Striking a Balance

hungup
giantcedarsboardwalk

Knowing God without knowing our own wretchedness
makes for pride.
Knowing our own wretchedness without knowing God
makes for despair.
Knowing Jesus Christ strikes the balance
because he shows us both God and our own wretchedness.
~Blaise Pascal
from Pensées

dandyglow3

We yearn for perfection,
to be flawless and faultless,
unblemished,
aiming for symmetry,
remaining straight and smooth.

Life serves up something
far different
and our eye searches
for what is broken like us:
to find the cracks,
scratches and damage,
whether it is in
a master’s still life portrait
replete with crawling flying insects
and broken blossoms,
or in the not so still life
of what is around us.

Somehow Christ bridges
Himself between God and us,
becoming a walkway for the wretched.

In the beginning we were created
unblemished,
image bearers of perfection.

No longer.

We bear witness to brokenness
with our shattered lives,
fragile minds and weakening bodies.
It is our leaks and warts
that stand out now.

To restore
our lost relationship with Him,
Christ strikes the balance
and bridges the gap;
He hung broken to mend us,
to lift and carry us over the chasm,
binding us to Him
forever.

huysum
Still Life With Flowers–Jan Huysum
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You Think You Know…

Wind and the sound of wind—
across the bay a chainsaw revs
and stalls. I’ve come here to write,

but instead I’ve been thinking
about my father, who, in his last year,
after his surgery, told my mother

he wasn’t sorry—that he’d cried
when the other woman left him,
that his time with her

had made him happier than anything
he’d ever done. And my mother,
who cooked and cleaned for him

all those years, cared for him
after his heart attack, could not
understand why he liked the other

woman more than her,
but he did. And she told me
that after he died she never went

to visit his grave—not once.
You think you know them,
these creatures robed

in your parents’ skins. Well,
you don’t. Any more than you know
what the pines want from the wind,

if the lake’s content with this pale
smear of sunset, if the loon calls
for its mate, or for another.

~Jon Loomis “At the Lake House” from The Mansion of Happiness

I thought I knew my parents as well as I knew myself,
certain that their love for each other
was the foundation of our family.

When it fell apart, I came apart too.

It was as if I no longer knew myself,
since I came from them.

It took a decade of tears
for them to find their way back
to become family again.

Even so, the scar remained,
although glued and smoothed,
a love that once seemed so solid, so forever.

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A Human Being, Not a Human Doing

There comes the strangest moment in your life,
when everything you thought before breaks free—
what you relied upon, as ground-rule and as rite
looks upside down from how it used to be.

Your heart’s in retrograde. You simply have no choice.
Things people told you turn out to be true.
You have to hold that body, hear that voice.
You’d have sworn no one knew you more than you.

How many people thought you’d never change?
But here you have. It’s beautiful. It’s strange.
~Kate Light from “There Comes the Strangest Moment” in
 Open Slowly

This disease of being “busy” (and let’s call it what it is, the dis-ease of being busy, when we are never at ease) is spiritually destructive to our health and wellbeing.

It saps our ability to be fully present with those we love the most in our families, and keeps us from forming the kind of community that we all so desperately crave.

Tell me you remember you are still a human being,
not just a human doing.
Tell me you’re more than just a machine,
checking off items from your to-do list.
Have that conversation, that glance, that touch.
Be a healing conversation,
one filled with grace and presence.

Put your hand on my arm, look me in the eye,
and connect with me for one second.
Tell me something about your heart, and awaken my heart.
Help me remember that I too am a full and complete human being…
~Omid Safi from The Disease of Being Busy

It has been nearly three years since I hung up my stethoscope. I’m no longer paid to be very busy. It isn’t feeling strange to wake up with no “job” to go to.

I still am vigorously treading water but with no destination in mind other than to stay afloat. It’s enough to just move and breathe in this new and strangely unfamiliar territory.

It was scary at first, backing off from all-consuming clinic responsibilities, yet knowing I was becoming less effective due to my diminishing passion and energy for the work. I’d been working in some capacity for over fifty years, starting in high school.

I could barely remember who I was before I became a physician.

So here I am — changed and changing — volunteering here and there, budding and blooming in new colors and shapes, exercising a different part of my brain, and simply praying I make good use of the time left to me, being something as worthwhile as what I had been doing.

So, once again, my days have become… strangely beautiful… in ways I could never have imagined.

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Brokenness Under Blessing

The great mystery of God’s love is that
we are not asked to live as if we are not hurting,
as if we are not broken.

In fact, we are invited to recognize our brokenness
as a brokenness in which we can come in touch
with the unique way that God loves us.

The great invitation is to live your brokenness under the blessing.

I cannot take people’s brokenness away 
and people cannot take my brokenness away.
 
But how do you live in your brokenness?

Do you live your brokenness under the blessing or under the curse? The great call of Jesus is to put your brokenness under the blessing.
~Henri Nouwen
from a lecture at Scarritt-Bennett Center

…be a glorified human being, with wounds.  God the Kintsugi master who beholds such brokenness in tender care, invites us, and asks of us, to be present in suffering and incalculable losses.  
… worship a Wounded Glorified Human Being, and be that ourselves. 
~Makoto Fujimura from Kinsugi Grace

It is a ceramic pot meant specially for our kitchen table — handmade by a potter friend using the abstract artistry of mane hairs from our farm’s Haflinger horses burnt onto the sides. But it hit the floor and broke into many pieces, looking completely beyond repair.

It is back on our table, repaired with love and care by another friend, using nothing more than copious amounts of Elmer’s Glue. This is the glue of every child’s school desk, the glue of every mother’s junk drawer, the glue of every heart that needs mending.

Elmer’s is not the gold of the Japanese art of kintsugiwhere broken vessels are repaired with precious metals, creating an object even more valuable and beautiful than before, with streaks and tracks of gold highlighting their shattered history.

Yet it is now even more precious to me. Someone we love cared deeply enough to make it in the first place, and another we love cared deeply to repair it, making it even more beautiful and blessed in its brokenness, highlighting ragged pieces made whole again.

Someone made us.
Someone repairs us when we fall apart.
Someone blesses our brokenness with a glued-together beauty that makes us whole.

Every day, as the sun goes down,
I pause, broken, remembering how often
I messed up that day, in big and small ways.
Cracked open, my mistakes are illuminated,
weighing down my heart, impossible to forget.
Yet, as I pray for mercy, there follows a peacefulness,
as my errors are blotted out. My slate, one more time, is wiped clean.

Therefore do not lose heart.

For God, who said, “Let light shine out of darkness,” made his light shine in our hearts to give us the light of the knowledge of God’s glory displayed in the face of Christ.

But we have this treasure in jars of clay to show that this all-surpassing power is from God and not from us. We are hard pressed on every side, but not crushed; perplexed, but not in despair; persecuted, but not abandoned; struck down, but not destroyed. 10 We always carry around in our body the death of Jesus, so that the life of Jesus may also be revealed in our body. 11 For we who are alive are always being given over to death for Jesus’ sake, so that his life may also be revealed in our mortal body. 12 So then, death is at work in us, but life is at work in you.

16 Therefore we do not lose heart.
2 Corinthinians: 6-12, 16

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To God and to the Lamb: Taking a Few More Steps

…the whole experience <of compline> is in some way a touching of the hem of Christ’s garment: something has been given, something disclosed. And the person holding a candle at compline may hear a call, and make a journey, as another stressed woman once did, from touching the hem of Christ’s garment to meeting him face to face.

… just occasionally, it opens into deeper things, on to more ultimate questions. Just occasionally, there is an opening of heart and soul, which in some sense the liturgy itself has made possible; and then it is that, just sometimes, someone takes a few more steps on that journey from the hem of his garment to the light of his countenance.
~Malcolm Guite from Poet’s Corner

Most of us are like that desperate woman hoping for healing by reaching out to touch the hem of His robe – ashamed to be so needy, hoping to go unnoticed, not actually wanting to bother anyone, but still helpless – so very helpless.

He knows when we reach out in desperation; He feels it.

So He lifts us up as we begin our journey to His light – from a touch of His hem to seeing His face.

It starts with reaching out. It starts with taking a few more steps.

And Jesus, perceiving in himself that power had gone out from him, immediately turned about in the crowd and said, “Who touched my garments?”  And he looked around to see who had done it. But the woman, knowing what had happened to her, came in fear and trembling and fell down before him and told him the whole truth. 3And he said to her, “Daughter, your faith has made you well; go in peace, and be healed of your disease.”
Mark 5: 30. 32-34

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

Before the ending of the day,
Creator of the world, we pray
That with Thy wonted favour Thou
Wouldst be our guard and keeper now.

From all ill dreams defend our eyes,
From nightly fears and fantasies;
Tread under foot our ghostly foe
That no pollution we may know.

O Father, that we ask be done
Through Jesus Christ, thine only Son,
Who with the Holy Ghost and Thee
Dost live and reign eternally.

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When I Was Sinking Down: Guttering the Pain

For the bark, dulled argent, roundly wrapped
And pigeon-collared.

 
For the splitter-splatter, guttering
Rain-flirt leaves.

 
For the snub and clot of the first green cones,
Smelted emerald, chlorophyll.

 
For the scut and scat of cones in winter,
So rattle-skinned, so fossil-brittle.

 
For the alder-wood, flame-red when torn
Branch from branch.

 
But mostly for the swinging locks
Of yellow catkins.

 
Plant it, plant it,
Streel-head in the rain.

~Seamus Heaney “Planting the Alder” with an explanation of some of the poet’s poetic words here

I’ve worked in many medical settings, and have seen lots of illnesses and injuries over 40+ years of doctoring. Despite all that experience, I really don’t do well with badly broken bones. Basic wrists and fingers and ankles are no problem but open compound and comminuted fractures (i.e. “crushed bones”) are downright terrifying. It appears to me they can never be pieced back together. Even looking at the xrays makes me cringe. I avoided doing a surgical orthopedic rotation during my training because I knew I’d have issues with the saws and the smells involved in fixing bad fractures. And witnessing the pain is unforgettable – there are few things that hurt more.

In early spring 2008, my 87 year old mother shattered her lower femur trying to stand up after getting down on her hands and knees to retrieve a pill that had dropped to the floor and rolled under her desk. The pain was overwhelming until the paramedics managed to immobilize her leg in an air cast for transport to the ER. As long as her leg wasn’t moved, she was quite comfortable– in fact overjoyed to see me in the middle of a workday when I arrived at the hospital. She was so chatty that when she was asked by the ER doctor “how did this happen?” she launched into a long description of just how she had dropped the pill, where it had rolled, and what pill it was, what color it was, why she was taking it, etc etc. I started to get antsy, knowing how busy the Doc was and said, with just a *wee bit* of irritation, “Mom, he doesn’t need to know all that. Just tell him what happened when you tried to stand up.”

That did it.

Now it wasn’t just her leg that hurt, it was her feelings too, including her own sense of responsibility for what had happened, and her tears started to flow. The ER doc shot me a sideways glance that clearly said “now look what you’ve done” and then took my Mom’s hand tenderly, looking her straight in the eye and said, “That’s all right, these things happen despite our best intentions—you go right ahead and tell me the whole story, right from the beginning…”

So she did, completely reaffirmed and feeling absolved of her guilt that she had somehow done this to herself. Having been shown a caring and healing grace from a total stranger after her cherished physician daughter had totally blown Bedside Manners 101, she never really complained about the pain in her leg again.

Then it was my turn to feel guilty. Instead of planting the compassion she so badly needed in that moment, I guttered all her fear and pain together. It crushed her.

Her leg was quickly fixed with a rod and with physical therapy, she took a few steps with assistance. Sadly, she never again lived independently, and as happens so often with immobilized older people despite healed fractures, she died only eight months later. Bones heal but the spirit doesn’t. That spring day really was the beginning of the end for her, and in my heart, I knew that was likely to be the case. My irritation was about what I suspected was coming, and for what I knew it meant for her, but mostly for me.

What I had forgotten out of selfish self-concern and what I will not forget again: even the most horrendous pain can be relieved by compassionate grace. The crushed will stand, and walk, and thrive again with a gentle touch and a lot of love.

Let me hear joy and gladness;
let the bones you have crushed rejoice.

Psalm 51:8

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

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So Far Beyond Reach

Some people see scars, and it is wounding they remember. To me they are proof of the fact that there is healing.
~ Linda Hogan
from Solar Storms

(after Linda Hogan)

Nothing wants to suffer. Not the wind
as it scrapes itself against the cliff. Not the cliff

being eaten, slowly, by the sea. The earth does not want
to suffer the rough tread of those who do not notice it.

The trees do not want to suffer the axe, nor see
their sisters felled by root rot, mildew, rust. 

The coyote in its den. The puma stalking its prey.
These, too, want ease and a tender animal in the mouth

to take their hunger. An offering, one hopes, 
made quickly, and without much suffering.

The chair mourns an angry sitter. The lamp, a scalded moth.
A table, the weight of years of argument.

We know this, though we forget.

Not the shark nor the tiger, fanged as they are.
Nor the worm, content in its windowless world of soil and stone.

Not the stone, resting in its riverbed.
The riverbed, gazing up at the stars.

Least of all, the stars, ensconced in their canopy,
looking down at all of us— their offspring—


scattered so far beyond reach.
~Danusa Laméris “Nothing Wants to Suffer”

photo by Josh Scholten

We all arrive into this life helpless and needy, completely dependent on others to survive. If there wasn’t an intuitive tenderness in parents dedicated to caring for their young, there would be no tomorrow for any of us. Even God sent His only Son in a completely helpless state, knowing He would identify more closely with us.

Despite such care and protection, there are inevitable hurts and injuries as we are buffeted and bruised by life. The scars we bear remain proof of the gentle healing touch of our Creator. We are never so far beyond His reach that He can’t leave His mark on us.

We know this, even though we forget…
We are not so far beyond reach.
God Himself reminds us of His love by the scars He bears.

photo by Joel DeWaard

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Scars That Cry

between the rosebuds
and the thorns
the pine tree branches
with their needles
and kitty claws

my hands are
always bleeding

and turning up
scars that cry, “I’m alive,
I feel it. I feel it all”
and then falling
back into whispers
while my body
heals itself
one more time

~Juniper Klatt, I was raised in a house of water

Thorns, needles and claws are indeed part of everyday life. They often are a barrier to that which is sweet and good and precious.

They can tear us up, bloody us, make us weep, make us beg for mercy.

Yet thorns did not stop our search for Salvation, did not stop Goodness, did not stop the Promise of sweetness to come.

Our scars prove we’re alive and even having been hurt, our ability to heal will never give up.

photo by Nate Gibson
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A World Where Much is Missing

Leave a door open long enough,
a cat will enter.
Leave food, it will stay.
Soon, on cold nights,
you’ll be saying “Excuse me”
if you want to get out of your chair.
But one thing you’ll never hear from a cat
is “Excuse me.”
Nor Einstein’s famous theorem.
Nor “The quality of mercy is not strained.”
In the dictionary of Cat, mercy is missing.
In this world where much is missing,
a cat fills only a cat-sized hole.
Yet your whole body turns toward it
again and again because it is there.

~Jane Hirshfield “A Small-Sized Mystery” from Come, Thief.

The first time I saw him, it was just a flash of gray ringed tail
disappearing into autumn night mist as I opened the back door
to pour kibble into the empty cat dish on the porch:
just another stray cat among many who visit the farm.

A few linger and stay.

So he did, keeping a distance in the shadows under the trees,
a gray tabby with white nose and bib, serious yet skittish,
watching me as I moved about feeding dogs, cats, birds, horses,
creeping to the cat dish only when the others drifted away.

There was something in the way he held his head,
an oddly forward ear; a stilted swivel of the neck.
I startled him one day as he ate his fill at the dish.

He ran, the back of his head flashing red, scalp completely gone.

Not oozing, nor something new, but recent. A nearly mortal scar
from an encounter with coyote, or eagle or bobcat.
This cat thrived despite trauma and pain, tissue still raw, trying to heal.

He had chosen to live; life had chosen him.

My first thought was to trap him, to put him humanely to sleep
to end his suffering mercifully, in truth to end my distress at seeing him every day,
envisioning florid flesh even as he hunkered invisible
in the shadowlands of the barnyard.

Yet the scar did not keep him from eating well or licking clean his pristine fur.

As much as I wanted to look away, to avoid confronting his mutilation,
I always greeted him from a distance, a nod to his maimed courage,
through wintry icy blasts and four foot snow,
through spring rains and summer heat with flies.

His wounds remained always visible,
a reminder of his inevitable fate.

I never did stroke that silky fur,
or feel his burly purr, assuming he still knew how,
but still fed his daily fill,
as he fed my need to know:
the value of a life so broken,
each breath taken is filled with sacred air.

The depth of his wounds show how much he bleeds.

my wounded friend, as close as he would allow

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Naming Your Hopelessness

Instead of depression,
try calling it hibernation.
Imagine the darkness is a cave
in which you will be nurtured
by doing absolutely nothing.
Hibernating animals don’t even dream.
It’s okay if you can’t imagine
Spring. Sleep through the alarm
of the world. Name your hopelessness
a quiet hollow, a place you go
to heal, a den you dug,
Sweetheart, instead
of a grave.
~Andrea Gibson “Instead of Depression” from You Better Be Lightning

We didn’t say fireflies
but lightning bugs.
We didn’t say carousel
but merry-go-round.
Not seesaw,
teeter-totter
not lollipop,
sucker.
We didn’t say pasta, but
spaghetti, macaroni, noodles:
the three kinds.
We didn’t get angry:
we got mad.
And we never felt depressed
dismayed, disappointed
disheartened, discouraged
disillusioned or anything,
even unhappy:
just sad.
~Sally Fisher “Where I Come From”  from Good Question.

…if you could distinguish finer meanings within “Awesome” (happy, content, thrilled, relaxed, joyful, hopeful, inspired, prideful, adoring, grateful, blissful.. .), and fifty shades of “Crappy” (angry, aggravated, alarmed, spiteful, grumpy, remorseful, gloomy, mortified, uneasy, dread-ridden, resentful, afraid, envious, woeful, melancholy.. .), your brain would have many more options for predicting, categorizing, and perceiving emotion, providing you with the tools for more flexible and functional responses.
~Lisa Feldman Barrett from How Emotions Are Made: The Secret Life of the Brain

Our own experience with loneliness, depression, and fear can become a gift for others, especially when we have received good care. As long as our wounds are open and bleeding, we scare others away. But after someone has carefully tended to our wounds, they no longer frighten us or others….
We have to trust that our own bandaged wounds will allow us to listen to others with our whole being. That is healing.
— Henri Nouwen from Bread for the Journey

If there is anything I came to understand over the decades I served as a primary care physician, it is that every person experiences painful emotions that make them miserable, making it even more difficult to share with others. Sometimes those feelings build up such pressure that they leak out of our cells as physical symptoms: headaches, muscle tightness, stomach upset, hypertension. Other times they are so overwhelming we can no longer function in a day to day way – described clinically as rage, panic, mood disorder, depression, self-destructive, suicidal.

Somehow we’ve lost permission to be sad.
Just sad. Sometimes unbearably, hopelessly sad.
 
Sadness happens to us all, some longer than others, some worse than others, some deeper than others. What makes sadness more real and more manageable is if we can say it out loud — whatever ‘sad’ means to us on a given day and if we describe our feelings in detail, explaining to others who can understand because they’ve been there too, then they can listen and help.

Painful emotions don’t always need a “fix” in the short term, particularly chemical, but that is why I was usually consulted. Alcohol, marijuana and other self-administered drugs tend to be the temporary anesthesia that people seek to stop feeling anything at all but it can erupt even stronger later.

Sometimes an overwhelming feeling just needs an outlet so it no longer is locked up, unspoken and silent, threatening to leak out in ways that tear us up and pull us apart.

Sometimes we need a healing respite/hibernation, with permission to sleep through the world’s alarms for a time. At times, medical management with antidepressants can be incredibly helpful along with talk therapy.

It helps to find words to express how things felt before this sadness, where you are now in the midst of it and where you wish you could be rather than being swallowed by sorrow. Healing takes time and like anything else that is broken, it hurts as it repairs. Armed with that self-knowledge and some gentle compassion, tomorrow and the next day and the next might feel a little less hopeless and overwhelming.

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