Tag: wounds

A World Where Much is Missing

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Leave a door open long enough,
a cat will enter.
Leave food, it will stay.
Soon, on cold nights,
you’ll be saying “Excuse me”
if you want to get out of your chair.
But one thing you’ll never hear from a cat
is “Excuse me.”
Nor Einstein’s famous theorem.
Nor “The quality of mercy is not strained.”
In the dictionary of Cat, mercy is missing.
In this world where much is missing,
a cat fills only a cat-sized hole.
Yet your whole body turns toward it
again and again because it is there.
~Jane Hirshfield “A Small-Sized Mystery” from Come, Thief.

The first time I saw him, it was just a flash of gray ringed tail
disappearing into autumn night mist as I opened the back door
to pour kibble into the empty cat dish on the porch:
just another stray cat among many who visit the farm.

A few linger and stay.

So he did, keeping a distance in the shadows under the trees,
a gray tabby with white nose and bib, serious yet skittish,
watching me as I moved about feeding dogs, cats, birds, horses,
creeping to the cat dish only when the others drifted away.

There was something in the way he held his head,
an oddly forward ear; a stilted swivel of the neck.
I startled him one day as he ate his fill at the dish.

He ran, the back of his head flashing red, scalp completely gone.

Not oozing, nor something new, but recent. A nearly mortal scar
from an encounter with coyote, or eagle or bobcat.
This cat thrived despite trauma and pain, tissue still raw, trying to heal.

He had chosen to live; life had chosen him.

My first thought was to trap him, to put him humanely to sleep
to end his suffering mercifully, in truth to end my distress at seeing him every day,
envisioning florid flesh even as he hunkered invisible
in the shadowlands of the barnyard.

Yet the scar did not keep him from eating well or licking clean his pristine fur.

As much as I wanted to look away, to avoid confronting his mutilation,
I always greeted him from a distance, a nod to his maimed courage,
through wintry icy blasts and four foot snow,
through spring rains and summer heat with flies.

His wounds remained always visible,
a reminder of his inevitable fate.

I never did stroke that silky fur,
or feel his burly purr, assuming he still knew how,
but still fed his daily fill,
as he fed my need to know:
the value of a life so broken,
each breath taken is filled with sacred air.

The depth of his wounds show how much he bleeds.

my wounded friend, as close as he would allow

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Fixing Eyes on the Unseen – Leave the Rest to God

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I think there is no suffering greater than
what is caused by the doubts of those who want to believe. 
I know what torment this is, but I can only see it, 
in myself anyway, as the process by which faith is deepened. 
What people don’t realize is how much religion costs. 
They think faith is a big electric blanket, 
when of course it is the cross. 

It is much harder to believe than not to believe. 
If you feel you can’t believe, you must at least do this: 
keep an open mind. 
Keep it open toward faith, 
keep wanting it, 
keep asking for it, 
and leave the rest to God.
~Flannery O’Connor from The Habit of Being: Letters of Flannery O’Connor

And those are called blessed who make the effort to remain open-hearted. 

Nothing that comes from God,
even the greatest miracle, can be proven like 2 x 2 = 4.
It touches one;
it is only seen and grasped when the heart is open and the spirit purged of self.
Then it awakens faith. 

… the heart is not overcome by faith,
there is no force or violence there, compelling belief by rigid certitudes. 
What comes from God
touches gently,
comes quietly;
does not disturb freedom;
leads to quiet, profound, peaceful resolve within the heart.
~Romano Guardini from The Living God

On my doubting days, when my faith is weak,
I remember the risen Christ reaching out
to place Thomas’s hand in His very real wounds,
guiding the doubter to believe
His painful sacrifice is reality.

His open wounds call out to my mind and heart-
Christ’s flesh and blood fortifies my faith
by such a gentle guiding touch.

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

What will be left when I’ve drawn my last breath
Besides the folks I’ve met and the folks who know me
Will I discover a soul saving love or
Just the dirt above and below me?

I’m a doubting Thomas
I took a promise
I do not feel safe
O’ me of little faith

Sometimes I pray for a slap in the face
Then I beg to be spared cause I’m a coward
If there’s a master of death I bet he’s holding his breath
Cause I show the blind and tell the deaf
About his power

I’m a doubting Thomas
I can’t keep my promises
Cause I don’t know what’s safe
O’ me of little faith

Can I be used to help others find truth
When I’m scared that I’ll find proof that it’s a lie
Can I be led down a trail dropping bread crumbs
To prove I’m not ready to die

Please give me time to decipher the signs
Please forgive me for time that I’ve wasted

I’m a doubting Thomas
I’ll take your promise
Though I know nothing’s safe
O’ me of little faith
O’ me of little faith
~Chris Thile

Fixing Eyes on the Unseen – An Exaltation of Purple

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Here in purgatory bare ground
is visible, except in shady places
where snow prevails.

Still, each day sees
the restoration of another animal:
a sparrow, just now a sleepy wasp;
and, at twilight, the skunk
pokes out of the den,
anxious for mates and meals. . . .

On the floor of the woodshed
the coldest imaginable ooze,
and soon the first shoots
of asparagus will rise,
the fingers of Lazarus. . . .

Earth’s open wounds — where the plow
gouged the ground last November —
must be smoothed; some sown
with seed, and all forgotten.

Now the nuthatch spurns the suet,
resuming its diet of flies, and the mesh
bag limp and greasy, might be taken
down.

Beside the porch step
the crocus prepares an exaltation
of purple, but for the moment
holds its tongue. . . .
~Jane Kenyon, “Mud Season” from Collected Poems.

photo by http://www.positivebloom.com

Walking, I drew my hand over the lumpy
bloom of a spray of purple; I stripped away
my fingers, stained purple; put it to my nose,

the minty honey, a perfume so aggressively
pleasant—I gave it to you to smell,
my daughter, and you pulled away as if

I was giving you a palm full of wasps,
deceptions: “Smell the way the air
changes because of purple and green.”

This is the promise I make to you:
I will never give you a fist full of wasps,
just the surprise of purple and the scent of rain.
~Kwame Dawes “Purple”

I have always identified more with the bland plainness of mud season as squishy brown ground is underfoot. I tend to dress myself in browns and never in elegant purples. It’s not that I don’t like purple – I do. I just have never felt worthy to be adorned in it like the sky and flowers and fruit.

Perhaps my reluctance to wear purple is that it represents the those who are regal and royal … yet also those who are bruised and battered … all at once.

I know One who was both, who took a beating for me in my place.

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

Fixing Eyes on the Unseen – Wounds to be Healed

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The earth invalid, dropsied, bruised, wheeled
Out in the sun,
After frightful operation.
She lies back, wounds undressed to the sun,
To be healed,
Sheltered from the sneapy chill creeping North wind,
Leans back, eyes closed, exhausted, smiling
Into the sun. Perhaps dozing a little.
While we sit, and smile, and wait, and know
She is not going to die. 
~Ted Hughes from ” A March Morning Unlike Others” from Ted Hughes. Collected Poems

March. I am beginning
to anticipate a thaw. Early mornings
the earth, old unbeliever, is still crusted with frost
where the moles have nosed up their
cold castings, and the ground cover
in shadow under the cedars hasn’t softened
for months, fogs layering their slow, complicated ice
around foliage and stem
night by night,

but as the light lengthens, preacher
of good news, evangelizing leaves and branches,
his large gestures beckon green
out of gray. Pinpricks of coral bursting
from the cotoneasters. A single bee
finding the white heather. Eager lemon-yellow
aconites glowing, low to the ground like
little uplifted faces. A crocus shooting up
a purple hand here, there, as I stand
on my doorstep, my own face drinking in heat
and light like a bud welcoming resurrection,
and my hand up, too, ready to sign on
for conversion.
~Luci Shaw “Revival” from What the Light Was Like.

Spring is emerging slowly this year from an exceptionally haggard and droopy winter. All growing things are a month behind the usual budding blooming schedule when, like the old “Wizard of Oz” movie, the landscape will suddenly turn from monochrome to technicolor, the soundtrack from forlorn to glorious birdsong.

Yearning for spring to commence, I tap my foot impatiently as if owed a timely seasonal transformation from dormant to verdant.  We all have been waiting for the Physician’s announcement that this patient survived some intricate life-changing procedure: “I’m happy to say the Earth is alive after all and restored, wounded but healing, breathing on her own but too sedated for a visit just yet.”

I wait impatiently to celebrate her healing, yet I know Creation is very much alive- this temporary home of ours. No invalid this patient.
She lives, she breathes, she thrives,
she will bloom and sing with everything she’s got
and soon, so will I.

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

My Secret Place

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It’s in the perilous boughs of the tree
out of blue sky    the wind
sings loudest surrounding me.

And solitude,   a wild solitude
’s reveald,  fearfully,  high   I’d climb
into the shaking uncertainties,

part out of longing,  part   daring my self,
part to see that
widening of the world, part

to find my own, my secret
hiding sense and place, where from afar
all voices and scenes come back

—the barking of a dog, autumnal burnings,
far calls,  close calls—the boy I was
calls out to me
here the man where I am “Look!

I’ve been where you

most fear to be.”
~Robert Duncan “Childhood’s Retreat”

Behind the house in a field
there’s a metal box I buried
full of childhood treasure, a map
of my secret place, a few lead pennies
from 1943.
The rest I’ve forgotten,
forgotten even the exact spot
I covered with moss and loam.
 
Now I’m back and twenty years
have made so little difference
I suspect they never happened,
this face in the mirror
aged with pencil and putty.
I suspect even
the box has moved as a mole would move
to a new place long ago.
~Dan Gerber “The Cache” from Particles

I came upon an oak where once when I was twelve
I had climbed up and screamed for Skip to get me down.
It was a thousand miles to earth. I shut my eyes and yelled.
My brother, richly compelled to mirth, gave shouts of laughter
And scaled up to rescue me.
“What were you doing there?” he said.
I did not tell. Rather drop me dead.
But I was there to place a note within a squirrel nest
On which I’d written some old secret thing now long forgot.

{Now} I lay upon the limb a long while, thinking.
I drank in all the leaves and clouds and weathers
Going by as mindless
As the days.
What, what, what if? I thought. But no. Some forty years beyond!

I brought forth:
The note.

I opened it. For now I had to know.
I opened it, and wept. I clung then to the tree
And let the tears flow out and down my chin.
Dear boy, strange child, who must have known the years
And reckoned time and smelled sweet death from flowers
In the far churchyard.
It was a message to the future, to myself.
Knowing one day I must arrive, come, seek, return.
From the young one to the old. From the me that was small
And fresh to the me that was large and no longer new.
What did it say that made me weep?

I remember you.
I remember you.
~Ray Bradbury from “Remembrance”

As a child, I left secret notes to my future self,
in hidden crevices of old barns,
and attic lofts up rickety stairs,
and yes, even in trees,
but never went back to retrieve them
except in my rare dreams of growing up
on Friendly Grove Road.

Back then my ten year old heart
tried to imagine me sixty some years hence
(counting out how old I would be in 2020 something)
as I squirreled away in some secret place.

What fears and joys would pass through like pumping blood,
what wounds would I bear and cause to bleed,
what smiles and tears would trace my face?

I have not forgotten who I was then.

No, I have never forgotten that girl who kept secrets,
who dreamed of a someday gray-haired grandma
who now looks back to my secret places,
and remembers being remembered.

A book of Barnstorming photos and poems by Lois Edstrom is available for order here:

A Prescription for Maggots

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You can’t say you haven’t been warned: there are creepy crawlies in this post

Things I will never like:
1. Drying off with a cold, damp towel.
2. The feeling of seaweed wrapping around my legs.
3. Anything that was popular in the 70’s.
4. Licorice, yam, or raisins.
5. That high-pitched screech that babies make.
6. Writhing maggots.
~Bill Watterson from It’s A Magical World: A Calvin and Hobbes Collection

A fly maggot photo from a recent Atlantic article on maggot therapy found here

A few weeks ago, I had a bit of home-made potato corn chowder left over that I added to our compost bin in our barnyard. It isn’t often that much animal protein makes its way into the bin so when I checked on the compost a few days later, I was amazed to see it teeming with fly maggots in the midst of their Thanksgiving feast. Ordinarily pictures and videos of maggots would not find their way to this blog. People might be looking at this blog while eating their breakfast or lunch and writhing maggots are not something you are expecting to see. My apologies in advance and now is the time to delete delete delete.

Therefore: a trigger warning. Don’t scroll down further if you would rather avoid seeing (and hearing) creepy crawly things.

My first medical exposure to maggots came while examining the leg and foot wounds of the homeless folks I helped care for when training in an inner city emergency room. Peeling off old ragged stockings and socks would often reveal more than dirty feet – in fact, the maggots may have been somewhat beneficial in those cases yet we were quick to dispose of them.

Maggots are, in fact, fascinating creatures with potential therapeutic value, notwithstanding their gross-out factor. This week in a brief Atlantic article found here, there is a summary of a recent study in France comparing typical surgical debridement of venous ulcers of the skin with maggot therapy. Maggots were faster in cleaning the wounds but didn’t enhance eventual healing any more than traditional surgical care. There wasn’t a difference in the discomfort level as long as the patient didn’t know which therapy was being used. For those who had been randomly assigned to maggot therapy in one study, an astounding 89% said they would opt for the insects over surgeons if faced with needing wound care in the future.

I’m not sure what that says about surgeons, but it is a great compliment to maggot larvae!

Here is a formal cross-referenced evidence-based summary from UptoDate.com about wound treatment with biologic methods:

Biologic — An additional method of wound debridement uses the larvae of the Australian sheep blow fly (Lucilia [Phaenicia] cuprina) or green bottle fly (Lucilia [Phaenicia] sericata, Medical Maggots) [42,43]. Maggot therapy can be used as a bridge between debridement procedures, or for debridement of chronic wounds when surgical debridement is not available or cannot be performed [44]. Maggot therapy may also reduce the duration of antibiotic therapy in some patients [16].

Maggot therapy has been used in the treatment of pressure ulcers [45,46], chronic venous ulceration [47-50], diabetic ulcers [42,51], and other acute and chronic wounds [52]. The larvae secrete proteolytic enzymes that liquefy necrotic tissue, which is subsequently ingested while leaving healthy tissue intact. Basic and clinical research suggests that maggot therapy has additional benefits, including antimicrobial action and stimulation of wound healing [43,47,53,54]. However, randomized trials have not found consistent reductions in the time to wound healing compared with standard wound therapy (eg, debridement, hydrogel, moist dressings) [55,56]. Maggot therapy appears to be at least equivalent to hydrogel in terms of cost [56,57].

Dressing changes include the application of a perimeter dressing and a cover dressing of mesh (chiffon) that helps direct the larvae into the wound and limits their migration (movie 1). Larvae are generally changed every 48 to 72 hours. One study that evaluated maggot therapy in chronic venous wounds found no advantage to continuing maggot therapy beyond one week [48]. Patients were randomly assigned to maggot therapy (n = 58) or conventional treatment (n = 61). The difference in the slough percentage was significantly increased in the maggot therapy group compared with the control groups at day 8 (67 versus 55 percent), but not at 15 or 30 days.

The larvae can also be applied within a prefabricated “biobag”, commercially available outside the United States, that facilitates application and dressing change [58-61]. Randomized trials comparing “free range” with “biobag”-contained larvae in the debridement of wounds have not been performed.

A main disadvantage of maggot therapy relates to negative perceptions about its use by patients and staff. One concern among patients is the possibility that the larvae can escape the dressing, although this rarely occurs. Although one study identified that approximately 50 percent of patients indicated they would prefer conventional wound therapy over maggot therapy, 89 percent of the patients randomly assigned to maggot therapy said they would undergo larval treatment again [62]. Perceived pain or discomfort with the dressings associated with maggot therapy may limit its use in approximately 20 percent of patients.

Biobag of maggots on a wound from http://www.uptodate.com

The STARZ show Outlander (a show and series of books by scientist Diana Gabaldon I thoroughly enjoy) used real maggots in the fifth season of the show when in 18th century America, wife (and surgeon) Claire successfully treats her husband Jamie’s snakebite wound with the larvae. Actress Caitriona Balfe describes her co-starring maggots in this brief video:

image from Starz – Outlander Season 5 Episode 9
image from Starz – Outlander Season 5 Episode 9

So there are still things to learn about medical therapies we used in the past which have been sidelined or forgotten in our push for modern treatment modalities. The days of leeches and maggots may not be over after all.

And now for video, complete with little maggotty sound effects — scroll down

Maggots in our compost bin – enjoying corn and potato chowder leftovers

A new book from Barnstorming is available to order here

(no maggot pictures in this book, I promise!)

It is a Lichen Day

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It is a lichen day.
Not a bit of rotten wood lies on the dead leaves,
but it is covered with fresh, green cup lichens…
All the world seems a great lichen and to grow like one.

Nature doth thus kindly heal every wound.
By the mediation of a thousand little mosses and fungi,
the most unsightly objects become radiant of beauty.
There seem to be two sides of this world, presented us at different times,
as we see things in growth or dissolution, in life or death.

And seen with the eye of the poet,
as God sees them,
all things are alive and beautiful
~Henry David Thoreau from his journal

The truth is-
I’m somewhat of a lichen myself –
not easily defined,
a bit of an opportunist,
thriving in gray drizzle,
sometimes colorful but most often not,
attempting to cover and heal unseen wounds.

Mostly I hang on,
persevering,
at times obnoxiously tenacious
and not always appreciated,
yet…unique in an other worldly way.

A dreamer of fairy tale kingdoms
while living simply a peasant’s life
in plain sight.

A Hammer and a Nail

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I’d rather be a hammer than a nail
Yes, I would, if I could, I surely would…
~Simon and Garfunkel from “El Condor Pasa”

If I had a hammer,
I’d hammer in the morning,
I’d hammer in the evening,
All over this land,
I’d hammer out danger,
I’d hammer out a warning,
I’d hammer out love between,
My brothers and my sisters,
All over this land.
~Lee Hays, Pete Seeger

Strangely enough~
it is the pointed and piercing nail,
rather than our blunt hammer,
that binds together,
forming the strength,
the safety,
the permanence
of corners, foundation,
walls and roof
until the battering winds
threaten to pull them apart.

Yet the nail is useless
without the hammer.

The hammer
pounds the nail in
where it is most needed
where it won’t be forgotten
where, if ever removed,
the hole it leaves behind
is a forever reminder
of what our hammers have wrought
and how we are forgiven.

abandoned schoolhouse near Rapalje, Montana

Kitten Who Lost Her Way

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I sometimes think the PussyWillows grey
Are Angel Kittens who have lost their way,
And every Bulrush on the river bank
A Cat-Tail from some lovely Cat astray.
~Oliver Herford, from The Rubaiyat of a Persian Kitten

Our little calico Nala has the bravado of a cat many times her size and age. She climbs the tallest trees, dangles over the house roof eaves to stare eyeball-to-eyeball with the birds picking at seeds in the feeders. She takes no guff from the dogs or from her bigger brother Simba.

One day last summer, a visitor to our farm knocked early in the morning on our front door to say our kitty was struggling to walk, dragging her hind legs behind her. I hurriedly dressed to go find her, thinking I needed to somehow gather her up in a blanket to take to the vet, but she was no where to be found. I looked everywhere in the bushes and the hidden-away spots I knew she enjoyed, but she had vanished. I put out bowls of food to entice her but no luck – after three days, I figured she had crawled away to die alone, as cats are wont to do. Even her brother didn’t seem to know where she had gone as I followed him on his farm excursions.

I tried to theorize what might had happened – had she fallen from a roof or tree and become paralyzed? Surely she could not survive such a devastating injury.

Nine days later, long after I assumed she had died of her injuries or starvation, she appeared on the front porch when I opened the door. She was thin, weak, with her hind legs moving and holding up her weight. She was hungry and extremely vocal and not just a little perturbed that there was an empty cat food bowl on the porch.

On closer inspection, she had healing wounds along either side of her spine, matching closely with what I assume were eagle talon marks that had grasped her, if only briefly, as a raptor tried to carry her away. I suspect, feisty as she was, she fought her predator so fiercely that she was dropped from a bit of a height, bruising her spine. For an eagle, in this land of plenty of prey, dining on a calico is never worth such aggravation and hassle.

What a cat – now minus at least one, if not more lives. Only eight to go.

She is indeed resurrected; completely healed up, her spine is working fine and the only marks left on her back are white patches of new hair growth over her former wounds.

We thought she was lost forever, but she had not lost her way back to us, only way-laid for a bit. Our angel kitten is now resident on the front porch and back to her farm life climbing trees and torturing little birds.

Beware any big raptor who tries to take her on.

Did You Cry?

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To pull the metal splinter from my palm
my father recited a story in a low voice.
I watched his lovely face and not the blade.
Before the story ended, he’d removed
the iron sliver I thought I’d die from.

I can’t remember the tale,
but hear his voice still, a well
of dark water, a prayer.
And I recall his hands,
two measures of tenderness
he laid against my face,
the flames of discipline
he raised above my head.

Had you entered that afternoon
you would have thought you saw a man
planting something in a boy’s palm,
a silver tear, a tiny flame.
Had you followed that boy
you would have arrived here,
where I bend over my wife’s right hand.

Look how I shave her thumbnail down
so carefully she feels no pain.
Watch as I lift the splinter out.
I was seven when my father
took my hand like this,
and I did not hold that shard
between my fingers and think,
Metal that will bury me,
christen it Little Assassin,
Ore Going Deep for My Heart.
And I did not lift up my wound and cry,
Death visited here!
I did what a child does
when he’s given something to keep.
I kissed my father.
~Li-Young Lee, “The Gift”

Your father enters the poem
early,
storying past
the metal splinter
in your palm.

I set your paternity
—and the poem—
aside,
to reach back for my mother
and try to remember

what kind of day it was
when I played by the barn
where, it is said,
my own father raised pigs
(I do not remember this).

And what kind of day it was
when I found the barn,
door open,
silent

and tried to pluck silver lines
from silver webs
long-left,
then tendered my hand
on noiseless silvered wood

until my palms
were rife with the evidence
of my trying,

and mother
spent the night
with a silver tweezer,
counting as she went…
ninety-eight
ninety-nine
one hundred—

a ritual for my
tears.

And now I wonder,
Li-Young—did you cry,
and who was in the story,
and how many times
have you counted it since,
to forget,
and to remember.
~L. L. Barkat, “Li-Young Lee’s Splinter” from  Love, Etc.

I did, without ever wanting to, remove my child’s splinter, lance a boil, immobilize a broken arm, pull together sliced skin, clean many dirty wounds. It felt like I was always crossing the line between mommy and doctor.  But someone had to do it, and a four hour wait in the emergency room didn’t seem warranted.

My own child learned to cope with hurt made worse by someone they trusted to be comforter. I dealt with inflicting pain, temporary though it may be, to flesh that arose from my own flesh.  It hurt as much as if it were my own wound needing cleansing, not theirs.

Our wounds are His – He is constantly feeling our pain as He performs healing surgeries in our lives, not because He wants to but because He must, to save us from our own destruction.

Too often we yell and kick and protest in our distress, wanting it our way, not His way, making it all that much more difficult for both of us.

If only we can come to acknowledge His intervention is our salvage:
our tears to flow in relief, not anguish, we cling to His protection rather than pushing Him away, we kiss Him in gratitude as we are restored again and yet again.