Tag: commitment

Never Got Wet

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When the doctor suggested surgery
and a brace for all my youngest years,
my parents scrambled to take me
to massage therapy, deep tissue work,
osteopathy, and soon my crooked spine
unspooled a bit, I could breathe again,
and move more in a body unclouded
by pain. My mom would tell me to sing
songs to her the whole forty-five minute
drive to Middle Two Rock Road and forty-
five minutes back from physical therapy.
She’d say, even my voice sounded unfettered
by my spine afterward. So I sang and sang,
because I thought she liked it. I never
asked her what she gave up to drive me,
or how her day was before this chore. Today,
at her age, I was driving myself home from yet
another spine appointment, singing along
to some maudlin but solid song on the radio,
and I saw a mom take her raincoat off
and give it to her young daughter when
a storm took over the afternoon. My god,
I thought, my whole life I’ve been under her
raincoat thinking it was somehow a marvel
that I never got wet.
~Ada Limón “The Raincoat”

When I was 13, I grew too quickly. My spine developed a thoracic scoliosis (curvature) — after inspecting my back as I bent over to touch my toes, my pediatrician referred me to a pediatric orthopedic specialist an hour away from my home town.

The question was whether I would need to have a metal rod surgically placed along my spine to prevent it from more misalignment or whether I would need to wear a back brace like a turtle. The least intervention would be physical therapy to try to keep my back and abdominal muscles as strong as possible to limit the curvature.

Since my father didn’t have much flexibility in his work schedule, my mother had to drive me to the “big city” for my appointments – as a nervous driver, she did it only because she knew it was necessary to get the medical opinion needed. She asked me to read aloud to her from whatever book I was reading at the time – I don’t think she listened closely but I think she knew it would keep me occupied while she navigated traffic.

At first, we went every three months for new xrays. The orthopedist would draw on my bare back and on my spine xrays with a black marker, calculating my curves and angles with his protractor, watching for a trend of worsening as I grew taller. He reassured us that I hadn’t yet reached a critical level of deviation requiring more aggressive treatment.

Eventually my growth rate slowed down and the specialist dismissed me from further visits, wishing me well. He told me I would certainly be somewhat “crooked” for the rest of my life, and it would inevitably worsen in my later years. I continued to visit PT for regular visits; my mom would patiently wait in the car as I sweated my way through the regimen.

The orthopedist was right about the curvature of my aging spine. I am not only a couple inches shorter now, but my rib cage and chest wall is asymmetric affecting my ability to stand up totally straight. Just last week, I had an xray of my collar bones as even those joints have developed wear and tear changes. I consider being crooked a small price to pay for avoiding a serious surgery or a miserable brace as a teenager.

What I didn’t understand at the time was the commitment my mother made to make sure I got the care I needed, even if it meant great inconvenience in her life, even if she was awake at night worried about the outcome of the appointments, even if the financial burden was significant for my family. She, like so many parents with children with significant medical or psychological challenges, gave up her wants and wishes to make sure I received what I needed. As a kid, I just assumed that’s what a mom does. Later, as a mom myself, I realized it is what moms do, but often at significant personal cost. As a physician, I saw many young people whose parents couldn’t make the commitment to see they got the care they needed, and it showed.

I was one blessed by parents who did what their kids needed to thrive.

My mom constantly offered me her raincoat so I wouldn’t get wet. Meanwhile she was being drenched.

Thank you, Mom, for making sure I was covered by your love. I still am.

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The Beginning Shall Remind Us of the End: Leaping with Life

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Be a womb. Be a dwelling for God. Be surprised.
~Loretta Ross-Gotta from Letters from the Holy Ground

Here is a meeting made of hidden joys
Of lightenings cloistered in a narrow place,
From quiet hearts the sudden flame of praise,
And in the womb the quickening kick of grace.

Two women on the very edge of things
Unnoticed and unknown to men of power,
But in their flesh the hidden Spirit sings
And in their lives the buds of blessing flower.

And Mary stands with all we call ‘too young,’
Elizabeth with all called ‘past their prime.’
They sing today for all the great unsung
Women who turned eternity to time,

Favoured of heaven, outcast on the earth,
Prophets who bring the best in us to birth.
~Malcolm Guite “The Visitation”

41 When Elizabeth heard Mary’s greeting, the baby leaped in her womb, and Elizabeth was filled with the Holy Spirit. 42 In a loud voice she exclaimed: “Blessed are you among women, and blessed is the child you will bear! 43 But why am I so favored, that the mother of my Lord should come to me? 44 As soon as the sound of your greeting reached my ears, the baby in my womb leaped for joy. 45 Blessed is she who has believed that the Lord would fulfill his promises to her!”
Luke 1: 41-45  (Song of Elizabeth)

This scene in Luke is remarkable for its portrayal of the interconnected relationship of four individuals, not just two.  Here are two cousins who become mothers despite utter impossibility — one too elderly and one virginal — present on this day with their unborn sons — one who is harbinger and one who is God.

These unborn babies are not just passively “hidden within” here.  They have changed their mothers in profound ways, as all pregnancies tend to do, but especially these pregnancies.  As any mother who first experiences the “quickening” of her unborn child can relate, there is an awesome and frightening awareness of a completely dependent but active “other” living inside. 

She is aware she is no longer alone in her shell and what happens to her, happens to this other life as well. This is deeply personal, yet deeply communal at the same time – as we witnessed in the arguments about maternal vs. fetal rights that took place in the hallowed halls of the U.S. Supreme Court yesterday.

The moment Elizabeth hears Mary’s voice, she and the baby in her womb are overwhelmed, filled with the Spirit from Mary’s unborn.  They leap, figuratively and literally.  Her voice leaps up, louder in her exclamation of welcome; John leaps in the womb in acknowledgement of being in the presence of God Himself.

How can our hearts not leap as well at God’s Word to us, at His hope and plan for each of us, at His gift of life from the moment of our conception.

After all, He once was unborn too,
completely dependent on the willingness of His mother to bear Him to birth,
completely alive because of the overshadowing Spirit of His Father.

We are all buds willed to flower by our God.

This year’s Barnstorming Advent theme “… the Beginning shall remind us of the End” is taken from the final lines in T.S. Eliot’s poem “The Cultivation of Christmas Trees”

Companions in the Faith

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east
west

In Christ there is no east or west,
in him no south or north,
but one great fellowship of love
throughout the whole wide earth.

In Christ shall true hearts everywhere
their high communion find;
his service is the golden cord
close binding humankind.

Join hands, companions in the faith,
whate’er your race may be!
All children of the living God
are surely kin to me.

In Christ now meet both east and west;
in him meet south and north,
all Christly souls are one in him
throughout the whole wide earth.
~William Dunkerley

north
south
east
west

We Christians are accused of being judgmental and unwilling to consider other points of view. We are usually the first to criticize another Christian of being unfaithful or heretical, not following doctrine and creeds, or being too liberal or too conservative or just too plain stubborn.

I’ve done it myself pretty recently and have received more than my share of mean-spirited, even hateful, messages from Christian brothers and sisters who disagree with my point of view on some issue.

Christians tend to revel in eating their own.

When I’m tempted to judge lest I be judged, I remember who Christ hung out with: the cast offs, the diseased and some of the most undesirable people in society. They were surely more receptive to His message than those who believed they knew better than Him, who questioned His every action and motive, and who plotted against Him behind His back.

It is crucial to be reminded that Christ doesn’t endorse one political party over another, one denomination or faith community over another, one zip code over another, or one racial or ethnic group over another. He seeks true hearts

Christians, east and west, north and south, constitute His body on earth, crucially dwelling in companionship as His image. It is only through His loving Spirit we are brought home where we belong, back to the center from the fraying ends of the earth and fragile edges of our faith.

West
North

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The Impeded Stream

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It may be that when we no longer know what to do we have come to our real work and that when we no longer know which way to go we have begun our real journey. The mind that is not baffled is not employed. The impeded stream is the one that sings.The world, the truth, is more abounding, more delightful, more demanding than we thought. What appeared for a time perhaps to be mere dutifulness … suddenly breaks open in sweetness — and we are not where we thought we were, nowhere that we could have expected to be.
~Wendell Berry from “Poetry and Marriage: The Use of Old Forms,” in Standing By Words

Who among us knows with certainty each morning
what we are meant to do that day
or where we are to go?

Or do we make our best guess by
putting one foot ahead of the other as we were taught
until the day is done and it is time to rest?

For me, over four decades,
I woke baffled each day
that I was allowed
to eavesdrop on heartbeats,
touch tender bellies,
sew up broken skin,
set fractured bones,
listen to and through tears.

I woke humbled with commitment and duty
to keep going even when too tired,
to offer care even when rejected.
to keep striving even if impeded.

Doing that work, I learned that
obstacles will slow but cannot stop
the cascade of love and hope over the rocks of life.

My days overflow with the uncertainty
of what comes next:
finding my real work
is to wade in deep,
tumbling over the barriers
and still keep singing.

Simply keep singing.

photo by Josh Scholten

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Into a Commonwealth of Joy

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The meaning of marriage begins in the giving of words. We cannot join ourselves to one another without giving our word. And this must be an unconditional giving, for in joining ourselves to one another we join ourselves to the unknown.
~Wendell Berry from “Poetry and Marriage” in Standing By Words

Our vows to one another forty years ago today:

Before God and this gathering, I vow from my heart and spirit that I will be your wife/husband for as long as we both shall live.

I will love you with faithfulness, knowing its importance in sustaining us through good times and bad.

I will love you with respect, serving your greatest good and supporting your continued growth.

I will love you with compassion, knowing the strength and power of forgiveness.

I will love you with hope, remembering our shared belief in the grace of God and His guidance of our marriage.

“And at home, by the fire, whenever you look up, there I shall be–and whenever I look up, there will be you.”

(our wedding vows for our September 19, 1981 wedding at First Seattle Christian Reformed Church — the last line adapted from Thomas Hardy’s  “Far From the Madding Crowd”)

Sometimes our life reminds me
of a forest in which there is a graceful clearing
and in that opening a house,
an orchard and garden,
comfortable shades, and flowers
red and yellow in the sun, a pattern
made in the light for the light to return to.
The forest is mostly dark, its ways
to be made anew day after day, the dark
richer than the light and more blessed,
provided we stay brave
enough to keep on going in.

We enter, willing to die,
into the commonwealth of its joy.
~Wendell Berry from “A Country of Marriage”

…Marriage… joins two living souls as closely as, in this world, they can be joined. This joining of two who know, love, and trust one another brings them in the same breath into the freedom of sexual consent and into the fullest earthly realization of the image of God.  From their joining, other living souls come into being, and with them great responsibilities that are unending, fearful, and joyful. The marriage of two lovers joins them to one another, to forebears, to descendants, to the community, to heaven and earth. It is the fundamental connection without which nothing holds, and trust is its necessity.
~Wendell Berry from Sex, Economy, Freedom and Community

We married in our Seattle church with our pastor officiating, with a small group of family and friends as witnesses.

It was a wedding created by two frugal people with little to spend – I sewed my dress and Dan’s shirt from muslin, we grew our own flowers, our families helped potluck the lunch afterward and our tiered carrot cake was made by a friend.

Yet our vows to one another were not frugal and held nothing back.
They were extravagant and comprehensive, coming from our hearts and spirits. The music we asked our amazing organist to play (versions below) inspired us by its simplicity and complexity – very much like the families that raised us and the God we worship.

Our vows have taken us from the city to the countryside, to the raising and rejoicing in three amazing children (each of whom wrote movingly to us today) and now four grandchildren. We served more than forty years as a public-employed attorney and physician, have laid down those responsibilities, and picked up the tools of farm and garden along with church and community service for as long as we are able.

We treasure each day of living together in faithfulness, respect, compassion and hope – knowing that how we love and find joy in one another mirrors how God loves and revels in His people.

We are praying for many more days to fill us with what endures.

A pot of red lentils
simmers on the kitchen stove.
All afternoon dense kernels
surrender to the fertile
juices, their tender bellies
swelling with delight.

In the yard we plant
rhubarb, cauliflower, and artichokes,
cupping wet earth over tubers,
our labor the germ
of later sustenance and renewal.

Across the field the sound of a baby crying
as we carry in the last carrots,
whorls of butter lettuce,
a basket of red potatoes.

I want to remember us this way—
late September sun streaming through
the window, bread loaves and golden
bunches of grapes on the table,
spoonfuls of hot soup rising
to our lips, filling us
with what endures.
~Peter Pereira from “A Pot of Red Lentils”

Here are versions of the organ music we selected for prelude, processional, recessional and postlude

The Fly in the Currant Cake

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Nothing seems to please a fly so much as to be taken for a currant;
and if it can be baked in a cake and palmed off on the unwary, it dies happy.
~Mark Twain

Today I will wrap up 45 years of uninterrupted training and doctoring. Most of that time, I have worried I’m like a fly hiding among the black currants hoping to eventually become part of the currant cake. 

Maybe no one has noticed. These days we call it the “impostor” syndrome. Mark Twain knew all about currant cake and how easy it was for a fly to blend into its batter.

Even while bearing three children and going through a few surgeries myself, I’ve not been away from patients for more than twenty consecutive days at any one time.  This is primarily out of my concern that, even after a few weeks, I would forget all that I’ve ever known. In fact, half of what I learned in medical school and residency over forty years ago has evolved, thanks to new discoveries and clarifying research. I worried if I were to actually to step away from doctoring for an extended time, then return to see patients again, I would be masquerading as a physician rather than be the real thing. A mere fly among the currants palmed off on the unwary.

If being truly honest, those who spend their professional lives providing medical care to others always share this concern: if a patient only knew how much we don’t know and will never know, despite everything we DO know, there would really be no trust left for us at all.

Of course, some say, didn’t the COVID pandemic prove our ignorance? Physicians started at Ground Zero with a novel virus with unclear transmissibility and immense potential to wreak havoc on the human body … or cause no symptoms whatsoever. We had no collected data to base prevention or treatment decisions: would masks just protect others or would they only protect ourselves, or maybe they protect both? Could a common inexpensive anti-inflammatory/antimalarial drug be beneficial or would a parasitic wormer medication be somehow effective to fight the devastation of the virus?

Effective treatments are still being sought all these months later; others have been debated, studied and discarded as worthless.

Or would this pandemic finally resolve thanks to effective yet controversial public health mandates while rapidly distributing highly effective vaccines developed from many prior years of carefully performed research?

During the past 16 months, your next door neighbor, or the loudest tweet on Twitter proclaimed more expertise than the average medical professional and definitely had a stronger opinion. At least we doctors knew how much we didn’t know and how much was simply guess work based on experience, good intentions and hopeful prayer. Gradually, while lives were lost, including too many of our own, real data began to trickle in so decisions could be made with some evidence backing them. But even that data continues to evolve, day by day, as authentic medical evidence always does.

That doesn’t stop all the “quack” flies out there from climbing into the batter pretending to be currants. With so much rapidly changing medical information at everyone’s fingertips, who needs a trained physician when there are so many other resources – sketchy and opportunistic though they may be – for seeking health care advice?

Even so, I am convinced most patients really do care that doctors share the best information they have available at any point in time. None of us who are doctoring wants to be the “fly” in the batter of health care.

As I meet with my last patient today, I know over forty years of clinical experience has given me an eye and an ear for the subtle signs and symptoms that no googled website or internet doc-in-the-box can discern.  The avoidance of eye contact, the tremble of the lip as they speak, the barely palpable rash, the hardly discernible extra heart sound, the fullness over an ovary, the slight squeak in a lung base.  These are things I am privileged to see and hear and about which I make decisions together with my patients.  What I’ve done over four decades has been no masquerade; out of my natural caution, I am not appearing to be someone I am not.  This is what I was trained to do and have done for thousands of days and many more thousands of patients during my professional life, while passing a comprehensive certification examination every few years to prove my continued study and changing fund of knowledge.

The hidden fly in the currant bush of health care may be disguised enough that an unwary patient might gobble it down to their ultimate detriment. I know I’ve not been that doctor. I’ve been the real thing all these years for my patients, even if I’ve seemed a bit on the tart side at times, yet offering up just enough tang to be exactly what was needed in the moment and in the long term.

And someday, hopefully not too soon, I will die happy having done this with my life.

My ID photo from my first year of medical school 1976
45 years later…

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Leaning In

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Sometimes, in the middle of a crowded store on a Saturday
afternoon, my husband will rest his hand
on my neck, or on the soft flesh belted at my waist,
and pull me to him. I understand

his question: Why are we so fortunate
when all around us, friends are falling prey
to divorce and illness? It seems intemperate
to celebrate in a more conspicuous way

so we just stand there, leaning in
to one another, until that moment
of sheer blessedness dissolves and our skin,
which has been touching, cools and relents,

settling back into our separate skeletons
as we head toward Housewares to resume our errands.
~Sue Ellen Thompson, “Leaning In” from The Golden Hour

It never fails to amaze me that after nearly forty years of life together, even in the most mundane moments, I still feel that invisible connection to you no matter where we are. That connection is made visible and tangible in our children and now our grandchildren.

We are blessed to have found each other and to regularly remind ourselves of that. We were meant to be and everything good continues to flow from that.

Soli Deo gloria.

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Wing to Wing

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No speed of wind or water rushing by
But you have speed far greater. You can climb
Back up a stream of radiance to the sky,
And back through history up the stream of time.
And you were given this swiftness, not for haste
Nor chiefly that you may go where you will,
But in the rush of everything to waste,
That you may have the power of standing still-
Off any still or moving thing you say.
Two such as you with such a master speed
Cannot be parted nor be swept away
From one another once you are agreed
That life is only life forevermore
Together wing to wing and oar to oar
~Robert Frost “Master Speed”

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

(Happy birthday to Annie today — her 76th !)

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 through my fitful windy days,
rising and falling as those thin veined wings guide me,
twirling, swirling as I fall,
oh so slowly, to settle, planted.

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Watching the Weather

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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 always looked at me that way,
and still does —
wondering if today will bring
a hard frost,
a chilly northeaster,
a scorcher,
or a deluge,
and I reassure him as best I can,
because he knows me so well
in our many years together:
today, like every other day,
will always be partly sunny
with some inevitable cloud cover
and always a possibility of rain.

The Daylights

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When I wake up earlier than you and you
are turned to face me, face
on the pillow and hair spread around,
I take a chance and stare at you,
amazed in love and afraid
that you might open your eyes and have
the daylights scared out of you.
But maybe with the daylights gone
you’d see how much my chest and head
implode for you, their voices trapped
inside like unborn children fearing
they will never see the light of day.
The opening in the wall now dimly glows
its rainy blue and gray. I tie my shoes
and go downstairs to put the coffee on.
~Ron Padgett, “Glow” from Collected Poems.

It is my morning routine to wake early
and I take a moment to look at you still asleep,
your slow even breaths and peaceful face-
I’m thankful for every day I get to spend with you.

I know you know this~
we remind each other each day
in many ways, to never forget.

What blessing comes from a love
openly expressed and never hidden~
thriving in the dark of night,
yet never shining brighter
than in the delights and daylights
of each new morning together.