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Sukha and Dukkha

4/10/2025

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Picture

​
I’m fascinated by the intersection of emptiness and metta.

This month I received a birthday gift that I did not want - a flare up of chronic SI joint and gluteal muscle pain. Still there was significant appreciation for emptiness teachings.

I wasn’t a victim of a single cause or condition. Nor was I an expert on perfect management in extinguishing the burning sensations of pain. Perceptions of pain were determined by my relationship to it. When it took center stage, the attention shrunk, and there wasn’t much space for anything else.

Seeing and sensing through the eyes of the Brahmaviharas, the areas of pain transformed into an island of discomfort in a sea of healing modalities and support. The attention stretched to include ice, Advil, supportive family members, joy for my partner getting back in shape, a compassionate physical therapist, concerned patients expressing empathy, an image in supine meditation posture of the heart space pumping a champagne like bubbly substance to the rest of the body that softened, soothed, and allowed experience to be as it was, even held in celebration.

What if time is empty - past, present future - all empty of a single cause or condition that made me? What if this pain is not mine, and belongs to a divine intelligence?

The universal song is composed of both high and low notes. When dukkha arises, may I remember that others experience this, too. When sukkha arises, may others experience this, too.

“When self, time, separation, and even suffering are seen as empty, a devotion to the endless commitment of love is felt without burden.” (Seeing that Frees, Pg 327)
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Faith

3/31/2025

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As I sit in meditation, there is eagerness to interpret the dream, to make meaning of it.

SMD whispers, “Not yet my love. Stay close to yourself. Do you have your energy body? Emotional body?”

Trusting this voice, I become meek, cultivating patience and reverence for the process by systematically sensing earth, space, the flow of metta, fire for image.

The dream is strange. I see many fish enclosed in a large space by a fence or cage. At first they are all still, but then they are flapping around. One by one they pop out of the cage and become young children dancing a melancholy dance.

“May I be free,” one child sings.

I feel the child within inspired to voice her own desires.
“May I be seen and heard.”
“May I love and be loved.”

I think of all the undocumented immigrants, the students protesting in the US who are being deported.

The heart center becomes a gray, swirling storm, aching for the light of the Brahmaviharas to shine through.

*****

Hiking in the rain, I imagine the rain as Kwan Yin’s tears. The pitter-pattering sound against my raincoat becomes the sound of thousands of hearts beating fervently in prayer.

“May there be more sanctuaries of love than sanctuaries of hate.”

*****

“And what would that give you?” the voice asks. Is it the voice of SMD, Kwan Yin, Mother Earth? Does it matter?

Then I would trust in a universal benevolence, more powerful than greed, hatred, and delusion. I would trust citta as a meaningful extension of it.

*****

Down by the lake, its surface generously receives the raindrops, the tears, the prayers, swallows them whole into its murky beyonds.

The eye of a weak sun peaks through the gray above. Someone is watching, eternally watching.

And my bones know, there is more than this.
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"The Medicine"

3/23/2025

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Picture

Don’t lose yourself.
Don’t assume you know 
what I need either.
Create what you need 
out of this image for healing,
and discover that I am more
than your limiting ideas 
of what others need.

All being suffer, have this volcanic
eruption of dukkha from within-
undigested material that 
attacks only in darkness 
when one is most vulnerable.
What is the remedy, the tincture 
of trust that will cure?
Grant me autonomy
and I will show you…

*****

There is humility in this image, the image that I thought was me and is now more than mine. “The Medicine” for my suffering changes moment to moment, day to day. “The Medicine” for the suffering of others also changes moment to moment, day to day.

What a gift to be able to stay close to myself, to fill out and resonate with the energetic and emotional body, to cultivate space and ease in this vihara, to impact space and ease in others.

*****

Benevolent breath
Fill me with purpose
Receive my inadequacy
As a distant memory
You are the baseline beat
To every song I sing
My entry into this world
My exit off this stage
​
Stay with me
Remain with me
Watch and pray
That I fill this body
Completely 
To honor you
To know myself
To sense the song in others
And begin the improvised duet 

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Space & Ease

3/8/2025

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Picture
Heart Nebula by G. Parker

The image begins as a dream, one where the main character feels embarrassed at her vulnerabilities being exposed. She is also claustrophobic, overwhelmed by the number of people occupying her personal space. Who are they, and how can she escape?

Is the dream mine, or does it belong to someone else? My mother-in-law is stuck in a nursing facility in India, wanting nothing more than to return to her home and live out her last days with space and ease.

Space and ease. Something about these words carry a significant resonance, like bells at the end of a religious ceremony when the priest is chanting an ancient Sanskrit prayer. The words are not only invoked in present time, but from the accumulated karma of past lives, the possibility of seeing and sensing with more sacredness in the future.

Carrying the dream and it’s multiple interpretations like a warm shawl to morning meditating, I allow space and ease to fill the body with meaningful intention. The mind is eager to apply teachings of Soulmaking and emptiness to the experience, to think its way to a profound insight as a candle of sandalwood and jasmine is lit to invoke a meditative trance.

But the bodies memories are ancient, slowing the mind down to feel the elements that have shaped it – rivers carving canyons, heat and wind molding earth, the stardust of all life being exchanged through cycles of respiration, porous skin, a beating heart influenced by the rhythms around it. Humbled, the mind yields to its wise ancestor, the body, and waits.

Space and ease. The energetic body begins to relax. The emotional body becomes a sanctuary – a temple, a church, a synagogue, a mosque, open natural space to receive the vulnerabilities of others and mirror back their beauty, strength, and resilience.

The heart becomes a doorway to boundless compassion, not only for a body sitting here, but for a mother-in-law in India, a partner there trying to honor his mother’s last wishes, patients recently encountered who felt complex because of ‘extra’ needs, a politician who appears narcissistic and aggressive, and so many other countless beings I have overlooked from contraction and dis-ease.

May this artful insight, empty of a single person, place, practice, or state of citta, filled with love from multiple beings, places, practices, and states of citta, be for the benefit of all.
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Tincture of Love

3/2/2025

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What is this color of healing,
this drop of kindness introduced
at the crown of the head,
diffusing through the whole body
with shimmering beauty
in the midst of breakdown?
I know I’m going to die,
that we all will perish
with dread or delight
depending on inner
and outer conditions.
 
Why not write a poem,
listen to music that lifts me
up from despair on wings
of hopeful possibilities?
I refuse to ignore this tincture
of love flowing through me--
a river of meaning mixing
with other tributaries on the way
to Right Understanding.
May i be a refuge for many.
May we be a refuge for all.
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Perception of Pain

12/8/2023

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Published in Pulse.
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Four

11/28/2023

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(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…
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The Circle of Compassion

11/28/2023

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(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.
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There is a glass heart...

8/23/2023

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There is a glass heart that vibrates to the storms outside. Hi atop a mountain island locked in a tower, this heart holds the flame of possibility.

Who will understand it? What will free it?

As storms rage on, and waves crash against the shore, the heart fears its own fragility. What will become of the flame if the heart breaks?

Seeing this image in meditation, sensing its meaning to unfathomable beyonds, all the hurt places begin to relax.

The heart wobbles in response to uncertainty. The flame flickers. A crimson drop falls on each wound of vulnerability, anointing it with delicate grace.

Bowing to this image, she senses there is still more to create/discover.
 
*****
 
There are other hearts. Hi atop a mountain island locked in their own towers, these hearts also hold the flame of possibility.

She senses the distance between them. Sometimes the distance feels insurmountable;  sometimes they are so close. Their hearts also quiver to the vulnerability of opening, of breaking, uncertain if their flames can withstand the wind and rain of circumstance.

She gasps in quiet recognition. Perceptions of abandonment can seclude her from a loving, connected world.

As storms rage on, and waves crash against the shore, she takes the exquisite risk of opening, breathing into her own heart to brighten the flame of possibility. Sensing the flame in others, near and far, the exchange of warmth is like a sacred diya connecting all and strengthening divinities within.
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Bowing to the Altar of My Life

4/24/2023

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​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.
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    Kaveri Patel, a woman who is always searching for the wisdom in waves.

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