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Lessons from a Wounded Knee

5/17/2025

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When wearing a wide-brimmed sun, hat, and polarized glasses, beware of obstacles at an outdoor rockery.

Treat every part of the body with reverence and respect. Though it is hurting, it serves a valuable function for the journey.

Let healing time replace clock time. Moving any faster will delay the healing process. 

Comparing your body to others is like comparing the wood of an oak to a cedar tree. They serve different purposes. 

Cuts, scrapes, bruises, even broken bones don’t break you. It is your unwillingness to tenderize the wound with patience, self-compassion,  gratitude and trust that breaks you.
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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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Reflections on Samadhi 2

10/10/2024

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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
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Reflections on Samadhi

10/6/2024

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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.
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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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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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Amor Fati

1/20/2023

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Picture
"The Persistence of Memory" by Salvador Dali

Time is melting, distorted 
Not as solid as you think
Running out, slipping away
What time is it?
Do you want digital or analogue?

So much distress from the horizontal-
Running away from the past
Running towards future redemption
What’s here right now?

The trees are standing still
Understanding the meaning
Of growth in the vertical 
Amor fati
The only time is now
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Beyond Diagnoses: Seeing and Sensing with Soul

12/24/2022

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Read post here.
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Soulmaking Dharma meets Insight Meditation as Open Trust

10/17/2022

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Picture
Photo by Diana Polekhina

Dear One,
​


You wake up each morning and fill the blank page with characters and a plot supporting ideas of permanence and becoming.

How’s that working out for you? It must be disappointing, even exhausting when things don’t turn out the way you imagined.

What if you crumpled up the page, shredded it, recycled it, gently let it go to begin again? Inscriptions on the heart are not so easily forgotten.

You will forget, fill the blank page again with fixed views, and wonder how you keep picking up the same pen.

Look around you. Others experience this, too. Marinate in the warmth of self-compassion, and then remember those inscriptions on the heart of ease, beauty, loving connection, sacred freedom.

As you meditate, feel the support of the Earth, breath and silence giving space to all stories of suffering. Listen to the heart’s whispers and sense the flame of divinity within.

You are more capable than you know.

This is how you can mirror the divinity in all beings, and remind them of their birthright to begin again.


With Tenderness,

Open Trust
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She Let Go

8/15/2022

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(inspired by Sapphire Rose and this course)

She let go of the reigns,
released the wild stallions locked
in her stable of expectations.
She let go of the judgments,
militant commanders whipping
the heart-mind into shape as if
nibbana could be reached this way.
She let go of equanimity as an ideal,
small and large waves crashing
against the shores of her heart
to navigate wider seas of experience.


She understood that true magic
is loving someone into a black box,

grieving their disappearance
and searching for secret doors,
then laying down the wishing wand
for what is here, what is real.
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    Kaveri Patel, a woman who is always searching for the wisdom in waves.

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