ureteral stent

the latest appliance

ureteral stent

Today marked the end of a small, unpleasant eight-day epoch with the removal of my ureteral stent. I won’t bother posting links because you can look it all up yourself.

The fear set in last night. I did my best not to give this fear too much energy. Really, I slept pretty well all things considered. This morning I resolutely did my housework bits, and went off and picked up a sangha member to help her with her spiritual walk. 1:30 PM on the waterfront with my ladyfriend I took a couple Alleve and drank a healthy portion of water, the sunlight streaming in through the windshield and (most) everything okay with the world. My husband met me at the urologist’s and we sort of grimly waited events. The procedure was harrowing and unpleasant but not over lengthy. The urologist triumphantly held up the stent to show me, but I couldn’t look. I was too upset about what had just occurred. I thought it best to be quiet and courteous. Those were the behaviors I hung my hat on.

After I got dressed, Ralph and I met with the urologist in his posh little office and he confessed I was having too much trouble. Time to make an appointment with another specialist. Not really what I want to hear but, I am not driving this bus. I am along for the ride.

If I hear one more person telling me they’re sure I’ll feel better soon I might just have to slap them. No one can make that promise. Why bother? Wishes and prayers for my health and pain-free experience – I’ll take those.

Warming up outside and a bright moon; waning from the apex last night. My daughter and I on a walk with our dog, whose spirits are inexplicably low. His tail is a bit low and he seems cautious. I guess I kind of relate.

no family is safe when I sashay!

I’m up before the children – three, in all – and I have those few minutes after my husband leaves for work, and before anyone else joins me. I shower, and dress. No makeup but a little lipstick – hair back in a slouch cap. Dishes, and laundry, and tidying up some tailoring work as we’ll be expecting company throughout the day.

Now I wake up the children: first, my son, who is frightened over the vaccination he’s set to receive this morning. Then, the girls: my daughter and the kids’ friend C. We’ve got to hit two doctor’s appointments back-to-back. We’ll be doing that before we get a meal out together.

It’s rainy out but I have a little coffee in my Nalgene bottle, and my warm scarf. The kids are cheerful company. Phoenix is a young woman now and would no more skip a morning shower than I. Her hair is wet; her face dear freckled face snubbed with a little powder. At the doctor’s, she finds some women’s magazine – Jane or Marie Claire or something – while the other young girl finds a Highlights.

People in the office, and later running errands – so many seem so unhappy. Irritable at those minor delays that happen everywhere. At the taquería working class men look me up and down as I ferry drinks and napkins and salsa to the table. I eat slowly, checking my phone. Enjoying that first meal of the day. I eat until I’m satisfied. And now: I must get us home. Drop one child off, receive another. Put together a few Christmas gifts.

It’s cold and rainy; my car is giving me fits. Tomorrow is payday so tonight I can write a check for our dinner, and for Christmas Eve dinner. My husband is tired – as tired as I. My knees, my neck ache. My son runs through the house, first acting out every song in “Jesus Christ Superstar” (he’s still quite fixated); later, in a pair of neon green boys’ briefs that match the garish bandaid on his thigh – his vaccination site.

The rain, the curious meow of kitties needing love. Keeps me company as the house falls more and more still.

twice blessed

My first experience with the benzodiazepine I am currently taking, was back in 2011. A doctor – whom I trusted, and still trust – prescribed it to help me with the symptoms of alcohol withdrawal, anxiety, and onset insomnia. He told me this low dose would help, and was very safe. He specifically told me it was a very low dose and I could take it for years with no ill effects.

I took the medicine, with some misgivings. It was primarily this faith in the doctor that kept me willing to dose myself with a nightly sleep aid – although I couldn’t deny it was very helpful. Even so, I worried. As I got, and stayed sober, my avocational work in a treatment center taught me a fear of pills that was perhaps overblown. I was brought alongside many, many people who were addicted to pill medications (those still using, and those who had successfully stopped). I heard story after story of the various medications people took in good faith – only to became addicted to. Some quickly, some slowly. Some ended up on heroin, some smoking pills all day long, some dumping almost anything into their system in any way – through needle, ingestion, snorting, smoking. Many people afflicted with prescription addiction end up doctor-shopping, or embroiled in even more unsafe activities – buying pills off the street, stealing, or hustling. One man I know would in goodnatured fashion offer to help older women with chores or yardwork – then tell a sad story about being cut off by a doctor who didn’t understand, so he could get what he needed. In the hundreds (thousands?) of addicts’ stories I have heard, the natural fear of self-poisoning and the desire to be good citizens was inevitably overcome by their body’s need for balance – to feel good, to sleep, to work, to feel okay, to feel normal.

On the one hand these stories scared me; on the other, my medication worked as intended, and I was conscientious. I took my medication exactly as prescribed by this good doctor. I discussed my medication with trusted friends in Recovery, who had experience with such matters. I met with my doctor every few months and brought up the medication, and my concerns at taking a medicine long-term. He assured me each time that this medicine was safe to take for years, and that I could quit any time without ill effects. He told me I was trustworthy.

After about a year, I stopped taking the medicine – cold turkey. I had some trouble sleeping at first (as I read in my journal), and then life continued on.

I didn’t take medication for almost two years.

But in late April this year I visited my doctor and told him my sleep problems had kept up these last two years, and seemed to be worsening. He prescribed the same medicine, and the same dosage.

Back to sleep. Night-anxiety – solved. Instantly. No more waking up after only moments asleep, with a feeling of panic almost impossible to describe. Relief – finally.

But my newfound regimen was to be short-lived. On June 1st I read an illuminating article on the use of benzodiazepines – an article that said, to wit, that many doctors are prescribing a powerful medicine for the long term, and that this is not wise. (The article is worth reading carefully; many people you care about – perhaps even yourself – are affected!) Even though I’d only been taking the medicine for five weeks when I read the article, I was already ready to re-investigate continuing this treatment. I looked further into this particular drug, and testimonies from those who took it long-term (by this I mean, any regular use over two weeks in duration). I became curious that perhaps some of my two years’ of sleep problems might be related to my original abrupt cessation of dosage – since I hadn’t known any better than to stop abruptly.

I have been tapering the medicine, in a conservative and responsible fashion, and with my doctor’s help, since June 1st.

It took about a week for drug withdrawal symptoms to set in. They are mild (especially compared to some!); nevertheless, they are unpleasant.

But – drug dependence is easier the second time around. Or it has been, for me. I know healing is possible, and I am patient. I am very grateful for this. I am not angry my doctor prescribed a medicine, and a course of medicine, that wasn’t right for me. He was not trying to harm me. He was trying to do the right thing.

One quibble. The article above is a good one, and may perhaps prepare people to be wary of these particular drugs, or be in a position to support those who decide to stop taking them. However I dislike the concept, or the phrase, “accidental addict”. I dislike the term “addict” anyway, unless self-applied (people first language, please!). And anyway – what bollocks! No one ever sets their sights on becoming an addict. We all use medicine. We seek alleviation from symptoms. We have a drink to relax. We start smoking to take the edge off our stressful day. And we use our medicine – “recreational”, “alternative”, self-prescribed or prescribed by a doctor, socially-supported or illicit – because we seek relief. One day we begin to know we might be overdoing it. But by then we aren’t in great shape. And the next day, overnight it seems, we find ourselves in a predicament. Our bodies are deranged; disabled. Healing – should we embark on the journey, should we even believe it possible – takes time.

My family and friends support me. My doctor supports me, and I support myself. I write here not because I think anyone in particular is owed an explanation. I write here because I write to be honest, and to be myself – and I tell my story, as long as I don’t harm others in telling it. I also write here because I know others who have these kinds of troubles, sometimes read my blog – and find hope, and support. I have received emails, texts, comments, letters, and phone calls over the years that tell me addiction and compulsion touch many, many lives. I can’t do much to end the stigma and shame of drug addiction, drug dependence, alcoholism, eating disorders, mental disorders, or any number of “invisible illnesses” that plague so many. But I can do a little, and telling my story is a part of that.

I am looking forward to being drug-free again; this time, without the horrid and longterm symptoms of cold-turkey cessation. Life is an adventure. Let’s see what happens next!

 

there and back again

Day surgery, a surreal experience. I slept poorly the night before but if there’s one thing I don’t need great sleep for, it’s anesthesia.

If you read here you probably know: I am terrified of medical procedures that involve being put under by narcotics. I am also terrified of needles. I mean my fears are huge. I don’t know why, and perhaps I will ever know. Today I accept these fears with a great deal of patience and kindness.

That’s all well and good, but these fears mean I have a hard time with all the minor hurts and indignities of the before-preparations. Like now: the nurse fiddles about trying to insert an IV in my left hand and instead stabs through the vein. The room fills with a small sadness as I turn my head and try not to cry. She hushes and wraps my hand and applies pressure, and tells me “sorry” several times – like about five. I am thinking this is not professional, but what is even more important and precious, I can tell she doesn’t want to hurt a patient. It is very amazing to me that some health care professionals, even after how hard they work and how much they see these things and worse, can still have that empathy over my little bit of pain. It really softens my heart.

My husband hates more than anything to see me suffering – it is kind of his Worst Thing. So even though he’s committed to being with me every moment, I know he’s uncomfortable here. I tell him he can go, I am okay. He tells me unless I request for him to leave he is going to stay because he is committed to being there for me anytime shit is rough.

The nurses come and go and now and then it’s just Ralph and I, sitting in the sunlight, both tired, both nervous. We turn and look at the cheerful placard that reads: “Tell Us What We Can Do To Make You Feel Safe!” I whisper to my husband in busted-down sotto voce, “Please stop stabbing me with needles!” He laughs but his eyes fill with tears. He jokes back, “Quit taking my clothes off and hurting me!” We implode into small fits of laughter and even though I am tired and frightened I am immensely cheered.

More procedures. More needles. I’m thinking, I will give you bastards one thousand dollars if you at least let me wear my bra and underwear under this hideous “gown”. I’ m not happy sitting here like a naked mole rat covered in thin cotton. A few specialists come by. They comment on the rarity of meeting someone on Zero medications. They tell me I am healthy, except for the reason I am here, for which I feel grateful. One specialist comes in and speaks to me in such a condescending, ridiculous fashion I gleefully store the exchange in my heart. If you know me IRL I am happy to relay an impression of this hubris to you, as it makes me laugh still. Then the final specialist: an anesthesiologist. We talk a bit and he has that efficiency and expertise of someone with the responsibility of placing another human being in death’s arms and then bringing them away again. He starts me on the medicine and begins to wheel me out the room. I tell Ralph, “Bye,” and I know I am going off to Won’t-Remember.

The morphine kicks in and it is not pleasant – I feel my body squeezed in a hot vise and I feel myself taken away to some other place, from somewhere in my chest.

Only a brief memory of the stainless steel, the friendly surgeons and other personnel, quickly and efficiently sticking sensors to my skin.

When I swim to consciousness and out of a hallucination (a twisted brick path, a nameless creature upon it) my throat feels terrible. It is sore, filled with the acrid taste of whatever lubricant they used to get me on a breathing apparatus. A kind nurse comes and helps me swab and rinse my mouth. She floats in and speaks to me with such gentleness I feel safe and cheered; she has no sadness in her body language or voice so I know I am Okay. Nevertheless, a few moments later I hear two other nurses, one of them disparaging drug addicts who come in with abscesses. I want to tell them of my dear friend who came in this way, and has now been clean and sober since this last event. But I am still muffled under fog and shifting sands and even five feet away they are not reachable.

As soon as I can speak, I ask if I’d had a stint placed. I am told, No. My mind eases a bit.

Back in day surgery my husband is given back to me and I am supplied with a small tub of high fructose corn syrup-sweetened cranberry juice. Nothing tastes better. I know I will vomit everything up again, but I am simply too thirsty not to drink it.

A wheelchair out to the car, a ride home. Vomiting and then again, and then rest.

And yes, in the evening after I slept, I pulled myself out into the world again. I participated in some work with other alcoholics – a very small meeting. I did this because I was okay to walk, and to speak, and it’s something I do if I can. And at first, I thought I was fine. But once I got home I was exhausted, and threw up again. That kind of violent even-out-the-nose vomiting.

But again, I am pretty serene. The vomiting will pass – it is the medicine, and I am sensitive to it.

I am still feeling the gratitude of being awake – and not having a bunch of needles and appliances in my body.

So today: more recovery. Trying to rest instead of working too hard. Hoping I can poop. Believe me, pooping after having morphine is like, a huge milestone of joy for me. I remember in November 2011 having a procedure, and being constipated (my first time ever) and boy by the end I was in fervent prayer.

And on that topic, my brother sent me a link. Read not one review, but several. You will be in tears by the end.

for a while I was dealing in tears and powders

I realize after a few minutes that I have been sitting in a living-cringe position. The waiting room at the doctors’ is crowded and every now and then the bored and somewhat hostile low-level buzz is perforated by a dog’s mighty WOOF. Let’s stick to the facts, because it’s my dog. He’s outside being massive and friendly – and being naughty, and getting rewarded by every stranger who passes and gives him love. I haven’t figured out how to get my dog not to bark when he’s tied outside, and I’m inside somewhere. Because he is SILENT AS THE GRAVE at home and doesn’t bark for any reason whatsoever (even when the children want him to) but then he does this!

So anyway, how I handle the dog doing his thing is I pretend it’s not my dog and I don’t know whose dog it is. But I am sitting in a defensive posture because I’m just waiting. Every now and then a patient walks outside and praises him and calls him a Sweetheart and then leaves the outer door open so a few seconds later his WOOF reverberates through the whole building. I don’t want to step out and close the door because he’d see me and he might think he’s getting what he wants.

I sit for an hour and fifteen minutes before I know I have to leave, no doctor today. I talk to the receptionist then I step outside and pack up my bike and an older woman approaches me: “Is that your dog?” And I wait to hear an admonition or something but instead she says warmly, “He’s so faithful.” Right, like he’s a Goddamned Champion! An even older man follows right on the heels of this woman, tottering and walking so unstably with his arms out so he looks like a small child, he trips towards us and his eyes are open in surprise, whether at my magnificent dog or because he’s about to fall I can’t tell before I turn away. This woman, then, catches him up and I swing my leg over the bike and my dog and I are off.

I’m home and I flush some medicine and I feel better about that. And I make a pot of coffee and light a candle and say some prayers.

I write a list of things I want to get done but I lose the list.

I gather the kids up and climb in through the passenger side of my car. My driver’s-side window shattered the other day and any time I move the door a bunch of glass settles deep inside and makes unsavory crunch-noises. It will get fixed soon enough.

I take the children to lunch somewhere they really like and I feel a little bit better than I have been.

We take two walks out through The Flats and back. The first walk is so hot I strip down as much as is decent. The second is in the gloaming and swarms of gnats accost us. We walk past a dark car and a woman inside, crying. I know her. She rolls the window down and greets me. I ask if she’s Okay and she shakes her head No. But she puts her hand up and signals I leave. I place her back where I found her and I walk on. I say a prayer for her but I walk on.

Home and I run a hot bath and make hot tea.

life in a northern town

Today:

I drive a gal, and her infant child, up to the treatment center where I do my Wednesday volunteer thing. I remember her coming through treatment, pregnant. She’s still clean and sober today, and she looks and sounds amazing. More wonderful still, she has a beautiful baby and watching her haul that little one around town while she does her thing is just – inspiring. Fucking amazing. A few minutes after we arrive upstairs she slips out and returns with a blanket over her shoulder, breastfeeding. It’s a real sort of stunningly-beautiful thing. Words can’t describe. She has so many things against her but she is meeting the world with a smile,  and she’s pulling others out the Pit. For real.

An hour later: my kids gird their loins to receive influenza innoculations. The nurse comes in and tells them they can opt for the nasal spray. They’re thrilled. I snap a picture (Nels is saying, “TRoooooOOOLOO!“):

Jubilation

In the afternoon: we travel to the pharmacy where I get my influenza vaccine – an injection. The kids crowd in the little cubicle with me and give me comfort, full of beans now that their vaccinations are over. Tomorrow I give blood; another needle. Ugh!

In the afternoon: I find out someone I care about is staying sober. Sort of, I amend my statement, as I think they’re smoking pot. This person is opening up to me more, probably because they know I don’t look down on them for what they’re going through. It’s wonderful because I have the freedom to just enjoy today, just enjoy this person when I see them, not start plotting their life or figuring out their problems. Not taking territory that isn’t mine, that wears me out. It’s hard to let people have their problems, though. Well anyway, it’s hard for me.

Later: my kids, mother and I walk the dog along the bay. It’s cold as hell and the wind has picked up. Hutch is happy to cavort in frost-chilled terrain. Our dog has lost forty, that’s 4-0, pounds. He is a MAGNIFICENT SON OF A BITCH, as it were.

Tonight: a friend comes over so we can show her how we make pan cubano, and share a vegetarian meal. Neighbor kids come in and out, and sometimes I lose count of who is over until we set the table which is when I gotta figure it out. A girl from a block away joins us for dinner and it’s so cool to listen to the kids’ world, how they see things, what’s important to them. Phee lectures our younger guest about proper etiquette and hygiene during the flu season, including differentiation between a live and killed vaccine, and guidelines for family members who have infants in the home.

After dinner my daughter does the dishes and my son makes up a large labeled jar for us to deposit spare coins; passionate about gaming, especially platform games, he hopes to buy a Wii U. A few minutes later and Ralph and the kids are out to take the dog on his last walk of the day.

Life is really good.

Cuddles

***

We are still accepting donations through Paypal. I have been using these funds through my new Paypal card, which means I am buying groceries and food on the same days we get donations. It is a fabulous system and every dollar has been a dollar received and spent, in gratitud. (As far as I can tell though, I will need to seek paid employment; I have to write about this and soon, too!). The support has meant a great deal to us in a month with a doubled-up electricity bill (and yes, we know about the averaging program and have used it in the past).

Long story short: this means if you’ve donated here you are “the village . Raising not just my kids, but the neighborhood kids, the people I (try to) help, the community I’m a part of, and now so are you.

So: thank you.


little snagglepaw with her sad whiskers

Two days ago I began to worry for the health of our little kitty Hammy; yesterday I was down for the count for several hours with severe kidney pain. Today as I recovered, my daughter’s earache got bad enough she began sobbing from pain. Missing a car – it is in the shop for an unexpected repair – I was fortunate enough to get my mom’s van to take Phee up to the ER.

It’s been a rough couple of days.

I am in a place that instead of being anxious we are racking up an ER bill I can be grateful we have access to medical care. I am glad I know my kidney pain is not a serious health condition, it is merely severe pain. I am appreciative of friends who’ve sent loving emails, tweets, and texts about my kitty, and for a friend who offered to let us use her vet credit balance so we could take Hammy in. Little Hamilton seems to be getting better as we bought some high-protein high-calorie food and have been carefully feeding her small doses every couple hours (she won’t eat her regular dry grain-free food).

Phoenix is on medication and feeling better.

Despite my experience of gratitude and support, I am a little down. I thought I’d be honest about that here and in other public spaces.

Thank you, again, to the friends who’ve been so loving and supportive.

undefeatable; not by their nature, but by your approach

Sticks & Sticks

I haul my daughter out of the house full of kids, and one parent in the back room smoking pot. I’m pissed even though I know this person is just getting by. It’s nothing personal and has nothing whatsoever to do with me. That said, in my field I do with regularity hear about the kind of stuff that goes down in homes where the adults in charge are Lotus Eaters, and heck I lived a bit of it. Are my kids in danger? Probably not much. Possibly not at all. But you’ll excuse me if I’m not always entirely sanguine about it all, 24/7. Sometimes my tolerance is a bit low. My kids are still little, remember?

Just getting by. I get it. Today I got a text from another friend, relapsed/relapsing, out drinking and/or drugging as I type this, asking for a ride earlier – I suspect, to find more substances to put in his system. Lest you think this isn’t a big deal, it is my opinion this young man may very well die a young age. Or he may never drink again and live a long fruitful life. Anything could happen. I’m thinking of him as I lie on a cold slab getting a picture of my insides. The x-ray technician and/or radiologist and I talk a bit, and pretty soon we have a few laughs. She is sweet and kind. As per usual when I leave, she wishes for things to get better. This is a lovely thing. You’d think people would get bored or apathetic but usually medical staff are kind. Usually people are kind.

Later in the day at an appointment with my specialist he laughs handsomely and tells me the latest about my kidneys. It’s not great news, but it’s much better than it could be. For this I am grateful. While he taps on the laptop I notice a striking piece of jewelry; I ask if the feature setting is an opal. He tells me it’s an elk tooth – “elk ivory”, he corrects himself. “Oh, did you take the animal down yourself?” I  ask. He tells me yes. “With your bare hands?” He laughs again. He probably thinks I’m being a jerk. But I am just irreverent at times. He looks like a stock photo picture of a handsome doctor, and I like the image of him grappling like a caveman.

Home, and in the afternoon four kids from other families streamed over at our house. Arts and crafts! One of Phee’s very off-hand dragons:

Phee Draws A Quick Dragon

The children all did a lot of drawing (Each child is so expressive! It’s cool.), and then they played this game where they said existentially-silly sentences and then laughed with much gusto. Nels was in the forerunning with, “I don’t believe in soup.” I thought that one was pretty good. And let me tell you, the kids played this game for several minutes running. I’m folding laundry now and a bit later I hear my son regale the crowd with, “I forget to close my eyes when I run into walls, because I’m allergic to semen.” So at that point I think maybe we should have a walk, play a different game.

Nels, playing Terraria in his sister’s pink robe:

Nels, Late Night, Pink Robe

Today. A pretty good day.

don’t set me free / I’m as helpless as I can be / gimmie some good ol’ lobotamy

My IV

Today’s medical procedure went well. I went in at 10 AM and was back home by 2 PM. I am still under the influence of drugs in that though I feel well-rested and relatively clear, I am also tired and don’t feel capable of nor interested in jumping up and doing the dishes or sewing or walking. There is also some physical pain involved, so I figure I might as well write.

I might admit here I was very frightened. There were two distinct parts to my fear: that of being forcibly put to sleep and administered Versed for amnesia (a friend a few days ago helpfully said, “They make you DIE then bring you back to LIFE,“),which was by far my most squicked-out climbing-the-walls terror bit, and the thought of the procedure itself, which reminded me of something you see in alien abduction movies.

I was very scared. The nurses were very kind. The one who put my IV in messed up the first one. She worked very hard to make everything fine and she was very kind to me. That kind of sweetness blows me away, after all it is quite minor to have an IV put in, but her kindness meant a great deal to me.

The squeamish may not want to read this. Besides very minor bruising in both hands (from the IVs) and the faintest ache where they jabbed me in the ass  with an antibiotic shot, my entire bladder/pee area feels like it was scraped gently with a slightly rusty nail, perhaps affixed at the end of some flexible tool for thoroughness. I have never had a urinary tract infection (to my knowledge), but I’m guessing it feels something like this. Besides the constant pain, when I pee it feels akin to an injection of lemon juice through this particular area.

Sorry, I did warn you.

I have to go back to the doctor for more medical stuff but for now, the findings and procedures today were sort of best-case scenario regarding an acute situation, and I’m very grateful.

I am also grateful for the many acts of love, support, encouragement, and practical assistance from friends and family. I hope when I feel better to set my mind to rendering a picture, here in text, of how lovely people can be.

Now I’m getting off the computer to eat some fried chicken my mother brought over. And try to ignore the whole #$@!-pain region, which medication helps with but does not eliminate.

Skin Graft. Smiley Face!

Like Ya Do

nothing more dreadful than the habit of doubt

I am supine on the cold table and something is beamed at me and takes pictures of my insides. The technician is very friendly and conversational, quite professional. I am subdued because I have been enduring medications and procedures that are not especially fun, although I am struggling not to retain a poor attitude. My children are in the hallway, clean and neatly dressed, reading to themselves. After I get my pictures taken I dress again, gather the kids up and get them a bubble tea to share before we head to the specialist’s.

After review of my results they tell me a series of little reports, mundane to their field of expertise, but each one a blow which threatens me into a smaller and smaller corner of myself. They recommend a procedure that will involve general anesthesia and intubation, have a device installed within my body, and then wait two weeks where I must rest while likely enduring chronic pain that cannot be corrected by medication, during this time which among other restrictions I am recommended to not lift more than ten pounds. Two weeks of very likely chronic pain. This sticks with me and the fear threatens to consume me. Then after this time, the removal of the device, a procedure which also hurts, lots. When a doctor tells me it hurts, I know it hurts more than they say.

Today I am not in much pain, but I am in some. I am not in as much pain as I will be, so I take that time and enjoy it. But what to say when people say, “I hope you’re feeling better”, and things aren’t better? We assume those sick improve, but not always so. I should know this acutely watching my father go through cancer (and, worse, cancer treatment). Sometimes there is no “better”, or better takes time.

Attending me I have a loving family, competent (as far as I can tell) medical personnel, some medical insurance, and most of all, my sobriety and spiritual practice. Indeed these last two are the only things I can rely on, these practices. I can tell you without them I would be consumed, eaten alive by fear and misery.

“The whole secret of existence is to have no fear. Never fear what will become of you, depend on no one. Only the moment you reject all help are you freed.”