The Unbroken Dark

Now you hear what the house has to say.
Pipes clanking, water running in the dark,
the mortgaged walls shifting in discomfort,
and voices mounting in an endless drone
of small complaints like the sounds of a family
that year by year you’ve learned how to ignore.

But now you must listen to the things you own,
all that you’ve worked for these past years,
the murmur of property, of things in disrepair,
the moving parts about to come undone,
and twisting in the sheets remember all
the faces you could not bring yourself to love.

How many voices have escaped you until now,
the venting furnace, the floorboards underfoot,

the steady accusations of the clock
numbering the minutes no one will mark.
The terrible clarity this moment brings,
the useless insight, the unbroken dark.
~Dana Gioia, “Insomnia” from 99 Poems: New and Selected. 

The almost disturbing scent
of peonies presses through the screens,
and I know without looking how
those heavy white heads lean down
under the moon’s light. A cricket chafes
and pauses, chafes and pauses,
as if distracted or preoccupied.

When I open my eyes to document
my sleeplessness by the clock, a point
of greenish light pulses near the ceiling.
A firefly . . . In childhood I ran out
at dusk, a jar in one hand, lid
pierced with airholes in the other,
getting soaked to the knees
in the long wet grass.

The light moves unsteadily, like someone
whose balance is uncertain after traveling
many hours, coming a long way.
Get up. Get up and let it out.

But I leave it hovering overhead, in case
it’s my father, come back from the dead
to ask, “Why are you still awake? You can
put grass in their jar in the morning.”

~Jane Kenyon from “Insomnia” from Collected Poems

Sleep comes its little while.
Then I wake in the valley of midnight or three a.m.
to the first fragrances of spring which is coming,
all by itself, no matter what
My heart says,
what you thought you have you do not have.
My body says,
will this pounding ever stop?
My heart says:
there, there, be a good student.
My body says:
let me up and out,
I want to fondle those soft white flowers,
open in the night
~Mary Oliver
from A Thousand Morning Poems

Our house does make sounds at night. It has many stories to tell, and does.

I’ve become accustomed to its various voices after almost thirty years sleeping (and too often not sleeping) here, yet hearing new noises are disconcerting – whether thumps that come from the attic, pattering of little feet across the roof, clinking and clunking of the furnace, or inexplicable wild sounds right outside the bedroom window.

Listening in the night reminds me I’m a mere visitor here. The house, the farm, all that surrounds me here remains long after I’m gone. Awake or asleep, I want to spend my time well here; tossing and turning in my thoughts gives me a chance to consider what the house, the land, the the wild and not-so-wild critters outside have to say. The “terrible clarity” of the unbroken dark is often disconcerting and downright frightening.

It is then, and only then – God’s still, small voice breaks the dark.
Always has. Always will.

I will seek You Lord
Search with all my heart till I find You
Waiting patiently
Longing for one word to breath new life
Your words are life

I will listen, ever listen
For Your still small voice
Lord I’m longing to know You more
So I will listen for Your still small voice

Take me to a place
Sheltered from the noise and distraction
Lord be my escape
Open up my heart to whispers of
Your life and love

I will listen, ever listen
For Your still small voice
Lord I’m longing to know You more
So I will listen for Your still small voice

I will listen, ever listen
For Your still small voice
Lord I’m longing to know You more
So I will listen for Your still small voice
~Jay Stocker

Original Barnstorming artwork note cards available as a gift to you with a $50 donation to support Barnstorming – information here

Seeing Clearly

To see clearly,
not needing a drink
or pill or puff
of any pipe
to know I’m alive.
To come home,
peel off sandals
and step onto
the cool tile floor
needing only
the rush of water
over strawberries
I picked myself
and then a knife
to trim the dusty
green heads
from each one,
to watch them
gleam cleanly
in a colander
in a patch of sun
near the sink.
~James Crews “Clearly” from Healing the Divide: Poems of Kindness and Connection

As a child, I could see some people I loved struggling with daily life like a never-ending wrestling match.

Can’t relax? Have a drink.
Feeling irritable? Have a smoke.
Can’t wake up? Strong coffee.
Can’t lose weight? Amphetamines.
Can’t sleep? Valium.

I watched as one after another after another lost the wrestling match with the life’s sharp edges, sometimes dying too young from their self-medication.

As a result, I never could reconcile experimenting with my brain, staying stone cold sober throughout 21 years of school, bored to tears at parties watching others get hammered and stoned. As a physician, I spent half my career trying to help people stop wrestling with life and find their sober selves again.

Like berries picked into a colander, we all need gentle handling, rinsing and hulling, to wash away the dust of the field, the spiders and slug slime.

No more wrestling. Restored to sweetness and sparkling beauty.

A new book from Barnstorming is available to order here:

Listening for Hoof Beats

Every night, no matter where I am
when I lie down, I turn
my back on half the world.

At home, it’s the east I ignore,
with its theatres and silverware,
as I face the adventurous west.

But when I’m on the road
in some hotel’s room 213 or 402
I could be pointed anywhere,

yet I hardly care as long as you
are there facing the other way
so we are defended in all degrees

and my left ear is pressing down
as if listening for hoof beats in the ground.

~Billy Collins “Sleeping on My Side” from Whale Day and Other Poems

It seems amazing we can actually sleep at all, knowing all the hazards out there beyond the bedroom walls

– whether it is pandemic viral particles floating in the air, or pollution from wildfires, or ozone layer depletion or “the-big-one-any-moment” earthquake, or an errant nuclear missile launch, or bands of roving bandits –

it is a wonder we can quiet our minds at all.

When I was about 8 years old, during the Cuban Missile Crisis, I didn’t sleep for several days, fearful if I slept, then the world would end and me with it, without even knowing the bomb had hit. Somehow, my staying awake saved the world from destruction and no one, not one single person, ever thanked me for it.

There is always so terribly much to fear if you really think about it. We are constantly lying with our ears to the ground, listening for the hoofbeats of the Four Horsemen of the Apocalypse, wondering how close they have come to our bedside.

These days I take comfort in knowing I don’t always need to be on high alert. I know, in fact, His eye is on the sparrow and He watches over me.

So I can sleep.

Known and Unknown

As a fond mother, when the day is o’er,
   Leads by the hand her little child to bed,
   Half willing, half reluctant to be led,
   And leave his broken playthings on the floor,
Still gazing at them through the open door,
   Nor wholly reassured and comforted
   By promises of others in their stead,
   Which, though more splendid, may not please him more;
So Nature deals with us, and takes away
   Our playthings one by one, and by the hand
   Leads us to rest so gently, that we go
Scarce knowing if we wish to go or stay,
   Being too full of sleep to understand
   How far the unknown transcends the what we know.
~Henry Wadsworth Longfellow “Nature”

I remember being reluctant to go to bed as a child; I could miss something important that the adults waited to do until after I was asleep, or I wasn’t sure that I wanted to turn myself over to my dreams.

I had a period of time when I was in third grade (during the Cuban missile crisis) when I really was terrified to go to sleep, and ended up reading comic books during the night hours, trying to keep myself distracted from whatever fears I harbored. My mother, frantic for sleep herself during this worrisome time, consulted my pediatrician who prescribed orange juice with a tablespoon of brandy – for me, not for her. She was outraged at the thought, being a teetotaler, so bought no brandy for me (or for herself). I eventually got over my sleep issues, but not my worried heart.

The unknown is always more frightening than the known, and the older I got, the more I learned during 24 years of formal education and training, the more I realized I didn’t know. There would be no end to it. Even though I still spend several hours a week reading for required and non-required continuing medical education, I don’t crack the surface of everything that is news in my profession. There is a whole lot that I need to un-learn because it is now proven that it is no longer valid as it originally was over four decades of medical practice.

During the last three months of COVID-19, it is like drinking from several firehoses at once, as data on this previously unknown virus comes piecemeal from countless sources: the studies are rushed and sample sizes are small, conclusions are tentative, often barely peer-reviewed and sometimes disproven the next week by another study. What was considered “fact” a month ago may no longer be so.

So I know I must settle into the reality that there will always be plenty of unknowns, particularly as I reluctantly let go of life’s playthings one by one.

The unknown will always transcend the known on this side of the veil so I appreciate that I am gently led, in faith, to that long-awaited sleep that was so elusive before.

Let Your Heart Go Forth

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The season of sunset as it draws a veil over the day,
befits that repose of the soul
when earthborn cares yield to the joys of heavenly communion.
The glory of the setting sun excites our wonder,
and the solemnity of approaching night awakens our awe.
If the business of this day will permit it, it will be well, dear reader,
if you can spare an hour to walk in the field at eventide,
but if not,
the Lord is in the town too,
and will meet with you in your chamber or in the crowded street.
Let your heart go forth to meet Him.

~Charles Spurgeon from his Morning and Evening Devotionals

 

Many of the young adults I see in my practice struggle to sleep at night. Their minds are racing, they can’t stop worrying, their bodies are tight with tension.
Their hope is I might prescribe a pill since they’ve tried marijuana and several shots of vodka, and that isn’t helping.

I would like to prescribe an hour with God at sunset but that is not permissible at a public institution.

Instead, I’m allowed to speak of emotional support animals, or yoga, or an evening stroll, or “meditation” or even a labyrinth walk, but never letting one’s heart go forth to meet God.

Spurgeon, out of his own anxiety and depression, knows the healing of a walk with God at sunset.
It is throwing the cares of the heart out to Him and knowing He will catch and hold them tight.

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My Dripping Sleep

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I went to bed and woke in the middle of the night thinking I heard someone cry,
thinking I myself was weeping, and I felt my face and it was dry.
Then I looked at the window and thought:
Why, yes, it’s just the rain, the rain, always the rain,
and turned over, sadder still, and fumbled about for my dripping sleep and tried to slip it back on.
~Ray Bradbury

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Good Medicine

photo by Josh Scholten
photo by Josh Scholten

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

If there is anything I’ve learned in 35 years of my medical career, it’s that I still must “practice” my art every day.  As much as we physicians emphasize the science of what we do, utilizing “evidence based” decisions, there are still days when a fair amount of educated guessing and a gut feeling is based on my past experience, along with my best hunch.  Many patients don’t arrive with classic cook book symptoms that fit the standardized diagnostic and treatment algorithms so the nuances of their stories require interpretation, discernment and flexibility.    I appreciate a surprise once in awhile that makes me look at a patient in a new or unexpected way and teaches me something I didn’t know before.   It keeps me coming back for more, to figure out the mystery and dig a little deeper.

I’ve also learned that not all medicine comes in pills or injections.  This isn’t really news to anyone, but our modern society is determined to seek better living through chemistry, the more expensive and newer the better, whether prescribed or not.  Chemicals have their place, but they also can cause havoc.  It is startling to see medication lists topping a dozen different daily pills.  Some are life-saving.  Many are just plain unnecessary.

How many sleep without the aid of pill or weed or alcohol?  Fewer and fewer.  Poor sleep is one of the sad consequences of our modern age of too much artificial light, too much entertainment keeping us up late, and not enough physical work to exhaust our bodies enough to match our frazzled and fatigued brains.

How many of us allow ourselves a good cry when we feel it welling up?  It could be a sentimental moment–a song that brings back bittersweet memories, a commercial 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 the stress of 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 unchristened by tears of joy.

And without a doubt, the healing qualities of chocolate are unquestioned by this doctor, however it may be consumed.  It can fix most everything that ails a person. at least for an hour or two.

It doesn’t take an M.D. degree to know the best medicine.  It just takes a degree of common sense.
Time for bed and time to turn off the light.  A good bawl and chocolate will wait for another night.