A Clinging Mist

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My Sorrow, when she’s here with me,
     Thinks these dark days of autumn rain
Are beautiful as days can be;
She loves the bare, the withered tree;
     She walks the sodden pasture lane.

Her pleasure will not let me stay.
     She talks and I am fain to list:
She’s glad the birds are gone away,
She’s glad her simple worsted gray
     Is silver now with clinging mist.

The desolate, deserted trees,
     The faded earth, the heavy sky,
The beauties she so truly sees,
She thinks I have no eye for these,
     And vexes me for reason why.

Not yesterday I learned to know
     The love of bare November days
Before the coming of the snow,
But it were vain to tell her so,
     And they are better for her praise.
~Robert Frost “My November Guest”

 

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November,
this month of deepening darkening,
transforms itself
to a recounting of gratitude
of daily thanksgiving and blessings~~

it is good to dwell on our gifts,
even so,
it is right to invite Sorrow
to sit in silence with us,
her tears blending with ours.

These dark-dwelled days
of bare stripped branches
feed our growing need
for the covering grace,
the shrouding
of His coming Light.

 

 

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The Frost of Adversity

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There is an arid Pleasure –
As different from Joy –
As Frost is different from Dew –
Like Element – are they –

Yet one – rejoices Flowers –
And one – the Flowers abhor –
The finest Honey – curdled –
Is worthless – to the Bee –
~Emily Dickinson

 

 

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Remember the goodness of God in the frost of adversity.
~Charles Spurgeon

 

 

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Hard times leave us frozen solid,
completely immobilized
and too cold to touch,
yet there is hope and healing,
remembering the immensity and goodness of God.

Even when life’s chill leaves us aching,
longing for relief,
the coming thaw is real
because God is good.
Even when we’re flattened,
stepped on, broken into fragments —
the pieces left are the beginning
of who we will become,
made whole again
because God is good.

The frost lasts not forever.
The sun makes us glisten and glitter
as ice melts down to droplets.
We become the goodness of God,
His eyes and ears,
heart and soul,
hands and feet.
Even more so,
we are His tears.

 

 

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Root and All in All

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Little flower,
but if I could understand what you are,
root and all in all,
I should know what God and man is.
~  Tennyson

 

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Am I root, or am I bud?
Am I stem or am I leaf?
All in all, I am
but the merest image
of God’s fruiting glory,
the tears shed
as He broke
into blossom.

 

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My Face Anointed

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I can see, through the rifts of the apple-boughs,
 The delicate blue of the sky,                               
And the changing clouds with their marvellous tints
 That drift so lazily by.
And strange, sweet thoughts sing through my brain,
 And Heaven, it seemeth near;
Oh, is it not a rare, sweet time,
 The blossoming time of the year?
~Horatio Alger, Jr.  from “Apple Blossoms”

 

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You won’t remember it—the apple orchard
We wandered through one April afternoon,
Climbing the hill behind the empty farm.

A city boy, I’d never seen a grove
Burst in full flower or breathed the bittersweet
Perfume of blossoms mingled with the dust.

A quarter mile of trees in fragrant rows
Arching above us. We walked the aisle,
Alone in spring’s ephemeral cathedral.
~Dana Gioia from “The Apple Orchard”

 

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The rain eases long enough
to allow blades of grass to stand back up
expectant, refreshed
yet unsuspecting,
primed for the mower’s cutting swath.

Clusters of pink tinged blossoms
sway in response to my mower’s pass,
apple buds bulge on ancient branches
in promise of fruit
stroked by the honeybees’ tickling legs.

Bowing low beneath the swollen blooms,
caught by snagging branches
that shower from hidden raindrop reservoirs
held in the clasp of blushing petal cups,
my face is anointed in perfumed apple tears.
~EPG

 

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Prescribing Good Medicine

 

A good night sleep, or a ten minute bawl, or a pint of chocolate ice cream, or all three together, is good medicine.
~Ray Bradbury

 

 

 

If there is anything I’ve learned in over 40 years of practicing medicine, it’s that I still must “practice” my art every day.  As much as we physicians emphasize the science of what we do, utilizing “evidence based” decisions, there are still days when a fair amount of educated guessing and a gut feeling is based on past experience, along with my best hunch.  Many patients don’t arrive with classic cook book symptoms that fit the standardized diagnostic and treatment algorithms so the nuances of their stories require interpretation, discernment and flexibility.    I appreciate a surprise once in awhile that makes me look at a patient in a new or unexpected way and teaches me something I didn’t know before.   It keeps me coming back for more, to figure out the mystery and dig a little deeper.

I’ve also learned that not all medicine comes in pills or injections.  This isn’t really news to anyone, but our modern society is determined to seek better living through chemistry, the more expensive and newer the better, whether prescribed or not.  Chemicals have their place, but they also can cause havoc.  It is startling to see medication lists topping a dozen different daily pills.  Some are life-saving.  Many are just plain unnecessary.

How many people sleep without the aid of pill or weed or alcohol?  Fewer and fewer.  Poor sleep is one of the sad consequences of our modern age of too much artificial light, too much entertainment and screen time keeping us up late, and not enough physical work to exhaust our bodies enough to match our frazzled and fatigued brains.

How many of us allow ourselves a good cry when we feel it welling up?  It could be a sentimental moment–a song that brings back bittersweet memories, a commercial that touches just the right chord of feeling and connection.  It may be a moment of frustration and anger when nothing seems to go right.  It could be the pain of physical illness or injury or the stress of emotional turmoil.  Or just maybe there is weeping when everything is absolutely perfect and there cannot be another moment just like it, so it is tough to let it go unchristened by tears of joy.

And without a doubt, the healing qualities of chocolate are unquestioned by this doctor, however it may be consumed.  It can fix most everything that ails a person,  at least for an hour or two.

No, it doesn’t take an M.D. degree to know the best medicine.

Just remember: sleep, weep, reap (chocolate!)

 

A World of Wet and Weeping

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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

 

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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.

 

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A Salt Water Cure

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…when he looked at the ocean,
he caught a glimpse of the One he was praying to.

Maybe what made him weep was
how vast and overwhelming it was

and yet at the same time as near
as the breath of it in his nostrils,
as salty as his own tears.

~Frederick Buechner writing about Paul Tillich in Beyond Words

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The cure for anything is salt water–sweat, tears or the sea.
~Isak Dinesen

 

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photo by Nate Gibson

 

I grew up an easy crier.  Actually growing up hasn’t cured it, nor has middle age.  I’m still an easy crier – a hard thing to admit especially when my tears flow at an inopportune time in a public place.

It might have had something to do with being a middle child, bombarded from both directions by siblings who recognized how little aggravation it took to make me cry, or it may have been my hypersensitive feelings about …. everything.  I felt really alone in my tearful travails until my formidable grandmother, another easy weepy, explained that my strong/tall/tough/nothing-rocks-him former WWII Marine father had been a very weepy little boy.  She despaired that he would ever get past being awash in tears at every turn.  His alcoholic father tormented him about it, wondering if he would ever learn to “man up.”

So this is a congenital condition and that’s my excuse.

A few years ago I read a fascinating article about how different kinds of tears (tears of joy, tears of pain, tears of grief, tears of frustration, tears of irritated eyes, tears of onion cutting) all look different and remarkably apt, when dried and pictured under the microscope.  This is more than mere salt water leaking from our eyes — this is our heart and soul and hormonal barometer streaming down our faces – a visible litmus test of our deepest feelings.

I witness many tears every day in my office, and not tears of joy.  These are tears borne of pain and loss and rejection and failure, of hopelessness and helplessness, loneliness and anguish.  Often my patients will describe having a “break down” by which they mean uncontrollable crying.  It is one of the first-mentioned symptoms they want relief from.

Tears do come less frequently as depression lifts and anxiety lessens but I let my patients know (and remind myself) that tears are a transparent palette for painting the desires and concerns of our heart.  Dry up the tears and one dries up emotions that express who we are and who we strive to be.

When I’m able, I celebrate the salt water squeezing from my eyes, knowing it means I’m so fully human that I leak my humanity everywhere I go.  Even God wept while dwelling among us on earth, and what’s good enough for Him is certainly good enough for me.

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