It's not just about the heart — the one he was never sure he would get in time — although, that, certainly, is part of it.
But it's also about knowing that someone else had to die so that he could live.
It's about learning to live in a world without a beloved brother, who was killed in a tragic incident. It's about learning more of the depth of character and faith of his wife and family.
It's about being able to go hiking and camping and to Disneyland. It's about developing a deeper relationship with a kind and loving Father in Heaven.
It's about burdens of grief and guilt, but also about the lift of unspeakable hope and joy.
In short, it's about finding a new life.
"There have been so many emotions," Paul Cardall says of the 16-month journey since he received a heart transplant.
As a musician and composer, it is natural that he expresses those emotions through music, which he has done in a new CD, "New Life" (Shadow Mountain Music).
But he also found that it didn't come easy. In all the time he spent in the hospital, Cardall only wrote one song. He would go out to the piano in the lobby in Primary Children's Medical Center every night, but he would find himself playing the same song over and over, a song he called "New Life."
"For me" he says, "music, opens a conduit to heaven and provides my soul with strength and peace. That's what 'New Life' did for me."
After the transplant came through and recovery was assured, there was a benefit "Celebration of Life" concert to put together, and then a book, "Before My Heart Stops Beating" to finish up. There were hikes to go on and activities to plan of things that had not been possible before. There were trips around the country to speak at hospitals and to young patients suffering from congenital heart disease, the nation's number one birth defect.
But there was little new music.
"I would sit at the piano, but I would feel like I wasn't ready. I couldn't write anything new."
He had been working on a new ending for "Gracie's Theme," a song he had written for the parents who had lost their little girl.
"It had a sad ending, but I realized it needed to be a celebration of life. I had interacted with so many parents who had lost children, and they were so inspiring. They taught me you need to embrace each day."
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