This is the third installment of ESEReport.com’s Second Chances blog series.

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Rejoice in our sufferings, because suffering develops endurance, and endurance produces character, and character produces hope. ~ Romans 5:3-4

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On a sunny and crisp Thursday morning earlier this month, I sat outside sipping a cup of hot coffee at the Evergreen Coffee Company, a cool mom and pop coffee place near my house in San Jose’s Village Square neighborhood. A recent heart attack survivor and I were sharing war stories about open heart surgery, hospital life, and the emotional challenges of recovering from a major life disruption.

As the conversation turned to the heavy toll a chronic illness takes on mental health, he cut to the chase. “This thing is messing with my mind,” he blurted out. I wasn’t surprised by his frustration. It turns out that managing emotions has been the hardest part of my journey. Suffering a heart attack is life-changing. The more severe the attack and damage to the heart, the more your life changes. Confusion, fear, and anxiety set in before your mind can make any sense of what happened.

After sharing his frustration, he promptly asked, “How did you get through it?” I didn’t reply immediately. The short answer is that I haven’t gotten through it. It’s an ongoing process. I just take it day by day and follow the advice Winston Churchill offered to his country during the darkest days of World War II, “If you’re going through hell, keep going.”

When I finally responded, I thought of one word . . . hope. 

Of course, after a life-altering medical crisis, many ingredients are needed to develop stable mental health. A supportive family and an exceptional healthcare team are essential. Plenty of faith and a hearty helping of hope tie it all together. St. Paul the Apostle’s encouraging wisdom in Romans 5:3-4 keeps me going when the burden of living with chronic heart disease for nearly 15 years inevitably tries to exploit my anxious mind.

In his Letter to the Romans, St. Paul encouraged us to “rejoice in our sufferings.” I can understand how the thought of “rejoicing in suffering” sounds like a dumb strategy when facing impossible odds. That didn’t make sense to me when I first read it. But as I reflected on my battle with heart failure and subsequent faith journey, I realized that the 10-year road to a successful heart transplant was mapped out by Romans 5:3-4.

When I emerged from a medically induced coma caused by lung failure during the summer of 2010, my body degenerated and became weak. I had to re-learn how to sit, stand, walk, and swallow. Doctors told me that my muscles had “fallen asleep,” so I could regain strength with an intensive 8-week physical rehab program. When I was stable enough, they sent me to the Kaiser Foundation Rehabilitation Center in Vallejo, California (KFRC). 

The KFRC is a state-of-the-art facility. According to the 2023 U.S. News’ Best Hospitals study, the KFRC was selected as a Top 50 rehab program in the nation for the third consecutive year. Like great coaches, the physical and occupational therapists were relentlessly determined, yet empathetic. My competitive nature kicked in. My goal was to finish the program in less than eight weeks. I was pumped! I rejoiced in my suffering. I walked out of the KFRC with the aid of a walker three weeks later.

Even though I was walking again, congestive heart failure hadn’t taken a break. My heart was badly damaged, but I wasn’t a good candidate for a transplant for two major reasons:  (1) my heart was still functioning and (2) my lungs weren’t strong enough to withstand major surgery. I learned as much as possible about my condition to understand what needed to be done to give myself the best shot to get a transplant sometime in the future.

My cardiologist recommended that I eat a heart healthy diet, take meds, and exercise to keep my body healthy. It was going to be a long process with no guarantees. To be successful, I had to weather the storm of heart failure for an unknown amount of time. It could have been months. It could have been years. As my heart grew weaker, my lungs grew stronger. My suffering developed endurance. I lived with congestive heart failure for the next 10 years.

Getting through those 10 years was hard. It required lots of discipline. I had to take five pills, three times a day. Maintaining a low-fat, low-salt diet tested my will power on a daily basis, especially during summer barbecues and the holidays. Walking for just 30 minutes per day got harder as each year passed by. I’d always been able to stay disciplined when it was on my terms. When I made the rules. This time was different. My cardiologist made the rules.

Although this regimen was forced upon me, I gave up control and focused on it like a laser day after day, month after month, and year after year.  I stayed with it even as my heart became sicker. There were many days when the allure of unhealthy food, frustration about staying on a medication schedule, and extreme fatigue dared me to quit. I withstood the temptation. My endurance produced a strong character. My body was strong and ready for heart transplant surgery when I got “the call.”

Life comes at us fast. It could be a job loss, the end of a long relationship, or a sudden life-changing medical crisis. St. Paul the Apostle taught us that there’s always hope. Rejoice in our sufferings, because suffering develops endurance, and endurance produces character, and character produces hope.

As we sipped our coffee, I recommended to my new friend that he seek counseling. It was indispensable to my recovery. He mentioned earlier that he’s a man of faith, so I also shared my story of hope based on the wise words in Romans 5:3-4. I’m not sure if it was helpful to him, but reflecting on my journey and the blessings that have come from it energized me. 

I walked home from the Evergreen Coffee Company with a spring in my step, a grateful grin upon my face, and hope in my heart.