An Oath to Live

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It is…the refusal to take the oath of loyalty to life…
The man who kills a man kills a man.

The man who kills himself kills all men.
As far as he is concerned, he wipes out the world.
~ G.K. Chesterton

Suicide rates globally have climbed 60% in the past forty five years,
particularly in developed countries where most folks are sheltered and fed,
where daily survival is entirely in our own hands.
Based on the distress and anguish of the patients I see every day,
there will be no slowing of this trend:
this temptation, this contemplation, this resignation of dying, only a passive
“I wish I were dead” or
“the world is better off without me”~
wipes out the worth of the world.

~where there is no oath of loyalty to live, our own or others’,
as stressful, painful and messy as life can be,
~where there is no honoring of the holiness of the created being,
whether unborn, or breathing heavy through daily struggles, or suffering or dying,
~when there is no longer resistance to standing up to the buffeting winds of life,
only a toppling over, taking out everything and everyone in the way,
~then with each suicide, the world also is wiped out,
the value of all people killed in one act of self-murder.

November is Suicide Prevention Month

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A Thousand Thousand Reasons

 

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There are a thousand thousand reasons to live this life, every one of them sufficient.
Marilynne Robinson in Gilead

There are a thousand thousand people on any given day who cannot think of one sufficient reason to live this life.
There are a few thousand who will decide this is their last day.
There are a few who say goodbye.

It is enough for me to find just one reason to live today.
It is enough for me to help someone else find just one reason today.
One is enough.
Fully sufficient.

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What We Can Do

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There is so very little we can do,
Friends, for these beautiful children of ours,
They will come to grief and suffer and you
And I bow to darkness and evil powers.

The gentle boy who wrote poems goes
For a walk in January and does not return.
His mother and father search the woods. The snow
Is deep. All night their hearts burn

For him. He is found, hanging from a limb,
And the father carries the body of his son
Into the yard and tenderly lays him
On the step. Stephen, O darling one,

See how your parents’ hearts break for you.
There is so very little we can do.
~Gary Johnson

 

Our woodlot lies quiet this time of year.  There have been numerous wind storms that have snapped trees or uprooted them completely and they rest where they have fallen, a crisscross graveyard of trunks that block paths and thwart us on the trails.  Years of leaves have fallen undisturbed, settling into a cushiony duff that is spongy underfoot, almost mattress-like in its softness, yet rich and life-giving to the next generation of trees.

We’ve intentionally left this woods alone for over twenty years.  When we purchased this farm, cows had the run of the woods, resulting in damage to the trees and to the undergrowth.  We fenced off the woods from the fields, not allowing our horses access. It has been the home for raccoon, deer and coyotes, slowly rediscovering its natural rhythms and seasons.

It feels like time to open the trails again.  We’ve cut through the brush that has grown up, and are cutting through the fallen trunks to allow our passage.

We bought this farm from a remarkable 82 year old man who loved every tree here. After spending 79 years on this farm, he treasured each one for its history, its fruit, its particular place in the ground, and would only use the wood if God had felled the tree Himself.  The old farmer directed us to revere the trees as he had, and so we have.  When he first took us on a tour of the farm, it was in actuality a tour of the trees, from the large walnuts in the front yard, to the poplars along the perimeter, to the antique apples, cherries and pear, the filbert grove, the silver plum thicket, as well as the mighty seventy plus year old Douglas fir, Western hemlock and Red cedar trees reestablished after the original logging in the early twentieth century.   The huge old stumps still bore the carved out eight inch notches for the springboards on which the lumbermen balanced to cut away with their axes at the massive diameter of the trees.

He led us to a corner of the woods and stood beneath a particular tree, tears streaming down his face.  He explained this was where his boy had hung himself, taking his life at age fifteen in 1968.   The old farmer still loved this tree, as devastating as it was to lose his son so unexpectedly from one of its branches.  He stood shaking his head, his tears dropping to the ground.  I knew his tears had watered this spot often over the years.  He looked at our boys—one a two year old in a pack on my back, and the other a four year old gripping his daddy’s hand—and told us he wished he’d known,  wished there could have been something he could have done, wished he could have understood his son’s despair, wished daily there was a way to turn back the clock and make it all turn out differently.  He wanted us to know about this if we were to own this woods, this tree, this ground, with children to raise here so there would be something we could do to prevent this from happening again to one of our own.

I was shaken by such raw sharing and the obvious sacredness of the spot.   Though the boy lay buried in a nearby cemetery, a too-young almost-man lost forever for reasons he never found to express to others, it was as if this spot, now hallowed by his father’s tears, was his grave.  This tree witnessed his last act and last breath on earth.

We have left the woods untouched in our effort to let it restore and heal, and to allow that tree to blend into the forest again, surrounded by new growth and life.  We have told this young man’s story to our children and are reminded of the precious gift of life we all have been given, and that it must be treasured and clung to, even in our darkest moments.  This father’s tears watering this woods are testimony enough of his own clinging to life, through his faith in God and in respect to the memory of his beloved boy.

The old farmer and his wife now share the ground with their son, reunited again a only few miles away from our home that was theirs for decades.  Their woods is reopening to our feet, allowing us passage again, and despite the darkness that overwhelms it each winter, the woods bear life amidst the dying as a forever reminder.

And we will not forget.  It is so very little, but the very least we can do.

 

 

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A Flower Unplucked

rainyroseA flower unplucked is but left to the falling,
And nothing is gained by not gathering roses.
~Robert Frost from “Asking for Roses”

 

Robin Williams spent his lifetime coaxing us to laugh till we cried,
making us cringe and too often wanting to hide from his manic intensity.

He left no flower unplucked and now he has left us weeping again
too soon,
petals shattered and strewn,
a lingering scent of roses rising.

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A Haystack of Light

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Everyday
I see or hear
something
that more or less

kills me
with delight,
that leaves me
like a needle

in the haystack
of light.
It was what I was born for —
to look, to listen,

to lose myself
inside this soft world —
~Mary Oliver from “Mindful”

Some days I’m the needle
and other days I’m the pin cushion

This day was some of both
of soft lit floating fog,
doing chores with my neighbor kids,
saying a final goodbye to an old farmer from down the road,
missing a favorite poet’s reading
to deal with a patient’s suicidal crisis.

I long to rest in the softness of the light
that floats close to the ground,
reaching with cloudy fingers
to hold me close, sharp edges and all,
a reminder of what I was born for.

sharp

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An Oath of Loyalty to Life

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It is…the refusal to take the oath of loyalty to life…
The man who kills a man kills a man.

The man who kills himself kills all men.
As far as he is concerned, he wipes out the world.
~ G.K. Chesterton

Suicide rates globally have climbed 60% in the past forty years,
particularly in developed countries.
Based on the distress of the patients I see every day,
the easy contemplation of suicide,
if only a passive “I wish I were dead”,
there will be no slowing of this trend.

…when there is no sense of loyalty to life, as stressful and messy as it can be,
…when there is no honoring of the holiness of the created being,
…when there is no resistance to the buffeting winds of life,
only a toppling over, taking out everything and everyone in the way,
…the world is wiped out, all people killed in one act of self-murder.

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Terrible with Raisins

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This wasn’t just plain terrible,
this was fancy terrible.
This was terrible with raisins in it.
~Dorothy Parker

More and more of my clinic time is devoted to evaluation and treatment of depression and anxiety rather than sore throats, coughs, UTIs and sprains/strains.  An outbreak of overwhelming misery is climbing to epidemic proportions in our society.  A majority of the patients who are coming in for mental health assessment are at the point where their symptoms are interfering with nearly every aspect of their daily activities and they can no longer cope.  Their relationships are disintegrating, their work/school responsibilities are suffering, they are alarmingly self-medicating with alcohol, marijuana and pornography or whatever seems to give momentary relief.   Suicidal ideation has become common, almost normative, certainly no longer rare.

Things seem terrible.  And not just plain terrible.  First-world-problem-terrible with raisins in it.

We have lost all perspective about terrible.

Terrible is what happened to the Philippine people in the midst of the most horrific typhoon this month –losing everything from their lives to shelter to any means to stay warm, fed and secure, much less find medical care.
Terrible is what happens in numerous countries where political oppression sends refugees across hundreds of miles and borders to seek asylum in foreign lands.
Terrible is what happens when hundreds of thousands are dying from AIDs,  leaving behind their infected orphans to fend for themselves and care for each other.
Terrible is trafficking of human beings for power, gratification and money.

There is plenty of just plain terrible and most of us have no clue what it feels like.  We are so absorbed in our own scratches from the ubiquitous thorns of life, grousing about the raisins that pop up in our own version of terrible,  oblivious to the relative comfort with which we are graced daily compared to most of the world’s population.

Sometimes I think the best treatment for anxiety and depression has little to do with correcting brain chemistry or getting to the right cognitive behavioral insights to beat back negative thoughts, but rather to spend a year digging wells and latrines for those who have never used one.   It is spending hours caring for the detoxing or the dying to see what misery really looks like.  It is understanding how the fight for basic survival after an earthquake, a hurricane, a typhoon, a flood, a tsunami,  makes life even more precious, rather than thrown away as if it is something you can simply upgrade or exchange for a new version.

Maybe, just maybe, when we reach in deeply, even sustaining the scars that come with everyday living, we can look past the thorns to the fruit.  We may bleed getting to it.  Maybe then the raisins don’t seem quite so terrible after all.

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Transforming Anxiety

photo by Nate Gibson
photo by Nate Gibson

…difficulties are magnified out of all proportion simply by fear and anxiety. From the moment we wake until we fall asleep we must commend other people wholly and unreservedly to God and leave them in his hands, and transform our anxiety for them into prayers on their behalf:
With sorrow and with grief…
God will not be distracted.
~Dietrich Bonhoeffer in Letters from Prison

Every day I see college students who are so consumed by anxiety they become immobilized in their ability to move forward through the midst of life’s inevitable obstacles and difficulties.  They become so stuck in their own overwhelming feelings they can’t sleep or eat or think clearly, so distracted are they by their symptoms.  They self-medicate, self-injure and self-hate.  Being unable to nurture themselves or others, they wither like a young tree without roots deep enough to reach the vast reservoir that lies untapped beneath them.  In epidemic numbers, some decide to die, even before life really has fully begun for them.

I grieve for them in their distress.   My role is to help find healing solutions, whether it is counseling therapy, a break from school, or a medicine that may give some form of relief.  My heart knows the ultimate answer is not as simple as the right prescription.

We who are anxious are not trusting a Creator who does not suffer from attention deficit disorder and who is not distracted from His care for us even when we turn away in worry and sorrow.  We magnify our difficult circumstances by staying so tightly into ourselves, unable to look beyond our own eyelashes.  Instead we are to reach higher and deeper, through prayer, through service to others, through acknowledging there is power greater than ourselves.

So we are called to pray for ourselves and for others,  disabling anxiety and fear and transforming it to gratitude and grace.   No longer withering, we just might bloom.

 

 

If There Were No God

photo by Josh Scholten

“If there were no God, there would be no atheists.”
—G.K. Chesterton

I heard the same message
from several patients:
they would
commit suicide,
but not believing
in God
would mean
jumping from
the pain of living
into

…nothing at all…

 

I thought
feeling nothing
was the
point
of ceasing
to be

 

Perhaps they can’t imagine
a God
who created
doubters
sore afraid
of His caring

enough to die
so no one
becomes
nothing.

Just Another Day

photo by Josh Scholten

“This is another day, O Lord…
If I am to stand up, help me to stand bravely.
If I am to sit still, help me to sit quietly.
If I am to lie low, help me to do it patiently.
And if I am to do nothing, let me do it gallantly.”
— Kathleen Norris citing the Book of Common Prayer

This day is the wrap-up of my twenty-third academic year working as a college health physician,  my most challenging so far.  Despite diminishing budget, shrinking staffing, higher severity of illness in our patient population, three suicides and more failed attempts,  our staff did an incredible job this year serving students and their families with the resources we have.   Reaching this day today is poignant: we will miss the graduating students we have gotten to know so well over four or five years,  we watch others leave temporarily for the summer, some to far places around the world, and we weep for those three families whose students will not return home again.

In my work I strive to do what is needed when it is needed no matter what time of the day or night.  There are times when I tend to fall short–too vehement when I need to be quiet, too urgent and pressured when I need to be patient,  too anxious to do something, anything when it is best to courageously do nothing.  It is very difficult for a doctor to do nothing but I vowed over thirty years ago in my own graduation ceremony to “First do no harm.”  Never do I want to cause someone harm.

In a sense I graduate as well on this last day of the school year–just not with cap and gown and diploma in hand.  Each year I learn enough from my patients to fill volumes, as they speak volumes with their struggles, their pain, their stories and sometimes their forever silence.

Bless our students and their families on this day, with blessings from us who work toward the goal of sending them healthy into the rest of their lives.

It is not just another day.

photo by Josh Scholten