Category Archives: gratitude

Do I Dare, a poem by Joseph Gascho

If I take the wings of the morning, and dwell in the uttermost parts of the sea; Even there shall thy hand lead me, and thy right hand shall hold me.Psalm 139:9-10

Do I dare to tell my Darwin friends
about the giant hand
that led my surgeon’s hand
for six whole hours?

Do I dare to tell my Dawkins friends
about the gentle hand
that held me
for 40 days?

Do I dare to think
it was no dream,
that gentle, giant hand,
holding me,
lovingly?

—Joseph Gascho, Hummelstown, Pennsylvania, is a retired cardiologist and emeritus professor of medicine and humanities, Penn State University College of Medicine. The Annals of Internal Medicine awarded him both poem of the year and photograph of the year. Positive Exposure 109, on museum mile in New York City, has featured his photography exhibit, “The Operating Theater.”  In addition to other books of photography and poetry (see  jgascho.com), he has written Heart and Soul: A Cardiologist’s Life in Verse (Wipf and Stock, 2023) .

Winter Color, by Julia Baker Swann

I hear a slow summer wind in this sponged carpet of russet needles
under my feet. Smoldering burnt orange around silver tree roots and evergreen.

Husks of tall blonde meadow grasses sway in the barely-breeze.
Skeleton seeds wait, gold even without light.

Rocks splattered with the creep of fungus and lichen. White, yellow,
and neon.
In the warm pockets around each stone’s breath, bright clover tests growth.

When inside my home the clouds are a heavy drape.
I crave the sun-spill across the floor.

When I go out the moss grey sky is a complex churn.
I would need violet, black, and even a dab of rose to paint these layers.

The subtle hues ask me to quiet. To clothe myself
in terracotta and winter-berry, silver-tone, tawny down,

deer-skin, dusted pine, honey-sap and moth-wing white.
To chant these muted colors like a bold prayer,

treasuring the particular sounds.

—Julia Baker Swann is completing an MA in Theopoetics and Writing at Bethany Theological Seminary and is poetry editor at Geez Magazine. She is author of The Moon Is Always Whole, her first poetry collection (DreamSeeker Books/Cascadia, 2020).

Surrender’s Blessings

Though we’d just met when hospital orderlies called us each from waiting room to preop,  she and I agreed: We didn’t want to go. Trained by a culture that prioritizes control over surrender, I asked my orderly, “What if I don’t go?” My new friend concurred: “We’re going on strike.”

Yet off we went to surrender our markers of control: wallets , rings, watches, glasses, clothes. Control was reduced to fumbling with a hospital gown to preserve dignity–barely.

Control had worked during the 40 years cardiologists reported, “Maybe someday you’ll need your aortic valve replaced, but probably not until your 60s, and maybe never.” Now an echocardiogram had shifted “maybe” to consulting a surgeon.

Still I pursued control. I doubled exercise, enhanced nutrition, lost more weight. Maybe I could still strengthen my heart enough to  skip surgery. I felt ever better; a painful challenge if forced into surgery would be relinquishing pre-surgery well-being.

Then another echocardiogram. The valve was leaking badly, its shrinking surface area raising pressures that would eventually destroy my heart. Mortality odds were soaring; maintaining control by resisting surgery would do me in. Any vestige of control now meant choosing surrender.

I grieved this into the final hours. Still, due less to strength of character than to bleak alternatives and a hospital system that sucked me into its inexorable protocols, surrender I did.

I most strongly felt the surrender as not just forced but ultimately embraced after tearful goodbyes to spouse, daughters, siblings gave way to the anesthesiology fellow pushing my stretcher with wheels as balky as some shopping carts down lonely halls. I apologized for her having to explain “He had a lot of good-byes” when an operating room phone call asked why we were late. Gently she told me, “It was moving to see the love.” It’s time to yield to care like this, I thought.

Such kindness was underscored as we reached the operating room, an efficient team inserted IVs, lines, whatnots, and that syringe slowly pushing in to take consciousness. All team members used my name and gave their names. They honored me as person with feelings and fears.

What a gift when offered to one on the cusp of being chilled 10 degrees below normal, chest sawed open, heart stopped, blood and breath circulated by machine, the symbolic and in many ways literal seat of being to be held in a surgeon’s hands as aorta is clamped off,  diseased valve removed, new valve sewed in. Would a clot break loose? Warmth ever return? Heart restart?

Then puzzling light and shadows. I remembered the man born blind reporting, after Jesus healed him, seeing men like trees walking. Through ICU windows I was glimpsing midday sun on hospital buildings.

Though pain and recovery lay ahead, I had awakened to so many gifts: discovering that the feared breathing tube had already been removed, that my incision had been minimally invasive, that I was . . . alive! My mind seemed still mine. The stuffed narwhal my granddaughter had given me, matching her own so we could together be comforted, was tucked in beside me. Love filled the room—first as compassionate staff cared for me, then as loved ones arrived.

Many of the effects of surrender in this context were so intense as to be almost mystical beyond words, but truth-telling does require reporting that not all was peaches and cream. After catheter was first removed a combination of anesthesia aftereffects and my reaction to lost privacy completely froze my bladder. This continued for so many hours that if I had not surrendered to some, shall we say, very direct interventions, what I had always anxiously assured my spouse could happen on too long a plane flight would have happened: something would have burst.

But let me ask you, if you had trouble managing some of your affairs in public and you were told somebody always had to be with you, what would  you do?

Or suppose you at last negotiated that you would be allowed to try by yourself so long as you stayed near the call button. By now even the most rules-affirming staff–who were, after all, just trying to obey the rules to keep the patient safe–realized creative alternatives must be sought. Then suppose every time you started to unfreeze you could hear your heart monitor, wi-fi carrying it out to main hall and nurses’ station for all to enjoy with you, beeping and cavorting with every move while you waited for someone to race in and code  you. What would you do?

Well, what I did was this: I yielded to catheterization whenever the freezing had gone on too long to remain unaddressed. And I turned to my post-partum daughters, who had in total delivered six babies and had learned, I now began to grasp in fuller ways by far than before, what it means to give up all privacy and bodily control. Minute by minute and hour by hour–thank you dear children–they coached me through.

Frozen body functions remained, however, far outweighed by learning like never before the power of being cared for in body and spirit. One nurse, sensing the exhaustion Joan and I were feeling due not only to recovery intensities but also constant night interruptions and noises, proactively conceptualized the entire night so she could structure it to give us the longest periods of unbroken sleep.

Another night, Eun-Hui and Bryna needed to take extra care of the endless array of wires and tubes attached to me and into me, into my chest, arms, carotid artery, and even, I was intimidated to learn, the very core of my heart. There at 3:00 a.m. they stood on either side of me, Eun-Hui supervising as each took turns checking bandages, adding ointments, in a few wonderful cases taking this or that out for good.

Off to my left,  an utterly worn-out alien slept on a fold-out chair. It was my poor spouse, ears muffled in noise-canceling headphones, each eye looking like a magnified fly’s eye under a black mask. A nurse herself who had once cared for people in my situation, knew the dangers, and had endured months of worry long before the traumas of supporting me through surgery, now she could rest into the gift of other nurses taking over. She particularly deserved that after the first night, when with no place in to stretch out while I was in intensive care she had slept sitting straight up except with head bent onto my bed.

So now on both sides of me for over half an hour Eun-Hui and Bryna painstakingly worked. Carefully, gently, skillfully, they created what came to seem to me a holy time, a period of understanding as well or better than I ever had in worship the healing effects of the laying on of hands. When they were done, Eun-Hui asked how I was doing then as they turned to leave of all things thanked me, adding with a smile, “You were a very patient patient.”

I realize, with sorrow, that millions who deserve it don’t get such care, including as overseen in this case by a surgeon whose colleagues kept volunteering that I was in world-class hands. I realize as well, after starting to see the enormity of the claims my bills are making on Medicare, that anyone who thinks the challenge of health-care costs is solved simply with hard work and personal responsibility has not tried having a heart valve replaced in the U.S. health system.

So I am profoundly thankful as I remember those hospital days, just three but with effects that shaped not only my body but also my spirit for the rest of however many days I still have. I feel grief for a culture that shapes me and us to learn so  much more about control than surrender. And I feel sheer gratitude at having been invited to learn that surrender offers not only curses but also mystic blessings.

—Michael A. King is publisher and president, Cascadia Publishing House LLC. He writes “Unseen Hands” for Mennonite World Review, which published an earlier version of this column.

18.6 Gallons

When it hits, I fear it may be a stroke such as traumatized an uncle. I break the airport security I’ve just cleared enroute to working from the road with my wife Joan, who is on assignment in Montana.

On to doctor, who looks in eyes and ears, manipulates body, then cheerfully pronounces just BPPV (Benign Paroxysmal Positional Vertigo), see lots as people get older, inner-ear crystals and whatnot, just need medicine and vertigo exercises.

“Well, I was headed to Montana. Can I fly?”

“Sure, people may think you’re having a stroke, they may think you’re going to vomit, you might even actually vomit, but you won’t be having a stroke.”

So I fly though forced to look only at the floor when walking.

As Joan picks me up in Bozeman, the vertigo fades. After her next work day I’m happy to drive us to her Kalispell assignment. But as interstate speed limits rise crazily by Eastern standards, we hit curvy mountains. Vertigo returns.

So my poor exhausted wife is driving. GPS says shorter this way. We’d stopped for a snack while I was driving and agreed gas later. Joan obeys GPS. But it doesn’t occur to either of us that GPS will take us through wilderness for oh, 2,822 miles. We have nice chats in between my covering my eyes.

Suddenly Joan stops talking. No matter what I say she just drives. What? Marriage over? What? Ah, she can’t handle my aging process now that she sees how it’s going to go. Okay, Joan: Why aren’t you saying anything?

“I was hoping not to have to tell you before I fixed it.”

“What? What?”

“We’re running out of gas.”

“WHAT? HOW DID THAT HAPPEN?! Why didn’t we (YOU) get gas? Where are we?”

“I don’t know.”

“How far to civilization?”

“I don’t know.”

I ask Joan’s phone (mine has no signal) where gas is. It won’t say. Because now her phone has no signal.

“How far down is the gas?”

“It’s been in the red a long time,” reports Joan, not quite her usual inspirational self.

“Joan, we’re in big trouble.”

“I know. I know I know.

We get to a sign promising gas/lodging that way. We go that way. Nothing.

A man in a dusty pickup comes toward us. I open my door, I wave wave wave. He looks at the lunatic. Hard look. But he stops. He lowers his window.

I stagger over and cling to his truck. “Sorry to bother you but we’re those crazy Easterners who come to Montana and then run out of gas. Do you know where we can get some?”

“How much do you have left?”

“Almost none.”

“Can you make it 15 miles?”

“Maybe. Not sure. Maybe.”

“Okay, if you keep going that way you’ll get to this intersection with a Sinclair.”

Okay. Ipod off. Can’t stand it. No talking. Except a strangled occasional query from Joan: How many more miles? 12, says GPS. 11.9. 6.25. At times Joan’s speed drops. Why? Gas gone? No, slowing down from 80.

5.7. Get us at least within 3. Then we can walk or stagger. 2.5 miles. 1.5. Green and red glimmer. Oasis! Heaven! Nirvana! The Meaning of Life in Car Crazy America! Who cares about climate change and fossil fuels and the collapse of civilization. The SINCLAIR!

I pull out the rental car manual. Gas tank capacity: 18.75.

“How much did you put in?”

“18.6. I was praying,” she said.

“People pray and bad things still happen,” I said.

“But we made it.”

“You’re right.”

I don’t know how to theologize about this. But I am grateful.

—Michael A. King is publisher and president, Cascadia Publishing House LLC. He writes the column “Unseen Hands” for Mennonite World Review, which first published this post.