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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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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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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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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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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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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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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(Fourteen years ago this week, a healthy young college student came to our university health clinic ill with seasonal influenza complicated by pneumonia. His family gave permission for his story to be told. I share this again to honor the patients, young and old, who have fallen victim to the even more devastating COVID-19 pandemic over the past two years, as well as their families who have not had the same privilege of being at their bedside as they die. And honoring the health care workers who have witnessed so many preventable deaths over and over and will never truly recover from that experience.)
Nothing was helping. Everything had been tried for a week of the most intensive critical care possible. A twenty year old man – completely healthy only two weeks previously – was dying and nothing could stop it.
The battle against a sudden MRSA (Methicillin Resistant Staph Aureus) pneumonia precipitated by a routine seasonal influenza infection had been lost. Despite aggressive hemodynamic, antibiotic, antiviral and ventilator management, he was becoming more hypoxic and his renal function was deteriorating. He was no longer responsive to stimuli.
The intensivist looked weary and defeated. The nurses were staring at their laps, unable to look up, their eyes tearing. The hospital chaplain reached out to hold this young man’s mother’s shaking hands.
After a week of heroic effort and treatment, there was now clarity about the next step.
Two hours later, a group gathered in the waiting room outside the ICU doors. The average age was about 21; they assisted each other in tying on the gowns over their clothing, distributed gloves and masks. Together, holding each other up, they waited for the signal to gather in his room after the ventilator had been removed and he was breathing without assistance. They entered and gathered around his bed.
He was ravaged by this sudden illness, his strong body beaten and giving up. His breathing was now ragged and irregular, sedation preventing response but not necessarily preventing awareness. He was surrounded by silence as each individual who had known and loved him struggled with the knowledge that this was the final goodbye.
His father approached the head of the bed and put his hands on his boy’s forehead and cheek. He held this young man’s face tenderly, bowing in silent prayer and then murmuring words of comfort:
It is okay to let go. It is okay to leave us now. We will see you again. We’ll meet again. We’ll know where you will be.
His mother stood alongside, rubbing her son’s arms, gazing into his face as he slowly slowly slipped away. His father began humming, indistinguishable notes initially, just low sounds coming from a deep well of anguish and loss.
As the son’s breaths spaced farther apart, his dad’s hummed song became recognizable as the hymn of praise by John Newton, Amazing Grace. The words started to form around the notes. At first his dad was singing alone, giving this gift to his son as he passed, and then his mom joined in as well. His sisters wept. His friends didn’t know all the words but tried to sing through their tears. The chaplain helped when we stumbled, not knowing if we were getting it right, not ever having done anything like this before.
Amazing Grace, how sweet the sound, That saved a wretch like me. I once was lost but now am found, Was blind, but now I see.
Through many dangers, toils and snares I have already come; ‘Tis Grace that brought me safe thus far and Grace will lead me home.
Yea, when this flesh and heart shall fail, And mortal life shall cease, I shall possess within the veil, A life of joy and peace.
When we’ve been here ten thousand years Bright shining as the sun. We’ve no less days to sing God’s praise Than when we’ve first begun.
And he left us.
His mom hugged each sobbing person there–the young friends, the nurses, the doctors humbled by powerful pathogens. She thanked each one for being present for his death, for their vigil kept through the week in the hospital as his flesh and heart had failed.
This young man, now lost to this mortal life, had profoundly touched people in a way he could not have ever predicted or expected. His parents’ grief, so gracious and giving to the young people who had never confronted death before, remains unforgettable.
This was their sacred gift to their son so Grace could lead him home.
Twilight comes to the little farm At winter’s end. The snowbanks High as the eaves, which melted And became pitted during the day, Are freezing again, and crunch Under the dog’s foot. The mountains From their place behind our shoulders Lean close a moment, as if for a Final inspection, but with kindness, A benediction as the darkness Falls. It is my fiftieth year. Stars Come out, one by one with a softer Brightness, like the first flowers Of spring. I hear the brook stirring, Trying its music beneath the ice. I hear – almost, I am not certain – Remote tinklings; perhaps sheepbells On the green side of a juniper hill Or wineglasses on a summer night. But no. My wife is at her work, There behind yellow windows. Supper Will be soon. I crunch the icy snow And tilt my head to study the last Silvery light of the western sky In the pine boughs. I smile. Then I smile again, just because I can. I am not an old man. Not yet. ~Hayden Carruth, “Twilight Comes” from From Snow and Rock
I am well aware how precious each day is, yet it necessitates effort to live as though I truly understand it.
So many people are not living out the fullness of their days as they have been taken too soon: either pandemic deaths or delayed treatment of other illness, tragic fatalities due to increased overdoses, accidents and suicides. I try to note the passing of the hours in my mind’s calendar so I can appreciate the blessings I have been given.
Each twilight becomes a benediction for preparation for the meal ahead. I pause to see, hear, touch and taste what is before me and what awaits me. And it never fails to make me smile.
I’m always hungry for the supper that awaits me, provided from the land through sacrifice and handed to me in love.
I’m not too old, at least not yet, to look forward to the gift of each next day until, in the fullness of time, there will be no more.
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Here is a story to break your heart. Are you willing? This winter the loons came to our harbor and died, one by one, of nothing we could see. A friend told me of one on the shore that lifted its head and opened the elegant beak and cried out in the long, sweet savoring of its life which, if you have heard it, you know is a sacred thing., and for which, if you have not heard it, you had better hurry to where they still sing. And, believe me, tell no one just where that is. The next morning this loon, speckled and iridescent and with a plan to fly home to some hidden lake, was dead on the shore. I tell you this to break your heart, by which I mean only that it break open and never close again to the rest of the world. ~Mary Oliver “Lead” from New and Selected Poems
Why shouldn’t we go through heartbreaks?
…if through a broken heart God can bring His purposes to pass in the world, then thank Him for breaking your heart. ~Oswald Chambers from “Ye are not your own” from My Utmost for the Highest
These last two years have seen an epidemic of heart-break.
Due to hospital visitor restrictions, thousands of loved ones have died of COVID without family by their side, deprived of the solace of hearing familiar voices and being touched by familiar hands. A weary and over-worked health care team can only do so much in their efforts to comfort and console when so many patients are losing their battle with the virus at the same time. Although nurses and doctors have always been witnesses to the cries of the dying and the weeping of the grief-stricken, that is usually together at the bedside.
An iPad screen isn’t the same for those saying good-bye forever.
For all the advances of our modern society – through technology and communication and the development of medical miracles – people still die and others still grieve and weep over their loss. We’re not used to dying happening with such frequency to those who have no business dying in the first place. We assume death rates exceeding birth rates happens only in third world countries beset with drought or plague.
Not any more.
So my heart is tender – for those lost, for those left behind, for those trying their best to save lives when they are weary and ill themselves, for the irony of hundreds of thousands of unnecessary deaths when the preventive measures available to us all are so clear-cut.
If anything, a breaking heart is an open invitation for the solace of a God who himself had no business dying in the first place, but did. He cried out in a long, sweet savoring of his life and ours, saving us in the process.
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