Category: Worry

A World Going to Pieces

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Here is the world.
Beautiful and terrible things will happen.
Don’t be afraid.
~Frederich Buechner

…the heart of this country does not beat in Washington, DC, nor does its soul lie in a seat of power, nor does its destiny lie in which party occupies which section of government.

No, those things all lie with… people like you and me, people who get up and go to work and love their tiny plot of Earth and whose hands are rough and hardened by loving and giving.
~Billy Coffey from “The Heart of this Land”

Even if I knew that tomorrow the world would go to pieces, I would still plant my apple tree.
~Martin Luther

…as the land around turns rocky and hollow…
I’d never suspected: every day,
Although the nation is done for,
I find new flowers.
~Donald Revell from “Election Year”

This morning I search for any hint of beauty
trying its best to thrive in
the rocky hollowed-out cracks of our foundation.

I look for something (anything)
kind and gentle and hopeful to share here.

But we, the people, have chosen a vengeful meanness to rule us,
to crush, bloody and fracture us apart.

I fear beauty and goodness have gone into hiding.

Even so, we are reminded of
Words spoken again and again and again
to a troubled world:

if only we can hear them for ourselves
if only we can reassure one another
to keep planting, growing, feeding
and caring for one another

The Son came to be with us
when we needed saving from ourselves,
and will not abandon us:

do not be afraid
do not be afraid
do not be afraid

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I Kept My Word…

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‘Is there anybody there?’ said the Traveller,
Knocking on the moonlit door;
And his horse in the silence champed the grasses
Of the forest’s ferny floor:
And a bird flew up out of the turret,
Above the Traveller’s head:
And he smote upon the door again a second time;
‘Is there anybody there?’ he said.
But no one descended to the Traveller;
No head from the leaf-fringed sill
Leaned over and looked into his grey eyes,
Where he stood perplexed and still.
But only a host of phantom listeners
That dwelt in the lone house then
Stood listening in the quiet of the moonlight
To that voice from the world of men:
Stood thronging the faint moonbeams on the dark stair,
That goes down to the empty hall,
Hearkening in an air stirred and shaken
By the lonely Traveller’s call.
And he felt in his heart their strangeness,
Their stillness answering his cry,
While his horse moved, cropping the dark turf,
’Neath the starred and leafy sky;
For he suddenly smote on the door, even
Louder, and lifted his head:—
‘Tell them I came, and no one answered,
That I kept my word,’ he said.
Never the least stir made the listeners,
Though every word he spake
Fell echoing through the shadowiness of the still house
From the one man left awake:
Ay, they heard his foot upon the stirrup,
And the sound of iron on stone,
And how the silence surged softly backward,
When the plunging hoofs were gone.
~Walter de la Mare “The Listeners”

At times it seems I knock on a door that remains closed.
My inquiries go unanswered. Is anybody there?
All is silence and darkness.

When I get spooked by the deep dark surrounding this world,
I want to turn around and flee,
the only sound are footsteps echoing away into the night.

Yet I know there are listeners who hear my words.
I know my long travels are not in vain.

We must not be discouraged.
I promised I would come, no matter what.
I have kept my word.

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A Bit of Heaven

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I love color.
I love flaming reds,
And vivid greens,
And royal flaunting purples.
I love the startled rose of the sun at dawning,
And the blazing orange of it at twilight.

I love color.
I love the drowsy blue of the fringed gentian,
And the yellow of the goldenrod,
And the rich russet of the leaves
That turn at autumn-time….
I love rainbows,
And prisms,
And the tinsel glitter
Of every shop-window.

I love color.
And yet today,
I saw a brown little bird
Perched on the dull-gray fence
Of a weed-filled city yard.
And as I watched him
The little bird
Threw back his head
Defiantly, almost,
And sang a song
That was full of gay ripples,
And poignant sweetness,
And half-hidden melody.

I love color….
I love crimson, and azure,
And the glowing purity of white.
And yet today,
I saw a living bit of brown,
A vague oasis on a streak of gray,
That brought heaven
Very near to me.
~Margaret Sangster “The Colors”

My eye is always looking for the glow of colors or combination of hues like a harmonious chord blending together. It is like a symphony to my retinas…

But if I don’t look closely enough, I miss the beauty of subtle color hidden in a background of drab. They sing, transcending the ordinary.

Today, it was these house sparrows, busy eating grass seeds behind a city building. I heard their chirping before I saw them, they were so camouflaged. They are also known as “gutter birds” given their plain and common appearance. Yet, hearing them and then watching their enthusiastic feeding, there was nothing plain about them.

They had brought a bit of heaven to earth. After all, the Word tells us His eyes are on the sparrow…

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Stalk the Gaps

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The gaps are the thing. 
The gaps are the spirit’s one home, 
the altitudes and latitudes so dazzlingly spare and clean 
that the spirit can discover itself like a once-blind man unbound. 
The gaps are the clefts in the rock where you cower to see the back parts of God; 
they are fissures between mountains and cells the wind lances through, 
the icy narrowing fiords splitting the cliffs of mystery. 
Go up into the gaps. 
If you can find them; 
they shift and vanish too. 
Stalk the gaps. 
Squeak into a gap in the soil, 
turn, and unlock…
a universe.
~Annie Dillard from Pilgrim at Tinker Creek

Something will have gone out of us as a people if we ever let the remaining wilderness be destroyed … We simply need that wild country available to us, even if we never do more than drive to its edge and look in.
~Wallace Stegner, The Sound of Mountain Water

There is a yawning separation threatening us all right now as we peer over the frightening edge of another tight election.

Once again there is a fissuring gap between us.

People who have eaten at our tables, who were good friends, who we have worshiped alongside – became estranged. This separation was buoyed by blowing of the chill wind of politics where once there had been warmth and nurture and caring. 

We disagreed then and continue to disagree. We no longer understand one another’s points of view.

How did we allow these gaps between us to develop?
How do we close these fissures so something new and vital can grow?
How can we stalk the gaps together?

Not one of us has the corner on the Truth; if we are honest with ourselves and each other, we cower together for safety in the cracks of this world, watching helplessly as the backside of God passes by, His face too holy for us to gaze upon.

He places us there together for our own good. I see you there alongside me.

We are weaker together when one side wins and the other loses. We are dependent together. We need to hold each other up as we look over the edge of the upcoming cliff.

Only His Word – nothing else –
can fill the open gaping hollow before us.
His Grace is great enough
to fill every hole
bridge every gap
bring hope to the hopeless
plant seeds for the future
and restore us wholly to each other.

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An Ache Nothing Can Satisfy

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At the alder-darkened brink
Where the stream slows to a lucid jet
I lean to the water, dinting its top with sweat,
And see, before I can drink,

A startled inchling trout
Of spotted near-transparency,
Trawling a shadow solider than he.
He swerves now, darting out

To where, in a flicked slew
Of sparks and glittering silt, he weaves
Through stream-bed rocks, disturbing foundered leaves,
And butts then out of view

Beneath a sliding glass
Crazed by the skimming of a brace
Of burnished dragon-flies across its face,
In which deep cloudlets pass

And a white precipice
Of mirrored birch-trees plunges down
Toward where the azures of the zenith drown.
How shall I drink all this?

Joy’s trick is to supply
Dry lips with what can cool and slake,
Leaving them dumbstruck also with an ache
Nothing can satisfy.
~Richard Wilbur “Hamlen Brook”

photo by Josh Scholten
photo by Josh Scholten

How can I take it all in?

Like so many others right now, I’m thirsty for honest, respectful discussion and debate about the state of the world. Instead, I’m left dry and wanting, ready to blow away with the next gust.

So I ache to witness fading colors, fallen leaves, swift winds and pouring rain, as all creatures great and small prepare for winter’s chill. There is stark honesty among all soon to fall asleep.

I yearn to hear God’s Truth spoken out loud.
How amazing it would be — to be dumbstruck with joy.

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Out of Sight

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A neighbourhood.
At dusk.

Things are getting ready
to happen
out of sight.

Stars and moths.
And rinds slanting around fruit.

But not yet.

One tree is black.
One window is yellow as butter.

A woman leans down to catch a child
who has run into her arms
this moment.

Stars rise.
Moths flutter.
Apples sweeten in the dark.

~Eavan Boland “This Moment” from In a Time of Violence

photo by Nate Gibson

This moment,
when I ordinarily pay no attention,
when I have so many things to worry about,
when I try to fuss the future into submission…

This moment,
is when I need to realize if not now, then when,

This moment
won’t return, so I must not waste it.

This moment,
is my chance to see and taste and feel and love
as if there is no next moment.

This moment,
suddenly so sweet,
suddenly is gone,
out of sight,
so I follow.

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The Oldest Tree

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Lately, when I awake desolate
feeling half-swamped
by runaway currents I name—
dread, for my children, and theirs,
and this planet—I backstroke
through time to rest my palms
against the delicate skin
of the gingko tree, the one
and only, in my home town.
Rooted in siltish sand,
come autumn, it flaunted
10,000 golden fans:
a waving descendant my uncle said,
of the oldest tree
to inhabit the earth. Memory
replays three fluting sighs
of a mourning dove, high in the canopy,
that vast fretwork alive again
with rustling endearments—yet
ghostly, too, as his unseen hand
almost rocks my skiff of a self.
~Laurie Klein “Lately, when I awake desolate”

So many reasons to awake in the night,
eyes wide open, searching the dark seas of trouble
for some sign of hope
for calm and peace in this stormy world.

Rocked to sleep again, I float among abundant
golden gingko leaves, each waving like a sail in the breeze,
before it tumbles, swirling, to the ground, forming
deeply cushioned and comforting pools of yellow.

Navigating these brutal times, desperate to
anchor within some safer harbor – I treasure
the old ginkgo as it reaches over each cherished child
with its golden cloak of love and protection.

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Throwing Away the Key

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When we look long at one another,
we soften, we relent, listen,

might forgive. We allow for silence
—and when we see each other,

are known, and in that moment
might change

though nothing has moved
or been spoken.

There are some who say
the walls cannot be broken,

but suddenly we are in a free place,
and the fields

that extend from its center
stretch for miles

as if out of the pupil and the iris
of that momentary kingdom.
~Annie Lighthart “When We Look” from Pax

The weasel was stunned into stillness as he was emerging from beneath an enormous shaggy wild rose bush four feet away. I was stunned into stillness twisted backward on the tree trunk. Our eyes locked, and someone threw away the key.

Our look was as if two lovers, or deadly enemies, met unexpectedly on an overgrown path when each had been thinking of something else: a clearing blow to the gut.

It was also a bright blow to the brain, or a sudden beating of brains, with all the charge and intimate grate of rubbed balloons. It emptied our lungs. It felled the forest, moved the fields, and drained the pond; the world dismantled and tumbled into that black hole of eyes.

If you and I looked at each other that way, our skulls would split and drop to our shoulders. But we don’t. We keep our skulls. So.
~Annie Dillard from “Living Like Weasels”

The pupil and iris are a portal to our thoughts, our dreams, our passions and our fears. They are simultaneously window and mirror, revealing feelings we try to keep to ourselves.

Locking eyes can be one of the most thrilling, stomach-butterflies, ecstatic moments of connection. It can be tender, loving, reassuring and encouraging.

Or it can be intimidating and terrifying. I tend to avoid eye contact when passing a stranger on a dark street, or when engaged in a very stressful public interaction. I don’t want to reveal my insecurity, vulnerability, or worry through direct eye contact. While studying primates in Africa, I learned never to look a baboon in the eye as it can communicate aggression and instigate an attack.

So instead, I learned to look at my feet.

I’d much rather lock eyes and learn everything I can about you. I want to dive deep into who you are, breaking down the walls and dismantle the barriers that keep us apart from one another. Then I’m letting you in too. The black holes of our inner universe.

After all, this is preparation when we see the face of God and allow Him to lock into our eyes, knowing our truth.

No keys needed forevermore.

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Hiding Nothing

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You can hide nothing from God.
The mask you wear before men will do you no good before Him.
He wants to see you as you are,
He wants to be gracious to you.
You do not have to go on lying to yourself and your brothers,
as if you were without sin;
you can dare to be a sinner.
~Dietrich Bonhoeffer from Life Together

In your hands

The dog, the donkey, surely they know
They are alive.
Who would argue otherwise?

But now, after years of consideration,
I am getting beyond that.
What about the sunflowers? What about
The tulips, and the pines?

Listen, all you have to do is start and
There’ll be no stopping.
What about mountains? What about water
Slipping over rocks?

And speaking of stones, what about
The little ones you can
Hold in your hands, their heartbeats
So secret, so hidden it may take years

Before, finally, you hear them?
~Mary Oliver “in your hands” from Swan: Prose and Poems

When I take myself to the doctor, I trust I’m seeing someone who tries to know me thoroughly enough that he or she can help me move out of illness into better health.

This is how acceptance feels: trusting someone enough to come out of hiding, allowing them to see the parts of me I prefer to keep hidden.

As a physician myself, I am reminded by the amount of “noticing” I did in the course of my work. Each patient, and there were so many,  deserved my full attention for the few minutes we were together.  I started my clinical evaluation the minute I entered the room and I began taking in all the complex verbal and non-verbal clues offered up, sometimes unwittingly, by another human being.

During the COVID pandemic, my interactions with patients became all “virtual” so I didn’t have the ability to observe as thoroughly as I usually did. Instead, I needed them to tell me outright what was going on in their lives, their minds and their hearts in both spoken or written words. I couldn’t ‘see’ them, even on a screen, in the same way as face to face in the same room.

How can someone call out their worries to me when they are hidden behind a camera lens?

I can’t witness first hand the trembling hands, their sweatiness, their scars of self injury.  Still, I am their audience and a witness to their struggle; even more, I must understand their fears to best help them. My brain must rise to the occasion of taking in another person, accepting them for who they are, with every wart and blemish, offering them the gift of compassion and simply be there for them at that moment.

God isn’t blinded in His Holy work as I am in my clinical duties. He knows us thoroughly because He made us; He knows our thoughts before we put them into words. There is no point in trying to stay hidden from Him.

He holds us, little pebbles that we are, in His Hand, and He listens to our secret heartbeats.

Those of us who believe we can remain effectively hidden will never be invisible to God.

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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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