Tag: retirement

A Human Being, Not a Human Doing

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There comes the strangest moment in your life,
when everything you thought before breaks free—
what you relied upon, as ground-rule and as rite
looks upside down from how it used to be.

Your heart’s in retrograde. You simply have no choice.
Things people told you turn out to be true.
You have to hold that body, hear that voice.
You’d have sworn no one knew you more than you.

How many people thought you’d never change?
But here you have. It’s beautiful. It’s strange.
~Kate Light from “There Comes the Strangest Moment” in Open Slowly

This disease of being “busy” (and let’s call it what it is, the dis-ease of being busy, when we are never at ease) is spiritually destructive to our health and wellbeing.

It saps our ability to be fully present with those we love the most in our families, and keeps us from forming the kind of community that we all so desperately crave.

Tell me you remember you are still a human being,
not just a human doing.
Tell me you’re more than just a machine,
checking off items from your to-do list.
Have that conversation, that glance, that touch.
Be a healing conversation,
one filled with grace and presence.

Put your hand on my arm, look me in the eye,
and connect with me for one second.
Tell me something about your heart, and awaken my heart.
Help me remember that I too am a full and complete human being…
~Omid Safi from The Disease of Being Busy

It has been nearly three years since I hung up my stethoscope. I’m no longer paid to be very busy. It isn’t feeling strange to wake up with no “job” to go to.

I still am vigorously treading water but with no destination in mind other than to stay afloat. It’s enough to just move and breathe in this new and strangely unfamiliar territory.

It was scary at first, backing off from all-consuming clinic responsibilities, yet knowing I was becoming less effective due to my diminishing passion and energy for the work. I’d been working in some capacity for over fifty years, starting in high school.

I could barely remember who I was before I became a physician.

So here I am — changed and changing — volunteering here and there, budding and blooming in new colors and shapes, exercising a different part of my brain, and simply praying I make good use of the time left to me, being something as worthwhile as what I had been doing.

So, once again, my days have become… strangely beautiful… in ways I could never have imagined.

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A Stranger to Nothing

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Contorted by wind,
mere armatures for ice or snow,
the trees resolve
to endure for now,

they will leaf out in April.
And I must be as patient
as the trees—
a winter resolution

I break all over again,
as the cold presses
its sharp blade
against my throat.
~Linda Pastan “January” from The Months

A year has come to us as though out of hiding
It has arrived from an unknown distance
From beyond the visions of the old
Everyone waited for it by the wrong roads
And it is hard for us now to be sure it is here
A stranger to nothing
In our hiding places
~W. S. Merwin “Early January” from  The Lice 

January can be a rough month for most of us: the beginning-of-winter doldrums can be fierce after the hubbub of holidays. It doesn’t help the new year I hoped for is nothing like the unfamiliar road I find myself following – full of twists and turns and switchbacks, as well as being stalled at times, iced firmly in place, a stranger to myself.

So resolutions have been set aside, travel plans postponed, priorities changed; what I need most is the patience to endure, trusting things do change over time, like the seasons.

Winter will not last forever.
I will, like the bare trees around me, leaf out again.

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The Impeded Stream

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It may be that when we no longer know what to do we have come to our real work and that when we no longer know which way to go we have begun our real journey. The mind that is not baffled is not employed. The impeded stream is the one that sings.The world, the truth, is more abounding, more delightful, more demanding than we thought. What appeared for a time perhaps to be mere dutifulness … suddenly breaks open in sweetness — and we are not where we thought we were, nowhere that we could have expected to be.
~Wendell Berry from “Poetry and Marriage: The Use of Old Forms,” in Standing By Words

Who among us knows with certainty each morning
what we are meant to do that day
or where we are to go?

Or do we make our best guess by
putting one foot ahead of the other as we were taught
until the day is done and it is time to rest?

For me, over four decades,
I woke baffled each day
that I was allowed
to eavesdrop on heartbeats,
touch tender bellies,
sew up broken skin,
set fractured bones,
listen to and through tears.

I woke humbled with commitment and duty
to keep going even when too tired,
to offer care even when rejected.
to keep striving even if impeded.

Doing that work, I learned that
obstacles will slow but cannot stop
the cascade of love and hope over the rocks of life.

My days overflow with the uncertainty
of what comes next:
finding my real work
is to wade in deep,
tumbling over the barriers
and still keep singing.

Simply keep singing.

photo by Josh Scholten

Find more beautiful words and photography in this Barnstorming book available for order here:

We May Or Might Never, Meet Here Again

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My great grandfather had some fields in North Carolina
and he willed those fields to his sons and his sons
willed them to their sons so there is a two-hundred-year-old
farm house on that land where several generations
of my family fried chicken and laughed and hung

their laundry beneath the trees. There are things you
know when your family has lived close to the earth:
things that make magic seem likely. Dig a hole on the new
of the moon and you will have dirt to throw away
but dig one on the old of the moon and you won’t have

enough to fill it back up again: I learned this trick
in the backyard of childhood with my hands. If you know
the way the moon pulls at everything then you can feel
it on the streets of a city where you cannot see the sky.

I may walk the streets
of this century and make my living in an office
but my blood is old farming blood and my true
self is underground like a potato.

I have taken root in my grandfather’s
fields: I am hanging my laundry beneath his trees.
~Faith Shearin from “Fields”

It just isn’t possible to completely take me off the farm – I have generations of farmers extending back on both sides of my family, so I have dug myself a hole here, resting easy in the soil like a potato and ventured out only as I needed to in order to actually make a living.

A gathering of all my vaccinated clinic colleagues came to our farm yesterday to help me celebrate my retiring from office life. They brought beautiful flowers, plentiful food, kind and restoring words, thirty year old photos and lovely parting gifts, as well as my singing doctor buddy sharing a sea shanty about bittersweet parting. It is helping ease my sorrow at leaving regular doctoring behind, knowing there are more days to come, more time to grow things in the ground, more blissing out over sunrises and sunsets and more hanging laundry on the clothesline.

My dear friends know where they can find me – on the hill above our farm – we may or might never, meet here again but it was such a fine time together yesterday, thank you!

Kind Friend and Companions, Come join me in rhyme,
Come lift up your voices, In chorus with mine,
Come lift up your voices, all grief to refrain,
For we may or might never, all meet here again
Here’s a health to the company and one to my lass,
Let us drink and be merry, all out of one glass,
Let us drink and be merry, all grief to refrain
For we may or might never, all meet here again
Here’s a health to the dear lass, that I love so well,
For her style and her beauty, sure none can excel,
There’s a smile on her countenance, as she sits on my knee,
There’s no man in this wide world, as happy as me,
Here’s a health to the company, and one to my lass
Let us drink and be merry, all out of one glass,
Let us drink and be merry, all grief to refrain
For we may or might never, all meet here again,
Our ship lies at anchor, she’s ready to dock,
I wish her safe landing, without any shock,
If ever I should meet you, by land or by sea,
I will always remember, your kindness to me,
Here’s a health to the company and one to my lass,
Let us drink and be merry, all out of one glass,
Let us drink and be merry, all grief to refrain
For we may or might never, all meet here again
Here’s a health to the company and one to my lass,
Let us drink and be merry, all out of one glass,
Let us drink and be merry, all grief to refrain
For we may or might never, all meet here again

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The Importance of Doing Nothing

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He thought of all the time he wasted
being good. Clutched by the guilt
of excellence. Polite.
Well-trained. But when
the long summer afternoons came,
too hot to move
from the window fan, scent
of vapor rising
from water jackets, he found pleasure
in doing the nothing that had no regrets–
wasted afternoons
under the Wisteria vine when no one
was watching. Aroma thick
as a breeze on his shoulder.
Thinking of women constantly, forgetting
to water the chickens
in the barn. He was beginning to feel
the release of duty, to feel
what it’s like to feel.
Demands waiting like barking dogs
at the periphery. His good intention
to visit the sick woman
falling aside
as he listened to the rattle of starlings
in the rafters––discovering that strange lightness
of the body. And the new importance
of oak branches
where they separate from the trunk.
How far out the leaves
begin to spread.
The startling arrangement
of moss
like whiskers without discipline.
The long plains of earth
reaching to the clouds
behind the back yard fence.
How the ground pushes back when you walk.
~David Watts, M.D. – “Another Side of Transgression” from Having and Keeping

Decades of demands and responsibilities become a falling-down fence line with no end in sight. Having been raised an obedient person with a heightened sense of obligation about constantly fixing what needs repair, I’ve done what I could, where I could, when I could, how I could, though too often ineffective in my efforts.

I’ve always moved from task to task to task – life’s string of fence posts held wires that always needed stretching and patching and straightening. By continually working, I hoped I too would remain standing and functional.

It’s clear the fence isn’t perfect, nor will it ever be. It has served a purpose, as have I. Now I wander along the fencerow, focusing on the walk and the view rather than searching out every little thing which is leaning or loose or gaping.

This walk feels good, lighter, almost cushiony, almost like rolling with joy in the freedom of it. I’m ambling along for no particular reason at all, which is almost intoxicating.

I think I’ll get used to the importance of doing nothing whatsoever.

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An Exuberant Soul

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Whatever he needs, he has or doesn’t
have by now.
Whatever the world is going to do to him
it has started to do. With a pencil and two
Hardy Boys and a peanut butter sandwich and
grapes he is on his way, there is nothing
more we can do for him. Whatever is
stored in his heart, he can use, now.
Whatever he has laid up in his mind
he can call on. What he does not have
he can lack. The bus gets smaller and smaller, as one
folds a flag at the end of a ceremony,
onto itself, and onto itself, until
only a heavy wedge remains.
Whatever his exuberant soul
can do for him, it is doing right now.
Whatever his arrogance can do
it is doing to him. Everything
that’s been done to him, he will now do.
Everything that’s been placed in him
will come out, now, the contents of a trunk
unpacked and lined up on a bunk in the underpine light.
~Sharon Olds “The Summer-Camp Bus Pulls Away from the Curb”

photo by Gary Herbert
photo from army.mil

This is the season for graduations and commencements to the next phase of life, when students move into the adult world and don’t look back.

As a parent, as an educator, as a mentor within church and community, and over thirty two years as a college health physician witnessing this transition many times over, I can’t help but be wistful about what I may have left undone and unsaid with the generation about to launch.   In their moments of vulnerability, did I pack enough love into their hearts so they can pull it out when it is most needed?

When our three children traveled the world after their graduations, moving beyond the fenced perimeter of our little farm, I trusted they left well prepared.

As a former school board member, I watched our students, parents and teachers work diligently together in their preparation for that graduation day, knowing the encompassing love behind each congratulatory hand shake.

When another batch of our church family children say goodbye, I remember holding them in the nursery, listening to their joyful voices as I played piano accompaniment in Sunday School, feeding them in innumerable potlucks over the years.  I pray we have fed them well in every way with enough spiritual food to stick to their ribs in the “thin” and hungry times.

When hundreds of my student/patients move on each year beyond our university health clinic, I pray for their continued emotional growth buoyed by plenty of resilience when the road gets inevitably bumpy.

I believe I know what is stored in the hearts of our graduates because I, among many others, helped them pack it full of love.  Only they will know the time to unpack it when the need arises.

And now, this year, I find I am “graduating” as well, moving away from a regular clinic work schedule to whatever waits for me next. I cleaned out my desk yesterday, carrying the detritus of three decades back home with me, including a packed-away glass “tear drop” I somehow earned ten years ago for “exceptional effort.” All I really remember about that time in my professional life are the shed tears that award acknowledged unbeknownst. It was a fitting symbol for what I had been through during a hard year.

I’m not exactly climbing on a bus with my lunch packed to go to summer camp, but it feels a bit similar as I enter this new phase. I’m nervous, I’m sad, I’m excited, I’m exuberant, so much like all the graduates I’ve seen commence over the years.

And best of all for me, summer camp is right here on the farm, peanut butter sandwiches included.

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The Fly in the Currant Cake

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Nothing seems to please a fly so much as to be taken for a currant;
and if it can be baked in a cake and palmed off on the unwary, it dies happy.
~Mark Twain

Today I will wrap up 45 years of uninterrupted training and doctoring. Most of that time, I have worried I’m like a fly hiding among the black currants hoping to eventually become part of the currant cake. 

Maybe no one has noticed. These days we call it the “impostor” syndrome. Mark Twain knew all about currant cake and how easy it was for a fly to blend into its batter.

Even while bearing three children and going through a few surgeries myself, I’ve not been away from patients for more than twenty consecutive days at any one time.  This is primarily out of my concern that, even after a few weeks, I would forget all that I’ve ever known. In fact, half of what I learned in medical school and residency over forty years ago has evolved, thanks to new discoveries and clarifying research. I worried if I were to actually to step away from doctoring for an extended time, then return to see patients again, I would be masquerading as a physician rather than be the real thing. A mere fly among the currants palmed off on the unwary.

If being truly honest, those who spend their professional lives providing medical care to others always share this concern: if a patient only knew how much we don’t know and will never know, despite everything we DO know, there would really be no trust left for us at all.

Of course, some say, didn’t the COVID pandemic prove our ignorance? Physicians started at Ground Zero with a novel virus with unclear transmissibility and immense potential to wreak havoc on the human body … or cause no symptoms whatsoever. We had no collected data to base prevention or treatment decisions: would masks just protect others or would they only protect ourselves, or maybe they protect both? Could a common inexpensive anti-inflammatory/antimalarial drug be beneficial or would a parasitic wormer medication be somehow effective to fight the devastation of the virus?

Effective treatments are still being sought all these months later; others have been debated, studied and discarded as worthless.

Or would this pandemic finally resolve thanks to effective yet controversial public health mandates while rapidly distributing highly effective vaccines developed from many prior years of carefully performed research?

During the past 16 months, your next door neighbor, or the loudest tweet on Twitter proclaimed more expertise than the average medical professional and definitely had a stronger opinion. At least we doctors knew how much we didn’t know and how much was simply guess work based on experience, good intentions and hopeful prayer. Gradually, while lives were lost, including too many of our own, real data began to trickle in so decisions could be made with some evidence backing them. But even that data continues to evolve, day by day, as authentic medical evidence always does.

That doesn’t stop all the “quack” flies out there from climbing into the batter pretending to be currants. With so much rapidly changing medical information at everyone’s fingertips, who needs a trained physician when there are so many other resources – sketchy and opportunistic though they may be – for seeking health care advice?

Even so, I am convinced most patients really do care that doctors share the best information they have available at any point in time. None of us who are doctoring wants to be the “fly” in the batter of health care.

As I meet with my last patient today, I know over forty years of clinical experience has given me an eye and an ear for the subtle signs and symptoms that no googled website or internet doc-in-the-box can discern.  The avoidance of eye contact, the tremble of the lip as they speak, the barely palpable rash, the hardly discernible extra heart sound, the fullness over an ovary, the slight squeak in a lung base.  These are things I am privileged to see and hear and about which I make decisions together with my patients.  What I’ve done over four decades has been no masquerade; out of my natural caution, I am not appearing to be someone I am not.  This is what I was trained to do and have done for thousands of days and many more thousands of patients during my professional life, while passing a comprehensive certification examination every few years to prove my continued study and changing fund of knowledge.

The hidden fly in the currant bush of health care may be disguised enough that an unwary patient might gobble it down to their ultimate detriment. I know I’ve not been that doctor. I’ve been the real thing all these years for my patients, even if I’ve seemed a bit on the tart side at times, yet offering up just enough tang to be exactly what was needed in the moment and in the long term.

And someday, hopefully not too soon, I will die happy having done this with my life.

My ID photo from my first year of medical school 1976
45 years later…

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We Lean Lest We Fall

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Today we both fell.

Eventually balance moves
out of us into the world;
it’s the pull of rabbits
grazing on the lawn
as we talk, the slow talk
of where and when,
determining what
and who we will become
as we age.

We admire the new plants
and the rings of mulch you made,
we praise the rabbits eating
the weeds’ sweet yellow flowers.

Behind our words the days
serve each other as mother,
father, cook, builder, and fixer;
these float like the clouds
beyond the trees.

It is a simple life, now,
children grown, our living made
and saved, our years our own,
husband and wife,

but in our daily stride, the one
that rises with the sun,
the chosen pride,
we lean on our other selves,
lest we fall
into a consuming fire
and lose it all.
~Richard Maxson, “Otherwise” from  Searching for Arkansas

Our days are slower now, less rush, more reading and writing, walking and sitting, taking it all in and wondering what comes next.

I slowly adapt to not hurrying to work every other day, looking to you to see how I should parcel out each moment. Should I stay busy cleaning, sorting, giving away, simplifying our possessions so our children someday won’t have to? Or should I find some other kind of service off the farm to feel worthy of each new day, each new breath?

It is an unfamiliar phase, this facing a day with no agenda and no appointments. What comes next is uncertain, as it always has been but I didn’t pay attention before.

So I lean lest I fall. I breathe lest I forget how.

The Lapse of Time

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A single gentle rain makes the grass many shades greener.
So our prospects brighten on the influx of better thoughts.
We should be blessed if we lived in the present always, and
took advantage of every accident that befell us.

Sometimes, in a summer morning, having taken my accustomed bath, I sat in my sunny doorway from sunrise till noon, rapt in a revery, amidst the pines and hickories and sumachs, in undisturbed solitude and stillness, while the birds sing around or flitted noiseless through the house, until by the sun falling in at my west window, or the noise of some traveller’s wagon on the distant highway, I was reminded of the lapse of time.
~Henry David Thoreau from “Simplicity” in Walden.

I’m completely unskilled at doing nothing and have no idea how to go about it.

There is no continuing education course or training in it. I can’t get credit hours for accumulating guilt about wasting time — I get antsy at the mere thought of inactivity. Simply watching the hours pass makes me itchy for productivity.

So I’m practicing at nothing whatsoever this summer, just to see if I’m really cut out for it. I’ve read up on “how to rest”: connecting to nature, taking a break from being responsible, choosing not to be helpful and just remaining still and to be content to watch what is around me. Except for the nature part, I’m an utter failure otherwise.

It starts to feel like work to not work.

Even Thoreau ended up writing down and then publishing his meandering thoughts. Sounds like work to me.

Time for a nap.

Electrified With Morning

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Video by Harry Rodenberger
Video by Harry Rodenberger

One swallow does not make a summer, neither does one fine day…
~Aristotle from The Nicomachean Ethics

God gives every bird his worm,
but He does not throw it into the nest. 
~Swedish Proverb

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 “Arrival of the Past”

The beginning of summer brings back early childhood memories of waking early in the morning with no plans for the day other than just showing up.

As a kid, I was never bored with so many open-ended hours before me; the air felt electric with potential adventures, whether it was building a tree fort, bushwhacking a new trail in the woods, searching out killdeer nests in the field, catching butterflies, or watching a salamander sunning itself for hours. The possibilities felt infinite and I was free as a bird to go looking for what the day had to offer.

By the time I was ten, I began to work to earn money to make my dream (owning my own horse) come true – picking berries, weeding gardens, babysitting neighbor kids. The work routine started early as dreams don’t happen without striving for them.

Now for the first time in 55 years, I awake knowing life has changed in the night: I don’t have a schedule and don’t need to show up to a job. The long summer days I thought were gone and forgotten have been here all along, just now uncovered again.

I can go back to those days of electrifying potential open-ended hours, just to simply show up to the moments before me.

I stand here, mouth open, ready to be fed.