The diagnosis rate of aplastic anemia is three people out of every million and when a sample of my bone marrow confirmed what blood tests were suggesting, I remember feeling that ratio sit heavy in my stomach.

Sickness forces a person to confront an uncomfortable truth; despite the instability of our own lives, the world doesn’t stop spinning to take notice. I watched the people around me continue on as normal, and my normal was gone. It made it hard to participate in the give-and-take relationships demand—–a friend’s sincere problem with a co-worker seemed inconsequential compared to my bone marrow problem.

No matter how much I told myself the bitterness was misplaced, I couldn’t help feeling it. So instead of being the sanctimonious sick person, I pulled away and settled for withdrawn.

When we moved to bone marrow transplant things changed. My treatment took me nearly 3,000 miles across country to an apartment complex for transplant patients. The circumstances that had separated me before were now my connection to the community. Everyone here was immnosuppressed, knew what a neutrophil was, and the difference between autologous and allogeneic transplant. Everyday shuttle trips were an opportunity to share and learn from neighbors—-iced tea was the one fluid John could get down during the chemo or is anyone else having problems tolerating drug xyz?

It’s become a joke(the best are true) that after the many days in hospitals and clinics, the most useful advice over the past 16 months was gathered on that shuttle.

Looking back, in those first months after diagnosis there were things I could have done better. Social workers offered to put me in touch with aplastic anemia survivors and support groups. I never pursued those outlets with any conviction though; the sick often fall into thinking more and doing less.

Yet there are things to take away from isolation. Loneliness is a part of all our lives and it has to be—as a vehicle of assessment and personal improvement. But even more so it serves to remind us of that primal need to engage in something bigger than ourselves.

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