Tag: Trust

Back to Back

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We lie back to back. Curtains
lift and fall,
like the chest of someone sleeping.
Wind moves the leaves of the box elder;
they show their light undersides,
turning all at once
like a school of fish.
Suddenly I understand that I am happy.
For months this feeling
has been coming closer, stopping
for short visits, like a timid suitor.
~Jane Kenyon “The Suitor”

Andrew Wyeth – Wind from the Sea, 1947

Happiness can be an elusive suitor and is altogether undependable.

I too have had glimpses of it throughout my life – a fleeting “this is it.”
Then the clouds roll in and the ecstasy of the realization fades to mist.

I tend to trust the old reliable friends who show up regularly – like “hopeful” and “contented” and “being at peace” – plus moments when the sweetness of each breath brings tears of overwhelming joy.

Instead of pursuing happiness, (always a pursuit rather than a destination), I thrive on knowing I love deeply and am loved.
That knowledge is what gets me through the really tough times when happiness doesn’t always put in an appearance.

Love shows up.
Love has my back when I’m afraid and full of doubt.
Love persists through sadness.
Love doesn’t give up when everything hurts.
Love is sufficient.

Love is enough to bring those happy tears to my eyes…

Love is patient, love is kind. It does not envy, it does not boast, it is not proud. It does not dishonor others, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. Love does not delight in evil but rejoices with the truth. It always protects, always trusts, always hopes, always perseveres.

Love never fails.
1 Corinthians 13: 4-8a

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Strung With Care

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In none of her other ages had she noted
her age or its burden and bounty of expectations.
The future was as flexible as the past,
and, in between, moments like unstrung pearls
strewn across velvet grieved and gladdened her
and always astonished her with their perfection.
There was no nothingness: there was only being.

Slowly she wakes from what had seemed a dream
to realize that this is her final age—
of indeterminate length and quality.
Things are ending, or have ended, or will end.
The pearls are strung with care, it is quite clear.
There is no nothingness—but she can almost,
some days, picture the world without her in it.
~Jane Greer “In none of her other ages”
(Jane died after a short illness last week at the age of 72)

I have always been well aware
we each arrive here with an expiration date
hidden from view.

We may live for decades assuming
the circled length of our own string of pearls
will continue indefinitely
with the latch closed and tight.

A few months ago,
my clasp opened unexpectedly,
my finite days of carefully strung pearls
threatening to spill, forever lost to me.

I realized things could end
without any hugged goodbyes.

Later, having been emergently restrung,
at least for the time being,
the look in my eyes
prompted the surgeon to say
“now you can live out your full life span.”

What I wanted to ask him
but couldn’t:
“and just how long might that be?”
knowing he had no true reassurance
for something only God can promise:

There is no nothingness.

By grace and a surgeon’s skill,
I gained nearly six months of pearls.
I’m still here, looking back
at the carefully strung
hours and days and weeks
behind and before me.

Right now I remain clasped tight,
hugging and held secure,
though one day I know
it will be time
to let go.

There we shall rest and we shall see;
we shall see and we shall love;
we shall love and we shall praise.
Behold what shall be in the end and shall not end.
~Augustine of Hippo from The City of God, Bk. XXII, Chap. 30

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The Velvet of Sleep

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The children have gone to bed.
We are so tired we could fold ourselves neatly
behind our eyes and sleep mid-word, sleep standing
warm among the creatures in the barn, lean together
and sleep, forgetting each other completely in the velvet,
the forgiveness of that sleep.

Then the one small cry:
one strike of the match-head of sound:
one child’s voice:
and the hundred names of love are lit
as we rise and walk down the hall.

One hundred nights we wake like this,
wake out of our nowhere
to kneel by small beds in darkness.
One hundred flowers open in our hands,
a name for love written in each one.
~Annie Lighthart “The Hundred Names of Love”

In the lull of evening, your son nested in your arms
becomes heavier and with a sigh his body
sloughs off its weight like an anchor into deep sleep,
until his small breath is the only thing that exists.

And as you move the slow dance through the dim hall
to his bedroom and bow down to deliver his sleeping form,
arms parting, each muscle defining its arc and release—
you remember the feeling of childhood,

traveling beneath a full moon,
your mother’s unmistakable laugh, a field of wild grass,
windows open and the night rushing in
as headlights trace wands of light across your face—

there was a narrative you were braiding,
meanings you wanted to pluck from the air,
but the touch of a hand eased it from your brow
and with each stroke you waded further

into the certainty of knowing your sleeping form
would be ushered by good and true arms
into the calm ocean that is your bed.
 — Alexandra Lytton Regalado, “The T’ai Chi of Putting a Sleeping Child to Bed” author of Matria

Each of those countless nights of a child wakening,
each of the hundreds of hours of lulling them in the moonlit dark,
leading them back to the soft forgiveness of sleep.

I remember the moves of that hypnotic dance,
a head nestled snug into my neck,
their chest pressed into mine,
our hearts beating in synchrony
as if they were still inside.

Even when our sleep was spare and true rest was sparse,
those night times rocking in unison
were worth every waking moment, trusting
we’re in this together, no matter what,
no matter how long it takes.

We’re in this together.

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Ain’t It Good to Know…

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Because I know tomorrow
his faithful gelding heart will be broken
when the spotted mare is trailered and driven away,
I come today to take him for a gallop on Diaz Ridge.

Returning, he will whinny for his love.
Ancient, spavined,
her white parts red with hill-dust,
her red parts whitened with the same, she never answers.

But today, when I turn him loose at the hill-gate
with the taste of chewed oat on his tongue
and the saddle-sweat rinsed off with water,
I know he will canter, however tired,
whinnying wildly up the ridge’s near side,
and I know he will find her.

He will be filled with the sureness of horses
whose bellies are grain-filled,
whose long-ribbed loneliness
can be scratched into no-longer-lonely.

His long teeth on her withers,
her rough-coated spots will grow damp and wild.
Her long teeth on his withers,
his oiled-teakwood smoothness will grow damp and wild.
Their shadows’ chiasmus will fleck and fill with flies,
the eight marks of their fortune stamp and then cancel the earth.
From ear-flick to tail-switch, they stand in one body.
No luck is as boundless as theirs.
~Jane Hirshfield “The Love of Aged Horses”

We all know that something is eternal. 
And it ain’t houses and it ain’t names, 
and it ain’t earth, and it ain’t even the stars 
. . . everybody knows in their bones that something is eternal, 
and that something has to do with human beings. 
All the greatest people ever lived have been telling us that 
for five thousand years and yet you’d be surprised 
how people are always losing hold of it. 
There’s something way down deep that’s eternal ….
~Thornton Wilder, from “Our Town”

Is there anything as wonderful as a good friend when times get tough?

Someone who doesn’t mind if you are getting long in the tooth and fluffy around the waist and getting white around the whiskers?

Someone who will listen to your most trivial troubles and nod and understand even if they really don’t?

Someone who will fix you up when you are hurt and celebrate when you are happy?

Someone who knows exactly where your itches are that need scratching, even if it means a mouthful of hair?

We all need at least one. We all need to be one for at least one other.

Ain’t it good to know?
You’ve got a friend in me…

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That Licorice Nose

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Something about that nose,
round as a licorice gumdrop
and massively inquiring.

It brings the world to him,
the lowdown on facts
denied to us.

He knows the rabbit
has been in the garden and where
the interloper has traveled.

He knows who has wandered
through the neighborhood and
can sniff out the bad guys.

He would like to get a whiff of you.
He has an inside track and will know
more about you than you can imagine.

But for now, he has other concerns.
The cat got into my pen and is making me
nervous, so let me out now please.
~Lois Edstrom “Homer” from Almanac of Quiet Days

As young as I look,
I am growing older faster than he,
seven to one
is the ratio they tend to say.
Whatever the number,
I will pass him one day
and take the lead
the way I do on our walks in the woods.
And if this ever manages
to cross his mind,
it would be the sweetest
shadow I have ever cast on snow or grass
~Billy Collins “A Dog on his Master”

Oh, Homer, dog of my heart,
when I open the gate to your pen to set you free for farm chores,
you race after your corgi buddy Sam
who must get to the cat food bowl before you,
but then you stop mid-run, each time,
circle back to me to say
hello, thank you, jumping high enough
to put that licorice gumdrop nose in my glove as a greeting,
so I can stroke your furry brow without bending down.

You jump one, two, three times – for those three pats on the head
(I think you can count) –
and then you are off again running,
having greeted your human with respect and affection.

You watch me do chores with your nose in the straw,
checking out the smells of the day –
I work at the cleaning and feeding the ponies
as the barn cat embarrasses you with her attention.
You wait patiently, your brown eyes watching my gray eyes.
You are listening carefully for those words that mean you can race back to your pen for breakfast – “All done!”

We speak the same language, you and I.
Your eyes and your nose tell me all I need to know.
I know you know I know…

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We Are No Longer Alone: Quieted By Peace

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Thou hast created us for Thyself, and our heart is not quiet until it rests in Thee.
~Augustine from “Confessions”

He will take great delight in you, he will quiet you with his love, he will rejoice over you with singing.
Zephaniah 3:17b



Rather, it should be that of your inner self, the unfading beauty of a gentle and quiet spirit, which is of great worth in God’s sight.
1 Peter 3:4

When worries overwhelm and fretting becomes fearsome,
I seek quieting.
When the noise of news headlines screams for my attention,
I long for quieting.
When there is sadness, conflict, tragedy, illness, estrangement in family and friends,
I weep for quieting.
When too many balls are juggled at once, and the first one is dropped with three more in the air,
I wish for quieting.
When the ache lasts too long, the tiredness lingers, the heart skips a beat, and one too many symptoms causes anxiety,
I am desperate for quieting.
When tempted and ready for surrender, forgetting confidence, conviction, commitment and faith,
I pine for quieting.
I need to stay in place, remain still and prayerful,
as a reflection of the depths of restoration and peace
found in the call to quieting.

Peace, peace, peace on earth
and good will to men
This is a time for joy
This is a time for love
Now let us all sing together
of peace, peace, peace on earth…

This year’s Advent theme is from Dietrich Bonhoeffer’s sermon on the First Sunday in Advent, December 2, 1928:

The celebration of Advent is possible only to those who are troubled in soul, who know themselves to be poor and imperfect, and who look forward to something greater to come. For these, it is enough to wait in humble fear until the Holy One himself comes down to us, God in the child in the manager.

God comes.

He is, and always will be now, with us in our sin, in our suffering, and at our death. We are no longer alone. God is with us and we are no longer homeless.
~Dietrich Bonhoeffer – from Christmas Sermons

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Hiding Nothing

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You can hide nothing from God.
The mask you wear before men will do you no good before Him.
He wants to see you as you are,
He wants to be gracious to you.
You do not have to go on lying to yourself and your brothers,
as if you were without sin;
you can dare to be a sinner.
~Dietrich Bonhoeffer from Life Together

In your hands

The dog, the donkey, surely they know
They are alive.
Who would argue otherwise?

But now, after years of consideration,
I am getting beyond that.
What about the sunflowers? What about
The tulips, and the pines?

Listen, all you have to do is start and
There’ll be no stopping.
What about mountains? What about water
Slipping over rocks?

And speaking of stones, what about
The little ones you can
Hold in your hands, their heartbeats
So secret, so hidden it may take years

Before, finally, you hear them?
~Mary Oliver “in your hands” from Swan: Prose and Poems

When I take myself to the doctor, I trust I’m seeing someone who tries to know me thoroughly enough that he or she can help me move out of illness into better health.

This is how acceptance feels: trusting someone enough to come out of hiding, allowing them to see the parts of me I prefer to keep hidden.

As a physician myself, I am reminded by the amount of “noticing” I did in the course of my work. Each patient, and there were so many,  deserved my full attention for the few minutes we were together.  I started my clinical evaluation the minute I entered the room and I began taking in all the complex verbal and non-verbal clues offered up, sometimes unwittingly, by another human being.

During the COVID pandemic, my interactions with patients became all “virtual” so I didn’t have the ability to observe as thoroughly as I usually did. Instead, I needed them to tell me outright what was going on in their lives, their minds and their hearts in both spoken or written words. I couldn’t ‘see’ them, even on a screen, in the same way as face to face in the same room.

How can someone call out their worries to me when they are hidden behind a camera lens?

I can’t witness first hand the trembling hands, their sweatiness, their scars of self injury.  Still, I am their audience and a witness to their struggle; even more, I must understand their fears to best help them. My brain must rise to the occasion of taking in another person, accepting them for who they are, with every wart and blemish, offering them the gift of compassion and simply be there for them at that moment.

God isn’t blinded in His Holy work as I am in my clinical duties. He knows us thoroughly because He made us; He knows our thoughts before we put them into words. There is no point in trying to stay hidden from Him.

He holds us, little pebbles that we are, in His Hand, and He listens to our secret heartbeats.

Those of us who believe we can remain effectively hidden will never be invisible to God.

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Clearing the Fog of Medical Advice

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Be obscure clearly.
Muddiness is not merely a disturber of prose, it is also a destroyer of life, of hope: death on the highway caused by a badly worded road sign … think of the tragedies that are rooted in ambiguity, and be clear!
~E.B. White from his classic book on writing well –The Elements of Style

As a family doctor with over forty years of clinical practice under my belt, I have found the E.B. White’s advice for writing can be applied to the field of medicine. I tried my best to clarify the obscurity of the human condition in my job, hoping my patients could provide me the information I needed to make a sound diagnosis and treatment recommendation.

Communication is hard work for many patients, especially when they are depressed and anxious on top of whatever they are experiencing physically. There is still plenty of unknowns in the psychology and physiology of humans. 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.

Evidence-based decision making isn’t always perfectly equipped to produce the best and only solution to one individual’s problem.

Sometimes the solution to a patient’s symptom is foggy, muddy, and obscure, not at all pristine and clear. It is the physician’s job to try to bring everything into the best focus possible. Then it is our job to communicate our thinking and decision process in a way that respects the patient’s right to be skeptical.

A physician’s clinical work is challenging on the best of days when everything goes well. We see things we have never seen before, expect the unexpected, learn skills we never thought we’d need to know, and attempt to make the best choice between competing treatment alternatives. Physicians constantly unlearn things we thought were gospel truth, but have just been disproven by the latest, double-blind controlled study, which may soon be reversed by a newer study.

We find ourselves standing on evidence-based quicksand even though our patients trust that 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 hoped-for clinical clarity becomes even more obscured.

Forty-two years of doctoring in the midst of the mystery of medicine means learning, unlearning, listening, discerning, explaining, guessing, hoping, and remaining very humble in the face of a disease process or a public health threat like COVID. What works well for one patient may not be appropriate for another despite what the best evidence says or what insurance companies and the government are willing to cover. Each individual we see deserves the clarity of a fresh look and perspective, instead of being treated by cook-book algorithm.

So, as a physician and healer, be obscure clearly. 
A life may depend on it.

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Trust This To Be True

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Trust that there is a tiger, muscular
Tasmanian, and sly, which has never been
seen and never will be seen by any human
eye. Trust that thirty thousand sword-
fish will never near a ship, that far
from cameras or cars elephant herds live
long elephant lives. Believe that bees
by the billions find unidentified flowers
on unmapped marshes and mountains. Safe
in caves of contentment, bears sleep.
Through vast canyons, horses run while slowly
snakes stretch beyond their skins in the sun.
I must trust all this to be true, though
the few birds at my feeder watch the window
with small flutters of fear, so like my own.
~Susan Kinsolving “Trust”

When I stand at the window watching the flickers, sparrows, finches, chickadees, and red-winged blackbirds come and go from the feeders, I wonder who is watching who.  They remain wary of me, fluttering away quickly if I approach.  They fear capture, even within a camera.  They have a life to be lived without my witness or participation.  So much happens that I never see or know about; it would be too overwhelming to absorb it all.

I understand:  I fear being captured too, my wrinkles and crinkles on full display.

Even if only for a moment as an image preserved forever, I know it doesn’t represent all I am, all I’ve done, all I feel, all my moments put together. The birds are, and I am, so much more than one moment.

Only God sees me fully in every moment that I exist, witness to my freedom and captivity, my loneliness and grief, my joy and tears, knowing my very best and my very worst.

And He is not overwhelmed by what He sees of me. He knows me so well, in Him I must trust.

photo by Tomomi Gibson
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And When From Death I’m Free: I Tell You a Mystery

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Trust your bones
Trust the pull of the earth
And the earth itself
Trust the hearts of trees
The stone at the edge of the sea
And all else true

Trust that water will bear you up
Trust the moon to keep faith
With ebb and flow
Trust the leafing
The chrysalis, the seed
And every other way
Death gives birth to resurrection
~Bethany Lee, “To Keep Faith” from The Breath Between

Over the last several weeks, roots have become shoots and their green blades are rising chaotically, uneven and awkward like a bad haircut.  And like a bad haircut, another two weeks will make all the difference — sprouts will cover all the bare earth, breaking through crusted soil to create a smooth carpet of green.

There is nothing more mysterious than the barren made fruitful, the ugly made beautiful, the dead made alive.

The muddy winter field of my heart will recover, bathed in new light;
I trust love will come again like shoots that spring up green.

Behold! I tell you a mystery. We shall not all sleep, but we shall all be changed, in a moment, in the twinkling of an eye, at the last trumpet. For the trumpet will sound, and the dead will be raised imperishable, and we shall be changed…
1 Corinthians 15:51–52

This Lenten season I reflect on the words of the 19th century southern spiritual hymn “What Wondrous Love is This”

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