Tag: Trust

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



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.

AI image created for this post

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.

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

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”

Faithfully Delivered

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It’s like so many other things in life
to which you must say no or yes.
So you take your car to the new mechanic.
Sometimes the best thing to do is trust.

The package left with the disreputable-looking
clerk, the check gulped by the night deposit,
the envelope passed by dozens of strangers—
all show up at their intended destinations.

The theft that could have happened doesn’t.
Wind finally gets where it was going
through the snowy trees, and the river, even
when frozen, arrives at the right place.

And sometimes you sense how faithfully your life
is delivered, even though you can’t read the address.
~Thomas R. Smith “Trust” from Waking Before Dawn

I know now, Lord, why you utter no answer.
You are yourself the answer.
Before your face questions die away.
~C.S. Lewis from Till We Have Faces

I always have lots of questions when I’m uncertain about a decision. I carefully consider whether I should do this or do that, go here or go there, say something or remain silent.

My questions become a prayer seeking clarity – how? why? and what if?

Before the face of God, these questions fall away.

We who worry are not trusting a Creator who is ever-present in His care for us, even when we may think He is not listening. He knows where we are headed, even if we’re unsure of the destination ourselves.

He makes sure we get there. We’ll be delivered to the right place at the right time.

I must trust Him. He’s on it.

A Clamor of Questions

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I’m scrambling an egg for my daughter.
“Why are you always whistling?” she asks.
“Because I’m happy.”
And it’s true,
Though it stuns me to say it aloud;
There was a time when I wouldn’t
Have seen it as my future.
It’s partly a matter
Of who is there to eat the egg:
The self fallen out of love with itself
Through the tedium of familiarity,
Or this little self,
So curious, so hungry,
Who emerged from the woman I love,
A woman who loves me in a way
I’ve come to think I deserve,
Now that it arrives from outside me.
Everything changes, we’re told,
And now the changes are everywhere:
The house with its morning light
That fills me like a revelation,
The yard with its trees
That cast a bit more shade each summer,
The love of a woman
That both is and isn’t confounding,
And the love
Of this clamor of questions at my waist.
Clamor of questions,
You clamor of answers,
Here’s your egg.
~C.G. Hanzlicek “Egg” from Against Dreaming.

Tell all the truth but tell it slant —
Success in Circuit lies
Too bright for our infirm Delight
The Truth’s superb surprise
As Lightning to the Children eased
With explanation kind
The Truth must dazzle gradually
Or every man be blind —
~Emily Dickinson

When a grandchild asks a question, it is like a smooth and perfect egg safely in the nest, awaiting the exact moment to open up to breathe deeply of the world.

Sometimes my answer, try as I might, results in broken shell fragments, the insides all scrambled and released too soon.

I’m confounded by my love for childrens’ innocence in a harsh and painful world – I don’t always know the best thing to say when the truth has bits of hard shell in it. I end up telling the truth a bit slant so it might dazzle them gradually.

So I encourage them to keep asking their clamor of questions, and I do my best to answer in a way so they stay hungry for more, filled with truths without being blinded.

So many questions in their minds and mine.
So many eggs to open gently so the truth remains whole.

Trusting Angels in the Wilderness

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…any father, particularly an old father, must finally give his child up to the wilderness and trust to the providence of God.

It seems almost a cruelty for one generation to beget another when parents can secure so little for their children, so little safety, even in the best circumstances. Great faith is required to give the child up, trusting God to honor the parents’ love for him by assuring that there will indeed be angels in that wilderness.
~Marilynne Robinson, Gilead

A reassuring truth for many families during this graduation season – 
in past years, we too watched our children leave home to begin a life of their own. We trusted in God’s providence that in our absence, there would be angels in the wilderness waiting to guide them.

Indeed there have been angels and continue to be –
you know who you are!

In turn, over thirty two years of clinical work in a university health center, I had opportunity to be that refuge in the wilderness for thousands of young adults who had left their parents’ home to seek out their own journey. Sometimes they found themselves stranded on a path that was twisting, rocky, full of pitfalls and peril. 

Despite plenty of my own limitations over those years, I found keeping this perspective helped me greet each new face, not only with a physician’s skill and knowledge, but always with a mother’s embrace.

Are there angels in the wilderness? I don’t know
I’ve got my doubts, but if you say so
But I’ve got a feeling we’re doing ok
We’re doing our part, to make the brambles seem less sharp

Beneath the wing of an angel
Far away from the night
Carry me till I am able
Beneath the wing of an angel

On the wing of an angel
Fly me on to the light
Hold me close till I’m able
Beneath the wing of an angel

It’s Happening to All of Us

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There is weather on the day you are born
and weather on the day you die. There is
the year of drought, and the year of floods,
when everything rises and swells,
the year when winter will not stop falling,
and the year when summer lightning
burns the prairie, makes it disappear.
There are the weathervanes, dizzy
on top of farmhouses, hurricanes
curled like cats on a map of sky:
there are cows under the trees outlined
in flies. There is the weather that blows
a stranger into town and the weather
that changes suddenly: an argument,
a sickness, a baby born
too soon. Crops fail and a field becomes
a study in hunger; storm clouds
billow over the sea;
tornadoes appear like the drunk
trunks of elephants. People talking about
weather are people who don’t know what to say
and yet the weather is what happens to all of us:
the blizzard that makes our neighborhoods
strange, the flood that carries away
our plans. We are getting ready for the weather,
or cleaning up after the weather, or enduring
the weather. We are drenched in rain
or sweat: we are looking for an umbrella,
a second mitten; we are gathering
wood to build a fire.
~Faith Shearin “Weather” from Orpheus, Turning.

On the planet the winds are blowing: the polar easterlies, the westerlies, the northeast and southeast trades…
Lick a finger, feel the now.
~Annie Dillard from Pilgrim at Tinker Creek

I’m still discovering, right up to this moment, that it is only by living completely in this world that one learns to have faith. I mean living unreservedly in life’s duties, problems, successes and failures, experiences and perplexities. In so doing, we throw ourselves completely into the arms of God.
~Dietrich Bonhoeffer from The Cost of Discipleship

Never before in the history of humanity have we had the ability to pull the weather forecast out of our pocket and know not only what to anticipate in the next 24 hours, but what is happening right now. Prior to phone apps, we scanned the skies, checked the barometer, monitored the thermometer, and put a licked finger up to test the wind direction. As obsolete as those measures seem now, I confess they still make sense to me.

It’s surreal if my phone says it is raining at “my location” and I can’t find a single cloud.

I want to know what is happening around me from my own observation, trust my own eyes, feel my own physical response to the heat, the cold, the dry, the wet. I want to know we’re all in this together, right now.

I want to live completely in this world, living now, finger held to the wind. Then, having the information I need, I throw myself completely into the arms of God.

Fixing Eyes on the Unseen – Like a Pair of Wings

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The clouds had given their all –
two days of rain and then a break
in which we walked,

the waterlogged earth
gulping for breath at our feet
as we skirted the lake, silent and apart,

until the swans came and stopped us
with a show of tipping in unison.
As if rolling weights down their bodies to their heads

they halved themselves in the dark water,
icebergs of white feather, paused before returning again
like boats righting in rough weather.

‘They mate for life’ you said as they left,
porcelain over the stilling water. I didn’t reply
but as we moved on through the afternoon light,

slow-stepping in the lake’s shingle and sand,
I noticed our hands, that had, somehow,
swum the distance between us

and folded, one over the other,
like a pair of wings settling after flight.
~Owen Sheers “Winter Swans”

We are created to be folded together to one another – bound to our God and Savior.

We belong here in tandem, even when there is temptation to fly –
away from what is painful and difficult
away from the cold, the dark, the storm

We are called home
folding our fingers and wings together
as a kept promise of unity
not just for now, but for ever.

This year’s Lenten theme:
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.
2 Corinthians 4: 18