Now and Now and Now

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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

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My days are filled with anxious people, one after another after another.  They sit at the edge of their seat, struggling to hold back the flood from brimming eyes, fingers gripping the arms of the chair, legs jiggling.   Each moment, each breath, each rapid heart beat overwhelmed by panic-filled questions:  will there be another breath?  must there be another breath?   Must this life go on like this in fear of what the next moment will bring?

The only thing more frightening than the unknown is the knowledge that the next moment will be just like the last.  There is a serious gratitude deficiency going on here, a lack of recognition of a moment just passed that can never be retrieved and relived.   There is only fear of the next and the next so that the now and now and now is lost forever.

Their worry and angst is contagious as the flu.
I mask up and wash my hands of it throughout the day.
I wish a simple vaccination could protect us all from unnamed fears.

I want to say to them and myself:
Stop.  Stop this.  Stop this moment in time. Stop and stop and stop.
Stop expecting some one, some thing or some drug must fix this feeling.
Stop being blind and deaf to the gift of each breath.
Just stop.
And simply be.

I want to say:
this moment is ours,
this moment of weeping and sharing
and breath and pulse and light.
Shout for joy in it.
Celebrate it.
Be thankful for tears that can flow over grateful lips
and stop holding them back.

Stop me before I write,
out of my own anxiety,
yet another prescription
you don’t really need.

Just be–
and be blessed–
in the now and now and now.

 

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The Doctor is In

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Astonishing material and revelation appear in our lives all the time.
Let it be.
Unto us, so much is given.
We just have to be open for business.

~Anne Lamott from Help Thanks Wow: Three Essential Prayers

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I have the privilege to work in a profession where astonishment and revelation awaits me behind each exam room door.

In a typical clinic day, I open that door up to thirty plus times, close it behind me and settle in for the ten or fifteen minutes I’m allocated per patient.  I need to peel through the layers of each person quickly to find the core of truth about who they are and why they’ve come to me.

Sometimes what I’m looking for is right on the surface: in their tears, in their pain, in their fears.  Most of the time, it is buried deep and I need to wade through the rashes and sore throats and coughs and headaches and discouragement to find it.

Once in awhile, I actually do something tangible to help right then and there — sew up a cut, lance a boil, splint a fracture, restore hearing by removing a plug of wax from an ear canal.

Often I find myself giving permission to a patient to be sick — to take time to renew, rest and trust their bodies to know what is best for a time.

Sometimes, I am the coach pushing them to stop living sick — to stop hiding from life’s challenges, to stretch even when it hurts, to get out of bed even when not rested, to quit giving in to symptoms that can be overcome rather than be overwhelming.

Always I’m looking for an opening to say something a patient might think about after they leave my clinic — how they can make better choices, how they can be bolder and braver in their self care, how they can intervene in their own lives to prevent illness, how every day is just one thread in the larger tapestry of their lifespan.

Each morning I rise early to get work done at home before I actually arrive at my desk at work, trying to avoid feeling unprepared and inadequate to the volume of tasks heaped upon each day.   I know I will be stretched beyond my capacity, challenged by the unfamiliar, the unexpected and will be stressed by obstacles thrown in my way.  I know I will be held responsible for things I have little to do with, simply because I’m the one “in charge” as the decision-maker.

It is always tempting to go back to bed and hide.

Instead of hiding,  I go to work as the exam room doors need to be opened and the layers peeled away.  I understand the worry, the fear and the pain because I have lived it too.  Even now in my seventh decade of life,  I am learning how to let it be, even if it is scary.  It is a gift perhaps I can share.

No matter what waits behind the exam room door,  it will be astonishing to me.

I’m grateful to be open for business.  The Doctor is In.

 

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Let Your Heart Go Forth

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The season of sunset as it draws a veil over the day,
befits that repose of the soul
when earthborn cares yield to the joys of heavenly communion.
The glory of the setting sun excites our wonder,
and the solemnity of approaching night awakens our awe.
If the business of this day will permit it, it will be well, dear reader,
if you can spare an hour to walk in the field at eventide,
but if not,
the Lord is in the town too,
and will meet with you in your chamber or in the crowded street.
Let your heart go forth to meet Him.

~Charles Spurgeon from his Morning and Evening Devotionals

 

Many of the young adults I see in my practice struggle to sleep at night. Their minds are racing, they can’t stop worrying, their bodies are tight with tension.
Their hope is I might prescribe a pill since they’ve tried marijuana and several shots of vodka, and that isn’t helping.

I would like to prescribe an hour with God at sunset but that is not permissible at a public institution.

Instead, I’m allowed to speak of emotional support animals, or yoga, or an evening stroll, or “meditation” or even a labyrinth walk, but never letting one’s heart go forth to meet God.

Spurgeon, out of his own anxiety and depression, knows the healing of a walk with God at sunset.
It is throwing the cares of the heart out to Him and knowing He will catch and hold them tight.

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The Signature of God

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If God makes the world, populates the world,
infuses the world with every kind of ethical meaning,
then the signature of God is the beauty of the world.
Why even imagine a mystical experience when we’re born into one,
submerged in one, day after day?
~Marilynne Robinson from Image Journal

 

I’m reminded,
drowning in a morass of tiny details,
trying to make sense
of the incomprehensible~
life sometimes spread so thin
it’s punched with gaping holes
filled only by God’s breath.
This is Him
staking His claim
by signing His name
on our hearts.
There is beauty in the world
from our insides out,
submerged in
every hole of nothingness,
every connecting thread
every letter He has ever written
reminding us we are His.

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Stillness in the Field

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Wheels of baled hay bask in October sun:
Gold circles strewn across the sloping field,
They seem arranged as if each one
Has found its place; together they appeal
To some glimpsed order in my mind
Preceding my chance pausing here —
A randomness that also seems designed.
Gold circles strewn across the sloping field
Evoke a silence deep as my deep fear
Of emptiness; I feel the scene requires
A listener who can respond with words, yet who
Prolongs the silence that I still desire,
Relieved as clacking crows come flashing through,
Whose blackness shows chance radiance of fire.
Yet stillness in the field remains for everyone:
Wheels of baled hay bask in October sun.
~Robert Pack “Baled Hay”

 

Each day I am called to see and listen,
to open fully to all that is around me.
From the simple stillness of the fields
surrounding our farm,
to the weeping of those who sit with me
day after day
in their deep fear of emptiness,
their struggle with whether to try to live
or give up and die.

Their profound emptiness renders me silent;
I struggle to respond with words
that offer up healing,
assuring them even in the darkest time
hope lies waiting, radiant as fire,
to bear us silently to a new morning,
to a stillness borne of grace.

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Holding Up All This Falling

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The leaves are falling, falling as if from far up,
as if orchards were dying high in space.
Each leaf falls as if it were motioning “no.”
And tonight the heavy earth is falling
away from all other stars in the loneliness.
We’re all falling. This hand here is falling.
And look at the other one. It’s in them all.
And yet there is Someone, whose hands
infinitely calm, holding up all this falling.
~Rainer Maria Rilke “Autumn” translated by Robert Bly

 

 

Sometimes I wake from my sleep
with a palpitating start:
dreaming of falling,
my body pitching and tumbling
yet somehow I land,
~oh so softly~
in my bed,
my fear quashed and cushioned by
awaking safe.

I feel caught up,
held tightly,
rescued amid the fall
we all will do,
like leaves drifting down
from heaven’s orchard,
like seeds released like kisses
into the air,
the earth rises to meet me
and Someone cradles me there.

 

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Known Before We Know

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Before Jeremiah knew God, God knew Jeremiah:
“Before I shaped you in the womb, I knew all about you.”
This turns everything we ever thought about God around.
We think that God is an object about which we have questions.
We are curious about God.
We make inquiries about God.
We read books about God.
We get into late-night bull sessions about God.
We drop into church from time to time to see what is going on with God.
We indulge in an occasional sunset or symphony
to cultivate a feeling of reverence about God.

But that is not the reality of our lives with God.
Long before we ever got around to asking questions about God,
God had been questioning us.
Long before we got interested in the subject of God,
God subjected us to the most intensive and searching knowledge.
Before it ever crossed our minds that God might be important,
God singled us out as important.
Before we were formed in the womb,
God knew us.
We are known before we know.

This realization has a practical result:
no longer do we run here and there,
panicked and anxious,
searching for the answers to life.
Our lives are not puzzles to be figured out.
Rather, we come to God,
who knows us and reveals to us the truth of our lives.
The fundamental mistake
is to begin with ourselves
and not God.
God is the center from which all life develops.

~Eugene Peterson from Run With the Horses

My clinic days are full of people panicked and anxious,
too unsure to know themselves,
too unsure to know those around them,
too unsure of knowing which road to choose,
too unsure of whether to take a next breath.

I want to say:
this isn’t about you.
This isn’t about what you know
and what you don’t know or
whether you are sure of where you are headed
or hopelessly lost.
This is about being known
far before you came to be.

This is all you have to know:
You are known.
And the road to choose
is the one that leads
straight to Him who knows you
and the next breath you take
has come straight from Him.

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Copper into Brass

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The winter will be short, the summer long,
The autumn amber-hued, sunny and hot,
Tasting of cider and of scuppernong;
All seasons sweet, but autumn best of all.

The autumn frosts will lie upon the grass
Like bloom on grapes of purple-brown and gold.
The misted early mornings will be cold;
The little puddles will be roofed with glass.
The sun, which burns from copper into brass,
Melts these at noon, and makes the boys unfold
Their knitted mufflers; full as they can hold
Fat pockets dribble chestnuts as they pass.
~Elinor Wylie from “Wild Peaches”
Amber stretches from sky to ground.
The clouds key-holed in the chill
and below, the leaves suffer their own keyholes
as they slowly melt away.
I’m feeling holey myself,
punched and transparent,
pondering where holiness is found
when life wholly shows its holes.
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The Danger of Going Out the Door

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It’s a dangerous business… going out your door. You step onto the road, and if you don’t keep your feet, there’s no knowing where you might be swept off to.
— J.R.R. Tolkien

Every day I embark on new adventure, like it or not.  The moment I wake from dreams and acknowledge a new morning, when my eyes and ears open and take it in, when I first step onto the floor and start my journey–I pray the road rises to meet me and leads me where I need to go.

Inside my head and inside my house, all appears routine and certain.  The moment I walk out the door, down the steps and make my way into the day, there awaits an unpredictable and often hostile world.   Rather than armor myself, girding for disaster, I need to “keep my feet.”  If I know where I’m about to step, I’m more likely to be ready for the one after–less likely to stroll blindly into a deep ditch, stumble oblivious into a hornet’s nest, disappear unexpectedly into a hidden crevasse, swept completely away in a gust of wind.

It’s a dangerous business, this waking up and living.

But someone has to do it.

 

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Swaying to a Fitful Wind

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All at once I saw what looked like a Martian spaceship whirling towards me in the air. It flashed borrowed light like a propeller. Its forward motion greatly outran its fall. As I watched, transfixed, it rose, just before it would have touched a thistle, and hovered pirouetting in one spot, then twirled on and finally came to rest. I found it in the grass; it was a maple key, a single winged seed from a pair. Hullo. I threw it into the wind and it flew off again, bristling with animate purpose, not like a thing dropped or windblown, pushed by the witless winds of convection currents hauling round the world’s rondure where they must, but like a creature muscled and vigorous, or a creature spread thin to that other wind, the wind of the spirit which bloweth where it listeth, lighting, and raising up, and easing down. O maple key, I thought, I must confess I thought, o welcome, cheers.

And the bell under my ribs rang a true note, a flourish as of blended horns, clarion, sweet, and making a long dim sense I will try at length to explain. Flung is too harsh a word for the rush of the world. Blown is more like it, but blown by a generous, unending breath. That breath never ceases to kindle, exuberant, abandoned; frayed splinters spatter in every direction and burgeon into flame. And now when I sway to a fitful wind, alone and listing, I will think, maple key. When I see a photograph of earth from space, the planet so startlingly painterly and hung, I will think, maple key. When I shake your hand or meet your eyes I will think, two maple keys. If I am a maple key falling, at least I can twirl.
~Annie Dillard from Pilgrim at Tinker Creek

I think a lot about wings — particularly when I’m sitting belted in a seat looking out at them bouncing in turbulence, marveling at how they keep hundreds of people and an entire aircraft miles above ground.  Wings, no matter what they belong to,  are marvelous structures that combine strength and lift and lightness and expanse and mobility, with the ability to rise up and ease back to earth.

And so ideally I am blown rather than flung along my fitful windy days, rising and falling as those thin veined wings guide me, twirling, swirling as I fall, oh so slowly.

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