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…

It’s noontime. I’ve just finished seeing my last patient of the morning. As I head back to my workstation and pick up my phone, there are some texts from the Dasher who delivered food I ordered from Door Dash. I notice the last few texts are pictures.

There’s a white bag of food with a receipt attached standing against the backdrop of a door with a sign on it, one of the many generic gray doors that lead into buildings 1, 2, and 3 on the Fremont campus. The last text reads, “Your order was dropped off. Please refer to this photo your Dasher provided to see where it was left.”

In a blind fury, I rush outside to try and find the food, completely ignoring the picture’s details, other texts and calls explaining how the Dasher tried to reach me, where and how long he was waiting. I also suddenly develop selective amnesia for the disclaimer Door Dash gives about food being left at the door to protect Dashers from COVID exposure.

Circling the buildings like a hungry hawk ready descend on its prey, I’m not only interested in finding my food, but also the Dasher to instruct him on how to do his job. I call him and arrogantly explain my position as a busy physician seeing patients, how he should have waited, how leaving the bag where he did is completely unacceptable. He agrees to drive back to where he left the bag, and calmly suggests I take a look at the picture and instructions he left while he is on his way.

Ironically, we simultaneously arrive at the same door where he left the food. Except there is no white bag. He doesn’t know what to say. I continue to sing the same song of entitlement and how this is all a big inconvenience for me, oblivious to what he must be thinking or feeling. As he leaves, all I can think of is the lunch hour quickly being compressed into 45 minutes, 40 minutes, how I will have to drive out for food, a missed opportunity to catch up on work.

On my way back up to the office, I run into my medical assistant who tells me that a nurse saw the bag and delivered it to me. Taking a seat at my desk, I take a few bites and reflect back on the time between picking up my phone, seeing the texts and sitting here now.

In my contracted state, I conveniently forgot to slow down, to breathe, to see the larger picture. Sure I was hungry and concerned that the food I purchased was not easily accessible, but I completely dismissed the Dasher’s experience (his attempts to communicate the details of where he left the food, his unfamiliarity with the Fremont campus, possible health concerns, other orders he might be trying to fulfill).

 
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Power and privilege can be dangerous when we see only what we want to see, the 10% of the iceberg that seems obvious to us, when we only hear our version of the story. We don’t realize how accepting our narrative as the only truth can cause unnecessary harm. This is where slowing down, taking a few deep breaths, getting curious, and extending compassion beyond one’s own know-it-all mind, prized body, and small heart helps to include others in the circle of awareness.
 
Power and privilege can also detrimentally impact collaboration and delivery of healthcare. False assumptions and ensuing judgments of a patient, care team member, or any employee of Sutter Health  by race, ethnicity, citizenship, religion, gender identity, sexual orientation, age, weight, socio-economic status, education level, job status, etc. to the point where is impairs their safety and wellbeing, are the damaging results of implicit bias.

How you choose to explore the 90% of the iceberg that’s submerged, the dark cold places shaped by causes and conditions of cultural upbringing, societal influence, etc., is up to you. Where do you wish to inspire meaningful change in your sphere of influence? There are plenty of ways to melt the ignorance and a solid, separate sense of self. This writing is an invitation to find out how you wish to proceed in expanding the circle of awareness.


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Looking out the office window at the trees, I take in oxygen and release the carbon dioxide confusion I’ve been carrying for the last half hour. Then, I breath in the air of this Dasher’s reality, and breath out a compassionate apology and gratitude for the food in front of me. I pick up my phone to text him.
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Thank you. The food found its way to me. Forgive me if I looked, sounded angry. Maybe you are new to this facility and want to limit your exposure. Please stay safe. (prayer hands emoji)
 

Bubbles and Butterflies by Shirley Reede

I was grateful for some quiet time to unplug from work - sit, walk, read, write, and engage with the Bikkhunis from Aloka Vihara and poems from the Therigatha on a home retreat for a few days.

 
Tissa ~ Third
 
Why stay here
in your little 
dungeon?
 
If you really
want to be free,
make 
every
thought--
a thought of freedom.
 
Break your chains.
Tear down the walls.
 
Then walk the world--
a free woman.
 
 
In the silence, a life pattern I’ve known about for some time resurfaced for contemplation.
 
I rely on specific outcomes, conditions for happiness.
 
Since the pandemic changed our way of life in March, I’m reflecting on identity, what really matters to me, and how I want to contribute to the wellbeing of others based on my own dance with life.
 
I was filled with ideas of healing hope, gift wrapping them faster than others could open and enjoy them. “Would any physician like peer support, mindfulness training? How about compassionate support? Would any patient like a mindfulness consultation, a tailored mindfulness meditation created just for you? Step right up and sign up for a mindfulness for stress shared medical appointment, or an online six-week meditation and reflective journaling class.”
“Take me out of respiratory clinic! That isn’t where my talent is. As every place is being hit hard economically, medicine is no exception. I’d like to make a living (right livelihood) offering mindfulness as medicine in addition to Western medicine.”
 
Just typing all this out and reading it aloud makes me realize how much energy I’ve directed into willing a certain outcome.  I’ve also strategically tried to plan trips when other vacation plans were cancelled for safety reasons, and constantly check my phone to see if I’m receiving emails or texts that align with my ideal future. What have I missed along the way?
 
There is so much compassion for this heart-mind that dearly loves mindfulness, not just for stress reduction, but for the deep and profound ways the teachings have changed and healed my life. Of course I am passionate about this! I just need to remember that is not the medicine for everyone. Or, the package it comes in, the way that it’s offered may not work for everyone.
 
As much as I enjoy and am committed to Western medicine for its miracles and healing opportunities, it does not always integrate body, mind and spirit the way meditation and writing do. I understand why it feels like a part of my healing energy, my creative spirit stagnates when it doesn’t flow the way I envisioned it would.
 
Life is asking me to be on the lookout for joy and wonder like a toddler delighting in summer bubbles and butterflies. Life is also asking me to get curious, to be patient, to delight in the care received from others and be on the lookout for opportunities to extend care to others. 
 
Having a distinct vision for joy, wonder, and care is not wrong. It’s the attachment for things to be a certain way that causes suffering. It’s the limiting beliefs that cause distress. Anything short or different from The Vision is a failure, not good enough, all my fault.
 
 
Letting Go (inspired by Tissa ~ Third)
 
Why stay here
in your little 
world?
 
If you really
want to be happy,
make 
every
moment,
a moment of care.
 
Open your mind.
Let go of limiting thoughts.
 
Then meet each moment
with curiosity and wonder.
 
 
May we all let go of life patterns that cause suffering. May we let go into life’s mysterious unfolding.
May we be on the lookout for joy, wonder and care in each moment.
 
(Please share information about this class with anyone interested. As I am learning to let go, I can still advertise😉!)

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.

Expectations. Many of us have them. They aren’t bad or wrong. And, like weeds disguised as flowers, they can proliferate in the mind with false promises of beauty and permanence.

Have you ever wanted someone, yourself, or a situation to be different, directing the show and dumbfounded when life plays out a script you haven’t written? Are you tired of trying to control each scene like I am? Do the actors listen? Are the props and artwork of each backdrop good enough? Are they even real?

If you resonate with any the above inquires, please know you are not alone. I’d like to share some ways I’ve been practicing with expectations to cultivate contentment.

1. Acknowledge, name the expectation. Once known, it can lose it's automatic pilot power over you.
2. Breathe with what is happening internally, bow to it as a divine messenger of wisdom not yet recognized. When there is internal space, other possibilities can be seen/heard/felt.
3. Get curious about the need beneath the expectation. Do you really want safety, connection, love, acceptance, peace? Ask the question gently; the answer will not come before it's ripe and ready.
4. Deepen the attention with compassion- an ally, word, image or phrase that feels comforting. (For some, humor, gratitude, etc. may be more accessible than compassion to deepen attention.)

This process is not cognitive gymnastics. You don’t get an Olympic gold medal for overthinking. If you find the mind or body are contracted, try softer, not harder. Let go of words, the need to know, getting it right. Let go of the practice itself. 

It’s common for fear and doubt to arise. If you let go, what’s left? Do you lose others? Do you lose yourself? When you are fully inhabiting this moment as best as you possibly can, there is nothing left but space for seeds of love (or whatever wholesome word fits here for you) to grow, for silence to give birth to the answers you seek.

This process is also not linear. Though I’ve chosen ABCD as acronyms for ease of remembrance, A doesn’t necessarily lead to B, C, and D.

It’s helpful to think of this as a template, a skeleton. How you fill in the missing parts and embody them is up to you. What feels true in your experience? What feels like home?

May this post inspire a contentment far beyond the false facade of happiness advertised in comparing mind, on Facebook, and many other modes of media.

May we find peace and let go, knowing we will forget, trust, and confidently find peace again.​