McDoc

Just another Medical Humanities Blog

Poems for January 2012

Posted by mcdoc on January 6, 2012

David Salner

On the Iron Range, Where I Tossed My First Book of Poems

I tossed my first book of poems into a trash can
outside a mine. It was a hot day – the book
stirred up yellow jackets feasting on soda cans.

So I hurried into the locker room, which we called
a “dry,” because that’s where our coveralls
hung from a chain in the ceiling, with the legs

outstretched like the skins of large animals –
still wet when we climbed back into them.
I worked in the mine, patrolling a rotary kiln,

the largest in the world, said the company,
All night it rolled like a great whale 
in bearings the size of my house.

My partner told stories about the old days
when he drank at Tony’s instead of going home
to sleep—and then passed out in the gray mud

under the filter floor. We laughed and talked
as the machines splattered mud all over us.
Later that winter—after the hunters

had divided the deer into neat packages
and the fishermen had begun putting wood stoves
into their ice-houses, and after the snowmobilers

had begun cruising under bridges
and into forbidden areas—I skied to the top
of an old tailings dump, where all I could see

were Spruce and Tamarack rising from the stillness
of an ocean frozen under feet of snow
all the way to Lake Superior—a silent ocean

in which I could no longer hear the crushers
gyrating boulders of iron
at the edge of the sleepy town. Then Christmas:

U.S. Steel laid us off by the thousands,
and I left the Iron Range,
where I’d tossed my first book of poems.

Mary Oliver
(1935 – )

Am I Not Among The Early Risers

Am I not among the early risers
and the long-distance walkers?

Have I not stood, amazed, as I consider
the perfection of the morning star
above the peaks of the houses, and the crowns of the trees
blue in the first light?
Do I not see how the trees tremble, as though
sheets of water flowed over them
though it is only wind, that common thing,
free to everyone, and everything?

Have I not thought, for years, what it would be
worthy to do, and then gone off, barefoot and with a silver pail,
to gather blueberries,
thus coming, as I think, upon a right answer?

What will ambition do for me that the fox, appearing suddenly
at the top of the field,
her eyes sharp and confident as she stared into mine,
has not already done?

What countries, what visitations,
what pomp
would satisfy me as thoroughly as Blackwater Woods
on a sun-filled morning, or, equally, in the rain?

Here is an amazement—once I was twenty years old and in
every motion of my body there was a delicious ease,
and in every motion of the green earth there was
a hint of paradise,
and now I am sixty years old, and it is the same.

Above the modest house and the palace—the same darkness.
Above the evil man and the just, the same stars.
Above the child who will recover and the child who will
not recover, the same energies roll forward,
from one tragedy to the next and from one foolishness to the next.

I bow down.

Have I not loved as though the beloved could vanish at any moment,
or become preoccupied, or whisper a name other that mine
in the stretched curvatures of lust, or over the dinner table?
Have I ever taken good fortune for granted?

Have I not, every spring, befriended the swarm that pours forth?
Have I not summoned the honey-man to come, to hurry,
to bring with him the white and comfortable hive?

And while I waited, have I not leaned close, to see everything?
Have I not been stung as I watched their milling and gleaming,
and stung hard?

Have I not been ready always at the iron door,
not knowing to what country it opens—to death or to more life?

Have I ever said that the day was too hot or too cold
or the night too long and as black as oil anyway,
or the morning, washed blue and emptied entirely
of the second-rate, less than happiness

as I stepped down from the porch and set out along
the green paths of the world?

Posted in Uncategorized | Leave a Comment »

Poems for December 2011

Posted by mcdoc on December 2, 2011

Steve Kowit
(1938 – )

Notice

This evening, the sturdy Levi’s
I wore every day for over a year
& which seemed to the end
in perfect condition,
suddenly tore.
How or why I don’t know,
but there it was: a big rip at the crotch.
A month ago my friend Nick
walked off a racquetball court,
showered,
got into his street clothes,
& halfway home collapsed & died.
Take heed, you who read this,
& drop to your knees now & again
like the poet Christopher Smart,
& kiss the earth & be joyful,
& make much of your time,
& be kindly to everyone,
even to those who do not deserve it.
For although you may not believe
it will happen,
you too will one day be gone,
I, whose Levi’s ripped at the crotch
for no reason,
assure you that such is the case.
Pass it on.

-

Walter McDonald
(1934 – )

A Brief, Familiar Story of Winter

Trees are telling the story of harvest
The wind is listening, murmuring oh
and dying. Leaves have only one month more

to listen. They glitter in the sun
flutter like friends in a parlor
fanning themselves and flushing.

The bark has heard it all before,
thick-skinned like a snake
that cannot shed. The taproots

hear in whispers, swelling
each time they hear the old, old story.
They shove into grains of sand

and take all they can give to heartwood.
Chilled zylem lifts the last fluid
upward from the tips of roots

like salmon leaping the rapids,
all branches waiting like bears,
leaves on all limbs trembling.

Posted in Monthly Poetry Installment | Tagged: , , , , , | Leave a Comment »

Engage With Grace 2011: Occupy With Grace

Posted by mcdoc on November 24, 2011

The term “Blog Rally“ was coined in 2008 with the phenomenon of concerted blogging in support of the movement called, “Engage with Grace: The One Slide Project.” Engage With Grace was organized to encourage family members to discuss what is important to them with respect to end-of-life care issues. The timing coincides with the annual American Thanksgiving holiday weekend. The idea being to capitalize on the fact that many families gather together in particular over Thanksgiving.

This is a movement you can easily get behind in person if you are an advocate for good patient centered health care, which you likely are if you are reading this blog. So donate your blog, Facebook update, Twitter account (#EWG) to Engage With Grace this holiday weekend. And then put your money where your mouth is and bring it up yourself while your family is together.

Here is the this year’s post from the Alexandra Drane and the Engage With Grace Team:

Occupy With Grace
Once again, this Thanksgiving we are grateful to all the people who keep this mission alive day after day: to ensure that each and every one of us understands, communicates, and has honored their end of life wishes.

Seems almost more fitting than usual this year, the year of making change happen. 2011 gave us the Arab Spring, people on the ground using social media to organize a real political revolution. And now, love it or hate it – it’s the Occupy Wall Street movement that’s got people talking.

Smart people (like our good friend Susannah Fox) have made the point that unlike those political and economic movements, our mission isn’t an issue we need to raise our fists about – it’s an issue we have the luxury of being able to hold hands about.

It’s a mission that’s driven by all the personal stories we’ve heard of people who’ve seen their loved ones suffer unnecessarily at the end of their lives.

It’s driven by that ripping-off-the-band-aid feeling of relief you get when you’ve finally broached the subject of end of life wishes with your family, free from the burden of just not knowing what they’d want for themselves, and knowing you could advocate for these wishes if your loved one weren’t able to speak up for themselves.

And it’s driven by knowing that this is a conversation that needs to happen early, and often. One of the greatest gifts you can give the ones you love is making sure you’re all on the same page. In the words of the amazing Atul Gawande, “you only die once!” Die the way you want. Make sure your loved ones get that same gift. And there is a way to engage in this topic with grace!

Here are the five questions, read them, consider them, answer them (you can securely save your answers at the Engage with Grace site), share your answers with your loved ones. It doesn’t matter what your answers are, it just matters that you know them for yourself, and for your loved ones. And they for you.

We all know the power of a group that decides to assemble. In fact, we recently spent an amazing couple days with the members of the Coalition to Transform Advanced Care, or C-TAC, working together to channel so much of the extraordinary work that organizations are already doing to improve the quality of care for our country’s sickest and most vulnerable.

Noted journalist Eleanor Clift gave an amazing talk, finding a way to weave humor and joy into her telling of the story she shared in this Health Affairs article. She elegantly sums up (as only she can) the reason that we have this blog rally every year:

For too many physicians, that conversation is hard to have, and families, too, are reluctant to initiate a discussion about what Mom or Dad might want until they’re in a crisis, which isn’t the best time to make these kinds of decisions. Ideally, that conversation should begin at the kitchen table with family members, rather than in a doctor’s office.

It’s a conversation you need to have wherever and whenever you can, and the more people you can rope into it, the better! Make this conversation a part of your Thanksgiving weekend, there will be a right moment, you just might not realize how right it was until you begin the conversation.

This is a time to be inspired, informed – to tackle our challenges in real, substantive, and scalable ways. Participating in this blog rally is just one small, yet huge, way that we can each keep that fire burning in our bellies, long after the turkey dinner is gone.

Wishing you and yours a happy and healthy holiday season. Let’s Engage with Grace together.

To learn more please go to www.engagewithgrace.org.

This post was developed by Alexandra Drane and the Engage With Grace team.

Posted in Blog Rally, End-of-Life, Engage With Grace, medical humanities | Tagged: , , , , | 1 Comment »

Poems for November 2011

Posted by mcdoc on November 4, 2011

Linda Hogan
(1947 – )

The Way In

Sometimes the way to milk and honey is through the body.
Sometimes the way in is a song.
But there are three ways in the world: dangerous, wounding,
and beauty.
To enter stone, be water.
To rise through hard earth, be plant
desiring sunlight, believing in water.
To enter fire, be dry.
To enter life, be food.

-

Ronald Wallace
(1945 – )

Obituary

Just once, you say,
you’d like to see
an obituary in which
the deceased didn’t succumb
after “a heroic struggle” with cancer,
or heart disease, or Alzheimer’s, or
whatever it was
that finally took him down.
Just once, you say,
couldn’t the obit read:
He got sick and quit.
He gave up the ghost.
He put up no fight at all.
Rolled over. Bailed out.
Got out while the getting was good.
Excused himself from life’s feast.
You’re making a joke and
I laugh, though you can’t know
I’m considering exactly that:
no radical prostatectomy for me,
no matter what General Practitioner
and Major Oncologist may say.
I think, let that walnut-sized
pipsqueak have its way with me,
that pebble in cancer’s slingshot
that brings dim Goliath down.
So, old friend, before I go
and take all the wide world with me,
I want you to know
I picked up the tip.
I skipped the main course,
I’m here in the punch line.
Old friend, the joke’s on me.

Posted in medical humanities, Monthly Poetry Installment | Tagged: , , , , , , , | Leave a Comment »

Poems for September 2011

Posted by mcdoc on September 6, 2011

Freya Manfred
(1944-)

Green Pear Tree in September

On a hill overlooking the Rock River
my father’s pear tree shimmers,
in perfect peace,
covered with hundreds of ripe pears
with pert tops, plump bottoms,
and long curved leaves.
Until the green-haloed tree
rose up and sang hello,
I had forgotten…
He planted it twelve years ago,
when he was seventy-three,
so that in September
he could stroll down
with the sound of the crickets
rising and falling around him,
and stand, naked to the waist,
slightly bent, sucking juice
from a ripe pear.

-

Lynn Ungar

Boundaries

The universe does not
revolve around you.
The stars and planets spinning
through the ballroom of space
dance with one another
quite outside of your small life.
You cannot hold gravity
or seasons; even air and water
inevitably evade your grasp.
Why not, then, let go?

You could move through time
like a shark through water,
neither restless or ceasing,
absorbed in and absorbing
the native element.
Why pretend you can do otherwise?
The world comes in at every pore,
mixes in your blood before
breath releases you into
the world again. Did you think
the fragile boundary of your skin
could build a wall?

Listen. Every molecule is humming
its particular pitch.
Of course you are a symphony.
Whose tune do you think
the planets are singing
as they dance?

Posted in New Year's Eve Poem, Uncategorized | Tagged: , , , , , | Leave a Comment »

Poems for August 2011

Posted by mcdoc on August 12, 2011

John Stone
(1936 – 2008)

Whittling: The Last Class

What has been written
about whittling
is not true

most of it

It is the discovery
that keeps
the fingers moving

not idleness

but the knife looking for
the right plane
that will let the secret out

Whittling is no pastime

he says
who has been whittling
in spare minutes at the wood

of his life for forty years

Three rules he thinks
have helped
Make small cuts

In this way

you may be able to stop before
what was to be an arm
has to be something else

Always whittle away from yourself

and toward something.
For God’s sake
and your own
know when to stop

Whittling is the best example
I know of what most
may happen when

least expected

bad or good
Hurry before
angina comes like a pair of pliers

over your left shoulder

There is plenty of wood
for everyone
and you

Go ahead now

May you find
in the waiting wood
rough unspoken

what is true

or
nearly true
or

true enough.

-

Louise Bogan
(1897 – 1970)

The Dragonfly

You are made of almost nothing
But of enough
To be great eyes
And diaphanous double vans;
To be ceaseless movement,
Unending hunger,
Grappling love.

Link between water and air,
Earth repels you.
Light touches you only to shift into iridescence
Upon your body and wings.

Twice-born, predator,
You split into the heat.
Swift beyond calculation or capture
You dart into the shadow
Which consumes you.

You rocket into the day.
But at last, when the wind flattens the grasses,
For you, the design and purpose stop.

And you fall
With the other husks of summer.

Posted in medical humanities, Monthly Poetry Installment | Tagged: , , , , , , , | Leave a Comment »

Poems for July 2011

Posted by mcdoc on July 14, 2011

Charles Simic
(1938- )
Stone

Go inside a stone
That would be my way.
Let somebody else become a dove
Or gnash with a tiger’s tooth.
I am happy to be a stone.

From the outside the stone is a riddle:
No one knows how to answer it.
Yet within, it must be cool and quiet
Even though a cow steps on it full weight,
Even though a child throws it in a river;
The stone sinks, slow, unperturbed
To the river bottom
Where the fishes come to knock on it
And listen.

I have seen sparks fly out
When two stones are rubbed,
So perhaps it is not dark inside after all;
Perhaps there is a moon shining
From somewhere, as though behind a hill—
Just enough light to make out
The strange writings, the star-charts
On the inner walls.

-

Joy Harjo
(1951- )

A Map to the Next World

In the last days of the fourth world I wished to make a map
for those who would climb through the hole in the sky.

My only tools were the desires of humans as they emerged from the killing fields,
from the bedrooms and the kitchens.

For the soul is a wanderer with many hands and feet.

The map must be of sand and can’t be read by ordinary light.
It must carry fire to the next tribal town, for renewal of spirit.

In the legend are instructions on the language of the land,
how it was we forgot to acknowledge the gift, as if we were not in it or of it.

Take note of the proliferation of supermarkets and malls, the altars of money.
They best describe the detour from grace.

Keep track of the errors of our forgetfulness; a fog steals our children while we sleep.

Flowers of rage spring up in the depression, the monsters are born there of nuclear anger.

Trees of ashes wave good-bye to good-bye and the map appears to disappear.

We no longer know the names of the birds here,
how to speak to them by their personal names.

Once we knew everything in this lush promise.

What I am telling you is real and is printed in a warning on the map.
Our forgetfulness stalks us, walks the earth behind us,
leaving a trail of paper diapers, needles and wasted blood.

An imperfect map will have to do little one.

The place of entry is the sea of your mother’s blood,
your father’s small death as he longs to know himself in another.

There is no exit.

The map can be interpreted through the wall of the intestine –
a spiral on the road of knowledge.

You will travel through the membrane of death,
smell cooking from the encampment where our relatives make a feast
of fresh deer meat and corn soup, in the Milky Way.

They have never left us; we abandoned them for science.

And when you take your next breath as we enter the fifth world there will be no X,
no guide book with words you can carry.

You will have to navigate by your mother’s voice, renew the song she is singing.

Fresh courage glimmers from planets.

And lights the map printed with the blood of history,
a map you will have to know by your intention, by the language of suns.

When you emerge note the tracks of the monster slayers
where they entered the cities of artificial light and killed what was killing us.

You will see red cliffs. They are the heart, contain the ladder.

A white deer will come to greet you when the last human climbs from the destruction.

Remember the hole of our shame marking the act of abandoning our tribal grounds.

We were never perfect.

Yet, the journey we make together is perfect on this earth
who was once a star and made the same mistakes as humans.

We might make them again, she said.

Crucial to finding the way is this: there is no beginning or end.

You must make your own map.

Posted in Monthly Poetry Installment | Tagged: , , , , , | Leave a Comment »

Poems for June 2011

Posted by mcdoc on June 8, 2011

Marge Piercy
(1936 – )

The tao of touch

What magic does touch create
that we crave it so. That babies
do not thrive without it. That
the nurse who cuts tough nails
and sands calluses on the elderly
tells me sometimes men weep
as she rubs lotion on their feet.

Yet the touch of a stranger
the bumping or predatory thrust
in the subway is like a slap.
We long for the familiar, the open
palm of love, its tender fingers.
It is our hands that tamed cats
into pets, not our food.

The widow looks in the mirror
thinking, no one will ever touch
me again, never. Not hold me.
Not caress the softness of my
breasts, my inner thighs, the swell
of my belly. Do I still live
if no one knows my body?

We touch each other so many
ways, in curiosity, in anger,
to command attention, to soothe,
to quiet, to rouse, to cure.
Touch is our first language
and often, our last as the breath
ebbs and a hand closes our eyes.

-

Arthur Sze
(1950 – )

The Unnamable River

1.

Is it in the anthracite face of a coal miner,
crystallized in the veins and lungs of a steel
worker, pulverized in the grimy hands of a railroad engineer?
Is it in a child naming a star, coconuts washing
ashore, dormant in a volcano along the Rio Grande?

You can travel the four thousand miles of the Nile
to its source and never find it.
You can climb the five highest peaks of the Himalayas
and never recognize it.
You can gaze though the largest telescope
and never see it.

But it’s in the capillaries of your lungs.
It’s in the space as you slice open a lemon.
It’s in a corpse burning on the Ganges,
in rain splashing on banana leaves.

Perhaps you have to know you are about to die
to hunger for it. Perhaps you have to go
alone in the jungle armed with a spear
to truly see it. Perhaps you have to
have pneumonia to sense its crush.

But it’s also in the scissor hands of a clock.
It’s in the precessing motion of a top
when a torque makes the axis of rotation describe a cone:
and the cone spinning on a point gathers
past, present, future.

2.

In a crude theory of perception, the apple you
see is supposed to be a copy of the actual apple,
but who can step out of his body to compare the two?
Who can step out of his life and feel
the Milky Way flow out of his hands?

An unpicked apple dies on a branch:
that is all we know of it.
It turns black and hard, a corpse on the Ganges.
Then go ahead and map out three thousand mile of the Yantze;
walk each inch, feel its surge and
flow as you feel the surge and flow in your own body.

And the spinning cone of a precessing top
is a form of existence that gathers and spins death and life into one.
It is in the duration of words, but beyond words -
river river river, river river.
The coal miner may not know he has it.
The steel worker may not know he has it.
The railroad engineer may not know he has it.
But it is there. It is in the smell
of an avocado blossom, and in the true passion of a kiss.

Posted in Monthly Poetry Installment, Uncategorized | Tagged: , , , , , | Leave a Comment »

Poems for May 2011

Posted by mcdoc on May 1, 2011

James Wright
(1927 – 1980)

A Blessing

Just off the Highway to Rochester, Minnesota
Twilight bounds softly forth on the grass.
And the eyes of those two Indian ponies
Darken with kindness.
They have come gladly out of the willows
To welcome my friend and me.
We step over the barbed wire into the pasture
Where they have been grazing all day, alone.
They ripple tensely, they can hardly contain their happiness
That we have come.
They bow shyly as wet swans. They love each other.
There is no loneliness like theirs.
At home once more,
They begin munching the young tufts of spring in the darkness.
I would like to hold the slenderer one in my arms,
For she has walked over to me
And nuzzled my left hand.
She is black and white,
Her mane falls wild on her forehead,
And the light breeze moves me to caress her long ear
That is delicate as the skin over a girl’s wrist.
Suddenly I realize
That if I stepped out of my body I would break
Into blossom.

-

Julia Kasdorf
(1962 – )

What I Learned From My Mother

I learned from my mother how to love
the living, to have plenty of vases on hand
in case you have to rush to the hospital
with peonies cut from the lawn, black ants
still stuck to the buds. I learned to save jars
large enough to hold fruit salad for a whole
grieving household, to cube home-canned pears
and peaches, to slice through maroon grape skins
and flick out the seeds with a knife point.
I learned to attend viewings even if I didn’t know
the deceased, to press the moist hands
of the living, to look in their eyes and offer
sympathy as though I understood loss, even then.
I learned that whatever we say means nothing,
what anyone will remember is that we came.
I learned to believe I had the power to ease pain.
Like a doctor, I learned to create
from another’s suffering my own usefulness, and once
you know how to do this,
To every house you enter, you offer
healing: a chocolate cake you baked yourself,
the blessing of your voice, your touch.

Posted in Monthly Poetry Installment | Tagged: , , , , , , | Leave a Comment »

A Poem for Groundhog Day

Posted by mcdoc on February 2, 2011

Lynn Ungar

Groundhog Day

Celebrate this unlikely oracle,
this ball of fat and fur,
whom we so mysteriously endow
with the power to predict spring.
Let’s hear it for the improbable heroes who,
frightened at their own shadows,
nonetheless unwittingly work miracles.
Why shouldn’t we believe
this peculiar rodent holds power
over sun and seasons in his stubby paw?
Who says that God is all grandeur and glory?

Unnoticed in the earth, worms
are busily, brainlessly, tilling the soil.
Field mice, all unthinking, have scattered
seeds that will take root and grow.
Grape hyacinths, against all reason,
have been holding up green shoots beneath the snow.
How do you think spring arrives?
There is nothing quieter, nothing
more secret, miraculous, mundane.
Do you want to play your part
in bringing it to birth? Nothing simpler.
Find a spot not too far from the ground
and wait.

Posted in Groundhog Day Poem | Tagged: , | Leave a Comment »

 
Follow

Get every new post delivered to your Inbox.