Another Mammogram Day

“They’re benign,” the radiologist says,
pointing to specks on the x ray
that look like dust motes
stopped cold in their dance.
His words take my spine like flame.
I suddenly love
the radiologist, the nurse, my paper gown,
the vapid print on the dressing room wall.
I pull on my radiant clothes.
I step out into the Hanging Gardens, the Taj Mahal,
the Niagara Falls of the parking lot.

~Jo McDougall, “Mammogram” from In the Home of the Famous Dead: Collected Poems

Outside the house the wind is howling
and the trees are creaking horribly.
This is an old story
with its old beginning,
as I lay me down to sleep.
But when I wake up, sunlight
has taken over the room.
You have already made the coffee
and the radio brings us music
from a confident age. In the paper
bad news is set in distant places.
Whatever was bound to happen
in my story did not happen.
But I know there are rules that cannot be broken.
Perhaps a name was changed.
A small mistake. Perhaps
a woman I do not know
is facing the day with the heavy heart
that, by all rights, should have been mine.
~Lisel Mueller “In November”

It does not escape me,
especially on call-back mammogram days
when I’m asked to return for a
“closer look” at something that
wasn’t there before.

which turns out to be a 1 cm. nonspecific solid something,
maybe getting smaller over the past ten days.

Maybe a bruise. Maybe not.
Check again in a month.
A brief reprieve that some in the
dressing cubicles around me
don’t get.

I wake every day knowing:
an earthquake happens somewhere else,
a war is leaving people homeless and lifeless,
a tornado levels a town,
a drunk driver destroys a family,
a fire leaves a house in ashes,
a famine causes children to starve,
a flood ravages a town,
a devastating diagnosis darkens
someone’s remaining days.

No mistake has been made,
yet I wake knowing recently
it was my turn to hear bad news,
my heart was heavy,
yet it
still beats,
still breaks,
still bleeds,
still believes
in the radiance of each new day I’m given.
I was reminded again today.

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Is There a Cure?

“Peasant women digging potatoes” Van Gogh 1885 Kröller-Müller Museum The Netherlands

“Do you know a cure for me?”
“Why yes,” he said, “I know a cure for everything. Salt water.”
“Salt water?” I asked him.
“Yes,” he said, “in one way or the other. Sweat, or tears, or the salt sea.”
~Isak Dinesen from Seven Gothic Tales

A good night sleep, or a ten minute bawl, or a pint of chocolate ice cream, or all three together, is good medicine.
~Ray Bradbury from Dandelion Wine

The woods are lovely, dark and deep,   
But I have promises to keep,   
And miles to go before I sleep,   
And miles to go before I sleep.
~Robert Frost from “Stopping by Woods on a Snowy Evening”

If there is anything I learned in 42 years of doctoring, it’s that physicians “practice” every day in the pursuit of getting it right. As much as MDs emphasize the science of what we do through “evidence-based” decision-making, there were still days when a fair amount of educated guessing and a gut feeling was based on past experience, along with my best hunch. 

Many patients don’t arrive with classic cookbook symptoms that fit the standardized diagnostic and treatment algorithms. The nuances of their stories require interpretation, discernment, and flexibility. A surprise once in awhile made me look at a patient in a new or unexpected way and taught me something I didn’t know before. It kept me coming back with more questions, to figure out the mystery and dig a little deeper.

I also learned that though much medical treatment comes through some intervention using surgical procedures, pills or injections, those aren’t the only options in our doctor bag.

A simple good night’s sleep can do wonders for what ails a mind and body, especially when we’ve kept our promises.

At times the most appropriate cure is simple salt water in all its forms – just feeling ocean waves lapping at our feet, or sweating it out with exertion, or feeling the flow of tears down our cheeks.

How many of us allow ourselves a good cry when we feel it welling up behind our eyes?  It could be a sentimental moment–a song that brings back bittersweet memories, a movie that touches just the right chord of feeling and connection. It may be a moment of frustration and anger when nothing seems to go right. It could be the pain of physical illness or injury or emotional turmoil. 

Or just maybe there is weeping when everything is absolutely perfect and there cannot be another moment just like it, so it is tough to let it go without our tears spilling over.

And lastly, aside from the obvious curative properties of salt water, the healing found in chocolate is unquestioned by this physician. It can fix most everything that ails a person – at least for an hour or so.

It doesn’t always take an M.D. degree to determine the best medicine. It just takes a degree in common sense.

Healing tools to consider when all else fails: 
sleep, weep, keep ( promises), and reap (chocolate!)

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These Things You Do

There you are
this cold day
boiling the water on the stove,
pouring the herbs into the pot,
hawthorn, rose;
buying the tulips
& looking at them, holding
your heart in your hands at the table
saying please, please, to nobody else
there in the kitchen with you.
How hard, how heavy this all is.
How beautiful, these things you do,
in case they help, these things you do
that, although you haven’t said it yet,
say that you want to live.

~Victoria Adukwei Bulley “There You Are”

Our daily rituals are so routine and mundane, unless they are disrupted by unexpected and unwanted events. Then we desire nothing more than to get back to what is routine, familiar and comforting.

Right now, I’m aware of at least four friends in our small church congregation who are undergoing treatment for cancer, and a couple others who are waiting on testing results. They would love nothing more than a boringly routine day like they had known pre-diagnosis. Instead, nothing seems as if it will ever be the same again, except an awareness of how precious and valued each day of life is.

Thankfully, very few people are forced to share their life-threatening illnesses with the world via headlines, videos and photos like the King of England and Princess of Wales. Surely, that adds another layer of hard heaviness on top of dealing with such difficult, exhausting treatments and interventions.

For those coping with challenging medical illness, I pray for comforting rituals and routines that remind you how much you are loved. These beautiful moments of everyday life are reasons you want to live, even as you do these hard things.

May your heart and soul be held in loving hands as you see this through.

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Helpless Prayer

I pray because I can’t help myself.
I pray because I’m helpless.
I pray because the need flows out of me all the time —

waking and sleeping.
It doesn’t change God — it changes me.

~attributed to C.S. Lewis in “Shadowlands”

A recovering Faye with her sister Merry

Last week, on May 1, I found a surprise hanging on our front door – a little May Day basket full of little perennial blooms, along with a cheery message and a rainbow sticker. It hung from the door handle as a symbol of spring renewal, as well as a bit of a mystery – the flowers came with no hint of who had left them.

So I did a little sleuthing (actually A LOT of sleuthing) and found out they were delivered by our nearby neighbor Faye, who turned 11 just last week. She has a very special history some of you may remember:

Nine years ago, on this Barnstorming blog, I wrote about our little neighbor, two year old Faye, sickened by E.Coli 0157 infection/toxin to the point of becoming critically ill with Hemolytic Uremic Syndrome (plummeting cell counts and renal failure requiring dialysis to keep her alive).  My original post about her illness is found here. I asked for your prayers on her (and others’) behalf.

At the worst point of her hospitalization at Seattle Children’s, when the doctors were sounding very worried on her behalf, Faye’s mother Danyale, in the midst of her helplessness, wrote to our Wiser Lake Chapel Pastor Bert Hitchcock with a plea for prayers from our church.

Here is how Pastor Bert responded to Danyale and her husband Jesse who remained at home, caring for their four other children:

“I understand that Faye (and everyone dealing with her) is fighting for her life. And that’s the way I am praying: that God in his merciful power, would deliver her, even if her condition looks hopeless.

If you were able to be in church this morning, you might hear my sense of urgency, for I have chosen this benediction, with which to close the service — and I give it to you right now, from the mouth of our Lord:

Jesus said: “Do not be afraid, Danyale!
I am the First and the Last.
I am the Living One.
I died, but look – I am alive forever and ever!
And I hold the keys of death and the grave.

Neither you nor I know how this will turn out — the possibilities are terrifying. But we do know who holds the keys of life and health and death; He is the Life-giver, who heals all our diseases — nothing can rip our lives (or little Faye’s life) out of His hands. And, when He does allow these bodies to give out, He promises to give us glorious new life, safe forever in His presence. These are not pious platitudes; these are the rock-hard promises of the one who loves us more than life, and who is absolutely in control of what is happening today.

Safe in the arms of Jesus,
Safe on His gentle breast;
There by His love o’ershaded,
Sweetly my soul shall rest.

I’m praying for you all; and your Chapel Family will be praying this morning, as we gather in the Lord’s presence.

Love you, and yours, Danyale,
Pastor Bert Hitchcock

That week, Faye’s renal failure reversed itself. She was able to return home with normal kidney function and improved cell counts, having also survived a bout with pneumonia.

Here is what her mother wrote to share with you all once she came home:

“Dear Friends and readers of Barnstorming,

Some of you we know, but so many of you we do not. Whichever the case, Emily tells me you have prayed for our little girl, Faye, throughout her sickness and into her recovery. What can parents say when people–many of whom we may never be privileged to meet in this life–have come alongside us to beseech the Lord for our daughter’s life and pray for her healing? Thank you. Thank you!

Faye is doing so well; stronger every day, more and more herself! It is wonderful to see.

This week we head back down to Seattle Children’s for a check up–we’ll get to say hello to the good folks who saw her through her sickness. A special stop will be made on the dialysis unit to see Nurse Kathy, a favorite of Faye’s. We anticipate a good report!

Thanks again for your love and support, far and wide. Truly astounding.
Danyale and Jesse, for Faye, too

—————————————

Now Faye is a delightful, healthy eleven year old girl who secretly blessed me with a basket of May Day flowers. She doesn’t remember the crisis that nearly took her from us nine years ago, but she does know about God’s rainbow promises. And she certainly knows about the power of prayer in the face of helplessness.

As Pastor Bert said: our faith in an unchanging and steadfast God who loves and holds us, can change us – forever.

Amen and Amen

Faye, age 2, after her recovery

The Sunrise Shall Visit Us: Fighting the Long Defeat

He has dwelt in the West since the days of dawn, and I have dwelt with him years uncounted . . . and together through ages of the world we have fought the long defeat.
~J.R.R. Tolkien from The Lord of the Rings

It is only 10 days before we bid farewell to autumn and accept the arrival of the winter solstice, signaling the long slow climb back to daylight. This giving-way to the darkness has felt like a defeat we may never recover from.

Yet the sunset becomes a startling send-off for fall, coloring Mt. Baker and surrounding an almost full moon with purple in the eastern sky. Our farm, for a deceptive few minutes, appears rosy and warm in crisp subfreezing weather. Then all becomes gray again, and within an hour we are shrouded in thick fog which ices the asphalt as darkness fell.  It becomes a challenge to avoid the deep ditches along our country roads, with the white fog line being the critical marker preventing potential disaster.

The ever present fog this time of year cloaks and smothers in the darkness, not unlike the respiratory and gastrointestinal viruses that have hit many households hard this week. Plenty of people have been feverish, coughing and snuffling, unable to see past the ends of their swollen noses, as if the fog descended upon them in an impenetrable gray cloud. It is an unwelcome reminder of our vulnerability to microscopic organisms that can defeat us and lay us low in a matter of hours, just as a sudden freezing fog can lure us to the ditch.

We are forced to stay put, our immune systems fighting back at a time when there are dozens of responsibilities vying for attention in preparation for the holidays. Little gets accomplished other than our slow wait for healing and clarity–at some point the viral fog will dissipate and we can try climbing back into life and navigating without needing the fog lines as guides.

Ditches have been very deep for some folks recently, with unexpected deaths of loved ones, the diagnosis of cancers with difficult treatment options swallowing up their light and joy. Despite profound losses and pain, people courageously continue to fight, climbing their way out of the darkness to the light.

The day’s transition to night becomes bittersweet: these bright flames of color herald our uneasy future sleep after fighting the long defeat on this soil.

The sun “settles” upon the earth and so must we.

Be at ease, put down the heavy burden and rest. We can celebrate, with chorus and gifts, the arrival of brilliant light in our lives. Instead of darkness overcoming us, our lives become illuminated in glory, peace, and grace.

The Son has settled among us and so shall we be comforted.

Advent 2023 theme
because of the tender mercy of our God,
whereby the sunrise shall visit us from on high 
to give light to those who sit in darkness
and in the shadow of death,
to guide our feet into the way of peace.
Luke 1: 78-79 from Zechariah’s Song

Sure on this shining night of star-made shadows round,
kindness must watch for me this side the ground,
on this shining night, this shining night

The late year lies down the north
All is healed, all is health
High summer holds the earth,
hearts all whole
The late year lies down the north
All is healed, all is health
High summer holds the earth, hearts all whole
Sure on this shining night,
sure on this shining, shining night

Sure on this shining night
I weep for wonder wand’ring far alone
Of shadows on the stars
Sure on this shining night, this shining night
On this shining night, this shining night
Sure on this shining night
~from James Agee’s poem

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Breaking the Lock

And yes it is necessary to admit
walking in the forest
the heart is a lock


it has inviolable chambers
like the woods, fallen trees
that block


access to the river
snowdrops surprising its edges
moss crystalline with frost

What I thought I wanted what I have tried to be
was the slender instrument that opened

a key: presence moving deeper into the forest
that releases the birds from the trees
and sends them   ascends them
to sky   by definition
open

but now there is nothing left to be solved like a riddle

this time the lock must be broken
what’s left has to be seized

because God only loves the strong thief
I mean the man who breaks his heart for God
~Jennifer Grotz, “Locked” from Window Left Open

All my life I wanted to be an effective key, unlocking life’s mysteries and opening up the world to those who are hopeless, stifled and trapped. Doctor training gave me a few locksmith tools. I found my patients taught me far more about their pain and suffering than my professors did.

Yet profound mysteries remain: some illnesses are rare or unique enough to defy diagnosis, some just don’t respond to available tools, while illnesses as well understood and treatable as depression or COVID infection still kill and incapacitate with abandon. The keys I may have accumulated don’t fit every lock. They don’t necessarily open the doors to freedom from fear or worry.

At times I feel aimless, wondering what tools I still have and if I remember how to use them. Simple knowledge is only one key, while brute force – breaking and entering – may be necessary to break the hardest lock of all – access to the troubled heart and soul.

God wants in, to pick up our broken pieces and put us back together. He doesn’t need a key to enter what He Himself has built from scratch. He owns the place.

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Still Here, Giving Warmth Before Going Cold Again

When I was sick with a head cold, my head
full of pressure, my father would soak a washcloth
in hot water, then ball it up, ring it out. He would
open it above my head, then place it against
my face like a second skin, the light around me
disappearing entirely except through the spaces
between the stitching. I would inhale the steam
in that darkness, hearing his voice on the other side,
otherwise almost devoid of any other bodily sense
but the warmth and depth of his voice, as if
I had already died and was on the other side
of life waiting for the sickness to lift, but I wasn’t.
I was still on this earth, the washcloth going cold
on my face, my body still sick, and my father still
there when I opened my eyes, as he always was,
there to give me warmth before going cold again.

~William Fargason “Elegy with Steam”

A common clinic conversation this time of year:

I’ve been really miserable with a cold for three days, and as my COVID test is negative, I need that 5 day Z-pack antibiotic to get better faster.

It really can be miserable suffering from cold symptoms. Ninety eight percent of the time these symptoms are due to a viral infection and since your rapid RSV and influenza nasal swab tests are also negative today, your illness should resolve over the next few days without you needing a prescription medication.

But I can’t breathe and I can’t sleep.

You can use salt water rinses and a few days of decongestant nose spray to ease the congestion.

But my face feels like there is a blown up balloon inside.

Try applying a warm towel to your face – the heat will help improve circulation in your sinuses and ease your discomfort. When it cools off, warm it up again – basically rinse and repeat.

And I’m feverish and having sweats at night.

Your temp today is 99.2 so not a concern. You can use ibuprofen or acetominophen to help the feverish feeling.

But my snot is green.

That’s not unusual with viral upper respiratory infections and not necessarily an indicator of a bacterial infection.

And my teeth are starting to hurt and my ears are popping.

Let me know if that is not resolving over the next few days.

But I’m starting to cough.

Your lungs are clear today so it is likely from post nasal drainage irritating your upper airway. Best way to help that is to breathe steam to keep your bronchial tubes moist, push fluids and prop up with an extra pillow.

But sometimes I cough to the point of gagging. Isn’t whooping cough going around?

Your illness doesn’t fit the typical timeline for pertussis.  You can consider using an over the counter cough suppressant if needed.

But I always end up needing antibiotics. This is just like my regular sinus infection thing I get every year.

There’s plenty of evidence antibiotics can do more harm than good, eliminating healthy bacteria in your gut.  They really aren’t indicated at this point in your illness and could have nasty side effects.

But I always get better faster with antibiotics. Doctors always give me antibiotics.

Studies show that two weeks later there is no significant difference in symptoms between those treated with antibiotics and those who did self-care without them.

But I have a really hard week coming up and my whole family is sick and I won’t be able to rest.

This could be your body’s way of saying that you need to take the time you need to recover – is there someone who can help pick up the load your carry?

But I just waited an hour to see you.

I really am sorry about the wait; we’re seeing a lot of sick people with so much viral illness going around and needing to test to rule out COVID and influenza.

But I paid a $20 co-pay today for this visit.

We’re very appreciative of you paying so promptly on the day of service.

But I can go down the street to the urgent care clinic or do one of those telehealth doctor visits and for $210 they will write me an antibiotic prescription without making me feel guilty for asking.

I wouldn’t recommend taking unnecessary medication that can lead to bacterial resistance, side effects and allergic reactions. I truly believe you can be spared the expense, inconvenience and potential risk of taking something you don’t really need.

So that’s it?  Salt water rinses, warm towels on my face and just wait it out?  That’s all you can offer?

Let me know if your symptoms are unresolved or worsening over the next few days.

So you spent all that time in school just to tell people they don’t need medicine?

I believe I can help most people heal themselves with self-care at home. I try to educate my patients about when they do need medicine and then facilitate appropriate treatment. Also, I want to thank you for wearing your mask today to reduce the chance of transmitting your virus to those around you.

I’m going to go find a real doctor who will actually listen to me and give me what I need.

It certainly is a choice you can make. A real doctor vows to first do no harm while always listening to what you think, what your physical examination shows, then takes into account what evidence-based clinical data says is the best and safest course of action. I realize you want something other than what I’m offering you today. If you are feeling worse over the next few days or develop new symptoms, please let me know so we can reevaluate how best to treat you.

I’ll bet you’ll tell me next you want me to get one of those COVID vaccines too, won’t you?

Actually, I prefer you be feeling a bit better before you receive both the COVID and influenza vaccines. That would offer extra immunity protection for you through the next few months. Shall we schedule you for a time for your vaccination updates next week? Remember, I’m still here if you need to review your options again…

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A Voice in My Ear

when my father had been dead a week
I woke
with his voice in my ear
                                           I sat up in bed
and held my breath
and stared at the pale closed door

white apples and the taste of stone

if he called again
I would put on my coat and galoshes
~Donald Hall “White Apples”

She skimmed the yellow water like a moth,
Trailing her feet across the shallow stream;
She saw the berries, paused and sampled them
Where a slight spider cleaned his narrow tooth.
Light in the air, she fluttered up the path,
So delicate to shun the leaves and damp,
Like some young wife, holding a slender lamp
To find her stray child, or the moon, or both.
Even before she reached the empty house,
She beat her wings ever so lightly, rose,
Followed a bee where apples blew like snow;
And then, forgetting what she wanted there,
Too full of blossom and green light to care,
She hurried to the ground, and slipped below.
~James Wright “My Grandmother’s Ghost from Above the River: The Complete Poems 

I saw my grandma’s ghost once.

She was my only grandparent I actually knew and who actually knew me — the others were lost before I was born or too young to realize what I had lost.

She had lived a hard life: losing her mother when she was 12, taking over the household duties for her father and younger brother while leaving school forever. She married too young to an abusive alcoholic, lost her first child to lymphoma at age 8 before treatment was possible and took her three remaining children to safety away from their father for a year to live above a seedy restaurant where she cooked seven days a week to make ends meet.

But there was grace too. The marriage somehow got patched together after Grandpa found God and sobriety – after his sudden death sitting in church, Grandma’s faith never wavered. Her garden soil yielded beautiful flowers she planted and nurtured and picked to sell, her children and grandchildren welcomed her many open armed visits and hugs.

She was busy planning her first overseas trip of a lifetime at age 72 when we noticed her eyes looked yellow. Only two weeks later she was bed-bound in unrelenting pain due to pancreatic cancer, gazing heaven-ward instead of Europe-bound. Her dreams had been dashed so quickly, she barely realized her itinerary and destination had changed.

I was 16 at the time, too absorbed in my own teenage cares and concerns to really notice how quickly she was fading and failing like a wilted flower. Instead I was picking fights with my stressed parents, worrying over taking my driver’s license driving test, distracted by all the typical social pressures of high school life.

Her funeral was unbearable as I had never really said goodbye – only one brief hospital visit when she was hardly recognizable in her anguish and jaundice. I didn’t even get to hold her hand.

Soon after she had been lowered into the ground next to her husband and young daughter, she came back to me in a dream.

I was asleep when my bedroom door opened into the dark, wakening me as the bright hallway light pushed its way via a shimmering beam to my bed. Grandma Kittie stood in my bedroom doorway, backlit by the light surrounding her silhouette. She silently stood there, just looking at me.

Startled, I sat up in my bed and said to her, “Grandma, why are you here? You died and we buried you!”

She nodded and smiled. And then she said to me:

“I want you to know I’m okay and always will be. You will be too.”

She gave a little wave, turned and left, closing the door behind her. I woke suddenly with a gasp in my darkened bedroom and knew I had just been visited.

She hadn’t come to say goodbye or to tell me she loved me — that I knew already.

She had come to shine with her light blossoming around her, mending my broken heart by planting it with peace.

Grandma Kittie and Grandpa Leslie in their courting days

You’re in a better place
I’ve heard a thousand times
And at least a thousand times
I’ve rejoiced for you

But the reason why I’m broken
The reason why I cry
Is how long must I wait to be with you

I close my eyes and I see your face
If home’s where my heart is then I’m out of place
Lord, won’t you give me strength
To make it through somehow
I’ve never been more homesick than now

Help me Lord cause I don’t understand your ways
The reason why I wonder if I’ll ever know
But, even if you showed me
The hurt would be the same
Cause I’m still here so far away from home

In Christ, there are no goodbyes
And in Christ, there is no end

So I’ll hold onto Jesus
With all that I have
To see you again
To see you again

And I close my eyes and I see your face
If home’s where my heart is then I’m out of place
Lord, won’t you give me strength
To make it through somehow

Won’t you give me strength
To make it through somehow
Won’t you give me strength
To make it through somehow
I’ve never been more homesick than now
~Millard Bart Marshall

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To Break Your Heart

Here is a story
to break your heart.
Are you willing?
This winter
the loons came to our harbor
and died, one by one,
of nothing we could see.
A friend told me
of one on the shore
that lifted its head and opened
the elegant beak and cried out
in the long, sweet savoring of its life
which, if you have heard it,
you know is a sacred thing.,
and for which, if you have not heard it,
you had better hurry to where
they still sing.
And, believe me, tell no one
just where that is.
The next morning
this loon, speckled
and iridescent and with a plan
to fly home
to some hidden lake,
was dead on the shore.
I tell you this
to break your heart,
by which I mean only
that it break open and never close again
to the rest of the world.
~Mary Oliver “Lead” from New and Selected Poems

Why shouldn’t we go through heartbreaks?

…if through a broken heart
God can bring His purposes to pass in the world,
then thank Him for breaking your heart.
~Oswald Chambers from “Ye are not your own” from My Utmost for the Highest

These last two years have seen an epidemic of heart-break.

Due to hospital visitor restrictions, thousands of loved ones have died of COVID without family by their side, deprived of the solace of hearing familiar voices and being touched by familiar hands. A weary and over-worked health care team can only do so much in their efforts to comfort and console when so many patients are losing their battle with the virus at the same time. Although nurses and doctors have always been witnesses to the cries of the dying and the weeping of the grief-stricken, that is usually together at the bedside.

An iPad screen isn’t the same for those saying good-bye forever.

For all the advances of our modern society – through technology and communication and the development of medical miracles – people still die and others still grieve and weep over their loss. We’re not used to dying happening with such frequency to those who have no business dying in the first place. We assume death rates exceeding birth rates happens only in third world countries beset with drought or plague.

Not any more.

So my heart is tender – for those lost, for those left behind, for those trying their best to save lives when they are weary and ill themselves, for the irony of hundreds of thousands of unnecessary deaths when the preventive measures available to us all are so clear-cut.

If anything, a breaking heart is an open invitation for the solace of a God who himself had no business dying in the first place, but did. He cried out in a long, sweet savoring of his life and ours, saving us in the process.

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The Tenacity of Nature

By the road to the contagious hospital
under the surge of the blue
mottled clouds driven from the
northeast — a cold wind. Beyond, the
waste of broad, muddy fields
brown with dried weeds, standing and fallen

patches of standing water
the scattering of tall trees

All along the road the reddish
purplish, forked, upstanding, twiggy
stuff of bushes and small trees
with dead, brown leaves under them
leafless vines —

Lifeless in appearance, sluggish
dazed spring approaches —

They enter the new world naked,
cold, uncertain of all
save that they enter. All about them
the cold, familiar wind —

Now the grass, tomorrow
the stiff curl of wildcarrot leaf

One by one objects are defined —
It quickens: clarity, outline of leaf

But now the stark dignity of
entrance — Still, the profound change
has come upon them: rooted they
grip down and begin to awaken
~William Carlos Williams “Spring and All”

I ask your doctor
of infectious disease if she’s
read Williams   he cured
sick babies I tell her and
begin describing spring
and all   she’s looking at the wall
now the floor   now your chart
now the door   never
heard of him she says
but I can’t stop explaining
how important this is
I need to know your doctor
believes in the tenacity of nature
to endure   I’m past his heart
attack   his strokes   and now as if
etching the tombstone myself   I find
I can’t remember the date
he died or even
the year   of what now
are we the pure products   and what
does that even mean   pure   isn’t it
obvious   we are each our own culture
alive with the virus that’s waiting
to unmake us
~Brian Russell, “The Year of What Now”

It is the third January of a pandemic
of a virus far more tenacious than
we have proven to be,
it continues to unmake us,
able to mutate spike proteins seemingly overnight
while too many of us stubbornly
remain unchanged by this,
clinging to our “faith over fear”
and “my body, my choice”
and “lions, not sheep”
and “never comply” —
because self-determination must trump
compassion for the unfortunate fate of vulnerable millions.

We defend the freedom to choose
to be vectors of a contagion
that may not sicken us yet fills
clinics, hospitals and morgues.

William Carlos Williams, the early 20th century physician,
would be astonished at the clinical tools we have now
to fight this scourge.
William Carlos Williams, last centuries’ imagist poet,
would recognize our deadly erosion of cooperation
when faced with a worthy viral opponent.

So what happens now?

Starting with this third pandemic winter,
with our souls in another deep freeze,
covered in snow and ice and bitter wind chill,
a tenuous hope of restoration could awaken –
tender buds swelling,
bulbs breaking through soil,
being called forth from long burial
in a dark and cold and heartless earth.

Like a mother who holds
the mystery of her quickening belly,
knowing we nurture other lives with our own body,
we too can be hopeful and marveling
at who we are created to be.

She, and we, know soon and very soon
there will be spring.

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