Honesty Is Not Always the Best Policy

Promise?

When I was 18, I was naïve about many things. Prominent among those things was how to behave around girls. While most boys were busy learning the social rules, I blundered along in my ignorance. So the day when a pretty girl in my grade offered to give me a back rub, with my shirt off, I accepted without reading anything into it. Sometimes a back rub is just a back rub.

She had me lay face down and, using some lotion, she began the massage. Honestly, I wasn’t enjoying it much. I was having trouble relaxing as I wondered what to say when she was done. I’d had better massages before and I’ve had better since. I decided that I should just be honest.

“How was that?” she asked as she sat back.

“It was okay,” I said.

“Okay?!” she said, with a look of amused surprise, and perhaps a trace of hurt.

In hindsight, I should have lied. I should’ve said it was great, fantastic even. Anything but what I said. But I said what I was thinking. And I’ve regretted it for decades.

I guess that, sometimes, honesty is not the best policy.

Just to be clear, I’m not advocating deliberate deceitfulness. I’ve been around enough liars and truth-benders to know that it’s never a sustainable way to be. What I want to consider instead is the value of sticking to unvarnished honesty at all costs. Perhaps there is room for a place that exists somewhere between a hurtful lie and the brutal truth.

My dictionary defines honesty as “truthfulness” and truth as “honesty,” but perhaps it’s not as simple as all that. Gandhi understood that there exists a distinction between truth and full disclosure. “Who can say how much I must give and how much omit in the interests of truth?” he wrote in his Autobiography. To focus overly much on bald-faced honesty ignores that there are more subtle forces involved.

The Biblical Ten Commandments include the following: “You shall not give false testimony against your neighbor.” All my life, this has been interpreted for me as “never lie.” Strictly speaking, this would require unvarnished honesty at all times. Under this scheme, the so-called “white lie” is still a lie and should not be tolerated.

Technically, though, the commandment is less universal than that, requiring only that no “false witness” be used against your “neighbor.” What about when talking with your husband or wife, for instance? If you tell them you are happy to be married in a moment when you are not entirely convinced of the truth of that statement, is that false witness? What about with your child? When you tell them their popsicle stick collage “art” is beautiful, is that false witness? Maybe an occasional dishonesty is okay, even in the eyes of God.thou-shalt-not-lie

In the farcical movie Liar, Liar (1997), Jim Carrey plays a man condemned to always tell the truth. Quickly, it becomes apparent that all honesty all the time leads to awkward situations and hurt feelings. Even when people say “be honest” they often don’t mean, literally, honest. The story implies that a little dishonesty once in a while acts as a type of social lubricant, easing the friction of our daily lives. Take that away and we are faced with the loss of a measure of civility.

Does this suggest that we will all descend down the slippery slope as we abandon honesty? I don’t think so for a few reasons. For one, with the exception of young children and those with mental health problems, people normally understand when a small lie cross the line into more sinister territory. As long as we have some kind of value system, we can maintain a distinction between the two.

For another, many people frequently find themselves in situations where they feel they have to “fake it.” As the author Susan Cain points out in her book Quiet, this is often true for introverts. It also can be true for those stuck in an unsatisfying line of work or difficult family situation. The trick is not mistaking a surface level of feeling false for a deeper-rooted inauthenticity. The inner compass should remain true, despite of moments of uncertainty.

Truth, honesty, lies, and deceit—there’s plenty of all of them to go around. So what is the best policy? In the end, I suggest a better guide is “Be polite and be authentic.”

Run Baby Run

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There are decals that I have noticed recently on cars in my area. They seem to be everywhere. For a long time I wondered what they meant because they simply are some numbers. Eventually, I figured it out.

26.2.

The number of miles in a marathon.

It seems that marathons are having their day.

As I have said before, I have a certain amount of ambivalence about exercise. I do what I need to do and no more. Marathons, to me, seem like way more than what’s necessary. So why are they so popular?

And when a “simple” marathon is not enough, how about one of these:

Antarctica Marathon — Run 26.2 miles on the coldest continent on Earth.

Death Valley Ultramarathon — Run (or walk) 135 miles in the hottest, driest place on Earth.

I don’t know whether to admire these people or feel sorry for them.

In another context, this would be considered self-flagellation.  And people generally think of self-flagellation as weird and vaguely fetishistic.

So why would the Antarctica Marathon attract 110 people in 60 days for its inaugural run? And why are there are 94 runners in the article about the Death Valley race?

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I don’t buy into what the organizer of the Antarctic race says: “These are people who take the reins and ride life hard. They’re not afraid to take some risk and live life to the fullest.”

Personally, I don’t shy away from living life to the fullest. I’ve written for publication. I’ve played music in a band in front of live audiences. I’ve donated a kidney.

But I think there is something unhealthy about all this so-called physical fitness. I don’t think of these marathon exploits as living life to the fullest. Rather, I think it’s madness.

Maybe that’s just me.

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The Voice Inside

I have this voice inside of me. It’s only now beginning to speak. It’s only now able to ask for what I need. It is only now finding the words, reaching through the voices that have been with me since childhood.

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When we are babies, our needs are simple and our voice is simple. When we are hungry, we cry. When we are tired, we cry. When we wet ourselves, we cry. As we mature, we gain the ability to say more, ask for more, express more. At the same time, our needs evolve, and so does the voice that grows within.

I am forty-six years old. It has taken these years for this voice to develop. If I had lived to only thirty-five, I would not have felt the emergence of this voice. I would not have reached this developmental milestone, would never have known what this new stage feels like.

Some of have said that we have emotions of which we never speak simply because we don’t have the words to describe them. Perhaps we all are waiting for the voice inside to find a way to express what truly matters to us. It is not the voice of raw childishness (“I want” “pay attention to me”), nor is it the voice of rational adulthood (“you can’t” “you shouldn’t”), but rather a third voice that can only emerge when the time is right.voice

In the Bible, Jesus says “Ask and it will be given to you; seek and you will find; knock and the door will be opened to you.” These are good words to live by, but it seems that Jesus glossed over an important point. How can you ask for something when you don’t know the words to frame the question? Without a voice with the ability to express the need, the searching question lingers inside you, unformed.

I have this voice inside of me. It’s development is something over which I’ve no control. It has simply appeared and is with me now. It’s as if I were to suddenly grow a third arm, the seeds of which have been with me since birth. What should I then do with this new arm? Should I have it cut off because it’s “not normal”? Or should I make the best use of it that I can?

This voice has been silent all these years. I can feel it as it stretches, reaching for the words, finding the way to express what I need and formulating the right questions. If the eyes are the window to the soul, then the voice is the door. And the door is opening.
Open

I will listen as the voice speaks. I will give it the room it needs to grow, hushing the other voices that are louder and have been with me longer. I will hear what it’s saying and trust that it knows of which it speaks. Maybe, just maybe, it will become a friend and companion for this second half of my life.

With all due respect and credit to Tori Amos for the phrase “silent all these years.”

Happy National PKD Awareness Day

I have a wristband. It’s one of those silicone rubber types, in a teal green color, and in six letters it delivers a simple message: END PKD.

When I wear my wristband, no one asks about it. It is overlooked, much like the disease it represents, a genetic disorder that is one of the four leading causes of kidney failure in the nation.

end_pkdPolycystic kidney disease, or PKD, affects millions of people worldwide. My wife suffers from it. Cysts filled her kidneys to the point where they became more than twice their normal size and began to cease functioning.

There is no cure for PKD. The outcome is always the same: sooner or later, the sufferer reaches end stage renal failure. At that point, the only options are dialysis or an organ transplant.

Last year, my wife, who is in her mid-forties, received the news that her kidneys were failing. She was put on the national organ transplant waitlist but we both knew that waiting for a donor to come forward was a long shot. The idea of spending years dependent on dialysis seemed both unpleasant and medically less than ideal. A living kidney donation, we were told, was the best alternative. But whose kidney?

In February of this year, I decided to offer myself as a potential donor. If I said it was an easy decision to make, I’d be lying, since there were many factors to consider. We do not share the same blood type and we are obviously unrelated, so I thought it might not work out. But making the offer and getting screened was a small act that felt like the right thing to do.

As it turned out, the screening showed I was a suitable match. On August 15, we had the transplant surgery. I came to believe it to be a way to move forward and do something positive for her, for our children, and for our families.

As you read this, my kidney is working in my wife in place of the ones that PKD destroyed. However, this does not end PKD for her or for the population. Much has yet to be done to understand how the disease works. Current research holds out hope that, by reducing cyst growth with appropriate medication, those with the disease can delay end stage renal failure and live with their own kidneys for as long as possible.

Today is National Polycystic Kidney Disease Awareness Day. I am wearing my wristband both as a symbol of where we’ve been and as a reminder of what we still need to do. If you see me, ask me about it. I’ll be happy to tell you what it means.

25 Ways to Appreciate a Kidney Transplant

Last year, we learned that my wife would require a kidney transplant. This did not come as a surprise, since she suffers from polycystic kidney disease (PKD), a genetic renal disorder that affects one in every 500 people and sooner or later destroys the kidneys’ ability to function.

0817131036After some soul searching, I decided to give her one of mine. It was not an easy decision to make since there were many factors to consider, but I am at peace with it now. In fact, I’ve come to appreciate some things about a kidney transplant that I never would have thought of before.

After having read Amy Gutman’s 40 Ways to Appreciate a Kidney Stone, I thought I would create my own list of ways to put a positive spin on a tough situation. (She, in fact, only came up with 25, so we’re on par with that, and I think it’s plenty.) So here it is…

25 Ways to Appreciate a Kidney Transplant

1. It’s not cancer. An organ transplant is major surgery with all the attendant risks. However, it is a fairly proscribed event–especially kidney transplants–with defined boundaries and well-understood outcomes. Cancer is still the king of menacing diseases. There is so much that remains unknown about cancer, and so many ways in which it works, and the outcomes are so uncertain. It really destroys lives.

2. It’s not some mystery illness that eats away at one’s quality of life without any hope for a cure. In fact, there is very little that is mysterious about kidney transplants any more. The first one was performed successfully in 1954, and today, thousands are completed nationwide every year.

3. We only need one kidney anyway. The reason for why we have two is buried in the mists of prehistoric time. Today, in most developed countries, the second one is a redundant system we’ll probably never need. And studies have shown that the long-term health of donors is not significantly different from that of the general population.

4. A kidney has an almost plug and play quality to it. It’s a relatively simple organ that performs its job well. Once you get the right match and make the transplant, it starts to work. My wife was producing urine almost immediately, and her blood chemistry improved dramatically within days.

5. Urine never looked so good. The production of urine is a bodily function we all take for granted. But were it not to happen, we would die. My leftover kidney has taken up the task heroically, and while I have been annoyed these past few days by how often I visit the bathroom, I am also very thankful that all is well for both me and my wife.

6. Kidney transplantation is quite literally life-saving. I’ve never saved a life before. Now I have.

7. Becoming a living donor does not require that you be a blood relative to the recipient. While it can make screening easier, it by no means is an absolute rule. I am a case in point.

8. Becoming a living donor does not require that you be the same blood type as the recipient. I am Type O and my wife is Type B, so I’m what’s called a “universal donor.” But more than that, there is so much that is understood about the transplant process, and the anti-rejection drugs have become so effective, that blood type matching is less important than it used to be. Frankly, the fact that it was a living donation is more relevant to her long-term outcome than any blood type match.0816130915

9. In by 6, out by 5. We had the transplant done at the University of Maryland Medical Center (UMMC). They perform hundreds of kidney transplants a year. They are so good at it now that when surgery is scheduled, you are whisked through a process that seems almost routine.

10. When surgery is planned and well executed, recovery goes quickly. While I am still recovering at home, I left the hospital two days after my kidney was removed. My wife will spend about a week in the hospital. The healing is already happening. Which leads me to…

11. With planned surgery, we didn’t have to cancel or reschedule anything. This has been on the calendar for months and we were psyched up for it.

12. Effective pain management is a blessing. With the pain under control, I was able to get out of bed sooner than I probably would have otherwise, which the doctors told me was key to getting my normal functions back on track. Pain can also affect you psychologically, so having it controlled helped me think clearly.

13. Neither my wife nor I have experienced any adverse reactions to our medications. I’ve heard that for some donors, the pain medication makes them nauseous or woozy, which diminishes the positive effects. I had no such problem.

14. Being a living donor, people treat you like a hero.  I didn’t do this for personal glory, but the recognition is nice.

15. Donors at UMMC get a great hospital room. It’s more like a hotel room, with an eighth-floor view of Baltimore outside. It sounds like a small thing, but it made a big difference for me in my recovery.

16. It’s not a traumatic injury, like a car accident or a gunshot wound. It is a tightly controlled operation which means that the recovery is faster and more certain.

17. It builds community and brings out the best in people. My wife is now a part of the transplant community, and I am part of the world of living donors. It is a fellowship from which our membership can never be revoked. Furthermore, just saying that I am an organ donor brightens people’s days and inspires them to offer cheer and support.

18. You get to meet interesting people. All of my nurses were wonderful. And the surgeons and anesthesiologists were top-notch. In addition, my wife’s surgeon turns out to be a member of our religious community. What a small world!

19. Insurance covers the costs. Kidney transplants have such an established track record as an effective treatment that most medical plans cover it to some degree. Even Medicare has provisions for transplants.

20. It’s not living with an alcoholic spouse.

21. It’s not living with an autistic or chronically ill child.

22. It’s not living with abuse.

23. It’s not living with mental illness or a neurological condition.

24. I got used to wearing the hospital gown. I can see the appeal of sun dresses.

25. I’m losing my fear of needles. So many have gone in, what’s the point (pun intended)?


If you found this interesting, you can find more on this topic here and here.