Category: Weather

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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Intended for Joy

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There is not one blade of grass, there is no color in this world that is not intended to make us rejoice.
~John Calvin as quoted in  John Calvin: A Sixteenth Century Portrait (Oxford, 1988) by William J. Bouwsma

It is too easy to become blinded to the glory surrounding us if we allow it to seem routine and commonplace. 

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

During the summer months, I’m seldom up early enough to witness the pink sunrise. In the winter, I’m too busy making dinner to take time to watch the sun paint the sky red as it sets.

I miss opportunities to stop and notice what surrounds me innumerable times a day. It takes only a moment of recognition and appreciation to feel the joy, and for that moment time stands still.  So life stretches a little longer when I stop to acknowledge the intention of creation as an endless reservoir of rejoicing.  

If a blade of grass, if a palette of color,
if all this is made for joy,
then perhaps, so am I.
Even colorless, commonplace, sometimes stormy me.
Indeed, so am I.

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Approaching the End of September

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it rained in my sleep
and in the morning the fields were wet

I dreamed of artillery
of the thunder of horses

in the morning the fields were strewn
with twigs and leaves

as if after a battle
or a sudden journey

I went to sleep in the summer
I dreamed of rain

in the morning the fields were wet
and it was autumn
~Linda Pastan “September”

I can choose to fight the inevitable march of time
with sourness, sighs and sorrow,
thus arm myself with bitterness for what is no more,

or I can flow unmoved for as long as I can stay afloat,
barely aware of the passage of all taking place around me,

or I can smile at awaking each morning,
whether to sun or wind or rain and thunder,
grateful I’ve been given one more day to get it right,

or at least care enough to keep trying.

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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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The Light That’s Left Them

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Now’s a good time, before the night comes on,
To praise the loyalty of the vase of flowers
Gracing the parlor table, and the bowl of oranges,
And the book with freckled pages resting on the tablecloth.
To remark how these items aren’t conspiring
To pack their bags and move to a place
Where stillness appears to more advantage.
No plan for a heaven above, beyond, or within,
Whose ever-blooming bushes are rustling
In a sea breeze at this very moment.
These things are focusing all their attention
On holding fast as time washes around them.
The flowers in the vase won’t come again.
The page of the book beside it, the edge turned down,
Will never be read again for the first time.
The light from the window’s angled.
The sun’s moving on. That’s why the people
Who live in the house are missing.
They’re all outside enjoying the light that’s left them.
Lucky for them to find when they return
These silent things just as they were.
Night’s coming on and they haven’t been frightened off.
They haven’t once dreamed of going anywhere.
~Carl Dennis, “Still Life” from Ranking the Wishes

Wendell Berry – Another Day Sabbath Poems

The transformation of objects in space,
or objects in time,
To objects outside either, but tactile, still precise…
It’s always the same problem –
Nothing’s more abstract, more unreal,
than what we actually see.
The job is to make it otherwise.
~Charles Wright from “Basic Dialogue” in Appalachia

Annie Dillard – Pilgrim at Tinker Creek

Let us treasure the Light that is left to us, to dwell outside in its midst as night is coming.

Meanwhile, a still life exists within, unchanging, real, tangible, not going anywhere.

Stillness is always there if we decide to come in as the dark descends.

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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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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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Growing a Summer Miracle

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You must grow your own miracles.

Special has been hormoned
and hardened against the bump
and bruise. Pretty in the produce
aisle, but pithless and pitiful.

I prefer a nude stocking sling
for the heft, a slow blush,
not the red-on-arrival rouge
needled in the green-to-go.

In a hot June—the prize, only
once a year, the furrowed fruit
weighs down its stems for clipping
in your open hand, quite full
of tender skin.

Take care carrying
them to the kitchen, prepare
the bed of lettuce or only bread
and mayo, and oh! say a prayer before
you slice a single slice and lay
the flawless redness down and bite.
~Rick Maxson “Beefsteak”

As August fades away, I am impatiently watching our garden tomatoes ripen slowly. I hope they can soon be harvested, bulging red and ripe, a miracle on the vine, before the rains and blight set in. Then I can walk past the grocery store’s produce section with tomatoes displaying surface perfection and no flavor.

Ordinarily, I love and anticipate autumn’s arrival each year. Now, at seventy, I am autumnal year-round. The threat of seasonal blight leading to rot becomes personal. Lived out in real time, aging isn’t all “pumpkin spice” and “harvest gold.”

So who am I in this season of my life? I have been planted, weeded, nurtured, watered and warmed in anticipation of a glorious harvest. Before long, all must be gathered in.

The garden is a daily reminder: time is short, there is so much yet to get done.

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A Puddle-Wonderful World

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…when the world is mud-lucious…
when the world is puddle-wonderful...
~e.e. cummings from “[In Just]”

My father loved more than anything to
work outside in wet weather. Beginning
at daylight he’d go out in dripping brush
to mow or pull weeds for hog and chickens.
First his shoulders got damp and the drops from
his hat ran down his back. When even his
armpits were soaked he came in to dry out
by the fire, making coffee, read a little.
But if the rain continued he’d soon be
restless, and go out to sharpen tools in
the shed or carry wood from the pile,
then open up a puddle to the drain,
working by steps back into the downpour.

I thought he sought the privacy of rain,
the one time no one was likely to be
out and he was left to the intimacy
of drops touching every leaf and tree in
the woods and the easy muttering of
drip and runoff, the shine of pools behind
grass dams. 

He could not resist the long
ritual, the companionship and freedom
of falling weather, or even the cold
drenching, the heavy soak and chill of clothes
and sobbing of fingers and sacrifice
of shoes that earned a baking by the fire
and washed fatigue after the wandering
and loneliness in the country of rain.
~Robert Morgan “Working in the Rain”

I’m hearing much “easy muttering” since the rain started a few days ago. And not all of it is coming from dripping and runoff into puddles. We all can’t resist grumbling while everything outside soaks, oozes, and drips.

A few of us die-hards celebrate the wet, as it has been quite awhile since we had a decent rain. Everything, including me, is far too brittle, dusty and tinder-dry.

Rain is what makes the Pacific Northwest special, but like in Camelot,  many people prefer that it never fall till after sundown. To them, these all-day rains ensure this is not a more congenial spot for happily-ever-aftering than in Camelot.

I may be an oddity, though typical of northwest-born natives. I celebrate this country of rain whenever it comes, especially before sundown or after sunrise. I enjoy working in the lonely intimacy of a drizzling shower when no one else is out and about. Yet I’m not immune to muttering.

This was a hardy late summer rain, this falling weather in the last gasp of August.  Even this rain-lover spent the day puttering inside to avoid muttering about outside.

Guess I am overdue for a good drenching. Then comes the happily-ever-aftering.

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As August Breaks

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My mother, who hates thunder storms,
Holds up each summer day and shakes
It out suspiciously, lest swarms
Of grape-dark clouds are lurking there;
But when the August weather breaks
And rains begin, and brittle frost
Sharpens the bird-abandoned air,
Her worried summer look is lost,

And I her son, though summer-born
And summer-loving, none the less
Am easier when the leaves are gone
Too often summer days appear
Emblems of perfect happiness
I can’t confront: I must await
A time less bold, less rich, less clear:
An autumn more appropriate.
~Philip Larkin “Mother, Summer, I”

August rushes by like desert rainfall,
A flood of frenzied upheaval,
Expected,
But still catching me unprepared.
Like a match flame
Bursting on the scene,
Heat and haze of crimson sunsets.
Like a dream
Of moon and dark barely recalled,
A moment,
Shadows caught in a blink.
Like a quick kiss;
One wishes for more
But it suddenly turns to leave,
Dragging summer away.
– Elizabeth Maua Taylor “August”

The endless clear skies of August
have been broken with clouds,
rain falling in warm gusts,
leaves landing on browned ground.

This summer ended up being simply too much –
an excess of everything bright and beautiful,
meant to make us joyful
yet bold and exhausting in its riches.

From endless hours of daylight,
to high rising temperatures,
to palettes of exuberant clouds
to fruitfulness and abundant blooms.

While summer always fills an empty void
after enduring cold spare dark days
the rest of the year,
I still depend on autumn returning.

I welcome darkening times back,
knowing how much I miss
those drear twilight months of longing
for the overwhelming fullness of summer.

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This song and video fits so well today – maybe a little weepy…

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