The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, this is the final update from our hotel in Sandwich Sunday night after the conclusion of the 2011 Pan-Mass Challenge, my eleventh time riding in the event. What I couldn't tell you in Provincetown is how the last segment went, because cell fone reception there is so bad. We managed to avoid the rain almost entirely for the whole day, which is staggering and shocking to me. We did get a couple sprinkles along the way. We had a tailwind most of the way, which in the final segment when we go out to Race Point and back was directly in our face because we had changed direction. That was just a ridiculously brutal wind, but it was the last three miles, so that was manageable. I finished real strong. I'm extremely happy with my performance. All my times were pretty close to personal bests, as far as I can tell so far; I'll check that out again later, just to confirm. Met up with my buddy Jay, met up with my support person Sheeri, and we spent a little time in Provincetown, stopped at the Sqealing Pig and had a burger. By the time we were eating lunch it started just pouring and it has pretty much poured all day since then. Probably about 90 minutes to 2 hours after the ride it just opened up and has been raining ever since, so again that kinda underscores how fortunate we were in getting the ride done without any more rain, although it was wet in the morning from last night's rain. Hung in Provincetown for a while before coming back here to the hotel, where the next item on the agenda is a good long soak in the hot tub, which is gonna feel mighty good after a day of cold, wet, damp riding and then rain and a long car ride back to Sandwich from Provincetown. But overall the weekend, given the conditions between my wheel problems, which worked out fine, the rain, the weather, all the things that could have gone wrong... Even though it wasn't the best weekend, the optimal conditions, and we didn't do as many fun things afterward, like go to the beach as we normally would... It's still obviously extremely satisfying, and having raised the funds is extremely satisfying. The final message is to thank all of my sponsors for the support you've given me this year and throughout eleven years of riding in this event, and all the satisfaction I get from it. I also want to thank you for the inspiration to motivate me to participate in the event, because knowing how many of my friends care about cancer and are willing to take their own money and see that devoted to working toward a cure for something that sometimes it feels like it's very far in the future. Although the progress we've made with cancer is now incrementally faster... where you used to measure it in centuries, and then you'd measure it in decades, and then you'd measure it in years. At this point great progress is being made, but it still can feel far away because it's a family of 500 very different diseases. Thank you for letting me know how important it is to you and for supporting my ride and helping me be part of the vehicle for your participation in the fight against cancer. That's a wrap for 2011 and I wish you all good heath and hopefully we'll hear from you again next year. You can obviously look for my ride report and photos and other things, which will wind up being posted on my web page under http://www.ornoth.com/bicycling/ and I will be sending out updates to people when that is done, as well as when the fundraising closes at the end of September. Very satisfied right now, but I need a hot tub and I need a good night's sleep! [truncated]

The following is a transcription of a phone post that originally appeared in my main journal, here.

Hi! Phone reception here in Provincetown is bad, so I'm gonna keep this short. I just want to say thank you to everyone who sponsored my ride and made it possible, because of all the really great work that it supports. I'll have another wrapup update this evening from the hotel in Sandwich, but right I'm now gonna go refuel and meet up with my friends Jay and Sheeri. That's it, it's a wrap. Great finish but windy, and again just a great weekend and ride overall, so thanks!

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay we're in Wellfleet, with just 20 miles left out of 192. Still feeling strong, and that's a blessing. As I always say in some of my writeups, riding the PMC takes strength and endurance and strength of will and courage and peresevence, and the reason why I do it is the fact that those same attributes are demanded in much higher quantities from cancer patients and their families, and they don't have a choice like I do to undertake that or not. So that's part of why I ride. Wellfleet is usually where I stop and reflect on the ride, and today obviously I'm reflecting on my friend Ken, who just went through hell during his six years fighting Hodgkins Lymphoma and eventually succumbing to it, and I really don't want anyone else to have to endure that kind of suffering that he went through. I also feel the same the reason why we're riding is for every person who ever finds themselves in the position of having to walk through the door of the Dana-Farber Cancer Institute and the new Yawkey Center for Cancer Care. I'm very proud that that buliding has been built largely with PMC funding. It's going to do so much good, not just for this year but for decades, for generations. Hopefully the need for that building will become less and less over time, but there's a lot of cancer survivors out there too, and they also require care and attention as well. All in all, I feel that's an incredible result of this ride. Again I wish it wasn't necessary, but that's why we're out here. So that's the things I'm thinking about as I close this ride out over the next 20 miles. Weather-wise we had a little bit of a sprinkle while we were on the Cape Cod Rail Trail in Wellfleet, but it seems to have passed. It's still really overcast and threatening, but the roads are actually a little drier, since there hasn't been any precipitation since early this morning. So it looks like we should have a pretty good run in. We have a south wind, which is a tailwind for us until we get to Provincetown and do that crazy loop out Race Point. So we'll have a headwind at the finishing line and through the sand dunes, but otherwise it should be a nice, easy ride in. That's it from Wellfleet. The next update will be after the finish in Provincetown! Really looking forward to it, and obviously thank you to everyone for helping me be a part of this event and part of everything it accomplishes. It's very meaningful to me, so thank you.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, we are at Brewster, at Nickerson State Park, which is usually where we see Jack O'riordan, the kid who for the past 12 years has been holding up a sign saying "Now I'm 3 thanks to you", "Now I'm 4 years old thanks to you", "Now I'm 12 years old thanks to you". He's not here this year, but the good thing is he's actually riding this year! Won't be visiting him here, but know that he's out there also, continuing to support the cause since he was 3 years old and diagnosed with a rare cancer. Gonna do the usual: grab some water and see if I can find Jay somewhere. I did strip off the rain jacket, and glad I did. It's still really heavy overcast here. It's standing water, but nothing in the air, so it's not bad, just kinda humid. Still low 70s. Pretty pleasant ride, except I'm covered with road grime and stuff. I did go by the Cape Cod Sea Camps hedge, solo this year. The first year I've ever gone by there and wasn't either in a pack of cars or in a pack of riders, so I got this huge solo cheer from everyone at camp, which was much appreciated. It brings a tear to the eye. That's it from here. Next stop is Wellfleet, so I'm actually not quite halfway thru today's ride already, even though it's only 7:42 in the morning. It'll be a quick one today. Hopefully we'll beat the rain or avoid it somehow. Next stop: Wellfleet!

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, I'm here in Barnstable, 14-15 miles into day two. I met up with Jay at the end of the bike path, after he'd already ridden for an hour. Again, conditions are wet but actually it's not too bad right now. A lot of standing water but no rain. Feeling kinda sweaty inside my plastic rain jacket. I may actually shed that for the time being. Rode with Jay, which lasted all of six miles before he jumped on a paceline and was gone, so that's probably the end of that. Just gonna grab some Gatorade and head out of here, but so far so good. It's not a complete washout right now. In fact I can sorta maybe vaguely see patches of blue, but that can't last. But we'll see, maybe I'll be able to shed the rain jacket after all. We can hope, but I don't have much hope. We'll see. See you at the next stop!

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, it's 5:30 in the morning and I'm headed out to meet Jay. It's wet, wet, wet out, although it's not raining right now. We seem to be in the lull between two big storms, so I'm fully kitted up with fender and rain jack and so forth. Hopefully this day won't be too painful; that's all I'm really asking of it. I think it's gonna be wet. Hopefully the cell phone will continue to work throughout it. Taking what steps I can to to protect it, but we'll see how it goes. Not very optimistic that this day is gonna be very fun, but once you get wet you can't get any wetter, so at that point it doesn't really matter. So it's just a question now of getting over the hump and getting soaking wet and then saying the heck with it all. That's the way this day's gonna go. Thankfully it'll be over by 10:30, I think, should be in Provincetown. Next update from the first water stop.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, Saturday night's update from the hotel in Sandwich. Made it here okay although it was really windy crossing the Bourne Bridge and otherwise things were okay. Came in, had supper, hit the hot tub actually, which was kind of nice. Discovered I had blistered one of my toes in my cycling sandals, so took care of that. Otherwise had a real good day. Very tired, so I'm going down right now, going to bed. Up tomorrow morning at 5 with an anticipated 6am depart. Gonna try and meet up with Jay. I did meet up with him at Mass Maritime, but would actually like to do some riding with him this weekend. The sad news is that tomorrow looks like it's going to be a pretty substantial rainstorm. At least it'll be mid-70s temperature-wise, but it's gonna be a washout by the sounds. It eventually may be clearing off a little bit in the afternoon, but the morning (obviously we're leaving at 6am) the morning's gonna be pretty wet. Really not looking forward to that, but it'll just slow down the Sunday ride a little bit as well. Next update probably may be around 6, when I leave here, or it may be a little bit later at the first rest stop, which I think is in Barnstable, which is not very far down the road. But I'm gonna get some shuteye and try and let the legs recuperate overnight, and I'll talk to you tomorrow.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay I'm at Mass Maritime Academy in Bourne. The last leg was incredibly windy, and it's very windy here on campus. I managed to finished the entire course in 7 hours which certainly is impressive, given that it's 110 miles. It's very sunny here and very windy. It looks like it'll be a great afternoon. I stayed 20 minutes ahead of Jay all day, so basically kept pace with him, which is good since he's 17 years younger than me! I also just got out of the massage session that we get -- we get 15 minute massage sessions -- and I actually had three women giving me my massage. Usually it's one; if you're lucky you get two people. So that was really nice, so I'm feeling a lot better right now. Next stop is gonna be the food tent, but overall today went astonishingly well despite running out of gas toward the end of the ride, but that's to be expected when you're doing 110 miles! Generally now just need to come down, get my heart rate down, get some food in me, rehydrate, try and put some fuel into my body for tomorrow, which I am steadfastly going to refuse to think of right now. Going to spend the afternoon hanging around near the Cape Cod Canal, which is always a beautiful place. I may stick my toes in the ocean in Buzzards Bay, track down some buddies, just hang out, and then make my way up to Sandwich. The next upate that you'll receive will be from my hotel in Sandwich sometime this evening. Right now I'm having a great time and obviously wish I could communicate that to everyone who sponsored me, everyone who is interested in my ride, because it is a very moving experience and a great weekend, sharing the mission and how much we've accomplished with 5,000 other riders and 3,000 volunteers. It's a huge sense of camaraderie and working with and for other people's benefit. It's very moving, but right now *I'm* moving: to the food tent! So I'm gonna cut this short. Talk to you later, bye!

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, I'm in Wareham. That's 100 miles in 6 hours and 10 minutes, which is damned good as far as I'm concerned. However I completely and utterly jinxed myself with my update from Lakeville, because everything hurts now: neck, legs... The warmer it gets, the higher my heart rate goes. Definitely that last segment was a trial, but there's only 8 miles left of kinda mixed... Some of it's very scenic, some of it's extremely urban... Or not urban but junky suburban strip mall kinda stuff. But right now I'm going to take a little bit of a break, because I think I've earned it at this point. Then hopefully the last 8 miles my legs will have recovered and it'll just be a victory lap. Doing really well and enjoying the ride when I'm not focused on the pain. But definitely remembering the stories from the people that I've met, the people who are sponsoring me, of course Ken's story, as well as the people who are lining the route. It's just very moving that so many people care so much about this cause. But I'll defer that and think about that while I'm passed out laying down on the grass here! Next update... I will not give an update when I arrive at Bourne, but after I've showered and massaged I'll do a lengthy update. Look for that in an hour or two.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Hey, we're in Lakeville and it's only 10:34. 82.26 miles in, and I really actually can't believe that beause my legs are still strong. I'm averaging 18.5 mph, and although my legs are burning, I seem to be reaching every rest stop before I anticipate it, so it's not this game of like "When's the next rest stop?" Feeling really strong. It feels like the whole route is shorter in every way than I remember. Doing really well, again gonna do the same thing: a really quick in and out, just grab some ice, maybe a little stretching, and keep going. The sun has really broken through the clouds -- high thin clouds a little bit -- but it's really warm out now. It's above 80, so when you stop it's pretty moist. Otherwise having a great ride, the only thing I wish was that Jay was here, but he's a good 20 minutes behind me at least. Things are going well, and I guess I'll catch up with him at Mass Maritime. Look for me again very shortly; I'll have a message from Wareham which will be the 100 mile point, which apparently is about 15 miles from here. That's it from Lakeville.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, I'm just about to leave the Dighton lunch stop, which is surprising because of course it is only 9:42, so I'm making better time again. And my legs are getting tired, right calf is kinda crampy... But yanno, those are things I that can manage much better than mechanical issues, and there have been no mechanical issues. I still want to get out of here quickly to stay ahead of the crowd. But on the way out I ran into my friend Jeff, who actually isn't a rider. He came up... he's visiting from California to support Team Kermit, which is another group of riders. He happened to catch me in the parking lot as I was leaving, and I'm very glad that he did because it was nice to catch up and say hi. I also found the blueberry that was stuck in my sandals from... I had dried fruit to eat while on the bike, and it's really a mess because it was there for two or three segments of 75-degree bike riding. Speaking of which... right now it's about 83, but that's in the sun. Conditions are perfect really. There's a little breeze, so it's nice and cool on the bike; it's a little hot when you stop. Filtered sunlight, generally just a beautiful day, as long as we stay away from thunderstorms later in the day. All's well, having a great time. 36 miles left to MMA, but first there'll be two more waterstops in Lakeville and Wareham, so I will talk to you from there.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Okay, we have arrived in Franklin, the second stop. It's now 7:50, which puts me... 7:50? Puts me about 25 minutes ahead of schedule, so I'm moving right along. I know Jay's 20 minutes behind me, so I probably won't see him until Mass Maritime probably. Just gonna do a little stretching, get some ice and Gatorade here, and get out of here because I want to stay ahead of the pack. But so far a great day. Bike's holding up well; I'm holding up well, although I'm feeling a little crampy. And since I won't be pacelining and drafting other people, I'm gonna be taking it a little bit easier and being a little more conservative for the next couple segments. So I'm gonna nurse it from here on in, but I'm still making good time. Next update from the lunch stop!

The following is a transcription of a phone post that originally appeared in my main journal, here.

Hey it's 6:45 in the morning and I'm at the first stop in Whitinsville, and we pretty much flew on that segment. Now that I've stopped, I'm kind of sweaty, but it wasn't bad out on the road: kinda cool, clammy, humid, but cool enough so that it wasn't a problem, but I think it's gonna warm up very quickly. I'm just gonna grab some Gatorade and get out of here. So far so good. The wheel has successfully navigated the first segment, so pretty happy with that, and just pretty happy overall. Just want to stay ahead of the crowd. That's it, I'll talk to you again soon.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Hi! A quick update from Sturbridge: it's 5:15 and we're gearing up for a 5:30 departure. Things seem to be going well right now. 70 degrees out, which is a very nice morning; often it's much colder. I haven't run into Jay yet but hope to, and looking forward to a nice ride, now that I don't have to worry about wheels and turned ankles and being late and various arrangements like that. So looking forward to a good ride today. There's a possibility we might run into some showers, but right now I'll take that. Looking forward to a real good ride and the next update will come shortly.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Hi, welcome to the 2011 Pan-Mass Challenge coverage. My first audio update comes from Sturbridge at about 9:30 in the evening the night before the ride. I wound up leaving Boston late because I had to swap out my rear wheel and get a loaner rear wheel from the bike shop in my neighborhood, because my regular rear wheel has a huge crack in it that I discovered and decided that it was probably a better idea to get a loaner wheel and get the original replaced, rather than try and ride on a broken wheel. Hopefully that'll work out okay. Although we arrived late in Sturbridge, it didn't throw our routine off too badly, although the whole ________ provided some level of tension and anxiety this afternoon. Tomorrow looks like it should be a good day: warm but not too warm. Conditions should be just about right. It might be a little bit windy, so we'll see how that plays out, but it'll be nice to be on the bike and riding, without having to worry about all the stuff that has been concerning me, particularly that rear wheel. Next update will be at 5 in the morning tomorrow just before we head out from Sturbridge, then there'll be updates throughout the day as I make my way the 112 miles or so from Sturbridge to Bourne, so I will talk to you tomorrow!

Sometimes you’re fortunate enough to know when something historic is about to happen. When I heard that there was going to be a formal dedication of the PMC Plaza at the Dana-Farber Cancer Insitute’s new building, I had to be there.

Think about it: Dana-Farber—the place where chemotherapy was invented—hasn’t opened a new clinical building in 36 years. At that rate, it’s an incredibly rare honor to have the building’s main entrance named for your organization. It is a very concrete, tangible method of recognizing how important the Pan-Mass Challenge is to the Dana-Farber’s mission of curing and eradicating cancer.

PMC logo in light
DFCI President Benz & PMC President Starr
PMC Plaza
PMC's Billy Starr speaking
PMC Plaza ribbon cutting
Full Photoset

Leading up to the dedication, details were difficult to come by. I knew the date, and was tipped off to the time earlier that day. Although I hadn’t planned it out, I left work early so that I could swing by my place and grab my camera.

I wasn’t even sure the event was going to happen. Most of New England was under a thunderstorm and tornado watch. The sky was ashen, with a fierce wind blowing debris around the streets of Boston. As I descended the stairs to catch the subway from Copley to Longwood, a deafening thunderclap rattled the headhouse and the lights flickered. If the ceremony hadn’t been canceled, at least there’d be a dramatic backdrop for it!

Arriving at Longwood, I saw that the celebrants were gathering inside the lobby of the new Yawkey Center for Cancer Care building. Uninvited and underdressed, I pulled my camera out and made like I was supposed to be there. I later learned that due to space constraints, only 20-year-plus PMC riders had been invited, due to space constraints. But no one challenged the guy behind the camera, a mere 10-year rider, and I wasn’t about to let such a historic moment pass me by. My one nod to propriety was that at least I didn’t eat any of the hors d’oeuvres!

So I played photographer, and got a few good pictures out of the deal. I even got a bit of photographer-level access to the bigwigs, which amused me.

The sense of being on observer of history was reinforced during the speechifying. This recognition was arguably the most important moment in the entire history of the Pan-Mass Challenge, and it was a moment of deepest pride for me, standing there in a new building that the PMC’s donation was the lead gift for. In his remarks, Dana-Farber president Dr. Ed Benz articulated for the first time the astounding next milestone in the PMC’s fundraising road: a third of a billion dollars.

I won’t say much about the plaza itself. There are three granite planters/benches with “Pan-Mass Challenge Plaza” engraved that separate it from Brookline Avenue. There are dozens of granite pavers in a long line, each one representing one of the towns that the PMC route passes through. There’s two standing arcs of granite that comprise a sculpture called “Tandem”. And a plaque, which reads:

PMC PLAZA
This plaza is dedicated to the Pan-Massachusetts Challenge (PMC): to its cyclists, volunteers, and donors whose life-affirming efforts through the decades have provided critical support for cancer research and patient care at Dana-Farber Cancer Institute. Tandem is a tribute to the indelible bond between the PMC and Dana-Farber and reflects the extraordinary impact when two vital organizations work in tandem.

Yeah. Being part of an organization with that kind of power to do good: that’s something to take pride in. And as the inscription says, it’s not just about the riders. It’s the partnership between the riders, the thousands of volunteers, and a quarter million people a year like you who sponsor riders. And that’s just the PMC’s side of its partnership with Dana-Farber, its doctors and researchers, support staff, and cancer patients and their families.

I’m deeply proud to be one part of that extended family.

The Emperor of All Maladies

I also recently plowed through Siddhartha Mukherjee’s “The Emperor of All Maladies: A Biography of Cancer”.

This is an imposing book. The text runs to 470 pages, and there are no less than 60 pages of back-notes. It’s quite a lengthy read.

On the other hand, the reviews I’d read were all effusively positive, calling it touchingly personal, citing its approachability, and even using the phrase “page-turner”.

I generally agree with that assessment. It’s very engaging and readable, deftly melding the author’s first-person experiences in his oncology residency with interesting stories of man’s early history with this disease. It goes on to add more depth to cancer’s more familiar recent narrative and solid insight into the current state of the art. Although the later chapters tend to rely a bit more on technical jargon, Mukherjee keeps things moving so that the reader doesn’t lose interest.

Part of the reason why he undertook this work was because as a neophyte oncologist, he was so buried in the tactical concerns of fighting the disease that he was unable to answer his patients’ more strategic-level questions about where we are in the overall battle and whether the increased attention of recent years has translated to improvements in prevention, treatment, and outcomes.

Throughout its long course, the book hits on most major forms of cancer—lung, breast, leukemia, Hodgkin’s Disease—and several obscure ones. For a time it follows the search for a single root cause, touching on carcinogenic chemicals like Asbestos and cigarette smoke as well as the cancers precipitated by viral infections like HPV.

But if I had to single out the primary theme of the book, however, it would have to be the hubris of physicians throughout the ages in misunderstanding and underestimating cancer, as well as overestimating their ability to cure it with a single, massive intervention.

In Rome, Claudius Galen attributed the disease to an overabundance of an unknown and unobserved liquid called “black bile”, setting our understanding of cancer on a wrong track for the following 1500 years.

Next up were the surgeons, whose simplistic answer to recurrent breast cancer was to cut deeper and deeper, until the standard preventative practice was to remove the entire breast, the lymph nodes, the muscles of the chest, the clavicle, several ribs, and part of the lung. Better to cut too much than too little, right?

As surgery began to give way to chemotherapy in the 1950s, the next group of oncologists fell for the same old “more is better” fallacy, prescribing massive doses of multiple drugs, eventually concluding that the best policy was to completely destroy the patient’s ability to generate new blood cells, then rebuild it by transplanting new stem cells (either one’s own, harvested before treatment, or transfused from a donor).

Even today, with the mapping of the human genome and gene therapy providing an historical breakthrough in cancer treatment, geneticists have once again fallen into the same mental trap as Galen did 2000 years ago, of thinking that this new technology would spell the end of cancer. Cancer is an incredibly deft, diverse, adaptive, and opportunistic disease, and its defeat is just not going to be that simple.

Despite all these unfortunate missteps, each generation of treatment has produced significant improvements in outcomes. Surgery, chemotherapy, radiation, gene therapy, targeted drugs, and combinations of these can each be the right treatment for the right patient.

And Mukherjee’s book does do a wonderful job depicting some of the fortuitous coincidences that led to the discovery of these new treatments. For example, who knew that a humble jar of Marmite was the key that unlocked the broad spectrum of chemotherapy drugs that have saved so many lives?

Aside from the knowledge that cancer was the result of uncontrolled growth, it wasn’t until the past twenty years that we actually began to understand exactly how and why cancer works at a cellular and genetic level. Before 1970, oncologists could only develop treatments by trial and error. But armed with our new understanding of what cancer is, researchers can now identify cancer’s specific biochemical vulnerabilities and start developing therapies such as Herceptin that precisely target those weaknesses.

In the end, the reader comes away from the book with a much better understanding of why cancer is so difficult to combat, and that each person’s instance of cancer is so unique that it requires an entirely individual treatment.

As a Pan-Mass Challenge rider, I was proud to discover how central Sidney Farber, the Dana-Farber Cancer Institute, and the Jimmy Fund have been. They take center stage in much of Mukherjee’s narrative, as does Mass General, MIT, and the American Cancer Society.

Before I picked up the book, I saw Dr. Mukherjee at an author talk he gave at the BPL. I took the opportunity to ask him whether the recent discovery that the human genome is not identical in every cell had any implications for gene therapy.

Between his response and my readings, it was clear that it isn’t the human genome that matters so much as the characteristic modifications cancer makes to it. By designing drugs that recognize and respond to the unique cancerous fingerprint of a particular genetic alteration, it is possible to starve tumors or at least deactivate their growth. The challenge right now is to catalog those fingerprints and discover drugs that match them.

It’s probably true that you need some curiosity about cancer or medicine to get through this book. But those with sufficient interest will find it informative, entertaining, and very readable.

This year’s birthday wasn’t the greatest piece of work I’ve ever experienced. Woke up with a sore throat that presaged the cold I’d deal with for the following weeks. Made the usual pilgrimage to Foxwoods (where I lost for the first time in three years) and visit to Purgatory Chasm, which was cold and grey but pleasant enough, then a big grocery run, since I had free time and a rental car. Got myself Thai takeout from Montien, which was nice, but it outta be, at $21 for an app and one entree. Then watched some anime on Hulu. Woo-hoo.

The following morning I was in full-on head cold, and off at 8am for the first day of my annual “Sandwich Retreat” at CIMC. The “sandwich” means 12-hour meditation sessions on both Saturday and Sunday of two consecutive weekends, with 3-hour evening sessions on the five weekdays “sandwiched” in-between.

Sudafed FTW, baby. That’s the only way I got through those nine days of head cold hell. I was a coughing, drooling, snotting, sneezing, gagging, nose-blowing, mouth-breathing ball of unhappy. Highly recommended way to spend a long meditation retreat.

In the middle of the week I somehow managed to convince myself that it’d be a good idea if I biked 20 miles out to the Pan-Mass Challenge office to pick up the sneakers that were this year’s premium for people who reached the $6,300 Heavy Hitter fundraising level. The next day (Thursday) I had such a massive relapse of sinus pressure and headache that I skipped that evening’s retreat session, which was actually okay, since there were no group discussions that night, only sittings.

This was my fourth Sandwich Retreat, but it was the first time I stayed at CIMC the whole time. In previous years, I spent periods of walking meditation roaming the streets near the center, whereas this year I stayed indoors and stuck with the formal walking practice. I also spent this year’s 90-minute lunch breaks napping in CIMC’s lower meditation hall, rather than going out and sitting on the steps of Cambridge City Hall.

In fact, the only time I went outside I just sat on a bench in the yard, captivated by the bizarre moire patterns made by passing cars’ hubcaps, viewed through the gaps in CIMC’s slatted wooden fence.

And unlike prior years, when I’d pick up food from outside, this year I actually stayed and ate the vegetarian meals CIMC provided. Depressingly, all four lunches were some form of vegetarian stew, but they were paired with brown rice and bread, which I was able to fill up on. And please, people: raw green beans aren’t tasty or elegant; for chrissake cook those suckers!

The biggest challenge I had was with my “yogi job”. This year I was again assigned to end of day cleanup. It’s a two-person job, and my good buddy Mark signed up to be my parter. Except on the first day, he didn’t show up for it. And the second day, he left early. Then he didn’t even show up for the second Saturday and Sunday. I was kind of stunned that he’d stiff me like that, but some of it was misunderstandings that were later clarified, and thankfully other yogis stepped up and helped me out.

One of the things that makes the Sandwich Retreat unique is the “homework” we are given: something to practice with throughout our regular weekdays, which we can then share with others during the evening sessions. This year we were asked to notice when we were feeling resistance to life as it is, note what conditions caused it, what emotions and mind states it manifested as, and how it evolved and changed once we noticed it.

What almost no one (including me) realized was that this was the exact same homework as last year’s Sandwich Retreat! Ironically, I think a lot of what I observed during the week this year was nearly the same as things I’d observed last year!

Being unemployed and living alone, I wasn’t interacting with a lot of other people, which limited the number of opportunities I had for resistance to come up. The ones I did notice were subtle and ephemeral, like the briefest irritation when I had to wait for a line of cars to pass before I could walk across the street. Such irritations arose and disappeared so fast that I couldn’t really examine them. In the end, I decided that the source of my irritation was some kind of unmet expectation, followed by an immediate reset of my expectations. “Oh! There’s a line of cars. I guess I have to wait.” As soon as I adjusted my expectations, the resistance passed and I was much more patient with the situations.

Naturally, my cold provided me with an opportunity to practice with resistance. On Monday, when I described how acknowledging my irritation lessened its power over me, Larry commented that stopping those problematic mental proliferations actually leaves more energy for the body to fight off infection (or other maladies). Sadly, that didn’t help me during Thursday’s relapse, when mindfulness of my irritation did absolutely nothing to alleviate my physical symptoms and the misery that came with them.

During our sitting meditation periods, I spent most of my time doing karuna practice: the compassion work that I began last month and plan to continue for a full year, similar to the metta practice I did last year. I feel like it is both more meaningful to me and a more productive practice than metta, so I’m really enjoying it so far.

As if exploring resistance and developing compassion weren’t enough to work with, I spent my two teacher interviews grilling Narayan and Michael about my felt sense of anatta (non-self), free will, and the nature of the observer.

I think a lot of it revolves around whether the act of observing life as it plays out is something undertaken by some independent entity within, or whether it’s just another thought process. Because that determines who is in control.

Basically, if everything (including my feelings, thoughts, and actions) is purely conditioned, then I don’t see myself as having the western idea of free will. And that, in turn, causes the Buddhist concept of “non-self” to make more sense to me. If there’s no free will, there’s no independent actor making choices, and if there’s no independent actor making choices, how can there be such a thing as free will?

That was my basic thought process, and I wanted to run it by our guiding teachers to see if they thought it was (a) a useful line of inquiry, and (b) a reasonable understanding of the Buddhist view of reality. However, as is typical in these situations, their responses left me with many more questions than answers.

I first talked with Narayan, who said it was a meaningful line of inquiry, because it relates directly to Wise View: the first and foundational element of the Noble Eightfold Path. She also agreed that all thoughts and feelings are conditioned, but disagreed with the idea that the observer is just another thought.

She asserted that there is something within us that allows us to influence our actions, to alter the conditions that are the input to our decisionmaking process, but she described it in terms of a process, an action, a “mystery”, and a way of “be-ing”. She even described it as our innate “Buddha nature”, that seed of the unconditioned within us all.

She also didn’t think that “free will” was necessarily the best way of thinking about it, since there’s no way of definitively knowing whether we have free will or whether it’s just an illusion. Thus, the question of the degree to which we are able to make free and conscious choices is similar to the questions the Buddha described as “not useful” in the Cula-Malunkya Sutta.

Narayan acknowledged that there was a seeming contradiction in the idea that all thought, feeling, and actions are conditioned, while man still has the freedom to influence his thought patterns, make decisions, and take independent action. After the interview, I felt that contradiction was something I would have to sit with and examine at length.

I also felt it might be useful to spend some time trying out the idea that everything is conditioned and there is no such thing as free will, just to see how it differs from our default and predominant world view that we are independent actors.

After that, I really wanted to talk to Michael about it, since Narayan seemed to have directly contradicted something I’d heard from him, that the observer really was just another (conditioned) thought process. So a week later, I talked to him.

Rather than answer my question directly, Michael came back with an alternate question. For him, it isn’t the question that’s important, but what is driving the question. Why does the question need to be answered? Does it tell us something about the person asking the question? As a parting shot, Michael suggested that universal questions like this can tell us a lot about the individual’s relationship with the unknown. It wasn’t what I wanted to hear, but it was definitely more food for thought.

So when the time came for the final day’s feedback session, I talked a little bit about the scattered nature of examining three things at once: the karuna/compassion practice I was doing during the sitting periods; the homework, which concerned itself with resistance and aversion; and my teacher interviews, where I grilled them about non-self, the nature of awareness, and my relationship to it. I didn’t even mention our homework from the Long-Term Yogi group, which has to deal with interpersonal connection and Wise Speech. Still, I felt like I made progress on all those fronts.

Despite being sick, I wasn’t as mentally fatigued this year as in previous years, when I was absolutely exhausted. Part of that is attributable to being unemployed, but I also made a conscious effort to be more relaxed in my practice during the sittings, which I’m sure helped. The only day I felt truly wrung out was the final day, which was okay with me.

I recently read this article which cites a study by the Women’s Philanthropy Institute at Indiana University that reported finding a significant gender bias in philanthropic giving.

Actually, the article’s tone was a little more strident than that, loudly proclaiming that “Women are the conduit for change on the planet,” and backing that claim up with further observations that “Women across nearly every income level gave significantly more to charity than men, nearly twice as much in some cases,” and “Women gave more often than men and […] they also give more in total dollars.”

Now although I care about sexism, I’m also sensitive to reverse sexism, and this article raised my hackles from the start. Even if there is a statistically significant difference in philanthropy by gender, what is the value of reporting it in this manner, other than to reinforce tired stereotypes of women as nurturers and men as competitive and selfish? Gee, that’s progressive!

Of course, my indignation wouldn’t have justified a blog post were the issues of gender and philanthropy not personal, exacerbated by my predilection for numerical analysis. So…

As you well know, I’ve spent the last ten years fundraising for the Dana-Farber Cancer Institute, and off the top of my head I hadn’t noticed any gender bias (one way or the other) in the donations I’ve received.

But that got my curiosity up, so I went and ran the numbers. While I can’t speak for national trends, here’s my real-world results.

chart

First, I looked at the gender breakdown of the people who have sponsored my Pan-Mass Challenge ride since 2001, throwing out four donations that explicitly came from couples. I came up with 105 women and 134 men.

Contrary to the study’s findings, I have 30 percent more male sponsors than female. Huh. Interesting.

chart

Second, I looked not just at people, but at the total number of donations they made. Although I had fewer female sponsors, perhaps they actually donated more frequently.

No, that wasn’t the case either. I have received a total of 226 donations from women, and 339 from men.

Again bucking the study’s findings, the men who sponsor me have given 50 percent more donations than the women. Wow! I hadn’t noticed that.

chart

My third measurement was designed to account for any possible gender bias in the makeup of my donor list. After all, I am a guy, and I might have a proportionally larger number of guy friends, right?

So I divided the number of donations by the number of people making them, which told me the average number of donations made per person. If that article was right, surely the average lady would donate more frequently than the average man.

No. As a group, the women who have sponsored me have done so an average of 2.15 times, while the guys have averaged 2.53 donations per person.

That did close the gap a bit, but the men have still made 20 percent more donations per person than the women.

Nothing I’ve described so far validates the article’s claims. In fact (and to my surprise), it’s actually the opposite; if we go by number of donations, the men have been 20 to 50 percent more forthcoming in support of my PMC ride than the ladies.

Surely that can’t be right, tho. Let’s look further…

So far I’ve only focused on how many donations people made. Remember that the article also claimed that women give significantly more (dollar-wise) to charity than men, sometimes twice as much. Okay, let’s start looking at my numbers in terms of dollars and (perhaps) sense.

chart

Chart number four shows how much money I have received from each group. Note that I have explicitly excluded all funds received from anyone’s employer matching gift programs; this is purely individual donations.

Again, the boys have the edge, contributing nearly $32,000, while the women account for only $16,000.

Yes, those numbers are correct. While the study claims that women often donate twice as much to charity as men, over the past decade they’ve only given half as much as the men gave to my Pan-Mass Challenge ride.

In this case, the article’s assessment that “women are the conduit for change on the planet” must be reversed, because my male friends have given twice as much as women in the effort to stop cancer.

chart

Again, since there are more men in my sample than women, we have to correct for that. This chart shows what happens when we look at those numbers on a per capita basis.

As you can see, each woman who has sponsored me has given, on average, $155. That’s not per donation; that’s each person’s sum total of all their donations since 2001. At the same time, each man has given, on average, $237.

So extrapolating all that out, over ten years the average male sponsor has given me $80 more than the average female sponsor. It’s not twice as much as his female counterpart gave, but it’s still over 50 percent more.

chart

Finally, let’s forget the ten-year tally and boil it down to one final number. Just how big is the average donation? Girls versus boys!

Sorry, girls. The trend still holds true.

The average donation I receive from a woman is $72.25, while the average donation from a man… $93.65.

On average, every donation I get from a man is 20 dollars more than what I would get from a woman. In the final tally, men have given me 30 percent larger donations than women.

Of course, those are just averages, and there are tons of people of both genders who give much more or much less. The point isn’t to make anyone feel self-conscious about how much they give. I’m not challenging anyone or any group of people to increase their giving. I’m just describing how things have gone down, because I was curious and maybe you are, too.

I’d actually also be interested to hear what others’ fundraising stats are like. More is always better when it comes to data!

To summarize all that: the analysis of my Pan-Mass Challenge fundraising shows that I have 30 percent more male sponsors. As a group they have made 50 percent more donations, and they average 20 percent more donations per person than women. Men have given twice as much total money as women, 50 percent more money per person, and their average donation size is 30 percent larger than those given by women. It’s a surprising result, made doubly so by how consistently the results reinforce one another.

All this is starkly contradicts the conclusions in the news article I first mentioned.

Even if it doesn’t jibe with my firsthand experience, it’s still possible that the study behind that article was done with scientific rigor and its claims are valid.

On the other hand, the news article was written by a woman reporter, quoting the woman director of a woman’s philanthropy institute that, together with a women’s advocacy organization (Fenton), conducted a gender-based study whose conclusion (unsurprisingly) made women look better than men and depicted women as “the conduit of change on the planet”. Doesn’t sound like a recipe for objectivity to me.

That degree of built-in gender bias in the underlying study’s genesis, sponsorship, execution, conclusions, and reporting really bring its validity and its conclusions into question.

But who knows? Maybe women do give more money to charity more often than men. But it won’t be proven by this study conducted by the Women’s Philanthropy Institute.

The following is a transcription of a phone post that originally appeared in my main journal, here.

Hi there! Final update from the 2010 Pan-Mass Challenge. The weekend's now over, and it's time for a little analysis, but I'll be brief.

I guess the first question is for the 280 mile route that I took, adding the leg on Friday 93 miles from the New York border at West Stockbridge to Sturbridge, Massachusetts: was that worth it? How was it? Overall it was really good. I enjoyed the ride. It was very interesting, a good challenge, and I seem to have survived the weekend.

Was it the right thing to do? Yeah, I think it was, because I was really looking to find some way to put a little more challenge back into the ride, but also to do something memorable and special for what was my 10th anniversary Pan-Mass Challenge. And it wound up being that not only was that particular part of the ride special, but the whole weekend was just absolutely astonishing, from riding with friends to to connecting with new people to the weather and the countryside and obviously the mission and the fundraising that's gone on, the support that I've gotten from so many people... It's really been a very memorable, and as I spoke earlier, probably the best Pan-Mass Challenge that I've had to date.

Would I do that long extra leg on Friday again? I certainly would consider it, but probably not right now, and maybe not for a couple of years, just because it is quite a challenge, and logistically it's a challenge, and it's a big extra effort. But it was fun, it was interesting, but right now I think I need a break.

I also wanted to send out again thanks to all my sponsors obviously you guys make it possible, and the money that you contribute is the purpose: it does wonderful work in terms of supporting the researchers and the clinicians at the Dana-Farber Cancer Institute to do the real work that we're here to do.

But I want to give special thanks particularly to everyone who is a first-time donor. My 100-sponsor challenge couldn't happen without a huge flood of first-time donors, and I would say that at this point that probably more than half of the hundred people who have made contributions this year were first-time donors. So I want to especially thank those people, because your support is what made that achievement possible. And you all came through and I appreciate it a lot and I hope you'll be with me in the future.

That's it. Look for more material to come soon, if you're interested, which will include a typically lengthy writeup, GPS logs of the maps of where the ride took place, the route that we took, photographs -- both stills and also I will be putting together a video or two to try to capture the flavor of the event so that you can get more of a sense of what it's like to be out there on the road with me.

If you're interested in those, it may take me a while to put them all together, but you'll eventually be able to get to them by going to my cycling page which is http://www.ornoth.com/bicycling/ and look at the Pan-Mass Challenge 2010 link.

But that's it! Closing the weekend now, and happy to have had you along for the ride... It was quite a ride, and glad that you were there to share it. Thank you!

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