I’ve heard it said that honesty is the first casualty of illness. I’d argue that honesty is the first casualty in any struggle. I first learned this when I took my then fourteen-month-old daughter in for a developmental evaluation, ordered by her pediatrician after we first noticed her having seizures.
After watching her “play” for nearly an hour, a speech therapist and a registered nurse brought me their assessment: moderate to severe global delays. With a cry trapped in my throat, I asked, “Will she catch up?” The two women looked at each other, glanced at my daughter, then at the floor—never at me—and said, “We’ve seen miracles.”
Was it a lie? Maybe. Maybe not. I don’t know. But I do know it wasn’t complete honesty.
This was my first exposure to the secret language of worry. Since that time, I’ve become fluent in this unique dialect.
It begins with the eyes. They look down and to the right, or over your left shoulder. The face may turn toward you, but the eyes wander elsewhere. There may be a smile, the conversation might seem jovial, but the eyes are elsewhere. Even when truth is spoken, the eyes often drift away.
You will try to gain eye contact, and you might succeed momentarily, but then your attention is drawn to the mouth. Around the lips is a tightness—a subtle stiffness. Perhaps the laugh is forced, the smile lingers too long. In some settings, masks conceal this nuance, but you’ll notice the sound in the throat, the clearing of vocal cords. Even a brief pause before answering can be a tell in the language of worry. What is this person really trying to tell me?
As you become fluent, you notice the subtleties of speaking this language. You learn its origins. Suddenly, you avoid eye contact when your spouse asks if you’re feeling okay. You find something on the floor to study when a friend asks about lab results. Your voice weakens, and your throat clears when a son or daughter asks about a future date. Will you be well enough then? Who even knows?
The secret language of worry exists as a shield, both for the speaker and the listener. We live in a world overflowing with information—sometimes empowering, sometimes overwhelming. The truth can hurt. We carefully release it, bit by bit, gauging the reaction of those we love. Can they hold this worry with us?
In a few weeks, I will return to the hospital for my two-year heart transplant follow-up. They will run labs to monitor my organs—especially my struggling kidneys. They’ll perform a chest X-ray, EKG, echocardiogram, right heart catheterization, myocardium biopsy, and even a left heart catheterization with angiogram to monitor cardiac allograft vasculopathy (I just wanted to flex some medical jargon). As the date approaches, I find myself slipping into the secret language, explaining and justifying my concern repeatedly.
Oh, how I wish I could replace this language with the foreign tongue of celebratory optimism. I rehearse affirmations and speeches of positivity in my mind. But over the years, the language of worry has become ingrained, and it pulls me in too easily. Gratitude helps. Prayer helps. Patience helps. Until then, I practice them all.
If you catch me slipping into this secret language, try to relate. Empty platitudes have no translation in the language of worry; they ring hollow to those fluent in this tongue. Just listen. Listening helps.
In the end, we all speak the language of worry in our own way—it is, after all, a universal language.
Witness Marks 