

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 There is a whole lot that I need to un-learn because it is now proven that it is no longer valid as it originally was over four decades of medical practice.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.








