​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 

​

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.​

Meditative, Qigong Healing
 
Sitting upright, supported by Earth
Warm breath of compassion
Forgiveness, wisdom
Releasing holding patterns of dis-ease
Permanence, a self in control
Clear recognition only gentleness heals


Then standing, feeling the exchange
Of energy between this body
And its surroundings
Invisibly connected to all life
The possibility of universal benevolence
Always a choice despite chaotic patterns
 
The last week and a half were challenging. From viral gastroenteritis to a cough and cold, from asthma like symptoms to worsening muscle strains, from irritation, impatience, disappointment, and exhaustion, it felt like illness was taking up permanent residence in the body. There was so much self-identification with dis-ease states and the mental formations they invoked. There was also a frantic rush to swat the emergence of each new symptom with a medication as if it were an annoying fly that would never go away. Killing it was the only choice.

​Or was it?

As I start to regain some mental clarity and physical strength, it feels important to reflect on what created more suffering, and what eased the suffering. (The word choice of suffering is very personal. If it rubs you the wrong way because you may have a heavier, incurable illness or stress that feels more significant than what I am sharing, feel free to substitute suffering with another word.) Identifying with any symptom, dis-ease or mind state was painful. Trying to overcome it with wholesome mind states like kindness, compassion, even joy was also deceptive, because I wasn’t allowing true feelings like irritation, impatience, and disappointment to throw big tantrums. I wasn’t allowing the fear to be felt, the dark cloud of doubt to be seen and known. The choice to reach for certain medications for relief was wholesome, but there was a subtle aggression against the body for misbehaving and falling apart. The belief in permanence of it all was so strong, that the urge to control the situation felt paramount.

When I chose to feel the cough and compromised breathing with gentle compassion, surrendered to supine meditation posture and gravity, released a known timeline for healing, and reached out to others for loving, healing energy, something changed. There was less identification with an invincible or dysfunctional, in control or chaotic, mindful or mindless, compassionate or critical being. Most days there was a certain percentage of each one.

We live as if everything is black and white, a dualistic mentality that does not allow for shades of gray or degrees of uncertainty. We are healthy or sick, balanced or crazy, paying attention or clueless, kind or vengeful. Is it possible most of us might just live in between the two extremes, always trying to build a reliable house on one side so as not to fall into the abyss between two cliffs of ego?

The need to know, to have things planned and figured out is strong in me. It’s a survival mechanism based on causes and conditions. Now there is recognition, compassion, forgiveness, wisdom to cushion each fall into the abyss of becoming.

The karma of now always offers two choices, suffering and the end of suffering. Robert Frost wrote that two roads diverged in a yellow wood. If you are anything like me, you might see trails in the wood well-trodden in the past from deeply ingrained patterns. There aren’t just two roads, but many paths.
​
Through meditation, Qigong, wise friends, writing, or whatever your support systems might be, may you feel connected to all life, the possibility of universal benevolence always a choice despite chaotic patterns.