The Doctor is In

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Astonishing material and revelation appear in our lives all the time.
Let it be.
Unto us, so much is given.
We just have to be open for business.

~Anne Lamott from Help Thanks Wow: Three Essential Prayers

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I have the privilege to work in a profession where astonishment and revelation awaits me behind each exam room door.

In a typical clinic day, I open that door up to thirty plus times, close it behind me and settle in for the ten or fifteen minutes I’m allocated per patient.  I need to peel through the layers of each person quickly to find the core of truth about who they are and why they’ve come to me.

Sometimes what I’m looking for is right on the surface: in their tears, in their pain, in their fears.  Most of the time, it is buried deep and I need to wade through the rashes and sore throats and coughs and headaches and discouragement to find it.

Once in awhile, I actually do something tangible to help right then and there — sew up a cut, lance a boil, splint a fracture, restore hearing by removing a plug of wax from an ear canal.

Often I find myself giving permission to a patient to be sick — to take time to renew, rest and trust their bodies to know what is best for a time.

Sometimes, I am the coach pushing them to stop living sick — to stop hiding from life’s challenges, to stretch even when it hurts, to get out of bed even when not rested, to quit giving in to symptoms that can be overcome rather than be overwhelming.

Always I’m looking for an opening to say something a patient might think about after they leave my clinic — how they can make better choices, how they can be bolder and braver in their self care, how they can intervene in their own lives to prevent illness, how every day is just one thread in the larger tapestry of their lifespan.

Each morning I rise early to get work done at home before I actually arrive at my desk at work, trying to avoid feeling unprepared and inadequate to the volume of tasks heaped upon each day.   I know I will be stretched beyond my capacity, challenged by the unfamiliar, the unexpected and will be stressed by obstacles thrown in my way.  I know I will be held responsible for things I have little to do with, simply because I’m the one “in charge” as the decision-maker.

It is always tempting to go back to bed and hide.

Instead of hiding,  I go to work as the exam room doors need to be opened and the layers peeled away.  I understand the worry, the fear and the pain because I have lived it too.  Even now in my seventh decade of life,  I am learning how to let it be, even if it is scary.  It is a gift perhaps I can share.

No matter what waits behind the exam room door,  it will be astonishing to me.

I’m grateful to be open for business.  The Doctor is In.

 

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A Gate We Enter

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The juncture of twig and branch,
Scarred with lichen, is a gate
We might enter, singing.”
~Jane Kenyon, “Things”

 

I’ve lived in the Pacific Northwest for over 60 years, and on this farm for 25 years.  The grandeur of the snow-capped mountains to the north and east and the peaceful shore to the west overwhelms everything in between.  I’ve walked past these bare antique apple trees autumn after autumn, but had never stopped to really look at the landscape growing on their shoulders and arms.  There is a whole other ecosystem on each tree, a fairy land of earth bound dryland seaweed, luxuriant in the fall rains, colorful in the winter, dried and hidden behind leaves and fruit in the hot summer.

This is the world of lichen, a mixed up cross between mold and fungus, opportunistic enough to thrive on rock faces, but ecstatic on absorbent bark.

I had never really noticed how proudly diverse they are.  I had, for year, blindly walked right by their rich color and texture.

Yet it hasn’t bothered them not to be noticed as they are busy minding their own business.  As John McCullough writes:

“It is merely a question of continuous adjustment, of improvising a life. When I’m far from friends or the easing of a wind against my back, I think of lichen—
never and always true to its essence, never and always at home.”

Instead of lifting my eyes to the hills for a visual feast, I need only open the back gate to gaze on this landscape found on the ancient branches in my own back yard.

It’s a rich life indeed.

 

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The lichen raised its fragile cup,
and rain filled it, and in the drop
the sky glittered, holding back the wind.

The lichen raised its fragile cup:
Now let’s toast the richness of our lives.
~Helvi Juvonen  “Lichen Cup”

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December Moon

 

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a full moon in Ireland

Before going to bed
After a fall of snow
I look out on the field
Shining there in the moonlight
So calm, untouched and white
Snow silence fills my head
After I leave the window.

Hours later near dawn
When I look down again
The whole landscape has changed
The perfect surface gone
Criss-crossed and written on
where the wild creatures ranged
while the moon rose and shone.

why did my dog not bark?
Why did I hear no sound
There on the snow-locked ground
In the tumultuous dark?

How much can come, how much can go
When the December moon is bright,
What worlds of play we’ll never know
Sleeping away the cold white night
After a fall of snow.
–  May Sarton, December Moon

 

Near midnight, a 4.8 earthquake centered off Vancouver Island occurred only 30 miles from us.
Friends a few miles away were jolted awake in their beds yet I was still up and felt nothing whatsoever.
Like nocturnal secrets that happen routinely outside our windows without our awareness,
we miss amazing things if we’re not paying attention.

We sleep our lives away
or we can stay tuned.

Why did the dogs bark in the night?
Could be a cat or raccoon walked by,
or an intruder,
or the moon was just so compelling
there was no other rational response.

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photo by Josh Scholten
photo by Josh Scholten

To See Days Pass

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For some reason we like to see days pass, even though most of us claim we don’t want to reach our last one for a long time. We examine each day before us with barely a glance and say, no, this isn’t one I’ve been looking for, and wait in a bored sort of way for the next, when we are convinced, our lives will start for real. Meanwhile, this day is going by perfectly well-adjusted, as some days are, with the right amounts of sunlight and shade, and a light breeze scented with a perfume made from the mixture of fallen apples, corn stubble, dry oak leaves, and the faint odor of last night’s meandering skunk.
~Tom Hennen from “The Life of a Day”

 

I am ashamed to admit I squander time,
waiting for that day I’ve been looking for,
tossing off these precious hours
as somehow not measuring up.
The shock is
there have been over twenty years
of such days on this farm,
one passing by after another,
and every single one are exactly what I’m looking for.
Life started for real over sixty years ago
and I’m the only one who can live it out.

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The Hiddenness of Poems

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footprint photo by Josh Scholten

I’ll tell you a secret: poems hide.
In the bottoms of our shoes, they are sleeping.
They are the shadows drifting across our ceilings the moment before we wake up.
What we have to do is live in a way that lets us find them.
Naomi Shihab Nye

 

Poems were hidden from me for decades.  I was oblivious a hundred times a day to their secrets: dripping right over me in the shower,  rising over hills bright pink, tucked under a toadstool, breathing deeply as I auscultated a chest,  unfolding with each blossom, settling heavily on my eyelids at night.

The day I awoke to them was the day thousands of innocents died in sudden cataclysm of airplanes and buildings and fire — people not knowing when they got up that day it would be their last.  And such taking of life happens again and again; our world weeps.

Suddenly poems show themselves. I begin to see, listen, touch, smell, taste as if each day would be my last.
I have learned to live in a way that lets me see through the hiddenness and now it overwhelms me.  Poems are everywhere when I look.

And I don’t know if I have enough time left to write them all down.

 

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Nothing Can Stopper Time

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the golden hour of the clock of the year. Everything that can run
to fruit has already done so: round apples, oval plums, bottom-heavy
pears, black walnuts and hickory nuts annealed in their shells,
the woodchuck with his overcoat of fat. Flowers that were once bright
as a box of crayons are now seed heads and thistle down. All the feathery
grasses shine in the slanted light. It’s time to bring in the lawn chairs
and wind chimes, time to draw the drapes against the wind, time to hunker
down. Summer’s fruits are preserved in syrup, but nothing can stopper time.
No way to seal it in wax or amber; it slides though our hands like a rope
of silk. At night, the moon’s restless searchlight sweeps across the sky.
~Barbara Crooker “And Now It’s October”

…but I do try to stopper time,
I try every day
not to suspend it or render it frozen,
but like summer fruit, to preserve
any sweet moment for sampling
through stored words
or pictures
in the midst of my winter days,
rolling it around on my tongue,
its heady fragrance
becoming today’s lyrical shared moment,
unstopped, perpetual
and intoxicating.

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photo by Josh Scholten
moon photo by Josh Scholten

Called to Make a Comment

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And that is just the point… how the world, moist and beautiful, calls to each of us to make a new and serious response. That’s the big question, the one the world throws at you every morning. “Here you are, alive. Would you like to make a comment?
~Mary Oliver

Some mornings it is impossible to stay a silent observer of the world.  It demands a response.
The overnight wind and rain have pulled down nearly every leaf, the ground is carpeted with the dying evidence of last spring’s rebirth, the dropping temperatures robing the surrounding foothills and peaks in a bright new snow covering.

There can be no complacency in witnessing this startling transition in progress.   It blusters, rips, drenches, encompasses, buries. Nothing remains as it was.

And here I am, alive.
Awed.
A witness.
Called to comment.
Dying to respond.

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To Notice Each Thing

photo by Joel DeWaarda Mt. Baker photo by Joel DeWaard

 

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The Old Testament book of Micah answers the question of why we are here with another:
“What doth the Lord require of thee but to do justly,
and to love mercy,
and to walk humbly with thy God?”
We are here to abet creation and to witness it,
to notice each thing so each thing gets noticed.
Together we notice not only each mountain shadow
and each stone on the beach
but we notice each other’s beautiful face
and complex nature
so that creation need not play to an empty house.
~Annie Dillard from Life Magazine’s “The Meaning of Life”

 

I started out a noticer,
at seven tracing ant trails from their hills
branching out to various trees,
watching nests bloom with birds,
sitting as still as the lizard sunning himself on a rock.

Then something called adulthood happened,
and responsibilities and worries and cares,
and I stopped noticing any more.

Creation played to an empty house
and the empty house was me.

I’m back to noticing
smiling and nodding
applauding
hooting and hollering.
It’s a great show
and I’m both actor
and audience.

 

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Fingerprints of the Creator

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C.S. Lewis said, “Most of us miss our cues repeatedly.” 
Or, as Sherlock Holmes commented to Watson:
“You see, but you do not observe.” 
Artist Thomas La Duke noted: 
“Some things are so common that they disappear. 
They’re all around us, but they vanish.” 
Missing our cues, we fail to notice the fingerprints of the Creator
in the ordinary textures and phenomena of living
because we are distracted by daily urgencies,
by things we consider more important,
which in the end may prove to be both trivial and transient.
Mary Oliver wrote:  
“If you notice anything
it leads you to notice
more
and more.”
~Luci Shaw from Breath for the Bones

 

How is it I see more at 61 than I ever did at 20, 30, 40, or even 50?
It is like being ten again when everything was a discovery; everything is worth notice.

 

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Just Pay Attention

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It doesn’t have to be 
the blue iris,
it could be 
weeds
in a vacant lot,
or a few
 small stones;
just 
pay attention, then patch


a few words together
and don’t try
 to make them elaborate.
This isn’t
 a contest but the doorway


into thanks, and a silence
in which 
another voice may speak.
~Mary Oliver

 

The past few years I notice things
I walked by before.
The fleeting moments become more precious,
time pours through my fingers.
It doesn’t have to be the blue iris,
but today it is.
I fall headlong into their depths,
grateful.
Oh so grateful.

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