TURBT

January 27, 1997 – First Hospital Stay, Continued

My refusal to sign the operation afforded me another whole day of waiting. In the morning, I had visits from Dr. Belknap and Dr. Neuwirth, both of which were very helpful in pointing out the pros and cons of the alternative anesthetic methods, but I still hadn’t made up my mind. I wanted to speak with an expert.

Dr. Neuwirth tried to prepare me for the best case scenario, which would involve complete resection of the bladder tumor followed by quarterly inspections with a cystoscopy and possibly coupled with chemotherapy agents inserted directly in the bladder. I found this discussion rather informative, but would have preferred a more accurate reading of my tumor.

Since my daughter was ill, my wife couldn’t be with me the whole time, so I spent the day receiving phone calls and visitors, and listening to classical music, and Dr. Rossman’s tape. Since I couldn’t eat or drink, my thoughts continually turned to food, especially when my roommate ate his meals. In between time, I continued my meditation and visualization practices, which kept me from getting to anxious about the ensuing operation.

At around 3:00 P. M., my wife returned to the hospital, just in time for the meeting with the anesthesiologist. His name was Christophe Dannello and he was very nice. He carefully explained the various options, and with his guidance, I decided to go with the epidural.

TRUBT
Transurethral Resection of Bladder Tumor (TURBT)

Around 6:30 P.M., they came to wheel me off to surgery. I grabbed Dr. Rossman’s tape and headed off to the operating room. I was given a sedative intravenously and placed on the table. A moment later, a small needle was applied to my lower back and I was turned over and placed into position. The oxygen feeder was placed in my nose and my legs were positioned in place for the surgery.

Then… I was gone! I woke up in the recovery room and spent what seemed like only fifteen minutes there. I was taken back to my room and my wife was with me for the next half-hour or so. Then she had to get home to the children, so there I was, lying flat on my back with a catheter in me. I started to feel pain from the epidural and was given “candy” – vicodin. This controlled the pain.

I proceeded to do my “mind story” and had a fairly good night sleep until I was rudely awakened for vital signs around midnight. Luckily, the rest of the night was uneventful, even though I was leaking blood through my catheter.

What is Mindfulness?

Sterling Silver Buddha
Sterling Silver Buddha
Sterling Silver Buddha | Collection of Jerome Freedman

We begin with the question: What is mindfulness? Mindfulness is the act of deliberately paying full attention to what is going on in the present moment without judgment. I’m sure you have experienced moments of mindfulness sometime in your life. These moments of mindfulness can come when you see a beautiful sunset or gaze down on your infant child in awe or in many other common circumstances. You know where you are and what you are doing. The only difference between mindfulness and what you do in everyday life is the quality of awareness. If you are eating something from a fast food restaurant on the run, this is not mindfulness. If you are carrying on a conversation with someone and your attention is on what you will be doing next, this is not mindfulness. But if you are listening to someone with your full attention as if there were nothing else to do in that moment, this is mindfulness.

I am reminded of the Japanese poem:

Sitting quietly,
Doing nothing,
Spring comes,
And the grass grows all by itself!

As the poem states, mindfulness in sitting quietly implies “doing nothing!” In order to achieve this, all you do is sit there!

When we are mindful, we know what we are experiencing in or body, feelings, mind and the contents of the mind. When we pay attention to what is going on in our body, we recognize the life force pulsating throughout our whole being. We recognize the miracle of being alive, which we usually take for granted.  Even so, the miracle is still here, nonetheless. At any moment, we can become aware of our breathing, whether at our nostrils, in our chest, or in our belly. When we do so, we return to the present moment. When we feel our heart beating in our chest or notice our pulse in our feet, legs, torso, arms, or head, we return to the present moment. When we are out in nature and notice the green leaves, flowers, birds, insects, rocks, yes, and even dog poo, we can return to the present moment.

Our feelings are also gateways to being present. Most of the time, we spend a lot of energy avoiding our feelings by watching TV, eating when we are not hungry, going shopping, or simply denying them. However, if we can experience our feelings in our feelings,they too, can be a doorway to being mindful in the present moment. You may ask, “What does it mean to experience our feelings in our feelings?” It means to simply experience our feelings directly, without adding our thoughts, opinions, judgments, criticisms, notions, or anything else to them. We have to let go and allow our inner wisdom to feel what we are feeling. From this, compassion for ourselves develops and we find more freedom of expression. Good explanation!

Our thoughts consist of images, impulses, feelings, memories, opinions and judgments, plans, worries, fixations, mental constructions, and self-talk– the constant chatter that goes on inside our minds. We also have moments of creativity and insight when we are concentrated on something we love or experience awe at a truly wonderful sight in nature. Our thoughts can get the best of us as they circuit around through our brain. However, with mindfulness, we can bring our mind back to our breath or our body and return to the present moment.