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.

(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.

Two Wings
 
soaring above
lush green hills
empty of agenda
full of possibility


​Butterfly
 
flapping its wings
grasses ripple out
movement felt 
beyond the hills
awareness is that vast

​Caste in bronze resin sitting on top of a ferocious lion, she commands attention at center stage. Endowed with power from multiple male deities to defeat the demon Mahishasura, she wields the weapons of a chakra, conch, bow, arrow, sword, javelin, trishula, shield, and a noose to clear all obstacles. Bejeweled in crimson and green ornaments adorning her crown, ears, neck, and waist, she embodies the cycle of death and rebirth, endings and beginnings necessary for all human experience.
 
My mothers never prayed to her. I wonder if paying attention to her now will strengthen and heal the maternal line.
 
To her right sits a smaller being caste is the same bronze resin. He was known to wear simple saffron robes and walk barefoot for miles in search of suitable space for long periods of meditation. 
 
I still don’t understand how he abandoned his wife, Yasodhara or his son, Rahula in search of enlightenment. Can enlightenment still be found as a householder? As I try to reconcile this paradox in heart and mind, I am still grateful for the Four Noble Truths, the Eightfold Path, the numerous lists as treasure maps to freedom. Maybe he didn’t abandon his family, but sacrificed the comforts of a safe, opulent life for something far more valuable.
 
To his and her left is another small being cast in the same bronze resin. She hears the cries of the world and stays till there is ease. Her demeanor is relaxed, yet ready to spring into action and alleviate suffering at a moment’s notice. She is the embodiment of the most caring 911 system I have ever seen. I’m still exploring hidden caves of compassion inside her world.
 
Above them all hovers a spirit in flight wearing colorful feathers in solidarity with the winged friends surrounding her. Trapped in 2D and a mahogany frame, she yearns to gather momentum and fly on wings of creative intuition, to leave the limitations of 8.5. X 11“ flat space in favor of more dimensionality without rules. She embodies the wisdom of stillness and movement, the space needed for meaningful transformation to occur in divine time. She understands that the wonders of the world were not created overnight.
 
Each day I light a candle, bowing in humble reverence to each of these beings, to their symbolism and the qualities they inspire in me.
 
I still feel this heart encased in layers of misunderstanding, a hidden gem polished by years of devotion.
 
One day there will be a dissolving of all separation. One day, I will be free to love as I was meant to.
 
There is no doubt.

Tired of blaming myself
Or others
I lay down the weapons
The lancinating judgments
The crooked perceptions
The claw-like control
Of the way things should be

Breathing in meditation
I feel this body
As a clump of matter
More porous than expected
A sky full of stars
Open to any and all
Possibilities

Sometimes I believe I have more agency over others or myself than I actually do. This leads to subtle aggression. What the f@c! is wrong with you? What’s wrong with me? The energy spent to shape and manipulate things to my satisfaction is EXHAUSTING!

Many of us want more peace in our lives. What do we say or do to align our lives with this intentional and heartfelt purpose?

I’m beginning to understand that equanimity is not just some fancy practice you read about, some place you hope to get to if you close your eyes tight enough and practice diligently for hours on end.

For me, it begins with the breath like a surveillance camera, sweeping through all parts of the body that feel tight and congested. It’s the wisdom of a benevolent ancestor (Yasodhara Ma) whispering words of forgiveness, “It’s not your fault. You are doing the best that you can.” It’s sensing how each moment forms from a painful and precious past, and dissolves into a sky full of stars, open to any and all possibilities.

Peace is possible when there is a gentle letting go of what was, a tender curiosity for what is, and trusting the unfolding mystery.​