Tag: Worry

The Way It Ought To Be

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After three weeks of hot weather and drought,
           we’ve had a week of cold and rain,
just the way it ought to be here in the north,
            in June, a fire going in the woodstove
all day long, so you can go outside in the cold
            and rain anytime and smell
the wood smoke in the air.
 
This is the way I love it. This is why
           I came here almost
fifty years ago. What is June anyway
          without cold and rain
and a fire going in the stove all day?
~David Budbill, “What Is June Anyway?” from Tumbling toward the End.

I spent seven hours yesterday at my daughter’s house
helping her expand their garden by at least ten times.
We dug up sod by the shovelful, shook off the dirt as
best we could; sod into the wheelbarrow and off to the
pile at the edge of the yard. Then all that over and over
again. Five hours total work-time, with time out for lunch
and supper. By the time I got home I knew all too well
that seventy-two is not thirty-five; I could barely move.

I got to quit earlier than Nadine. She told me I’d done
enough and that I should go get a beer and lie down on
the chaise lounge and cheer her on, which is what I did.

All this made me remember my father forty years ago
helping me with my garden. My father’s dead now, and
has been dead for many years, which is how I’ll be one
of these days too. And then Nadine will help her child,
who is not yet here, with her garden. Old Nadine, aching
and sore, will be in my empty shoes, cheering on her own.

So it goes. The wheel turns, generation after generation,
around and around. We ride for a little while, get off and
somebody else gets on. Over and over, again and again.
~David Budbill “Seventy-Two Is Not Thirty-Five” from Tumbling toward the End.

June is not supposed to be like this.

It is typically cool and rainy during these first few weeks of summer. June is an impossible month to hold outdoor weddings as we discovered a year ago. We celebrated our daughter and son-in-law’s wedding amid chilly breezes and sprinkles, avoiding a downpour.

Yet if it had been this year we would have all baked and sweated to a golden melting crust sitting in the full sun.

Yesterday we reached 106 F here in the normally temperate Pacific Northwest. I am scanning the weather forecast for any hint of rain (none) and am celebrating the prediction of mid-80s temperatures (hopefully soon). I once thought 85 to be intolerably hot.

It all is a matter of perspective when considering how things “ought” to be.

Wild temperature fluctuations and weather extremes are not new to this earth, but they certainly seem more frequent, causing more damage and suffering among all earth dwellers, whether plant or animal. We expect natural predictable cycles in the seasons and in the passing of one generation to another — a smooth replacement plan as older gives way to the younger.

This is how it ought to be. Yet it isn’t always so. Sometimes not even close.

We’ll remember 2020 and early 2021 as months of pandemic that sucked the life and joy from so many of us. Now the crazy heat index of June 2021 is effectively distracting us from a dwindling risk of COVID infection to consider instead the immediacy of how to avoid overheating ourselves, our animals and our gardens/crops.

It is always something in this life of peril and worry.

That is just how it is,
rather than how it ought to be.

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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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A Girl from the Palouse

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My mother, Elna Schmitz Polis, was born 101 years ago today in the lonely isolation of a Palouse wheat and lentil farm in eastern Washington. She drew her first breath in a two story white house located down a long poplar-lined lane and nestled in a draw between the undulating hills.

She attended a one room school house until 8th grade, located a mile away in the rural countryside, then moved in with her grandmother “in town” in Rosalia to attend high school, seeing her parents only a couple times a month.

It was a childhood which accustomed her to solitude and creative play inside her mind and heart – her only sibling, an older brother, was busy helping their father on the farm. All her life and especially in her later years, she would prefer the quiet of her own thoughts over the bustle of a room full of activities and conversation.

Her childhood was filled with exploration of the rolling hills, the barns and buildings where her father built and repaired farm equipment, and the chilly cellar where the fresh eggs were stored after she reached under cranky hens to gather them. She sat in the cool breeze of the picketed yard, watching the huge windmill turn and creak next to the house. She helped her weary mother feed farm crews who came for harvest time and then settled in the screened porch listening to the adults talk about lentil prices and bushel production. She woke to the mourning dove call in the mornings and heard the coyote yips and howls at night.

She nearly died at the age of 13 from a ruptured appendix, before antibiotics were an option. That near-miss seemed to haunt her life-long, filling her with worry that it was a mistake that she survived that episode at all. Yet she thrived despite the anxiety, and ended up, much to her surprise, living a long life full of family and faith, letting go at age 88 after fracturing a femur, breaking her will to continue to live.

As a young woman, she was ready to leave the wheat farm behind for college, devoting herself to the skills of speech, and the creativity of acting and directing in drama, later teaching rural high school students, including a future Pulitzer Prize winning poet, Carolyn Kizer. She loved words and the power and beauty they wielded.

Marrying my father was a brave and impulsive act, traveling by train to the east coast only a week before he shipped out for almost 3 years to the South Pacific to fight as a Marine in WWII. She must have wondered about the man who returned from war changed and undoubtedly scarred in ways she could not see or touch. They worked it out, as rocky as it must have been at times, and in their reconciliation after their divorce years later, I could see the devotion and mutual respect of life companions who shared purpose and love.

As a wife and mother, she rediscovered her calling as a steward of the land and a steward of her family, gardening and harvesting fruits, vegetables and children tirelessly. When I think of my mother, I most often think of her tending us children in the middle of the night whenever we were ill; her over-vigilance was undoubtedly due to her worry we might die in childhood as she almost did.

She never did stop worrying until the last few months. As she became more dependent on others in her physical decline, she gave up the control she thought she had to maintain through her “worry energy” and became much more accepting about the control the Lord maintains over all we are and will become.

I know from where my shyness comes, my preference for birdsongs rather than radio music, my preference for naps, and my tendency to be serious and straight-laced with a twinkle in my eye. This is my German Palouse side–immersing in the quietness of solitude, thrilling to the sight of the spring wheat flowing like a green ocean wave in the breeze and appreciating the warmth of rich soil held in my hands. From that heritage came my mother and it is the legacy she has left with me. I am forever grateful to her for her unconditional love and her willingness to share the warmth of her nest whenever we felt the need to fly back home and shelter, overprotected at times but safe nonetheless, under her wings.

Elna Schmitz playing Elizabeth Barrett Browning

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Waiting in Wilderness: What is Expected

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Look at the birds 1
Consider the lilies 2
Drink ye all of it 3

Ask 4
Seek
Knock
Enter by the narrow gate 5

Do not be anxious 6
Judge not; 7 do not give dogs what is holy 8

Go: be it done for you 9
Do not be afraid 10
Maiden, arise 11
Young man, I say, arise 12

Stretch out your hand 13
Stand up, 14 be still 15
Rise, let us be going … 16

Love 17
Forgive 18
Remember me 19
~Kathleen Norris Imperatives, from Journey: New and Selected Poems/ Mysteries of the Incarnation

These are the essentials of what Jesus asks.
Basic, simple, gentle, emphatic, encouraging.
So why don’t I follow through?
Why do I hand myself over to anxiety and fear?
Why do I fail at what should be so simple?
He knows I need reminders. He knows I am weak.
So He says it again: don’t forget this.
Remember me.
I will remember. I will remember You.

1 Matthew 6:26. See also Luke 12:24, “Consider the ravens.”
2 Matthew 6:28; Luke 12:27.
3 “Drink from it, all of you” (Matthew 26:27). Norris uses the King James translation here.
4 This stanza is a series of Jesus’s commands from the Sermon on the Mount: “Ask, and it shall be given you; seek, and ye shall find; knock, and it shall be opened unto you” (Matthew 7:7, King James; also Luke 11:9).
5 Matthew 7:13-14; also Luke 13:23-24.
6 Matthew 6:25, 31; Luke 12:22, 29.
7 Matthew 7:1; Mark 4:24; Luke 6:37-38.
8 Matthew 7:6.
9 Matthew 8:13.
10 “Do not be afraid” – a frequent command by Jesus; for example, Matthew 10:31; 14:27; 17:7; 28:10.
11 The healing of Jairus’s daughter: “Little girl, get up!” (Mark 5:41; also Luke 8:54).
12 The healing the widow’s only son; Luke 7:14.
13 The healing of the man with the withered hand: Matthew 12:13; Mark 3:1-6; Luke 6:6-11.
14 Jesus’s healing the paralyzed man: Matthew 9:2-8; Mark 2:1-12; Luke 5:17-26.
15 Jesus’s command to the ocean: Mark 5:39; also Matthew 8:26; Luke 8:24.
16 Jesus to his disciples in Gethsemane: “Rise, let us be going: behold, he is at hand that doth betray me” (Matthew 26:46; Mark 14:42).
17Jesus’s two great commandments: “You shall love the Lord your God with all your heart, and with all your soul, and with all your mind. … You shall love your neighbor as yourself” (Matthew 22:37-39; also Mark 12:28-31; Luke 10:25-28).
18 Matthew 18:21-22; Luke 17:4.

Waiting in Wilderness: So Strange and Wild a Guest

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In the dark, a child might ask, What is the world?
just to hear his sister
promise, An unfinished wing of heaven,
just to hear his brother say,
A house inside a house,
but most of all to hear his mother answer,
One more song, then you go to sleep.
How could anyone in that bed guess
the question finds its beginning
in the answer long growing
inside the one who asked, that restless boy,
the night’s darling?
Later, a man lying awake,
he might ask it again,
just to hear the silence
charge him, This night
arching over your sleepless wondering,
this night, the near ground
every reaching-out-to overreaches,
just to remind himself
out of what little earth and duration,
out of what immense good-bye,
each must make a safe place of his heart,
before so strange and wild a guest
as God approaches.
~Li-Young Lee “Nativity”

“What’s wrong with the world?” asked The Times of famous authors.
“Dear Sir,
I am. “
Yours, G.K. Chesterton

I’m not ashamed that I still ask the hard questions, just as I did when I was a child, lying in bed, fearful in the dark. Some call it a lack of faith: if I truly believed, I would trust completely, so asking such questions would be “out of the question.”

Yet God throughout scripture encourages questions, listens to lament, isn’t intimidated by uncertainty and weakness. He waits patiently for His people to make their hearts a safe place for Him to dwell – a place of wings and songs and awe and worship – even when resounding with questions.

My heart is a womb where our strange and wild God seeks to reside in this world. “Why me?” I ask, pondering yet another hard question in the dark.
“Why not you?” comes His response: a question for which He awaits my answer.

Waiting in Wilderness: Dialogue with God

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Coffee in one hand
leaning in to share, listen:
How I talk to God.

“Momma, you’re special.”
Three-year-old touches my cheek.
How God talks to me.

While driving I make
lists: done, do, hope, love, hate, try.
How I talk to God.

Above the highway
hawk: high, alone, free, focused.
How God talks to me.

Rash, impetuous
chatter, followed by silence:
How I talk to God.

First, second, third, fourth
chance to hear, then another:
How God talks to me.

Fetal position
under flannel sheets, weeping
How I talk to God.

Moonlight on pillow
tending to my open wounds
How God talks to me.

Pulling from my heap
of words, the ones that mean yes:
How I talk to God.

Infinite connects
with finite, without words:
How God talks to me.
~Kelly Belmonte “How I Talk to God”

I don’t always realize I am constantly in a dialogue with God, but He knows and He hears. He talks back to me but I’m not always hearing Him.

Whenever I’m occupied with the daily-ness of life and am thinking “if only” this or that could be different, I’m telling God I know better. He lets me know in subtle and not-so-subtle ways that He made the world, He knows what comes next and I don’t.

If I get impatient or irritable rather than grateful and awed, I’m talking like a petulant child wanting my way. When God gifts me with a moment of color in the sky or a golden light across the landscape, I need to pause, waiting in my personal wilderness, and remain wordless.

The Infinite is trying to talk to the finite. I am only asked to listen.

You heard my voice, I came out of the woods by choice
Shelter also gave their shade
But in the dark I have no name
So leave that click in my head
And I will remember the words that you said
Left a clouded mind and a heavy heart
But I am sure we could see a new start
So when your hopes on fire
But you know your desire
Don’t hold a glass over the flame
Don’t let your heart grow cold
I will call you by name
I will share your road
But hold me fast, hold me fast
‘Cause I’m a hopeless wanderer
And hold me fast, hold me fast
‘Cause I’m a hopeless wanderer
I wrestled long with my youth
We tried so hard to live in the truth
But do not tell me all is fine
When I lose my head, I lose my spine
So leave that click in my head
And I won’t remember the words that you said
You brought me out from the cold
Now, how I long, how I long to grow old
So when your hope’s on fire
But you know your desire
Don’t hold a glass over the flame
Don’t let your heart grow cold
I will call you by name
I will share your road
But hold me fast, hold me fast
‘Cause I’m a hopeless wanderer
And hold me fast, hold me fast
‘Cause I’m a hopeless wanderer
I will learn, I will learn to love the skies I’m under
And I will learn, I will learn to love the skies I’m under
The skies I’m under
Source: LyricFindSongwriters: Benjamin Walter David Lovett / Edward James Milton Dwane / Marcus Oliver Johnstone Mumford / Winston Aubrey Aladar Marshall

Waiting in Wilderness: I Seem to be Lost

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My Lord God,
I have no idea where I am going.
I do not see the road ahead of me.
I cannot know for certain where it will end.
Nor do I really know myself,
and the fact that I think that I am following your will
does not mean that I am actually doing so.
But I believe that the desire to please you does in fact please you.
And I hope I have that desire in all that I am doing.
I hope that I will never do anything apart from that desire.
And I know that if I do this you will lead me by the right road,
though I may know nothing about it.
Therefore will I trust you always,
though I may seem to be lost and in the shadow of death.
I will not fear, for you are ever with me,
and you will never leave me to face my perils alone.
Amen.
~Thomas Merton “Prayer” from Thoughts in Solitude

This image has an empty alt attribute; its file name is oaklane1116182.jpg

kyrie eleison, have mercy,
christe eleison, have mercy.

We are all alike in this one way
when we can barely agree about anything else –
We are all lost,
wandering weeping wretched

It is when I am shown mercy
that I become mercy,
loving where others show hate
giving where others take away
building up where others tear down.

We are found:
we become Christ where we live
because He renews in us through His sacrifice
a new life in Him.

Waiting in Wilderness: A Time of Treading Life

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This is the wilderness time,
when every path is obscure
and thorns have grown around the words of hope.

This is the time of stone, not bread,
when even the sunrise feels uncertain
and everything tastes of bitterness.

This is the time of ashes and dust,
when darkness clothes our dreams
and no star shines a guiding light.

This is the time of treading life,
waiting for the swells to subside and for the chaos to clear.

Be the wings of our strength, O God,
in this time of wilderness waiting.
– Keri Wehlander from “600 Blessings and Prayers from around the world” compiled by Geoffrey Duncan

He will cover you with his feathers,
    and under his wings you will find refuge;
    his faithfulness will be your shield and rampart.
Psalm 91:4

To be commanded to love God at all, let alone in the wilderness,
is like being commanded to be well when we are sick,
to sing for joy when we are dying of thirst,
to run when our legs are broken.
But this is the first and great commandment nonetheless.
Even in the wilderness- especially in the wilderness – you shall love him.   
~Frederick Buechner from A Room Called Remember:Uncollected Pieces

I usually think of wilderness as a distant peak far removed from anything or anyone.  From my farmhouse window on a clear day, I can see a number of distant peaks if the cloud cover moves away to reveal them.

Or perhaps the wilderness is a desolate plain that extends for miles without relief in sight.

Wilderness is also found in an isolated corner of my human heart. I keep it far removed from anything and anyone. During my televisit computer work,  I witness this wilderness in others, many times every day.

A diagnosis of “wilderness of the heart” doesn’t require a psychiatric manual: 
there is despair, discouragement, disappointment, lack of gratitude, lack of hope. 
One possible treatment to tame that wilderness is a covenantal obedience to God and others. It reaches so deep no corner is left untouched.

There come times in one’s life, and this past year especially, when loving God as commanded seems impossible. We are too broken, too frightened, too ill and too wary to trust God with faith and devotion.  We are treading life simply to stay afloat.

During this second Lenten pandemic, God’s love becomes respite and rescue from the wilderness of my own making. He is the sweet cure for a bitter and broken heart.

Waiting in Wilderness: Heaven and I Wept Together

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fog101926

And so you have a life that you are living only now,
now and now and now,
gone before you can speak of it,
and you must be thankful for living day by day,
moment by moment …
a life in the breath and pulse and living light of the present…
~Wendell Berry from Hannah Coulter

fog1228141

~Lustravit lampade terras~
(He has illumined the world with a lamp)
The weather and my mood have little connection.
I have my foggy and my fine days within me;
my prosperity or misfortune has little to do with the matter.
– Blaise Pascal from “Miscellaneous Writings”

foggyfield
photo by Nate Gibson

I laughed in the morning’s eyes.
I triumphed and I saddened with all weather,
Heaven and I wept together,
and its sweet tears were salt with mortal mine.
Against the red throb of its sunset heart,
I laid my own to beat
And share commingling heat.

Rise, clasp my hand, and come.
Halts by me that Footfall.
Is my gloom, after all,
Shade of His hand, outstretched caressingly?
Ah, Fondest, Blindest, Weakest,
I am He whom thou seekest.
Thou dravest Love from thee who dravest Me.
~Francis Thompson from “The Hound of Heaven”

supermoonbarn

My days are filled with anxious and sad patients,
one after another after another. 
They sit in front of their screen
and I in front of mine,
so close yet so far from each another –
a wilderness of unexpressed emotions.

They struggle to hold back the flood from brimming eyes.  
Each moment, each breath, each heart beat overwhelmed by questions: 
How to take yet another painful breath of this sad life?  must there be another breath?  
Must things go on like this in fear of what the next moment will bring?

The only thing more frightening than the unknown is the knowledge
that the next moment will be just like the last or perhaps worse. 
There is no recognition of a moment just passed
that can never be retrieved and relived.  
There is only fear of the next and the next
so that now and now and now is lost forever.

Worry and sorrow and angst are more contagious than any viral pandemic.
I mask up and wash my hands of it throughout the day.
I wish there was a vaccine to protect us all from our unnamed fears in the wilderness.

I want to say to them and myself:
Stop this moment in time.
Stop and stop and stop.
Stop expecting this feeling must be “fixed.”
Stop wanting to be numb to all discomfort.
Stop resenting the gift of each breath.
Just stop.
Instead, simply be
in the now and now and now.

I want to say:
this moment, foggy or fine, is yours alone,
this moment of weeping and sharing
and breath and pulse and light.
Shout for joy in it.
Celebrate it.
Be thankful for tears that can flow over grateful lips
and stop holding them back.

Stop me before I write,
out of my own anxiety over you,
yet another prescription
you don’t really need.

Just be–
and be blessed–
in the now and now and now.

sunset15183

Under This Sky

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Tonight at sunset walking on the snowy road,
my shoes crunching on the frozen gravel, first

through the woods, then out into the open fields
past a couple of trailers and some pickup trucks, I stop

and look at the sky. Suddenly: orange, red, pink, blue,
green, purple, yellow, gray, all at once and everywhere.

I pause in this moment at the beginning of my old age
and I say a prayer of gratitude for getting to this evening

a prayer for being here, today, now, alive
in this life, in this evening, under this sky.
~David Budbill “Winter: Tonight: Sunset” from While We’ve Still Got Feet

I strive to remember, each day,
no matter how things feel,
no matter how tired or distracted I am,
no matter how worried, or fearful or heartsick
over the state of the world or the state of my soul:

it is up to me to distill my gratitude
down to this one moment of beauty
that will never come again.

One breath,
one blink,
one pause,
one whispered word:
wow.