A Bright Sadness: Walking His Paths



All the paths of the Lord are loving and faithful
Psalm 25:10 


“All does not mean ‘all – except the paths I am walking in now,’
or ‘nearly all – except this especially difficult and painful path.’
All must mean all.


So, your path with its unexplained sorrow or turmoil,
and mine with its sharp flints and briers –
and both our paths,
with their unexplained perplexity,
their sheer mystery – they are His paths,
on which he will show Himself loving and faithful.


Nothing else; nothing less.
~Amy Carmichael–Anglican missionary to India 1867-1951

Sometimes we come upon forks in the road where we may not be certain which path to take. Perhaps explore the Robert Frost “less traveled” one? Or take the one that seems less tangled and uncertain from all appearances?

Sometimes we have chosen a particular path which looked inviting at the time, trundling along minding our own business, yet we start bonking our heads on low hanging branches, or get grabbed by stickers and thorns that rip our clothes and skin, or trip over prominent roots and rocks that impede our progress and bruise our feet.

Sometimes we come to a sudden end in a path and face a steep cliff with no choice but to leap or turn back through the mess we have just slogged through.

Navigating the road to the cross must have felt like ending up at that steep cliff. There was no turning back, no choosing or negotiating a different pathway or taking time to build a staircase into the rocks. His words reflect His uncertainty and terror. His words reflect our deepest doubts and fears–how are we to trust we are on the right path?

When we take that next step, no matter which way, we end up in the Father’s loving and faithful arms. He has promised this.

Nothing else; nothing less.



A February Face

“Why, what’s the matter, 
That you have such a February face, 
So full of frost, of storm and cloudiness?” 
–  William Shakespeare,  Much Ado About Nothing

February never fails to be seductive,  teasing of spring on a bright sunny day and the next day all hope is dashed by a frosty wind cutting through layers of clothing.  There is a hint of green in the pastures but the deepening mud is sucking at our boots.  The snowdrops and crocus are up and blooming, but the brown leaves from last summer still cling tenaciously to oak branches, appearing as if they will never ever let go to make room for a new leaf crop.

A February face is tear-streaked and weepy, winter weary and spring hungry.  Thank goodness it is a short month or we’d never survive the glumminess of a month that can’t quite decide whether it is done with us or not.

So much ado.
So much nothing.
So much anything that becomes everything.

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.




The Life That I Try

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Let there be not only the roses,
Not only the buds of the day,
But the noon and the hour that discloses
The full flower torn away:

Not only the bliss and the sweet
When the sun is soft and low,
But the weary aching of feet
Tired out by the harrow and hoe:

Not only the gazing and sighing
Where the heather stands thick on the moor,
But the lonely watch and the crying,
With hunger awake at the door:

Not only the wonder of reaping
The fruit that hangs red on the bough,
But the strain and the stagger of creeping
In the brown wake of the plough.

Let this be the way that I go,
And the life that I try,
My feet being firm in the field,
And my heart in the sky.
~Philip Britts from Water at the Roots

 

 

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Within each day of each life
hides the joy of discovery
despite the weariness.

The truth of it is:
a hunger and ache consume me
if I don’t seek out and harvest beauty
growing in each moment.

Though my boots are dusty
and my steps less sure,
the life I try on each day
is the certainty of a heart in bloom.

 

 

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Heart Strung on Tethers

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A weaver, this spider, she plays her eight thin
black legs and their needle-nail toes across
the threads faster, more precisely, than a harpist
at concert can pluck the strings in pizzicato.

Although blind at night, she nevertheless
fastens a thread to a branch of chokecherry
on one side of the path, links it to a limb
of shining sumac opposite, latches the scaffold
to ground stone and brace of rooted grasses.
And the structure takes dimension.

Skittering upside down across and around,
she hooks the hooks, knots the widening
spirals, the tightened radii, orbs and hubs,
bridges and bridgeheads. We can never hear
the music she makes as she plucks her silk
strings with all the toes and spurs and tarsal
tufts of her eight legs at once. She performs
the reading of her soul.

She expands the sky, her completed grid
a gamble, a ploy played on the night. The silk
is still, translucent and aerial, hanging in a glint
of half-moon. The work is her heart strung
on its tethers, ravenous, abiding.
~Pattiann Rogers from  “Hail, Spirit”

 

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I too often feel stretched between several points as well.

I attach to important touch points and I weave between them, sometimes not sure where I’ll land or what I’ll connect with or what I’ll leave behind.

Sometimes what I create is beautifully delicate and functional.
Sometimes it is blurry and out of focus.
The center doesn’t always hold.  The tethers loosen.  The periphery frays.

But it was once something.  That’s all that matters.

 

 

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Into Each Life Some Rain Must Fall

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The day is cold, and dark, and dreary;
It rains, and the wind is never weary;
The vine still clings to the mouldering wall,
But at every gust the dead leaves fall,
And the day is dark and dreary.

My life is cold, and dark, and dreary;
It rains, and the wind is never weary;
My thoughts still cling to the mouldering Past,
But the hopes of youth fall thick in the blast,
And the days are dark and dreary.

Be still, sad heart! and cease repining;
Behind the clouds is the sun still shining;
Thy fate is the common fate of all,
Into each life some rain must fall,
Some days must be dark and dreary.
~Henry Wadsworth Longfellow’s “The Rainy Day”

 

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One thing I notice about raindrops
(in a lifetime of paying attention)
~each holds within an inner light carried to earth from the heavens~
from remembered Sun above the clouds.
The Sun is still up there somewhere
and I just was sprinkled with it.
Drenched in fact.

 

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Fully Sufficient

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There are a thousand thousand reasons to live this life, every one of them sufficient.
Marilynne Robinson in Gilead

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There are a thousand thousand people on any given day who cannot think of one sufficient reason to live this life.
There are a few thousand who will decide this is their last day.
There are a few who say goodbye.

It is enough for me to find just one reason to live today.
It is enough for me to help someone else find just one reason today.
One is enough.
Fully sufficient.

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A Great Door That Does Not Look Like a Door

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And as you sit on the hillside, or lie prone under the trees of the forest, or sprawl wet-legged on the shingly beach of a mountain stream, the great door, that does not look like a door, opens.
~Stephen Graham from The Gentle Art of Tramping

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That great door opens on the present, illuminates it as with a multitude of flashing torches.
~Annie Dillard (in response to the Graham’s quote) from Pilgrim at Tinker Creek

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There is a second or two in each day
(and some days I must watch hard for it)
when there is a moment of illumination
like a multitude of flashing torches,
when I can see just beyond what is here and now.
It feels like a promise.

When I miss it,
this opened door that is not a door~
too busy to notice-
too blinded to see-
having turned my face away,
nevertheless it happens without my witness.

It saddens and gladdens my heart to know that
it will be offered up again tomorrow.

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Inviting a Song

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Keep a green tree in your heart and perhaps a singing bird will come–
~Chinese Proverb

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photo by Harry Rodenberger

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I regularly need reminding that what I offer up from my heart predicts what I will receive there.

If I’m grumbling and breaking like a dying vine instead of a vibrant green tree~~~
coming up empty and hollow with discouragement,
entangled in the cobwebs and mildew of worry,
only gobbling and grousing~~~
then no singing bird will come.

It is so much better to nurture the singers of joy and gladness with a heart budding green with grace and gratitude, anticipating and expectant.

My welcome mat is out and waiting.

The symphony can begin any time now…

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Taking a Moment (or a day) to Rest

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As we drown in the overwhelm of modern day health care duties, most physicians I know, including myself, fail to follow their own advice. Far too many of us have become overly tired, irritable and resentful about our work load.  It is difficult to look forward to the dawn of the next work day.

Medical journals and blogs label this as “physician burn-out” but the reality is very few of us are so fried we want to abandon practicing medicine. Instead we are weary of being distracted by irrelevant busy work from what we spent long years training to do: helping people get well, stay well and be well, and when the time comes, die well.

Instead we are busy documenting-documenting-documenting for the benefit of insurance companies and to satisfy state and federal government regulations. Very little of this has anything to do with the well-being of the patient and only serves to lengthen our work days –interminably.

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Today I decided to take a rare mid-week day off at home to consider the advice we physicians all know but don’t always allow ourselves to follow:

1) Sleep. Plenty. Weekend and days-off naps are not only permitted but required. It’s one thing you can’t delegate someone else to do for you. It’s restorative and it’s necessary.

2) Don’t skip meals because you are too busy to chew. Ever. Especially if there is family involved.

3) Drink water throughout the work day.

4) Because of 3) go to the bathroom when it is time to go and not four or even eight hours later.

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5) Nurture the people (and other breathing beings) who love and care for you because you will need them when things get rough.

5) Exercise whenever possible. Take the stairs. Park on the far side of the lot. Dance on the way to the next exam room.

6) Believe in something more infinite than you are as you are absolutely finite and need to remember your limits.

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7) Weep if you need to, even in front of others. Holding it in hurts more.

8) Time off is sacred. When not on call, don’t take calls except from family and friends. No exceptions.

9) Learn how to say no gracefully and gratefully —try “not now but maybe sometime in the future and thanks for thinking of me”.

10) Celebrate being unscheduled and unplanned when not scheduled and planned.

11) Get away. Far away. Whenever possible. The back yard counts.

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12) Connect regularly with people and activities that have absolutely nothing to do with medicine and health care.

13) Cherish co-workers, mentors, coaches and teachers that can help you grow and refine your profession and your person.

14) Start your work day on time. End your work day a little before you think you ought to.

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15) Smile at people who are not expecting it, especially your co-workers. Smile at people who you don’t think warrant it. If you can’t get your lips to smile, smile with your eyes.

16) Take a day off from caring for others to care for yourself.  Even a hug from yourself counts as a hug.

17) Practice gratitude daily. Doctoring is the best work there is anywhere and be blessed by it even on the days you prefer to forget.

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