(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.

​radiant eye nestled in a bed
of silver-feathered lashes
I long to see your face

veer the steering wheel
to the right shoulder 
of Dumbarton Bridge

and kneel down  
among shorebirds 
humble supplicants

wading in bay waters
warming up to your light
but I can’t stop

feeling the pressure
of time driving me
towards the mundane

while you still follow
patient as you are
waiting to make 

eye contact
when I am still
and ready

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.

Eyes glued to the ornaments on other trees,
heart bleeding at the base,
I’ve yearned for the traditions of others,
abandoning my own in mistrust.
 
Where is the base of this tree?
Is it rooted in connection 
or uprooted, killed to die
for some indoor tradition
that does not feel genuine?
 
Angel at the top,
are you watching over us?
Presents at the base,
will you fulfill our needs?
 
Seeing all the firs, pines, and spruce 
in high demand this time of year,
I envision this body as a tree--
sits bones rooted in earth,
crown sunkissed, starstruck, moonswept.
 
Ornaments etched with glittering words
adorn these branches, these limbs,
words that have more dimensionality 
than the ornaments themselves.
Generosity. Patience. Reverence.
 
How I decorate my inner life
determines how I see others,
and sense relationships with soul.

(Inspired by William Stafford’s “The Way It Is”)

There is a breath that you follow.
Sometimes the breath is heavy,
oppressed by circumstance.
Sometimes you sing,
inspired by a courage 
beyond words and music.
People die.
You grow old.
You never stop breathing
till it’s time for your last one. 

*****

Disheveled and depressed, his spirit is struggling to stay embodied. After 11 days in the hospital, the white stubble and glazed look in his eyes make me yearn for the man who introduced me to elements of the natural world as if they were my relatives, who sheltered me as his own daughter.
 
He’s still in there somewhere…
 
Sensing that he may respond to touch beyond the squeeze of a blood pressure cuff, the prick of needles drawing blood, even a cold stethoscope meant to hear the breath and beating of life, I ask the nurse for assistance in bathing him.
 
Our hands work gently, methodically, dipping white washcloths into warm soapy water, stroking dry wrinkled skin tenderly, as if we are bathing someone sacred. I hear whispers of encouragement. He is still here. Find him!
 
As if on cue, Papa responds. “Pass me a washcloth to help.”
 
Once the bathing ritual is finished, the nurse proceeds to dress this skeleton of a man in a new patient gown. I reach for the Eucerin cream and began to moisturize dry skin thirsty for better days. A single tear trickles down his cheek. It’s all that he can contribute despite the heavy diuretics he is on. We make eye contact. Something is different. The clouds still linger. There is also a clearing. 
 
Today, I am not here as a doctor, Papa. The cardiologist and medicine team have that covered. Today, I am here as your daughter, someone who wants to bathe you in love. What good is modern medicine if loving connection is lost?

​On a walk at Calaveras Big Trees National Park, the park ranger paused to pay homage to two giant sequoias that shared the same trunk. The trunks were originally separate, and fused together after a fire for mutual benefit and survival.

I thought of my mother and daughter, how the umbilical connection was severed between us at birth, how the sacral, sacred burning in my body was a sign.

I reflected on all the beings I have pushed away on this camping trip and beyond, the yearning to share the same base, something tender beyond ideas of a separate self.

In meditation, the image of the conjoined sequoias arose, inspiring metta for my teachers, for me, for my mother and daughter, for all the beings at camp, and beyond. It wasn’t my body-heart-mind responsible for such vivid and vast imagination, but tapping into a larger, loving life force inherent in all things.

Listening to the bell resound at the end of the sit, I was clinging- to the bell, the sequoias, the feeling, fearful that I would walk back into a black and white world where beings scurried frantically around like mice to make meaning.

I will continue to disagree with others and feel the pain of separation. I will also persevere in tenderness, beauty, and Soulmaking.

It’s what I was born to ‘do’, and who i already am.

During spring break, I had the opportunity to visit a butterfly sanctuary in Maui. The fact that it is called The Maui Butterfly Farm (not caterpillar or chrysalis farm) speaks volumes about the value given to the butterfly in its life cycle.

The butterfly is beautiful, light, and free – an exquisite symbol of pleasurable moments or stages of life. In contrast, the caterpillar is ugly, heavy, sluggish, always hungry for more. It represents challenges along the way, the wish to transform and be transported elsewhere. For me, the hardest stage to be in sometimes is the chrysalis, the neutral moments of perceived inactivity when questions are marinating in dark space. If I force answers prematurely, wings are torn before possibilities can even take flight.

What does it mean to honor each stage, to understand that I am moving through symbolic caterpillar-chrysalis-butterfly stages multiple times, not just once in a lifetime? How would my life change if I wasn’t just chasing butterflies, but embodying the whole picture?

*****

In Matty Weingast’s, The First Free Women, original poems inspired by the early Buddhist nuns, Theri Punna (Full)  writes:

 
Fill yourself
with
the Dharma.
 
When you
are as
full
as the
full
moon--
burst open.
 
Make
the dark night
shine.
 
 
Hearing Punna’s whispers inside this body-heart-mind, I wrote the following:
 
All this time--
waiting
for the big moment,
the Earth to quake
like His awakening.
 
All this time--
the heart knew
that reflecting
wholeness
in all beings,
 
like a still lake
mirrors
the full moon,
 
was Her awakening.


For years, I’ve been waiting for my life to begin. Chasing butterflies, waiting for the Earth to quake, to awake with ultimate understanding, I missed the smaller moments of stress and struggle, of forgiveness and redemption, of joy and fullness all around me.

In medicine, meditation, and other aspects of life experience, there is deeper presence, less restlessness, more contentment in the simplicity (and profound healing) of reflecting wholeness in others by sensing the fullness within.

*****

In Yasodhara* and the Buddha, Vanessa Sasson does a fine job of setting a vivid stage for their story. She honors ancient Indian culture with humor and reverence. Because of her background in Asian studies and notes at the end of the book referencing other Buddhist and Hindu texts, I trust the story. I also respect her creative additions.

There are so many themes to contemplate in the book: opulence vs. simplicity, loving a precious few vs. all beings equally, the life of a monastic vs. the life of a householder, confusion vs. clarity. They remind me of the three poisons in Buddhism – greed, hatred, and delusion, and the healing power of generosity, metta, and clear-seeing.

Though the Buddha’s story gets all the attention, Yasodhara’s story is equally important. As a householder myself, I feel her loss when she agrees to marry and is confined to the palace walls and Siddhatta’s heart. She renounces her previous life and the freedom it offered. I feel her labor pains, her devotion to Rahula*, her grief and the doubt it conjures when Siddhatta leaves and again when the Buddha takes Rahula for training. I resonate with the need to embody Durga Mata*-like fierce presence, the need for strong maternal guidance and support from someone like Mahapajapati* to face sexual assault.

In the end, I understand that awakening is possible for a householder as much as it is for a renunciate, not because she left, but because she stayed. She stayed with the whirlwind of emotions, changes in her body, changes in her identity.  She saw Kisa Gotami* holding on to a dead child in a deliriously painful way, and began to contemplate the power of letting go.

May all women sense their full moon potential, and reflect this in others.

Notes:  
*Yasodhara is Siddhatta’s wife. Siddhatta later becomes the Buddha.
*Rahula is the son of Yasodhara and Siddhatta.
*Durga Mata is the Hindu goddess of protection, strength, motherhood, destruction and wars.
*Mahapajapati is Siddhata’s maternal aunt who raises him when his own mother, Maya dies after childbirth.
*Kisa Gotami is so stricken by the death of her child that she loses her mind. She is freed by a wise teaching from the Buddha.

*****
​
Butterflies, full moons, epic stories inspire this journey of late. I’m so grateful for some time to slow down and reflect on them. May something offered here be of use, of inspiration.

​Mother Moment

she understands you worry about the future
keep visiting the past as if rereading
the chapters will help you to understand
she invites you to be here
sitting and walking, just breathing
as if there’s no place else to be
as if this is the missing link
the sanctuary you always sought
​

​The Last 15 Minutes of a 45 Minute Sit

leaning into what’s next
the body screams to get up
as the mind conspires to leave
not yet, the heart whispers
just one more minute
as body and mind agree
to settle, to relax
then the sound of the bell
an invitation to enter life
one minute, one breath
one day at a time
​

​Anjali Mudra

bowing to everyone you meet
reflecting True Nature
when it’s hard to see
because there is clarity in you

Gone
 
 Gone, the sweet tartness of plump blueberries,
the crunch of cinnamon peppered almonds
in a sea of steaming oatmeal,
now a gurgling afterthought in the belly.
Gone, the tender tones of his teaching instructions
after the birth of an 8:45am sit,
umbilical cut to silence, to sadness
not knowing if I’ll ever see or hear him again.
Gone, the scene of a Saturday morning
girls’ soccer game at the local middle school,
the house with the rose stems
beheaded by the fall season,
white petals decaying between wood chips and soil,
the bright yellow diamond 15 mile per hour
speed bump sign as I turn the corner
of walking meditation towards home--
images encased in the album
of memory that will fade.
I’m chasing after the high school bus,
first kiss, first lover, first child, first job
the way I looked in that residency picture at 31,
abundant glossy black hair and clear complexion
though nothing was ever really clear.
Gone, the thought of what’s next on the schedule
as my invincible partner collapses
on our bed from excruciating back pain,
his body subject to breakdown
like everyone else I know.
Gone, the belief that this retreat will last forever--
a perpetual bomb shelter of safety
against the war with life
when the vihara was always within.
Gone. Gone. Gone.
A birthday candle wish that was never promised,
and a blessing of breath while it lasted.

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.