Strep
I kicked off the new year of 2023 with a bad case of strep. Given the ‘tripledemic’, the myriad of flu-covid-strep plague of diseases the news says is going around, it really shouldn’t be a huge the surprise that I got sick. The problem is, it was….
A few days into the new year my throat started to really hurt. Naturally, I took a PCR test, it was negative. Since I didn’t have any other respiratory disease symptoms –no runny nose, aches, or fever — I decided it must be acid reflux from a particularly indulgent New Year’s meal. To be fair, I do get acid reflux on occasion, it has in the past involved a sore throat. But even as my symptoms grew worse, and I started getting tell-tale signs of infection (ie. a swollen throat, raised lymph nodes, fatigue), I continued to go about my day-to-day, taking Tums and waiting for the effects of a meal, now well in the rear-view mirror, to subside.
Finally, when I woke-up feeling like I had been swallowing glass, I decided it could be something other than reflux. I took another covid test, negative. Flummoxed how it was possible that I could feel so sick and not have Covid, I decided to seek out a strep test. The thing is, for no particular reason, I was super ‘sure’ it wasn’t strep; still I wanted to be a ‘responsible’ adult, get treatment quickly if it was bacterial so it didn’t cause further complications, and stop exposing others in the case I had a contagious disease. Put another way, I got tested to BE something –a good alana, a responsible adult — not to find out if I had strep, which ‘clearly’ I didn’t have.
Even as I awaited my results, I was making my evening plans, so sure nothing would need to be put on hold. When I got my results ( positive obviously) my first thought –despite my burning throat — was to check the false positive rates of the test. In the face of clear evidence, both symptomatic and empirical, my mind wouldn’t readily accept the truth. I was so committed to my own beliefs, to my alternative theory of reflux, I couldn’t quickly pivot and face a reality different than what I assumed.
Eventually, I yielded, I called my doctor and got a prescription for antibiotics. Even on my way to the pharmacy I had called my mom explaining how ‘good’ I felt, how normal everything was, save for the sore throat.
Within a day, on the antibiotics, I started feeling better. In fact, I suddenly realized it hadn’t ‘just’ been the extremely painful throat, I had been fatigued, lethargic –twice I had nearly fallen asleep in public places — but my denial of my disease, of a possibility that I had anything other than reflux, was so strong I was able to fool myself about symptoms I was actually, physically, experiencing.
I realized, all of this is a as a powerful analogy for all my births and becoming — My power of self deception is so damn strong, I can block out pain, suffering, dukka, in the service of preserving my view of myself, the world, and what is actually going on. The situation is actually pretty scary, it is such a red flag to the extent of my own self-delusion.
But it also brings up a big question –why? Why was I so attached to 1 version of reality over another, what was my view/beliefs that blocked my ability to assess evidence in a balanced way, to pivot when it made sense to do so?
Years ago, I left this journal entry standing with this open question. Now (July 2025) when I think on it again, I think I have an answer. In short, I have an over-inflated ego, I am so sure the world will act in accordance with my views and expectations, I can’t even entertain another possibility, even faced with overwhelming evidence.
The issue isn’t just about clinging to the identity of a healthy alana, or being in denial that I am subject to sickness, after all, I tested for covid several times. Back in early 2023, when I wrote this blog, this was a sticking point for me that I couldn’t see past. Now though, I realize I had resolved myself to covid, I was willing to “accept it” as a reality. Strep however, that was something different. For whatever reason I had arbitrarily decided what kind of sick I can get, completely denying other possibilities. Completely denying that the world doesn’t give a damn about what illnesses I can accept, what circumstances I believe myself to be subject to, or not.
Even as I acknowledge my powerlessness in this world to avoid sickness, I still am blind to the fact that any sickness, at anytime, can fell me. Sickness, in my mind, happens on my terms. Of course, this is not the truth. When the causes and conditions for a particular sickness, whatever it is, are met I will be subject to just that sickness. The surprise I felt, this is a failure to see impermanence of the world–that I am subject to any illness anytime. It is a failure to see the permanence of my views – that what results, in this case an illness, that I am subject to are not conditioned by my beliefs, my preferences, my expectations of outcomes.
I know this world is perilous, on some level, we all know this. But part of my hope, the way I justify accepting the risks of birth in a perilous world, the way I offer myself false comfort that ‘I got this’ I can ekk out safety and comfort here, is with the delusion that I can know what is coming, I can prepare. I prepared for covid, but not for strep. I can accept illness –I have learned to self-talk my way into accepting this as normal, but unexpected illness, proof that I can’t really prepare, that I can’t ‘beat the house’ of this world, that is too much for me to bear. Better to deny…
Better to deny my physical pain. Better to suffer longer than necessary and subject the people around me to the suffering of a communicable disease. All better then facing a very dark truth: I am not the architect of my fate, there is no amount of planning or preparation that is going to save me. I am, like everyone else, a subject of cause and effect. All I can do in this world is wiggle, react to the cards I am delt. And those reactions are even more limited by my wrong views, by my denial that I am subject to this world, not –not even in a little and limited way — a master of it. All I did was compound the dukkha of illness with the dukkha of extra pain, delayed treatment, and karma of getting others sick while I tried to fight reality with nothing but my mind.