Flowers of the Sad, Human Mind

In the high woods that crest our hills,
Upon a steep, rough slope of forest ground,
Where few flowers grow, sweet blooms today I found
Of the Autumn Crocus, blowing pale and fair.
Dim falls the sunlight there;
And a mild fragrance the lone thicket fills.


Languidly curved, the long white stems
Their purple flowers’ gold treasure scarce display:
Lost were their leaves since in the distant spring,

Their February sisters showed so gay.
Roses of June, ye too have followed fleet!
Forsaken now, and shaded as by thought,
As by the human shade of thought and dreams,
They bloom ‘mid the dark wood, whose air has wrought
With what soft nights and mornings of still dew!
Into their slender petals that clear hue,
Like paleness in fresh cheeks; a thing
On earth, I vowed, ne’er grew
More delicately pure, more shyly sweet.

Child of the pensive autumn woods!
So lovely, though thou dwell obscure and lone,
And though thy flush and gaiety be gone;
Say, among flowers of the sad, human mind,
Where shall I ever find
So rare a grace? in what shy solitudes?

~Robert Laurence Binyon “Autumn Crocus”

The late September emergence
of autumn crocus is always sudden,
rising up near the equinox
in the shade of spent peony bushes.

These rare blooms:
tall, tender, bold, and frail,
their incubation triggered by retreating light from above,
unlike their springtime cousins emerging through melting snow.

The autumn crocus waits with thoughtful temerity,
summoned forth from the soil
to remind us the end of summer
is not the end of them or us.

A luminous gift of hope and beauty
borne from a humble bulb;
plain and only soil-adorned.

Slowly unfurling on a pale leggy stem,
the tender lavender petals peel back
to reveal golden crowns of saffron,
brazenly blooming when all else is dying back.

Vulnerable to blustery wind and heavy rains,
they easily wilt, crushed, deeply bruised purple –
under the Sun’s reflection made manifest;
returning defeated, inglorious, fallen, to dust.

Yet we know – they remind us:
they (and we) will rise again.

…we know what is coming behind the crocus. The spring comes slowly down this way; but the great thing is that the corner has been turned. . . It remains with us to follow or not, to die in this winter, or to go on into that spring and that summer.
C.S. Lewis from God in the Dock

Balancing on a Broken World

Summer ends now; now, barbarous in beauty, the stooks rise
Around; up above, what wind-walks! what lovely behaviour
Of silk-sack clouds! has wilder, wilful-wavier
Meal-drift moulded ever and melted across skies?

I walk, I lift up, I lift up heart, eyes,
Down all that glory in the heavens to glean our Saviour;
And eyes, heart, what looks, what lips yet give you a
Rapturous love’s greeting of realer, of rounder replies?

And the azurous hung hills are his world-wielding shoulder
Majestic – as a stallion stalwart, very-violet-sweet! –
These things, these things were here and but the beholder
Wanting; which two when they once meet,
The heart rears wings bold and bolder
And hurls for him, O half hurls earth for him off under his feet.
~Gerard Manley Hopkins “Hurrahing in Harvest”

This poem is (in Hopkin’s own words) “the outcome of half an hour of extreme enthusiasm as I walked home alone one day from fishing in the [River] Elwy.”

This afternoon was the colour of water falling through sunlight;
The trees glittered with the tumbling of leaves;
The sidewalks shone like alleys of dropped maple leaves,
And the houses ran along them laughing out of square, open windows.

Under a tree in the park,
Two little boys, lying flat on their faces,
Were carefully gathering red berries
To put in a pasteboard box.


Some day there will be no war,
Then I shall take out this afternoon
And turn it in my fingers,
And remark the sweet taste of it upon my palate,
And note the crisp variety of its flights of leaves.

To-day I can only gather it
And put it into my lunch-box,
For I have time for nothing
But the endeavour to balance myself
Upon a broken world.
~Amy Lowell from “September 1918”

There is no point in seeing without responding; there is no way to respond without seeing.

Christian life and practice require both faith (the sight of the heart) and works (the lurch of the heart toward him in obedience).
~Kathleen Mulhern from “A Christ Sighting” from Dry Bones

Am I the only one who awoke this morning praying
today might be a day of healing between peoples,
when the barbarous becomes beautiful
and we seek to become balanced rather than broken?

A day of
no drone missiles being launched,
no threats of annihilation and winner takes all,
no one gunned down in the street,
no vehicles used as weapons,
no harsh and angry words spoken,
no child misused,
no one sold into slavery,
no one overdosing, abandoned,
homeless and starving.

Am I the only one who awakes and only seeks
to watch the clouds
to praise the heavens
to see the leaves turn color
to take out this one day and taste it
and find that it is good,
then put it away for self-keeping
to share when and if I find someone else
as hungry for grace and mercy as I am,

so as to balance myself somehow
in the beauty of this world while
teetering on its brokenness?

I am not the only one.
I know I am not…

Man Scything Hay by Todd Reifers
Sheaves of Wheat in a Field –Vincent Van Gogh
Wheat Field with Sheaves -Vincent Van Gogh

Emerging Transformed

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”
in Versed

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

We are hard pressed on every side, but not crushed;
perplexed, but not in despair;
persecuted, but not abandoned;
struck down, but not destroyed…

Therefore we do not lose heart.
Though outwardly we are wasting away,

yet inwardly we are being renewed day by day.
For our light and momentary troubles
are achieving for us an eternal glory
that far outweighs them all.

So we fix our eyes not on what is seen,
but on what is unseen.
For what is seen is temporary,
but what is unseen is eternal.
-2 Cor 4:8-9, 16-18

I believe like a child
that suffering will be healed and made up for,
that all the humiliating absurdity of human contradictions
will vanish like a pitiful mirage
…that in the world’s finale,
at the moment of eternal harmony,
something so precious will come to pass
that it will suffice for all hearts,
for the comforting of all resentments,
for the atonement of all the crimes of humanity,
for all the blood that they’ve shed;
that it will make it not only possible to forgive
but to justify all that has happened.

~Fyodor Dostoevsky from The Brothers Karamazov

Twenty-five 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 a remembrance of
the torrential red that flowed that day;

A quarter century later,
our streets both near and far-away
still course with the blood of innocents,
so what have we learned from all this?

That terrible day’s edges were so sharp
we all bled;
still bearing the scars,
we need comforting.

So do not be afraid:
you are not alone.

We breathe and weep and love
as we remember that day,
emerging inevitably transformed.

This Failing Light

Day after day, day after still day,
The summer has begun to pass away.
Starlings at twilight fly clustered and call,
And branches bend, and leaves begin to fall.
The meadow and the orchard grass are mown,
And the meadowlark’s house is cut down.

The little lantern bugs have doused their fires,
The swallows sit in rows along the wires.
Berry and grape appear among the flowers
Tangled against the wall in secret bowers,
And cricket now begins to hum the hours
Remaining to the passion’s slow procession
Down from the high place and the golden session
Wherein the sun was sacrificed for us.


A failing light, no longer numinous,
Now frames the long and solemn afternoons
Where butterflies regret their closed cocoons.
We reach the place unripe, and made to know
As with a sudden knowledge that we go
Away forever, all hope of return
Cut off, hearing the crackle of the burn-
ing blade behind us, and the terminal sound
Of apples dropping on the dry ground.
~Howard Nemerov “Summer’s Elegy
” from Collected Poems

As far as I can see this autumn haze
That spreading in the evening air both ways,
Makes the new moon look anything but new,
And pours the elm-tree meadow full of blue,
Is all the smoke from one poor house alone
With but one chimney it can call its own;
So close it will not light an early light,
Keeping its life so close and out of sight
No one for hours has set a foot outdoors
So much as to take care of evening chores.
The inmates may be lonely women-folk.
I want to tell them that with all this smoke
They prudently are spinning their cocoon
And anchoring it to an earth and moon
From which no winter gale can hope to blow it,—
Spinning their own cocoon did they but know it.

~Robert Frost “The Cocoon”

The summer ends, and it is time
To face another way. Our theme
Reversed, we harvest the last row
To store against the cold, undo
The garden that will be undone.
We grieve under the weakened sun
To see all earth’s green fountains dried,
And fallen all the works of light.
You do not speak, and I regret
This downfall of the good we sought
As though the fault were mine. I bring
The plow to turn the shattering
Leaves and bent stems into the dark,
From which they may return. At work,
I see you leaving our bright land,
The last cut flowers in your hand.
~Wendell Berry “The Summer Ends” from A Timbered Choir.

I too regret the closed cocoon,
so seemingly safe at the time —
once launched before being ready,
there is no returning.

In this fading, failing light, I feel undone,
weepy at harvest, gathering urgently,
not wanting anything to go to waste,
trying to memorialize it all as it changes.

I part again from you, Summer –
your gifts seemed endless
until you yourself ended –
a reminder that someday,
so must I.

photo by Bob Tjoelker

The Managed Flamingo

flamingo
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

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 Tumble of Onions

How easily happiness begins by   
dicing onions. A lump of sweet butter   
slithers and swirls across the floor   
of the sauté pan, especially if its   
errant path crosses a tiny slick
of olive oil. Then a tumble of onions.

This could mean soup or risotto   
or chutney (from the Sanskrit
chatni, to lick). Slowly the onions   
go limp and then nacreous
and then what cookbooks call clear,   
though if they were eyes you could see

clearly the cataracts in them.
It’s true it can make you weep
to peel them, to unfurl and to tease   
from the taut ball first the brittle,   
caramel-colored and decrepit
papery outside layer, the least

recent the reticent onion
wrapped around its growing body,   
for there’s nothing to an onion
but skin, and it’s true you can go on   
weeping as you go on in, through   
the moist middle skins, the sweetest

and thickest, and you can go on   
in to the core, to the bud-like,   
acrid, fibrous skins densely   
clustered there, stalky and in-
complete, and these are the most   
pungent, like the nuggets of nightmare

and rage and murmury animal   
comfort that infant humans secrete.   
This is the best domestic perfume.   
You sit down to eat with a rumor
of onions still on your twice-washed   
hands and lift to your mouth a hint

of a story about loam and usual   
endurance. It’s there when you clean up   
and rinse the wine glasses and make   
a joke, and you leave the minutest   
whiff of it on the light switch,
later, when you climb the stairs.

~William Matthews “Onions”

I don’t mean to make you cry.
I mean nothing, but this has not kept you
From peeling away my body, layer by layer,

The tears clouding your eyes as the table fills
With husks, cut flesh, all the debris of pursuit.
Poor deluded human: you seek my heart.

Hunt all you want. Beneath each skin of mine
Lies another skin: I am pure onion–pure union
Of outside and in, surface and secret core.

Look at you, chopping and weeping…
~Suji Kwock Kim from “Monologue for a Onion”

…It’s true it can make you weep
to peel them, to unfurl and to tease   
from the taut ball first the brittle,   
caramel-colored and decrepit
papery outside layer, the least

recent the reticent onion
wrapped around its growing body,   
for there’s nothing to an onion
but skin, and it’s true you can go on   
weeping as you go on in, through   
the moist middle skins, the sweetest

and thickest, and you can go on   
in to the core, to the bud-like,   
acrid, fibrous skins densely   
clustered there, stalky and in-
complete, and these are the most   
pungent
…
~William Matthews from “Onions”

…I would never scold the onion
for causing tears.
It is right that tears fall
for something small and forgotten.
How at meal, we sit to eat,
commenting on texture of meat or herbal aroma
but never on the translucence of onion,
now limp, now divided,
or its traditionally honorable career:
For the sake of others,
disappear.

~Naomi Shihab Nye from “The Traveling Onion”
from Words Under the Words: Selected Poems.

Onion,
luminous flask,
your beauty formed
petal by petal,
crystal scales expanded you
and in the secrecy of the dark earth
your belly grew round with dew.
Under the earth
the miracle
happened
and when your clumsy
green stem appeared,
and your leaves were born
like swords
in the garden,
the earth heaped up her power
showing your naked transparency…

…You make us cry without hurting us.
I have praised everything that exists,
but to me, onion, you are
more beautiful than a bird
of dazzling feathers,
heavenly globe, platinum goblet,
unmoving dance
of the snowy anemone

and the fragrance of the earth lives
in your crystalline nature.

~Pablo Neruda from “Ode to the Onion”

Everything smells of “eau de onion” here in the kitchen when the onions are brought in from our garden to be stored or dehydrated and frozen for winter soups and stews.

This is weepy business, but these are good tears like I spill over the whistled Greensleeves theme from the old “Lassie” TV show, or during any childrens’ choir song, or by simply watching videos of our grandchildren who live too far away to visit every day.

It takes almost nothing these days to make me weep, so onions are a handy excuse, allowing my tears to flow without explanation:

I weep over the headlines.

I weep over how messy things can get between people who don’t listen to one another or who misinterpret what they think they hear.

I weep knowing we all have layers and layers of skin that appear tough on the outside, but as you peel gently or even ruthlessly cut them away, the layers get more and more tender until you reach the throbbing heart of us.

We tend to hide our hearts out of fear of being hurt, crying out in pain.

Like an onion, each one of us exists to make the day a bit better, the meal more savory, to enhance the flavors of all who are mixed into this melting pot together, trying to make sad things new.

We aren’t meant to stand alone, but to disappear into the stew, and be sorely missed if we are absent.

So very dish needs an onion, and for the sake of the dish, every onion vanishes in the process.

No, I don’t mean to make you cry
as you peel my layers away,
gently, one by one,
each more tender until you reach my heart.
Chop away at me if you must
but weep the good tears, the ones that mean
we weep for the sake of our meal together:
you eating and drinking,
and me – consumed.

Lyrics:
When the dark wood fell before me
And all the paths were overgrown
When the priests of pride say there is no other way
I tilled the sorrows of stone

I did not believe because I could not see
Though you came to me in the night
When the dawn seemed forever lost
You showed me your love in the light of the stars

Chorus:
Cast your eyes on the ocean
Cast your soul to the sea
When the dark night seems endless
Please remember me

Then the mountain rose before me
By the deep well of desire
From the fountain of forgiveness
Beyond the ice and fire

Though we share this humble path, alone
How fragile is the heart
Oh, give these clay feet wings to fly
To touch the face of the stars

Breathe life into this feeble heart
Lift this mortal veil of fear
Take these crumbled hopes, etched with tears
We’ll rise above these earthly cares

Lyrics: Light after darkness, gain after loss
Strength after weakness, crown after cross;
Sweet after bitter, hope after fears
Home after wandering, praise after tears

Alpha and Omega
Beginning and the end
He is making all things new
Springs of living water
Shall wash away each tear
He is making all things new
​
Sight after mystery, sun after rain
Joy after sorrow, peace after pain;
Near after distant, gleam after gloom
Love aftеr wandering, life after tomb

Consumed by Harrowing Fire

(War Time)

There will come soft rains and the smell of the ground,
And swallows circling with their shimmering sound;

And frogs in the pools singing at night,
And wild plum trees in tremulous white,

Robins will wear their feathery fire
Whistling their whims on a low fence-wire;

And not one will know of the war, not one
Will care at last when it is done.

Not one would mind, neither bird nor tree
If mankind perished utterly;

And Spring herself, when she woke at dawn,
Would scarcely know that we were gone.

~Sara Teasdale “There Will Come Soft Rains”

…one of man’s purposes is to assist God
in the work of “hallowing” the things of Creation.
By a tremendous heave of the spirit,
the devout man frees the divine sparks

trapped in the mute things of time;
he uplifts the forms and moments of creation,
bearing them aloft

into the rare air and hallowing fire
in which all clays must shatter and burst.
~Annie Dillard from Pilgrim at Tinker Creek

The fire burst the house and let it slam flat down, puffing out skirts of spark and smoke.

The crash. The attic smashing into kitchen and parlour. The parlour into cellar, cellar into sub-cellar.


Smoke and silence. A great quantity of smoke.


Dawn showed faintly in the east. Among the ruins, one wall stood alone. Within the wall, a last voice said, over and over again and again, even as the sun rose to shine upon the heaped rubble
and steam:


“Today is August 5, 2026, today is August 5, 2026, today is…”


~Ray Bradbury from the end of his 1950 short story “There Will Come Soft Rains”

So much of the world is beset by smoke and ashes this summer.

Not only are the fires roaring uncontrolled across landscapes, consuming everything in their path,
but harrowing fires burn within us as well.

We too are consumed,
left in a haze of gray and dust.

Even the smoke-painted sun traverses the sky
and then settles and sets,
swallowed by a seed puff ball,
absorbed and hallowed.

Like us, may it be released aloft this morning
transformed like a seed freed to the wind,
to rise unfettered and holy.

A Knock on the Door of Your Life

When a great moment knocks on the door of your life,
it is often no louder than the beating of your heart,
and it is very easy to miss it.
~Boris Pasternak

‘Is there anybody there?’ said the Traveller,   
Knocking on the moonlit door;
And his horse in the silence champed the grasses   
Of the forest’s ferny floor:
And a bird flew up out of the turret,   
Above the Traveller’s head:
And he smote upon the door again a second time;  
‘Is there anybody there?’ he said.
But no one descended to the Traveller;   
No head from the leaf-fringed sill
Leaned over and looked into his grey eyes,   
Where he stood perplexed and still.
But only a host of phantom listeners   
That dwelt in the lone house then
Stood listening in the quiet of the moonlight   
To that voice from the world of men:
Stood thronging the faint moonbeams on the dark stair,   
That goes down to the empty hall,
Hearkening in an air stirred and shaken   
By the lonely Traveller’s call.
And he felt in his heart their strangeness,   
Their stillness answering his cry,
While his horse moved, cropping the dark turf,   
’Neath the starred and leafy sky;
For he suddenly smote on the door, even   
Louder, and lifted his head:—
‘Tell them I came, and no one answered,   
That I kept my word,’ he said.
Never the least stir made the listeners,   
Though every word he spake
Fell echoing through the shadowiness of the still house   
From the one man left awake:
Ay, they heard his foot upon the stirrup,   
And the sound of iron on stone,
And how the silence surged softly backward,   
When the plunging hoofs were gone.

~Walter De La Mare “The Listeners”

Years ago, a young woman I’d been treating for depression for several weeks in my clinic 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 was 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 after a very stressful work week and even more stressful year. I was discouraged about many aspects of my clinic work load and my after-hours responsibilities only seemed to get heavier. I was frustrated at how ineffectively I was communicating to administrative supervisors about the need for change. 

I was ready to quit and walk away.

Even so, in a moment of clarity about my role and commitment to those I was responsible for, I called my patient to find out how she was doing. She didn’t answer her phone.

I mulled over my options. Protocol was to call the police to go to her address for a “well-being” check. I looked up her apartment address and decided instead to drive the few blocks to get there.

As I approached her door, I could hear someone moving around in her apartment, but she ignored my knocks and my voice and when I tried to open the door, it was locked.

So I stayed 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 unlocked 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.

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

She agreed to come with me and be admitted voluntarily for stabilization. When I went to the hospital to see ger the next day, 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 knock on her door when she was at her lowest point. It was the start of her climb out of her pain and depression.

Four years later, a small card arrived in my clinic mailbox on another 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 became the knock on the door to get my attention, to focus the beating of my heart on what was most important – not the stresses of my work place — and 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_____”

Somehow I had the sense that I needed to go knock on her door because I was keeping my word to take care of her at her lowest point. I had 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.

When I needed it the most, she made a difference for me that kept me on the job for another twenty years.

With her letter, she knocked, oh so gently, on my own locked door. I opened it, amazed that someone cared enough to let me know I kept my word.

How to Clear the Fog

~Lustravit lampade terras~
(He has illumined the world with a lamp)
The weather and my mood have little connection.
I have my foggy and my fine days within me;
my prosperity or misfortune has little to do with the matter.
– Blaise Pascal from “Miscellaneous Writings”

Tired and hungry, late in the day, impelled
to leave the house and search for what
might lift me back to what I had fallen away from,
I stood by the shore waiting.
I had walked in the silent woods:
the trees withdrew into their secrets.
Dusk was smoothing breadths of silk
over the lake, watery amethyst fading to gray.
Ducks were clustered in sleeping companies
afloat on their element as I was not
on mine. I turned homeward, unsatisfied.
But after a few steps, I paused, impelled again
to linger, to look North before nightfall—the expanse
of calm, of calming water, last wafts
of rose in the few high clouds.
And was rewarded:
the heron, unseen for weeks, came flying
widewinged toward me, settled
just offshore on his post,
took up his vigil.
                               If you ask
why this cleared a fog from my spirit,
I have no answer.

~Denise Levertov “A Reward” from Evening Train

photo by Josh Scholten
photo by Josh Scholten

Flee for a while from your tasks,
hide yourself for a little space from the turmoil of your thoughts.
Come, cast aside your burdensome cares,
and put aside your laborious  pursuits.
For a little while give your time to God,
and rest in him for a little while.
Enter into the inner chamber of your mind,
shut out all things save God
and whatever may aid you in seeking God;
and having barred the door of your chamber, seek him.
~Anselm of Canterbury: The Major Works

And so you have a life that you are living only now,
now and now and now,
gone before you can speak of it,
and you must be thankful for living day by day,
moment by moment …
a life in the breath and pulse and living light of the present…

~Wendell Berry from Hannah Coulter

photo by Josh Scholten

There were long days during my doctoring years
when I would be near tears,
physically spent, too fried
to keep listening, problem solving, comforting.

I needed to feel something other than needed.
I needed neediness myself — 
a sorry place to be
for a physician and healer.

Of course it had happened before, many times:
middle of the night mothering a vomiting child,
middle of the night mothering a frail mother,
middle of the night reassuring a frightened patient,
middle of the night worried about the state of the world.

Yet morning always comes because God has never left,
maybe not bright and shining and wondrous,
maybe still hidden behind a fog,
maybe not hidden at all
but waiting inside my muddled thoughts –

I found if I gently closed the door to all
that is not God,
I would find Him looking for me
and all would become clear.

Text by George Matheson:
O Love that will not let me go,
I rest my weary soul in thee;
I give thee back the life I owe,
That in thy ocean depths its flow
May richer, fuller be.

O Joy that seeks me through pain,
I cannot close my heart to thee;
I trace the rainbow through the rain,
And feel the promise is not vain,
That morn shall tearless be.

When the dawn
O’er hill and dale
Throws her bright veil,
Oh, think of me!

When the laugh
With silver sound
Goes echoing round,
Oh, think of me!

When the rain
With starry showers
Fills all the flowers,
Oh, think of me!

When the wind
Sweeps along,
Loud and strong,
Oh, think of me!

When the earth
Sleeping sound
Swings round and round,
Oh, think of me!

When the night
With solemn eyes
Looks from the skies,
Oh, think of me!”

-Frances Anne Kemble