Category: fog

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…

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.

The Grandest Spectacle

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There is one spectacle grander than the sea, that is the sky; there is one spectacle grander than the sky, that is the interior of the soul.
~Victor Hugo from Les Misérables

There is not one blade of grass, there is no color in this world that is not intended to make us rejoice.
~John Calvin quoted in John Calvin: A Sixteenth Century Portrait 

Already the end of August.
As another summer wraps up, I am blinded to the glory surrounding me in the seemingly commonplace.

I can’t remember the last time I celebrated a blade of grass, given how focused I am at mowing it into conformity.

I didn’t notice how the morning light was illuminating our walnut tree until I saw the perfect reflection of it in our koi pond — why had I marveled at a reflection instead of the real thing itself?

I mistook a spider’s overnight artwork in the grass: from a distance, it looked like a dew-soaked tissue draped like a tent over the green blades. When I went to go pick it up to throw it away in the trash, I realized I was staring at a small creature’s masterpiece.

I miss opportunities to rejoice innumerable times a day. It takes only a moment of recognition and appreciation to feel the joy, and in that moment time stands still. Life stretches a little longer when I stop to acknowledge the intention of creation as an endless reservoir of rejoicing. 

If the sea and the sky, a blade of grass, a leaf turning color, a chance reflection, a delicately woven web — if all this is made for joy, then maybe so am I.

Colorless, plain and commonplace me – created an image-bearer and intended reflector of Light?

Grandest of all is the spectacle of the interior of the soul;
yes then, so am I.

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A Fallen World

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On the second day of fog, she goes to meet it

sits on the broad root of a broken down
apple tree, remembers being a child
in such fog, searching for fairy houses.
She hears movement in the grass,
keeps very still while the veil of haze
rises to treetops bronzed
by the burn of the sun. Slowly
horses and deer appear all around her,
they graze close together,
nosing fallen apples, until she forgets
this is still a fallen world.
~Lonnie Hull DuPont, “On the Second Day of Fog” from She Calls the Moon by Its Name 

When despair for the world grows in me
and I wake in the night at the least sound
in fear of what my life and my children’s lives may be,
I go and lie down where the wood drake
rests in his beauty on the water, and the great heron feeds.
I come into the peace of wild things
who do not tax their lives with forethought
of grief. I come into the presence of still water.
And I feel above me the day-blind stars
waiting with their light. For a time
I rest in the grace of the world, and am free.
~Wendell Berry “The Peace of Wild Things“

When our grandchildren come to visit,
I watch as yet another generation rediscovers the mystery of
what we know about the joys and sorrows
of this fallen but redeemed world.

I am reminded there is light beyond the fearsome darkness,
there is peace amid the chaos,
there is a smile behind the tears,
there is stillness within the noisiness
there is rest despite the restlessness,
there is grace – ah, there is grace
as inevitably the old gives way to the new.

Licked Clean of Fog

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At first she sees the fog as a shroud
settling over the fields of beans, but
she does not wish to start this day
with such a word. She could say the fog
is like muslin stretched over the mouth
of a jelly jar, or it could be like
the birth caul covering a newborn calf
before its mother licks it clean.
It could be like the clouds
in the calico’s old eyes—
no, not that. Let it be the caul.
The bean fields, like a baby calf,
are born again this morning,
and the sun will lick them clean.
~Lonnie Hull DuPont, “At first she sees the fog…” from She Calls the Moon by Its Name

This is an interesting comparison of the “bags” we find ourselves in at the very beginning and ending of life.

Evening fog often acts like a shroud, cloudy, murky and blinding. It muffles sound and stifles light and feels like walking in a gray sponge that sucks our breath and life.

On the other hand, morning fog appears on the wane, fading away while torn apart by the rising sun’s rays and warmth. It is discarded as it dissipates. The world emerges fresh, its surface clean and drying.

I would rather strive to break free of a covering caul than immobilized in a smothering shroud. Each morning, I am born into a fresh start with new and clearer vision.

I too have been licked clean.

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A Finisterre Prayer

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What words or harder gift
does the light require of me
carving from the dark
this difficult tree?

What place or farther peace
do I almost see
emerging from the night
and heart of me?

The sky whitens, goes on and on.
Fields wrinkle into rows
of cotton, go on and on.
Night like a fling of crows
disperses and is gone.

What song, what home,
what calm or one clarity
can I not quite come to,
never quite see:
this field, this sky, this tree.
~Christian Wiman, “Hard Night”

Some days, although we cannot pray, a prayer
utters itself. So, a woman will lift
her head from the sieve of her hands and stare
at the minims sung by a tree, a sudden gift.

Some nights, although we are faithless, the truth
enters our hearts, that small familiar pain;
then a man will stand stock-still, hearing his youth
in the distant Latin chanting of a train.

Pray for us now. Grade 1 piano scales
console the lodger looking out across
a Midlands town. Then dusk, and someone calls
a child’s name as though they named their loss.

Darkness outside. Inside, the radio’s prayer —
Rockall. Malin. Dogger. Finisterre.
~Carol Ann Duffy “Prayer”

photo by Bob Tjoelker

As a child falling asleep, I prayed to God with moans and groans echoing in my ears.

Growing up on a small farm located about two miles from a bay in Puget Sound, I found myself praying for safety on foggy nights as fog horns moaned in the distance. Scattered throughout the inlet, the horns called out mournful groans of warning to passing freighter ships. The resonant lowing of the horns carried miles over the surrounding landscape due to countless water particles in the fog transmitting sound waves so effectively. The louder the foghorn moan heard on our farm, the thicker and more hazardous the mist in the air. Those horns would make me unspeakably sad for reasons I could only articulate to God. Thus I prayed for the ships, and I prayed for my own shaky navigation through life.

Navigating blind in a fog necessitates taking unpredictable risks. The future can seem a murky mess. I cannot see what lies ahead: I navigate by my wits, by my best guess, but particularly by listening for the low-throated warnings coming from the rocky shores and shallows of those who have gone ahead of me.

I am easily lost in the fog of my fears – disconnected, afloat and circling aimlessly, searching for a touch point of purpose and direction. The isolation I sometimes feel may simply be my own self-absorbed state of mind, sucking me in deep until I’m soaked, dripping and shivering from the smothering gray. If only I trust the fog horn warnings and reassurances from the Word of God, I could charge into the future undaunted.

He is in the pea soup alongside me, awaiting the Sun’s dissipation of the fog. Now I know, nearly seventy years into this voyage, the fog eventually clears. The journey continues on beyond these shores.

Even so, I will keep praying with the resonant voices of wisdom and caution from shore, like the nightly tradition of the BBC radio shipping forecasts that calm so many to sleep to this day. Even a Finisterre (the end of the land) prayer holds us in safety as we find our way home.

Instead of echoing the anxious moans and groans of my childhood prayers, may my voice be heard singing an anthem of hope and promise.

I Must Go In…

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

photo by Nate Gibson

I have watched the dying
in their last hours:
often they see what I cannot,
listen to what is beyond my hearing,
stretch their arms overhead
as fingers touch what is beyond my reach.

I watch and wonder what it will be like
to reverse the steps that brought me here
from the fog of amnion.

The mist of living lifts
as we enter a place
unsurpassed in brilliance and clarity;
the mystery of what lies beyond solved
only by going in to it,
welcomed back to that unapproachable Light,
where we started.

Cloudy with Sun Breaks

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When it snows, he stands
at the back door or wanders
around the house to each
window in turn and
watches the weather
like a lover. O farm boy,
I waited years
for you to look at me
that way. Now we’re old
enough to stop waiting
for random looks or touches
or words, so I find myself
watching you watching
the weather, and we wait
together to discover
whatever the sky might bring.
~Patricia Traxler “Weather Man”

My farm boy does still look at me that way,
wondering if today will bring
frost,
a wind storm,
maybe fog or mist,
a scorcher,
or a deluge.

I reassure him as best I can,
because he knows me so well
in our many years together:

today, like most other days,
I predict I will be partly cloudy
with a chance of showers,
and as always, occasional sun breaks.

January’s Menu

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January’s drop-down menu
leaves everything to the imagination:
splotch the ice, splice the light,
remake the spirit…

Just get on with it,
doing what you have to do
with the gray palette that lies
to hand. The sun’s coming soon.

A future, then, of warmth and runoff,
and old faces surprised to see us.
A cache of love, I’d call it,
opened up, vernal, refreshed.
~Sidney Burris “Runoff”

photo of hair ice taken by Laura Reifel

When the calendar finally reaches this last day of January, resplendent in its grayest pallor, I have to realize there are six weeks of winter yet ahead.

This past month, nature offered many options on the drop-down menu.
Take your pick:
soupy foggy mornings,
drizzly mid-days,
crisp northeast winds with sub-zero wind chill,
unexpected snow dumps with icy rain,
balmy southerlies with flooding,
too many soggy soppy puddly evenings.

Every once in awhile there was a special on the menu:
icy spikes on grass blades,
frozen droplets on birch branches,
hair ice on wood,
crystallized weeds like jewelry in the sun,
a pink flannel blanket sunrise,
an ocean-of-orange sunset.

I realize January’s gray palette is merely preparation for what comes next. There is Love cached away, and as spring is slowly revealed, it will not let me go.