​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.

exhale completely
blow out the candle
before the next wish
the next year

this poem
still conceptual
let it go
let it go
 
Exhaling, blowing out a metaphoric candle after a recent birthday, I’m already thinking of the next email, the next thing on the to do list, the next wish, the next year.

It’s EXHAUSTING!

It’s why I love meditation so much, the free gift that no one else can give me, sacred time I give back to myself for all the ways I’ve missed out on my own life.

Exhaling completely, I’m surprised by how much space there is internally, the capacity to hold whatever is next without betraying this moment. For 20-30 minutes a day, I don’t need to be anyone, do anything, go anywhere. It’s a conscious letting go, dying with each outbreath to be reborn again and again with a little less dust in the eyes and a stronger capacity to love.
I still hold on to many things, including these words, still conceptual, like directions to a place I already am.
​
What would it mean to let go, to let life come to me rather than chasing it?

2020 has been a year of many things. I won’t pretend to know what it has been like for you. I have heard from many that they wish to have a different 2021. But what does this mean exactly? Less suffering with no COVID, police brutality, political division, physical, emotional, social, and economic stress? More joy in gathering with others to commemorate the beginning and ending of life (and everything in between), travel, return to school and work, seeing the smiles of others?

I also wish for a different 2021. And I’m paying attention to where I plant seeds of loving intentions- where I’m forcing something to grow/change, where I’m slowly letting go, patiently waiting for something to take root.

On December 24, I received my first COVID vaccine with a mixture of dread and hope. Dread that I’d be one of the few cases who developed a serious adverse reaction.  Hope that this would be a positive step in the fight against COVID. I’m relieved that the only nuisance was a sore arm for a few days, and I’m still diligently tracking symptoms through Vsafe.

I realize that there is still so much uncertainty. Will I build immunity to COVID? How long will the antibodies last? Am I safe to be around patients? Are they safe with me? What does this vaccine mean for us all heading into 2021?

Recognizing the fear and doubt in these questions, I’m aware that these thoughts, emotions and the physical manifestations of uncertainty within are not alone. There is also awe at the timeline and sound scientific data supporting the vaccine’s efficacy, gratitude for meaningful work, incredible colleagues, loving family, health, abundant food, shelter, and so much more.

Most of all, there is a deep bow of reverence to the practices of mindfulness, lovingkindness, compassion, joy, and equanimity with meditation and writing carrying me through some of the darkest times of post-partum depression and anxiety, losing my aunt-mom to cancer, chronic sacro-iliac, gluteal muscle pain, and COVID-19. Though Western medicine and other modalities have been supportive, it is these practices that saved me from sacrificing this heart-mind-body to fear and doubt.

To this end, I’d like to support others in planting loving intentions for 2021. Will you join me here? However you choose to heal and support yourself in 2021, may you remember that love and wisdom are so much larger than fear and doubt. What you plant now affects everyone and everything around you for days, weeks, months, and years to come.

Nisargadatta Maharaj  said, “Wisdom tells me I am nothing. Love tells me I am everything. And between the two my life flows.”

May the idea of a separate self dissolve with the wisdom of shared journeys. May love connect you to all.

Suffering does not occur in a vacuum. It always occurs in relation. The patient who comes in with chest pain and high blood pressure because a beloved relative died of COVID complications in India and they cannot grieve or participate in last ritual rites with family. The patient who expresses grave concern for their son’s safety in returning to work during a pandemic, policing, and protests. The friend who practices medicine in a part of the United States where political division is threatening peace. The Earth still offering oxygen and sustenance despite continued abuse and neglect.

Healing also occurs in relation. It’s hard to heal if there is a sense of disconnection from ancestors, biological and spiritual family/teachers, the land, each other, and ourselves. How do we re-connect, re-awaken, re-member? While healing is a journey and there is no perfect answer, the following practices are offered as possible places to begin the contemplation.

Embodying Kuan Yin

Kuan Yin is the bodhisattva of compassion, the One who listens to the cries of the world. Embodying her feels like a tall order sometimes. How can I listen to others if I can’t hear what’s happening within? Life is overwhelming and overscheduled. How can I unplug from the endless to do and to be list?

I’m learning that Kuan Yin is not only the One who listens to the cries of the world, but also the One who stays till there is ease. There’s a sincere commitment to listening, to staying with the experience for the purpose of understanding. This does not mean that pain disappears, what’s broken is easily fixed, or questions have clear answers. The ease feels like a deep stillness beneath surface waves of experience, a stillness that patiently waits for the waves to dissipate for clarity. As I learn to stay with personally challenging experiences, there is more capacity to be with the suffering in others.

Connecting with the Natural World

1. Find something from the natural world inside or outside of your home. This might be a leaf, a rock, a seashell, a piece of fruit, a grain or rice, a feather, etc.
2. Practice internal mindfulness by noticing what’s present in breath and body with eyes closed for a few minutes. Then slowly open your eyes and practice external mindfulness in relational with this object. How are you different than the object, how are you the same?
3. Then with reverence and humility, listen to what the object has to tell you. What does it have to teach you?

 
Here is poem written on retreat in relation with a seashell:
 
Listening
 
she picked you up from the wet sand
because you looked pretty,
her keepsake from the RV camping
trip off the Mendocino Coast
 
forgetting
you were once the home
of a precious sea-being
just as her body is her home,
 
how she wouldn’t want
to be taken without consent,
how next time she can ask the water
or lift you up to her ear--
 
your mollusk spirit whispering
home is always sacred
no matter how small
or large you are
 
The Five Earth Touchings

Touching the Earth is a practice developed by Thich Nhat Hahn to fill your heart with remembrance of family, spiritual, and land lineage, so blessings of abundance can be offered to those you love, and the process of forgiving those who have hurt you may begin. It is practiced ‘to celebrate the positive and transform what needs to be transformed’.
​
This practice may precipitate unwelcome, unpleasant feelings, especially if you have experienced trauma or other feelings of disconnection. It is offered here as a healing modality to practice in a safe space with others, a trusted teacher or therapist. It is not meant to spiritually bypass what is true for you. Please honor your direct experience.
 
Questions for Inquiry

The following questions can be used for reflective journaling:

1. Think of your country(ies) of origin (ethnic roots). Now think of the country where you reside. Is there anything about the history of the country where you reside that needs to be narrated differently or questioned?
2. How can you be in reciprocal relation with life? What does it mean to set an intention of minimizing harm to other beings, the Earth, yourself?

 
****

Deeply nourished by recent retreats, water is humbly offered to trees in the backyard. It’s a small gesture of gratitude compared to their teachings on grounding, rooting regardless of external or internal climate, on letting go with trust that what’s needed will grow in season.

(Deep bows to Erin Treat, Brian Lesage, Amma Thanasanti and Kaira Jewel Lingo for sharing these teachings, and to their teachers and respective lineages. Suffering does not occur in a vacuum. It always occurs in relation. Healing also occurs in relation.)

There is a space
where ordinary self
and higher self meet,
between thumb
and forefinger,
touching briefly
to decide
who will win.
 
What if both
are necessary
for the journey?
May the place
where they meet
be a guide
for compassion
and wisdom.
 
The balance is
what leads to peace.


It’s typical for anxiety to arise before I leave for a trip. Did I make a complete list of what to bring? What if I forget something? Will I fit in with the group that is not my usual spiritual family and sense of safety? How will body, mind, and heart behave on the trip without the support of meditation, yoga, and altar props? When I return, will I have space and time to unpack, do laundry, and attend a virtual retreat comfortably before going back to work?

I’ve spent so many years identifying with the ordinary self, engaging in spiritual practice to annihilate her, leaving no trace but a perfectly enlightened higher self. But ordinary self still worries, still feels things, still senses restlessness manifesting as tension in the body.

What if both ordinary and higher self are necessary for the journey? Ordinary self has taught me to deepen the heart’s wellspring of compassion, to connect with others in shared vulnerability, taking turns giving and receiving support. Higher self has taught me patience and the sacred pause before speaking and acting unskillfully, how to embody RAIN, and offer care to what’s needed. Both have taught me to be on the lookout for beauty and bathe in the joy of living, especially in the face of impermanence.

May the place where ordinary self and higher self meet in the Gyan mudra be a guide for compassion and wisdom.

The balance is what leads to peace.

There is a key that I’ve found through these practices, unlocking mysteries, answering questions I’ve had over lifetimes. I’m so afraid to lose this key, guarding it sometimes to the detriment of my relationships with loved ones. What if I forget? What if I’m not perfect in practices, in life? Will I spiral down into the womb of bloody postpartum darkness where thoughts threaten connection and unwanted emotions signal abandonment? Who will love me then? Will I be strong enough alone? Can I remember these practices without the key?

Menstrual cycles are irregular. Moods shift like unpredictable weather patterns. Gripping the key tightly- identities of a meditator, writer, physician, healer, mother, wife, daughter, family member and friend, I don’t want the life I’ve so carefully constructed over the last fourteen years to change. If it does, I only want it to change for the better (whatever that means).

In meditation this morning, I heard the following words. Awareness that this practice is not about perfection or self-improvement, but trusting the heart without expectation. What if I toss the key into the ocean, allow the waves to swallow this house of sand?

Loving awareness is everywhere. It’s time to let go of the key…