Category: fog

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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A Little Tired and Hungry

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For grace to be grace,
it must give us things we didn’t know we needed
and take us places where
we didn’t know we didn’t want to go.
~Kathleen Norris from Cloister Walk

Sap withdraws from the upper reaches
of maples; the squirrel digs deeper
and deeper in the moss
to bury the acorns that fall
all around, distracting him.

I’m out here in the dusk…
where the wild asters, last blossoms
of the season, straggle uphill.
Frost flowers, I’ve heard them called.
The white ones have yellow centers
at first: later they darken
to a rosy copper.  They’re mostly done.
Then the blue ones come on. It’s blue
all around me now, though the color
has gone with the sun.

There is no one home but me—
and I’m not at home; I’m up here on the hill,
looking at the dark windows below.
Let them be dark…

…The air is damp and cold
and by now I am a little hungry…
The squirrel is high in the oak,
gone to his nest , and night has silenced
the last loud rupture of the calm.
~Jane Kenyon from “Frost Flowers”

Even when the load grows too heavy,
when misery rolls in like a fog that
covers all that was once vibrant,

even then
even then

there awaits a nest of nurture,
a place of calm
where the tired and hungry
are fed.

We who are empty will be filled;
we who are weary will be restored.

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My Foggy and Fine Days

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~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”

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

Early morning, everything damp all through.
Cars go by. A ripping sound of tires through water.
For two days the air
Has smelled like salamanders.
The little lake on the edge of town hidden in fog,
Its cattails and island gone.
All through the gloom of the dark week
Bright leaves have been dropping
From black trees
Until heaps of color lie piled everywhere
In the falling rain.
~Tom Hennen “Wet Autumn” from Darkness Sticks to Everything.

An absolute
patience.
Trees stand
up to their knees in
fog. The fog
slowly flows
uphill.
White
cobwebs, the grass
leaning where deer
have looked for apples.
The woods
from brook to where
the top of the hill looks
over the fog, send up
not one bird.
So absolute, it is
no other than
happiness itself, a breathing
too quiet to hear.
–  Denise Levertov “The Breathing“

Worry and anger and angst can be more contagious than the flu.

I want to mask up and wash my hands of it throughout the day.
There should be a vaccination against the fear of reading headlines.

I want to say to myself:
Stop now, this moment in time.
Stop and stop and stop.

Stop needing to be numb to all discomfort.
Stop resenting the gift of each breath.
Just stop.
Instead, simply be still, in this moment

I want to say to myself:
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.
I am alive in it, even in worry.

Be thankful for tears that flow over grateful lips
just as rain clears the fog.
Stop holding them back.

Just be–
be blessed in both the fine and the foggy days–
in the now and now and now.

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Follow a Drop’s Path

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For this you may see no need,
You may think my aim
Dead set on something
 
Devoid of conceivable value:
An Anthology of Rain,
A collection of voices
 
Telling someone somewhere
What it means to follow a drop
Traveling to its final place of rest.
 
By opening anywhere, a drop
And its story reappear
As air turns to water, water to air.
~Phyllis Levin – excerpt from “An Anthology of Rain”

A drop fell on the apple tree,
Another on the roof;
A half a dozen kissed the eaves,
And made the gables laugh.

A few went out to help the brook,
That went to help the sea.
Myself conjectured, Were they pearls,
What necklaces could be –
~Emily Dickinson

At first glance, this soppiness is melancholic.

Yet, when studied up close,
rain droplets glisten like jewels.

The onset of rainy season isn’t all sadness~
there is solace in knowing
the landscape and I share
an inner world of change:
though sodden,
these are the promises of renewal
within our tears.

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A Solemn Ache

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A day is nothing if not a disappearing act
held fast by ropes of sunlight and breeze until rain comes
or a tree coughs to shake night along;

then there are the shadows that feel like yesterday’s distance
but become only apparitions when we haul them into light
or move beyond their pull—

I wish for mornings, still, days full of violets—
and the beautiful clouds, where in their always-
disappearing, their solemn ache, I find poems.
~Sarah Etlinger “Evanescence (with Clouds)” from The Weather Gods

I look for poems everywhere,
even in colorless misty mornings,
chill and stormy winds,
humid breathless afternoons.

It is as if a Poet is saying to me:
I feel this ache today.
You too?

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We Are No Longer Alone: Feeling a Shiver of Fear

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We have become so accustomed to the idea of divine love and of God’s coming at Christmas that we no longer feel the shiver of fear that God’s coming should arouse in us. We are indifferent to the message, taking only the pleasant and agreeable out of it and forgetting the serious aspect, that the God of the world draws near to the people of our little earth and lays claim to us. The coming of God is truly not only glad tidings, but first of all frightening news for everyone who has a conscience.
~Dietrich Bonhoeffer from Watch for the Light

lane112918

Was certainly not winter, scholars say,
When holy habitation broke the chill
Of hearth-felt separation, icy still,
The love of life in man that Christmas day.
Was autumn, rather, if seasons speak true;
When green retreats from sight’s still ling’ring gaze,
And creeping cold numbs sense in sundry ways,
While settling silence speaks of solitude.
Hope happens when conditions are as these; 
Comes finally lock-armed with death and sin,
When deep’ning dark demands its full display.
Then fallen nature driven to her knees
Flames russet, auburn, orange fierce from within,
And brush burns brighter for the growing grey.
~David Baird “Autumn”

Christianity does not agree with the optimistic thinkers who say, “We can fix things if we try hard enough.” Nor does it agree with the pessimists who see only a dystopian future. The message of Christianity is, instead, “Things really are this bad, and we can’t heal or save ourselves. Things really are this dark—nevertheless, there is hope.”
~Tim Keller from Hidden Christmas

And in the same region there were shepherds out in the field, keeping watch over their flock by night.  And an angel of the Lord appeared to them, and the glory of the Lord shone around them, and they were sore afraid.  And the angel said to them, “Fear not, for behold, I bring you good news of great joy that will be for all the people.  For unto you is born this day in the city of David a Savior, who is Christ the Lord.
~Luke 2: 8-11

The shepherds were sore afraid.   So why aren’t we?

The reds and oranges of autumn have faded fast; we descend into winter in a few days. Murderous frosts have wilted down all that was flush with life.

This Baby is sent as a refiner’s fire;
we feel His heat dispelling our chilly darkness, changing sin to ash.

Indeed – Hope happens when conditions are as these…

sparks2
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This year’s Advent theme is from Dietrich Bonhoeffer’s sermon on the First Sunday in Advent, December 2, 1928:

The celebration of Advent is possible only to those who are troubled in soul, who know themselves to be poor and imperfect, and who look forward to something greater to come. For these, it is enough to wait in humble fear until the Holy One himself comes down to us, God in the child in the manager.

God comes.

He is, and always will be now, with us in our sin, in our suffering, and at our death. We are no longer alone. God is with us and we are no longer homeless.
~Dietrich Bonhoeffer – from Christmas Sermons

We stood on the hills, Lady,
Our day’s work done,
Watching the frosted meadows
That winter had won.
The evening was calm, Lady,
The air so calm,
Silence more lovely than music
Folded the hill.
There was a star, Lady,
Shone in the night,
Larger than Venus it was and bright, so bright.
Oh, a voice from the sky, Lady,
It seemed to us then
Of God being born in the world of men.
And so we have come, Lady
Our day’s work done,
Our love, our hopes, ourselves we give to your son.

Deep in the cold of winter,
Darkness and silence were eve’rywhere;
Softly and clearly, there came through the stillness a wonderful sound,
A wonderful sound to hear.

All bells in paradise I heard them ring,
Sounding in majesty the news that they bring;
All bells in paradise I heard them ring,
Welcoming our Saviour, born on earth, a heavenly King.
All bells in paradise, I heard them ring,
‘Glory to God on high’ the angel voices sing.

Lost in awe and wonder,
Doubting I asked what this sign may be;
Christ, our Messiah, revealed in a stable,
A marvelous sight, a marvelous sight to see.

Chorus

He comes down in peace,
A child in humility,
The keys to his kingdom belong to the poor;
Before him shall kneel the kings with their treasures,
Gold, incense, and myrrh.

Chorus
~John Rutter “All Bells in Paradise”

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We Are No Longer Alone: Changed By Words

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All changed,
changed utterly:  
 A terrible beauty is born.
~William Butler Yeats from “Easter, 1916”


…just calm clean clear statements one after another,
fitting together like people holding hands...
a feeling eerily like a warm hand brushed against your cheek,
and you sit there, near tears, smiling,
and then you stand up.
Changed.
~Brian Doyle “The Greatest Nature Essay Ever”

In the beginning, was the Word, and the Word was with God, and the Word was God. He was in the beginning with God. All things were made through him, ad without him was not any thing made that was made. In him was life, and the life was the light of men. The light shines in the darkness, and the darkness has not overcome it.
John 1:1-5

Have you ever read words that made such a difference in your thinking that you felt changed? Words that hold on to you and won’t let you go?

The gospel of Jesus’ descent to earth is just such a story.

From the divinely inspired declarations of the prophets,
the joy and heartbreak spoken in the Psalms
~from His birth and ministry and death and rising~
Words linked from the very beginning of the universe,
to the here and now,
to what is to come.

Life can be a thick fog, leaving us lost without a sense of direction.
Scripture brings light and clarity in the darkness, so we might hold hands with all who have come before, and those after.

The Father immerses us in His Creation.
The Son, Word in flesh, walks alongside us.
The Spirit connects us when we feel alone and hopeless.

Changed.

Behold, I show you a mystery;
We shall not all sleep, but we shall all be changed,
In a moment, in a twinkling of an eye;
1 Corinthians 15:51

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This year’s Advent theme is from Dietrich Bonhoeffer’s sermon on the First Sunday in Advent, December 2, 1928:

The celebration of Advent is possible only to those who are troubled in soul, who know themselves to be poor and imperfect, and who look forward to something greater to come. For these, it is enough to wait in humble fear until the Holy One himself comes down to us, God in the child in the manager.

God comes.

He is, and always will be now, with us in our sin, in our suffering, and at our death. We are no longer alone. God is with us and we are no longer homeless.
~Dietrich Bonhoeffer – from Christmas Sermons

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Cold Water on a Tender Tooth

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Last evening,
As I drove into this small valley,
I saw a low-hanging cloud
Wandering through the trees.
It circled like a school of fish
Around the dun-colored hay bales.
Reaching out its foggy hands
To stroke the legs of a perfect doe
Quietly grazing in a neighbor’s mule pasture.

  I stopped the car
And stepping out into the blue twilight,
A wet mist brushed my face,
And then it was gone.
It was not unfriendly,
But it was not inclined to tell its secrets.

  I am in love with the untamed things,
The cloud, the doe,
Water, air and light.
I am filled with such tenderness
For ordinary things:
The practical mule, the pasture,
A perfect spiral of gathered hay.
And although I should not be,
Consistent as it is,
I am always surprised
By the way my heart will open
So completely and unexpectedly,
With a rush and an ache,
Like a sip of cold water
On a tender tooth.
~Carrie Newcomer “In the Hayfield” from A Permeable Life: Poems & Essays

deer running in the foreground

Cool water on a tender tooth describes it exactly:

a moment of absolute wonder
brings exquisite tears to my eyes.
I’m so opened and exposed as to be painful,
feeling a clarity of being both sharp and focused.

it’s gone as quickly as it came,
but knowing it was there – unforgettable –
and knowing it is forever
only a memory,
both hurts,
and comforts…

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Here I Am…

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I must go in; the fog is rising…
~Emily Dickinson, her last words

And when it lifts, the fog lifts
what it buried, the tall pines
stand taller, the valley breathes
a magnanimous air, the green
grass hills stir in wonder,
the fleeting white clouds flee
with their shadows, a bale
of hay makes the case for being
alone, and what was erased
and briefly forgotten retrieves
its mother tongue, speaking
truth to the hour. And to be
a witness to such plumes of mist
dissolve into the vastness
is to be the vastness, the Earth’s
step our step, the observer
and the observed holding hands
with time, blankets of grief
the years have cottoned over
uncovered, the pallbearer––
coffin on shoulder––in view
of the mound of soil up ahead
summoned to his depths;
dear father, here I am.
~Howard Altmann “The Fog” from In This House

Fog swallows us whole, not unlike being lowered into the depths of the grave.

Immersed so thoroughly, surrounded and muffled,
yet still breathing in the chill mist.

But then the fog lifts. It rises. And takes us with it.

Father, here I am, holding hands with time.

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Clearing the Fog of Medical Advice

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Be obscure clearly.
Muddiness is not merely a disturber of prose, it is also a destroyer of life, of hope: death on the highway caused by a badly worded road sign … think of the tragedies that are rooted in ambiguity, and be clear!
~E.B. White from his classic book on writing well –The Elements of Style

As a family doctor with over forty years of clinical practice under my belt, I have found the E.B. White’s advice for writing can be applied to the field of medicine. I tried my best to clarify the obscurity of the human condition in my job, hoping my patients could provide me the information I needed to make a sound diagnosis and treatment recommendation.

Communication is hard work for many patients, especially when they are depressed and anxious on top of whatever they are experiencing physically. There is still plenty of unknowns in the psychology and physiology of humans. Then, throw in a disease process or two or three to complicate what appears to be “normal” and further consider the side effects and complications of various treatments.

Evidence-based decision making isn’t always perfectly equipped to produce the best and only solution to one individual’s problem.

Sometimes the solution to a patient’s symptom is foggy, muddy, and obscure, not at all pristine and clear. It is the physician’s job to try to bring everything into the best focus possible. Then it is our job to communicate our thinking and decision process in a way that respects the patient’s right to be skeptical.

A physician’s clinical work is challenging on the best of days when everything goes well. We see things we have never seen before, expect the unexpected, learn skills we never thought we’d need to know, and attempt to make the best choice between competing treatment alternatives. Physicians constantly unlearn things we thought were gospel truth, but have just been disproven by the latest, double-blind controlled study, which may soon be reversed by a newer study.

We find ourselves standing on evidence-based quicksand even though our patients trust that we are giving them rock-solid advice based on a foundation of truth learned over years of education and training. Add in medical decision-making that is driven by cultural, political, or financial outcomes, rather than what works best for the individual, and our hoped-for clinical clarity becomes even more obscured.

Forty-two years of doctoring in the midst of the mystery of medicine means learning, unlearning, listening, discerning, explaining, guessing, hoping, and remaining very humble in the face of a disease process or a public health threat like COVID. What works well for one patient may not be appropriate for another despite what the best evidence says or what insurance companies and the government are willing to cover. Each individual we see deserves the clarity of a fresh look and perspective, instead of being treated by cook-book algorithm.

So, as a physician and healer, be obscure clearly. 
A life may depend on it.

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