A
POKER PLAYER'S GUIDE TO BEATING CANCER
Nick
Kurzon
When
I got sick, it was what I learned from the game that sustained
me: it takes faith to trust the odds.
As
a poker player, I've gotten familiar with the fluctuations
of luck and the endurance of probability. That's why I like
the game. I'm trying to make sense of those rival twins
-- luck and probability -- because they are why I'm still
alive, and they are why I nearly died. I got into poker
after I got cancer.
I've
heard that some people who get cancer find religion. As
much as I would have liked it if that had happened to me,
I never found religion when I got sick with lymphoma two
years ago. That's not to say I didn't pray. When I had to
get a diagnostic gallium scan of my body, lying perfectly
still in a tube for three hours, not knowing what future
the results would bring for me and my family, I discovered
that I knew the Lord's Prayer. I repeated it over and over
again, like a mantra, and it helped keep me from panicking.
I prayed and I meditated and I offered a lot of deals to
God if he'd get me through the woods. I found some comfort
in God, but I didn't find religion.
Instead,
I found poker.
The beautiful thing about poker is that one's fate is quantifiable.
You can always measure your place in the universe by calculating
the odds of any given hand. When you have a horrible run
of luck, it is easy to measure just how horrible it is.
The other day, in a big-pot-limit game, I lost a pile of
chips when my full house got beaten by a Wall Street cowboy
who drew to a bigger full house. It turns out there were
four cards out of 44 remaining in the deck that could've
helped my opponent. That's how bad my luck was: 10 to 1.
I was better than a 90 percent favourite to win the hand.
Those
odds tell me that I did the right thing to make a huge bet,
and my opponent made a mistake to call it. The fact that
he took my chips is beside the point. Poker, as they say,
is played by the year, not the day. The aberrations will
even out over time, and the odds will not forsake you.
As
it happens, when I was diagnosed, the doctors said my odds
of surviving for the next five years were also just over
90 percent. That's a bit scarier than sitting pretty with
a second-nut full house. With the stakes this high, even
10 to 1 is unsettling. Either I will survive or I won't.
I won't be "91 percent alive" in five years: it's
all or nothing. For me, the word is "destiny,"
not "odds."
But
that's not how oncology works. Science doesn't accept "destiny"
as anything more than a metaphor, and it treats the fate
of one patient as part of a pattern that can be observed
and controlled in the aggregate. A doctor has to believe
in the odds. And a patient has to believe in his doctor.
That's not always easy to do. Oncologists, by design, are
almost impossible to read. They have to be. At the card
table it's called a "poker face," but for an oncologist,
keeping emotion out of the equation is a matter of life
and death. At first it drove me crazy. I couldn't figure
out where my doctor was coming from. He told me what I had
to do to survive and he told me that I should fare well,
but he didn't show any trace of emotion. Fighting cancer
was the most emotional experience of my life, but he was
all business. Now I know why.
Poker
players use the term "going on tilt" to describe
the irrational play that usually follows an improbable loss.
A "bad beat" -- being victimized by standard deviation
-- can lead even the coolest shark to start playing wildly.
When I lost all my chips on that 10-to-1 shot, I felt the
blood rush to my head, so I got up and left the table. But
an oncologist can't leave, and he certainly can't allow
himself to go on tilt. He has to treat each patient by the
book, even if that sometimes leads to tragic results.
And
after one of those tragedies, he has to get right back to
work, without showing any signs of frustration or apprehension
-- what poker players would call his "tells."
It is crucial that his next patient have absolute confidence
in his advice.
Nowadays,
I am grateful when I see my doctor putting on his poker
face to tell me that the latest gallium-scan results look
good. Even though I want him to celebrate with me, I know
that that's not what makes for long-term success. After
my one-year checkup, almost giddy with joy, I said to my
doctor, "So you mean the cancer's gone?" He nonchalantly
replied, "Well, what did you expect?" What matters
most for my doctor is not what he wants to happen, but what
he expects will happen over the long term and how he takes
advantage of that to get what he wants.
Because
most of all, working with the odds requires a lot of faith.
Enough faith to know that even if your full house gets beaten
by a long shot, it's right to play the hand the same way
next time. And nine times out of 10, things will work out
great. As I get better at poker, I am discovering such faith,
and it reassures me and offers a sense of control over a
sometimes capricious universe. Poker helps me realize how
predictable it is to be as lucky as I am.
Nick
Kurzon is a documentary filmmaker.
(c) 2004, Newsweek Inc. All rights reserved. Reprinted by
permission.
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