When Flesh and Heart Shall Fail

sunrise21218

 

(Ten years ago this week, this healthy young college student came to our clinic stricken with seasonal influenza complicated by pneumonia.  His family gave permission for his story to be told.)

 

sunset210181

 

Nothing was helping.  Everything had been tried for a week of the most intensive critical care possible.  A twenty year old man, completely healthy only two weeks previously, was dying and nothing could stop it.

The battle against a sudden MRSA pneumonia precipitated by a routine seasonal influenza had been lost.   Despite aggressive hemodynamic, antibiotic, antiviral and ventilator management, he was becoming more hypoxic and his renal function was deteriorating.  He had been unresponsive for most of the week.

The intensivist looked weary and defeated. The nurses were staring at their laps, unable to look up, their eyes tearing. The hospital chaplain reached out to hold this young man’s mother’s shaking hands.

After a week of heroic effort and treatment, there was now clarity about the next step.

Two hours later, a group gathered in the waiting room outside the ICU doors. The average age was about 21; they assisted each other in tying on the gowns over their clothing, distributed gloves and masks. Together, holding each other up, they waited for the signal to gather in his room after the ventilator had been removed and he was breathing without assistance. They entered and gathered around his bed.

He was ravaged by this sudden illness, his strong body beaten and giving up. His breathing was now ragged and irregular, sedation preventing response but not necessarily preventing awareness. He was surrounded by silence as each individual who had known and loved him struggled with the knowledge that this was the final goodbye.

His father approached the head of the bed and put his hands on his boy’s forehead and cheek.  He held this young man’s face tenderly, bowing in silent prayer and then murmuring words of comfort:

It is okay to let go. It is okay to leave us now.
We will see you again. We’ll meet again.
We’ll know where you will be.

His mother stood alongside, rubbing her son’s arms, gazing into his face as he slowly slowly slipped away. His father began humming, indistinguishable notes initially, just low sounds coming from a deep well of anguish and loss.

As the son’s breaths spaced farther apart, his dad’s hummed song became recognizable as the hymn of praise by John Newton, Amazing Grace.  The words started to form around the notes. At first his dad was singing alone, giving this gift to his son as he passed, and then his mom joined in as well. His sisters wept. His friends didn’t know all the words but tried to sing through their tears. The chaplain helped when we stumbled, not knowing if we were getting it right, not ever having done anything like this before.

Amazing Grace, how sweet the sound,
That saved a wretch like me.
I once was lost but now am found,
Was blind, but now I see.

Through many dangers, toils and snares
I have already come;
‘Tis Grace that brought me safe thus far
and Grace will lead me home.

Yea, when this flesh and heart shall fail,
And mortal life shall cease,
I shall possess within the veil,
A life of joy and peace.

When we’ve been here ten thousand years
Bright shining as the sun.
We’ve no less days to sing God’s praise
Than when we’ve first begun.

And he left us.

His mom hugged each sobbing person there–the young friends, the nurses, the doctors humbled by powerful pathogens. She thanked each one for being present for his death, for their vigil kept through the week in the hospital.

This young man, now lost to this life, had profoundly touched people in a way he could not have ever predicted or expected. His parents’ grief, so gracious and giving to the young people who had never confronted death before, remains unforgettable.

This was their sacred gift to their son so Grace will lead us home.

 

cloverdrops

 

drizzlesnowdrop

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

A World of Wet and Weeping

rainywindow

 

My own heart let me more have pity on; let
Me live to my sad self hereafter kind,
Charitable; not live this tormented mind
With this tormented mind tormenting yet.
I cast for comfort I can no more get
By groping round my comfortless, than blind
Eyes in their dark can day or thirst can find
Thirst’s all-in-all in all a world of wet.
~Gerard Manley Hopkins

 

rainy-windshield1

 

January 1979
Surfacing to the street from a thirty two hour hospital shift usually means my eyes blink mole-like, adjusting to searing daylight after being too long in darkened windowless halls.  This particular January day is different.   As the doors open, I am immersed in a subdued gray Seattle afternoon, with horizontal rain soaking my scrubs.

Finally remembering where I had parked my car in pre-dawn dark the day before, I start the ignition, putting the windshield wipers on full speed.  I merge onto the freeway, pinching myself to stay awake long enough to reach my apartment and my pillow.

The freeway is a flowing river current of head and tail lights.  Semitrucks toss up tsunami waves cleared briefly by my wipers frantically whacking back and forth.

Just ahead in the lane to my right, a car catches my eye — it looks just like my Dad’s new Buick.  I blink to clear my eyes and my mind, switching lanes to get behind.  The license plate confirms it is indeed my Dad, oddly 100 miles from home in the middle of the week.  I smiled, realizing he and Mom have probably planned to surprise me by taking me out for dinner.

I decide to surprise them first, switching lanes to their left and accelerating up alongside.  As our cars travel side by side in the downpour,  I glance over to my right to see if I can catch my Dad’s eye through streaming side windows.  He is looking away to the right at that moment, obviously in conversation.  It is then I realize something is amiss.  When my Dad looks back at the road, he is smiling in a way I have never seen before.  There are arms wrapped around his neck and shoulder, and a woman’s auburn head is snuggled into his chest.

My mother’s hair is gray.

My initial confusion turns instantly to fury.  Despite the rivers of rain obscuring their view, I desperately want them to see me.  I think about honking,  I think about pulling in front of them so my father would know I have seen and I know.  I think about ramming them with my car so that we’d perish, unrecognizable, in an explosive storm-soaked mangle.

At that moment, my father glances over at me and our eyes meet across the lanes.  His face is a mask of betrayal, bewilderment and then shock. As he tenses, she straightens up and looks at me quizzically.

I can’t bear to look any longer.

I leave them behind, speeding beyond, splashing them with my wake.  Every breath burns my lungs and pierces my heart.  I can not distinguish whether the rivers obscuring my view are from my eyes or my windshield.

Somehow I made it home to my apartment, my heart still pounding in my ears.  The phone is ringing and ringing, and won’t be answered.

I throw myself on my bed, bury my wet face in my pillow and pray for a sleep without dreams.

 

fogdrops2

raindrops1315

Foggy and Fine Days Within Me

fog101926

 

And so you have a life that you are living only now,
now and now and now,
gone before you can speak of it,
and you must be thankful for living day by day,
moment by moment …
a life in the breath and pulse and living light of the present…

~Wendell Berry from Hannah Coulter

 

fog1228141

 

~Lustravit lampade terras~
(He has illumined the world with a lamp)
The weather and my mood have little connection.
I have my foggy and my fine days within me;
my prosperity or misfortune has little to do with the matter.
– Blaise Pascal from “Miscellaneous Writings”

 

foggyfield
photo by Nate Gibson

 

Is my gloom, after all,
Shade of His hand,
outstretched caressingly?

~Francis Thompson from “The Hound of Heaven”

 

supermoonbarn

 

My days are filled with anxious and sad patients, one after another after another.  They sit at the edge of their seat, struggling to hold back the flood from brimming eyes, fingers gripping the arms of the chair.   Each moment, each breath, each heart beat overwhelmed by questions:  will there be another breath?  must there be another breath?   Must life go on like this in fear of what the next moment will bring?

The only thing more frightening than the unknown is the knowledge that the next moment will be just like the last or perhaps worse.  There is no recognition of a moment just passed that can never be retrieved and relived.   There is only fear of the next and the next so that the now and now and now is lost forever.

Worry and sorrow and angst are contagious as the flu.
I mask up and wash my hands of it throughout the day.
I wish we could be vaccinated to protect us all from these unnamed fears.

I want to say to them and myself:
Stop this moment in time. Stop and stop and stop.
Stop expecting someone or some thing must fix this feeling.
Stop wanting to be numb to all discomfort.
Stop resenting the gift of each breath.
Just stop.
Instead, simply be.

I want to say:
this moment, foggy or fine, is yours alone,
this moment of weeping and sharing
and breath and pulse and light.
Shout for joy in it.
Celebrate it.
Be thankful for tears that can flow over grateful lips
and stop holding them back.

Stop me before I write,
out of my own anxiety,
yet another prescription
you don’t really need.

Just be–
and be blessed–
in the now and now and now.

 

sunset15183

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

The Long Road of Weariness and Want

snowyrose

 

The snow is melting
and the village is flooded
     with children.
~Kobayashi Issa (translated by Robert Haas)

 

snowyrose2

 

A voice is heard in Ramah,
    mourning and great weeping,
Rachel weeping for her children
    and refusing to be comforted,
    because they are no more.
Matthew 2:18 and Jeremiah 31:15

 

hi-dali
Rachel weeping – Salvador Dali

 

We think of him as safe beneath the steeple,
Or cosy in a crib beside the font,
But he is with a million displaced people|
On the long road of weariness and want.
For even as we sing our final carol
His family is up and on that road,
Fleeing the wrath of someone else’s quarrel,
Glancing behind and shouldering their load.

Whilst Herod rages still from his dark tower
Christ clings to Mary, fingers tightly curled,|
The lambs are slaughtered by the men of power,
And death squads spread their curse across the world.
But every Herod dies, and comes alone
To stand before the Lamb upon the throne.
~Malcolm Guite from Waiting on the Word

 

winterrose

 

And the slaughter of innocents and weary road for refugees continues unabated-
In observance of The Feast Day of the Holy Innocents:

 

There is no consolation for the families of those lost:
Their arms ache with emptiness tonight,
beds and pillows lie cold and unused,
blankets and cuddlies await all night hugs
that never come again.

There can be no consolation;
only mourning and great weeping,
sobbing that wrings dry
every human cell,
leaving dust behind,
dust, only dust
which is beginning
and end.

He came to us
for times such as this,
born of
the dust of woman and
the breath of Spirit,
God who bent down to
lie in manger dust,
walk on roads of dust,
die and be laid to rest as dust
in order to conquer
such evil as this
that could displace masses
and massacre innocents.

He became dust to be
like us
He began a mere speck in a womb
like us
so often washed away from life
as unwanted.

His heart beat
like ours
breathing each breath
like ours
until a fearful fallen world
took His
and our breath
away.

He shines through
the shadows of death
to guide our stumbling uncertain feet.
His tender mercies flow freely
when there is no consolation
when there is no comfort.

He hears our cries
as He cried too.
He knows our tears
as He wept too.
He knows our mourning
as He mourned too.
He knows our dying
as He died too.

God wept
as this happened.
Evil comes not from God
yet humankind embraces it.
Sin is a choice
we made from the beginning,
a choice we continue to make.

Only God can glue together
what evil has shattered.
He just asks us to hand Him
the pieces of our broken hearts.

We will know His peace
when He comes
to bring us home,
our tears will finally be dried,
our cells no longer
just dust,
never only dust
as we are glued together
by the breath of God
forevermore.

 

freezedriedrose

 

the tender mercy of our God,
    by which the rising sun will come to us from heaven
to shine on those living in darkness
    and in the shadow of death,
to guide our feet into the path of peace.
Luke 1: 78-79

 

 

Finding a Peace Together

bakerchristmaseve17

wedding

Seventy five years ago, my parents were married on Christmas Eve. It was not a conventional wedding day but a date of necessity, only because a justice of the peace was available to marry a score of war-time couples in Quantico, Virginia, shortly before the newly trained Marine officers were shipped out to the South Pacific to fight in WWII.

When I look at my parents’ young faces in their only wedding portrait, I see a hint of the impulsive decision that led to that wedding just a week before my father left for 30 months. They had known each other at college for over a year, had talked about a future together, but with my mother starting a teaching job, and the war potentially impacting all young men’s lives very directly, they had not set a date.

My father had to put his college education on hold to enlist, knowing that would give him some options he wouldn’t have if drafted, so they went their separate ways as he headed east to Virginia for his Marine officer training, and Mom started her high school teaching career as a speech and drama teacher in rural Colville in Eastern Washington. One day in early December, he called her and said, “If we’re going to get married, it’ll need to be before the end of the year. I’m shipping out the first week in January.” Mom went to her high school principal, asked for a two week leave of absence which was granted, told her astonished parents, bought a dress, and headed east on the train with a friend who had received a similar call from her boyfriend. This was a completely uncharacteristic thing for my overly cautious mother to do so … it must have been love.

They were married in a brief civil ceremony with another couple as the witnesses. They stayed in Virginia only a couple days and took the train back to San Diego, and my father was shipped out. Just like that. Mom returned to her teaching position and the first three years of their married life was composed of letter correspondence only, with gaps of up to a month during certain island battles when no mail could be delivered or posted.

As I sorted through my mother’s things following her death I kept their war-time letters to each other, stacked neatly and tied together in a box that I walk past every day. I have not yet opened them but will when I’m ready. What I will find there will be words written by two young people who could not have foretold the struggles that lay ahead for them during and after the war but who both depended on faith and trust to persevere despite the unknowns. The War itself seemed struggle enough for the millions of couples who endured the separation, the losses and grieving, as well as the eventual injuries–both physical and psychological.  It did not seem possible that beyond those harsh and horrible realities, things could go sour after reuniting.

The hope and expectation of happiness and bliss must have been overwhelming, and real life doesn’t often deliver.  After raising three children, their 35 year marriage fell apart with traumatic finality.  When my father returned (again) over a decade later, asking for forgiveness, they remarried and had five more years together before my father died.

Christmas is a time of joy, a celebration of new beginnings and new life when God became man, humble, vulnerable and tender. But it also gives us a foretaste for the profound sacrifice made in giving up this earthly life, not always so gently.

As I peer at my father’s and mother’s faces in their wedding photo, I remember those eyes, then so trusting and unaware of what was to come.  I find peace in knowing they now behold the light, the salvation and the glory~~the ultimate Christmas~~in His presence.

 

samhill