Category: Health Care

Lit From Within

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For God, who said, “Let light shine out of darkness,” has shone in our hearts to give the light of the knowledge of the glory of God in the face of Jesus Christ.
2 Corinthians 4:6

…there must take place that struggle
no human presumes to picture:
living, dying, descending to rescue the just
from shadow, were lesser travails
than this: to break
through earth and stone of the faithless world
back to the cold sepulchre, tearstained
stifling shroud; to break from them
back into breath and heartbeat, and walk
the world again, closed into days and weeks again,
wounds of His anguish open, and Spirit
streaming through every cell of flesh
so that if mortal sight could bear
to perceive it, it would be seen
His mortal flesh was lit from within, now,
and aching for home. He must return,
first, in Divine patience, and know
hunger again, and give
to humble friends the joy
of giving Him food—fish and a honeycomb.
~Denise Levertov from “Ikon: The Harrowing of Hell”

People are like stained-glass windows.  They sparkle and shine when the sun is out, but when the darkness sets in, their true beauty is revealed only if there is a light from within.
~ Elisabeth Kübler-Ross

Christ forced open a door that has been locked since the death of the first man. He has met, fought and beaten the king of death. Everything is different because he has done so.
~C.S. Lewis from Miracles

In my clinical work over four decades, I met people living with dark times. It is rare for a patient to come to clinic because all is well. 

They come because they are beaten down, struggling to keep going, running out of fuel, hungry for calm as they are blown about by the storms of life.

It was my challenge to stoke and feed the inner light hidden deep within each person, fighting back the darkness as I sorted out how to mend their unwellness.

I’m reminded Christ came back from the harrowing darkness of hell to be joyfully met by His disciples, who fed His hunger. Then He cooked breakfast for them, forever offering Himself as sanctuary from the darkness He had known.

So too, we are fed, bathing in His glow.

Lyrics
Jesus Christ, inner light,
let not our own darkness conquer us.
Jesus Christ, inner light,
enable us to welcome your love.
Jesus Christ, in our search for you,
Bring us into the warmth of your light.
Jesus Christ, inner light,
enable us to welcome your love.

Lyrics:
Through love to light!
Oh, wonderful the way
That leads from darkness to the perfect day!
From darkness and from sorrow of the night
To morning that comes singing o’er the sea.
Through love to light!
Through light, O God, to thee,
Who art the love of love, the eternal light of light!

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Bring to Light the Mystery: This In-between Day

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Holy Saturday is the day between promise and sight.
Good Friday has done its work.
Easter morning has not yet dawned.
The body of Jesus lies in the tomb, and the church waits in silence.
It is the day when believers must reckon with the full weight of Christ’s death before they can speak of resurrection.
~Hardin Crowder from “Christ’s Saturday in the Grave”

God goes, belonging to every riven thing he’s made
sing his being simply by being
the thing it is:
stone and tree and sky,
man who sees and sings and wonders why

God goes. Belonging, to every riven thing he’s made,
means a storm of peace.
Think of the atoms inside the stone.
Think of the man who sits alone
trying to will himself into a stillness where

God goes belonging. To every riven thing he’s made
there is given one shade
shaped exactly to the thing itself:
under the tree a darker tree;
under the man the only man to see

God goes belonging to every riven thing. He’s made
the things that bring him near,
made the mind that makes him go.
A part of what man knows,
apart from what man knows,

God goes belonging to every riven thing he’s made.
~Christian Wiman “Every Riven Thing”

Here at the centre everything is still
Before the stir and movement of our grief
Which bears it’s pain with rhythm, ritual,
Beautiful useless gestures of relief.
So they anoint the skin that cannot feel
Soothing his ruined flesh with tender care,
Kissing the wounds they know they cannot heal,
With incense scenting only empty air.
He blesses every love that weeps and grieves
And makes our grief the pangs of a new birth.
The love that’s poured in silence at old graves
Renewing flowers, tending the bare earth,
Is never lost. In him all love is found
And sown with him, a seed in the rich ground.
~Malcolm Guite “Jesus Laid in the Tomb”

The Holy Saturday of our life must be the preparation for Easter,
the persistent hope for the final glory of God. 
The virtue of our daily life is the hope which does what is possible
and expects God to do the impossible. 
To express it somewhat paradoxically, but nevertheless seriously: 
the worst has actually already happened; 
we exist, and even death cannot deprive us of this. 
Now is the Holy Saturday of our ordinary life, 
but there will also be Easter, our true and eternal life. 
~Karl Rahner “Holy Saturday” in The Great Church Year

Fellow sufferers, you know as well as I do
that Friday is rarely the worst.
It’s Saturday morning, when the body’s
lizard-dry from crying and the blood
has stiffened to a stop. You ping rocks
off the walls of your tomb, thinking,
at least Friday’s nails offered some hope
of relief—an absence of pain
to look forward to. But here we are,
beloved, in the dumb quiet
of having cried out to God
and fermented in forsakenness
with nothing to show for it
but six dozen pounds of burial
spices. There’s still a world
knocking around outside
that remembers our gashes and screams
but has no idea how lonely it is
to have come to the other side,
linen still stuck to our eyes
and so much hell left to harrow.
~Tania Runyon “Holy Saturday” from Poet Jesus

This is the day in between when nothing makes sense: 
 we are lost, hopeless, grieving, riven beyond recognition.

We are brought to our senses by this one Death, this premeditated killing, this senseless act that darkened the skies, shook the earth and tore down the curtained barriers to the Living Eternal God.

The worst has already happened, despite how horrific are the constant tragic events filling our headlines.

Today, this Holy Saturday we are in between, stumbling in the darkness but aware of hints of light, of buds, of life, of promised fruit to come.

The best has already happened; it happened even as we remained oblivious to its impossibility.

We move through this Saturday, doing what is possible even when it feels senseless, even as we feel split apart, torn and sundered.

Tomorrow it will all make sense: our hope brings us face to face with our God who is and was and does the impossible.

So Joseph bought some linen cloth, took down the body, wrapped it in the linen, and placed it in a tomb cut out of rock. Then he rolled a stone against the entrance of the tomb. Mary Magdalene and Mary the mother of Joseph saw where he was laid.
Mark 15:46-47

Wait for the Lord; be strong and take heart and wait for the Lord.
Psalm 27:14

I see his blood upon the rose
And in the stars the glory of his eyes,
His body gleams amid eternal snows,
His tears fall from the skies.

I see his face in every flower;
The thunder and the singing of the birds
Are but his voice-and carven by his power
Rocks are his written words.

All pathways by his feet are worn,
His strong heart stirs the ever-beating sea,
His crown of thorns is twined with every thorn,
His cross is every tree.
~Joseph Plunkett “I See His Blood Upon the Rose”

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Bring to Light the Mystery: Foot Washing

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sculpture by Max Greiner

Being thorough, I remove a holey sock
to view a diabetic man’s filthy feet.
I use the time to complete our talk
of what drove him to live on the street
as I wonder how any of this can help.

While he tells me more of his medical past,
I run warm water into a stainless bowl.
I immerse both his feet and begin to ask
myself what good it does for this poor soul
to allow himself to undergo this ablution.

Silently I sluice the water between his toes
and soap the crusty callous at his heel.
I marvel at his arch and notice how closely
it fits my palm. I know he can feel
this proximity too. He shuts his eyes.

Months of useless layers peel away,
revealing layers useless weeks ago.
Removing the tough brown hide of yesterday
yields clean pink skin, but we both know
this ritual will be useless days from now.

Still, this moment may withstand time’s test,
teaching us each lessons unknown before.
I learn the medicine of selflessness.
He learns what medicine is really for–
the hope that basin, soap and touch can bear.
~Robert Fawcett “Washing Feet”

Jesus washing the feet of his disciples by Finnish artist Albert Gustaf Edelfelt

What e’er the soul has felt or suffered long,
Oh, heart! this one thing should not be forgot:
Christ washed the feet of Judas.
~George Marion McClellan
from “The Feet of Judas” in The Book of American Negro Poetry 1922

Ford Maddox Brown — Washing Peter’s Feet

As an aide in a rest home caring for the crippled feet of the elderly,
as a medical student in an inner city hospital seeing the homeless whose socks had to be peeled off carefully to avoid pulling off gangrenous toes, as a doctor working with the down and out detox patients from the streets who had no access to soap and water for weeks,

I’ve washed feet as part of my job.

People always protest,
just as Peter did when Jesus started to wash his feet.
We never believe our feet,
those homely gnarled bunioned claw-toed calloused parts of us,
deserve that attention, and certainly not love.

We are ashamed to have someone care about them, care for them, when we don’t care enough on our own.

I have never washed the feet of someone about to betray me,
leading me to my death.

I have never had my feet washed by someone
who understood my heart needed cleansing even more than my feet, who loved me that much.

Until now.

This one thing should not be forgot:
Kneeling, He wears the humility and towels of a servant as His only raiments. He gently cups our heels in His palms, washes and dries our soles and arches and toes, but our hearts are held, still beating, in His loving hands.

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Bring to Light the Mystery: Crushed

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The world is charged with the grandeur of God.   
It will flame out, like shining from shook foil;   
It gathers to a greatness, like the ooze of oil
Crushed.
~Gerard Manley Hopkins from “God’s Grandeur”

What took Him to this wretched place
What kept Him on this road?
~Stuart Townend and Keith Getty from “Gethesemane”

photo by Bob Tjoelker


Jesus said, wait with me. But the disciples slept.
Jesus said, wait with me. And maybe the stars did,
maybe the wind wound itself into a silver tree, and didn’t move, maybe
the lake far away, where once he walked as on a
blue pavement,
lay still and waited, wild awake.
Oh the dear bodies, slumped and eye-shut, that could not
keep that vigil, how they must have wept,
so utterly human, knowing this too
must be a part of the story.
~Mary Oliver from “Gethsemane”

You could not watch one hour with me–James Tissot

Today marks the crushing of Christ in the Garden of the Oil Press: Gethsemane -a place of olive trees treasured for the fine oil delivered from their fruit. And so, on this night, the pressure is turned up high on the disciples, not just on Jesus.

The disciples are expected, indeed commanded, to keep watch alongside the Master, to be filled with prayer, to avoid the temptation of their weakened flesh at every turn.

But they fail pressure testing and fall apart. 

Like them, I am easily lulled by complacency, by my over-indulged satiety for material comforts that do not truly fill hunger or quench thirst,  by my expectation that being called a follower of Jesus is somehow enough.

It is not enough.
I fail the pressure test as well.
I don’t wait and watch.

I fall asleep through His anguish.
I dream, oblivious, while He sweats blood.
I give Him up with a kiss.
I might even deny I know Him when I’m pressed hard.

Yet, the moment of His betrayal becomes the moment He is glorified,
thereby God is glorified and we are saved. 

Crushed, bleeding, poured out over the world –
He becomes the sacrifice that anoints us.

Incredibly,
mysteriously,
indeed miraculously,
He loves us anyway, broken as we are,
because He knows broken like no other.

Van Gogh – Olive Grove 1889

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

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Bring to Light the Mystery: Before Darkness Overtakes You

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No matter how deep our darkness, He is deeper still. 
~Corrie ten Boom from The Hiding Place

Then Jesus told them:
You are going to have the light just a little while longer.
Walk while you have the light, before darkness overtakes you.
The man who walks in the dark does not know where he is going.
John 12:35

I think he planned it, sort of, from the start;
whether he knew they’d choose the fruit or not,
he scattered hints around the garden, what to do
in case they got themselves kicked out. A shirt
of fur around the lamb. The stream converting
water into syllables. Bamboo pipes.
The caps of mushrooms round as wheels.
Bluebirds composing tunes. He knew nothing
they started later would be new. Except he
didn’t factor in the thorns, how they would smart
as Adam—leaving—drove one through his foot.
How clever Romans would invent a crown.
He didn’t figure weeds could break His heart.
~Jeanne Murray Walker “Foreknowledge”

Thoughts on Holy Tuesday:

Many older people when stressed with illness, while hospitalized or disrupted from their routine, will become disoriented, even confused in the evening, unable to sleep, or be at ease.  It is referred to as “sundowning” by the care providers who must try to keep an older patient safe, calm and oriented to time and place.

It isn’t at all clear what is happening in the brain as the sun goes down, but over the years of watching this happen in my patients, I think it is a very primal fear response to loss of light. We don’t know where we are lost in the dark. We don’t know what is out there that may hurt us.

Jesus knew the dangers of the night, both as God and as man.  As the Light of the World, soon to hang from the cross as the sky blackened and the sun was covered over, His illumination will dim and die. 

At that moment, both God and man are plunged into enveloping darkness: an extreme  “sundowning” where all hope is lost, and we can lose our way.

Yet if we stay rooted to Jesus, not leave the cross, we can put down our heavy burden and rest. We can celebrate the arrival of brilliant light in our lives. Instead of darkness overcoming us, our lives are covered in the glory and grace of Resurrection Day.

The Son settled among us.  Darkness can no longer overtake us, even at death. The Light will illuminate the path we are meant to take.

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

Lyrics:
What if instead of more violence
We let our weapons fall silent?
No more revenge or retribution
No more war or persecution.

It could be beautiful.

What if instead of our judgment
We soften our hearts that have hardened?
Instead of certainty and pride
We love and sacrifice.

It could be beautiful.

Can we see the other as our brother?
Can we sing the darkness to light?
Sounding chords of compassion and grace
Set the swords of judgement aside

Let mercy’s eyes
See the other human face.
~Kyle Pederson

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Bring to Light the Mystery: Marred Beyond Human Likeness

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IMG_6229

In a daring and beautiful creative reversal,
God takes the worse we can do to Him
and turns it into the very best He can do for us.
~Malcolm Guite from The Word in the Wilderness

When I was wounded
whether by God, the devil, or myself
—I don’t know yet which—
it was seeing the sparrows again
and clumps of clover, after three days,
that told me I hadn’t died.
When I was young,
all it took were those sparrows,
those lush little leaves,
for me to sing praises,
dedicate operas to the Lord.
But a dog who’s been beaten
is slow to go back to barking
and making a fuss over his owner
—an animal, not a person
like me who can ask:
Why do you beat me?
Which is why, despite the sparrows and the clover,
a subtle shadow still hovers over my spirit.
May whoever hurt me, forgive me.
~Adelia Prado “Divine Wrath” translated from Brazilian Portuguese by Ellen Doré Watson

See, my servant will act wisely;
    he will be raised and lifted up and highly exalted.
14 Just as there were many who were appalled at him—
    his appearance was so disfigured beyond that of any human being
    and his form marred beyond human likeness—
15 so he will sprinkle many nations,
    and kings will shut their mouths because of him.
For what they were not told, they will see,
    and what they have not heard, they will understand.
Isaiah 52: 13-15

Emmet Till’s mother
speaking over the radio

She tells in a comforting voice
what it was like to touch her dead boy’s face,

how she’d lingered and traced
the broken jaw, the crushed eyes–

the face that badly beaten, disfigured—
before confirming his identity.

And then she compares his face to
the face of Jesus, dying on the cross.

This mother says no, she’d not recognize
her Lord, for he was beaten far, far worse

than the son she loved with all her heart.
For, she said, she could still discern her son’s curved earlobe,

but the face of Christ
was beaten to death by the whole world.
~Richard Jones “The Face” from Between Midnight and Dawn

Strangely enough~
it is the nail,
not the hammer,
that brings us together~
becoming the glue,
the safety,
the permanence of
solid foundation,
and strong supports,
or protecting roof.

The hammer is only a tool
to pound in the nail
where it binds so tightly
it can’t blend or be forgotten,
where the hole it leaves behind
is a forever reminder
of what I, wielding the hammer, have done
and how thoroughly
I am forgiven.

nailhole

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

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Bring to Light the Mystery: Unsettled Petals

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sakura217

God is within all things, but not enclosed;
outside all things, but not excluded;
above all things but not aloof;
below all things but not debased.
~St. Bonaventure, 14th C. philosopher and theologian 

wwusakura4
wwusakura6

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

Everyone feels grief
when cherry blossoms scatter.
Might they then be tears –
those drops of moisture falling
in the gentle rains of spring?
~Otomo no Juronushi (late 9th century)

fallensakura
fallen sakura petals in Tokyo (photo by Nate Gibson)
sakurarain
fallen sakura blossoms in Tokyo, photo by Nate Gibson

For four decades, as a family physician, I saw patients struggling with depression, some contemplating whether living another day was worth the pain and effort. 

Most described their feelings completely dry-eyed, unwilling to let their emotions flow from inside and flood their outsides. Others sat soaking in tears of hopelessness and despair.

Their weeping moved and reassured me — it is a raw and authentic spilling over when the internal dam is breaking. It is so human, yet we also know tears contain the divine.

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 overwhelming feelings of love brimming so full they must be let go and cannot be held back.

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

There is beauty in this: His rain of tears, the spilling of the divine onto our mortal soil like the unsettled petals of spring.

photo by Nate Gibson

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

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Bring to Light the Mystery: Leaping and Shouting

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photo by Josh Scholten

Then will the eyes of the blind be opened
and the ears of the deaf unstopped.
Then will the lame leap like a deer,
and the mute tongue shout for joy.
Isaiah 35:5-6

Scripture documents Jesus’ healing miracles for those of us who were not there to witness them – a touch of saliva to eyes and tongue, fingers placed in ears, words that give new life to paralyzed limbs. 

As a physician who has worked with many tools in healing over forty years, I do know the power of spoken words, or the comforting touch, but never used saliva and mud. 

There is nothing I can do with those simple means to reverse the irreversible. Of course many medical “miracles” happen every day in the 21st century, but the spit and words of the 1st century are far more miraculous because of from Whom they came.

These ancient miracles took place when a willing heart met Mercy head on. No surgery required, no expensive medications, no magnetic imaging, no robotic procedures. In comparison to the skills of the ultimate Physician, I’m humbled in my obvious limitations. I myself was a blind, deaf, dumb and lame healer, immobilized until I underwent a modern heart-opening procedure myself. Not just a cardiac intervention to dilate my coronary arteries, but the knowledge that my spiritual heart has been opened wide.

Grateful, I become unstoppable, as I too now leap and shout for joy.

painting by Norman Rockwell

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

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Bring to Light the Mystery: Overcoming

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In the real world of pain, how could one worship a God who was immune to it?
~John Stott from “The Cross of Christ”

It’s a dangerous business, Frodo, going out your door. You step onto the road, and if you don’t keep your feet, there’s no knowing where you might be swept off to.
~J.R.R. Tolkien from Lord of the Rings

With all that happens daily in this disordered world, in order to even walk out the door on this spring equinox day, I fall back on what we are told in God’s Word, in 365 different scripture verses for each and every day of the year:

Fear not.

Do not be overwhelmed with evil but overcome evil with good.

And so – we must overcome — despite our fears in this world of pain.

As demonstrated by the anointing of Jesus’ feet by Mary of Bethany, we must do what we can to sacrifice for others, to live in such a way that death cannot erase the meaning and significance of a life. We are called to give up our own selfish agendas in order to consider the needs of others.

It is crystal clear from Christ’s example as we observe His journey to the cross: we are to cherish life -all lives- even unto death. As Christ Himself forgave those who hated and murdered Him, He forgives us as well.

Our only defense against the evil we witness is God’s offense through His Love. Only God can lead us to Tolkien’s “where everything sad will come untrue”, where we shall live in peace, walk hand in hand, no longer alone, no longer afraid, no longer shedding tears of grief and sorrow, but tears of relief and joy.

On this first day of Spring, we are longer overcome by evil but overcome with goodness, all to God’s glory.

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

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Bring to Light the Mystery: Her Wounds to be Healed

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The earth invalid, dropsied, bruised, wheeled
Out in the sun,
After frightful operation.
She lies back, wounds undressed to the sun,
To be healed,
Sheltered from the sneapy chill creeping North wind,
Leans back, eyes closed, exhausted, smiling
Into the sun. Perhaps dozing a little.
While we sit, and smile, and wait, and know
She is not going to die. 
~Ted Hughes from “ A March Morning Unlike Others” from Ted Hughes. Collected Poems

March. I am beginning
to anticipate a thaw. Early mornings
the earth, old unbeliever, is still crusted with frost
where the moles have nosed up their
cold castings, and the ground cover
in shadow under the cedars hasn’t softened
for months, fogs layering their slow, complicated ice
around foliage and stem
night by night,

but as the light lengthens, preacher
of good news, evangelizing leaves and branches,
his large gestures beckon green
out of gray. Pinpricks of coral bursting
from the cotoneasters. A single bee
finding the white heather. Eager lemon-yellow
aconites glowing, low to the ground like
little uplifted faces. A crocus shooting up
a purple hand here, there, as I stand
on my doorstep, my own face drinking in heat
and light like a bud welcoming resurrection,
and my hand up, too, ready to sign on
for conversion.
~Luci Shaw “Revival” from What the Light Was Like.

This year, spring has been emerging early from an exceptionally warm and un-snowy winter, yet blizzard conditions last night closed the Cascade mountain passes with high winds causing extensive power outages in the Puget Sound region.

Our hilltop farm was spared overnight – we are grateful for light and heat this morning.

Up until now, all growing things have been several weeks ahead of the usual budding/blooming schedule when, like the old “Wizard of Oz” movie, the landscape suddenly turns from monochrome to technicolor with a soundtrack going from forlorn to glorious.

Like most folks, I too yearn for spring to commence, tapping my foot impatiently as if I’m personally owed an extravagant seasonal transformation from dormant to verdant. 

We wait for the Great Physician’s announcement that His patient survived winter once again:
“I’m happy to say the Earth is alive and restored, wounded but healing, breathing on her own but too addled by last night’s windstorm for you to expect much from her just yet.”

As we celebrate her imminent healing, we are reassured His Creation is still very much alive- we rejoice in this temporary home of ours.
A promising prognosis for this patient coming out of the fog of winter:
she lives, she breathes, she thrives, to bloom and sing with everything she’s got.
So soon, so will I.

This year’s Barnstorming Lenten theme is Ephesians 3:9:

…to bring to light for everyone what is the plan of the mystery hidden for ages in God, who created all things…

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