Now Let’s Eat


Here we sit as evening falls
Like old horses in their stalls.
Thank you, Father, that you bless
Us with food and an address
And the comfort of your hand
In this great and blessed land.
Look around at each dear face,
Keep each one in your good grace.
We think of those who went before,
And wish we could have loved them more.
Grant to us a cheerful heart,
Knowing we must soon depart
To that far land to be with them.
And now let’s eat. Praise God. Amen.
~Gary Johnson “Table Grace”

The world begins at a kitchen table. No Matter what, we must eat to live.

The gifts of earth are brought and prepared, set on the table. So it has been since creation, and it will go on.

We chase chickens or dogs away from it. Babies teethe at the corners. They scrape their knees under it.

It is here that children are given instructions on what it means to be human. We make men at it, we make women.

At this table we gossip, recall enemies and the ghosts of lovers.

Our dreams drink coffee with us as they put their arms around our children. They laugh with us at our poor falling-down selves and as we put ourselves back together once again at the table.

This table has been a house in the rain, an umbrella in the sun.

We have given birth on this table, and have prepared our parents for burial here.

Wars have begun and ended at this table. It is a place to hide in the shadow of terror. A place to celebrate the terrible victory.

At this table we sing with joy, with sorrow. We pray of suffering and remorse. We give thanks.

Perhaps the world will end at the kitchen table, while we are laughing and crying, eating of the last sweet bite.
~Joy Harjo “Perhaps the World Ends Here”

Our life revolves around the table, whether at home or at church.

This is where we hang out late into the evening,
and begin the day before dawn.

This is where prayers happen,
the meals happen,
the arguments happen.
This is where we listen to, understand and love each other.

This is where we share what we have and eat and are fed and
this is where God provides for us daily.

One of the hardest parts of the pandemic
is that the virus finds people who sing and talk together around a table,
and who take off their masks to eat together.
Truly this Enemy has found a way to keep people away from one another,
caring for one another and being nourished together.

We think of those who went before
and wish that we could have loved them more.

Let us love one another now, while we can, when we can,
and we shall feast together later.

Perhaps the world will end at the kitchen table, while we are laughing and crying, eating of the last sweet bite.

Amen and Amen.

Telling Stories

After nourishment, shelter and companionship,
stories are the thing we need most in the world.
Philip Pullman

You’re going to feel like hell if you wake up someday and you never wrote the stuff that is tugging on the sleeves of your heart: your stories, memories, visions, and songs–your truth, your version of things–in your own voice. That’s really all you have to offer us, and that’s also why you were born.
~Anne Lamott in a recent TED Talk

Write as if you were dying. At the same time, assume you write for an audience consisting solely of terminal patients. That is, after all, the case.
~Annie Dillard from “Write Till You Drop”

I began to write after September 11, 2001 because that day it became obvious to me I was dying, albeit more slowly than the thousands who vanished that day in fire and ash, their voices obliterated with their bodies.   So, nearly each day since, while I still have voice and a new dawn to greet, I speak through my fingers and my camera lens to others dying around me.

Over the past several months, there have been too many who have met their end sooner than they wished, having been felled by a rogue virus that cares not who or how badly it infects.

We are, after all, terminal patients, some more imminent than others, some of us more prepared to move on, as if our readiness had anything to do with the timing.

Each day I too get a little closer, so I write and share photos of my world in order to hang on awhile longer, yet with loosening grasp.  Each day I must detach just a little bit, leaving a small trace of my voice and myself behind.  Eventually, through unmerited grace, so much of me will be left on the page there won’t be anything or anyone left to do the typing.

There is no moment or picture or word to waste.

Lest They Sicken

Tell the bees. They require news of the house;
they must know, lest they sicken
from the gap between their ignorance and our grief.
Speak in a whisper. Tie a black swatch
to a stick and attach the stick to their hive.
From the fortress of casseroles and desserts
built in the kitchen these past few weeks
as though hunger were the enemy, remove
a slice of cake and lay it where they can
slowly draw it in, making a mournful sound.

And tell the fly that has knocked on the window all day.
Tell the redbird that rammed the glass from outside
and stands too dazed to go. Tell the grass,
though it’s already guessed, and the ground clenched in furrows;
tell the water you spill on the ground,
then all the water will know.
And the last shrunken pearl of snow in its hiding place.

Tell the blighted elms, and the young oaks we plant instead.
The water bug, while it scribbles
a hundred lines that dissolve behind it.
The lichen, while it etches deeper
its single rune. The boulders, letting their fissures widen,
the pebbles, which have no more to lose,
the hills—they will be slightly smaller, as always,

when the bees fly out tomorrow to look for sweetness
and find their way
because nothing else has changed.
~Sarah Lindsay “Tell the Bees”

So many around the globe are grieving their losses, their reality forever changed by a virus. Yet the world churns on, oblivious to the sorrows of individuals.

The tradition of telling the bees is that it matters to the community of hives how people who care for them are faring: is there a wedding coming up? a baby due? an overwhelming illness? a death of a loved one? If a hive is kept in ignorance, the cloud of grief will sicken them or drive them away. Shared grief is a nurturing spirit that allows the community to thrive and move on in sweetness.

Nothing happens without an impact down the line; the butterfly effect is also the bee effect. We speak softly of our desolation and suffering so our tears water thirsty ground.

Let the bees know, let them hear; the bees will go about their work and they will turn our sorrow to honey.

He Loves Us As We Are: Terrible Clarity

Romantic love is blind to everything
except what is lovable and lovely,

but Christ’s love sees us
with terrible clarity and sees us whole.

Christ’s love so wishes our joy
that it is ruthless against everything in us
that diminishes our joy.

The worst sentence Love can pass
is that we behold the suffering
which Love has endured for our sake,

and that is also our acquittal.
The justice and mercy of the judge
are ultimately one.

~Frederick Buechner

We see with terrible clarity
the Love we are shown,
the Love given freely to the undeserving,
the Love paying our ransom in full,
the Love enduring all for us~

this Judge convicts,
metes out justice upon His own head,
serves the whole sentence Himself,
thus sets us free
to see and share
the Love we are shown.

We are called now
-especially now-
to love as we are loved.

This year’s Lenten theme for Barnstorming:

God sees us as we are,
loves us as we are,
and accepts us as we are.
But by His grace,
He does not leave us where we are.
~Tim Keller

Little Life Safe

He calls the honeybees his girls although
he tells me they’re ungendered workers
who never produce offspring. Some hour drops,
the bees shut off. In the long, cool slant of sun,
spent flowers fold into cups. He asks me if I’ve ever
seen a Solitary Bee where it sleeps. I say I’ve not.
The nearest bud’s a long-throated peach hollyhock.
He cradles it in his palm, holds it up so I spy
the intimacy of the sleeping bee. Little life safe in a petal,
little girl, your few furious buzzings as you stir
stay with me all winter, remind me of my work undone.
~Heid E. Erdrich, from “Intimate Detail” from The Mother’s Tongue

The barn’s brown gable, the vine by the door,—    
Nothing changed but the hives of bees. 
Before them, under the garden wall,    
Forward and back, 
Went drearily singing the chore-girl small,    
Draping each hive with a shred of black. 
Trembling, I listened: the summer sun    
Had the chill of snow; 
For I knew she was telling the bees of one    
Gone on the journey we all must go! 
~John Greenleaf Whittier from “Telling the Bees”

An old Celtic tradition necessitates sharing any news from the household with the farm’s bee hives, whether cheery like a new birth or a wedding celebration or sad like a family death.  This ensures the hives’ well-being and continued connection to home and community – the bees are kept in the loop, so to speak, so they stay at home, not swarm and move on to a more hospitable place.

Each little life safe at home, each little life with work undone.

Good news seems always easy to share; we tend to keep bad news to ourselves so this tradition helps remind us that what affects one of us, affects us all.

These days, with instant news at our fingertips at any moment, bad news is constantly bombarding us. Like the bees in the hives of the field, we want to flee from it and find a more hospitable home.

I hope the Beekeeper, our Creator, comes personally to each of us to say:
“Here is what has happened. All will be well, dear one. We will navigate your little life together.”

Clumsy Clusters of Grace

irisrain

 

irispotential

 

 

I have a small grain of hope–
one small crystal that gleams
clear colors out of transparency.

I need more.

I break off a fragment
to send you.

Please take
this grain of a grain of hope
so that mine won’t shrink.

Please share your fragment
so that yours will grow.

Only so, by division,
will hope increase,

like a clump of irises, which will cease to flower
unless you distribute
the clustered roots, unlikely source–
clumsy and earth-covered–
of grace.
~Denise Levertov “For the New Year, 1981”

 

 

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One autumn years ago,  my sister-in-law brought several paper bags full of iris roots resting solemnly in earth-covered clumps: dirt–dry misshaped feet and fingers crippled with potential. Her garden had become overcrowded and for her iris to continue to thrive, she needed to divide and share the roots.

We were late getting them into the ground but their clustered grace rose up forgiving us our clumsiness. They took hold and transformed our little courtyard into a Van Gogh landscape.

These iris will continue to gladden our hearts until we too must divide them to pass on their gift of beauty to another garden. This act– “by division, will hope increase”–feels radical yet that is exactly what God did in sending His Son to become earth-covered.

A part of God was broken off to put down roots, grow, thrive and be divided, over and over and over again to increase the beauty and grace for those of us limited to this soil.

Each spring our garden blooms so all can see and know: hope lives here —
even in the last few hours of an old and tired year
passing haltingly, hesitantly
into something brand new.

 

 

irischance1

 

irisrain5121

 

iriscenter5

 

 

iris514152

Preparing Through Parable: Who Will Get What You Have Prepared?

snowybarn0

 

barnstorm

 

16 And he told them this parable: “The ground of a certain rich man yielded an abundant harvest. 17 He thought to himself, ‘What shall I do? I have no place to store my crops.’

18 “Then he said, ‘This is what I’ll do. I will tear down my barns and build bigger ones, and there I will store my surplus grain. 19 And I’ll say to myself, “You have plenty of grain laid up for many years. Take life easy; eat, drink and be merry.”’

20 “But God said to him, ‘You fool! This very night your life will be demanded from you. Then who will get what you have prepared for yourself?’

21 “This is how it will be with whoever stores up things for themselves but is not rich toward God.”
~Luke 12:16-21

 

 

aprilbarnscene3

 

We boomers were raised to work hard, steward the land, store up the excess for lean times; after all we grew up with Depression-era parents who understood first-hand the ant and grasshopper story.

Yet this parable is about the wealthy fool who plans to build bigger barns to store his bounty and enjoy a leisurely retirement only to be told by God that his life would end that night.

Who would then benefit from such a carefully planned storehouse of riches?  We are reminded from where our blessings flow.

It is not for ourselves that we work hard and store up; it is solely to be a blessing to others.

May my eyes see, my ears hear, my heart understand.  He prepares me with parable.

 

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And God is able to provide you with every blessing in abundance, so that having all contentment in all things at all times, you may abound in every good work.
~2 Corinthians 9:8

 

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Roots of Grace

irisrain

irisbug

 

I have a small grain of hope–
one small crystal that gleams
clear colors out of transparency.

I need more.

I break off a fragment
to send you.

Please take
this grain of a grain of hope
so that mine won’t shrink.

Please share your fragment
so that yours will grow.

Only so, by division,
will hope increase,

like a clump of irises, which will cease to flower
unless you distribute
the clustered roots, unlikely source–
clumsy and earth-covered–
of grace.
~Denise Levertov “For the New Year, 1981”

For the New Year, 2015:

Several years ago my sister-in-law brought us three paper bags full of iris roots resting dormant in clumps of dirt – dry misshaped feet and crippled fingers pregnant with potential. We were late getting them into the ground in the fall but their grace was forgiving. They took hold and transformed our little courtyard into a Van Gogh landscape. They will continue to gladden our hearts as we divide them someday to pass on their gift of beauty to another garden. This act– “by division, will hope increase”–feels radical.  Yet that is exactly what God did in sending His Son to become dust-bound and earth-covered.

God broke off part of Himself to put down roots, grow, thrive and thereby be divided, over and over and over again to increase beauty and grace for those of us made of and limited to this soil.

Our garden will continue to bloom next spring so all can see and know: hope lives here —  in the few hours left to this year, and transitioning into the next.

irisinnard

blueirisr

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Van Gogh “Irises”

Obscurity in Medicine

photo by Josh Scholten

Be obscure clearly.
~E. B. White

As a family doctor, I work at clarifying obscurity about the human condition daily, dependent on my patients to communicate the information I need to make a sound diagnosis and treatment recommendation.  To begin with, there is much that is still unknown and difficult to understand about psychology, physiology and anatomy.  Then throw in a disease process or two or three to complicate what appears to be “normal”, and further consider the side effects and complications of various treatments — even evidence-based decision making isn’t equipped to reflect perfectly the best and only solution to a problem.  Sometimes the solution is very muddy, not at all pristine and clear.
Let’s face the lack of facts.  A physician’s clinical work is obscure even on the best of days when everything goes well.  We hope our patients can communicate their concerns as clearly as possible, reflecting accurately what is happening with their health.  In a typical clinic day we see things we’ve never seen before, must expect the unexpected, learn things we never thought we’d need to know, attempt to make the better choice between competing treatment alternatives, unlearn things we thought were gospel truth but have just been disproved by the latest double blind controlled study which may later be reversed by a newer study.   Our footing is quicksand much of the time even though our patients trust we are giving them rock-solid advice based on a foundation of truth learned over years of education and training.   Add in medical decision-making that is driven by cultural, political or financial outcomes rather than what works best for the individual, and our clinical clarity becomes even further obscured.

Over thirty years of doctoring in the midst of the mystery of medicine — learning, unlearning, listening, discerning, explaining, guessing, hoping,  along with a little silent praying — has taught me the humility that any good clinician must have when making decisions with and about patients.  What works well for one patient may not be at all appropriate for another despite what the evidence says or what an insurance company or the government is willing to pay for.  Each person we work with deserves the clarity of a fresh look and perspective, to be “known” and understood for their unique circumstances rather than treated by cook-book algorithm.  The complex reality of health care reform may dictate something quite different.

The future of medicine is dependent on finding clarifying solutions to help unmuddy the health care decisions our patients face. We have entered a time of information technology that is unparalleled in bringing improved communication between clinicians and patients because of more easily shared electronic records.  The pitfall of not knowing what work up was previously done will be a thing of the past.  The risk and cost of redundant procedures can be avoided.  The patient shares responsibility for maintenance of their medical records and assists the diagnostic process by providing online symptom and outcomes documentation.   The benefit of this shared record is not that all the muddiness in medicine is eliminated, but that an enhanced transparent partnership between clinician and patient develops,  reflecting a relationship able to transcend the unknowns.

So we can be obscure clearly.   Lives depend on it.