For My Soul: This is Going to Hurt

September.
Second-year medical student.
An early patient interview
at the Massachusetts General Hospital
Routine hernia repair planned, not done.
Abdomen opened and closed.
Filled with disease, cancer.

The patient is fifty-six,
a workingman, Irish
I sit with him, notice
the St. Christopher medal
around his neck.
Can’t hurt, can it? he laughs.
I have become his friend.

I bring him a coloring book picture
that shows this thing, this unfamiliar
organ that melted beneath our hands
at dissection:
Pancreas.

Leaving his room, crying,
avoiding classmates,
I take the back stairs.
I find myself locked,
coatless in the courtyard outside.

~Kelley Jean White “Pandora”

At seventeen years old, I thought I had things figured out. I had graduated near the top of my senior class, was heading off to college, and felt confident about who I was becoming. I had attended church all my life but my commitment to my faith was actually waning rather than strengthening.

In anticipation of college tuition bills, I took a summer job at a local nursing home for $1.25 an hour as a nurses’ aide. My total training was two days following a more experienced aide on her rounds of feeding, pottying, dressing and undressing, and bathing her elderly patients. Then I was assigned patients of my own and during a typical shift I carried a load of 13 patients. It didn’t take long for me to learn the rhythm of caretaking, and I enjoyed the work and my patients.

One woman in particular remains vivid in my memory 52 years later. Irene was in her 80’s with no nearby family, bedridden with a painful bone disease that had crippled her for a decade or more. She was unable to do any of her own self care but her mind remained sharp and her eyes bright. Her hearty greeting cheered me when I’d come in her room several times a shift to turn her on her egg-crate mattress bed to prevent pressure sores on her hips and shoulders.

The simple act of turning her in her bed was an ordeal beyond imagining – it always hurt her. I felt as though I was impaling her on hundreds of sharp needles.

I would prepare her for the turn by cushioning her little body with pads and pillows, but no matter how careful I was, her brittle bones would crackle and crunch like Rice Crispies cereal with every movement. Tears would flow from her eyes and she’d always call out “Oh Oh Oh Oh” during the process but then once settled in her new position, she’d look up at me and say “thank you, dear, for making that so much easier for me.”

I would nearly weep in gratitude at her graciousness when I could do so little to alleviate her suffering.

Before I’d leave the room, Irene would grab my hand and ask when I would be returning. Then she’d say “I know the Lord prepared you to take care of me” and she would murmur a prayer to herself.

As difficult as each “turning” was for both of us, I started to look forward to it. I knew she prayed not only for herself, but I knew she prayed for me as well. I felt her blessing each time I walked into her room knowing she was waiting for me. She trusted me to do my best.

One evening I came to work and was told Irene was running a high fever, and struggling to breathe. She was being given oxygen and was having difficulty taking fluids. The nurse I worked under asked that I check Irene more frequently than my usual routine.

As I approached her bed, Irene reached out and held my hand. She was still alert but very weak. She looked me in the eye and said “You know the Lord is coming for me today?” All I could say was “I know you have waited for Him a long time.” She murmured “Come back soon” and closed her eyes.

I returned to her room as often as I could and found her becoming less responsive, yet still breathing, sometimes short shallow breaths and sometimes long and deep. Near the end of my shift, as morning was dawning, when I entered the room, I knew He had come for her.

She lay silent and relaxed for the first time since I had met her. Her little body, so tight with pain only hours before, seemed at ease. It was my job to prepare her for the mortuary workers who would soon come for her. Her body still warm to touch, I washed and dried her skin and brushed her hair and wrapped her in a fresh sheet, wondering at how I could now turn her easily with no pain and no tears. I could see a trace of a smile at the corners of her mouth. I knew then the Lord had lifted her soul from her imprisonment. He had rewarded her faithful perseverance.

I rejoice in the hope of the glory of the Lord, thanks to Irene. She showed me what it means to watch for the morning when He will come. Though immobile in bed, crippled and wracked with pain, her perseverance led to loving a young teenager uncertain in her faith, and helped point me to my future profession in medicine.

Irene brought the Lord home to me when she went home to Him.

And we rejoice in the hope of the glory of God. Not only so, but we also rejoice in our sufferings, because we know that suffering produces perseverance
Romans 5:2b-3

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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To Bear the Dreadful Curse: Every Limb Lit

My sorrow’s flower was so small a joy
It took a winter seeing to see it as such.
Numb, unsteady, stunned at all the evidence
Of winter’s blind imperative to destroy,
I looked up, and saw the bare abundance
Of a tree whose every limb was lit and fraught with snow.
What I was seeing then I did not quite know
But knew that one mite more would have been too much.
~Christian Wiman “After a Storm” from Once in the West: Poems

Though a weak branch strains mightily to bear
a summer’s bounty of fruit without breaking, it will sustain the load.

Then comes winter wind and ice storms
and a snowflake becomes the mite too much.

Even so, a painful pruning is endured,
when even the strongest limbs are trimmed back,
urged to fearlessly grow on and be more fruitful.

I am the true vine, and my Father is the gardener.  He cuts off every branch in me that bears no fruit, while every branch that does bear fruit he prunes so that it will be even more fruitful. 
John 15: 1-2

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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When to That Bright World We Arise: Listen, Watch, Wait

Rain. An excuse to stand at the window
And listen, watch, wait. Listen: to the hush
Of the house as still as a dark burrow
Where an animal hides. Listen: the rush
Of occasional gusts, then the stillness.

Watch: the wrens hopping from stem to wet stem
Their happy bearing in contrast to titmice
Who always seem afraid. Watch: the mayhem
That strikes when the grumpy bluejay, twice
As big as the rest, frumps onto a branch.

Wait: for what? For the steady rain to cease.
Wait: for the fair sunlight to avalanche
Down from space and remake the world again.
Then let my steps be fearless, like the wren.
~Andrew Peterson “Lenten Sonnet”

bluejay photo by Josh Scholten

I’m the child of rainy Sundays.
I watched time crawl
Like an injured fly
Over the wet windowpane.
Or waited for a branch
On a tree to stop shaking,
While Grandmother knitted
Making a ball of yarn
Roll over like a kitten at her feet.
I knew every clock in the house
Had stopped ticking
And that this day will last forever.
~Charles Simic “To Boredom”

I’m never bored on a quiet rainy Sunday.

My list of to-do’s
and want-to-do’s
and hope-to-do’s
and someday-maybe-if-I’m-lucky-to-do’s
is longer than the days still left to me.

I cherish these Sabbaths
when the clock stops, and “to-do’s” will wait.
Time suspends itself above me,
~dangling~
and the day lasts forever.

Sunday evening scaries in anticipation of Monday
are prayed away.

On a drizzly day of rest and gratitude, the world is remade,
eternity moves a little closer, my steps become more fearless
and the new week is yet another part of the journey.

Does the rain have a father?
    Who fathers the drops of dew?
Job 38:28

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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I’ll Sing and Joyful Be: In Brokenness and Need

Suddenly I knew,
when we stood in a circle
holding hands;
suddenly I knew,
that because of the circle,
because of friendship,
because of love—
yes, and because of the brokenness,
and the need—
I have been
in heaven
all
my life.
~Carol Bialock “I Used to Think Heaven was Future” from Coral Castles

The church, I think, is God’s way of saying,
“What I have in the pot is yours,
and what I have is a group of misfits
whom you need more than you know
and who need you more than they know.” 

“Take, and eat,” he says,
“and take, and eat,
until the day, and it is coming,
that you knock on my door.
I will open it, and you will see me face to face.”

He is preparing a table.
He will welcome us in.
Jesus will be there, smiling and holy,
holding out a green bean casserole.
And at that moment, what we say, what we think, and what we believe will be the same:
“I didn’t know how badly I needed this.”
~Jeremy Clive Huggins from “The Church Potluck”

…when I experienced the warm, unpretentious reception of those who have nothing to boast about, and experienced a loving embrace from people who didn’t ask any questions, I began to discover that a true spiritual homecoming means a return to the poor in spirit to whom the kingdom of heaven belongs.
~Henri Nouwen from The Return of the Prodigal Son

The journey begins when Christians leave their homes and beds. They leave, indeed, their life in this present and concrete world, and whether they have to drive 15 miles or walk a few blocks, a sacramental act is already taking place…

For they are now on their way to constitute the Church, or to be more exact, to be transformed into the Church of God. They have been individuals, some white, some black, some poor, some rich, they have been the ‘natural’ world and a natural community. And now they have been called to “come together in one place,” to bring their lives, their very world with them and to be more than what they were: a new community with a new life.

We are already far beyond the categories of common worship and prayer. The purpose of this ‘coming together’ is not simply to add a religious dimension to the natural community, to make it ‘better’ – more responsible, more Christian. The purpose is to fulfill the Church, and that means to make present the One in whom all things are at their end, and all things are at their beginning.
~ Father Alexander Schmemann from For the Life of the World

We’ve been through fire, we’ve been through pain
We’ve been refined by the power of Your name
We’ve fallen deeper in love with You
You’ve burned the truth on our lips

Rise up church with broken wings
Fill this place with songs again
Of our God who reigns on high
By his grace again we’ll fly

~Robin Mark from “Shout to the North and the South”

photo by Barb Hoelle

There is so much wrong with the modern church,
comprised as it is
of fallen people
with broken wings
determined to find flaws in each other
in doctrine, tradition, beliefs.

What is right with the church today,
is when it offers a taste of heaven for
hopeful people who come together
in sanctuary, barn and field, eucharist table and potluck,
to hold each other up in prayer
and to sing in worship
to the Three in One,
who is why we sing,
whose body we are part of
and who, in our need, loves and forgives us
despite our motley messiness:
Our Lord of Heaven and Earth.

I appeal to you, brothers and sisters, in the name of our Lord Jesus Christ, that all of you agree with one another in what you say and that there be no divisions among you, but that you be perfectly united in mind and thought.
1 Corinthians 1:9-10

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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What Wondrous Love: Something Way Down Deep

We all know that something is eternal. 
And it ain’t houses and it ain’t names, 
and it ain’t earth, and it ain’t even the stars 
. . . everybody knows in their bones that something is eternal, 
and that something has to do with human beings. 
All the greatest people ever lived have been telling us that 
for five thousand years and yet you’d be surprised 
how people are always losing hold of it. 
There’s something way down deep 
that’s eternal about every human being.
~Thornton Wilder, from “Our Town”

Love bade me welcome. Yet my soul drew back
Guilty of dust and sin.
But quick-eyed Love, observing me grow slack
From my first entrance in,
Drew nearer to me, sweetly questioning,
If I lacked any thing.

A guest, I answered, worthy to be here:
Love said, You shall be he.
I the unkind, ungrateful? Ah my dear,
I cannot look on thee.
Love took my hand, and smiling did reply,
Who made the eyes but I?

Truth Lord, but I have marred them: let my shame
Go where it doth deserve.
And know you not, says Love, who bore the blame?
My dear, then I will serve.
You must sit down, says Love, and taste my meat:
So I did sit and eat.

~George Herbert “Love III”

Write as if you were dying.
At the same time, assume you write for an audience consisting solely of terminal patients.
That is, after all, the case.
~Annie Dillard from “Write Till You Drop”

I began to write regularly after September 11, 2001 because more than on any previous day, it became obvious to me I was dying, though more slowly than the thousands who vanished that day in fire and ash, their voices obliterated with their bodies into eternity.  

Nearly each day since, while I still have voice and a new dawn to greet, I speak through my fingers to others dying with and around me.

We are, after all, terminal patients — some of us more prepared than others to move on — as if our readiness had anything to do with the timing.

Each day I get a little closer to the eternal, but I write in order to feel a little more ready.  Each day I want to detach just a little bit, leaving a trace of my voice behind.  Eventually, through unmerited grace, so much of me will be left on the page there won’t be anything or anyone left to do the typing.

There is no time or word to waste.

Listen, I tell you a mystery: 
We will not all sleep, but we will all be changed— in a flash, in the twinkling of an eye, at the last trumpet.
1 Corinthians 15: 51-52

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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When I Was Sinking Down: Entering Empty Time

When the rhythm of the heart becomes hectic,
Time takes on the strain until it breaks;
Then all the unattended stress falls in
On the mind like an endless, increasing weight.

The light in the mind becomes dim.
Things you could take in your stride before
Now become laborsome events of will.

Weariness invades your spirit.
Gravity begins falling inside you,
Dragging down every bone.

The tide you never valued has gone out.
And you are marooned on unsure ground.
Something within you has closed down;
And you cannot push yourself back to life.

You have been forced to enter empty time.
The desire that drove you has relinquished.
There is nothing else to do now but rest
And patiently learn to receive the self
You have forsaken in the race of days.

At first your thinking will darken
And sadness take over like listless weather.
The flow of unwept tears will frighten you.

You have traveled too fast over false ground;
Now your soul has come to take you back.

Take refuge in your senses, open up
To all the small miracles you rushed through.

Become inclined to watch the way of rain
When it falls slow and free.

Imitate the habit of twilight,
Taking time to open the well of color
That fostered the brightness of day.

Draw alongside the silence of stone
Until its calmness can claim you.
Be excessively gentle with yourself.

Stay clear of those vexed in spirit.
Learn to linger around someone of ease
Who feels they have all the time in the world.

Gradually, you will return to yourself,
Having learned a new respect for your heart
And the joy that dwells far within slow time.

~John O’Donahue “For One Who Is Exhausted, a Blessing”

I know from experience that when I allow busy little doings to fill the precious time of early morning, when contemplation might flourish, I open the doors to the demon of acedia. Noon becomes a blur – no time, no time – the wolfing down of a sandwich as I listen to the morning’s phone messages and plan the afternoon’s errands.

When evening comes, I am so exhausted that vespers has become impossible. It is as if I have taken the world’s weight on my shoulders and am too greedy, and too foolish, to surrender it to God.
~Kathleen Norris from The Quotidian Mysteries

These are days with no breathing room,
no time to stop and appreciate
that each moment is a swelling bud
about to burst into bloom.

And it is my fault
that I’m not breathing deeply enough~
simply skimming the surface
in my race to the end of the day.

Time’s petals, so open, so brilliant, so eternal,
are closing up, unseen and unknown, just emptied,
without my even noticing.

Do you not know?
    Have you not heard?
The Lord is the everlasting God,
    the Creator of the ends of the earth.
He will not grow tired or weary,
    and his understanding no one can fathom.
 He gives strength to the weary
    and increases the power of the weak.
Isaiah 40:28-29

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

Sing, Be, Live, See.
This dark stormy hour,
The wind, it stirs.
The scorched earth cries out in vain:
O war and power,
You blind and blur,
The torn heart cries out in pain.
But music and singing
Have been my refuge,
And music and singing
Shall be my light.
A light of song,
Shining Strong: Alleluia!
Through darkness, pain, and strife,
I’ll Sing, Be, Live, See…
Peace.

Oh, good shepherd, would you teach me how to rest
I’m rushing on, will you make me to lie down
Will you build a fold by the waters that refresh
Will you call my name and lead me safely out

From my anxious drive to labor on and on
From the restless grind that has put my mind to sleep
Will you call me back and gently slow me down
Will you show me now what to lose and what to keep

Oh, good shepherd, oh, good friend
Slow me down, slow me down
Oh, good shepherd, oh, good friend
Slow me down, slow me down

When my table’s bent with only greed and gold
And my grasping hands are afraid you won’t provide
Will you pour the wine that loosens up my hold
Set your table here with what truly satisfies

Oh, good shepherd, oh, good friend
Slow me down, slow me down
Oh, good shepherd, oh, good friend
Slow me down, slow me down

On the busy streets trying to make myself a name
If the work is yours, there is nothing I can claim
Will you lead me home to the pastures of your peace
And the house is yours, I’m sitting at your feet

Oh, good shepherd, oh, good friend
Slow me down, slow me down
Oh, good shepherd, oh, good friend
Slow me down, slow me down

Slow me down, slow me down

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When I Was Sinking Down: The Ache in My Heart

Your cold mornings are filled
with the heartache about the fact that although
we are not at ease in this world, it is all we have,
that it is ours but that it is full of strife,
so that all we can call our own is strife;
but even that is better than nothing at all, isn’t it?

…rejoice that your uncertainty is God’s will
and His grace toward you and that that is beautiful,
and part of a greater certainty…

be comforted in the fact that the ache in your heart
and the confusion in your soul means that you are still alive,
still human, and still open to the beauty of the world,
even though you have done nothing to deserve it.
~Paul Harding in Tinkers

I think there is no suffering greater than
what is caused by the doubts of those who want to believe. 

I know what torment this is, but I can only see it, 
in myself anyway, as the process by which faith is deepened. 
What people don’t realize is how much religion costs. 
They think faith is a big electric blanket, 
when of course it is the cross. 
It is much harder to believe than not to believe. 
If you feel you can’t believe, you must at least do this: 
keep an open mind. 
Keep it open toward faith, 
keep wanting it, 
keep asking for it, 
and leave the rest to God.
~Flannery O’Connor from The Habit of Being: Letters of Flannery O’Connor

Nothing that comes from God, even the greatest miracle, can be proven like 2 x 2 = 4. It touches one; it is only seen and grasped when the heart is open and the spirit purged of self. Then it awakens faith.  … the heart is not overcome by faith, there is no force or violence there, compelling belief by rigid certitudes.  What comes from God touches gently, comes quietly; does not disturb freedom; leads to quiet, profound, peaceful resolve within the heart.
~Romano Guardini from The Living God

On my doubting days, days too frequent and tormenting,
I recall how the risen Christ
invited Thomas to place his hand in His wounds,
gently guiding Thomas to His reality,
so it became Thomas’s new reality.
Thomas left it up to a God whose
open wounds called out
Thomas’s mind and heart.
Christ’s flesh and blood
awakened a hidden faith
by a simple touch.

…he said to Thomas, “Put your finger here; see my hands. Reach out your hand and put it into my side. Stop doubting and believe.”
Thomas said to him, “My Lord and my God!”
John 20: 27-28

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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To God and to the Lamb: We Would See Him

The sacred moments,
the moments of miracle,
are often the everyday moments,
the moments which,
if we do not look with more than our eyes or listen with more than our ears reveal only…
a gardener,
a stranger coming down the road behind us,
a meal like any other meal.
But if we look with our hearts,
if we listen with all our being and imagination..
what we may see is Jesus himself.
~Frederick Buechner from The Magnificent Defeat

Farmer with a pitchfork by Winslow Homer

We can be blinded by the everyday-ness of it:
A simple loaf of bread is a meal we take for granted.
A gardener looks up and smiles as he hoes a row of weeds,
trying to restore order in chaos.
A wanderer along the road catches up to engage in conversation.

Every day contains millions of everyday moments lost and forgotten, seemingly meaningless.

Perhaps we would see Jesus if only we opened our eyes
and listened with our ears.
At the table, on the road, in the garden at sunrise.

With the new vision we have been given, we discover:
there is nothing everyday about the miracle of Him abiding with us –
always in plain sight.

“Sir,” they said, “we would like to see Jesus.”
John 12: 21

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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God’s Righteous Frown: With Steady Gaze

Directly in front of me
he is here,
him on this quiet morning
in a room of the Byzantine Museum, Athens,
in the hundred-degree heat and dust
of a city not yet fully awake.
Here, and I am suddenly confronted—
the oldest icon in existence—with
his image.

The rest of the room evaporates,
and all I see is him:
Pure mystery, great and wondrous,
dizzying and terrible.

How can wood and pigment
egg yolk and animal skin convey
such ethereal truth,
intensify the power,
captivate Christian eye and heart?

Christ of Sinai looks at me
with steady gaze.
His eyes—the famed twins
Justice and Mercy—
see straight through me
piercing the whitewashed tomb
of my exterior till it hurts.
One eye is dark, foreboding
shadows between the brow and lid
deepening and on the verge of righteous anger—
the other eye embraces all
even my unworthy soul.
I stand and cannot pray. My eyes swell with tears.
I cannot look anymore.

~Ed Higgins from “Icon: Christ of Sinai” from Near Truth Only 

Icon of Christ Pantocrator

I was not raised with religious icons. I have little understanding about how they may comfort and encourage those who value and even worship them. Yet I do understand inspiring art and words may deepen our faith in God. This has been true for millennia.

This particular Byzantine icon, the oldest known of Christ, is preserved from the 6th century, an early representation with an intense gaze from eyes that are both from man and God.

I look for tears in those eyes. My own fill up knowing Christ is able to see the depths beyond my white-washed exterior.

I look away, ashamed.

Because He sees what we try to keep from Him, Jesus weeps,
knowing the truth about us, yet loving us anyway.

the right and left sides of the icon shown in mirror image, illustrating the dual nature of divine and human

You are like whitewashed tombs, which look beautiful on the outside but on the inside are full of the bones of the dead and everything unclean.
Matthew 23:27

Detail from “Descent from the Cross” by Rogier van der Weyden

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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A Trace of Peace

I don’t know where prayers go,
or what they do.
Do cats pray, while they sleep
half-asleep in the sun?
Does the opossum pray as it
crosses the street?
The sunflowers? The old black oak
growing older every year?
I know I can walk through the world,
along the shore or under the trees,
with my mind filled with things
of little importance, in full
self-attendance. A condition I can’t really
call being alive.
Is a prayer a gift, or a petition,
or does it matter?
The sunflowers blaze, maybe that’s their way.
Maybe the cats are sound asleep. Maybe not.

While I was thinking this I happened to be standing
just outside my door, with my notebook open,
which is the way I begin every morning.
Then a wren in the privet began to sing.
He was positively drenched in enthusiasm,
I don’t know why. And yet, why not.
I wouldn’t persuade you from whatever you believe
or whatever you don’t. That’s your business.
But I thought, of the wren’s singing, what could this be
if it isn’t a prayer?
So I just listened, my pen in the air.

~Mary Oliver “I Happened to be Standing” from A Thousand Mornings

For all
the pain

passed down
the genes

or latent
in the very grain

of being;
for the lordless

mornings,
the smear

of spirit
words intuit

and inter;
for all

the nightfall
neverness

inking
into me

even now,
my prayer

is that a mind
blurred

by anxiety
or despair

might find
here

a trace
of peace.

~Christian Wiman “Prayer” from Once in the West: Poems 

Each morning, I say a prayer that I might find something of value to share here.

Maybe what I offer is a bit of glue to help heal a broken heart, or a balm to soothe a worried mind, or it touches a place of pain so it might hurt less. 

Maybe a song becomes a poignant reminder, or an image might capture the eye.

What might the beauty in the world and in words be but a kind of prayer offered to our Creator? Why not listen, even for a moment, to the purring cat and the singing wren to hear a prayer of thanks and joy they offer in their own way?

Prayer is breath combined with need.

We are capable of just such a silent dialogue with God, breathed out in thanksgiving and breathed in deep during desperate times.

I too know about worry, and hurting, and the need for glue. Within prayer is a trace of peace. So I listen, waiting.

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