Burning gluteal muscles, stabbing shoulders
hives when exposed to heat or stress.
Is it Long COVID or just a coincidence?
I never tested positive, had antibodies before the vaccine.
So easy to give into despair like bleak
landscape after a nuclear explosion,
waiting for something to grow,
to give meaning to this pain.
When the evening news, the internet, work emails
and patient messages all beg for better days,
I turn to gratitude practice for solace.

I’m grateful for physical and osteopathic therapy,
for medications that help ease the pain
when another pandemic surge feels overwhelming.
I’m grateful for family holding me
with humor and household help,
for colleagues and medical staff
as smiling crescent moons
in the darkness of a sobering reality.
I’m grateful for teachers, friends, a practice
inspiring the framing of all phenomena
in beauty, wholeness and healing love.

Covid-19: you think you’re so smart,
the best magic show around with variants
evading immune systems and vaccines.
You can invade, inflame, and injure,
but you cannot insist I believe you.
Let me be a source of healing
first internally then externally--
clear water mirroring a sunrise hope
in others clouded by doubt,
beginning again and again
till their last breath or my own.

I. Establishing equanimity as ease and relaxation, orienting to pleasure, and lingering with experience
​

red maple leaf in close up by Atle Mo

blood red Japanese maple 
shocks the heart
back to life
your delicate leaves
won't last forever
​
​

II. Equanimity as earth element, stability, or solidity
​

marble toy by Louis Maniquet

the Earth pulls
you close to her
why lean forward
or turn back
when her love
can hold you here
​

III. Equanimity as wind element, movement, change, letting go to let in.
Everywhere the wind carries me is my home. (Yu Xuanji)
​

IV. Equanimity as space or silence, widening the attention.
​

***Equanimity weekend retreat inspired by Robin Craig, led by Brian Lesage

dangling from the tip
of a question mark
the sea of fear below me
is only a point

With anxiety, I’ve found a certain pattern of questioning in patients and myself. Why is this happening? How long will it last or when will it end? How can I get rid of it permanently?

These questions come from a tender place. I want to feel safe, to know that others and I will be ok, that it won’t end in disaster. I want some assurance that the perceived earthquakes and large tidal waves will have moments of calm and ease between them, that I won’t always feel crappy physically and/or emotionally.

The stress reaction is useful when my life is in danger (imminent car accident, being held at gunpoint, etc.). Stress hormones like epinephrine and cortisol are released to increase heart rate, blood pressure, sense acuity, nutrient mobility and availability. I need to fight, flee, or freeze because my life depends on it. Chronic low level stress can damage blood vessels, increasing blood pressure, raising the risk of heart attacks and strokes, buildup of fat tissue, weight gain, and contribute to brain changes that may cause anxiety, depression, and addiction.

The root cause of anxiety (and it’s close cousin depression) is believing a thought. Instead of asking, why is this happening, how long will it last, or can I get rid of it permanently, I ask different questions with mindfulness practice. What’s happening now, and how I’m relating to it? I allow thought clouds to pass through the spacious sky of mind, connect with emotions beneath the thoughts, feel earthquakes and tidal waves as physical sensations within the body, remembering compassionate presence and common humanity.

I’ve experiences strange back spasms since June/July of 2020. They attack in the early morning hours, and by the time I wake up, it feels like I’ve done hours of back breaking work. The initial pattern of questioning led to a trial of many different healing modalities. A few were effective, while others looked like a mirage in a dry desert of yearning. None of the solutions were permanent.

Mindfulness is like a best friend when everyone else has left, when life fails to keep its promise of perfection. It’s a happiness independent of external circumstance, very much dependent on internal grounding, spaciousness, warmth and flow.

The practice of mindfulness is not a quick fix. Like other things you may have learned (playing an instrument, learning a new recipe, language, or subject, training the body physically for a sport or marathon) this process takes time. It is not meant to replace medications or counseling therapy, and can complement them well. The remedy must be tailored to each individual’s needs and preferences.

dangling from the tip
of a question mark
the sea of fear below me
is only a point

a wave returning
to the heart’s ocean
mindful compassion
replacing all the old questions

It’s helpful to heal a problem when the answer is simple. When it isn’t, may mindful compassion be part of the cure.

​

​Mother Moment

she understands you worry about the future
keep visiting the past as if rereading
the chapters will help you to understand
she invites you to be here
sitting and walking, just breathing
as if there’s no place else to be
as if this is the missing link
the sanctuary you always sought
​

​The Last 15 Minutes of a 45 Minute Sit

leaning into what’s next
the body screams to get up
as the mind conspires to leave
not yet, the heart whispers
just one more minute
as body and mind agree
to settle, to relax
then the sound of the bell
an invitation to enter life
one minute, one breath
one day at a time
​

​Anjali Mudra

bowing to everyone you meet
reflecting True Nature
when it’s hard to see
because there is clarity in you

Gone
 
 Gone, the sweet tartness of plump blueberries,
the crunch of cinnamon peppered almonds
in a sea of steaming oatmeal,
now a gurgling afterthought in the belly.
Gone, the tender tones of his teaching instructions
after the birth of an 8:45am sit,
umbilical cut to silence, to sadness
not knowing if I’ll ever see or hear him again.
Gone, the scene of a Saturday morning
girls’ soccer game at the local middle school,
the house with the rose stems
beheaded by the fall season,
white petals decaying between wood chips and soil,
the bright yellow diamond 15 mile per hour
speed bump sign as I turn the corner
of walking meditation towards home--
images encased in the album
of memory that will fade.
I’m chasing after the high school bus,
first kiss, first lover, first child, first job
the way I looked in that residency picture at 31,
abundant glossy black hair and clear complexion
though nothing was ever really clear.
Gone, the thought of what’s next on the schedule
as my invincible partner collapses
on our bed from excruciating back pain,
his body subject to breakdown
like everyone else I know.
Gone, the belief that this retreat will last forever--
a perpetual bomb shelter of safety
against the war with life
when the vihara was always within.
Gone. Gone. Gone.
A birthday candle wish that was never promised,
and a blessing of breath while it lasted.

“The path unfolds in two dimensions: horizontal and vertical. The horizontal path spreads forward and back across chronos, tic-toc, sequential time: minutes that flow like sand through our fingers. Here and then gone. The vertical path extends as kairos, deep time. The fullness of ripening moments swell and then narrow, like heartbeats, thumping out their fleshy rhythm. Horizontal time propels us. Deep time nourishes and sustains us.”

After reading these words by Pamela Weiss, something shifts inside me. It feels like the missing link, the connection I’ve been looking for to understand the relationship between fear and faith. Fear is a contracted state, a constant push-pull dynamic between what’s here, what’s missing from the past, and what’s needed for the future. Fear is judgmental, blaming anyone who cannot guarantee its safety. And, it is just one breath, one heartbeat away from faith waiting to surround it, to hold it in a steady, tender embrace.

One week ago, I had the joyful privilege of joining Jackie Long and circles of women for yoga on the beach in Half Moon Bay to raise funds in memory of loved ones who passed from cancer. Moving through sun salutations in praise of our star humbly hiding behind clouds, surrendering to sandy earth in child’s pose as vibrations of pounding surf were felt beneath us, it was an exhilarating experience.

Though I was aware of the sacroiliac joints and gluteal muscles previously re-injured by certain yoga poses, I believed it could be different this time. Sacred cause, sacred place, sacred instructor, sacred people, sacred body…there was no need to be scared. It would be different this time.

As the week and my body unfolded from the yoga experience, I began to feel twinges of discomfort. Prior experience, body wisdom, patience, compassion, and determination helped me tend to the pain lovingly with modalities that would promote healing.

Fear has not vanished. There are still whispers of judgment from time to time— the horizontal path conjuring flashbacks of past painful outcomes, predicting future catastrophes, each choice I make flowing like sand through my fingers. Where can I find true refuge? Where can I feel safe?

Today, the sensations are the loudest they have been throughout this week. What does it mean to lovingly embrace fear, to surround it with faith? Faith is expansive. It does not judge, but speaks with wisdom, sensitivity, patience, curiosity. I don’t know what will happen, and I’m with you every step of the way. Loving attention heals no matter what. Like a mighty grandmother oak, faith roots in vertical time, each moment while simultaneously reaching up and out for connection.

rooted in this moment
branches reaching out
cultivating a deeper faith
to surround fear and doubt

​As I learn to take refuge in this abiding faith, may it serve as refuge for others. May I trust what I cannot see, yet feel growing deep within, reaching up and out for connection.

​rocks polished
with the soft cloth
of loving attention
the gems are emerging
 
Have you ever had one of those days where it feels like you got up on the wrong side of the bed, and you want to go back to sleep?
 
I recently had one of those days.
 
Words were hit like racquet balls in conversation with family members instead of catching them, holding them for a while, and then playfully tossing them back. My low back, sacroiliac joints, and gluteal muscles were starting to complain again, as if I wasn’t taking good care of them. I was hungry and nauseous from the Suprep Bowel Kit solution in preparation for a colonoscopy.
 
Instead of stringing undesirable events together on a continuous chain of aversion, I was surprised by the care that showed up between and around these events.
 
Bathing the body in compassionate breath, I also took a breath for others in similar situations. There was awareness of imperfection, impermanence, and the impersonal nature of it all. I noticed the way my partner and mom would check up on me periodically to see how I was doing. I pictured loved ones saying the exact metta words I needed to hear, wrapping me in a warm blanket of love and understanding.
 
May you polish these rocks of aversion with the soft cloth of loving attention.
 
May you stay in the present moment and notice the care around you.
 
Don’t misunderstand me. I didn’t like any of the confusion in conversations, the physical discomfort, or the unsettling gastrointestinal sensations. (I won’t even go into the bowel details!) If I had gone back to sleep, I would have missed out on the gems emerging with practice, with time.
 
****
 
Waiting in the pre-op room, I answer the nurse’s questions about my medical history, medications taken, and sign all the necessary consent forms. When it’s time to find a vein suitable for IV access, the nurse comments that I’m a ‘hard stick’ (venous access will be difficult due to small, less prominent veins and some degree of dehydration from the bowel prep).
 
Hard stick.
 
The words pierce a hole in the bubble of equinimity I’ve created in preparation for this procedure. Or is it a bubble of resistance?
 
The nurse attempts to find IV access in my right arm, ‘threading’ the needle to reach a vein. When this is unsuccessful, she tries again with my right hand, again ‘threading’ the needle to contact a vein. After the second failed attempt, two more nurses are called in to try.
 
Each nurse takes an upper extremity searching for a suitable vein, a way to pop the bubble of resistance and access vulnerability. I feel like a pin cushion as tears begin to fall for the sharp, lancinating sensations felt in my right arm and hand.
 
I didn’t sign up for this. This wasn’t even on the consent form. This isn’t supposed to happen!!!
 
Allowing the tears to flow, the irritation at the first nurse for poking me twice and all the nurses for asking me repeatedly if I’m ok (do I look ok to you?), and the unpleasant physical sensations to be here just as they are, I’m asked to befriend another round of aversion.
 
Breathing in self-compassion, breathing out compassion for other patients who have felt like pincushions, I notice that there is a little compassion for the nurse as well. I have also asked colleagues for help when faced with certain challenging procedures in patient care.
 
Thank you asking for help when you did.
 
The nurse looks at me with genuine care.
 
Of course. I wasn’t going to stick you again. I usually don’t have trouble with IV access. You were a hard stick.
 
The words don’t feel as sharp as they did before. Rocks polished with the soft cloth of loving attention, the gems are emerging.
 
****
 
It doesn’t matter how many times aversion arises, because it will, again and again. It’s how I relate to it that matters most.

You keep judging thoughts and feelings
as if you could remotely control them
with a 20th century device called Perfection.
The heart’s radiance is beyond this-
more vast than the dramas 
playing inside your head,
more understanding than 
a stranger opening the door for you.

That stranger could be you
bathing thoughts, feelings, sensations
in wise, compassionate breath.
Instead of asking why me?
try asking yourself why not?
as the heart door slowly opens
and you learn to love what is real.

The serene smile on his face softens the limp in his gait, the cane transformed from a resented crutch to welcome companion. Hiking with my own SI joints and gluteal muscles on fire, I’m curious how this fellow hiker (at least two to three decades older) can embody such joy and ease in the midst of an imperfect body.

As we approach one another, I pause to find out.
How do you make this look so easy?

His smile widens, his eyes beam against the backdrop of the sun’s radiance. Flanked on either side by guardian coast live oak and madrone trees, the scent of forest infusing the air between us, I sense that I am in the presence of a mysterious messenger.

I just keep walking till I can walk no more.

****
​
Do you have any meditation and writing classes going on? I’m really struggling with several things.

The tone of her email concerns me, as if she is barely hanging on by a thread, searching for a lifeline to strengthen her tenuous connection to what matters most.

As we begin the mindfulness consult, I can tell she is testing the waters. Will she drown in the revelation of her story, her tears, or will the exchange offer some insight to guide her back to safe harbors?

Nearing the end of our session, she is very clear about what would be helpful in a guided meditation.

In addition to recognizing, allowing, and investigating the uncomfortable thoughts, feelings, and sensations, I need to remember gratitude, joy, and trust my capacity to be with this.

****

I stopped the Ultram, doc. It just caused constipation, and didn’t do anything for my knee pain.

The patient proceeds to share what he is learning after a few sessions of physical therapy. And suddenly, there’s a clarity that could not have come any sooner till now, because the ignorance of separation was always clouding my perception.

Can I watch you walk from this chair to the door and back?

Like an infant curious to explore a new dimension of movement, he rises slowly from the chair without his cane. Placing the right foot forward, he leads with the trusted leg, and pauses. I sense the anticipatory anxiety, the concentration, the yearning to heal as he lifts the left leg and places the left heel on the ground, doing his best not to let the left knee buckle under him.
​
I feel like a proud parent watching her child take those precious, memorable first steps. As if the patient can read my mind, he grins and ambulates to the best of his ability.

Baby steps, doc. Baby steps.

****

The resistance and resentment I’ve carried for years against chronic pain is slowly starting to dissipate. From the hiker, I’m inspired to keep living, keep persevering till I can walk no more. From the mindfulness consult, I’m learning that this heart-mind-body can open to unpleasant circumstances with compassion, patience, and trust, balancing the scale weighed down by difficulties with appreciation and joy for what often gets overlooked. From the patient, I’m motivated to take bold baby steps in the midst of burning pain without needing to be a strenuous hiker or yoga practitioner who can perform all poses perfectly.

Be on the lookout for mysterious messengers in your life. They are what make this life worth living, and the learning never stops…

​In meditation, it's possible to let the limiting sense of self settle, and allow the larger space of self to emerge.
​

​Pain can be a pathway to suffering, or a poetic prescription for healing.

Restlessness, Metta, and True Nature

There’s a restlessness inside me--
checking the phone, the weather
checking for missed emails, calls, texts.
Am I ok as I am?
Are others ok because of me?
When did the external funhouse
mirrors get so distorted?
When did abandonment
become the only story?

May I be patient with anxiety and restlessness,
and trust something precious beyond this.

A few Winecup clarkias stand out
amidst Pacific poison oak.
Beautiful growth is possible anywhere.
The trill of a red-winged blackbird
invites joyful sound meditation.
Magnetic Mama Earth guides footsteps
to avoid stepping on western
whiptails activated by amygdalas.
So I’m not the only one!
A summer breeze blows
the breath inside out.

Am I ok?
​
There is no one left to answer…


No Timeline for Love

I don’t need to fill my heart completely 
before I can show you love.
I just need to see the thorn,
feel the sharp point against softness,
wrap the wound in tenderness
as scar tissue learns to love
in its own healing time.


Soon

These days of cutting okra and long
beans together will soon be over--
hearing knives slice through dark
green flesh at different rhythms,
watching the way your air pods
hang from your ears
as a slight smile crosses your lips,
wondering what you’re listening to
and if you’ll still like that song in college,
or who you will choose to love.

Or the way I turn to you
with partially cut vegetables
that you will chop into smaller pieces
the way your mother did back in India,
breaking down larger pieces of life,
seasoning with spices and cooking slowly
into food the family can easily digest
until arthritic hands can no longer chop
or vision fades into final darkness.
​
Soon all I will have are these words,
and memories of three generations
cutting okra and long beans
side by side by side.
What used to seem so mundane
now feels like sacred ground.
Please help me to be here!
Soon we will all be gone.


Emptiness

emptiness
is fullness
still healing
till she can let go
completely


Receiving
​
everything
is a gift
unwrapped slowly
by your perception

For years I've gone on retreat, escaping family and home to find freedom. Little did I realize that freedom can be found within my own home, that refuge in a Brahmavihara happens wherever, whenever the heart is willing to feel, and surround all experience in its embrace.

Deep gratitude to Brian Lesage and Sangha for this sacred, unique, configuration, to family and friends for being there with food, hugs, kisses, laughter, and conversation when needed, to colleagues for covering my time off from work, and patients for trusting this practice to widen/deepen my understanding of compassionate care.