophy of faith or the existence of God, although I talk a lot about my experience of the power of faith. Instead, this is an invitation to walk through one man’s journey of coping with the dark night. There have been neither guts nor glory—just everyday triumphs over life’s mysterious fragility.

A synopsis might read this way:

Another cancer survival story, this one surprisingly by a man. Good guy who thinks he has it made takes a potentially fatal hit, goes down on one knee, wakes up, and bounces back to do his best because he has balls , faith, a good sense of humor, and a wonderful wife. That’s as good as it gets.

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