Be Sunlight on a Stream

Come to me in the silence of the night;
Come in the speaking silence of a dream;
Come with soft rounded cheeks and eyes as bright
As sunlight on a stream;

Come back in tears,
O memory, hope, love of finished years.


Oh dream how sweet, too sweet, too bitter sweet,
Whose wakening should have been in Paradise,
Where souls brimful of love abide and meet;

Where thirsting longing eyes
Watch the slow door
That opening, letting in, lets out no more.


Yet come to me in dreams, that I may live
My very life again tho’ cold in death:
Come back to me in dreams, that I may give
Pulse for pulse, breath for breath:
Speak low, lean low,
As long ago, my love, how long ago.

~Christina Rossetti “Echo”

The real world reverberates with echoes of our losses – so much in the news pulls us down every day. When filled with tears and sorrow, we try to retreat to the safety of our dreams rather than face fear and uncertainty.

But we can’t stay in our heads or give up hope.

There is too much the world needs from us.

Like sunlight on a stream, we become the promise of illumination of the dark depths. When doors remain closed to those who need help most, we are the key meant for the lock.

Love is that light and key. God equips us with the pulse and breath to make a difference to others. And we can make a difference: one word, one smile, one vote at a 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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A Painful Wuthering

Fall, leaves, fall; die, flowers, away;
Lengthen night and shorten day;
Every leaf speaks bliss to me
Fluttering from the autumn tree.
I shall smile when wreaths of snow
Blossom where the rose should grow;
I shall sing when night’s decay
Ushers in a drearier day.

~Emily Brontë “Fall, Leaves, Fall”

It was not the thorn bending to the honeysuckles, but the honeysuckles embracing the thorn.
~Emily Brontë from Wuthering Heights

The loudest crows
cawing over the tops of the oaks
call me to autumn already,
and though my back is to the window,

I know the sky must be a gray wuthering,
and the curlews are crying. The wind
must be moaning as it goes sweeping
across heath and moors and the spikes
of purple heather thousands of miles away
from where my body sits; yet

I feel the gorse
grazing my ankles as I go.

~Andrea Potos “Brontean Morning” from Her Joy Becomes

I avoid watching sad movies and will close a book that is clearly heading for a weepy ending.

I don’t need to wrap myself around things that hurt when there is enough sadness and pain in the world already. Deep emotion sticks to me like velcro, even when I know the tragedy is not my own. I take it on as if it is.

As a result, the Brontë novel Wuthering Heights is not my cup of tea. I suffered through the book as well as the movie versions. It is grim with wild, destructive passions that only lead to more sorrow. I become immersed in those desperately gray “wuthering” scenes feeling the sharp thorns of the words I read that end up drawing blood from me.

But most suffering is not at all fictional. When I become aware of tragedy happening far away, when the hurricane leaves behind terrible devastation or bombs and bullets rip communities to shreds, even though there is little I can physically do to help, I can’t turn away and not look. I can’t close the book that makes me sad and uncomfortable.

I too must feel the hurt, embracing the thorns rather than avoiding them.

Jesus did just that, taking it all upon Himself. He never turned away and still, now, today, He is pierced, bloodied for our sake.

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Let the Years Be Kind

Just down the road… around the bend,
Stands an old empty barn; nearing the end.
It has sheltered no animals for many years;
No dairy cows, no horses, no sheep, no steers.
The neigh of a horse; the low of a cow;
Those sounds have been absent for some time now.
There was a time when the loft was full of hay,
And the resounding echoes of children at play.
At one time the paint was a bold shade of red;
Gradually faded by weather and the sun overhead.
The doors swing in the wind… the hinges are loose,
Windows and siding have taken a lot of abuse.
The fork, rope and pulleys lifted hay to the mow,
A task that always brought sweat to the brow.
But those good days are gone; forever it seems,
And that old barn now stands with sagging beams.
It is now home to pigeons, rats and mice;

The interior is tattered and doesn’t look very nice.
Old, abandoned barns have become a trend,
Just down the road… around the bend.

~Vance Oliphant “Old Barn”

We will call this place our home
The dirt in which our roots may grow
Though the storms will push and pull
We will call this place our home

We’ll tell our stories on these walls
Every year, measure how tall
And just like a work of art
We’ll tell our stories on these walls

Let the years we’re here be kind, be kind
Let our hearts, like doors, open wide, open wide
Settle our bones like wood over time, over time
Give us bread, give us salt, give us wine

A little broken, a little new
We are the impact and the glue
Capable more than we know
To call this fixer upper home

With each year, our color fades
Slowly, our paint chips away
But we will find the strength
And the nerve it takes
To repaint and repaint and repaint every day

Let the years we’re here be kind, be kind
Let our hearts, like doors, open wide, open wide
Settle our bones like wood over time, over time

Give us bread, give us salt, give us wine
Let the years we’re here be kind, be kind
Let our hearts, like doors, open wide, open wide
Settle our bones like wood over time, over time

Give us bread, give us salt, give us wine
Give us bread, give us salt, give us wine

Smaller than dust on this map
Lies the greatest thing we have
The dirt in which our roots may grow
And the right to call it home

~Ryan O’Neal “North” (listen to the choral versions below)

Each of us needs a home.
Every creature needs a place to put down roots and rest their head.

Yet, due to ravages of time,
a poverty of spirit and strength,
discouragement and discord,
natural disasters and drought,
or the devastation of politics and war —
too many find themselves chipped away until nothing is left.

It is time for restoration. It is time for renewal.

It is time for kindness:
the broken repaired,
the lonely made welcome,
the hungry fed.

Somehow, someway, we rebuild, repaint and restore
so all put down roots and thrive
and are welcomed home.

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The Oldest Tree

Lately, when I awake desolate
feeling half-swamped
by runaway currents I name—
dread, for my children, and theirs,
and this planet—I backstroke
through time to rest my palms
against the delicate skin
of the gingko tree, the one
and only, in my home town.
Rooted in siltish sand,
come autumn, it flaunted
10,000 golden fans:
a waving descendant my uncle said,
of the oldest tree
to inhabit the earth. Memory
replays three fluting sighs
of a mourning dove, high in the canopy,
that vast fretwork alive again
with rustling endearments—yet
ghostly, too, as his unseen hand
almost rocks my skiff of a self.
~Laurie Klein “Lately, when I awake desolate”

So many reasons to awake in the night,
eyes wide open, searching the dark seas of trouble
for some sign of hope
for calm and peace in this stormy world.

Rocked to sleep again, I float among abundant
golden gingko leaves, each waving like a sail in the breeze,
before it tumbles, swirling, to the ground, forming
deeply cushioned and comforting pools of yellow.

Navigating these brutal times, desperate to
anchor within some safer harbor – I treasure
the old ginkgo as it reaches over each cherished child
with its golden cloak of love and protection.

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Throwing Away the Key

When we look long at one another,
we soften, we relent, listen,

might forgive. We allow for silence
—and when we see each other,

are known, and in that moment
might change

though nothing has moved
or been spoken.

There are some who say
the walls cannot be broken,

but suddenly we are in a free place,
and the fields

that extend from its center
stretch for miles

as if out of the pupil and the iris
of that momentary kingdom.
~Annie Lighthart “When We Look” from Pax

The weasel was stunned into stillness as he was emerging from beneath an enormous shaggy wild rose bush four feet away. I was stunned into stillness twisted backward on the tree trunk. Our eyes locked, and someone threw away the key.

Our look was as if two lovers, or deadly enemies, met unexpectedly on an overgrown path when each had been thinking of something else: a clearing blow to the gut.

It was also a bright blow to the brain, or a sudden beating of brains, with all the charge and intimate grate of rubbed balloons. It emptied our lungs. It felled the forest, moved the fields, and drained the pond; the world dismantled and tumbled into that black hole of eyes.

If you and I looked at each other that way, our skulls would split and drop to our shoulders. But we don’t. We keep our skulls. So.
~Annie Dillard from “Living Like Weasels”

The pupil and iris are a portal to our thoughts, our dreams, our passions and our fears. They are simultaneously window and mirror, revealing feelings we try to keep to ourselves.

Locking eyes can be one of the most thrilling, stomach-butterflies, ecstatic moments of connection. It can be tender, loving, reassuring and encouraging.

Or it can be intimidating and terrifying. I tend to avoid eye contact when passing a stranger on a dark street, or when engaged in a very stressful public interaction. I don’t want to reveal my insecurity, vulnerability, or worry through direct eye contact. While studying primates in Africa, I learned never to look a baboon in the eye as it can communicate aggression and instigate an attack.

So instead, I learned to look at my feet.

I’d much rather lock eyes and learn everything I can about you. I want to dive deep into who you are, breaking down the walls and dismantle the barriers that keep us apart from one another. Then I’m letting you in too. The black holes of our inner universe.

After all, this is preparation when we see the face of God and allow Him to lock into our eyes, knowing our truth.

No keys needed forevermore.

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Edges So Sharp

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.

The way a lost
word

will come back
unbidden.

You’re not interested
in it now,

only
in knowing
where it’s been.

~Rae Armantrout from “Unbidden”

I wish for you the blessing
of a room where strangers sit
breathing unashamed
into a chosen silence

Not the gasping breath
of travelers on a crowded plane
or the tenuous wheeze
of the waiting room

May you know the power
of those who have decided
to submit to the silence
to enter the mystery
be consumed by it
and emerge transformed

May you belong among those
who inhale the stillness
as if it is keeping us
because it is
keeping us alive

~Bethany Lee, “To Enter the Mystery” from Etude for Belonging: poems for practicing courage and hope

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

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

This is a day for recollection;
we live out remembrance of
the torrential red that flowed that day;

Two decades later, far-away streets still course
with the blood of innocents.

What have we learned from all this?

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

So do not be afraid: we are able to still breathe and weep.

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Hiding Nothing

You can hide nothing from God.
The mask you wear before men will do you no good before Him.
He wants to see you as you are,
He wants to be gracious to you.
You do not have to go on lying to yourself and your brothers,
as if you were without sin;
you can dare to be a sinner.

~Dietrich Bonhoeffer from Life Together

In your hands

The dog, the donkey, surely they know
They are alive.
Who would argue otherwise?

But now, after years of consideration,
I am getting beyond that.
What about the sunflowers? What about
The tulips, and the pines?

Listen, all you have to do is start and
There’ll be no stopping.
What about mountains? What about water
Slipping over rocks?

And speaking of stones, what about
The little ones you can
Hold in your hands, their heartbeats
So secret, so hidden it may take years

Before, finally, you hear them?
~Mary Oliver “in your hands” from 
SwanProse and Poems

When I take myself to the doctor, I trust I’m seeing someone who tries to know me thoroughly enough that he or she can help me move out of illness into better health.

This is how acceptance feels: trusting someone enough to come out of hiding, allowing them to see the parts of me I prefer to keep hidden.

As a physician myself, I am reminded by the amount of “noticing” I did in the course of my work. Each patient, and there were so many,  deserved my full attention for the few minutes we were together.  I started my clinical evaluation the minute I entered the room and I began taking in all the complex verbal and non-verbal clues offered up, sometimes unwittingly, by another human being.

During the COVID pandemic, my interactions with patients became all “virtual” so I didn’t have the ability to observe as thoroughly as I usually did. Instead, I needed them to tell me outright what was going on in their lives, their minds and their hearts in both spoken or written words. I couldn’t ‘see’ them, even on a screen, in the same way as face to face in the same room.

How can someone call out their worries to me when they are hidden behind a camera lens?

I can’t witness first hand the trembling hands, their sweatiness, their scars of self injury.  Still, I am their audience and a witness to their struggle; even more, I must understand their fears to best help them. My brain must rise to the occasion of taking in another person, accepting them for who they are, with every wart and blemish, offering them the gift of compassion and simply be there for them at that moment.

God isn’t blinded in His Holy work as I am in my clinical duties. He knows us thoroughly because He made us; He knows our thoughts before we put them into words. There is no point in trying to stay hidden from Him.

He holds us, little pebbles that we are, in His Hand, and He listens to our secret heartbeats.

Those of us who believe we can remain effectively hidden will never be invisible to God.

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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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