Letting It Go

Sometimes they
go outside, maybe


move a rosebush
to the back yard or


clean a window.
Usually they


simply stand,
under a maple


or in a snowfall.
And this is often


when they see
a nuthatch on its


dizzy route down
a trunk, or


the quick flick
of a chickadee


across the yard
and onto a branch.


They don’t do
much. That’s for


others. They know
how to take things


for granted, know
what to miss.


Every morning
they make breakfast.


And when the sun
sets, they let it go.

~Jack Ridl “The Neighbors” fromĀ Practicing to Walk Like a Heron

We are surrounded by acres of farmland, blessed by neighbors hard at work cherishing the land and buildings and animals they own. They don’t take anything for granted and strive to preserve a heritage of good stewardship. Even so, they know when to sit back to appreciate the rhythms of the seasons.

There is joy in simply watching time pass by.

The land continues to teach us all, through the sweet springs, the sweaty summers, the colorful autumns and harsh winter winds. We need each other when the snow drifts high on our driveways, the power goes out, the well runs dry, or the garden produces far more than we can just use ourselves.

And when the sun sets — well, we watch it with awe.

Another day of letting it go, grateful for what our gentle neighbors share with us – those who are next door, those just down the road, and the I’m daily reminded of the generosity of those of you who take the time to stop by to read these words and say howdy.

To live in this world

you must be able
to do three things:
to love what is mortal;
to hold it

against your bones knowing
your own life depends on it;
and, when the time comes to let it go,
to let it go.
~Mary Oliver, ā€œIn Blackwater Woodsā€

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Startled By the Sun, Not By the Eclipse

We should always endeavour to wonder at the permanent thing, not at the mere exception. We should be startled by the sun, and not by the eclipse. We should wonder less at the earthquake, and wonder more about the earth.
~ G.K. Chesterton
from ILLUSTRATED LONDON NEWS, October 21, 1905

As a physician, I was trained to perform physical examinations by learning first what was normal about the human body. As young, theoretically healthy, medical students, we practiced physical examinations on each other, and then had to demonstrate our skills in front of a professor for our class grade in physical assessments.

Since I went to medical school at a time when fewer than 1 in 5 students was a woman, each female student was placed in a physical exam group of three men, taught by a male physician, and then evaluated by a male professor. These were full examinations, including internal assessments, conducted in a typical open-backed hospital gown, in a classroom with long black lab tables to substitute for exam tables.

It was the ultimate feeling of vulnerability to be exposed to one’s classmates, supervisors and evaluators in such a way. Yet, it helped me understand the naked vulnerability of a patient undressing for a physician’s evaluation in the exam room.

After learning to assess and document what was normal in the physical exam, I was then trained to take note of the exceptions ā€“
the human body equivalent of
an eclipse or an earthquake,
a wildfire or drought,
a hurricane or flood,
or merely an annoying pothole or molehill.

A physician’s attention is rarely focused on everything that is going well with the human body, but instead concentrating on what is aberrant, failing, or could be made better.

This is unfortunate; there is much beauty and amazing design to behold in every person I meet, especially those with chronic illness who feel nothing is as it should be — they feel despair and frustration at how their mind or body is aging, failing or faltering.

To counter this tendency to just find whatā€™s wrong and needed fixing, I learned over the years to talk out loud as I was trained to do during those medical school physical assessments:
you have no concerning skin lesions,
your eardrums look clear,
your eyes react normally,
your tonsils are fine,
your thyroid feels smooth,
your lymph nodes are tiny,
your lungs auscultate clear,
your heart sounds are perfect,
your breasts reveal no palpable lumps,
your belly exam is reassuring,
your reflexes are symmetrical,
your prostate is smooth and normal,
your cervix, uterus and ovaries are healthy,
your emotional response to your stress level and
your tears are completely understandable.

I also wrote messages to patients meant to reassure:
your labs are in a typical range
or are getting better
or at least maintaining,
your xray shows no concerns,
or isnā€™t getting worse,
those medication side effects are to be expected and could go away.

I chose to acknowledge what was working well before attempting to intervene in what is not.

Iā€™m not sure how much difference it made to my patient.
But it made a difference to me to wonder first at who this whole patient was before I focused in on what was broken and causing dis-ease.

I remain startled nearly 50 years later, and always astonished, by the sheer wonder that is our bodies – the Artist’s masterpiece.

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Ascending Together

At the gate, I sit in a row of blue seats
with the possible company of my death,
this sprawling miscellany of peopleā€”
carry-on bags and paperbacksā€”

that could be gathered in a flash
into a band of pilgrims on the last open road.
Not that I think
if our plane crumpled into a mountain

we would all ascend together,
holding hands like a ring of skydivers,
into a sudden gasp of brightness,
or that there would be some common place

for us to reunite to jubilize the moment,
some spaceless, pillarless Greece
where we could, at the count of three,
toss our ashes into the sunny air.

It’s just that the way that man has his briefcase
so carefully arranged,
the way that girl is cooling her tea,
and the flow of the comb that woman

passes through her daughter’s hair . . .
and when you consider the altitude,
the secret parts of the engines,
and all the hard water and the deep canyons below . . .

well, I just think it would be good if one of us
maybe stood up and said a few words,
or, so as not to involve the police,
at least quietly wrote something down.

~Billy Collins “Passengers”

I don’t spend much time in airports these days, but I know many who must depend on airplanes to get them where they need to go to see the people they need to see.

Due to some recent horrifying airplane mishaps in the news, I know many say prayers as they sit in airports awaiting their flights and their fates.

Instead of dealing with airports and the sad necessity of leaving on jet planes, I walk on my own two feet out to our farmā€™s hilly fields, noticing many more jets passing overhead than I remember from past years. Most arenā€™t as low as I would expect for take offs and landings from Vancouver (B.C.) International Airport an hour north of us or descending for an approach to SeaTac International 100 miles to the south. They are in mid-flight mode, at least 35,000-45,000 feet above us, carrying their loads and passengers in almost guaranteed safety.

I have found a website that shows real-time location of flights all over the world. I can literally stand on our hill looking at a flight overhead while checking my phone to see where it has come from and where it is going. In some high tech way, I feel linked with those people so far above me in that plane, strangers though they be.

Most of these flights are from, or bound for Japan or Korea, to or from the east coast or midwest United States. Apparently these flights are taking a longer circuit over the Pacific Ocean to avoid going too close to Russian air space. They have a long flight ahead as they pass the coastline here in northwest Washington and over Vancouver Island. My husband and I have made that trek over the Pacific to Japan a half dozen times. I can easily imagine myself seated in the economy section, trying to keep my legs from stiffening up over 10+ hours, distracting myself watching movies on the inflight channels.

Instead of having leg cramps, I am here with my dogs and farm cat leaving a trail of footprints in a frosty winter field. Above me, a plane leaves a condensation trail which blurs, fades and disappears in the evening light.

I stand on a hillside at home, someone living out my days in this spot; those flying above are in transit, each with an individual story with joys and tribulations of their own. Though we are miles apart, the passengers in the plane above me connect with me for a brief few minutes.

It makes sense for me to pray these people fly safely to their destination. Someday, someone may look up at a plane I am belted into, and pray for my safety. Or maybe write something down to remember the moment.

We all find our way home eventually, leaving our transient and temporary trails behind us. Surely, that home will be breathtaking and beautiful ā€“ and just exactly where we belong.

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A Trace of Peace

I donā€™t know where prayers go,
or what they do.
Do cats pray, while they sleep
half-asleep in the sun?
Does the opossum pray as it
crosses the street?
The sunflowers? The old black oak
growing older every year?
I know I can walk through the world,
along the shore or under the trees,
with my mind filled with things
of little importance, in full
self-attendance. A condition I canā€™t really
call being alive.
Is a prayer a gift, or a petition,
or does it matter?
The sunflowers blaze, maybe thatā€™s their way.
Maybe the cats are sound asleep. Maybe not.

While I was thinking this I happened to be standing
just outside my door, with my notebook open,
which is the way I begin every morning.
Then a wren in the privet began to sing.
He was positively drenched in enthusiasm,
I donā€™t know why. And yet, why not.
I wouldnā€™t persuade you from whatever you believe
or whatever you donā€™t. Thatā€™s your business.
But I thought, of the wrenā€™s singing, what could this be
if it isnā€™t a prayer?
So I just listened, my pen in the air.

~Mary Oliver “I Happened to be Standing” from A Thousand Mornings

For all
the pain

passed down
the genes

or latent
in the very grain

of being;
for the lordless

mornings,
the smear

of spirit
words intuit

and inter;
for all

the nightfall
neverness

inking
into me

even now,
my prayer

is that a mind
blurred

by anxiety
or despair

might find
here

a trace
of peace.

~Christian Wiman “Prayer” fromĀ Once in the West: PoemsĀ 

Each morning, I say a prayer that I might find something of value to share here.

Maybe what I offer is a bit of glue to help heal a broken heart, or a balm to soothe a worried mind, or it touches a place of pain so it might hurt less.ā€‚

Maybe a song becomes a poignant reminder, or an image might capture the eye.

What might the beauty in the world and in words be but a kind of prayer offered to our Creator? Why not listen, even for a moment, to the purring cat and the singing wren to hear a prayer of thanks and joy they offer in their own way?

Prayer is breath combined with need.

We are capable of just such a silent dialogue with God, breathed out in thanksgiving and breathed in deep during desperate times.

I too know about worry, and hurting, and the need for glue. Within prayer is a trace of peace. So I listen, waiting.

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Cloudy with Sun Breaks

When it snows, he stands
at
the back door or wanders
around the house to each
window in turn and
watches the weather
like a lover. O farm boy,
I waited
years
for you to look at me
that way. Now weā€™re old
enough to stop waiting
for random looks or touches
or words, so I find myself
watching you watching

the weather, and we wait
together to discover
whatever the sky might bring.
~Patrici
a TraxlerĀ ā€œWeather Manā€

My farm boy does still look at me that way,
wondering if today will bring
frost,
a wind storm,
maybe fog or mist,
a scorcher,
or a deluge.

I reassure him as best I can,
because he knows me so well
in our many years together:

today, like most other days,
I predict I will be partly cloudy
with a chance of showers,
and as always, occasional sun breaks.

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Still Open for Business

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 fromĀ Help Thanks Wow: Three Essential Prayers

It was my privilege to work in a profession where astonishment and revelation awaited me behind each exam room door.

During an average clinic day, I opened those doors 36 times, then close them behind me and settle in for the ten or fifteen minutes allocated per patient.Ā I needed to peel through the layers of a problem quickly to find the core of truth about why a patient was seeking help.

Sometimes what I was looking for was right on the surface: a bad cough, a swollen ankle, a bad laceration, but also easily were their tears, their pain, their fear.Ā Most of the time, the reason was buried deep and I needed to wade through the rashes and sore throats and headaches to find it.

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

Often I simply gave permission to a patient to be sick ā€” to allow themselves time to renew, rest and trust their bodies to know what is needed to heal well.

Sometimes, I was the coach pushing them to stop living “sick” ā€” to stop self-medicating when life is challenging, to stretch even when it hurts, to strive to overcome the overwhelm.

Always I was looking for an opening to say something a patient may consider later ā€” how they might make different choices, how they could be bolder and braver in their self care and care for others, how every day is a thread in the larger tapestry of their one precious life.

At night I took calls and each morning woke early to get online work done,Ā trying to avoid feeling unprepared and inadequate to the volume of tasks heaped upon the day. I know I was frequently stretched beyond my capacity, stressed by administrative pressures and obstacles I faced in providing the best care.

I understood trials my patients were facing because I had faced them too. I shared their worry, their fears and vulnerabilities because I had lived through it too.

Even now, I try to simply let it be, especially through troubled times, when I have been gifted so much over the years.Ā So my own experience is a gift I can still share here, even in retirement.

I’ll never forget: no matter who waited behind the exam room door, they never failed to be astonishing and revelatory to me, professionally and personally.

Iā€™m so grateful I was open for business for 42 years.
I don’t see patients in an exam room any longer.
This Doctor is In, writing every day, with friendly advice.
Let it be so.

Peanuts comic by Charles Schulz

What is it You see
What do I possess
Oh how could it be
I should be so blessed

I am nothing much
Neither saint nor queen
I am just a girl
And You are everything

But if You ask
Let it be so
Let it be so
and if You will
Let it be so

I am so afraid
Of this great unknown
They may turn away
I may be all alone

My life is so small
so small a price to pay
to see my savior come
and take my sin away

I will bear their scorn
I will wear the shame
All things for the good
All things in Your name

Father be my strength
Shepherd hold my hand
Open wide my heart
to welcome who is there
~Sarah Hart

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Each Thing Noticed

The Old Testament book of Micah answers the question
of why we are here with another:
ā€œWhat doth the Lord require of thee but to do justly,
and to love mercy, and to walk humbly with thy God?ā€
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 otherā€™s beautiful face
and complex nature so that creation need not play

to an empty house.
~Annie Dillard from Life Magazineā€™s ā€œThe Meaning of Lifeā€

I started out a noticer,
a child who crawled on the ground
to follow winding ant trails from their hills,
then watched nests bloom with birds,
sitting still as a lizard sunning himself on a rock.

Next I was a student researcher of great apes,
following wild chimpanzees deep into an exotic forest
to observe their life in a community so much like our own.

Then came a profession and parenting and daughtering,
with mounting responsibilities and worries and cares,
and I stopped noticing any more,
too much inside the drama
to witness it from outside.

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

Slowly now,
Iā€™ve returned to noticing again~
buying my ticket, finding my seat,
smiling and nodding
applauding
hooting and hollering
begging for an encore.

Itā€™s a non-stop show of the miraculous
where Iā€™m an appreciative audience
preparing to write a great review.

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Something Changed in the Night

You wake wanting the dream
you left behind in sleep,
water washing through everything,
clearing away sediment
of years, uncovering the lost
and forgotten. You hear the sun
breaking on cold grass,
on eaves, on stone steps
outside. You see light
igniting sparks of dust
in the air. You feel for the first
time in years the world
electrified with morning.

You know something has changed
in the night, something you thought
gone from the world has come back:
shooting stars in the pasture,
sleeping beneath a field
of daisies, wisteria climbing
over fences, houses, trees.

This is a place that smells
like childhood and old age.
It is a limb you swung from,
a field you go back to.
It is a part of whatever you do.
~Scott Owen ā€œArrival of the Pastā€

Who made the world?
Who made the swan, and the black bear?
Who made the grasshopper?
This grasshopper, I mean –
the one who has flung herself out of the grass,
the one who is eating sugar out of my hand,
who is moving her jaws back and forth instead of up
and down-
who is gazing around with her enormous and
complicated eyes.
Now she lifts her pale forearms and thoroughly
washes her face.
Now she snaps her wings open, and floats away.
I don’t know exactly what a prayer is.
I do know how to pay attention, how to fall down
into the grass, how to kneel down in the grass,
how to be idle and blessed, how to stroll through
the fields,
which is what I have been doing all day.
Tell me, what else should I have done?
Doesn’t everything die at last, and too soon?
Tell me, what is it you plan to do
with your one wild and precious life?
~Mary Oliver “A Summer Day”

Because something changed in the night,
so have I ~

I come to kneel in the field,
look at the world from the point of view of the grasshopper,
uncover what I may have lost or forgotten
in the midst of years of striving:

a chance to witness what I missed.

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Let’s Go Look Together

She sees a starling legs-up in the gutter.
She finds an earthworm limp and pale in a puddle.
Whatā€™s wrong with them? she says. I tell her theyā€™re dead.

She scowls at me. She stares at her short shadow
And makes it dance in the road. She shakes its head.
Daddy, you donā€™t look pretty, she says. I agree.

She stomps on a sewer grid where the slow rain
Is vanishing. Do you want to go down there?
I tell her no. Neither do I she says.

She picks up a stone. This is an elephant.
Because itā€™s heavy, smooth, slate gray, and hers,
I tell her itā€™s very like an elephant.

Weā€™re back. The starling is gone. Where did it go?
She says. I tell her I donā€™t know, maybe
A cat took it away. I think itā€™s lost.

I tell her I think so too.Ā But canā€™t you find it?
I tell her I donā€™t think so.Ā Letā€™s go look.
I show her my empty hands, and she takes one.

~David Wagoner ā€œWalking around the Block with a Three-Year Oldā€ fromĀ Traveling Light

These days, I spend most of my waking time walking and talking with a very special three year old. As he works in the barn with me, or just exploring the farm, he is helping me readjust how I look at the world, to see it the way he does and to try to figure out why things are the way they are. What seems logical to me doesn’t always make sense to him, so I need to put into words what I tend to take for granted.

Sometimes I just have to say I don’t know the answer to his question, because I really don’t know and I want him to believe in my truthfulness.

Whatever I say to him will get filed away in his memory banks for a lifetime, so I use careful words and respect his justifiable skepticism. I want to teach him to think through life’s puzzles without relying too much on outside opinions. What I hope is that even when I am empty of answers, he will always want to explore his questions while alongside me, trusting me as I hold his hand while we walk and talk together. I’m never empty when I am holding his hand.

I want him to remember that most of all.

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Fixing Eyes on the Unseen: A Most Important Day

ā€œChoose the least important day in your life. It will be important enough.ā€          
Mrs. Gibbs to Emily in Our Town

We are ages away
from our high school class
where first we walked
the streets of Groverā€™s Corners
and have lived decades and
decades of important days
writing our own scenes
along the way. In this theater
we meet again the lives of people
as ordinary and extraordinary
as we are and find ourselves
smiling and weeping watching
a play we first encountered as teens.
In our 70ā€™s Our Town brings us joy
and also breaks our hearts.
Now we know.
~
Edwin Romond Seeing “Our Town” in Our 70’s”

We donā€™t have time to look at one another.
I didnā€™t realize.
All that was going on in life and we never noticed.

Oh, earth, youā€™re too wonderful for anybody to realize you. 
Do any human beings ever realize life while they live it?

ā€“ every, every minute? 
~Thornton Wilder, from Emilyā€™s monologue in Our Town

He has made everything beautiful in its time. Also, he has put eternity into man’s heart, yet so that he cannot find out what God has done from the beginning to the end. 12 I perceived that there is nothing better for them than to be joyful and to do good as long as they live; 13 also that everyone should eat and drink and take pleasure in all his toilā€”this is God’s gift to man. 14 I perceived that whatever God does endures forever; nothing can be added to it, nor anything taken from it.
Ecclesiastes 3: 11-14


One of our very special friends from church got married today to a high school classmate she knew over sixty-some years ago. Both had recently lost spouses and found their way to each other to join together for the rest of their days. Today became a most important day in their lives, a day they could not have imagined as teenagers so long ago.

The post-ceremony reception was joyous, full of other high school classmates who recognized how extraordinary it was for two lives to come full circle after all the ordinary “least important” days of high school. Observing this tight-knit community celebrating together reminds me of Grover’s Corners of Thornton Wilder’s “Our Town” where even those in the cemetery under the ground continue to engage in conversation and commentary about their family and friends, sometimes wistful, sometimes full of regrets.

There is so much we miss while we are living out our ordinary days because our capacity for seeing what is truly important is so limited – if we paid attention to it all, we would be overwhelmed and exhausted.

Yet God’s unlimited vision has a plan for each of us, even if we cannot see it in the moment – His divine gift to us, right from our very beginning, until the moment we take our last breath.

This yearā€™s Barnstorming Lenten theme is taken from 2 Corinthians 4: 18:
So we fix our eyes not on what is seen, but on what is unseen, since what is seen is temporary, but what is unseen is eternal.