How to Cross a Threshold

If you are distressed by anything external, the pain is not due to the thing itself, but to your estimate of it; and this you have the power to revoke at any moment.–Marcus Aurelius

I saw my neurologist today.

After reviewing a recent MRI of my brain, he informed me that the deterioration that plagued my cerebellum appears to have stopped.

“That can happen?”

“Yes. In some cases, brain atrophy can stop.”

“Well, I guess that’s good news.”

He flashed a smile, leaned back in his chair and said, “That’s great news. Four years later…your brain is showing signs of stability.”

Like every previous visit, my neurologist put me thorough a series of tests.

Follow his finger with my eyes. Touch my nose, touch his finger. Open my mouth, stick out my tongue, cluck my tongue. Snap my fingers. Clack my heels on the floor. Stand up, sit down.

He opened the examination room door, turned, “you know the drill,” and I stood up and followed him out into the hallway.

I walked to the end of the hall, arms by my side, made a controlled turn–as if vying for my driver’s permit– and walked back to him.

“Your gait looks good. You’re walking more confidently then you have in years.”

“Thanks.”

We moved back into his office and sat down. He picked up a microphone that was corded to his computer and began dictating the results of my tests. Despite extensive cerebellum damage, the patient’s gait has shown improvement… . 

I commented how when I first meet him, four years ago, he had to scribble down test results and appointment notes by hand.

He smiled, “Yes, this will definitely stave off carpal tunnel for a few more years. But to be honest, I miss the old-fashion thrill of physical note-taking.  But…things change. Do you have any other questions?”

“I do. This may sound weird…I get a little uneasy around thresholds and doorways. You know, like I’m afraid to transition or something.  Is it normal for people with cerebellar damage to have trouble crossing thresholds?”

He leaned back into his seat and crossed his legs, “The brain is wonderful mystery. Even a healthy brain can find thresholds problematic. It’s something primitive. Like the fear the primitive man must have felt while standing barefoot on some rocky ledge, looking for someplace to go.  Crossing from room to room, from one plane to next has always troubled people. Evolution has ingrained it in our psyche. We’re simply afraid of transitions.”

Of course it wasn’t intentional, but he just conducted an unauthorized, in-office autopsy on my life.

“Do you have any advice on how to cross a threshold?”

“Crossing a threshold is often mental. The initial fear of just transitioning from one place to the next often prevents us from progression. But when you find the nerve to finally cross, you realize there was nothing to fear at all. ”

I stood up, shook his hand, said I was looking forward to seeing him in six months. He smiled, spun away, opened the door and disappeared.

I slipped on my coat and strode through the threshold, from the examination room into the hall and back into life.

A life born of thresholds, waiting patiently for us to simply brave up and cross.

Be well,

Jay

What’s the one message about life you would share with your family?

I recently packed up the suitcase, left Cindy and the kids behind (with her permission, of course) and met up with a bunch of long-time friends in Puerto Rico for our buddy Marc’s wedding.

It was a stunning little ceremony, staged outside on a horse farm nestled in the lush Puerto Rican rain forest.

wedding1My friend Jack, a world-renown scientific program manager, a guest on the Power of Creativity podcast, and possibility the world’s worst basketball player delivered a mic-dropping best man speech. A speech fused with the right amount of humor, honesty, and whimsical little narratives to give the Puerto Rican cicadas pause.

wedding2As the speech unfolded, Jack recounted the subjects of the late conversations he and Marc had shared over the years. Dream cars, dream girls, million dollar inventions they should invent ( but never did).

He also relayed to the reception how he and Marc, both who had lost a parent to the ugly antagonist known as cancer, would often discuss the poignant question of…

“What’s the one message about life you would share with your family?”

In March of 2014, after I was diagnosed with cerebellar atrophy, Cindy and I flew to Las Vegas to attend the National Ataxia Foundation convention for medical professionals as well as patients of neurological disorders and their caregivers.

The NAF is tremendous organization dedicated to the “improving the lives of persons affected by ataxia through support, education, and research” and their conference provided Cindy and I, both green in the gray world of neurological disorders, a wealth of valuable information.

Ataxia is neurological disorder, of known (cancer,  MS, ALS) and unknown origins that causes incoordinations, tremors, weakness in all areas of the body.

My ataxia which effects my eyes, hands and legs is attributed to my cerebellar atrophy. And what caused my cerebellar atrophy? That’s the unknown. That’s the question no neurologist, psychic, or holyman as been able to answer.

Like hundreds of others, Cindy and I descended upon the desert looking for answers, harboring hope. A hope of hitting a jackpot of sorts.

Many people at the convention had been living with ataxia much longer then I had. Some were stricken to wheel chairs, some had gone blind, others had lost the ability to articulate words, their speech as inaudible as an tequila fueled wedding crasher.

At one point in the program Cindy and I were assigned to a conference room with people whose genesis of their ataxia was unknown.

We held hands, cleared our throats and listened to people share their stories of their eroding motor skills. How they feared leaving their house. How they lost their job. How ataxia ruined their marriage. How they can’t have sex. How they can’t hold their grandchildren. How they can’t tie their shoes. How they suffer from depression. How they tried to kill themselves.

And as I listened to their stories, watched the confusion and frustration and utter desperation snake across their face, bend the corners of their mouth and fill their eyes with tears, I began to wonder– if this was my future, was life worth living?

Three years later.

A warm, light breeze sweeps across a marble dance floor.

And I’m dancing.  

Or doing something that resembles dancing.

As Ice Ice Baby  fills the DJ’s speakers, as a full moon shifts through a leafy canopy and pulses a hard white light across the night sky, as I’m met by the unsolicited smiles of my friends in the heart of the Puerto Rican rain forest, it’s clear in that moment– a moment mixed with just enough absurdity and transcendence to make it seem like something I dreamt– that the one message I would share with my family is that life is absolutely, positively worth living.wedding3

Be well,
Jay