It is All That It is

 

 

octoberalders1

 

theleavings

 

 

The woods is shining this morning.
Red, gold and green, the leaves
lie on the ground, or fall,
or hang full of light in the air still.
Perfect in its rise and in its fall, it takes
the place it has been coming to forever.
It has not hastened here, or lagged.
See how surely it has sought itself,
its roots passing lordly through the earth.
See how without confusion it is
all that it is, and how flawless
its grace is. Running or walking, the way
is the same. Be still. Be still.
“He moves your bones, and the way is clear.”
~Wendell Berry “Grace”

 

 

ankledeepleaves

 

 

theleavings2

 

 

If I’m confused (as I often am)
about where I’ve been, where I am, where I’m going,
I look to the cycles of the seasons to be reminded
all things (and I) come round

what is barren will bud
what buds will grow lush and fruit
what flourishes will fade and fall,
and come to rest and stillness

All things come round
making the way clear.
Grace forges a path
I need to follow.

Shining in stillness,
still shining.

 

 

maplelane

 

oaklane1011182

 

parrotia1013184

 

 

Let Us Go In

fog1228141

 

Let us go in; the fog is rising…
~Emily Dickinson, her last words

 

fog101910

 

morningfog910172

 

I have watched the dying
in their last hours:
often they see what I cannot,
listen to what is beyond my hearing,
stretch their arms overhead
as fingers touch what is beyond my reach.

I watch and wonder what it will be like
to reverse the steps that brought me here
from the fog of amnion.

The mist of living lifts
as we enter a place
unsurpassed in brilliance and clarity;
the mystery of what lies beyond is solved
simply by going in.

 

sunrise115181

 

fog101915

 

foggydrops18

 

januarybug

In the Echo of Fog Horns

morning113159

 

foggymorning13115

 

new year’s eve-
in the echo of fog horns
another voyage starts
–  Keiko Izawa

 

foggydrops15

 

fogtree

 

I grew up on a small farm located about two miles from a bay in Puget Sound.  When I awoke, I knew it was a foggy morning outside even before looking out my bedroom window.  The fog horns located on coastal buildings and bobbing buoys scattered throughout the inlet would echo mournful moans and groans to warn freighter ships away from the rocky or muddy shallows.   The resonant lowing of the horns carried miles over the surrounding landscape due to countless water particles in the fog transmitting sound waves so effectively.  The louder the foghorn moan heard on our farm, the thicker the mist in the air.  Those horn voices would make me unspeakably sad for reasons I could never articulate.

Embarking on a voyage in blinding foggy conditions, just like starting a new year,  portends both adventure and risk.  Of course I’d prefer to see exactly where I am headed, carefully navigating with precise knowledge,  eventually winding up exactly at my intended destination.  The reality is that the future can be a murky mess.  We cannot see what lies ahead: we navigate by our wits, by our best guess, but particularly by listening for the low-throated warnings coming from the rocky shores and shallows of those who have gone ahead of us.

I am still too easily lost in the fog of my fears – disconnected, afloat and circling aimlessly, searching for a touch point of purpose and direction.  The isolation I sometimes feel may simply be my own self-absorbed state of mind, sucking me in deep until I’m soaked, dripping and shivering from the smothering gray.   If only I might trust the fog horn voices, I could charge into the future undaunted, knowing there are others out there in the pea soup prepared to come alongside me as together we await the sun’s dissipation of the fog.

Now I know, over sixty years into the voyage,  fog does eventually clear so the journey continues on.

Even so, I will keep listening for the resonant voices of wisdom and caution from shore, and at times raise my voice to join in.

Instead of echoing the moans and groans of my childhood mornings, may I sing an anthem of hope and promise.

 

morningfog12615

dogtreefog
photo by Nate Gibson

Be Obscure Clearly

thanksgiving20173

 

A wind has blown the rain away
and blown the sky away
and all the leaves away,
and the trees stand.
I think, I too,
have known autumn too long.
~e.e. cummings

 

thanksgiving20172

 

Be obscure clearly.
~E. B. White

 

thanksgiving20177

 

As a family doctor in the autumn of a forty year career, I work at clarifying obscurity about the human condition daily, dependent on my patients to communicate the information I need to make a sound diagnosis and treatment recommendation.  That is hard work for my patients, especially when they are depressed and anxious on top of whatever they are experiencing physically.

There is still much unknown and difficult to understand about psychology, physiology and anatomy.  Then throw in a disease process or two or three to complicate what appears to be “normal”, and further consider the side effects and complications of various treatments — even evidence-based decision making isn’t equipped to reflect perfectly the best and only solution to a problem.  Sometimes the solution is very muddy, not pristine and clear.

Let’s face the lack of facts.  A physician’s clinical work is obscure even on the best of days when everything goes well.  We hope our patients can communicate their concerns as clearly as possible, reflecting accurately what is happening with their health.  In a typical clinic day we see things we’ve never seen before, must expect the unexpected, learn things we never thought we’d need to know, attempt to make the better choice between competing treatment alternatives, unlearn things we thought were gospel truth but have just been disproved by the latest double blind controlled study which may later be reversed by a newer study.   Our footing is quicksand much of the time even though our patients trust we are giving them rock-solid advice based on a foundation of truth learned over years of education and training.   Add in medical decision-making that is driven by cultural, political or financial outcomes rather than what works best for the individual, and our clinical clarity becomes even further obscured.

Forty years of doctoring in the midst of the mystery of medicine: learning, unlearning, listening, discerning, explaining, guessing, hoping,  along with a little silent praying — has taught me the humility that any good clinician must have when making decisions with and about patients.  What works well for one patient may not be at all appropriate for another despite what the evidence says or what an insurance company or the government is willing to pay for.  Each person we work with deserves the clarity of a fresh look and perspective, to be “known” and understood for their unique circumstances rather than treated by cook-book algorithm.  The complex reality of health care reform may dictate something quite different.

The future of medicine is dependent on finding clarifying solutions to help unmuddy the health care decisions our patients face. We have entered a time of information technology that is unparalleled in bringing improved communication between clinicians and patients because of more easily shared electronic records.  The pitfall of not knowing what work up was previously done can be a thing of the past.  The risk and cost of redundant procedures can be avoided.  The time has come for the patient to share responsibility for maintenance of their medical records and assist the diagnostic process by providing online symptom and outcomes follow up documentation.

The benefit of this shared record is not that all the muddiness in medicine is eliminated, but that an enhanced transparent partnership between clinician and patient develops,  reflecting a relationship able to transcend the unknowns.

So we can be obscure clearly.  Our lives depend on it.

 

thanksgiving20174

The Alleviation of Dawn

foggymorning927173

 

For what human ill does not dawn seem to be an alleviation?
~Thornton Wilder

 

foggymorning927171

 

Early fall mornings often begin obscured – the low fog clings to the moist ground,  creating a muted reality of muffled sound and distorted distance.

My head feels just like this when I first wake.  I struggle to shake loose of cloudiness and clear my vision so I can take on the day.

Clarity doesn’t come from within.

The dawn burns off the fog, renders and refines landscape colors, separates light from shadow.  I too must become part of the solution instead of clouded with precipitate.

 

foggymorning927175

 

sunrisesnowcap

 

Support for the Barnstorming Blog

Your financial support keeps this blog a daily offering and ad-free. A one-time contribution helps greatly.

$10.00

 

 

 

 

So Absolutely Clear

fog1228141

 

sunrise910156

 

foggymorning13115

 

Don’t surrender your loneliness
So quickly.
Let it cut more deep.

Let it ferment and season you
As few human
Or even divine ingredients can.

Something missing in my heart tonight
Has made my eyes so soft,
My voice
So tender,

My need of God
Absolutely
Clear.
~Hafez, 14th century Persian poet

 

foggyfield
photo by Nate Gibson

fog913

 

When my heart clenches with sadness,
when my thinking is muddled with stress and doubting,
when I can’t focus on what is right before me because tears cloud my vision,
I remember one thing remains absolutely clear in the mist and midst of the fog:

I have need for God and I too am softened in my neediness.

 

sunrise92814

 

sunrise913

 

dogtreefog
photo by Nate Gibson

 

 

 

 

 

 

God Leaps Out

centralsunset

… And now in vast, cold, empty space, alone.
Yet hidden deep within the grown-up heart,
A longing for the first world, the ancient one …
Then, from His place of ambush, God leapt out.
~ Rainer Maria Rilke

lundebloom

That’s the mystery of us.
But then there’s the mystery of God,
lying in ambush,
watching, waiting,
waiting for the fulfillment of time,
the nexus of his grace and our vulnerability.
Maybe today.
~Kathleen Mulhern “Hangs My Helpless Soul on Thee”

sunset51171

Sometimes, during a long night of fitful sleep,
when nothing makes sense and worry takes over,
I ponder the mystery of how our brains were made to wonder at all.

I long for a simpler time,
for clarity of purpose,
for laughter through tears,
for gratitude even in hard times.

Yet as I toss and turn,
I know my God lies in wait for me,
as He watches for the moment
when being ambushed is exactly what I need.

morninghaze