Category: illness

Waiting in Wilderness: Becoming His Cells

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The whole mass of Christians are the physical organism through which Christ acts—
that we are his fingers and muscles,
the cells of His body.
~C.S. Lewis from Mere Christianity

Now you are the body of Christ, and each one of you is a part of it.
1Corinthians 12:27

Christ has no body now but yours.
No hands, no feet on earth but yours.
Yours are the eyes through which he looks compassion on this world.
Yours are the feet with which he walks to do good.
Yours are the hands through which he blesses all the world.
Yours are the hands,
yours are the feet,
yours are the eyes,
you are his body.
Christ has no body now on earth but yours.
~Teresa of Avila

When I am awake in the night to attend to those who are hurting,
some who have been hurt by illness, injury or abuse or
who hurt themselves to escape their hopelessness,
I remember, in my own weariness,
this dear one too is part of His body,
one of the cells
that adjoins the cell that is me,
each of us critical to the life
raised in the body of Christ.

Why have have so many of us Christians forgotten this in the last year?
How can we not care first and foremost for the vulnerable,
for our beloved brothers and sisters in Christ,
as well as those who we don’t know and don’t yet know Christ,
by doing whatever we can,
whether it is the inconvenience of masking
or accepting the low risk of an effective vaccine,
to shield others and ourselves from potential harm
and end this painful time of pandemic history?

Pastor Tim Keller has said:
Christians are called by God to be living so sacrificially and beautifully that the people around us, who don’t believe what we believe, will soon be unable to imagine the world without us.

Thank you to David French, Michael Luo, and Scott Sauls for their insights into the role of Christ’s church during the pandemic and how we can do better in living out our mandate as the body and cells of Christ.

Keep watch, dear Lord,
with those who work, or watch, or weep this night,
and give your angels charge over those who sleep.
Tend the sick, Lord Christ;
give rest to the weary,
bless the dying,
soothe the suffering,
pity the afflicted,
shield the joyous;
and all for your loves sake.
Amen.
~Common Book of Prayer

Waiting in Wilderness: A Time of Treading Life

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This is the wilderness time,
when every path is obscure
and thorns have grown around the words of hope.

This is the time of stone, not bread,
when even the sunrise feels uncertain
and everything tastes of bitterness.

This is the time of ashes and dust,
when darkness clothes our dreams
and no star shines a guiding light.

This is the time of treading life,
waiting for the swells to subside and for the chaos to clear.

Be the wings of our strength, O God,
in this time of wilderness waiting.
– Keri Wehlander from “600 Blessings and Prayers from around the world” compiled by Geoffrey Duncan

He will cover you with his feathers,
    and under his wings you will find refuge;
    his faithfulness will be your shield and rampart.
Psalm 91:4

To be commanded to love God at all, let alone in the wilderness,
is like being commanded to be well when we are sick,
to sing for joy when we are dying of thirst,
to run when our legs are broken.
But this is the first and great commandment nonetheless.
Even in the wilderness- especially in the wilderness – you shall love him.   
~Frederick Buechner from A Room Called Remember:Uncollected Pieces

I usually think of wilderness as a distant peak far removed from anything or anyone.  From my farmhouse window on a clear day, I can see a number of distant peaks if the cloud cover moves away to reveal them.

Or perhaps the wilderness is a desolate plain that extends for miles without relief in sight.

Wilderness is also found in an isolated corner of my human heart. I keep it far removed from anything and anyone. During my televisit computer work,  I witness this wilderness in others, many times every day.

A diagnosis of “wilderness of the heart” doesn’t require a psychiatric manual: 
there is despair, discouragement, disappointment, lack of gratitude, lack of hope. 
One possible treatment to tame that wilderness is a covenantal obedience to God and others. It reaches so deep no corner is left untouched.

There come times in one’s life, and this past year especially, when loving God as commanded seems impossible. We are too broken, too frightened, too ill and too wary to trust God with faith and devotion.  We are treading life simply to stay afloat.

During this second Lenten pandemic, God’s love becomes respite and rescue from the wilderness of my own making. He is the sweet cure for a bitter and broken heart.

Waiting in Wilderness: Moving Mountains Closer

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I tell you the truth,
if you have faith as small as a mustard seed,
you can say to this mountain,
`Move from here to there’ and it will move.
Nothing will be impossible for you.
Matthew 17:20

How pale is the sky that brings forth the rain
As the changing of seasons prepares me again
For the long bitter nights and the wild winter’s day
My heart has grown cold, my love stored away
My heart has grown cold, my love stored away

I’ve been to the mountain, left my tracks in the snow
Where souls have been lost and the walking wounded go
I’ve taken the pain, no girl should endure
But faith can move mountains of that I am sure
Faith can move mountains of that I am sure

Just get me through December
A promise I’ll remember
Get me through December
So I can start again

No divine purpose brings freedom from sin
And peace is a gift that must come from within
And I’ve looked for the love that will bring me to rest
Feeding this hunger beating strong in my chest
Feeding this hunger beating strong in my chest
~Gordie Sampson & Fred Lavery

It is winter in Narnia… and has been for ever so long
…. always winter, but never Christmas.
~C. S. Lewis from The Lion, Witch and the Wardrobe

We’ve been traveling through a wilderness of the pandemic for nearly a year, even as the calendar has changed from spring to summer to autumn and in December back to winter. In this winter wilderness, we struggle with the chill of isolation from each other and from God, the endless discouragement and fatigue, and the hot cold of resentment and anger.

We are called in the gospel of Matthew to leave behind our helplessness when overwhelmed by pervasive wilderness. He tells us to believe, even if it is only the tiniest grain of faith. Our cold hearts love and hunger for God.

So if we can’t make it to the mountain in the distance, our faith can move the mountain closer. God hears our plea and brings His peace to us by bringing Himself as close as the beating heart in our chest. There will be a Christmas again and there will be Easter.

Waiting in Wilderness: Heaven and I Wept Together

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fog101926

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

fog1228141

~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”

foggyfield
photo by Nate Gibson

I laughed in the morning’s eyes.
I triumphed and I saddened with all weather,
Heaven and I wept together,
and its sweet tears were salt with mortal mine.
Against the red throb of its sunset heart,
I laid my own to beat
And share commingling heat.

Rise, clasp my hand, and come.
Halts by me that Footfall.
Is my gloom, after all,
Shade of His hand, outstretched caressingly?
Ah, Fondest, Blindest, Weakest,
I am He whom thou seekest.
Thou dravest Love from thee who dravest Me.
~Francis Thompson from “The Hound of Heaven”

supermoonbarn

My days are filled with anxious and sad patients,
one after another after another. 
They sit in front of their screen
and I in front of mine,
so close yet so far from each another –
a wilderness of unexpressed emotions.

They struggle to hold back the flood from brimming eyes.  
Each moment, each breath, each heart beat overwhelmed by questions: 
How to take yet another painful breath of this sad life?  must there be another breath?  
Must things go on like this in fear of what the next moment will bring?

The only thing more frightening than the unknown is the knowledge
that the next moment will be just like the last or perhaps worse. 
There is no recognition of a moment just passed
that can never be retrieved and relived.  
There is only fear of the next and the next
so that now and now and now is lost forever.

Worry and sorrow and angst are more contagious than any viral pandemic.
I mask up and wash my hands of it throughout the day.
I wish there was a vaccine to protect us all from our unnamed fears in the wilderness.

I want to say to them and myself:
Stop this moment in time.
Stop and stop and stop.
Stop expecting this feeling must be “fixed.”
Stop wanting to be numb to all discomfort.
Stop resenting the gift of each breath.
Just stop.
Instead, simply be
in the now and now and now.

I want to say:
this moment, foggy or fine, is yours alone,
this moment of weeping and sharing
and breath and pulse and light.
Shout for joy in it.
Celebrate it.
Be thankful for tears that can flow over grateful lips
and stop holding them back.

Stop me before I write,
out of my own anxiety over you,
yet another prescription
you don’t really need.

Just be–
and be blessed–
in the now and now and now.

sunset15183

Breaking Through Ice

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Walking in February
A warm day after a long freeze
On an old logging road
Below Sumas Mountain
Cut a walking stick of alder,
Looked down through clouds
On wet fields of the Nooksack—
And stepped on the ice
Of a frozen pool across the road.
It creaked
The white air under
Sprang away, long cracks
Shot out in the black,
My cleated mountain boots
Slipped on the hard slick
—like thin ice—the sudden
Feel of an old phrase made real—
Instant of frozen leaf,
Icewater, and staff in hand.
“Like walking on thin ice—”
I yelled back to a friend,
It broke and I dropped
Eight inches in
~Gary Snyder “Thin Ice”

We have witnessed an unprecedented year of spreading infection. Not only have we been outwitted by a wily virus that mutates as needed to further its domination of its hosts and the world, but we stand on a frozen lake pandemic of daily discouragement and ice-cracking political division, not sure where we may safely take our next step.

Viruses depend on us harboring them without us dying promptly so we might infect as many others as possible as quickly as possible. The better we feel while contagious, the better it is for the virus to wreak potential havoc on those around us.

A mask on you and a mask on me helps to block my virus from entering your (as yet) uninfected nose. Similarly, we can both don “masks” to impede the intentional spread of our insistence that one of us is right and the other is wrong. If we don’t attempt to muzzle our disagreements, we’re creating cracks in the tenuous ice beneath our feet.

The trouble with overheated debates in the middle of winter is that we all end up walking on too-thin ice, breaking through and doused by the chilly waters below.

Lord, have mercy on us,
help us see and hear the cracks forming beneath our feet.
Put us on our knees before you, you alone,
humble and aware
of the contagious cracks we perpetuate.

Absorbing the Shock

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There are three kinds of men.
The ones that learn by reading.
The few who learn by observation. 
The rest of them have to pee on the electric fence for themselves.
~Will Rogers

Learning is a universal human experience from the moment we take our first breath.  It is never finished until the last breath is given up.  With a lifetime of learning, one would think eventually we should get it right.

But we don’t.  We tend to learn the hard way especially when it comes to matters having to do with our (or others’) health.

As physicians in training, we “see one, do one, teach one.”   That kind of approach doesn’t always go so well for the patient.   As patients, we like to eat, drink, and live how we wish, demanding what interventions we want only when we want them – this also doesn’t go so well for the patient.  You’d think we’d know better, but as fallible human beings, we may impulsively make decisions about our health without actually using our heads (is it evidence-based or simply an anecdotal story about what “worked” for someone else?).

The cows and horses on our farm need to touch an electric fence only once when reaching for greener grass on the other side.  That moment provides a sufficient learning curve for them to make an important decision.  They won’t try testing it again no matter how alluring the world appears on the other side.   Humans are smarter sentient beings who should learn as quickly as animals but unfortunately don’t.  I know all too well what a shock feels like and I want to avoid repeating that experience.  Even so, in unguarded careless moments of feeling invulnerable (it can’t happen to me!), and yearning to have what I don’t necessarily need,  I may find myself reaching for the greener grass (or another cookie) even though I know better.   I suspect I’m not alone in my surprise when I’m jolted back to reality when I continually indulge myself and climb on the scale to see the results.

Many great minds have worked out various theories of effective learning, but, great mind or not, Will Rogers confirms a common sense suspicion: an adverse experience, like a “bolt out of the blue,” can be a powerful teacher.  As clinicians, we call it “a teachable moment.”  None of us want to experience a teachable moment — none of us, and we resent it when someone points it out to us.

When physicians and patients learn the hard way, we need to come along aside one another rather than work at cross-purposes.

It just might help absorb the shock.

Permission to Breathe Again

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We are waiting for snow
the way we might wait for a train
to arrive with its cold cargo—
it is late already, but surely
it will come.
We are waiting for snow
the way we might wait
for permission
to breathe again.

For only the snow
will release us, only the snow
will be a letting go, a blind falling
towards the body of earth
and towards each other.

And while we wait at this window
whose sheer transparency
is clouded already
with our mutual breath,

it is as if our whole lives depended
on the freezing color
of the sky, on the white
soon to be fractured
gaze of winter.
~Linda Pastan “Interlude” from Queen of a Rainy Country

This poem by Linda Pastan was published in 2008 — it wasn’t written about waiting our turn for the new COVID vaccine, but it could have been.

Most of us are waiting for the vaccine like we wait for the relief of a winter snow storm. It’s as if we are all stuck inside, watching at the window, our noses pressed to the glass, our breath fogging the pane, gazing at the sky and trying to predict when and if the snow will come. We long to see the world clean and smooth and magical again with all its messy, grimy, muddy parts covered up, at least for awhile.

We want to play again and go where our heart wishes and be together with our friends and family. We want permission to breathe deeply, to show off our smiles and sing with gusto.

This second winter of COVID is crueler than the first because we know more now than a year ago: we know what we could have done and should have done but didn’t. We know we’ve lost far more lives than we should have and thousands more struggle to recover.

In order to fracture this COVID winter, to break open this frozen sky of our suspended lives, we seek the vaccine to arrive like the snow, covering all, protecting all, inviting all.

Our lives depend on it.

(I get my first dose today)

Diagnosing a Case of the Dwindles

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Morning without you is a dwindled dawn.
~Emily Dickinson in a letter to a friend April 1885

For the past year, the most common search term bringing new readers to my Barnstorming blog is “dwindled dawn.” I have written about Emily Dickinson’s “dwindles” on occasions, but had not really been diagnosed with a serious case myself until recently.

I am not the only one. It has spread across the globe and I regularly recognize the symptomatology of the dwindles in my clinical work with patients.

There really isn’t a pill or other therapy that works well for this. One of the most effective treatments I might prescribe is breaking bread with friends and family all in the same room at the same table while the sun rises around us, lingering in conversation because there could not be anything more important for us to do.

Just being together would be the ultimate cure.

Maybe experiencing friend and family deficiency helps us understand how vital they are to our well-being. You don’t know what you have ’till they’re gone, sadly some now forever.

Point well-taken; it is high time to replenish the reservoir before dwindling away to nothing.

So if you are visiting these words for the first time because you too searched for “dwindled dawn,” welcome to Barnstorming. We can dwindle together in our shared isolation.

Because mornings without you all diminishes me.
I just wanted you to know.

Pleading To Be Let Out

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Though the barn is so warm
that the oats in his manger,
the straw in his bed
seem to give off smoke—

though the wind is so cold,
the snow in the pasture
so deep he’d fall down
and freeze in an hour—

the eleven-month-old
palomino stallion
has gone almost crazy
fighting and pleading
to be let out.
~Alden Nowlan “The Palomino Stallion” from Selected Poems.

photo by Emily Vander Haak

Inside the barn the sheep were standing, pushed close to one
another. Some were dozing, some had eyes wide open listening
in the dark. Some had no doubt heard of wolves. They looked
weary with all the burdens they had to carry, like being thought
of as stupid and cowardly, disliked by cowboys for the way they
eat grass about an inch into the dirt, the silly look they have
just after shearing, of being one of the symbols of the Christian
religion. In the darkness of the barn their woolly backs were
full of light gathered on summer pastures. Above them their
white breath was suspended, while far off in the pine woods,
night was deep in silence. The owl and rabbit were wondering,
along with the trees, if the air would soon fill with snowflakes,
but the power that moves through the world and makes our
hair stand on end was keeping the answer to itself.
~Tom Hennen “Sheep in the Winter Night” from Darkness Sticks to Everything. 

We all feel pretty locked in right now – not able to go where we want, when we want, or how we want. We are kicking at the walls and pummeling each other in our frustration at the limitations imposed by a blizzard of virus swirling outside, swallowing up another person every couple minutes.

It is hard to think of quarantine as a necessary time of security and safety. Even our horses are confined to their barn stalls in the worst of winter weather with all the comforts of home provided to them, yet somehow they believe it is better “out there” than inside. However, once they are “out there,” they take one look around and turn back to come in where there isn’t knee deep mud or bitter northeast winds or pounding drenching rain. It isn’t a bit friendly out there.

In this part of the world, we can continue to have harsh winter weather for another month or so and then we can start allowing our critters more freedom. There is no chance the viral storm will settle that soon so the rest of us will hunker down for a while longer.

I’ll try not to bite if you promise not to kick.

Hold Life Like a Face

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The thing is
to love life, to love it even
when you have no stomach for it
and everything you’ve held dear
crumbles like burnt paper in your hands,
your throat filled with the silt of it.
When grief sits with you, its tropical heat
thickening the air, heavy as water
more fit for gills than lungs;
when grief weights you like your own flesh
only more of it, an obesity of grief,
you think, How can a body withstand this?
Then you hold life like a face
between your palms, a plain face,
no charming smile, no violet eyes,
and you say, yes, I will take you
I will love you, again.
~Ellen Bass, “The Thing Is” from Mules of Love

There is so much grief these days
so much loss of life
so much weeping.

How can we withstand this?
How can we know, now,
when we are barely able to breathe
that we might know – at some point –
we might love life again?