To Be Still…

I wanted to see the tea house
a bridge arching over water

I wanted to study Japanese maples
their fine-toothed fiery leaves

I wanted to bow my head to chance,
to a lantern, to stones placed in a wall

The paths led us down and down
far off we heard workmen building a road
overhead a jet scrawled a contrail note of farewell

If I wanted to kneel at the pond, it was to know
how like my mother I’ve become

I wanted to admire hydrangeas, exclaim
at a lace-cap two-color one—both blush pink

and purple, on one stem—taking a photo to share—
I wanted to touch the clapper in the bronze bell

at the gate, where two panels slide together,
each side making one half of the sun—

letting it sound and then be still
~Patricia Clark “Kubota Garden” from Self-Portrait with a Million Dollars

Stand still. The trees ahead and bushes beside you
Are not lost. Wherever you are is called Here,
And you must treat it as a powerful stranger,
Must ask permission to know it and be known.
The forest breathes. Listen. It answers,
I have made this place around you.
If you leave it, you may come back again, saying Here.
No two trees are the same to Raven.
No two branches are the same to Wren.
If what a tree or a bush does is lost on you,
You are surely lost. Stand still. The forest knows
Where you are. You must let it find you.
~David Wagoner “Lost”

Our grandchildren —
born in Tokyo, adapting to a rural life here —
bring within them the serenity
of the gardens they visited there,
finding respite from worldly worries and sorrows.

We remind them to love such stillness:
there is rest after busyness,
there is light beyond darkness,
there is peace amid chaos,
there are smiles after tears,
there is quiet within noisiness,
there is grace and mercy forever…

…as we who are older
give way to the new.

Autumn Begins to be Inferred

Autumn begins to be inferred
By millinery of the cloud,
Or deeper color in the shawl
That wraps the everlasting hill.
~Emily Dickinson from “Summer Begins to Have the Look”

The passing of the summer fills again
my heart with strange sweet sorrow, and I find
the very moments precious in my palm.
Each dawn I did not see, each night the stars
in spangled pattern shone, unknown to me,
are counted out against me by my God,
who charges me to see all lovely things…
~Jane Tyson Clement from “The Passing of Summer”

September’s Baccalaureate
A combination is

Of Crickets — Crows — and Retrospects
And a dissembling Breeze


That hints without assuming —

An Innuendo sear
That makes the Heart put up its Fun
And turn Philosopher.
~Emily Dickinson
“September’s Baccalaureate”


There’s something in my very blood that owns
Bare hills, cold silver on a sky of slate
A thread of water, churned to milky spate
Streaming through slanted pastures fenced with stones.

~Elinor Wylie from “Wild Peaches”

Summer now is waning and wistful; 
it has the look of packing up, and moving on without bidding adieu or looking back over its shoulder. 

Cooling winds have carried in darkening clouds with a hint of spit from the sky as I gaze upward to see (and smell) the change. 

A decent rain is long overdue yet there is temptation to bargain for a little more time. Though we are in need of a good drenching there are still onions and potatoes to pull from the ground, berries to pick before they mold on the vine, tomatoes not yet ripened, corn cobs just too skinny to pick. 

I’m not quite ready to wave goodbye to sun-soaked clear skies.

The overhead overcast is heavily burdened with clues of what is coming: earlier dusk, the feel of moisture, the deepening graying hues, the briskness of breezes. 

There is no negotiation possible.   I need to steel myself and get ready, wrapping myself in the soft shawl of inevitability.

So autumn advances with the clouds, taking up residence where summer has left off.  Though there is still clean up of the overabundance left behind, autumn will bring its own unique plans for display of a delicious palette of hues.

The truth is we’ve seen nothing yet.

Going First Through the Dark Doorway

In gratitude to the writing and wisdom of farmer Wendell Berry who, at age 92, passed through his porch’s dark doorway yesterday 8/31/26

All day he’s shoveled green pine sawdust
out of the trailer truck into the chute.
From time to time he’s clambered down to even
the pile. Now his hair is frosted with sawdust.
Little rivers of sawdust pour out of his boots.

I hope in the afterlife there’s none of this stuff
he says, while I broom off his jeans, his sweater flocked
with granules, his immersed-in-sawdust socks.
I hope there’s no bedding, no stalls, no barn

no more repairs to the paddock gate the horses
burst through when snow avalanches off the roof.
Although the old broodmare, our first foal, is his,
horses, he’s fond of saying, make divorces.

…he says
let’s walk up to the field and catch the sunset

and off we go, a couple of aging fools.

I hope, he says, on the other side there’s a lot
less work, but just in case I’m bringing tools.
~Maxine Kumin from “Chores”

photo by Emily Vander Haak

They sit together on the porch, the dark
Almost fallen, the house behind them dark.
Their supper done with, they have washed and dried
The dishes–only two plates now, two glasses,
Two knives, two forks, two spoons–small work for two.
She sits with her hands folded in her lap,
At rest. He smokes his pipe. They do not speak,
And when they speak at last it is to say
What each one knows the other knows. They have
One mind between them, now, that finally
For all its knowing will not exactly know
Which one goes first through the dark doorway, bidding
Goodnight, and which sits on a while alone.
~Wendell Berry “They Sit Together on the Porch”

If just for a moment,
when this world is tilting so far
we just might fall off,
we pause to look at where we’ve been
and get our feet back under us.

The porch is a good place to start:
a bridge to what is beyond
without leaving the familiar.

Outside, looking square at the unknown,
yet still hearing and smelling and tasting
the affection that dwells just inside these walls.

What could we want more
than to be missed when we step away?

Our voice, our words, our heart, our touch
never to be replaced,
its absence a hole impossible to fill…

When we are called back inside
where Love made us who we are,
may the “in between” of
time spent on the porch,
be even more treasured,
because two aging fools sat together there a spell.

front porch

Come and See: Gathering Together Those Who Scattered

Many of the Jews therefore, who had come with Mary and had seen what he did, believed in him, but some of them went to the Pharisees and told them what Jesus had done. So the chief priests and the Pharisees gathered the council and said, “What are we to do? For this man performs many signs. If we let him go on like this, everyone will believe in him, and the Romans will come and take away both our place and our nation.” 

But one of them, Caiaphas, who was high priest that year, said to them, “You know nothing at all. Nor do you understand that it is better for you that one man should die for the people, not that the whole nation should perish.” 

He did not say this of his own accord, but being high priest that year he prophesied that Jesus would die for the nation, and not for the nation only, but also to gather into one the children of God who are scattered abroad. 

So from that day on they made plans to put him to death.

Jesus therefore no longer walked openly among the Jews, but went from there to the region near the wilderness, to a town called Ephraim, and there he stayed with the disciples.

Now the Passover of the Jews was at hand, and many went up from the country to Jerusalem before the Passover to purify themselves. 

They were looking for Jesus and saying to one another as they stood in the temple, “What do you think? That he will not come to the feast at all?” Now the chief priests and the Pharisees had given orders that if anyone knew where he was, he should let them know, so that they might arrest him.
John 11: 45-57

Thy children are gathering home,
With joy they are gathering home;
From all the divisions in which they were scattered,
Thy children are gathering home.

~Charles Naylor from “Thy Children are Gathering Home”

A setting out to find oneself astray,
And coming home at dusk a different way.
~Malcolm Guite from “Prayer/Walk”

God is at home, it’s we who have gone out for a walk.
~Meister Eckhart

we who wander,
scattered beyond reach

who take wrong turns
never ask for directions
stumble over the rough roads
find ourselves in the ditch
distracted by glitter and gold
forgetting our ultimate destination

nothing we’ve seen thus far
no goal achieved
compares to the unity awaiting us

gather us home, O Lord,
as you did through your death.

just point the way.

I am reading slowly through the words in the Book of John over the next year alongside my church family. Once a week, I will invite you to “come and see” what those words might mean as we explore His promises together.

The Managed Flamingo

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photo by Chris Duppenthaler

The chief difficulty Alice found at first
was in managing her flamingo:
she succeeded in getting its body tucked away,
comfortably enough,
under her arm,
with its legs hanging down, but generally,
just as she had got its neck nicely straightened out,
and was going to give the hedgehog a blow with its head,
it would twist itself round
and look up in her face,
with such a puzzled expression
that she could not help bursting out laughing:
and when she had got its head down,
and was going to begin again,
it was very provoking to find that
the hedgehog had unrolled itself,
and was in the act of crawling away….

Alice soon came to the conclusion
that it was a very difficult game indeed. 
~Lewis Carroll from Alice in Wonderland

Navigating the U.S. health care system over the last decade or so reminds me of Alice’s dreamscape game of Wonderland croquet. 

A physician is given a flamingo mallet and a hedgehog ball and ordered — by the Queen at the risk of having one’s head lopped off — to go play, but the mallet won’t cooperate and the ball keeps unrolling itself and crawling away. 

Just like any day in a medical clinic, a doctor’s time is spent trying to manage their flamingo. The patient, tired of waiting for weeks for an appointment, then stuck in an urgent care center or emergency waiting room– gets up and leaves.

At least Alice gets a good giggle out of it, but the reality in health care causes more tears than laughter. We are playing a very difficult game of changing rules and technology.

The flamingo in the doctor’s hands could represent the increasingly time-consuming requirement to search over 70,000 ICD-10 diagnosis codes rather than the previous 14,000 ICD-9 codes. 

Or the requirement to search for a 10 digit NDC number for any prescription medicine sent electronically to a pharmacy. 

Or the “meaningful use” criteria that regulate mandatory data collection and reportage on patients to the Federal Government in order to receive full payment for Medicare or Medicaid billings. 

Or updated HIPAA and HITECH electronic security requirements to ensure privacy and the requirement for patient access to their chart. 

Or the obligations to the new Accountable Care Organization that your employer has joined. 

Or the Maintenance of Certification hoops to jump through in order to continue to practice medicine.  

The exasperated and uncooperative “managed” flamingo keeps curling itself around and looking at us with a puzzled expression: 

just what is it you were supposed to be trained to do?   

is there actually a patient to pay attention to in all this morass of mandates?

And the poor hapless hedgehog patient is just rolled up in a ball awaiting a contact that never comes – for something, anything that might look like health care is about to happen. 

Instead, for the patient, there are many electronic forms to sign:
Notice of Patient Privacy,
Notice of Patient Rights and Responsibilities,
releases to share medical information,
agreements to pay today’s co-pay and tomorrow’s deductible and whatever is left unpaid by insurance,
agreement to have an AI app record and then transcribe the healthcare interaction,
passwords to choose for each electronic patient portal: the chart, insurance, health savings account, lab and X-ray results and healthcare.gov. 

It might be easier and less painful to just crawl away and hide from that bumbling health care provider who can’t seem to get their act together.

I wish I were laughing, but I’m not. As a once-practicing physician and now a patient, it’s getting harder and harder to play the game that is no game at all. 

There is always a threat to the physician of a professional beheading:
losing credentialing in an insurance plan,
getting poor ratings on anonymous online physician grading sites, being inexplicably dropped from a provider list,
keeping up with 50 hours of approved continuing education annually,
being too unproductive to remain in an employer medical group,
losing/forgoing board certification. 

We keep trying to juggle the flamingo motivated by those threats,
all the while ineptly managing the managed care system,
knowing the patient might get up and walk away out of sheer frustration.

Thankfully, I didn’t ever see patients in a fee-for-service clinic setting,
so I have sympathy for those who have no other option.

I think, at least I hope, I focused on taking care of people, trying to heal their illnesses and help them cope with life if they can’t be healed. 

I wanted to provide compassionate care without all the fol-de-rol.
These are absurd times for humans and hedgehogs.

It is enough to make a doctor cry. At least we meet our patients over the Kleenex box and compare notes, and maybe, just maybe, we’ll find enough common ground to even share a giggle or two.

flamingo2
photo by Chris Duppenthaler
photo by Chris Duppenthaler

A Time Less Bold

Would you believe I’ve been looking
for rain, here, with few days remaining
in this fleeting season of summer?
Our days are numbered that we might
share with the sun in a clear blue sky
and the hours growing warmer,
and I have kept an eye out for the clouds.
Only I wish for the conditions and doubt
that might send us all deep inside
our dark homes to sleep and read and pray
in preparation for the coming colder days.
Would you believe that the sight
of slate gray spanning horizon to zenith
and down is one I am quite taken with?
~David K. Wheeler “The Cold Season” from Contingency Plans

My mother, who hates thunder storms,
Holds up each summer day and shakes
It out suspiciously, lest swarms
Of grape-dark clouds are lurking there;
But when the August weather breaks
And rains begin, and brittle frost
Sharpens the bird-abandoned air,
Her worried summer look is lost,

And I her son, though summer-born
And summer-loving, none the less
Am easier when the leaves are gone
Too often summer days appear
Emblems of perfect happiness
I can’t confront: I must await
A time less bold, less rich, less clear:
An autumn more appropriate.

~Philip Larkin “Mother, Summer, I”

Summer grass aches and whispers.

It wants something; it calls and sings; it pours
       out wishes to the overhead stars.

The rain hears; the rain answers; the rain is slow 
        coming; the rain wets the face of the grass.

~Carl Sandberg “Summer Grass”

August rushes by like desert rainfall,
A flood of frenzied upheaval,
Expected,
But still catching me unprepared.
Like a match flame
Bursting on the scene,
Heat and haze of crimson sunsets.
Like a dream
Of moon and dark barely recalled,
A moment,
Shadows caught in a blink.
Like a quick kiss;
One wishes for more
But it suddenly turns to leave,
Dragging summer away.
– Elizabeth Maua Taylor
 “August”

The endless clear skies of August
now broken with exuberant clouds,
rain falling in warm gusts,
leaves landing on browned ground.

This summer ended up being simply too much –
an excess of everything bright and beautiful,
meant to make us joyful,
yet bold and exhausting in its riches.

From endless hours of daylight,
to high rising temperatures and wildfires,
to palettes of smoke-filled landscapes
to fruitfulness and abundant blooms.

While summer always fills a void
after enduring cold spare dark days
the rest of the year,
I still depend on autumn returning.

I welcome darkening times back,
knowing how much I miss
those drear twilight months of longing
for the overwhelming fullness of summer.

No Furrow on the Glow

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Further in Summer than the Birds
Pathetic from the Grass
A minor Nation celebrates
Its unobtrusive Mass.

No Ordinance be seen
So gradual the Grace
A pensive Custom it becomes
Enlarging Loneliness.

Antiquest felt at Noon
When August burning low
Arise this spectral Canticle
Repose to typify

Remit as yet no Grace
No Furrow on the Glow
Yet a Druidic Difference
Enhances Nature now 
~Emily Dickinson

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“…one of the great poems of American literature. The statement of the poem is profound; it remarks the absolute separation between man and nature at a precise moment in time. The poet looks as far as she can into the natural world, but what she sees at last is her isolation from that world. She perceives, that is, the limits of her own perception. But that, we reason, is enough. This poem of just more than sixty words comprehends the human condition in relation to the universe:

So gradual the Grace
A pensive Custom it becomes
Enlarging Loneliness.

But this is a divine loneliness, the loneliness of a species evolved far beyond all others. The poem bespeaks a state of grace. In its precision, perception and eloquence it establishes the place of words within that state. Words are indivisible with the highest realization of human being.”
~N. Scott Momaday from The Man Made of Words

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On the first day I took his class on Native American Mythology and Lore in 1974 at Stanford, N.Scott Momaday strolled to the front, wrote the 60 words of this Dickinson poem on the blackboard.  He told us we would spend at least a week working out the meaning of what he considered the greatest poem written — this in a class devoted to Native American writing and oral tradition.  In his resonant bass, he read the poem to us many times, rolling the words around his mouth as if to extract their sweetness. This man of the plains, a member of the Kiowa tribe, loved this poem put together by a New England recluse poet — someone as culturally distant from him and his people as possible.

But grace works to unite us, no matter our differences, and Scott knew this as he led us, mostly white students, through this poem.  What on the surface appears a paean to late summer cricket song doomed to extinction by oncoming winter, is a statement of the transcendence of man beyond our understanding of nature and the world in which we, its creatures, find ourselves.

As summer begins its descent into the dark death of winter, we, unlike the crickets, become all too aware we too are descending, particularly when the skies are filled with smoke from uncontrolled wildfires in the north, the east and the south.  There is no one as lonely as an individual facing their mortality and no one as lonely as a poet facing the empty page, in search of words to describe the sacrament of sacrifice and perishing.

Yet the Word brings Grace unlike any other, even when the cricket song, pathetic and transient as it is, is gone.  The Word brings Grace, like no other, to pathetic and transient man who will emerge transformed.

There is no furrow on the glow. There is no need to plow and seed our salvaged souls, already lovingly planted and nurtured by our Creator God, yielding a fruited plain.

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Feeling the Twinges of this World

Under a canopy of leaves,
the irises, bountiful,
the calico butterfly flashing

and this one golden head
of a dazzling sunflower grasping
its cowled neck,

outweighing its stalk

in order to turn,
full bonneted,
to the absolute light.

What wonders these are:
things struggling
filament by filament,

birds twittering in a laughter
that could be weeping,
barely feeling the twinges of this world,

where the weak get stronger
or snailish with cracks

a day at a time.
~Judith Harris “Recovery”

Be patient toward all that is unsolved in your heart and try to love the questions themselves, like locked rooms and like books that are now written in a very foreign tongue.

Do not now seek the answers, which cannot be given you because you would not be able to live them. And the point is, to live everything.

Live the questions now. Perhaps you will then gradually, without noticing it, live along some distant day into the answer.

Be patient and without bitterness, and realize that the least we can do is to make coming into existence no more difficult for Him than the earth does for spring when it wants to come.
~Rainier Marie Rilke
from Letters to a Young Poet

We feel the twinges of struggling to live broken in difficult times; indeed, all our days are difficult times.

We won’t get out of this predicament alive, yet we are loved.

Whether we care or not about what happens
after our last breath does not alter the fact
Christ dwells alongside us;
our heavy heads bow as we turn to face
the compelling Light.

Like Mary, we must say:  “Let it be,” – not “no, not me, not now.”

We are transformed by accepting He has come on our behalf:
an oh-so-difficult faith connecting us like a slender filament to heaven:
like the bird greeting the morning with songs that weep,
like the butterfly emerging from its cracked chrysalis to try its wings,
like the cracked snail shell abandoned
because we no longer fit inside its broken confinement.

Come and See: He Wept…

Now when Jesus came, he found that Lazarus had already been in the tomb four days. Bethany was near Jerusalem, about two miles off, and many of the Jews had come to Martha and Mary to console them concerning their brother. 

So when Martha heard that Jesus was coming, she went and met him, but Mary remained seated in the house. Martha said to Jesus, “Lord, if you had been here, my brother would not have died. But even now I know that whatever you ask from God, God will give you.” 

Jesus said to her, “Your brother will rise again.” Martha said to him, “I know that he will rise again in the resurrection on the last day.” 

Jesus said to her, “I am the resurrection and the life. Whoever believes in me, though he die, yet shall he live, and everyone who lives and believes in me shall never die. Do you believe this?” She said to him, “Yes, Lord; I believe that you are the Christ, the Son of God, who is coming into the world.”

When she had said this, she went and called her sister Mary, saying in private, “The Teacher is here and is calling for you.” And when she heard it, she rose quickly and went to him. Now Jesus had not yet come into the village, but was still in the place where Martha had met him. When the Jews who were with her in the house, consoling her, saw Mary rise quickly and go out, they followed her, supposing that she was going to the tomb to weep there. 

Now when Mary came to where Jesus was and saw him, she fell at his feet, saying to him, “Lord, if you had been here, my brother would not have died.” When Jesus saw her weeping, and the Jews who had come with her also weeping, he was deeply moved in his spirit and greatly troubled. And he said, “Where have you laid him?” 

They said to him, “Lord, come and see.” Jesus wept. So the Jews said, “See how he loved him!” But some of them said, “Could not he who opened the eyes of the blind man also have kept this man from dying?”
John 11:17-37

Beauty, to the Japanese of old, held together the ephemeral with the sacred. Cherry blossoms are most beautiful as they fall, and that experience of appreciation lead the Japanese to consider their mortality. Hakanai bi (ephemeral beauty) denotes sadness, and yet in the awareness of the pathos of life, the Japanese found profound beauty.

For the Japanese, the sense of beauty is deeply tragic, tied to the inevitability of death.

Jesus’ tears were also ephemeral and beautiful. His tears remain with us as an enduring reminder of the Savior who weeps. Rather than to despair, though, Jesus’ tears lead the way to the greatest hope of the resurrection. Rather than suicide, Jesus’ tears lead to abundant life.
~Makoto Fujimura

When I read that Jesus weeps as He witnesses the tears of grief of His dear friends, I am comforted. 

He understands and feels what we feel,
His tears just as plentiful and salty,
His feelings of love brimming so fully
they must be let go and cannot be held back.
He too is overwhelmed by the pathos
of His vulnerable and visceral humanity.

Our Jesus who wept with us becomes a promise of ultimate joy.

There is beauty in His rain of ephemeral tears.

I am reading slowly through the words in the Book of John over the next year alongside my church family. Once a week, I will invite you to “come and see” what those words might mean as we explore His promises together.

A Change in Altitude

           

‘Regret has to be useless or it’s not really regret.’
 ~Simone de Beauvoir

Rescuers did not find my uncle’s body.
But they found his axe at an icy altitude
impossible to navigate without one.


A little higher up, they found my uncle
’s sleeping bag at an altitude
unsurvivable without one.


You likely have a pen in purse or pocket.
Take it out and write a list of all
you need at your present altitude.


Next, change altitudes. Now, make another list:
the two biggest regrets of your life.
Take your time. Get it right. Because

here is all you need to know about need:
That list of regrets—cross one off.
You are going to need that space later.
~Jessica Goodfellow, “Unreachable” from Whiteout

I’ve known people who lost their lives while hiking/climbing in the mountains or due to some other tragedy – the cascade of decisions leading to their death are sources of regret for all who mourn them, even decades later. Somehow regret is a difficult feeling to let go;
we cling to it as if it is somehow an essential part of us.

It is easy for me to come up with a long list of regrets in my life. They seem to grow like weeds – useless, unplanned, unwanted and prolific, threatening to take over any good fruit being produced.

Few of us volunteer to share openly about our current guilt or shame unless we are sitting in a therapy group, a confessional booth, or AA. Instead it gives us permission to beat ourselves up, going over and over in our minds how we could have done things differently.

As a physician, I heard about such heart-ache in my clinical encounters – a patient will regret an impulsive sexual encounter that turned out badly, or drinking and drugging too much, or regret an ongoing conflict with a family member, or wish they had decided to get that vaccine before becoming ill with a potentially preventable infection.

Our list of regrets can be endless and life-destroying.

I understand the pain of regret as I too am a flawed and fractured person with an eight-decade history of things done and left undone, words said and unsaid. Even if I think I can somehow manage to cross a regret off my own list – perhaps I apologized and was granted forgiveness, or I tried to make right what I’d messed up — I still know a new regret will occupy its place before long.

I can’t simply fix my own regret list.

No matter what altitude we’re at — down in the pits in the lowest of the low, or up in the highest imaginable, I have come to realize that forgiveness is only possible through a knowledge of God Himself.
He came to walk beside us in our low spots and our high spots, no matter where we find ourselves. His work on earth has crossed off our regrets and mistakes and wiped us clean of them.

He did this because He understood our desperate need;
thanks to His sacrifice and love, our heart-aches are left at the Cross.