Don’t Go Too Early

Wait, for now.
Distrust everything, if you have to.
But trust the hours. Haven’t they
carried you everywhere, up to now?
Personal events will become interesting again.
Hair will become interesting.
Pain will become interesting.
Buds that open out of season will become lovely again.
Second-hand gloves will become lovely again,
their memories are what give them
the need for other hands. And the desolation
of lovers is the same: that enormous emptiness
carved out of such tiny beings as we are
asks to be filled; the need
for the new love is faithfulness to the old.

Wait.
Don’t go too early.
You’re tired. But everyone’s tired.
But no one is tired enough.
Only wait a while and listen.
Music of hair,
Music of pain,
music of looms weaving all our loves again.
Be there to hear it, it will be the only time,
most of all to hear,
the flute of your whole existence,
rehearsed by the sorrows, play itself into total exhaustion.
~Galway Kinnell “Wait”
from A New Selected Poems 

If everyone abandons you and even drives you away by force,
then when you are left alone
fall on the earth and kiss it,
water it with your tears,
and it will bring forth fruit
even though no one has seen or heard you in your solitude.
Believe to the end, even if all people went astray
and you were left the only one faithful;
bring your offering even then and praise God in your loneliness. 
~Fyodor Dostoyevsky from The Brothers Karamazov

Suicide rates of teenagers in the United States have increased well over 30% since 2009. It is a national epidemic and tragedy.

Based on the anguish of the patients I see every day,
one after another and another,
over and over again I hear
a too-easy contemplation of suicide,
from “It would be easier if I were dead”
or “no one cares if I live or die”,
or “the world would be better off without me”,
or “I’m not worthy to be here”
to “that is my plan, it is my right and no one can stop me”.

Without us all pledging an oath to live life no matter what,
willing to lay ourselves down for one another,
to bridge the sorrow and lead the troubled to the light,
there will be no slowing of this trend.

…when there is no loyalty to life, as stressful and messy as it can be,
…when there is no honoring of the holiness of each created being as weak and frail and prone to helpless hopelessness as we are,
…when there is no resistance to the buffeting winds of life~

please just wait a little longer, only a little longer:
don’t go too early

Light and Cloud-Shadows

.…you mustn’t be frightened … if a sadness rises in front of you, larger than any you have ever seen; if an anxiety, like light and cloud-shadows, moves over your hands and over everything you do. You must realize that something is happening to you, that life has not forgotten you, that it holds you in its hand and will not let you fall. Why do you want to shut out of your life any uneasiness, any misery, any depression, since after all you don’t know what work these conditions are doing inside you?
~Rainer Maria Rilke from Letters to a Young Poet

…difficulties are magnified out of all proportion simply by fear and anxiety. From the moment we wake until we fall asleep we must commend other people wholly and unreservedly to God and leave them in his hands, and transform our anxiety for them into prayers on their behalf: 
With sorrow and with grief…
God will not be distracted.
~Dietrich Bonhoeffer in Letters from Prison

Every day I see college students who are so consumed by anxiety they become immobilized in their ability to move forward through the midst of life’s inevitable obstacles and difficulties.  They become so stuck in their own overwhelming feelings they can’t sleep or eat or think clearly, so distracted are they by their symptoms.  They self-medicate, self-injure and self-hate.  Being unable to nurture themselves or others, they wither like a young tree without roots deep enough to reach the vast reservoir that lies untapped beneath them.  In epidemic numbers, some decide to die, even before life really has fully begun for them.

I grieve for them in their distress.   My role is to help find healing solutions, whether it is counseling therapy, a break from school, or a medicine that may give some form of relief.  My heart knows the ultimate answer is not as simple as the right prescription.

We who are anxious must depend upon a Creator who does not suffer from attention deficit disorder and who is not distracted from His care for us even when we turn away in worry and sorrow.  We magnify our difficult circumstances by staying so tightly into ourselves, unable to look beyond our own eyelashes.  Instead we are to reach higher and deeper, through prayer, through service to others, through acknowledging there is power greater than ourselves.

So we are called to pray for ourselves and for others,  disabling anxiety and fear and transforming it to gratitude and grace.   No longer withering, we just might bloom.


Choosing Another Day

right before the moonrise

Here dies another day
During which I have had eyes, ears, hands
And the great world round me;
And with tomorrow begins another.
Why am I allowed two?
~G.K. Chesterton

Over a dozen times every clinic day
I ask someone:
tell me your thoughts about ending your life…

Even so~~
someone then decides what to reveal
and what not to.

I’m allowed
another day
to do my best
to be present for someone who is unsure~

and perhaps as this day dies
there will come another
when I might help someone
choose
to live another day.

Why are we allowed another day?

Clearing the Fog

 

 

 

Tired and hungry, late in the day, impelled
to leave the house and search for what
might lift me back to what I had fallen away from,
I stood by the shore waiting.
I had walked in the silent woods:
the trees withdrew into their secrets.
Dusk was smoothing breadths of silk
over the lake, watery amethyst fading to gray.
Ducks were clustered in sleeping companies
afloat on their element as I was not
on mine.

I turned homeward, unsatisfied.
But after a few steps, I paused, impelled again
to linger, to look North before nightfall-the expanse
of calm, of calming water, last wafts
of rose in the few high clouds.

And was rewarded:
the heron, unseen for weeks, came flying
widewinged toward me, settled
just offshore on his post,
took up his vigil.
                               If you ask
why this cleared a fog from my spirit,
I have no answer.
~Denise Levertov “A Reward” from Evening Train.

 

 

 

~Lustravit lampade terras~
(He has illumined the world with a lamp)
The weather and my mood have little connection.
I have my foggy and my fine days within me;
my prosperity or misfortune has little to do with the matter.
– Blaise Pascal from “Miscellaneous Writings”

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 from Hannah Coulter

Worry and sorrow and angst are more contagious than the flu.
I mask up and wash my hands of it throughout the day.
There should be a vaccination against unnamed fears.

I want to say to my patients and to myself:
Stop now, this moment in time.
Stop and stop and stop.

Stop needing to be numb to all discomfort.
Stop resenting the gift of each breath.
Just stop.
Instead, simply be.

I want to say:
this moment, foggy or fine, is yours alone,
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
just as rain can clear the fog.
Stop holding them back.

Just be–
be blessed in both the fine and the foggy days–
in the now and now and now.




A Clinging Mist

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My Sorrow, when she’s here with me,
     Thinks these dark days of autumn rain
Are beautiful as days can be;
She loves the bare, the withered tree;
     She walks the sodden pasture lane.

Her pleasure will not let me stay.
     She talks and I am fain to list:
She’s glad the birds are gone away,
She’s glad her simple worsted gray
     Is silver now with clinging mist.

The desolate, deserted trees,
     The faded earth, the heavy sky,
The beauties she so truly sees,
She thinks I have no eye for these,
     And vexes me for reason why.

Not yesterday I learned to know
     The love of bare November days
Before the coming of the snow,
But it were vain to tell her so,
     And they are better for her praise.
~Robert Frost “My November Guest”

 

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November,
this month of deepening darkening,
transforms itself
to a recounting of gratitude
of daily thanksgiving and blessings~~

it is good to dwell on our gifts,
even so,
it is right to invite Sorrow
to sit in silence with us,
her tears blending with ours.

These dark-dwelled days
of bare stripped branches
feed our growing need
for the covering grace,
the shrouding
of His coming Light.

 

 

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Heaven-Handling Flung

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Not, I’ll not, carrion comfort, Despair, not feast on thee;
Not untwist — slack they may be — these last strands of man
In me ór, most weary, cry I can no more. I can;
Can something, hope, wish day come, not choose not to be.
But ah, but O thou terrible, why wouldst thou rude on me
Thy wring-world right foot rock? lay a lionlimb against me? scan
With darksome devouring eyes my bruisèd bones? and fan,
O in turns of tempest, me heaped there; me frantic to avoid thee and flee?
   Why? That my chaff might fly; my grain lie, sheer and clear.
Nay in all that toil, that coil, since (seems) I kissed the rod,
Hand rather, my heart lo! lapped strength, stole joy, would laugh, chéer.
Cheer whom though? the hero whose heaven-handling flung me, fóot tród
Me? or me that fought him? O which one? is it each one? That night, that year
Of now done darkness I wretch lay wrestling with (my God!) my God.
~Gerard Manley Hopkins “Carrion Comfort”

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These mounting deaths by one’s own hand
make grim headlines and solemn statistics.

In my clinic, patient after patient says the same thing:

this struggle with life
makes one frantic to avoid the fight and flee
to feel no more bruising and bleed no more,
to become nothing but chaff and ashes.

they contemplate suicide as
they can not recognize the love of
a God who cares enough to
wrestle them relentlessly–
who heaven-handling flung them here by
breathing life into their nostrils

Perhaps they can’t imagine
a God
(who He Himself created
doubters
sore afraid
of His caring
enough to die for us)

so no one
is ever now,
nor ever will be

~nothing~

such darkness
now done
forever.

 

 

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This Doctor is Open For Business

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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 clinic that day.

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, often beneath a scar I must search to find. 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 are to be overcome rather than become 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 different choices, how they can be bolder and braver in their self care, how they can intervene within their own finite timeline 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 who often acts as 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.   I know the limitations of a body that wants to consume more than it needs, to sleep rather than go for a walk, to sit rather than stand.

Even now in my seventh decade of life,  I am continually 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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