An Exuberant Soul

Whatever he needs, he has or doesn’t
have by now.
Whatever the world is going to do to him
it has started to do. With a pencil and two

Hardy Boys and a peanut butter sandwich and
grapes he is on his way, there is nothing
more we can do for him. Whatever is
stored in his heart, he can use, now.
Whatever he has laid up in his mind
he can call on. What he does not have
he can lack. The bus gets smaller and smaller, as one
folds a flag at the end of a ceremony,
onto itself, and onto itself, until
only a heavy wedge remains.
Whatever his exuberant soul
can do for him, it is doing right now.
Whatever his arrogance can do
it is doing to him. Everything
that’s been done to him, he will now do.
Everything that’s been placed in him
will come out, now, the contents of a trunk
unpacked and lined up on a bunk in the underpine light.
~Sharon Olds “The Summer-Camp Bus Pulls Away from the Curb”

photo by Gary Herbert
photo from army.mil

This is the season for graduations and commencements to the next phase of life, when students move into the adult world and don’t look back.

As a parent, as an educator, as a mentor within church and community, and over thirty two years as a college health physician witnessing this transition many times over, I can’t help but be wistful about what I may have left undone and unsaid with the generation about to launch.   In their moments of vulnerability, did I pack enough love into their hearts so they can pull it out when it is most needed?

When our three children traveled the world after their graduations, moving beyond the fenced perimeter of our little farm, I trusted they left well prepared.

As a former school board member, I watched our students, parents and teachers work diligently together in their preparation for that graduation day, knowing the encompassing love behind each congratulatory hand shake.

When another batch of our church family children say goodbye, I remember holding them in the nursery, listening to their joyful voices as I played piano accompaniment in Sunday School, feeding them in innumerable potlucks over the years.  I pray we have fed them well in every way with enough spiritual food to stick to their ribs in the “thin” and hungry times.

When hundreds of my student/patients move on each year beyond our university health clinic, I pray for their continued emotional growth buoyed by plenty of resilience when the road gets inevitably bumpy.

I believe I know what is stored in the hearts of our graduates because I, among many others, helped them pack it full of love.  Only they will know the time to unpack it when the need arises.

And now, this year, I find I am “graduating” as well, moving away from a regular clinic work schedule to whatever waits for me next. I cleaned out my desk yesterday, carrying the detritus of three decades back home with me, including a packed-away glass “tear drop” I somehow earned ten years ago for “exceptional effort.” All I really remember about that time in my professional life are the shed tears that award acknowledged unbeknownst. It was a fitting symbol for what I had been through during a hard year.

I’m not exactly climbing on a bus with my lunch packed to go to summer camp, but it feels a bit similar as I enter this new phase. I’m nervous, I’m sad, I’m excited, I’m exuberant, so much like all the graduates I’ve seen commence over the years.

And best of all for me, summer camp is right here on the farm, peanut butter sandwiches included.

A new book from Barnstorming available to order here:

The Fly in the Currant Cake

Nothing seems to please a fly so much as to be taken for a currant;
and if it can be baked in a cake and palmed off on the unwary, it dies happy.
~Mark Twain

Today I will wrap up 45 years of uninterrupted training and doctoring. Most of that time, I have worried I’m like a fly hiding among the black currants hoping to eventually become part of the currant cake. 

Maybe no one has noticed. These days we call it the “impostor” syndrome. Mark Twain knew all about currant cake and how easy it was for a fly to blend into its batter.

Even while bearing three children and going through a few surgeries myself, I’ve not been away from patients for more than twenty consecutive days at any one time.  This is primarily out of my concern that, even after a few weeks, I would forget all that I’ve ever known. In fact, half of what I learned in medical school and residency over forty years ago has evolved, thanks to new discoveries and clarifying research. I worried if I were to actually to step away from doctoring for an extended time, then return to see patients again, I would be masquerading as a physician rather than be the real thing. A mere fly among the currants palmed off on the unwary.

If being truly honest, those who spend their professional lives providing medical care to others always share this concern: if a patient only knew how much we don’t know and will never know, despite everything we DO know, there would really be no trust left for us at all.

Of course, some say, didn’t the COVID pandemic prove our ignorance? Physicians started at Ground Zero with a novel virus with unclear transmissibility and immense potential to wreak havoc on the human body … or cause no symptoms whatsoever. We had no collected data to base prevention or treatment decisions: would masks just protect others or would they only protect ourselves, or maybe they protect both? Could a common inexpensive anti-inflammatory/antimalarial drug be beneficial or would a parasitic wormer medication be somehow effective to fight the devastation of the virus?

Effective treatments are still being sought all these months later; others have been debated, studied and discarded as worthless.

Or would this pandemic finally resolve thanks to effective yet controversial public health mandates while rapidly distributing highly effective vaccines developed from many prior years of carefully performed research?

During the past 16 months, your next door neighbor, or the loudest tweet on Twitter proclaimed more expertise than the average medical professional and definitely had a stronger opinion. At least we doctors knew how much we didn’t know and how much was simply guess work based on experience, good intentions and hopeful prayer. Gradually, while lives were lost, including too many of our own, real data began to trickle in so decisions could be made with some evidence backing them. But even that data continues to evolve, day by day, as authentic medical evidence always does.

That doesn’t stop all the “quack” flies out there from climbing into the batter pretending to be currants. With so much rapidly changing medical information at everyone’s fingertips, who needs a trained physician when there are so many other resources – sketchy and opportunistic though they may be – for seeking health care advice?

Even so, I am convinced most patients really do care that doctors share the best information they have available at any point in time. None of us who are doctoring wants to be the “fly” in the batter of health care.

As I meet with my last patient today, I know over forty years of clinical experience has given me an eye and an ear for the subtle signs and symptoms that no googled website or internet doc-in-the-box can discern.  The avoidance of eye contact, the tremble of the lip as they speak, the barely palpable rash, the hardly discernible extra heart sound, the fullness over an ovary, the slight squeak in a lung base.  These are things I am privileged to see and hear and about which I make decisions together with my patients.  What I’ve done over four decades has been no masquerade; out of my natural caution, I am not appearing to be someone I am not.  This is what I was trained to do and have done for thousands of days and many more thousands of patients during my professional life, while passing a comprehensive certification examination every few years to prove my continued study and changing fund of knowledge.

The hidden fly in the currant bush of health care may be disguised enough that an unwary patient might gobble it down to their ultimate detriment. I know I’ve not been that doctor. I’ve been the real thing all these years for my patients, even if I’ve seemed a bit on the tart side at times, yet offering up just enough tang to be exactly what was needed in the moment and in the long term.

And someday, hopefully not too soon, I will die happy having done this with my life.

My ID photo from my first year of medical school 1976
45 years later…

A new book from Barnstorming is available to order here:

Unseen, Unknown

Happy the man, whose wish and care
   A few paternal acres bound,
Content to breathe his native air,
                          In his own ground.


Whose herds with milk, whose fields with bread,
   Whose flocks supply him with attire,
Whose trees in summer yield him shade,
                          In winter fire.


Blest, who can unconcernedly find
   Hours, days, and years slide soft away,
In health of body, peace of mind,
                         Quiet by day,


Sound sleep by night; study and ease,
   Together mixed; sweet recreation;
And innocence, which most does please,
                         With meditation.


Thus let me live, unseen, unknown;
   Thus unlamented let me die;
Steal from the world, and not a stone
                          Tell where I lie.

~Alexander Pope, “Ode to Solitude” from Pope: Poems

450 year old gravestone in Glencairn Parish Cemetery in Scotland which reads:
Here Lyeth The Corps Of John Mcubin in Meruhirn (Marwhin) Who Departed This Life The Year 1663 Age 100

other side of the same stone

But the effect of her being on those around her
was incalculably diffusive:
for the growing good of the world
is partly dependent on unhistoric acts,
and that things are not so ill
with you and me as they might have been,
is half owing to the number who lived faithfully a hidden life,
and rest in unvisited tombs.
~George Eliot’s final sentence in Middlemarch

We have no idea who came before us,
unseen, unknown, unheralded, unvisited,
yet they, by living and dying, made our lives better today.

They lie, forgotten, now dust in the ground.

Yet they lived fully and lovingly, stewards of the earth and its creatures, parents to the next generation and the next and the next, placed here as images of their Creator.

May we, someday, having also lived faithfully in the fullness of time, leave behind a legacy of good and unhistoric acts that leave this world a better place for those who walk behind us in our footsteps.

It’s the least we can do, to honor those whose footprints we now follow.

A new book from Barnstorming available for order here

Standing Ajar

It is enough to enter

the templar
halls of museums, for

example, or
the chambers of churches,

and admire
no more than the beauty

there, or
remember the graveness

of stone, or
whatever. You don’t

have to do any
better. You don’t have to

understand
the liturgy or know history

to feel holy
in a gallery or presbytery.

It is enough
to have come just so far.

You need
not be opened any more

than does
a door, standing ajar.
~Todd Boss “It is Enough to Enter”

photo by Barb Hoelle

It is enough to be open.

It is enough to have come this far.

I don’t need to have my questions answered.

I don’t need to have places to be, things to do, people to see.

It is enough to stand ajar like an unlocked door, looking in and wondering what or who might pass through.

Who knows what might happen next?

the wardrobe from C.S. Lewis’ childhood home built by his grandfather, later to serve as his inspiration for “The Lion, the Witch and the Wardrobe” from his home “The Kilns” at Oxford. Now at the Marion Wade Center at Wheaton College, Illinois

A new book from Barnstorming available to order here:

Presences of Absences

The sunlight now lay over the valley perfectly still.
I went over to the graveyard beside the church
and found them under the old cedars…
I am finding it a little hard to say that I felt them resting there, but I did…

I saw that, for me, this country would always be populated
with presences and absences,
presences of absences,
the living and the dead.
The world as it is

would always be a reminder
of the world that was,
and of the world that is to come.
~Wendell Berry in Jayber Crow

Today, as always during the last weekend of May, we have a family reunion where most turn up missing.  A handful of the living come together with a slew of the no-longer-living. Some, who have been caught napping for a century or more, are no-shows.

It is always on this day of cemetery visiting that I feel keenly the presence of their absence: the great greats I never knew, a great aunt who kept so many secrets, my alcoholic grandfather (who I remember as a very old man) who died of sudden cardiac arrest at the age I am now, my grandmother from whom I inherited inherent messiness and the love of things that bloom, my parents who divorced for ten years late in life, yet reunited long enough for their ashes to rest together for eternity.

These givers of my genes rest here in this beautiful place above Puget Sound, the Cascade Mountains with shining snow beside them. It is a peaceful spot to lay one’s dust for eternity.

It is good, as one of the still-for-now living, to approach these plots of grass with a wary weariness of the aging.  But for the grace of God, there will I be sooner than I wish to be.  There, thanks to the grace of God, will I one day be an absent presence for my children and grandchildren to ponder if they keep up this annual tradition of the cemetery-visit.

The world as it is…remembers the world that was. 

The world to come calls us home in its time, where we all will be present and accounted for — our reunion celebration where we pray no one is missing.

All in good time. All in good time.

A new book from Barnstorming – available for order here

The Delicate Sadness of Dusk

The talkative guest has gone,
and we sit in the yard
saying nothing. The slender moon
comes over the peak of the barn.

The air is damp, and dense
with the scent of honeysuckle. . . .
The last clever story has been told
and answered with laughter.

With my sleeping self I met
my obligations, but now I am aware
of the silence, and your affection,
and the delicate sadness of dusk.
~Jane Kenyon, “The Visit” from Collected Poems

As we slowly adapt to evenings spent with family and friends again, taking off our masks to actually witness the emotion on a familiar, now unveiled, face:

There are smiles and laughter again. We are trying to remember how to be ourselves outside the fearfulness that contagion wrought. More important: there are tears again. And wistfulness. And regret. And longing.

This delicate sadness happened – even to those of us who were never directly touched by sickness. We will never be the same, never so light of heart again, remembering what this past year has cost.

It is a slow transition to dusk. We sit together now and watch it come.

Marshmallow Fields Forever

Watch the sunrise at least once a year, put a lot of marshmallows in your hot chocolate, lie on your back and look at the stars… don’t overlook life’s small joys while searching for the big ones.
~H.Jackson Brown Jr. from “Life’s Little Instruction Book”

Life is a marshmallow, easy to chew but hard to swallow.
~Francis Bacon

And by and by Christopher Robin came to the end of things,
and he was silent,
and he sat there, looking out over the world,
just wishing it wouldn’t stop.

~A.A. Milne from The House at Pooh Corner

Always, no sometimes, think it’s me
But you know I know when it’s a dream
I think I know I mean a yes
But it’s all wrong
That is I think I disagree


Let me take you down
‘Cause I’m going to Marshmallow Fields
Nothing is real
And nothing to get hung about
Marshmallows Fields forever

~with apologies to John Lennon and The Beatles “Strawberry Fields Forever”

It’s marshmallow harvest season once again, just in time for this long holiday weekend’s camp fires, scary ghost stories, roasting sticks, chocolate bars and graham crackers.

After a year of isolation and loneliness, I am ready for our life together to begin again, seeking s’more to chew on, sticky, messy and oh so glorious.

I sit in silence looking out over the marshmallow fields, hoping the world won’t stop.

No, not ever again.

A new book from Barnstorming is available to order here

Returning Home More Enriched

Every time you leave home,
Another road takes you
Into a world you were never in.

New strangers on other paths await.
New places that have never seen you
Will startle a little at your entry.
Old places that know you well
Will pretend nothing
Changed since your last visit.

When you travel, you find yourself
Alone in a different way,
More attentive now
To the self you bring along,
Your more subtle eye watching
You abroad; and how what meets you
Touches that part of the heart
That lies low at home:

How you unexpectedly attune
To the timbre in some voice,
Opening in conversation
You want to take in
To where your longing
Has pressed hard enough
Inward, on some unsaid dark,
To create a crystal of insight
You could not have known
You needed
To illuminate
Your way.

When you travel,
A new silence
Goes with you,
And if you listen,
You will hear
What your heart would
Love to say.

A journey can become a sacred thing:
Make sure, before you go,
To take the time
To bless your going forth,
To free your heart of ballast
So that the compass of your soul
Might direct you toward
The territories of spirit
Where you will discover
More of your hidden life,
And the urgencies
That deserve to claim you.

May you travel in an awakened way,
Gathered wisely into your inner ground;
That you may not waste the invitations
Which wait along the way to transform you.

May you travel safely, arrive refreshed,
And live your time away to its fullest;
Return home more enriched, and free
To balance the gift of days which call you.

~ John O’Donohue from To Bless The Space Between Us

We are out of the habit of traveling after remaining home for over a year waiting out the pandemic. So a two-day road trip to visit a grandchild takes on nearly mythic proportions: all senses on alert – wondering at new sights and sounds and smells, traveling in “an awakened way.”

One doesn’t have to journey beyond borders to feel like the “other” – a grocery store in rural Wyoming can seem just as foreign when we are perceived as the strangers by our appearance. Clearly we were “out of towners” – driving a Japanese-made hybrid sedan, not a F150 pickup, wearing Keen shoes, not cowboy boots, wearing COVID masks even though fully vaccinated out of respect for others while everyone else is unmasked and clearly suspicious of our apparent “virtual signaling.”

When others see me as a stranger, I in turn see myself differently when I’m not at home. Out “there,” I am seen as a gray-haired senior citizen who isn’t completely comfortable with where I am going or where I’ve been; nothing is familiar so I am slightly disoriented and unsure of myself and what might happen next.

At home, I’m still young in my head if not considerably older and fluffier in body, usually confident about what will happen next in my day. Traveling takes me out of myself and my precious routine, picks me up and puts me where I don’t expect to be. I’m transformed and enlightened even when feeling a bit out of time and place.

It is a good thing to see oneself with different eyes and not always know what will happen next. An adventure around every corner is just fine for a week or so. But coming home from a journey is the truest gift. I look to the east and to the west on our rural country road and think about who and what lies beyond our farm on a hill, knowing that I’m always better for having ventured out to see what I could see.

And even better for having this place to come home to.

A new book from Barnstorming – more information here:

For a Bee’s Experience

Like trains of cars on tracks of plush
I hear the level bee:
A jar across the flowers goes,
Their velvet masonry

Withstands until the sweet assault
Their chivalry consumes,
While he, victorious, tilts away
To vanquish other blooms.

His feet are shod with gauze,
His helmet is of gold;
His breast, a single onyx
With chrysoprase, inlaid.

His labor is a chant,
His idleness a tune;
Oh, for a bee’s experience
Of clovers and of noon!

~Emily Dickinson “The Bee”

There are days we live
as if death were nowhere
in the background; from joy
to joy to joy, from wing to wing,
from blossom to blossom to
impossible blossom, to sweet impossible blossom.

~Li-Young Lee, last stanza of “From Blossoms” from Rose.

I try, as best I can, to see the world from a perspective other than my own:

Spending this week with our toddler grandson has helped me to look at things at the three foot rather than six foot level and suddenly I’m overwhelmed with how large everything appears.

I read opinions that differ considerably from my own so I can gain understanding and hopefully compassion for how others perceive the events of the world, even when I don’t and won’t agree.

And I’ve always wondered what it would be like to be a bee – to leave my warm and cozy community to find the best sources of pollen, diving bum-deep into a plethora of colors and fragrances, from ‘blossom to blossom to impossible blossom.’

Bees have a life-preserving mission in the world – not only to sustain themselves and their hive, but pollinating millions of blooms, an essential task for the fruiting of the land. Now that is a purpose-driven life.

We are no different. Our reason to exist goes far beyond our self-preservation, or the preservation of everyone who looks like or thinks like we do, i.e. “hive-mind.” We were created to care for the rest of the world, by dipping into each beautiful and sacred thing that thrives here because of us, not despite us.

And that includes each other, as different as we look and think and act. Each of us a sweet impossible blossom.

New book available from Barnstorming — information on how to order it here

Always Something to Make You Wonder

bayleaf

Never say there is nothing beautiful in the world anymore.
There is always something to make you wonder
in the shape of a tree,
the trembling of a leaf.
~ Albert Schweitzer

Long ago I gave up striving
for perfect symmetry,
strong shapely limbs,
the straightest trunk,
the most luscious foliage and colorful blooms.

Instead, my life is as fruitful as possible,
even if I bend more in winter storms,
my roots not anchored as deep,
despite bare and broken branches,
falling leaves,
crooked trunk,
and increasing lumpiness.

I try to provide the best of which I’m capable,
with a minimum of scab, rot and hidden worms.

The promise of breathtaking beauty for eternity
makes getting up in the morning worth the effort
when we would rather hide our homeliness and decay under the covers.

Yet nothing can be as beautiful as the reality of
broken people giving their all
for other broken people.

It is for this we are created;
our imperfections on display,
continually pruned and refined
to produce needed fruit,
abundantly filling and ever so sweet.

It’s enough to make you wonder…

A new book from Barnstorming available to order here