None of These

Not only the leaf shivering with delight

No,

Not only the morning grass shrugging off the weight of frost

No,

Not only the wings of the crane fly consumed by fire

No,

Not only steam rising from the horse’s back

No,

Not only the sound of the sunflower roaring

No,

Not only the golden spider spinning

No,

Not only the cathedral window deep inside the raindrop

No,

Not only the door opening at the back of the clouds,

No,

Not only flakes of light settling like snow 

No,

Not only the sky as blue and smooth as an egg

No,

Not only these things

No,

But without you none of these things.
~Brian Patten “Not Only”

The world is more vivid and beautiful when I am with people I love. Being with family after months apart reminds me how much I am missing.

“And when my love for life is running dry, you come and pour yourself on me.” (Bread – “If”)

If only I could be two places at one time…

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Trying to Transplant Pain

Why should I have to deal with so-called human beings
when I can be up on the roof
hammering shingles harder than necessary,

driving the sharp nails down
into the forehead of the house
like words I failed earlier to say?

And when a few wasps eddy up
from their hidden place beneath the eaves
to zoom in angry agitation near my face

I just raise a canister of lethal spray
and shoot them down without a thought.
Don’t speak to me, please,
about clarity and proportionate response.

The world is a can of contents under pressure;
a human being should have a warning label on the side
that says: Disorganized Narrative Inside;
Beware of frequent sideways bursting

of one feeling through another
—to stare into the tangled midst of which
would make you as sick and dizzy as those wasps,

then leave you stranded on the roof
on a beautiful day in autumn
with a mouth full of nails,

trying to transplant pain
by hammering down
into a house full of echoes.
~Tony Hoagland “Wasp”

Two aerial tigers,
Striped in ebony and gold
And resonantly, savagely a-hum,
Have lately come
To my mailbox’s metal hold
And thought
With paper and with mud
Therein to build
Their insubstantial and their only home.
Neither the sore displeasure
Of the U. S. Mail
Nor all my threats and warnings
Will avail
To turn them from their hummed devotions.
And I think
They know my strength,
Can gauge
The danger of their work:
One blow could crush them
And their nest; and I am not their friend.
And yet they seem
Too deeply and too fiercely occupied
To bother to attend.
Perhaps they sense
I’ll never deal the blow,
For, though I am not in nor of them,
Still I think I know
What it is like to live
In an alien and gigantic universe, a stranger,
Building the fragile citadels of love
On the edge of danger.

~James L. Rosenberg “The Wasps’ Nest”

When will we ever learn?

This election season is unprecedented with plenty of verbal kicking of various hornets’ nests, some while resting in our literal laps.

We are surrounded on every side by anger and agitation, some of it coming from our own words and activities. Some of us feel like we are precariously balanced between family members and friends, hoping not to make things worse by saying what we believe, or choosing silence.

Rather than throwing stones or spraying poison at yet another wasp nest, I walk on by, acknowledging its fragile presence, but uninterested in joining its buzz.

As the walls of this seasonal fortress are tissue-paper thin, it won’t survive the winds and rains of the coming winter. There will always be attempts at rebuilding and still I will try to avoid the agitation.

I’m not in or of them.
It’s a long time passing…

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An Ache Nothing Can Satisfy

At the alder-darkened brink
Where the stream slows to a lucid jet
I lean to the water, dinting its top with sweat,
And see, before I can drink,

A startled inchling trout
Of spotted near-transparency,
Trawling a shadow solider than he.
He swerves now, darting out

To where, in a flicked slew
Of sparks and glittering silt, he weaves
Through stream-bed rocks, disturbing foundered leaves,
And butts then out of view

Beneath a sliding glass
Crazed by the skimming of a brace
Of burnished dragon-flies across its face,
In which deep cloudlets pass

And a white precipice
Of mirrored birch-trees plunges down
Toward where the azures of the zenith drown.
How shall I drink all this?

Joy’s trick is to supply
Dry lips with what can cool and slake,
Leaving them dumbstruck also with an ache
Nothing can satisfy.

~Richard Wilbur “Hamlen Brook”

photo by Josh Scholten
photo by Josh Scholten

How can I take it all in?

Like so many others right now, I’m thirsty for honest, respectful discussion and debate about the state of the world. Instead, I’m left dry and wanting, ready to blow away with the next gust.

So I ache to witness fading colors, fallen leaves, swift winds and pouring rain, as all creatures great and small prepare for winter’s chill. There is stark honesty among all soon to fall asleep.

I yearn to hear God’s Truth spoken out loud.
How amazing it would be — to be dumbstruck with joy.

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Out of Sight

A neighbourhood.
At dusk.


Things are getting ready
to happen
out of sight.


Stars and moths.
And rinds slanting around fruit.


But not yet.

One tree is black.
One window is yellow as butter.


A woman leans down to catch a child
who has run into her arms
this moment.


Stars rise.
Moths flutter.
Apples sweeten in the dark.

~Eavan Boland “This Moment” from In a Time of Violence

photo by Nate Gibson

This moment,
when I ordinarily pay no attention,
when I have so many things to worry about,
when I try to fuss the future into submission…

This moment,
is when I need to realize if not now, then when,

This moment
won’t return, so I must not waste it.

This moment,
is my chance to see and taste and feel and love
as if there is no next moment.

This moment,
suddenly so sweet,
suddenly is gone,
out of sight,
so I follow.

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This Tree…

What words or harder gift
does the light require of me
carving from the dark
this difficult tree?

What place or farther peace
do I almost see
emerging from the night
and heart of me?

The sky whitens, goes on and on.
Fields wrinkle into rows
of cotton, go on and on.
Night like a fling of crows
disperses and is gone.

What song, what home,
what calm or one clarity
can I not quite come to,
never quite see:
this field, this sky, this tree.

~Christian Wiman “Hard Night”

photo by Bob Tjoelker

Even the darkest night has a sliver of light left,
if only in our memories of home.
We remember how it was and how it can be —
the promise of better to come.

While the ever-changing sky swirls as a backdrop,
a tree on a hill becomes the focal point, as it must,
like a black hole swallowing up all pain, all suffering,
all evil threatening to consume our world.

What clarity, what calm,
what peace can be found at the foot of that tree,
where our hearts can rest in this knowledge:
our sin died there, once and for all
and our names carved in its roots for eternity.

Swinging From the Rafters

The porch swing hangs fixed in a morning sun
that bleaches its gray slats, its flowered cushion
whose flowers have faded, like those of summer,
and a small brown spider has hung out her web
on a line between porch post and chain
so that no one may swing without breaking it.
She is saying it’s time that the swinging were done with,
time that the creaking and pinging and popping
that sang through the ceiling were past,
time now for the soft vibrations of moths,
the wasp tapping each board for an entrance,
the cool dewdrops to brush from her work
every morning, one world at a time.
~Ted Kooser “Porch Swing in September” from Flying at Night

We build our little lives so carefully, strand by strand,
one world at a time;
planned and choreographed and anticipated,
and all it takes is a creaky swing to pull it to shreds.

So we rebuild once again, spinning and creating web designs,
believing we belong because it is that time of year.

Everything around us is changing, swinging from the rafters –
who pays attention to how we’re left hanging?

We keep trying.
We keep trusting we have a place here, still weaving connections.
We keep trying to make the world a little more beautiful and habitable.

For everyone belongs, no matter who we are…

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The Light That’s Left Them

Now’s a good time, before the night comes on,
To praise the loyalty of the vase of flowers
Gracing the parlor table, and the bowl of oranges,
And the book with freckled pages resting on the tablecloth.
To remark how these items aren’t conspiring
To pack their bags and move to a place
Where stillness appears to more advantage.
No plan for a heaven above, beyond, or within,
Whose ever-blooming bushes are rustling
In a sea breeze at this very moment.
These things are focusing all their attention
On holding fast as time washes around them.
The flowers in the vase won’t come again.
The page of the book beside it, the edge turned down,
Will never be read again for the first time.
The light from the window’s angled.
The sun’s moving on. That’s why the people
Who live in the house are missing.
They’re all outside enjoying the light that’s left them.
Lucky for them to find when they return
These silent things just as they were.
Night’s coming on and they haven’t been frightened off.
They haven’t once dreamed of going anywhere.

~Carl Dennis, “Still Life” from Ranking the Wishes

Wendell Berry – Another Day Sabbath Poems

The transformation of objects in space,
or objects in time,
To objects outside either, but tactile, still precise…
It’s always the same problem –
Nothing’s more abstract, more unreal,
than what we actually see.
The job is to make it otherwise.

~Charles Wright from “Basic Dialogue” in Appalachia

Annie Dillard – Pilgrim at Tinker Creek

Let us treasure the Light that is left to us, to dwell outside in its midst as night is coming.

Meanwhile, a still life exists within, unchanging, real, tangible, not going anywhere.

Stillness is always there if we decide to come in as the dark descends.

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Clearing the Fog of Medical Advice

Be obscure clearly.
Muddiness is not merely a disturber of prose, it is also a destroyer of life, of hope: death on the highway caused by a badly worded road sign … think of the tragedies that are rooted in ambiguity, and be clear!
~E.B. White from his classic book on writing well –The Elements of Style

As a family doctor with over forty years of clinical practice under my belt, I have found the E.B. White’s advice for writing can be applied to the field of medicine. I tried my best to clarify the obscurity of the human condition in my job, hoping my patients could provide me the information I needed to make a sound diagnosis and treatment recommendation.

Communication is hard work for many patients, especially when they are depressed and anxious on top of whatever they are experiencing physically. There is still plenty of unknowns in the psychology and physiology of humans. Then, throw in a disease process or two or three to complicate what appears to be “normal” and further consider the side effects and complications of various treatments.

Evidence-based decision making isn’t always perfectly equipped to produce the best and only solution to one individual’s problem.

Sometimes the solution to a patient’s symptom is foggy, muddy, and obscure, not at all pristine and clear. It is the physician’s job to try to bring everything into the best focus possible. Then it is our job to communicate our thinking and decision process in a way that respects the patient’s right to be skeptical.

A physician’s clinical work is challenging on the best of days when everything goes well. We see things we have never seen before, expect the unexpected, learn skills we never thought we’d need to know, and attempt to make the best choice between competing treatment alternatives. Physicians constantly unlearn things we thought were gospel truth, but have just been disproven by the latest, double-blind controlled study, which may soon be reversed by a newer study.

We find ourselves standing on evidence-based quicksand even though our patients trust that we are giving them rock-solid advice based on a foundation of truth learned over years of education and training. Add in medical decision-making that is driven by cultural, political, or financial outcomes, rather than what works best for the individual, and our hoped-for clinical clarity becomes even more obscured.

Forty-two years of doctoring in the midst of the mystery of medicine means learning, unlearning, listening, discerning, explaining, guessing, hoping, and remaining very humble in the face of a disease process or a public health threat like COVID. What works well for one patient may not be appropriate for another despite what the best evidence says or what insurance companies and the government are willing to cover. Each individual we see deserves the clarity of a fresh look and perspective, instead of being treated by cook-book algorithm.

So, as a physician and healer, be obscure clearly. 
A life may depend on it.

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The Work of Weaving Dreams

Silk-thin silver strings woven cleverly into a lair,
An intricate entwining of divinest thread…
Like strands of magic worked upon the air,
The spider spins his enchanted web –
His home so eerily, spiraling spreads.

His gossamer so rigid, yet lighter than mist,
And like an eight-legged sorcerer – a wizard blest,
His lace, like a spell, he conjures and knits;
I witnessed such wild ingenuity wrought and finessed,
Watching the spider weave a dream from his web.
~Jonathan Platt “A Spider’s Web”

Not everyone is taking a holiday today on Labor Day.
Some are busier than ever, creating a masterpiece nightly,
then waiting in hope for that labor to be rewarded.

I too spin elaborate dreams at night:
some remembered,
some bare fragments,
some shattered,
some potentially yield a meal.

We work because we are hungry.
We work because someone we love is hungry and needs feeding.

Yet the best work is the work of weaving dreams
~out of thin air and gossamer strands~
where nothing existed before,
not as a trap or lure or lair
but as a work of beauty-
a gift as welcome as a breath of fresh air.

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Broken Stitched to Broken

“I make them warm to keep my family from freezing;
I make them beautiful to keep my heart from breaking.”
–From the journal of a prairie woman, 1870



To keep a husband and five children warm,
she quilts them covers thick as drifts against
the door. Through every fleshy square white threads
needle their almost invisible tracks; her hours
count each small suture that holds together
the raw-cut, uncolored edges of her life.
She pieces each one beautiful, and summer bright
to thaw her frozen soul. Under her fingers
the scraps grow to green birds and purple
improbable leaves; deeper than calico, her mid-winter
mind bursts into flowers. She watches them unfold
between the double stars, the wedding rings.
~Luci Shaw “Quiltmaker”

Perhaps God made the world this way:
piecemeal, parts fitting together exactly
as if meant for one another~
the unique, disparate and separate
joined together in glorious harmony.

The point of creation is
forever functional, yet full of love –
a blanket of warmth and security
for generations to come.

Our legacy is to preserve this
beauty arising from various scraps,
this broken stitched to broken
in a tapestry holy and whole.

AI image created for this post

~~click each quilt to enlarge and admire the handiwork~~

thank you again to the talented quilters displaying their art at the NW Washington Fair in Lynden
(see previous years’ work 2015, 20162017201820212022 and 2023 )

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