A Cloudy Greeting

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To make myself understood and to diminish the distance between us, I called out:
“I am an evening cloud too.”
They stopped still, evidently taking a good look at me.
Then they stretched towards me their fine, transparent, rosy wings.
That is how evening clouds greet each other.
They had recognized me.

~Rainer Maria Rilke from Stories of God

 

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From this hill, we can see for miles.  At certain times of morning and evening, it can feel as if we are aloft, closer up to the clouds, seeing the terrain from their vantage point.  There are the snow-covered peaks to the east, the craggy Canadian coastal range to the north, the stretch of river valley to the north west, the Salish Sea to the west and the forest to the south.

Surrounding us is the farmland and the good people who feed this community: the expanse of dairy land and its vast pastures, the corn fields, berry rows and potato mounds, acres of orchard espaliers and local farm-to-market and CSA growers.

The ever-moving, ever-changing immensity of the clouds covers us all.  As those clouds touch, embrace, release, mold and transform, they show us how connection with others is done.  As we county folk pass on the roads during an evening walk, as we are running late to town jobs, as we meet in the store or at church or community events, we too should touch and greet one another, nod and encourage, acknowledge the shared light that comes from beyond us that restores and transforms us.

Most of all, like the clouds, we are too often full to brimming, a shedding of shared tears at how easily this land can be taken away — whether remembering the sad history of people group domination and removal from their ancestral homes, or the ravages of hurricane or flood or volcano, the effects of drought and wildfire, of blight or sickness, or the over-regulation of government ensuring no farmer can afford to continue to do what they know best to preserve the land, the habitat, their animals and their crops.

We weep in recognition, like these clouds, to make ourselves understood and to diminish the distance between us.

 

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Today’s Edges So Sharp

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The ghosts swarm.
They speak as one 
person. Each
loves you. Each
has left something undone.

Today’s edges
are so sharp

they might cut
anything that moved.
~Rae Armantrout from “Unbidden”

 

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The grace of God means something like:
Here is your life.
You might never have been, but you are…
Here is the world.
Beautiful and terrible things will happen.
Don’t be afraid.
I am with you.
~Frederick Buechner
 in “Wishful Thinking and later” in Beyond Words

 

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Seventeen years ago
a day started with bright sun above
and ended in tears and bloodshed below.

It is a day for recollection;
we live out remembrance
with weeping eyes open,
yet close our eyelids
to the red that flowed that day.

The day’s edges were so sharp
we all bled and still bear the scars.

We must not be afraid.

 

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Kindness Always Remembered

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Have you ever noticed how much of Christ’s life was spent in doing kind things – in merely doing kind things? … he spent a great proportion of his time simply in making people happy, in doing good turns to people.

There is only one thing greater than happiness in the world, and that is holiness; and it is not in our keeping. But what God has put in our power is the happiness of those about us, and that is largely to be secured by our being kind to them.…

I wonder why it is that we are not all kinder than we are. How much the world needs it. How easily it is done. How instantaneously it acts. How infallibly it is remembered.
~Henry Drummond from The Greatest Thing in the World

 

 

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Sure on this shining night
Of star made shadows round,
Kindness must watch for me
This side the ground. 
The late year lies down the north.
All is healed, all is health.
High summer holds the earth. 
Hearts all whole.
Sure on this shining night
I weep for wonder wand’ring far 
alone
Of shadows on the stars.
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Kindness has always watched for me;
I remember how it infallibly surrounds me.
I weep with those who weep,
whether from fear, or separation,
or frustration, or anger,
or grief, or loss,
or sheer exhaustion.
I weep to wonder
why any one of us should not know
the kindness and comfort
of being held in the arms of those we love
and who love us.
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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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Gone to Feed the Roses

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I am not resigned to the shutting away of loving hearts in the hard ground.
So it is, and so it will be, for so it has been, time out of mind:
Into the darkness they go, the wise and the lovely.  Crowned
With lilies and with laurel they go; but I am not resigned.
Lovers and thinkers, into the earth with you.
Be one with the dull, the indiscriminate dust.
A fragment of what you felt, of what you knew,
A formula, a phrase remains,—but the best is lost.
The answers quick and keen, the honest look, the laughter, the love,—
They are gone.  They are gone to feed the roses.  Elegant and curled
Is the blossom.  Fragrant is the blossom.  I know.  But I do not approve.
More precious was the light in your eyes than all the roses in the world.
Down, down, down into the darkness of the grave
Gently they go, the beautiful, the tender, the kind;
Quietly they go, the intelligent, the witty, the brave.
I know.  But I do not approve.  And I am not resigned.
~Edna St. Vincent Millay “Dirge Without Music”
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Each Memorial Day weekend without fail,
we gather with family, have lunch, reminisce,
and trek to a cemetery high above Puget Sound
to catch up with our relatives who lie there still.Some for over 100 years, some for less than a decade,
some we knew and loved and miss every day,
others not so much, unknown to us
except on genealogy charts,
their names and dates and these stones
all that is left of them:the red-haired great-grandmother who died too young,

the aunt who was eight when lymphoma took,
the Yukon river boat captain,
the logger and stump farmer,
the unmarried school teacher who hid away an oil well,
the two in-laws who lie next to each other
but could not co-exist in the same room while they lived and breathed.
Yet we know each of these
(as we know ourselves and others)
was tender and kind, though flawed and broken,
was beautiful and strong, though wrinkled and frail,
was hopeful and faithful, though too soon in the ground.

We know this about them
as we know it about ourselves:
someday we too will feed roses,
the light in our eyes transformed into elegant swirls
emitting the fragrant scent of heaven.

No one asks if we approve.
Nor am I resigned to this but only know:
So it is,  so it has been, so it will be.

 

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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!)

 

Preparing Through Parable: Knock Like You Mean It

 

 

Then Jesus said to them, “Suppose you have a friend, and you go to him at midnight and say, ‘Friend, lend me three loaves of bread; a friend of mine on a journey has come to me, and I have no food to offer him.’
And suppose the one inside answers, ‘Don’t bother me. The door is already locked, and my children and I are in bed. I can’t get up and give you anything.’ I tell you, even though he will not get up and give you the bread because of friendship, yet because of your shameless audacity he will surely get up and give you as much as you need.
“So I say to you: Ask and it will be given to you; seek and you will find; knock and the door will be opened to you. 10 For everyone who asks receives; the one who seeks finds; and to the one who knocks, the door will be opened.”
Luke 11: 5-10

 

 

 

…we are faced with the shocking reality: 
Jesus stands at the door and knocks, in complete reality. 
He asks you for help in the form of a beggar, 
in the form of a ruined human being in torn clothing. 
He confronts you in every person that you meet. 
Christ walks on the earth as your neighbor as long as there are people. 
He walks on the earth as the one through whom 
God calls you, speaks to you and makes his demands. 
Christ stands at the door. 
Will you keep the door locked or open it to him?
~Dietrich Bonhoeffer from an Advent Sermon “The Coming of Jesus into our Midst”

 

 

Over ten years ago a young woman I’d been seeing for several weeks in my clinic for depression called unexpectedly on a Friday afternoon and canceled an upcoming appointment for the following Monday and did not reschedule. The receptionist sent me a message as is our policy for patients who “cancel and do not reschedule”. It gave me a bad feeling that she was turning her back on her treatment plan and I was uneasy about the upcoming weekend without knowing what was going on with her.

I could have just put on my coat and headed home at the end of that long Friday but decided to call my patient. She didn’t answer her phone. I mulled over my options, looked up her apartment address and drove there. As I approached her door, I could hear someone moving around in her apartment, but she didn’t respond to my knocks or my voice.

I decided to stay right there, talking to her through the door for about 15 minutes, letting her know I wasn’t leaving until she opened up the door. I finally told her she could decide to open the door or I would call 911 and ask the police to come to make sure she was okay. She then opened the door, tears streaming down her face. She had been drinking heavily, with liquor bottles strewn around on the floor. She admitted an intent to overdose on aspirin and vodka. The vodka was already consumed but the unopened aspirin bottle was in her hand. I was the last person she expected to see at her door.

I called the mental health unit at the local hospital and they had an open bed. I told my patient that we could save time and hassle by heading over right then and there, and avoid the emergency room mess, and the possibility of an involuntary detainment.

She agreed to come with me and be admitted voluntarily for stabilization. I went the following day to visit her and she greeted me with a hug and thanked me for not giving up on her when she had given up on herself. In sobriety, her eyes were brighter and she was more hopeful. She never expected anyone to care enough to come knocking on her door looking for her, and to stand firm when she was rejecting all approaches. She was astounded and grateful, and frankly, so was I.

Four years later, a small card arrived in my clinic mailbox on a most challenging work day, from an unfamiliar address two thousand miles away. The name looked vaguely familiar to me but when I opened and read the contents, this time it was my turn to let tears flow:

“Dear Doctor,

I am not sure if you will remember me considering you see a number of patients daily; however, I am a patient whose life you changed in the most positive way. I never truly THANKED YOU for listening to me and hearing my silent words of grief and hearing my cries for help. If it had not been for you, had you not knocked on my door, I would not be writing this letter to you today. I don’t know exactly what to say to the person who saved me from hurting myself fatally. You were a stranger in my life, but a dear friend in my time of need. THANK YOU, for everything that you did for me. You have a permanent place in my heart, you have given my spirit hope, you have reminded me that a life is worth living. Thank you, thank you, thank you! Sincerely, L_____”

I’m grateful so many years ago I had the sense to go knock on her door, the stubbornness to stay put until she responded, and most of all, I’m appreciative for her gracious note letting me know it made a difference. Later, on a most difficult day, she made a difference for me.

She kept knocking on my door and I opened it, awash in my own tears.

 

May my eyes see, my ears hear, my heart understand.  He prepares me with parable.