Wednesday, July 24, 2019

One birthday, two half-decades



This article was written on my birthday six years ago, 7/24/2013.  The original writing was in Chinese, and now a English translation is available to my readers.
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Today is my birthday, a co-worker Vickie in my company asked me how I planned to celebrate; I told her I was going to the hospital for infusion, because today also happens to be the day of my weekly visit to the clinical trial department of City of Hope hospital, where I’ll receive new trial medications for my stage IV kidney cancer. In other words, I’m spending my birthday at the hospital.

There’s nothing particularly special about the day I was born, but there are two five-year periods relating to it which could be considered the most important - and oddest - periods of my life.

61 years ago, when I was no more than a few-month-old fetus sitting peacefully in my young mother’s womb, I accompanied her into Qingdao’s heavily-guarded, terrifying Licun Chinese Prison. This prison was built in 1903 by a German company Baufirma F. H. Schmidt (Chinese name Guangbao Company). It was originally for the purpose to imprison Chinese criminals during the German occupation of Qingdao. After Chinese communists won the civil war in 1949, it became a notorious facility to imprison the “counter-revolutionists” in Qingdao.   

Because Licun Prison had no medical facilities, the day I was born, my mother was “humanely” sent back home to give birth to me, and then she was taken back to Licun Prison to continue serving her jail term.  

I came wailing into this world 61 years ago today; during my first five years of life I didn’t have a single opportunity to suckle my mother’s milk, and was instead brought up by the loving Christian sisters of the church. It wasn’t until five years later that my mother left prison, and I was once again able to return to her embrace.

What was it that created this tragedy, forcing a young mother to leave her own flesh and blood and sit in a gloomy prison for five long years, experiencing torment to both her physical and mental well-being? During those turbulent years, with China fighting through a seemingly interminable class struggle, I was never given a single explanation.

When my mother died in China 25 years ago, I began investigating the secret of that tragic experience from our past; after some effort, I finally managed to uncover the startling secret of the day of my birth.

In the early 1950’s, aside from raising children and being a housewife, my mother also gave sermons at “God’s Church”, a small Christian church on Guangyao Road (now Dengzhou Road) in Qingdao. One Sabbath Sunday, an elder of the church brought an unfamiliar youth to meet her after she’d finished her sermon. This youth claimed to be a student at Qingdao’s naval academy, and needed 30 yuan for train tickets to visit his elderly, ailing mother in Sichuan province. My kindhearted mother felt no suspicion at all, promptly donating 30 yuan to this youth she’d never met before.

According to the sentence the Qingdao People’s Court gave to my mother at the time, this youth was actually someone who’d been conscripted by the Nationalist Party and sent to the Qingdao Naval Academy. The Communist People’s Liberation Army had taken over this national military academy after establishing themselves in Qingdao in 1949, but this youth who’d been forcefully conscripted into the army was unable to bear the torment of homesickness, and had come up with the idea of abandoning his post to return home. This naive young man never would have imagined that with this hasty action, not only would he have committed the “heinous” crime of desertion, but would also involve my mother, who’d so kindly donated his travel fare.

Just like this, because my mother had given a stranger an insignificant 30 yuan (approximately equal to 5 US dollars today), she received a criminal charge of “Undermining the Chinese People’s Navy” and a sentence of five years in prison. And I, sitting in her womb, spent most of my ten months as a fetus in that gloomy and terrifying Licun Prison.

My mother, because she’d donated five dollars, suffered five years in prison. Having followed her in as a fetus, I was separated from her embrace immediately after birth, unable to see her for the first five years of my life. It’s hard to say how many similarly unbelievable tragedies happened during the years of that “red terror”...

Coincidentally, this same day five years ago was also the day I left the hospital after my very first surgery to remove my left kidney, as well as my first post-surgery birthday. From that point onward I’ve treated this day as my second birth, the day I began a new life. And the seasons have now passed five times in this new life.

At first, the surgeon had surgically removed both a fist-sized malignant tumor and my left kidney, all in one sweep. Unexpectedly, my fate was to be an unfortunate one; barely four months after the first surgery, the cancer tumors rapidly spread again, soon invading upon one of the most important organs in the human body—my pancreas. When Dr. Smith, the head surgeon at UCLA’s urology department, told me the grievous news that the cancer had spread to my pancreas, I burst into tears, my mind flooded with grief.

The overwhelming majority of patients diagnosed with pancreatic cancer are already in the late stages, beyond any viable help, and can do nothing but wait helplessly for death. Over 90% of patients will die within the year, with only 10-25% of them being lucky enough for the doctor to consider surgery - though the recovery rate for those who do get surgery is very low. As I took my first step towards death, God extended a hand of His compassion. In the City of Hope Hospital, a surgeon, Doctor Eilenhower, consented to perform a complex surgery known as the Whipple procedure on me. Dr. Eilenhower was candid with me about this Whipple procedure, which has a five year survival rate of up to 25%.  Because the pancreas was hidden deep in a person’s upper-left abdominal cavity, surgical removal of the organ was extremely difficult; throughout the history of his own surgical career, he’d only performed Whipple surgery for pancreatic tumors eight or nine times. Although he didn’t have an absolute handle of the situation, he was still willing to exhaust all his knowledge and experience in putting me under his care.

This was both an extremely difficult and extremely dangerous surgery. Dr. Eilenhower displayed his top-grade surgical skills and plentiful clinical experience during an operation which extended to become six hours long. The pancreas is a long, flat gland of tiny size, around 12cm in length and 2.5cm in width. It weighs only 80 grams. Because it’s positioned in the back of the abdomen’s upper-left side, a pancreatectomy is like penetrating into a tiger’s den, faced with a myriad of difficult challenges as you cross the liver, stomach, duodenum, spleen—layer upon layer of internal organs. To get straight to the point, Dr. Eilenhower needed to fish out all my innards in order to reach that position deep in the back of my abdominal cavity, just to start the task of removing my pancreas.

Just like that, one morning around six months after my first surgery, my naked body was once more pushed onto a cold and frightening operating table. As the anesthetist began administering anesthesia, I couldn’t resist silently letting out a tearful sigh: When I was a baby, I arrived wailing and naked in this world; after experiencing a short and bumpy series of changes in this mortal life, I was now naked and lingering around the valley of death.

The anesthesia slowly flowed into my veins. As I was on the verge of sinking into unconsciousness, a solemn Bible verse appeared within my head: “My Father, if it is possible, may this cup be taken from me. Yet not as I will, but as you will.” (Matthew 26:39)

Through the haze, I could feel myself slowly recovering consciousness. I woke from my anesthesia-induced sleep to find myself in the intensive care ward of the surgical unit. The first thing to appear in my cloudy vision was what appeared to be a pair of angelic silhouettes in red. As the blurry images gradually became clearer, I saw that it was my wife and my sister Angela, wearing red clothes and smiling. The clock hanging on the wall behind them silently pointed out that six hours had passed. My sixth sense immediately told me that God’s graceful hand had not taken my “cup” away. I was still alive: The surgery was a success!

Sixty-one years ago today, my wrongfully imprisoned mother gave birth to me, and the two of us suffered through five years of separation. Five years ago today, God guided me out of the valley of death, giving me a second chance at life, and caused the doctor’s original one-year sentence to extend all the way to today. Having experienced the unrestrained ups and downs of life, I now hold a profound belief—that enlightenment is everywhere, and that this day is no coincidence.

Five years have passed, and most of my fellow kidney cancer patients have since left this mortal coil, making me an incredibly rare surviving “endangered species” in the eyes of the doctors. My case has become a never-before-seen spectacle among clinical trial reports.

This morning, as I was getting an IV for the latest clinical trial medication, I remembered the conversation I’d had with my co-worker Vickie the night before: How should I celebrate the day that’s given me two different chances at life? A powerful desire to write suddenly arose within me. So I wrote this entire essay in one go while still in the hospital - partly in remembrance of my beloved mother, as well as that previous generation of faithful servants of God who, together with her, had lived through those same preposterous years of being forced to suffer because of their faith; but also in part to recount the amazing grace that the Lord has bestowed upon me, encouraging me to appreciate every day that God has allowed me to stay on this earth, passing on God’s love with the best of my ability to all around me who may be in need of it, and sowing seeds of hope and faith within their hearts.


Originally written in Chinese by Joseph Chang on July 24, 2013
Translated to English by Ida von Mizaner on July 16, 2019
Edited by Joseph Chang on July 24, 2019