The Gospel of Adequacy | Miguel Sancho & Felicia Morton

May 12, 2021 Episode Page ↗
Overview

Miguel Sancho, author of "More Than You Can Handle," and his wife Felicia Morton, discuss their raw experience surviving their son's rare disease. They share lessons on meditation, marriage, finding meaning in suffering, and letting go of ego and control.

At a Glance
24 Insights
1h 4m Duration
15 Topics
5 Concepts

Deep Dive Analysis

Introduction to 'Normal People' Surviving Extreme Circumstances

Sebastian's Medical Emergency on an Airplane

Sebastian's CGD Diagnosis and Bone Marrow Transplant

The Agonizing Decision to Pursue a Risky Transplant

Miguel's Struggle with Ego, Anger, and Control

Miguel's Lowest Moments: Eviction and Make-A-Wish Trip

Miguel's Failed Coping Mechanisms and Dan's Advice

Miguel's Exploration of Meditation: Benefits and Critiques

The 'Gospel of Adequacy' and Letting Go of Control

Felicia's Perspective: Control as a Prison and CGD Carrier Symptoms

Felicia's Spiritual Awakening and Finding Love Through Faith

Maintaining Faith and Finding Support in Community

Sebastian's Current Health and Gratitude for Medical Progress

Miguel's Personal Transformation Post-Experience

Felicia's Final Reflections on Authentic Living

Hematopoietic Stem Cell Transplant

More commonly known as a bone marrow transplant, this procedure involves annihilating a person's existing immune system with intense chemotherapy, infusing new donor cells, and then meticulously growing a new immune system from scratch. It is a very complicated and risky medical procedure.

Chronic Granulomatous Disease (CGD)

A monogenetic mutation on the X chromosome that prevents the body from fighting off certain bacterial and fungal infections. It requires daily medication and can lead to intermittent hospitalizations for treatment.

Gospel of Adequacy

This concept suggests that during extreme suffering, one does not have to be heroic every second. Instead, striving for adequacy – simply not making things worse – is a challenging and worthwhile goal that allows individuals to sustain their family and do their part.

Loving Kindness Meditation

A meditation practice that involves taking time to concentrate on the fact that other living creatures are suffering in their own way. It encourages acknowledging them with a silent blessing of peace and wellness, aiming to prevent one from making their lives worse.

Control as a Prison

The idea that the intense pressure to control circumstances, especially during a crisis, can lead to increased anxiety and depression. Letting go of this need for control can bring tremendous relief and allow one to focus on what is truly manageable.

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What was Sebastian's medical condition and why did he need a new immune system?

Sebastian was born with Chronic Granulomatous Disease (CGD), a monogenetic mutation on his X chromosome that prevented his body from fighting off certain bacterial and fungal infections. He needed a hematopoietic stem cell transplant (bone marrow transplant) to give him a new, functioning immune system.

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What were Miguel's personal struggles during his son's illness?

Miguel struggled with ego, latent insecurities, a volcanic temper, and a desire for control, which manifested as anger, workaholism, and substance abuse. These issues led to marital difficulties and strained relationships.

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What were some of Miguel's 'lowest moments' during his son's treatment?

Miguel recounted blowing up at a nanny, getting evicted from the Ronald McDonald House due to mindlessness, and almost destroying their Make-A-Wish trip because of a crippling anxiety attack related to Sebastian's post-transplant setbacks.

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What did Miguel learn about meditation, and what were its benefits and limits for him?

Meditation helped Miguel pause, separate from immediate feelings, and practice loving kindness. However, he found it had limits in overwhelming circumstances, sometimes clearing his mind only for anxiety to flood in, leading him to supplement with psychotropic medication.

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What is the 'gospel of adequacy'?

The 'gospel of adequacy' is Miguel's philosophy that during extreme suffering, it's okay not to be heroic every second. Instead, striving to be 'adequate'—not making things worse—is a challenging and valuable goal that can help sustain family and well-being.

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How did Felicia cope with the extreme stress of her son's illness?

Felicia initially tried to control everything, which led to anxiety and depression. When stripped of her normal life and support system in the hospital, she found tremendous relief in letting go of control and returning to her Christian faith, experiencing profound love and peace.

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How is Sebastian doing now?

Sebastian is doing great at eight years old, with a functioning immune system thanks to the doctors at Duke. He recently auditioned for and won the President Roosevelt role in 'Annie Jr.' and shows no outward signs of his past illness.

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How have Miguel and Felicia changed after their experience?

They both experienced a profound shift in perspective, prioritizing what's truly important, distancing themselves from obsessive parenting pathologies and acidic political schisms. They also developed less tolerance for on-screen violence and a greater eagerness to help others.

1. Surrender the Illusion of Control

Acknowledge that trying to control everything, especially in catastrophic situations, is impossible and creates immense anxiety; letting go of this need can bring tremendous relief and peace.

2. Embrace the Gospel of Adequacy

In times of extreme stress or suffering, aim to be ‘adequate’ rather than striving for constant heroism; being adequate means not making things worse and doing what you can to sustain yourself and your family. Don’t be ashamed to seek help to achieve this.

3. Let Go of Control

Recognize that associating self-worth or masculinity with absolute control over circumstances is a fallacy; external events can strip this away, leading to humility and a burning off of ego.

4. Re-evaluate Life’s Priorities

Consciously shift focus away from societal pressures like competitive parenting, political schisms, or material possessions towards what truly matters, fostering a profound change in perspective.

5. Question Value and Meaning

Reflect on what you consider valuable and meaningful in life, as these assumptions can sometimes create a ‘prison’ of expectations and control, hindering true peace.

6. Cultivate Self-Love

Recognize that the love you need most is often self-love, and feeling this can open you up to receiving support and experiencing ‘miracles’ from others.

7. Recognize Love’s Miraculous Force

View love in all its various expressions as a miraculous force that changes and sustains us, and needs to be supported and appreciated.

8. Adopt ‘Surround-the-Football’ Approach

When facing overwhelming challenges, try multiple modalities (meditation, counseling, medication, etc.) simultaneously to see what works best for you.

9. Consider Psychotropic Medication

If meditation alone is insufficient for extreme anxiety or depression, explore low-dose antidepressants or anti-anxiety medication without shame, viewing it as a complementary tool rather than a failure.

10. Supplement Meditation Without Shame

It’s acceptable to combine meditation with other forms of support, like medication, without feeling like you’re ‘cheating’ or failing as a meditator.

11. Embrace Faith as Support

Recognize that faith can provide valuable teachings and sustenance for dealing with life’s challenges, and people of faith are not just ‘blind zealots’ or ‘superstitious ignoramuses’.

12. Reconnect with Faith in Crisis

If raised with faith, allow yourself to return to it when stripped of other supports, as it can provide a deep well of love, peace, and calm, even after periods of rebellion.

13. Prioritize Authentic Fellowship

Actively seek out and engage in genuine conversations and fellowship with friends, faith communities, or support groups to combat feelings of hopelessness and maintain a sense of acceptance and love.

14. Build a Supportive Community

Actively seek and accept help from friends, family, and community members, especially those who share similar experiences or faith, as this fellowship provides invaluable support and prevents isolation.

15. Engage in Helping Others

Actively seek opportunities to help others, as focusing on someone else’s problems can be a powerful way to get out of your own head and be of practical use.

16. Make Effort in Relationships

Making a visible effort to address problems can improve relational dynamics, as partners often appreciate the effort itself, regardless of immediate substantive benefits.

17. Start Basic Meditation Practices

Begin with simple meditation techniques to separate yourself from immediate circumstances and feelings, creating a pause before reacting, especially when in a hyper-stimulated state.

18. Practice Loving-Kindness Meditation

Take time to truly concentrate on the fact that there are other living creatures around you who are probably suffering in their own way, and silently bless them with peace and wellness.

19. Seek Positive Distance from Reality

Instead of sinking below reality with negative distractions (screens, substance abuse), engage in practices like meditation to rise above immediate circumstances and gain perspective.

20. Reduce On-Screen Violence

Recognize that witnessing the fragility of the human body can diminish the entertainment value of fictional violence; consider reducing consumption of such content.

21. Cultivate Mortality Acceptance

Through witnessing the kind of beautiful and graceful and transcendent ways that some people can approach the end of their life, work towards being much less resistant to that process.

22. Encourage Your Children

Offer belief and encouragement to children facing challenges, as this can instill a resolute determination that helps them overcome obstacles.

23. Look Beyond Material Trappings

Recognize that while external achievements and possessions (house, car, vacations) might seem appealing, true fulfillment comes from authentic experiences and focusing on what really matters, rather than an ’empty’ pursuit of superficial things.

24. Address Marital Issues Directly

If a spouse gives an ultimatum regarding marital problems, take it seriously and seek counseling or other forms of help to address underlying issues before they lead to catastrophic damage.

Nobody can tell you how to watch your child suffer.

Miguel Sancho

When something like this happens, it cracks you clean open, brother. And it reveals to you the fallacies and the house of cards upon which you've built so many of those assumptions.

Miguel Sancho

You don't have to feel like you're cheating on your girlfriend when you supplement meditation with medication.

Miguel Sancho

There's only one miracle, but I've seen it thousands of times. It's called love.

John Seskovich (quoted by Miguel Sancho)

Control in a way is like a prison in and of itself.

Felicia Morton

Faith is faithful, even when we're not. And we're loved, even when we don't show love back.

Felicia Morton

When you see how easy it is for the human body to get broken and how hard it is to repair it, watching, even if it's just make-believe violence of people shooting each other up or, you know, engaging in fistfights on TV, you know, I'm not saying we should ban that stuff, obviously, but it just doesn't entertain me.

Miguel Sancho

Surround-the-Football Approach to Self-Help

Dan Harris
  1. Try everything (e.g., meditation, counseling, medication).
  2. Make an effort, as the effort itself can help the situation, regardless of substantive benefits from any single modality.
March 18th, 2016
Date of Sebastian's medical emergency on a Delta flight En route from New York to Durham, North Carolina
Three years, 10 months
Sebastian's age during the airplane medical emergency He was able to talk and express himself
Eight months
Duration of stay in Durham, North Carolina for Sebastian's treatment In various phases of hospitalization and inpatient/outpatient treatment
Between two and five months old
Sebastian's age when diagnosed with CGD The diagnostic odyssey and impact of the news
Nine months
Felicia's unplanned stay in North Carolina Originally packed for two days
Eight years old
Sebastian's current age He has a functioning immune system and is participating in a musical
October 2013
Date of Miguel's daughter's diagnosis with another medical condition Not life-threatening, but sent Miguel into a tailspin