A Heart I Cannot Fathom

Today, when I could do nothing,
I saved an ant.

It must have come in with the morning paper,
still being delivered
to those who shelter in place.

I have coffee and books,
a garden,
silence enough to fill cisterns.

It must have first walked
the morning paper, as if loosened ink
taking the shape of an ant.

Small black ant, alone,
crossing a navy cushion,
moving steadily because that is what it could do.

Set outside in the sun,
it could not have found again its nest.
What then did I save?

It did not move as if it was frightened,
even while walking my hand,
which moved it through swiftness and air.

Ant, alone, without companions,
whose ant-heart I could not fathom —
how is your life, I wanted to ask.

I lifted it, took it outside.

This first day when I could do nothing,
contribute nothing
beyond staying distant from my own kind,
I did this.
~Jane Hirshfield from “Today, When I Could Do Nothing”

The other day, as I sat down in the grass to take pictures, I felt a tickle at the nape of my neck. I reached up, picked up something, and when I looked to see what it was, I found a tiny ant crushed in my fingers. Suddenly it felt like things were crawling everywhere on me, especially my scalp. I shook out my hair and clothes and found there weren’t any more ants. It was only one very unfortunate defenseless victim who chose the wrong place and time to inhabit me – unexpected, unwanted and unwelcome.

As a child, I was fascinated by the ant hills in the woods and fields of our small farm. I would track yards and yards of ant trails from the busy mounded colonies to tree trunks and other sources of food, watching the single file single-minded insects heading through all sorts of terrain to sustain their community. Having ants crawling on me wasn’t a problem then – they were part of my exploration of creation and sometimes they explored me.

How is your life, I wanted to ask.

Now as an adult, I confess I pay regularly for someone to come to the farm to spray around our house to prevent a resurgence of carpenter ants that threatened our foundation and walls some years ago. It works pretty well so I don’t have to deal with the reality of nature/creation invading my personal space. My wholistic acceptance of my co-existence with ants ends at my front door. No welcome mat for them, thou shalt not trespass.

I don’t seek to fathom their heart or a felt need to find food.

So now our country is embroiled in the polarizing issue of whether to protect the defenseless when they are unexpected, unwanted and unwelcome, especially when it may pose great personal risk to another. Many of those most upset by the judicial decision have a voice to protest today because their mother let them live, even though their conception was unexpected, unwanted and unwelcome. They were not prevented through prophylactic means, they were not squished in an intentional self-defensive move.

They were indeed part of creation.

They are living and whole and as angry and anxious as I was when I thought I was crawling with ants.

How is your life, I want to ask. How is it to feel what you are feeling right now?

I fathom your beating heart and that of a mother’s loving heart of selfless sacrifice.


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Absorbing the Shock

There are three kinds of men.
The ones that learn by reading.
The few who learn by observation. 
The rest of them have to pee on the electric fence for themselves.
~Will Rogers

Learning is a universal human experience from the moment we take our first breath.  It is never finished until the last breath is given up.  With a lifetime of learning, one would think eventually we should get it right.

But we don’t.  We tend to learn the hard way especially when it comes to matters having to do with our (or others’) health.

As physicians in training, we “see one, do one, teach one.”   That kind of approach doesn’t always go so well for the patient.   As patients, we like to eat, drink, and live how we wish, demanding what interventions we want only when we want them – this also doesn’t go so well for the patient.  You’d think we’d know better, but as fallible human beings, we may impulsively make decisions about our health without actually using our heads (is it evidence-based or simply an anecdotal story about what “worked” for someone else?).

The cows and horses on our farm need to touch an electric fence only once when reaching for greener grass on the other side.  That moment provides a sufficient learning curve for them to make an important decision.  They won’t try testing it again no matter how alluring the world appears on the other side.   Humans are smarter sentient beings who should learn as quickly as animals but unfortunately don’t.  I know all too well what a shock feels like and I want to avoid repeating that experience.  Even so, in unguarded careless moments of feeling invulnerable (it can’t happen to me!), and yearning to have what I don’t necessarily need,  I may find myself reaching for the greener grass (or another cookie) even though I know better.   I suspect I’m not alone in my surprise when I’m jolted back to reality when I continually indulge myself and climb on the scale to see the results.

Many great minds have worked out various theories of effective learning, but, great mind or not, Will Rogers confirms a common sense suspicion: an adverse experience, like a “bolt out of the blue,” can be a powerful teacher.  As clinicians, we call it “a teachable moment.”  None of us want to experience a teachable moment — none of us, and we resent it when someone points it out to us.

When physicians and patients learn the hard way, we need to come along aside one another rather than work at cross-purposes.

It just might help absorb the shock.

Everything is…


…anything can be written about. Not because nothing is sacred, but because everything is.
~Billy Coffey

Too much on the internet is “anything goes” because nothing is considered too sacred to be dissected, illustrated, exploited and promoted in as public a way as possible.   Most of it is so cringe-worthy that it feels very risky to click on any unfamiliar link as it may take the viewer into such a dark corner of the web that it feels impossible to escape.  Once an image is seen, it is difficult to erase from the mind’s eye.

So my little corner of the web is meant to be in the light, instead of a portal into dark.

Over the years I’ve written about many things that are personal, whether it is mistakes I’ve made, overblown worries, my parents’ marriage, health care controversies, forgiveness, and surprisingly, the page that gets the most visits on my blog: my horse’s bodily functions.

Even horse poop can be seen as sacred…I guess.  At least someone must think so.

Some things are just too sacred to be written down, and because I hold them close in my heart, they will stay that way.