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.

​It’s not going to happen to me. It happens to older people, people with end stage cancer, daredevils who take risks. The tears I’ve been shedding these past few weeks are for other people who have died from COVID-19 complications, others who are affected socially, emotionally, economically, and physically by this pandemic. Not me.

A few days before my birthday, I started to feel pain in the chest wall. A slight tickle in the throat foreshadowed an ominous cough. But without shortness of breath and a fever, I wondered if this was anxiety or the beginnings of a diagnosis the whole world is keen to keep at bay. Were all those tears for others, or were some to help water seeds of understanding for this life?

With years of mindfulness practice and contemplations of impermanence, one would think I’ve considered the possibility of dying. I’m embarrassed to say that this heart-mind lives in a protective bubble of delusion. Even when my aunt, who was like a mother to me died from a poorly differentiated unnamed cancer six years ago, I still didn’t believe it could happen to me.

Till now. This virus has an eerie way threatening everything. A regular day at work in the outpatient setting with business casual clothing is now replaced with scrubs, tennis shoes, and sometimes full HAZMAT ensemble. A casual trip to the grocery store requires gloves, a mask, hand sanitizer, six feet between patrons, and timing to avoid long lines. Walks in the neighborhood on a sunny spring day feel strangely quiet, as if the outside air will kill on contact.  Zoom has become the virtual safe space where it’s all happening.

As physicians, we dance with illness and wellbeing on a regular basis. We even have end of life discussions with particular patients where prolonging life may sacrifice quality of life and personal wishes. But how often do we contemplate our own mortality?

What’s happening locally and globally is tenderizing this heart- mind like never before. There is a visceral (as opposed to cognitive) understanding that I will not live forever. This body may one day become immune to Covid- 19, but it cannot escape death as it’s natural end.

If you knew that your time on earth is limited, who or what would really matter? Would it be the white hairs showing through darker ones on video visits or zoom calls, or a heightened sense of touch from loved ones sheltering at home with you? Would you still answer “fine” to all the questions from colleagues, family and friends on how you are doing, or would you pause and follow the question to see where it leads?

I believe we have a responsibility to contemplate our own mortality, or at least begin to ask the hard questions. Our patients are facing the fear of sickness and death daily, hourly, every second, in every question asked and every look of a brewing storm just below the surface of feigned tranquility.

How do we find a middle way between anxious overwhelm and blatant denial? Perhaps it starts with opening to what is here, one slow breath, one small step at a time, not trying to predict an unknown future or take shelter in a past that no longer exists. When distracted by thoughts of wishing it were different or that you were elsewhere, the gentle invitation is to return to the present moment with as much kindness, and as little judgment as possible, to notice what’s happening inside your body and heart.  If the present moment is too triggering or overwhelming, it’s skillful to open in baby steps with lots of support.

The energy and effort required for this practice are not the same as striving for good grades, extracurricular activities, and letters of recommendation required for college, medical school, and residencies. You don’t get more points for overperforming. It takes a certain humility and courage to let go of labels, ideas, concepts to touch the bare truth.

Mark Nepo writes, “We waste so much energy trying to cover up who we are when beneath every attitude is the want to be loved, and beneath every anger is a wound to be healed and beneath every sadness is the fear that there will not be enough time.

When we hesitate in being direct, we unknowingly slip something on, some added layer of protection that keeps us from feeling the world, and often that thin covering is the beginning of a loneliness which, if not put down, diminishes our chances of joy.

It’s like wearing gloves every time we touch something, and then, forgetting we chose to put them on, we complain that nothing feels quite real. Our challenge each day is not to get dressed to face the world but to unglove ourselves so that the doorknob feels cold and the car handle feels wet and the kiss goodbye feels like the lips of another being, soft and unrepeatable.”
​
As we slowly unglove our hearts from all the protective armoring, may we skillfully connect with ourselves and each other, honoring the grief and gratitude arising along the way.

​Dear Healthcare Workers,

Change is inevitable. With the current pandemic, change at work (and elsewhere) is likely faster than you ever expected. How can you meet these moment to moment changes, acknowledging the thoughts and true feelings underneath them? How can you remember the body that is holding so much right now? Who or what can you count on in challenging times? What does connection, collaboration, and self-care mean to care for others?

If these questions resonate, then perhaps you will find this guided mindfulness meditation for healthcare workers useful.

Thank you for caring!
​

As a front-line family physician, I’m used to offering compassionate care to patients, and listening to the care team at work. I’m used to holding space for meditation and reflective journaling classes, supporting family and friends in ways that feel wholesome.

And sometimes it’s overwhelming. With the recent pandemic, the constant barrage of news, work email updates, protocols constantly changing, and questions, there has been little time to contemplate what’s happening within.

This body is also in greater pain than normal. After several months of physical wellbeing with PT and engaging in movement practices I love (yoga, hiking, walking, Qigong), the body has decided to speak (scream at times). I’m sure it’s contributing to the overwhelm with fear eclipsing the things I usually see and remember.

Over the years, I’ve cultivated a strong lovingkindness and compassion practice to face challenges. But somewhere along the way, I’ve forgotten to pause for fifteen seconds six times a day to really let joy’s sunlight reach all the dark places within me. To help me remember, I joined an Awakening Joy course.

For a few days I was diligent with the practice, opening like a sunflower to moments of gratitude throughout the day. The pain in the sacroiliac joints and gluteal muscles was improving. Yeah, I thought. I’m on the right path!
Then the body screamed. I’m doing the PT daily. I’m trying to take it easy physically. Where am I going wrong??? In a state of despair and overflowing tears, I reached out to people who could help me remember what I was forgetting. The incoming texts/emails of care and support definitely helped me to remember a few things.

1.) I must put my own oxygen mask on first before I can take on the suffering of others. This means meeting my own suffering with compassionate care and asking, What’s needed now? I’m not always in a quite space to listen, so it’s important to take this time when possible, pencil in an appointment for myself, like I did this morning. 

2.) S.O.S.  I heard this acronym through a prerecorded webinar my work offered titled “Managing the Unknown”. When you notice that you are on information overload, and the brain, body and heart cannot take any more, STOP what you are doing. Stop clicking on more news links online, more email. Stop engaging in conversation that is echoing doomsday. Stop immersing yourself in more secondary trauma. OBSERVE the thoughts and feelings within with kindness. If that’s hard, imagine a kind, supportive being/presence with you. Stay here as long as you need to really listen internally. SWITCH to something that is positive and nourishing – a cup of tea, a conversation with a friend, music, a walk, journaling, humor, etc. (I’ve also heard this as  S.T.O.P.: Stop. Take a breath.  Observe thoughts and feelings. Proceed with something nourishing. 

3.) Stay informed so that you have the latest information from the CDC, WHO, your local state, county, and health care professionals AND ask yourself what else you need to hear so that the scales are balanced. It’s easy to listen to statistics, worsening conditions, and conversations around you that accentuate the negative. What do you need to hear that’s positive? Where can you find this? It might be an inspiring quote, book, movie, song, story, prayer, etc. If you are having a hard time looking, ask others! Try this one on:

"My friends, do not lose heart. We were made for these times. Ours is not the task of fixing the entire world all at once, but of stretching out to mend the part of the world that is within our reach. Any small, calm thing that one soul can do to help another soul, to assist some portion of this poor suffering world will help immensely. It is not given to us to know which acts or by whom, will cause the critical mass to tip toward an enduring good. One of the most calming and powerful actions you can do to intervene in a stormy world is to stand up and show your soul.”  
-Clarissa Pinkola Estes, Jungian psychoanalyst, author of Women Who Run with the Wolves. 

4.) Which brings me to my next point. Be a calm presence where you can be. Today I had the opportunity to speak with a relative overseas, a local business owner, and a stranger while shopping for groceries. The questions that used to sound like massive missiles attacking were surprisingly welcome. The conversations included some of what I am sharing here. If staying calm is not possible (it’s not expected, even for me), then can you be generous in other ways? Can you call someone who is currently quarantined, or check on them in other ways that do not place yourself at risk? Do you have an extra toilet roll, hand sanitizer, can of food that you’re saving for The Apocalypse? Do you know of neighbor you can share this with, someone who is restricted financially, physically, or by some other means?  Generosity cultivates abundance of heart and mind, widens survival of the fittest perspective into one of interdependence. Just be sure to wash your hands thoroughly with soap and water for at least 20 seconds, and don’t share if you’re sick.

5.) Impermanent/Imperfect/Impersonal. Physical pain and global pandemics can feel permanent, imperfect, and personal. It sure feels perpetual, messy, and personal to me right now. But if I take a closer look, there are moments when the body isn’t raging, even parts that feel neutral or pleasant. There are times when corona virus is not the main news infecting body, mind, heart, and spirit. It was not the main news when I dropped my daughter off or picked her up from school, on a mini retreat this morning in sitting and walking meditation, while brushing my teeth or taking a shower. 

It can also help to remember that others are affected by what’s happening, just as you are. Knowing that so many lives have been affected, what can you keep doing regularly to maintain some sense of normalcy? (If you or someone you know has been significantly harmed physically, emotionally, financially, etc. please grieve the way that you need to. ‘Normalcy’ may be the last thing you need to hear/read.) Maybe it’s the way you comb your hair, brush your teeth, sip morning coffee or tea, go for a walk/run, meditate, eat, work, hug/kiss healthy family members, sing, dance, or any number of things you normally do (and are still doing:) Though change is inevitable, it’s healthy to maintain contact with who/what is familiar. It can nurture a sense of safety in times like this.
 
 
 
surrender
to a beating heart
an unsettled belly
a hand on each one
just sensing
just breathing
prana providing companionship
through every future unknown
 
 
This post is not written to negate the true feelings that are here: fear, anger, loneliness, despair, etc. It isn’t a spiritual bypass to a happier place untouched by illness or suffering. (If you know of such a place, let me know!). I needed to sit with all the paralyzing thoughts, feelings, and physical manifestations of them. I will likely be sitting with them for some time. Surrendering to a beating heart and unsettled belly, I placed a hand on each one, just sensing, just breathing, prana providing the companionship that was so desperately needed. I know that this simple act is not enough to heal the world, but it is certainly “mending the part of the world that is within my reach” through every future unknown.
 
May these reflections be of benefit to all beings everywhere without exception.

​12-28-19  Softening Ideas of Self

Loving presence doesn’t ask why
I’m going on retreat, leaving family behind
Why I didn’t bake cookies on Christmas with my sweet-toothed daughter 
Why it’s tempting to sleep in for a 6am sit when the season encourages hibernation 

Loving presence doesn’t award certificates to a maternal safe harbor holding her daughters emotional waves 
To a physician’s compassionate heart making space for each patient’s story
To a writer and yogi trying to wake up from dreams of identity and safe passage

Loving presence becomes the heater when a yogi can’t sleep in her dorm room
Puts a hand on a quivering belly and heart 
Finds sacred in the mundane, the profane 
Sensing the potential in a winter’s branch
​Without needing to see the bud
​
​

12-29-19  Never Enough

winter trees, clawing fingers
grasping for spring 
for something they don’t have
this moment is never enough
​
​

​
12-30-19  Enough

winter trees, bare fingers
not needing spring 
to remind them
​this moment is enough
​

12-31-19  The Indriya River

The river knows it is destined for the ocean. It does not resist meanderings away from the suspected path, energetically flowing in the direction it was meant to flow. It is aware of each stone it caresses, each leaf, each fish, each root it touches moment by moment. The river does not wish it were further upstream or downstream, honoring exactly where it is at any given point in time, surrendering to an ever changing scene.

​The river knows it is destined for the ocean. When it forgets, may it remember again, and again, and again. 
​

​
​1-1-20  Ode to Wool Blankets

You’re scratchy. You keep slipping off
the bed in the middle of the night,
leaving a hole for cold air to 
wake me up before it’s time.
Do you understand why I don’t like you,
why I long  for the down comforter 
my husband insisted I bring here
knowing how cold and grouchy 
I get with poor quality sleep?

Maybe it’s not your fault.
Maybe it’s the way I’m relating to you,
insisting you transform into something you’re not.
What would happen if I trusted you to keep me warm,
​gently pulled you back over this body when you’ve slipped off
rather than yanking you into submission?
What if I accepted you here and now
without rewinding or fast forwarding (in time)
to a high and lofty bed at home,
knowing this can’t last forever?

What if these words could form a soft quilt,
the five faculties stitched into the fabric
of a metta-loving heart?
Wool blankets, may you not be so irritable
as I wrap myself in your embrace.

​

A new year...trying a different way to make the bed.

​

The next morning...it worked!!!
​

1-2-20 

sitting on top 
of a stone sculpture 
i am not afraid to fall
knowing how to rebuild
the structure of samadhi
​when needed
​

1-3-20  Listening

Sit as if you are supported by 
an invisible chair made just for you,
it’s contours molding to your body 
better than any lover can.
Breathe into the areas of discomfort,
massaging them with gentle patience.
How is a masseuse on some tropical  
beach supposed to know your body?
The terror, the longing, the hope 
that one day no part will remain uncharted, 
that all the cobwebs will glisten with tears
in the light of loving awareness,
that a heart can radiate
Brahmavihara blessings
above, below, around and everywhere,
inviting integration.
One body. One breath. One home.
​
​

1/5/20  Coming Home

devoting my life to the teachings 
i am not afraid of what lies ahead 
dying again and again and again
​resting in the arms of truth 

​

I’m scared, terrified of these feelings falling like autumn leaves at random beyond my control – littering conversations, disturbing sleep, ruining peaceful meditations. They remind me of a season fourteen years ago when a beautiful baby girl was born, when a mother went underground to follow the roots of her family tree.

So much doubt. So many judgements. What’s wrong with you, Kaveri. Why can’t you get your shit together? Are we really back here after thirteen years of practice? Haven’t we progressed, even a little?

Perimenopause. Unpredictable periods. Emotional storms. Is the external weather trying to taunt me, or mirror my internal state with compassion and wisdom? I’m different now. Not better. Not worse. Just different.

The autumn leaves are not dirty or unwelcome. Yes, they are dying. They aren’t the same as shiny spring leaves green with new life, abundant with chlorophyllic possibility. Still, they are wise messengers decomposing into earth to fertilize the underground roots of this family tree.

When I pushed forward, I was whirled about. When I stayed in place, I sank. And so I crossed over the flood without pushing forward, without staying in place. (SN 1.1 Ogha-tarana Sutta: Crossing over the Flood)

Fourteen years ago when I pushed forward, I was whirled about. When I tried to cross the flood of emotions without acknowledgment, the resistance reinforced their presence. Please listen to us. Stop pushing forward, pushing us away. We want you to know something.

When I stayed in place, I sank, believing the emotions without understanding the need beneath them. I blamed others for their insensitivity and misunderstanding. I judged myself for being one depressed and anxious mess.

And so I cross through the flood by bowing to the emotions, listening to the sensations in my body and kind whispers in my ear. Thank you for listening with honesty, compassion, patience, and trust, for recognizing the creative growth potential in us, for honoring the season’s rhythm of change.

And so I cross through the flood without staying in place, understanding the need for embodied loving presence and connection to myself for wise and loving connection with others.

Come, come, whoever you are. Wanderer, worshiper, lover of leaving. It doesn't matter. Ours is not a caravan of despair. come, even if you have broken your vows a thousand times. Come, yet again, come , come. (Rumi)

I have broken my vows a thousand times. I have judged and harmed in ways that seem unforgivable. As a wanderer, worshiper, and lover of leaving this moment because the past still haunts me and the future is unpredictable, it doesn’t matter.

This heart-mind is no longer a caravan of despair. I will come, even if I have broken my vows a thousand times. Perimenopause is not punishment for the past or the promise of a perilous future. It’s a chance in this very moment to begin again.
​
Come, yet again, come, come.

Yoga from the Neck Down
 
Sensations speaking, 
not caring if I injure myself 
or look like an expert yogini to others.
Pleasant, unpleasant, neutral
like relatives knocking on the door.
Let me in or I’ll blow your house down!
Tensing against or bowing,
allowing in each asana,
opening the door to the heart
knowing I can always say
no thank you
when it doesn’t feel safe,
when metta for the one who is breathing
is yet to be known and named.

 
In yoga class we welcomed parts of ourselves that felt separate, unwanted, like an orphan abandoned by disturbed parents. I embraced Sadness, a child left behind by circumstances and raised with the South Asian conditioning of honoring family over the individual. Add on a chatty Buddhist inner critic, and I was sure to blame myself when things went ‘wrong’ with others.
 
In Parami, Ways to Cross Life’s Floods, Ajahn Sucitto asks, “Does your energy come from interest and aspiration, from willingness of heart? Or is it caught up with trying to climb the wrong mountain?” When thoughts and feelings are directing an unpleasant interaction, it’s tempting to believe the story movie mind is projecting. I can’t tell you how often I’ve replayed scenarios, wasting precious energy and time trying to create Leave It to Beaver, Brady Bunch, Family Ties episodes or Facebook videos to replace the ones that are actually happening. How can this being (who is a mindfulness ‘expert’) fail so royally at fixing things. Maybe I’m not trying hard enough.
 
I decided to try something different in class today, to practice yoga from the neck down. If unpleasant sensations arose, I didn’t jump to the conclusion that an irreparable injury was imminent. When feeling strong and grounded in a pose, I didn’t assume the pose was perfect and everlasting. If nothing was calling for immediate attention, then a river of breath became the object of awareness as it meandered though the body and surrounding landscape.
 
These sensations felt like relatives, sometimes perceived as The Big Bad Wolf, physically and energetically knocking on the door to this body and heart. My tendency has been one of two extremes: barricading the door with everything I’ve got or opening wide and completely losing balance. What would it mean to fully appreciate the tensing against or bowing and allowing in each asana (pose)?
 
Sucitto writes, “We can never arrive at the imagined perception, but we always experience the results of our intentions. So the important thing is to examine, clarify and stay in touch with our intentions — not our imagined goals.” I can now make space for Sadness in my life, showering her with loving presence and the promise that I will never abandon her. She is key to understanding life’s sinusoidal pattern, that the distance between peak and trough is shorter when intentions are known and implemented.
 
May I be patient and kind.
May I listen to understand.
I have the right to retreat from unpleasant conversation when I don’t feel safe.
 
At first glance, these intentions may sound like they are for others. But when I read them again and listen internally, I can sense what is needed externally, knowing I can always say, “No thank you” when it doesn’t feel safe, when metta for the one who is breathing is yet to be known and named.
​
This isn’t Leave It to Beaver, Brady Bunch, Family Ties episodes or Facebook videos. It’s Real Life, and I want to participate fully, asking, investigating. What happens when I try to control things? What happens when I let go?
 
What happens when the energy of wise intention and discernment is implemented?