6 Good Things about a Cancerous Life Overseas

I have cancer.

The first time I said it out loud, I actually had to shout it into my phone. Like shout. As in, “I HAVE CANCER!!!!!” And since I am anti-exclamation points, let the fact that I just used, like, a bajillion, communicate how loudly I shouted it.

I shouted, “I have cancer,” because I was trying to tell my husband the news.

He is not hard of hearing.

He also was not in the vicinity when Dr. D called.

I was in my car. He was not in the car with me. He wasn’t in the city with me. He wasn’t in the state. He wasn’t on the continent.

See, I got cancer while my husband and I are living on opposite sides of the planet for a season. Don’t worry about us, we’re all good. Going on twenty years of a great marriage. But our twins graduated and sixteen years ago, when we moved to Somalia, I told my husband, “When they graduate, I’m going to spend at least their first semester of college in the US.”

So here we are, sixteen years later.

And apparently, God had a plan for my life. That plan included the superb timing of me getting cancer while living in a country that has the medical prowess to detect and treat it. #miracles

But, ahem, God? What about my husband? One big perk of marriage is having a companion for life’s junk. I don’t like that part of this plan, that part that has him in Djibouti and me in Minnesota, and there is a poor telephone and internet connection and so instead of beating around the bush with something like, “The doctor found papillary thyroid carcinoma,” or, “the test results aren’t exactly awesome,” or even, “They found cancer,” which would imply it was not exactly me, or mine, or inside my body, I had to shout, to be very clear and to make sure he got the message before the internet shut off, “I HAVE CANCER!!!!!” (again, those darn exclamation points).

Anyway. My point is that this international life is hard and beautiful and amazing and sometimes, it really really stinks. Sometimes it means periods of unwanted and un-chosen separation. It means money spent changing plane tickets at the last minute. It means feeling divided. It means lonely grief. Work and team and home on one side of the ocean. Sick wife or worried husband on the other side.

But there are good things, too, about a cancerous life overseas. #learninggratitude #perspective

There are incredible aspects of the life overseas that truly manifest, to my surprise to be honest, during times of pain, grief, confusion, and sorrow.

Here Community. I have had to learn to ask for help and to accept help when it is offered. Why is this so hard? It shouldn’t be. My ‘here’ community for now is in the US and it is a community I haven’t relied on in physically present ways in a long time. Now, they are bringing me meals and driving me around and dropping off bags of goodies and giving me cash gifts for massages or books(!). The generosity of intimate family and friends, as well as near-strangers is breath-taking.

There Community. We have the incredible privilege of a ‘there’ community, which right now means an internationally located one. Usually, these two communities are reversed. But for now, over there, people are caring for my husband while we are apart. They are bringing him meals and having him over for game nights, celebrating his birthday, and checking in on him. And they are sending messages to me of encouragement. Kindness, compassion, practical care. People abroad know that we are all abroad without our closest families or friends and they step up. Local people and other expats. They move in and hold our fear and grief and it is precious.

Surrounded. I have people praying for me literally all over the world. Which means at all times of the day and night, too. I have people from all manner of faith traditions praying for me. I find this so comforting. I feel it, I feel like the inside of a Twinkie, the creamy middle. I feel weak and squishy and like, if I weren’t surrounded, I’d spread out all over the place in a goopy mess. But the prayers of my Muslim and Christian and Jewish and no-faith people are holding me together, holding me in place. I got a prayer message from a dear Somali friend the other day and nearly cried. This is such a profound and unique gift.

Thankfulness. A lot of thankfulness has to do with perspective. I have so much to be thankful for. Hospitals with no wild animals wandering through them. A knowledgeable well-trained surgeon. Fully stocked pharmacies with medications that are not expired. The timing of this adventure. Clean drinking water. An abundance of nutritious food. Toilets that flush on the first try. Hot showers. Fifteen years in a developing-world country has radically changed my perspective.

Identification. I don’t know what it is like to be a refugee or to see my country decimated by war. I don’t know what it is like to watch my children go hungry or to bury a loved one who left too young. But every bit of pain, when it is not ignored but faced, thins out the dividing lines of race, religion, wealth, politics. Like the Grinch, our hearts can grow three sizes in one day, if we choose empathy. When we make space for our own pain, space opens up, almost magically, to hold the pain of others, too.

Joy. I’m not going to say look at the poor, they’re so happy. But I will say that people who have suffered, and that always includes poor people, can develop reservoirs of joy that the healthy, strong, and powerful will never know. It is a ferocious and subversive joy that refuses to be smothered by loss or pain and because of where we live and who we choose to love, I have seen this with my own eyes. I can draw strength from that example.

What are ways that living abroad while going through trials has brought unique blessing into your life and home?

How Will You Know When To Go Home?

Lis and Mike Jan 2014Three weeks ago, just after Christmas, we learned that my husband, Mike, has testicular cancer.

We were in Thailand at the time, on a three-day getaway from our home in Laos. Mike had noticed something different downstairs ten days previously, and we’d scheduled an appointment to get it checked out in Thailand while we were there (Laos medical facilities are, shall we say, sub-par).

Right up until the day of the appointment, I wasn’t worried. The chances of it being anything serious are so slim, I reasoned. And after everything that’s already landed on us in the last two years – a baby’s broken femur, my broken ankle, depression, Mike’s two herniated discs and spinal surgeries – it’s so not our turn for this sort of medical drama anymore, amen.

I was carrying our five-month old and simultaneously trying to prevent our leashed and unhappy two-year-old from climbing into a fishpond, when Mike walked up to me after his appointment and said the words: “I have a tumor. It needs to come out as soon as possible. The doctor said it could be life-threatening.”

Well. So much for not our turn anymore.

As we were driving back to Laos the next day, Mike and I began to do something we’ve gotten rather skilled at doing – planning for how to deal with a medical challenge in Bangkok while we continued living in Laos.

During that drive home, we decided that Mike would leave ASAP to have surgery in Bangkok while I stayed in Laos with the kids. If further treatment was needed after that, we hoped that perhaps Mike could commute to Bangkok for radiation or chemotherapy and then return to Laos and work in between treatments.

It seemed like a good plan to us. It didn’t seem like such a good plan to two of our good Australian friends – both doctors – who are also currently living in Laos.

These two friends came around to our house that day after we arrived home from Thailand. Over the course of the next three hours they lovingly but firmly laid out all the reasons why, given Mike’s test results, we should all catch the first available flight to Australia.

Forty-eight hours later, one minute before midnight on New Years Eve, our flight from Bangkok to Brisbane lifted off. I believe we were being serenaded at the time by our exhausted two year old screaming in rotation, “COOKIE MAMA, RIGHT NOW!!” and “OFF PLANE!!”

Now it’s the 20th of January. We’re living at my parent’s house. Again. Mike had surgery in Brisbane six days after we landed in Australia. His tumor turned out, as expected, to be cancer. What we didn’t really expect was for a Stage 3 diagnosis. Lymph nodes in his groin and his chest have already been affected. I’m writing this article in the oncology unit, sitting beside Mike. The nurses are preparing to hook up the first treatment in what will be at least nine weeks of chemotherapy.

I am so profoundly grateful that we are not in Laos or Bangkok right now, and that our kids are being watched over by their grandparents while I’m here.

I was wondering yesterday what to write about this month that might be relevant to you all when this question popped into my mind: How will you know when it’s right to leave the field?

Our first inclination when Mike was diagnosed was to stay in Asia. We only decided to temporarily relocate to Australia because we invited, and then took, the advice of two friends who knew more than we did about what we might be dealing with.

One of those two doctor friends reassured us as we were still trying to process stepping away from Mike’s job, our house, and “normal” life for an indeterminate amount of time.

“The specifics about your house and everything else will sort themselves out,” she said. “They always do. And within six months this will all most likely be behind you. You’ll be back. You just need to step away for a while.”

What sort of situations or warning flags would make you decide to step away for a while, or even leave the field permanently?

Sometimes we’re faced with a pretty clear crisis point, like a cancer diagnosis, that raises the question of whether to go or to stay. Speaking as both a psychologist and someone who has been through a couple of those crisis points, I can tell you that no matter how calm you feel in the immediate aftermath of a crisis point, you may not be thinking logically and rationally. Right when you need to be making 101 important decisions, you will not be at your best.

Make up your mind now not to go it alone during those moments. Who will you trust to help you untangle your options and to give you advice? Think now about who could be a good sounding board for you then.

Beyond that, however, think about what sorts of seasons and reasons should cause you to at least consider leaving the field. In the absence of a specific crisis point, we can slowly acclimatize to all sorts of stresses and strains without realizing the extent of the pressure that we (or our relationships) are under. That proverbial frog in the boiling pot of water might have survived if he’d kept his eye on a thermostat. Along those lines, we should keep some of our own personal and relational thermostats within view when we’re living in potential pressure-cooker situations. When you choose to live overseas, it’s wise to identify some personal warning signs that should prompt you to reconsider whether your life overseas is worth the cost that you and your loved ones are paying.

What signs of marital strain would act as this sort of trigger for you? What about issues with your children, or your (or a loved one’s) faith, job, sense of vocation, or health? Where would you go if you had to leave the field on short notice?

Think about these questions this week. Talk about them with your partner, friends, or family.

I hope you never have to put any “emergency exit” scenarios into place. But if you do, I hope you’ll know when to leave and that you’ll have somewhere soft to land for a season while you sort out your life. On those fronts, at least, Mike and I count ourselves blessed.

Share your wisdom with us all. Have you ever had to make an emergency exit from your home abroad? What helped you during that time?

And, what sorts of reasons or seasons might prompt you to leave the field?

Jan 19, 2014: A family "everyone still has hair" photo shoot.
Jan 19, 2014: A family “everyone still has hair” photo shoot.

Lisa McKayauthor, psychologist, sojourner in Laos
Website: www.lisamckaywriting.com      Books: Love At The Speed Of Email and My Hands Came Away Red