​There is an image of a magnolia tree. I can feel its trunk as my trunk, its branches as my limbs, its roots as my roots deeply connected to the earth.
 
I’m struck how it is committed to loving me, and letting itself be loved by me. I’m also struck by its commitment to blossoming for only a short time, regardless of weather or circumstance, its dedication to beauty and ethics. 
 
There is also something about a duty I have to rest, stay still, be open and sometimes dormant to nurture meaningful growth. 
 
This image is a gift, a grace I could not have imagined on my own. Is it real or not real? What I trust most is what blossoms in my heart, dies, blooms again, eternally repeating itself for a purpose it does not fully understand, but knows is unfathomably sacred. 
 
*****
 
Revisiting the image of the magnolia tree this morning, sensing it somatically and through the lens of the Brahmaviharas:
 
May I be so well.
May my suffering be soothed,
 
I realize how much I still live life in binaries, all or none thinking. Things are good if (fill in the blank), and bad when (fill in the blank).
 
May I meet this with a light touch,
Not pushing or pulling on anything.
 
The magnolia blossom imbues each circumstance (good, bad, and everything in between) with a light touch. It tries not to push or pull on things, because it understands causes and conditions needed to align in a special way for it to even be here.

Practicing with the Five S’s

Space/Splendor - Zoming out of the difficulty to notice space around it and anything pleasant to help balance the difficulty and not go into all-or-none, catastrophic thinking.

Sensations- Rather than trying to doctor the pain into a diagnosis (hard to abstain since it’s my profession), noting the sensations as ‘throbbing’ or ‘burning’ rather than ‘pain’.  It makes it less personal.

Self-compassion - Placing a hand on the hurt place and recognizing that others experience this, too. If I cannot feel the self-compassion, then inviting a figure of love to inspire it.

Not-self - Reflecting  on past inner and outer causes and conditions, present inner and outer causes and conditions contributing to the pain. Empty of a single cause or condition, and full of love.


There is a benevolence 
That softens a tangled mind
Agitated heart and tense body
Till they are all aligned 
To inhabit the moment 
With such intimacy and tenderness 
That a bright yellow center
Attracts bees to make honey
Make sweetness, make love
With all the hurt places-
Blood orange petals radiating
Metta in all directions
​Wishing for all to be free

For the first few days, samadhi is strong. It nurtures contentment on and off the cushion.

Then I wake up one morning with severe foot pain, unable to bear weight on the right foot. The perfect bubble bursts. Papanca proliferates in the mind. The heart is burdened by fear as the body tenses against unwelcome change.

It takes another few days to recognize etch a sketch potential in the breath, erasing tangles in the mind, sensing throbbing, aching in the foot and spaces in the body that are neutral, even pleasant. What is drawn on the mind screen, felt in the body and heart, all depend on my ways of looking.

I am not a ‘good’ practitioner when things go well, or a ‘bad’ one when things are difficult. 

Empty of a single cause or condition, and full of love.

The mantra continues to offer humility, softening blame and deepening compassion.

May these insights be shared with my patients and all beings, who are also subject to sickness, aging, and death.

Samadhi is not a perfect state, but mind, body and heart in alignment, receptive, sensitive, honest, always in communication with what’s needed now. If what’s needed is not apparent, then samadhi is waiting patiently and trusting if will come.

Kisagotami Bikkhuni and Rosemerry Wahtola Trommer, I am listening…


****


KISAGOTAMI ~ SKINNY GOTAMI


A child dead.
And a mad search for a magic seed.


It's a story as old as dust.


Brave up, my sisters.


The day will come
when you run
from house 
to house.


People will meet you at the door, 
look you in the eye, 
and they won't let you in.


I'm sorry, they'll say.
But we can't help you.


Listen.


When everyone you love is gone, 
when everything you have 
has been taken away, 
you'll find the Path
waiting 
underneath 
every rock 
on the 
road.


These are the words of Kisagotami.




*****


Toward Peace  ~  Rosemerry Wahtola Trommer


Perhaps some part of me still believes
peace is a destination,
a place we arrive, ideally together.


I notice how shiny it is, this belief,
like a flower made of crystal,
beautiful, but lifeless,


devoid of the dust and scuff
that come from living a real day.
Meanwhile, there is this invitation


to grow into peace the way real flowers grow--
in the dirt. With blight and drought,
beetles and hail.


Meanwhile this invitation
to live in the tangle of fear and failure,
to be humbled by my own inner wars


and wonder how to find a living peace
right here, the peace that arrives
when we take just one step through the mess


toward compassion and notice
as our foot rises our heart also rises
and in that lifted moment


still scraping along in the dirt,
there is a peace so real we become light,
become the momentum that is the change.

​Praying to the porcelain god (not knowing if the Andean gods hear me), I am emptied out from both ends. Have the indigenous ways failed, or am I just not ready to receive their healing potential?

My patient, loyal, husband stands by, watching and waiting for what’s needed next. He doesn’t remind be of the Diamox I could have taken the day before arriving to Cusco, Peru to minimize the effects of altitude sickness like he did. He doesn’t judge the muña tea I drank in cupfuls, believing it would be enough.

Instead, he waits and honors my autonomy. Can you stay up for another hour after the nausea, vomiting, and diarrhea have subsided? Then the Diamox has a chance to stay in your system.

****

We exit the Vista Dome train headed for Auguas Calientes at kilometer 104, the beginning of our two-day Inca trail trek. Filled with trepidation and excitement, so many aversive and awe-inspiring thoughts pass through. I wonder which ones will prevail.
​

​

​Within the first few miles of the trek, it’s clear that this is more than a ‘moderate’ hike as advertised. There are many large, steep stone steps to scale, and it is much warmer than expected.

Feeling wobbly in the legs and as if the heart and lungs will explode beyond my rib cage from the altitude and exertion (despite the Diamox I am now taking, and muña mist I am inhaling while doing earth salutations to Pachamama), there is a desperate attempt to grasp at anything that will inspire perseverance.

At first I chant the Metta Sutta, tuning into the heart’s emotional resonances to soothe aversive thoughts and mistrust in the body. I also imagine others beings near and far championing my efforts at various points along the way.

It works for some time. Until judging, comparing mind returns with a vengeance. Everyone is passing you up, Kaveri. You are the caboose in your group. Even older hikers are more fit than you are!

There needs to be more space beyond the thoughts arising in my head and uncomfortable body sensations. 

Becoming more porous to sounds of flowing water, footfalls and voices from other hikers, appreciating the bright colored gossamer wings of various mariposa species against the lush green backdrop of the Andes mountains, wild orchids gracing the path, and precision of ancient Incan ruins in tune with the seasons, there is less of a self to protect. It still requires some soothing.

I try not to look beyond the steps a few feet in front of me. Just this step. Just this breath. It’s easier trust this moment and the next one if I don’t need to manage the whole journey beyond what I can see and handle.

I hear Pachamama’s voice:

Life can be perceived as a punishment when things go wrong, or a blessing of small and large miracles in each moment. Like weather patterns and moods, perceptions often fluctuate between the two.

And that’s ok.

****

A few days after the body and mind have had a chance to rest and recuperate, I am reminded of some images that visited me before leaving for Peru.

In the first image, a figure of love in the form of the fictional panda character, Stillwater sits tall like a mountain. He asks me to sit next to him and look down into the water he is overlooking. What do you see?

At first all I see are dark, murky swirls with some flashes of a being filled with aversive, doubting thoughts.

When Stillwater asks me to look again, I catch glimpses of a beautiful iridescent heart that appears to extend beyond the water, beyond space and time.

In the second image, there is a magical tree that bears fruit in various shapes and colors. Each being grows from a fruit, nourished by a unique umbilical branch from the same mother tree. No two being are exactly the same, and they can shift into another shape or color.

I humbly bow to this tree for its beauty, meaningfulness, and implications for each being to extend into unfathomable beyonds, beyond the shapes and colors that are limited to a still-life painting.

We are dynamic beings, more than our skin, shape and color. We have a rich inheritance, no matter how we perceive our family tree.

May all beings see and sense in soulful ways that inspire healing and adventure.

The art class is located inside a studio in a small suburban shopping center next to an Indian grocery store. As Rachel and I walk in, we exchange exuberant facial expressions. Instead of a woman in midlife, I feel like a kindergartener about to fingerpaint. Our eyes widen in excitement as we take in the mosaic tiles and beads neatly separated by colors in small bowls at each workstation. Turkish mosaic lamps and candle holders of various designs are on display throughout the room to inspire our imagination.

“Where should we sit?”, I ask Rachel.

“Let’s sit at the edge of the table so we have more room to move around”, she replies.

“Good idea!”

We place our belongings on two chairs facing each other each other near the studio entrance. Taking our seats, Rachel and I introduce ourselves to a couple sitting next to us. We each begin to use a paper template in front of us to map out design ideas before gluing the mosaic tiles onto the glass globe of our respective lamps.

When our instructors indicate that it’s time to transfer the mosaic tiles and beads onto the glass, I panic. My design is ready, but it doesn’t look or feel like the images I had envisioned for the lamp prior to class. I begin to doubt the colors and shapes I’ve chosen and start to compare my design to those of our neighbors and Rachel.

This is not how this class is supposed to unfold!

To make matters worse, I cannot retain the exact design when I start to glue the mosaic pieces onto the glass. It takes gentle effort and patient precision, two things that are not included in our art supplies as my perception of time begins to contract.

“Let’s just get this over with”, my mind silently shouts as my heart sinks. The kindergartner come middle aged woman feels like she’s messing up. I try to remain positive, plastering a smile on my face and making polite conversation with Rachel and the couple next to us. Inside I feel tense but continue to diligently glue each piece into place.

The pieces are crooked with spaces between them, and the larger designs are not symmetrically spaced around the glass globe. A part of me remembers the joy of art as process over art as product, but that part is stifled by the need to finish the product in the studio time remaining.

*****

The next day, I remove the glass globe and try to fill in the spaces with the plaster provided in the take home kit. Mixing the powder with too much water, the plaster is too thin to stick to the glass. Frustrated, I proceed to wash off all the excess runny plaster. In the process, some beads fall off the glass globe.

Ugghh! This shouldn’t be happening.

Ah, but it is!

Who said that? The voice does not return till I walk away from the mess I am making.

Perfection assesses whether someone or something is worthy, worthwhile. It sees in black and white. This is either all good or all bad. Perfection thrives on fear, rigid judgments, restlessness until perfection is achieved. It’s fragmented, believing happiness resides in a limited range of experience. It’s a constant uphill climb, and forever exhausting.

Wholeness invites all aspects of a mosaic experience, understanding the picture is incomplete with any piece left out. It’s patient, allowing mental and bodily formations to communicate, as the heart bathes the experience in whatever wholesome factor is needed for unification. Wholeness perceives above below, around any fixed view to see and sense with soul, to cultivate contentment in all circumstances.

Perfection or wholeness? Where do you want to live, Kaveri? Even this dual reflection is a cause for suffering. Know that you are shaped by both, that each influences the other, and bow to the full range of life experience.

*****

I decide to walk away from the art project, reflecting on the process instead of the final product. Art is very similar to the meditation process. If my attention is tense, tight, narrow, and analytical, I will perceive the experience as unpleasant. If my attention is more relaxed, soft, expansive, and observing in nature, the experience can be neutral, maybe even pleasant.

Ideas of perfection, wholeness, process and product all swirl around in the limited space of my cranium. I take them to the meditation cushion and sit. Like pinballs, they keep bumping up against walls until there is no controller trying to save and define them. Fixed, judgmental attention transforms into relaxed, loving awareness as metta permeates through the entire space.

May I be gentle with the process.
May there be confidence in the beauty of awareness.

Just as the bell punctuates the end of the meditation sit, an insight arises. Beauty is not limited to a final work of art or an artist. It is also inherent in wholesome mind states brought to any artistic or meditative process. Viewed this way, nothing is an ugly mistake. No parts are left out.

Feeling more curious and connected to the Turkish mosaic lamp, I hold it with tenderness, patiently gluing each small bead back on one by one with crazy glue. Giving it another 24 hours to dry, I wait for my partner to help me assemble it when he has time.

What’s the rush?

Published in Pulse.

(This poem was first written after receiving a steroid injection for frozen shoulder in April 2023. It's humbling to a be patient on the receiving end of a doctor's advice...)

Four minutes discussing the risks
and benefits of the procedure,
the doctor’s confidence and my worry
sparring in the silence that follows.
 
Four inches of thin stainless-steel injecting
steroids into my shoulder joint,
thoughts of relief and regaining range
of motion subdued by lancinating pain.
 
A fast baseball pitch and loud pop.
A gunshot wound to the right shoulder.
A bomb detonated close to the upper arm.
Four lives embodied in my own.
 
Four drops slide down my cheeks,
the waterfall of reserves drying out.
What will replenish trust as
therapeutic possibilities dwindle?
 
Four steps into another exam room,
I greet a patient in pain.
Before assessing and assuming,
asking about the story…

(This was first written a few months after my father died on Wednesday, August 30, 2022. It was submitted to a few publications and rejected each time. Perhaps I need to rest it here, invite it back into my own heart, and not seek anyone's approval but my own. May it offer some healing insights for others...)

It’s 1:45pm on an ordinary Wednesday in August.  A time when children returning home from summer day camps are cooling down with orange or berry flavored popsicles. A time when the sun is lazily strolling through a clear blue sky, too warm and weary to move any faster.

It’s a carefree time for most. But not for my brother.

Papa is sitting on the sofa slightly slumped over, his eighty-one-year-old spine yielding like an old, soft coat hanger to the weight of end-stage congestive heart failure, kidney disease and Parkinson’s. His signature salt and pepper beret hangs low over his forehead, covering his eyes.

After a few friends and relatives leave, my brother assumes he is just resting.

Until he moves closer to tap Papa on the shoulder, and Papa completely keels over like a marionette no longer guided by higher hands.

****
​
On Monday, two days before Papa dies, I receive a phone call from him.

“I miss you.”

His voice is magnetic, drawing me out of the embodied, grounded place I’m trying to reach. I hold the memories of this man’s significance in my life at bay; they are visitors I am not ready to confront. Right now, I’m at the gynecologist’s office waiting in an exam room to discuss treatment options for perimenopause. The appointment was rescheduled after I missed the last one visiting him in the hospital.

“I miss you too, Papa.” The response manages to push its way past the conglomerate rock of emotions stuck in my throat.

Seconds later, Dr. M rushes in like a whirlwind, eyes me on the phone, and backs out of the exam room. Clearly my phone call is more important than her services. I’m not sure I agree.

“Papa, I need to go. I’m at the gynecologist’s office. Call you later.”

Tenderness for my own wellbeing, my own healing process pulls me away from the call. Perimenopause is changing my inner landscape so much, that I feel like a foreigner inhabiting a strange body. But the force of guilt is equally strong. My nervous system is flooded with intense feelings, sacroiliac joints burning from prolonged sitting with Papa at the hospital for several hours and at my brother’s place now that he is home on Hospice.
​
Papa is still dying. After several hospitalizations for congestive heart failure, his heart is more susceptible to fatal arrythmias that can only be managed in an acute setting. As much as Papa wishes to prolong his life, quality of life outside of a hospital with loved ones is most important to him.

My thoughts are interrupted by a soft knock on the door. Dr. M reenters the exam room. I guess I’ve decided to stay. It seems like a logical decision, and my heart yearns for more guidance.

As I’m driving home from the appointment, I try to call Papa back. My sister-in-law answers. “He’s sleeping.”

“I’ll try to call him later.”

*****

I work on Tuesday and Wednesday to see a backlog of patients trying to catch up on two years of delayed medical care since the onset of COVID. They’re still afraid of the virus and all its variants, but cancer, complex pain, and confounding mental illnesses are strong competitors. My heart feels even more fragmented trying to meet everyone’s demands. Am I caring for anyone successfully?

The opportunity to call Papa later never comes. I am not there. I don’t get to say goodbye.

“Well, whose fault is that?”, my inner critic chastises. “You’re SO selfish, always putting your needs before others, even the man who raised you like his own daughter. You left your cousin brother alone to face his death. How could you?”

Another voice tiptoes into the conversation. This one feels like it’s coming from an older, wiser place. It might even be ancestral. “Dear One, it’s true you were not physically there in his last moments. You were consciously caring for so many depleted beings. Can you remember the times you were present to care for Papa in meaningful ways?”

I don’t see Papa again until my brother, sister-in-law, and I dress him in traditional white clothing at the funeral home for the final viewing before cremation. His skin is oddly smooth from the effects of funeral makeup, but it can’t hide the slight tension in his jaw, as if he is still objecting to this unsolicited outcome.

Memories that were once conveniently sequestered can no longer be held back. A shy eighteen-month-old girl arriving with her mother from India after her parents separated, trusting a strange man (her maternal uncle) at the airport to embrace her as one of his very own. Frequent trips to Yosemite and other national parks, weekend trips to Golden Gate Park and Ocean Breach in San Francisco where Papa instilled a deep reverence for the natural world and Gandhi’s principle of compassionate action in me. The time when he drove down from San Francisco to Los Angeles in my gap year between college and medical school, because I had contracted tonsillitis with a nasty secondary allergic reaction to the antibiotic, and I had begged him to come.

Flooded with guilt and grief, I question him silently. “Papa, am I worthy of this rite?”

His demeanor conveys neither judgment nor approval.

*****

The choices we make can restore or haunt us. Sometimes it’s not so black and white. I still see Papa’s face, hear his voice in the pleas of my dying patients.

“Help me!”.

Sometimes I recoil in fear and overwhelm, forgetting how to access the spirit of healing that extends beyond each exam room.

Sometimes I stay with compassionate courage and fierce tenderness, softening the boundaries between who is doctor and patient, who is parent and child.

Most days I’m learning to navigate the shifting landscape of change and loss without a clear road map, assuaging guilt with self-forgiveness, and caring for myself and others in significant ways.

Mindfulness teacher and author Jack Kornfield said, “If your compassion does not include yourself, it is incomplete.” As Papa once told me, even Gandhi needed a day of rest and silence.

​radiant eye nestled in a bed
of silver-feathered lashes
I long to see your face

veer the steering wheel
to the right shoulder 
of Dumbarton Bridge

and kneel down  
among shorebirds 
humble supplicants

wading in bay waters
warming up to your light
but I can’t stop

feeling the pressure
of time driving me
towards the mundane

while you still follow
patient as you are
waiting to make 

eye contact
when I am still
and ready