Having
been on this journey of cancer since 1989, I have had many wonderful
and many terrible experiences. This journey has taken me from being
a Hollywood film maker with cancer, to being an Oregon naturopathic physician who
treats people with cancer. When I stop and reflect, it becomes clear
that I practice medicine to be more fully alive, and to gain insight
into my fears and uncertainties. Fears of doctors, of treatment, of
reoccurrence, of death. Fear of cancer. Fear of the uncertainty of
it all.
Patients
often come to me with the same fears and uncertainties. They also
come with the idea that I have the cure for cancer, with the belief
that I cured myself solely with natural medicines, and with the hope
that I have finished my cancer journey and now have it all figured
out.
What is
true is my medicine rests upon a subtle and invisible pivot point.
This single point gives power to my words, captures the heart of my
patients, and inspires me to continue this challenging work. This
pivot point is based on a single fact—I am still here.
I approach
my patients with the understanding that they are alive, right here,
right now. Everything else is unknown—including the future. This
approach establishes an unspoken communal bond that is intuitively
understood—we are both
still here. We may be bald, shook-up, scared and full of scars, but
we are unmistakably, unalterably still here. There is profound
comfort and connection in this. We feel deep appreciation for just
showing up.
Although
we lust for cure, we are touched and moved by healing. Although we
are shattered by our mortality, we feel the immortality of time
standing still today. Although we suffer, we believe our pain is
endurable. Although we are dying, we choose to live.
Like the
story of the velveteen rabbit, cancer will rough you up, as it makes
you more real. One of my patients frequently reminds me—“I always
remember what you said the first time I saw you—‘cancer is a one-way
ticket to the land of no bullshit’.”
For me,
being diagnosed with cancer was like being bounced around in a tiny
boat in a raging hurricane. I knew my life would never be the same.
Not only was the physical challenge of cancer treatment immense, but
the emotional and spiritual challenge was even greater. Like many
cancer patients, I had been given books, tapes, and plenty of
suggestions about what I should do. But none of it felt quite right
to me. What I needed was solid ground, not a patchwork of other
people’s ideas and advice. If it would never be the same, what would
my life become?
After my
diagnosis, surgery and radiation treatments, I took a nine month
sabbatical from my work as a film maker. My priority was getting my
body and mind back into shape. I moved from Los
Angeles to a tiny town outside of San Francisco
to be away from the film business and have the opportunity to take
frequent hikes in the redwoods of Point Reyes National Seashore. I
hiked with others occasionally, but mostly I hiked by myself. This
solitude became the space to heal. Before cancer I had seen life as
linear, and I feared the end of the line. But as I hiked more and
more, my screaming mind began to quiet down, and I started to see
the miracle of death all around me—I saw that soil was none other
than the surrendered bodies of generations of great forests, and
that dead trees became nurse logs. Nurse logs that sprouted dozens
of baby trees. The circle of life and death became real, even
gorgeous to me; it soaked deeply into my bones. The seed of rebirth
was sown in the soil of my death.
And so I
became something else too. To the shock of everyone who knew me, I
left my Hollywood career and attended National College of
Naturopathic Medicine in Portland, Oregon. Ironically, my intention
was not to work with people with cancer, because I felt that my
healing journey was complete. My intention was to have a general
practice using nature cure techniques. But when I opened my own
clinic, people with cancer started showing up. And the seed that was
planted in the redwoods began to grow.
I realized
that the foundation of my practice is more than protein smoothies,
glutamine, probiotics, herbs, homeopathy and hydrotherapy. It is a
mysterious mixture of doctor and patient, human and human. As I have
come to accept this more and more, it has become both a
responsibility and a freedom. The responsibility to keep walking in
life, open and humble, with an attitude of curiosity and service.
And the freedom to say, ‘I don’t know’. This freedom allows me to
create a medical practice that is a win-win situation for the
medical doctors, the patients, and me. I am left no agenda or dogma
to hide behind. My intention is to leave agenda and dogma behind and
move toward what works. This opens my training and belief systems up
to rigorous and often uncomfortable scrutiny. A scrutiny my practice
must withstand to persist, and flourish.
I believe
there is something exquisitely important that we naturopaths have to
offer cancer patients and cancer doctors. We treat the person. We
expand health. We do no harm. We can use our training to develop
programs to support and restore the vital force of the cancer
patient, so that they can tolerate their oncology treatments,
recover from them, and rebuild the fabric of their bodies and
spirits. I find that inspiring. In this insane world of cancer and
cancer treatment, it creates a space of humanness and healing. And
in that, there is the feeling of hope, confidence, and
wisdom.
So in the
end, maybe that is what my patients and I do together—find the eye
of the hurricane. If you have ever experienced one of those in real
life—and I have—there is an otherworldly magic to it. The colors and
the brightness and the calmness. This magic catches our hearts, and
allows us to breathe again. To gather our wits together. To fight for life, and to
enjoy life with everything we have. In my practice I have seen many
people die, but I have seen almost everyone value breath and
kindness.
These deep
relationships with patients are so satisfying and life-enriching,
for both of us. I cannot imagine practicing any other way. Yes,
sometimes I want to run out of cancer world and go back to making
movies. Sometimes I have had enough of oncology, cancer, doctors,
death, drugs, and suffering. But I come back to the kinship, the
walking together with others on this hard journey. Our touch on each
others’ shoulders reminds us that the journey of cancer never ends,
that from start to finish, it is the journey of life.