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Being human Medicine Reflections on Life, Being Human, and Medicine Reflections on the Christian Life Updates on my health

The Crossing and Lessons Learned Along the Way, Part 2: How to Survive the Night

This is the second in a series of posts about sailing across Lake Michigan. On October 4, 2019 we sailed 90 miles over 14 ½ hours making the trip from Holland, MI to Racine, WI. We were powered entirely by the wind. We sailed through the night planning to arrive in the morning. We set out on our journey at about 4 in the afternoon. All was good in the light of day. Watching the sunset was enjoyable as we sailed along. But then the darkness came. 

In sailing, and in life, the night can bring a lot of challenges. Everything is harder in the night. Problems loom larger. Solutions are farther away. How do you survive the night? 

We took turns on watch.   Rule 5 of the COLREGS states: “Every vessel shall at all times maintain a proper lookout by sight and hearing as well as by all available means appropriate to the prevailing circumstances and conditions so as to make a full appraisal of the situation and of the risk of collision.”  This means that you need to keep someone awake and looking for other boats.

Every couple of hours we would rotate who was on watch. Most of the time the autohelm was running. All that was necessary was to ride along and watch for other boats. I have an AIS (Automatic Identification System) attached to my GPS/Chart plotter. All commercial vessels are required to electronically transmit their identity, location, speed and heading. This information will show up on my chart plotter. I turned on an alarm so that any vessel coming within a mile of us would sound an alarm. This is a nice safety feature.

It was a dark, cloudy, moonless night. The cool October air was chilling me. I started the evening in a long sleeve t-shirt and a light jacket. By the time of my middle of the night watch, I had put on every coat that I could fit. The air was cold, and the wind whipped around me. I had on 4 layers plus heavy gloves and a hat. On top of this was a Cat 5 life-vest and safety harness. Hooked to that was a tether connecting me safely to the helm. Jim and Joel were below trying to get some sleep. It was very dark. I could see the green and red shadows from the bow lights and a dim glow off of the chart plotter but not much else. I couldn’t see the water or anything around the boat.

All alone in the middle of the night in the pitch dark you can begin to see and hear things. I saw lights. Strange and fleeting lights would appear. Sometimes I thought I saw police or fire strobes. At other times, I could swear there were other boats that I saw off of our bow. One minute I would see what I thought were their navigation lights and then the next minute I would not.  I would check the chart plotter for any AIS data. No boats were indicated. It was eerie and strange.  The lights would appear and then disappear, likely the result of some strange refraction of light off of the overlying clouds. We were all alone in the middle of Lake Michigan. There never were any boats there. But at times I was sure I could see some.

I heard things. This was perhaps even more disturbing. All alone at 3 am in the pitch-dark night I was surely hearing things that I shouldn’t have. Without an engine running to drown them out, the sounds were more evident. There were, of course, the creakings and sounds of the boat, the sails and the rigging. But in the quiet, dark, and alone moments I heard other things. I could swear I heard a child talking. The voice was just off of the side of the boat.  It sounded like it was just 10-15 feet away off the starboard side of the boat. What was it? I would strain my eyes, but everything was black. I couldn’t see anything. And then I wouldn’t hear it anymore. I would laugh to myself. Of course, no one was there. Right?

I have read many of the wild stories of the sea. Sailors have claimed to hear all sorts of things. In the dark, deprived of sight, you begin to focus too much on the sounds. I suspect it was likely just the wind and the waves and the fatigue in my brain. Wasn’t it?

There is such a thing as too much focus. Obsessing can cause a loss of objectivity. There are those games where they show you a picture which is zoomed in really close on an object. Zoomed in too close you cannot tell what it is. The irony is that the harder you look the more likely you are to get confused. The truth can be lost in those moments of obsessive focus. It is only after you pull back the zoom that you are able to again see everything in perspective. When you pull back and relax your focus, then things become clear again.

We must beware the deceptions of obsessing. Kate Bowler[1] is an amazing author and speaker. She is a historian at Duke Divinity School. JJ has been working on her staff. At a young age and as a young wife and mother she was diagnosed with incurable metastatic colon cancer. The irony is that this diagnosis came in the middle of her PhD studies on the prosperity gospel. As she faced an enormous personal challenge, she was plopped in amidst people telling her to “just have faith” or to “name it and claim it.” She has developed a powerful message of truth and reality that goes beyond platitudes of optimism and positive thinking. In her words you can see a faith that is not naïve, but which is intensely honest, strong and real.

Kate Bowler has a rule that she cannot deal with anything serious or sad after a certain hour in the evening.  It doesn’t do any good. You don’t really solve the problems staying up all night to worry about them.  There are times when you just need to rest.

I am someone who has lived his life by solving problems with his mind. But some problems cannot be solved just by thinking about them. Cleverness can only get you so far. In the middle of the night, when things are silent, it is possible to focus too hard. In the middle of whatever storms or darkness life brings, sometimes the wisest thing you can do is to not try to solve everything. Whether it is the physical night, or a more figurative night, there are times when you need to just sit back and let the boat sail on.

In those dark and quiet moments, the wind can sound like a child talking. There is no child there. But the harder you listen, the more convinced you become that you hear him. The darkness can make your thoughts go places that are not real. You become unable to be objective. You cannot solve everything. Maybe in those moments you cannot solve even anything. Maybe you shouldn’t try. Instead you should just sit back and let the boat carry you. You don’t have to figure everything out or understand everything. The boat is doing the work. The autohelm is programmed and set and is following the course. Whether you understand or not, you will be carried forward. There are times when you need to just “be.”

On call in the hospital at night I learned a similar lesson. In the middle of the night, problems would seem enormous and unsolvable. I would look and think and dig and try to find solutions. It has always amazed me how the “middle of night problems” will consistently melt away in the morning. With daylight and the rest of the team returning, the enormous problem of 4 am becomes more easily solved. All becomes well again. Time and daylight can be our friend.

An abnormality on my CT scan pulls me into the night again. There is no answer other than that I need to wait and watch. I desperately tried to find an answer. I went back to the ACC (adrenocortical carcinoma) Facebook groups. I searched and read other’s experiences. I tried to pull them into my situation. I went onto PubMed and into the medical literature. I tried to somehow find answers to what those two lymph nodes could mean. 

In the dark, the harder I tried to find information the less I knew. My obsessive focus was not helpful. Later came the answer from the tumor board and then Dr. Hammer. The nodes may or may not mean anything serious. We just need to wait and look again in 3 months. The right thing to do is nothing. I need to settle down and just sit back and sail on. The Lord knows my future and at the moment my course is clear. Wait. I don’t have to know any more than that. 

The child was talking again just off of the starboard bow. I shined my handheld floodlight off at the dark waves. There was no boat. There was no child. There was just a vast large lake all around us. I laughed at myself. “This will make for a nice story someday!” I told myself.

The Lord is in charge. He has a course plotted out for me. I am comfortably in His hands. The best thing for me to do is to sit back and let time carry me along. Knowing or not knowing will not change my present or my future. Sometimes stray thoughts will come. In the night, when I am tired, it is ok to hear them and then ignore them. Maybe I can even laugh at myself and think, “This will make for a nice story someday!” 

Kate Bowler is wise. The nighttime is not the time to solve things. There is a time when you should not think or talk about serious or sad things. Give yourself a break. Put the thoughts away for the evening. You can pick them up tomorrow. 

Peace child. Be still. The daylight will come in the morning. Wait for it. You can work on or think about everything then. For now, just sit back and let the waves and the wind rock you back and forth and be calm.


[1] https://katebowler.com/books/everything-happens-for-a-reason/

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Being human Reflections on Life, Being Human, and Medicine Updates on my health

The Crossing and Lessons Learned Along the Way, Part 1: Just Keep Going

A Lake Michigan crossing is a cool thing. It is about 70 miles at the shortest route from Holland. For this crossing we sailed from Holland, MI to Racine, WI. We did this in early October 2019. Taking into account tacking back and forth we travelled about 90 miles. In a sailboat that averages between 4-7 miles per hour it took us about 14 ½ hours. Other than going in and out of each channel, the trip was entirely powered by the wind (engine off).

We did this crossing through the night.  We left in the early evening and arrived in the morning. We did a night crossing to Chicago the previous year. On that I learned a few lessons. I applied them to this trip. 

What is it like? What are the lessons? I hope to share a little bit of it here.

Persistence or Just Keep Going

We started our crossing at around 4 in the afternoon. Early on we had an ENE wind. This meant that it was perfect for a broad reach. A broad reach is a sailing term where the wind is to one side and behind you. That is one of the smoothest points of sail. I carefully trimmed (adjusted) the sails. We settled into the boat. We had dinner. We felt good about our trip. 

As the night progressed however, things became less pleasant. We had 3-foot waves when we started. These are enough to jostle you on the boat but are not very disturbing if you enjoy sailing. The sun set. We enjoyed watching the rich colors. It started to get dark. As the sun disappeared the temperature dropped. There was a heavy cloud cover and no visible moon. It became very dark. I had the required running lights on to make us visible to other boats. You could see the reflections from our lights. The only other light was from the screen of the GPS/chart plotter.  

This meant that the waves were no longer visible. The boat would rock from one side to the other and pitch up and down, seemingly in a random and uncontrolled manner. For the first hour or two it was ok. It was interesting. After a while it became a challenge. We couldn’t just sit easily. We would get thrown back and forth in our seats. I hadn’t realized how important it was to be able to anticipate the motion. When you can see the waves, you roll with them. When you cannot see them, they happen to you. 

It seems like a lot of things in life you can roll with.  In other words, you can have experiences that you see coming and then you just push through them. Even if they are not pleasant or if they are hard, knowing that they are coming seems to help. It is a lot harder to have things just happen to you or be done to you. It reminds me of the expression, “It is ok to laugh with me, but not so nice to have you laugh at me.” As the waves of life come, it is a bit easier if you can see the, anticipate them, and then roll through them. But in the dark times of life, you can’t see them coming. You cannot fully anticipate them. And you don’t have a choice in the matter. They hit you and you have to just take the trauma of them and live on. Those are always a lot harder. With those it is entirely possible to give in to despair.

When we sailed to Chicago the year before we started out with a similar optimism. We gloried in the clear night we had on that trip. We saw the sunset and then the sky filled with stars. Alone in the middle of Lake Michigan on a clear night the stars are amazing. Far from shore and free of the lights of civilization, thousands and thousands of stars become visible. We drew slips of paper for who would be on watch for each “shift” during the night.  Sarah and I went to bed in the “v-berth.” This is the largest bed in the bow of the boat. We naively crawled into bed expecting to be soothed to sleep by the gentle rocking of the boat.  

Not so much!

The reality was quite different. As the night progressed we ended up sailing directly into 4-foot waves. With each wave the bow lifted up and then dropped. Over and over the bow crashed up and down. We were literally bouncing in the air off of the mattress.  The boat also was hiked up (leaning over) on the port (left) side. This meant that we both kept rolling onto each other toward the left side of the bed.  I tried to pretend to sleep. After a while the situation approached ridiculousness. I started laughing. I was not sleeping. There was no way that I was going to be sleeping. I got up and went outside to the cockpit at the stern of the boat. I decided to stay up the rest of the night and just sleep as much as I was able.

Planning this trip to Racine, I decided to only have 3 of us on board (5 of us sailed to Chicago). I hoped that would give us more room and our choice of beds. Perhaps somehow we could lodge ourselves into a comfortable place when it came time to sleep.

Inevitably about halfway across the lake you get fed up with it.  You are tired, cold and worn down by being thrown about by the unseen and unpredictable waves. You don’t have a choice. One way or the other you have to keep going. You have got to get to one shore or the other to make it all stop. Alone on watch, in the dark, wedged into my seat behind the helm, with all my coats on, in my life-vest and tethered to the boat for safety my mind starting searching for ways to cope with the ongoing journey. I thought of an experience from years before. 

It was 1987. I was in medical school. I decided to start jogging again. When I did I had a problem. Every time I would go running I would “hit a wall.” I would start out with great intentions but after a fairly short distance I would tire. I would end up turning back. I kept trying. I got further as I kept pushing. But there was a steep hill on the route I was running. It was just enough incentive to make me quit and turn around. Each day I would get to the hill and decide I couldn’t make it. I would turn around.

One day I decided that I had to conquer the hill. I had to keep going. I resolved to overcome it. My body told me to stop. It tempted and cajoled me to turn around. But I would just put one foot in front of the other. Step by step I pushed myself up the hill. When I reached the top, it was a wonderful relief to be on the level again. More than that it was an amazing feeling to have conquered the hill. Oddly, from that point on – I was able to go up the hill every time. It turns out the hill was more of a psychological barrier than a physical one.

I thought of the hill as I sat strapped in behind the helm. The boat crashed and rolled back and forth through the waves. I was tired but couldn’t sleep. I decided to pretend in my mind that it was like running the big hill in Ann Arbor. One foot in front of the other I would keep going. I knew that I could keep going. I didn’t have to complete everything at once. I just needed to take the next step, or endure the next moment.

How are you to endure an uncomfortable situation when you do not have control or a choice? Does this sound familiar? I have felt this way with the COVID 19 pandemic and with all the social distancing and restrictions. I have also felt this way with my cancer journey during times of uncertainty when there is nothing more for me to do but wait and endure.  More recently I have felt this in the midst of struggles with a resurgence of adrenal insufficiency. It doesn’t seem to end. I just want to be back to normal. 

What do you do? 

In the middle of the night when it is dark and you can’t see the waves and you are just being tossed around by the boat, what do you do? What is there to do? You need to just keep going. While the waves, the cold air, and the fatigue are being done to you, what are you to do? As much as you want to turn it all off or have a different situation, you have no choice.

It is possible to despair. “This is awful. I am cold and I am tired, and I am stuck on this boat! I just want it to stop!” Everyone has moments like this.

You can despair.

Or you can endure. 

I can remember the hill in Ann Arbor and my struggle to run up it. The hill was a psychological barrier more than a physical barrier. One foot down, then the next. Over and over again. I couldn’t think about the whole hill all at once. I just thought about putting my next foot down. Then I put the other foot down. I just kept going.  Doing that, I made it to the top.

The choice is mine. I can choose to let myself be a victim. I can despair and be miserable. 

Or not. 

Life is an adventure. Not all of it is nice or pleasant. In the middle of the night I can decide if I am going to be an adventurer or a victim. I sailed through the dark of night with crashing waves to Chicago along with Sarah, JJ, Jeannette, and Jim. I sailed through even stronger waves and confused seas to Racine with Jim and Joel. Not all of it was pleasant. But both trips were a wonderful adventure.

I think that is a great lesson and something I need to remember more and more.

That is part one of the lessons from the crossing. I hope to share more next week.

This picture was taken early in the morning after we were safely in port in Racine, WI. Our boat “Mes Trois Filles” is the closest one you can see in the picture.