Contagious

Good things as well as bad, you know
are caught by a kind of infection.

If you want to get warm you must stand near the fire:
if you want to be wet you must get into the water.
If you want joy, power, peace, eternal life,
you must get close to, or even into, the thing that has them. 

They are not a sort of prize which God could,
if He chose, just hand out to anyone.
They are a great fountain of energy and beauty

spurting up at the very centre of reality.
If you are close to it, the spray will wet you:

if you are not, you will remain dry.

Once a man is united to God, how could he not live forever?
Once a man is separated from God, what can he do but wither and die?

~C.S. Lewis- Mere Christianity

Now looking back over four decades as a working physician, I remember struggling after the observance of rest and worship each Sunday, to return to the sterile world of a busy secular clinic.

Although freshly exposed to the Spirit, immersed in the reality of a loving God, I was restricted from sharing my infection while close to my patients. Each Monday, my responsibility was to prevent contagion, measuring my words and washing my hands thoroughly upon entering each exam room.

At times I failed in my efforts, even as I donned a protective mask and gloves to keep us from spreading our respective infections.

I hope now, with masks and gloves removed, if I’m contagious, may it be because I’m overwhelmed with the Spirit rather than engulfed in the infections of this world.

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Fixing Eyes on the Unseen – Wounds to be Healed

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.

Spring is emerging slowly this year from an exceptionally haggard and droopy winter. All growing things are a month behind the usual budding blooming schedule when, like the old “Wizard of Oz” movie, the landscape will suddenly turn from monochrome to technicolor, the soundtrack from forlorn to glorious birdsong.

Yearning for spring to commence, I tap my foot impatiently as if owed a timely seasonal transformation from dormant to verdant.  We all have been waiting for the Physician’s announcement that this patient survived some intricate life-changing procedure: “I’m happy to say the Earth is alive after all and restored, wounded but healing, breathing on her own but too sedated for a visit just yet.”

I wait impatiently to celebrate her healing, yet I know Creation is very much alive- this temporary home of ours. No invalid this patient.
She lives, she breathes, she thrives,
she will bloom and sing with everything she’s got
and soon, so will I.

This year’s Lenten theme:
So we fix our eyes not on what is seen, but on what is unseen, since what is seen is temporary, but what is unseen is eternal.
2 Corinthians 4: 18

Fixing Eyes on the Unseen: The Eyes of My Regret

Always at dusk, the same tearless experience,
The same dragging of feet up the same well-worn path
To the same well-worn rock;
The same crimson or gold dropping away of the sun
The same tints—rose, saffron, violet, lavender, grey
Meeting, mingling, mixing mistily;
Before me the same blue black cedar rising jaggedly to a point;
Over it, the same slow unlidding of twin stars,
Two eyes, unfathomable, soul-searing,
Watching, watching—watching me;
The same two eyes that draw me forth, against my will dusk after dusk;
The same two eyes that keep me sitting late into the night, chin on knees
Keep me there lonely, rigid, tearless, numbly miserable,
       —The eyes of my Regret.

~Angelina Weld Grimké “The Eyes of My Regret”

How granular they feel—grief and regret, arriving, as they do,
in the sharp particularities of distress. Inserting themselves—
cunning, intricate, subversive—into our discourse.

In the long night, grievances seem to multiply. Old dreams
mingling with new. Disappointment and regret bludgeon
the soul, your best imaginings bruised, your hopes ragged.

Yet wait, watch. From the skylight the room is filling with
soft early sun, slowly sifting its light on the bed, on your head,
a shower of fine particles. How welcome. And how reliable.

~Luci Shaw “Sorrow”

It’s now been a interminably long three years: millions of people sickened by a virus that could kill within days or simply be spread by those unwitting and asymptomatic. We’ve lived through shut down of businesses and schools, hospitals and clinics being overwhelmed, and hoarding behavior resulting in shortages of products addressing basic needs.

Now that I can look back with a bit more perspective, I know my first reaction was fear for myself and those I love. My words flew out too quickly, my anxiety mixed with frustration and anger, my tears spilling too easily. Like so many others, my work life forever changed.

I ended up lying awake many nights with regrets, wondering if I should be doing more than just telemedicine from home, yet wanting to hide myself and my M.D. degree under a rock until the unending viral scourge blew over.

Yet amazingly, miracles of grace in many places:
generous people full of courage made a difference in small and large ways all around the world. Some took enormous personal risks to take care of strangers and loved ones. Some worked endless hours and when they came home, they remained isolated to avoid infecting their families.

Such grace happens when hardship is confronted head on by the brilliant light of sacrifice. I am deeply grateful to those who have worked tirelessly providing care and compassion to the ill. Their work is never done.

We know, in His humanity, Jesus wept, in frustration, in worry for His people, in grief.
His tears still light the sky with a promise of salvation as He assures He won’t leave us alone in darkness – our regret dissipates with the dawn.

This year’s Barnstorming Lenten theme is taken from 2 Corinthians 4: 18:
So we fix our eyes not on what is seen, but on what is unseen, since what is seen is temporary, but what is unseen is eternal.

Breaking the Lock

And yes it is necessary to admit
walking in the forest
the heart is a lock


it has inviolable chambers
like the woods, fallen trees
that block


access to the river
snowdrops surprising its edges
moss crystalline with frost

What I thought I wanted what I have tried to be
was the slender instrument that opened

a key: presence moving deeper into the forest
that releases the birds from the trees
and sends them   ascends them
to sky   by definition
open

but now there is nothing left to be solved like a riddle

this time the lock must be broken
what’s left has to be seized

because God only loves the strong thief
I mean the man who breaks his heart for God
~Jennifer Grotz, “Locked” from Window Left Open

All my life I wanted to be an effective key, unlocking life’s mysteries and opening up the world to those who are hopeless, stifled and trapped. Doctor training gave me a few locksmith tools. I found my patients taught me far more about their pain and suffering than my professors did.

Yet profound mysteries remain: some illnesses are rare or unique enough to defy diagnosis, some just don’t respond to available tools, while illnesses as well understood and treatable as depression or COVID infection still kill and incapacitate with abandon. The keys I may have accumulated don’t fit every lock. They don’t necessarily open the doors to freedom from fear or worry.

At times I feel aimless, wondering what tools I still have and if I remember how to use them. Simple knowledge is only one key, while brute force – breaking and entering – may be necessary to break the hardest lock of all – access to the troubled heart and soul.

God wants in, to pick up our broken pieces and put us back together. He doesn’t need a key to enter what He Himself has built from scratch. He owns the place.

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Still Here, Giving Warmth Before Going Cold Again

When I was sick with a head cold, my head
full of pressure, my father would soak a washcloth
in hot water, then ball it up, ring it out. He would
open it above my head, then place it against
my face like a second skin, the light around me
disappearing entirely except through the spaces
between the stitching. I would inhale the steam
in that darkness, hearing his voice on the other side,
otherwise almost devoid of any other bodily sense
but the warmth and depth of his voice, as if
I had already died and was on the other side
of life waiting for the sickness to lift, but I wasn’t.
I was still on this earth, the washcloth going cold
on my face, my body still sick, and my father still
there when I opened my eyes, as he always was,
there to give me warmth before going cold again.

~William Fargason “Elegy with Steam”

A common clinic conversation this time of year:

I’ve been really miserable with a cold for three days, and as my COVID test is negative, I need that 5 day Z-pack antibiotic to get better faster.

It really can be miserable suffering from cold symptoms. Ninety eight percent of the time these symptoms are due to a viral infection and since your rapid RSV and influenza nasal swab tests are also negative today, your illness should resolve over the next few days without you needing a prescription medication.

But I can’t breathe and I can’t sleep.

You can use salt water rinses and a few days of decongestant nose spray to ease the congestion.

But my face feels like there is a blown up balloon inside.

Try applying a warm towel to your face – the heat will help improve circulation in your sinuses and ease your discomfort. When it cools off, warm it up again – basically rinse and repeat.

And I’m feverish and having sweats at night.

Your temp today is 99.2 so not a concern. You can use ibuprofen or acetominophen to help the feverish feeling.

But my snot is green.

That’s not unusual with viral upper respiratory infections and not necessarily an indicator of a bacterial infection.

And my teeth are starting to hurt and my ears are popping.

Let me know if that is not resolving over the next few days.

But I’m starting to cough.

Your lungs are clear today so it is likely from post nasal drainage irritating your upper airway. Best way to help that is to breathe steam to keep your bronchial tubes moist, push fluids and prop up with an extra pillow.

But sometimes I cough to the point of gagging. Isn’t whooping cough going around?

Your illness doesn’t fit the typical timeline for pertussis.  You can consider using an over the counter cough suppressant if needed.

But I always end up needing antibiotics. This is just like my regular sinus infection thing I get every year.

There’s plenty of evidence antibiotics can do more harm than good, eliminating healthy bacteria in your gut.  They really aren’t indicated at this point in your illness and could have nasty side effects.

But I always get better faster with antibiotics. Doctors always give me antibiotics.

Studies show that two weeks later there is no significant difference in symptoms between those treated with antibiotics and those who did self-care without them.

But I have a really hard week coming up and my whole family is sick and I won’t be able to rest.

This could be your body’s way of saying that you need to take the time you need to recover – is there someone who can help pick up the load your carry?

But I just waited an hour to see you.

I really am sorry about the wait; we’re seeing a lot of sick people with so much viral illness going around and needing to test to rule out COVID and influenza.

But I paid a $20 co-pay today for this visit.

We’re very appreciative of you paying so promptly on the day of service.

But I can go down the street to the urgent care clinic or do one of those telehealth doctor visits and for $210 they will write me an antibiotic prescription without making me feel guilty for asking.

I wouldn’t recommend taking unnecessary medication that can lead to bacterial resistance, side effects and allergic reactions. I truly believe you can be spared the expense, inconvenience and potential risk of taking something you don’t really need.

So that’s it?  Salt water rinses, warm towels on my face and just wait it out?  That’s all you can offer?

Let me know if your symptoms are unresolved or worsening over the next few days.

So you spent all that time in school just to tell people they don’t need medicine?

I believe I can help most people heal themselves with self-care at home. I try to educate my patients about when they do need medicine and then facilitate appropriate treatment. Also, I want to thank you for wearing your mask today to reduce the chance of transmitting your virus to those around you.

I’m going to go find a real doctor who will actually listen to me and give me what I need.

It certainly is a choice you can make. A real doctor vows to first do no harm while always listening to what you think, what your physical examination shows, then takes into account what evidence-based clinical data says is the best and safest course of action. I realize you want something other than what I’m offering you today. If you are feeling worse over the next few days or develop new symptoms, please let me know so we can reevaluate how best to treat you.

I’ll bet you’ll tell me next you want me to get one of those COVID vaccines too, won’t you?

Actually, I prefer you be feeling a bit better before you receive both the COVID and influenza vaccines. That would offer extra immunity protection for you through the next few months. Shall we schedule you for a time for your vaccination updates next week? Remember, I’m still here if you need to review your options again…

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The Stones Themselves Will Start to Sing: When I Am Alone


When I am alone, give me Jesus
Give me Jesus,
You can have all this world,
But give me Jesus
~Jeremy Camp

God wants to always be with us, wherever we may be –
in our sin, in our suffering and death.
We are no longer alone;
God is with us.
We are no longer homeless;
a bit of the eternal home itself has moved unto us. 
~Dietrich Bonhoeffer

I have found, over the years, I don’t do alone well.  Never have.  I’ve always preferred plenty of activity around me, planning gatherings and communal meals, and filling up my days to the brim with all manner of socializing. 

I don’t prefer my own company. There is no glossing over my flaws nor distracting myself from where I fall short.  Alone is an unforgiving mirror reflecting back what I keep myself too busy to see.

Most people around the world have experienced unprecedented aloneness during the last two years of social isolation. As we tentatively emerge from our COVID cocoons due to dropping case rates, “being together” can still feel somewhat risky and unfamiliar, especially when reading headlines of new variant surges on the horizon.

Despite this, despite two years of isolation, worry and concern:
I have never been truly alone.

I need not fear all this world with its unending troubles:

Give me Jesus.
God is with us.

This year’s Lenten theme for Barnstorming is a daily selection from songs and hymns about Christ’s profound sacrifice on our behalf.

If we remain silent about Him, the stones themselves will shout out and start to sing (Luke 19:40).

In His name, may we sing…

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The Stones Themselves Will Start to Sing: Carry On

Weary traveler
Beat down from the storms that you have weathered
Feels like this road just might go on forever
Carry on
~Jordan St. Cyr

There are so many who are weary right now:
-refugees who have walked for miles to reach safety, with no idea where to go next.
-hopeful immigrants who seek a new life and a new start, but bogged down in government process and paperwork
-those who are struggling to stay alive in the midst of debilitating illness, both physical and mental
-those who have given of themselves to care for those who struggle
-those who have lived many years and now feel ready to be taken home, yet wake again to a new day
-those whose faith feels beaten down by the loss of community and congregational consolation during two years of pandemic anger and disagreement
-those who mourn deeply for those they have lost.

God knows our grief. God knows our weary bodies and minds need rest and restoration. God knows the struggle as He too walked this weary road, too often alone.

Yet He carried on then and carries on today and will be there alongside us tomorrow.

Carry on. Someday we will make it home.

This year’s Lenten theme for Barnstorming is a daily selection from songs and hymns about Christ’s profound sacrifice on our behalf.

If we remain silent about Him, the stones themselves will shout out and start to sing (Luke 19:40).

In His name, may we sing…

Weary traveler
Beat down from the storms that you have weathered
Feels like this road just might go on forever
Carry on

You keep on giving
But every day this world just keeps on taking
Your tired heart is on the edge of breaking
Carry on

Weary traveler, restless soul
You were never meant to walk this road alone
It’ll all be worth it so just hold on

Weary traveler
You won’t be weary long
No more searching

Heaven’s healing’s gonna find where all the hurt is
When Jesus calls we’ll lay down all our heavy burdens
Carry on
Someday soon we’re gonna make it home

Neon lights flickering
Outside the cafe
Ice on the windshield
Stars in a black sea
On a winter road
Flurries of snow
I’m ready to go

Past farmhouse and pasture
Our voices together
Rise to the drumming
Of big-rigs and trailers
Long hours to daylight
A rumbling bus
Our bed and our board

Heavenly Father
Remember the traveler
Bring us safely home
Heavenly Father
Remember the traveler
Bring us safely home
Safely home

In the towns off this highway
The people are kind
They welcome us in
I sing in their church halls
Old hymns and prayer songs
With lifted hearts
We rejoice in the Lord

I long for my family
And friends to remind me
Of where I have been
And where I am going
And where I come from

Heavenly Father
Remember the traveler
Bring us safely home
Heavenly Father
Remember the traveler
Bring us safely home
Safely home

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A Voice in My Ear

when my father had been dead a week
I woke
with his voice in my ear
                                           I sat up in bed
and held my breath
and stared at the pale closed door

white apples and the taste of stone

if he called again
I would put on my coat and galoshes
~Donald Hall “White Apples”

She skimmed the yellow water like a moth,
Trailing her feet across the shallow stream;
She saw the berries, paused and sampled them
Where a slight spider cleaned his narrow tooth.
Light in the air, she fluttered up the path,
So delicate to shun the leaves and damp,
Like some young wife, holding a slender lamp
To find her stray child, or the moon, or both.
Even before she reached the empty house,
She beat her wings ever so lightly, rose,
Followed a bee where apples blew like snow;
And then, forgetting what she wanted there,
Too full of blossom and green light to care,
She hurried to the ground, and slipped below.
~James Wright “My Grandmother’s Ghost from Above the River: The Complete Poems 

I saw my grandma’s ghost once.

She was my only grandparent I actually knew and who actually knew me — the others were lost before I was born or too young to realize what I had lost.

She had lived a hard life: losing her mother when she was 12, taking over the household duties for her father and younger brother while leaving school forever. She married too young to an abusive alcoholic, lost her first child to lymphoma at age 8 before treatment was possible and took her three remaining children to safety away from their father for a year to live above a seedy restaurant where she cooked seven days a week to make ends meet.

But there was grace too. The marriage somehow got patched together after Grandpa found God and sobriety – after his sudden death sitting in church, Grandma’s faith never wavered. Her garden soil yielded beautiful flowers she planted and nurtured and picked to sell, her children and grandchildren welcomed her many open armed visits and hugs.

She was busy planning her first overseas trip of a lifetime at age 72 when we noticed her eyes looked yellow. Only two weeks later she was bed-bound in unrelenting pain due to pancreatic cancer, gazing heaven-ward instead of Europe-bound. Her dreams had been dashed so quickly, she barely realized her itinerary and destination had changed.

I was 16 at the time, too absorbed in my own teenage cares and concerns to really notice how quickly she was fading and failing like a wilted flower. Instead I was picking fights with my stressed parents, worrying over taking my driver’s license driving test, distracted by all the typical social pressures of high school life.

Her funeral was unbearable as I had never really said goodbye – only one brief hospital visit when she was hardly recognizable in her anguish and jaundice. I didn’t even get to hold her hand.

Soon after she had been lowered into the ground next to her husband and young daughter, she came back to me in a dream.

I was asleep when my bedroom door opened into the dark, wakening me as the bright hallway light pushed its way via a shimmering beam to my bed. Grandma Kittie stood in my bedroom doorway, backlit by the light surrounding her silhouette. She silently stood there, just looking at me.

Startled, I sat up in my bed and said to her, “Grandma, why are you here? You died and we buried you!”

She nodded and smiled. And then she said to me:

“I want you to know I’m okay and always will be. You will be too.”

She gave a little wave, turned and left, closing the door behind her. I woke suddenly with a gasp in my darkened bedroom and knew I had just been visited.

She hadn’t come to say goodbye or to tell me she loved me — that I knew already.

She had come to shine with her light blossoming around her, mending my broken heart by planting it with peace.

Grandma Kittie and Grandpa Leslie in their courting days

You’re in a better place
I’ve heard a thousand times
And at least a thousand times
I’ve rejoiced for you

But the reason why I’m broken
The reason why I cry
Is how long must I wait to be with you

I close my eyes and I see your face
If home’s where my heart is then I’m out of place
Lord, won’t you give me strength
To make it through somehow
I’ve never been more homesick than now

Help me Lord cause I don’t understand your ways
The reason why I wonder if I’ll ever know
But, even if you showed me
The hurt would be the same
Cause I’m still here so far away from home

In Christ, there are no goodbyes
And in Christ, there is no end

So I’ll hold onto Jesus
With all that I have
To see you again
To see you again

And I close my eyes and I see your face
If home’s where my heart is then I’m out of place
Lord, won’t you give me strength
To make it through somehow

Won’t you give me strength
To make it through somehow
Won’t you give me strength
To make it through somehow
I’ve never been more homesick than now
~Millard Bart Marshall

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Mere Spectator Through the Window

She opened her curtains, and looked out towards the bit of road that lay in view, with fields beyond outside the entrance-gates. On the road there was a man with a bundle on his back and a woman carrying her baby; in the field she could see figures moving – perhaps the shepherd with his dog. Far off in the bending sky was the pearly light; and she felt the largeness of the world and the manifold wakings of men to labor and endurance. She was a part of that involuntary, palpitating life, and could neither look out on it from her luxurious shelter as a mere spectator, nor hide her eyes in selfish complaining.
~George Eliot in Middlemarch

As civilization begins to emerge from pandemic restrictions and mandates, it is crucial to review the lessons learned over the past two years. Worldwide we’ve simultaneously become more unified in our shared experience of isolation and quarantine and also more divided in our opinions about its necessity. Whether we agree or not on the details of COVID-19 prevention and management, we have learned much more about ourselves.

We are natural complainers when we feel our familiar freedoms are taken away, no question about it. Despite our ongoing feelings of deprivation and inconvenience, most of us have still been blessed with shelter, warmth and sustenance during this time. Some of us have had others around us in isolation, and others of us wish we could have had more quiet and privacy. We’re more used to waiting in lines for our turn, and encountering empty store shelves when we need something.

Medical care has been a challenge to access, both for COVID-related illness and everything else that usually happens to our minds and bodies daily. We even feel the need to complain about people complaining.

So I remind myself daily that nearly a million of our U.S. brothers and sisters have gone missing in action over the last two years, lost to the COVID battle, and though the vast majority survived, they (we) will never be the same.

Now as we look out our windows, we are no longer mere spectators at what is transpiring around us, but are rejoining our palpitating existence alongside others.

God only knows where we would be without each other. We can’t forget what we have shared together – our view out our window is unique to each of us, yet so familiar no matter where it is in the largeness of the world.

Indeed – this is a time of reckoning that won’t be soon forgotten.

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Good to Melt

How exactly good it is
to know myself
in the solitude of winter,
my body containing its own
warmth, divided from all
by the cold; and to go
separate and sure

among the trees cleanly
divided, thinking of you
perfect too in your solitude,
your life withdrawn into
your own keeping
–to be clear, poised
in perfect self-suspension
toward you, as though frozen.
And having known fully the
goodness of that, it will be
good also to melt.
~Wendell Berry “The Cold” from New Collected Poems

It is too easy to find comfort in solitude
in yet another waning pandemic winter,
with trust and friendship eroded,
to stay protected one from another
by screens and windows and masks.

Standing apart can no longer be an option
as we long for reconnection;
the time has come for the melt,
for a re-blending of moments
full of meals and singing and hugs.

We’ll find our way out of the cold.
We’ll find our way to trust.
We’ll find our way back to one another.

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