Dust Specks of Eden

 

 

 

photo by Josh Scholten

 

Skin was earth; it was soil.
I could see, even on my own skin,
the joined trapezoids of dust specks God had wetted and stuck with his spit
the morning he made Adam from dirt.
Now, all these generations later,
we people could still see on our skin
the inherited prints of the dust specks of Eden.

~Annie Dillard from An American Childhood

 

magnified landscape of human skin

 

 

A goodly portion of my work as a physician is spent looking at my patients’ skin.  Most of the time, it is a quick assessment of color, moisture and texture before I go on to concentrate on the chief complaint that brought the patient in.  However, skin concerns frequently are the chief complaint — perhaps as straight forward as an abrasion or laceration, or a puzzling bump, an oozing sore, a total body itch, or an ominous pigmented lesion.

I feel like Sherlock Holmes when I focus on a patient’s outer covering in magnified detail.  I assume the identity of detective, inspector and archeologist all at once, trying to discern what is taking place on or beneath a piece of dermatologic geography.

No matter what the diagnosis or the treatment plan, I’m continually awestruck by the topography of skin.  This supple landscape is made up of trapezoidal specks connected one to another, just like the soil upon which I tread.   Skin cells are in a state of constant renewal, the dead and discarded falling off to rejoin the dust from which it came.

This elaborate matrix of collagen and keratin is the foundation for our scaffolding and our shroud.

His spit provides the superglue: the rivets, the bolts and the nails that bind us together for a lifetime, creating us to be far more than a mere pile of random dust specks.

 

 

Inherited Specks

photo by Josh Scholten
photo by Josh Scholten

Skin was earth; it was soil. I could see, even on my own skin, the joined trapezoids of dust specks God had wetted and stuck with his spit the morning he made Adam from dirt. Now, all these generations later, we people could still see on our skin the inherited prints of the dust specks of Eden.
~Annie Dillard from An American Childhood

A goodly portion of every clinic day is spent looking at my patients’ skin.  Most of the time, it is a quick assessment of color, moisture and texture before I go on to concentrate on the chief complaint that brought the patient in.  However, skin concerns frequently are the chief complaint — perhaps as straight forward as an abrasion or laceration, or a puzzling bump, an oozing sore, a total body itch, or an ominous pigmented lesion.

I feel like Sherlock Holmes when I focus on a patient’s outer covering in magnified detail.  I assume the identity of detective, inspector and archeologist all at once, trying to discern what is taking place on or beneath a piece of dermatologic geography.

No matter what the diagnosis or the treatment plan, I’m continually awestruck by the topography of skin.  This supple landscape is made up of trapezoidal specks connected one to another, just like the soil upon which I tread.   Skin cells are in a state of constant renewal, the dead and discarded falling off to rejoin the dust from which it came.

This elaborate matrix of collagen and keratin is the foundation for our scaffolding and our shroud.

His spit provides the superglue: the rivets, the bolts and the nails that bind us together for a lifetime.

We are created to be far more than a mere pile of random dust specks.

Lenten Reflection–We are Dust

magnified landscape of human skin

…He knows how we are formed,
He remembers that we are dust.
Psalm 103: 14

God remembers because He sculpted us from dust, gently breathing into our nostrils the breath of life, filling our lungs to keep us afloat while anchored to the soil. Though we are grateful for each breath that keeps us alive, we tend to forget how our daily journey returns us to dust, beginning with the parched and dying desert of our covering. Our skin sheds, flake by flake, returning to dust, slowly pulling us back to the ground where we were formed. With each breath we are closer to dust than the breath before, each more precious than the last.

His touch formed us. His breath fills us. His love anchors us.

He remembers. So must we.

magnified human skin cells