Rachel Remen Quotes

Most of us lead far more meaningful lives than we know. Often finding meaning is not about doing things differently; it is about seeing familiar things in new ways.

The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention…. A loving silence often has far more power to heal and to connect than the most well-intentioned words.

When we know ourselves to be connected to all others, acting compassionately is simply the natural thing to do.

Wounding and healing are not opposites. They're part of the same thing. It is our wounds that enable us to be compassionate with the wounds of others. It is our limitations that make us kind to the limitations of other people. It is our loneliness that helps us to to find other people or to even know they're alone with an illness. I think I have served people perfectly with parts of myself I used to be ashamed of.

Perhaps wisdom is simply a matter of waiting, and healing a question of time. And anything good you've ever been given is yours forever.

Life offers its wisdom generously. Everything teaches. Not everyone learns.

Perhaps the most important thing we bring to another person is the silence in us, not the sort of silence that is filled with unspoken criticism or hard withdrawal. The sort of silence that is a place of refuge, of rest, of acceptance of someone as they are. We are all hungry for this other silence. It is hard to find. In its presence we can remember something beyond the moment, a strength on which to build a life. Silence is a place of great power and healing.

There are only two kinds of people in the world. Those who are alive and those who are afraid

Healing may not be so much about getting better, as about letting go of everything that isn’t you - all of the expectations, all of the beliefs - and becoming who you are. (in Bill Moyers' Healing and the Mind)

Helping, fixing, and serving represent three different ways of seeing life. When you help, you see life as weak. when you fix, you see life as broken. When you serve, you see life as whole. Fixing and helping may be the work of the ego, and service the work of the soul.

Everybody is a story. When I was a child, people sat around kitchen tables and told their stories. We don't do that so much anymore. Sitting around the table telling stories is not just a way of passing time. It is the way the wisdom gets passed along. The stuff that helps us to live a life worth remembering.

From a good teacher you may learn the secret of listening. You will never learn the secret of life. You will have to listen for yourself

If you carry someone else's fears and live by someone else's values, you may find that you have lived their lives.

Our purpose in life is to grow in wisdom and in love.

The willingness to consider possibility requires a tolerance of uncertainty.

It is not that we have a soul, but that we are a soul.

Many times when we help we do not really serve. . . . Serving is also different from fixing. One of the pioneers of the Human Potential Movement, Abraham Maslow, said, "If all you have is a hammer, everything looks like a nail.' Seeing yourself as a fixer may cause you to see brokenness everywhere, to sit in judgment of life itself. When we fix others, we may not see their hidden wholeness or trust the integrity of the life in them. Fixers trust their own expertise. When we serve, we see the unborn wholeness in others; we collaborate with it and strengthen it. Others may then be able to see their wholeness for themselves for the first time.

Every great loss demands that we choose life again. We need to grieve in order to do this. The pain we have not grieved over will always stand between us and life. When we don't grieve, a part of us becomes caught in the past like Lot's wife who, because she looked back, was turned into a pillar of salt.

Belief traps or frees us.

How strange to think that great pain may be impermanent. Something in us all seems to want to carve it in granite, as if only this would do full honor to its terrible significance. But even pain is blessed with impermanence... p 259

Before every session, I take a moment to remember my humanity. There is no experience that this man has that I cannot share with him, no fear that I cannot understand, no suffering that I cannot care about, because I too am human. No matter how deep his wound, he does not need to be ashamed in front of me. I too am vulnerable. And because of this, I am enough. Whatever his story, he no longer needs to be alone with it. This is what will allow his healing to begin. (Carl Rogers)

It has been said that sometimes we need a story more than food in order to live. p 374

Perhaps real wisdom lies in not seeking answers at all. Any answer we find will not be true for long. An answer is a place where we can fall asleep as life moves past us to its next question. After all these years I have begun to wonder if the secret of living well is not in having all the answers but in pursuing unanswerable questions in good company.

Life wastes nothing. Over and over again every molecule that has ever been is gathered up by the hand of life to be reshaped into yet another form. p 259

Suffering shapes the life force, sometimes into anger, sometimes into blame and self-pity. Eventually it may show us the wisdom of embracing and loving life.

Facts bring us to knowledge, but stories lead to wisdom.

In avoiding all pain and seeking comfort at all cost, we may be left without intimacy or compassion; in rejecting change and risk we often cheat ourselves of the quest; in denying our suffering we may never know our strength or our greatness.

The places in which we are seen and heard are holy places. They remind us of our value as human beings. They give us the strength to go on.

A label is a mask life wears. We put labels on life all the time. "Right," "wrong," "success," "failure," "lucky," "unlucky," may be as limiting a way of seeing things as "diabetic," "epileptic," "manic-depressive," or even "invalid." Labeling sets up an expectation of life that is often so compelling we can no longer see things as they really are. This expectation often gives us a false sense of familiarity toward something that is really new and unprecedented. We are in relationship with our expectations and not with life itself.

Of course love is never earned. It is a grace we give one another. Anything we need to earn is only approval.

I have learned that the things that divide us are far less important than those that connect us.

Reclaiming ourselves usually means coming to recognize and accept that we have in us both sides of everything. We are capable of fear and courage, generosity and selfishness, vulnerability and strength. These things do not cancel each other out but offer us a full range of power and response to life. Life is as complex as we are. Sometimes our vulnerability is our strength, our fear develops our courage, and our woundedness is the road to our integrity. It is not an either/or world. It is a real world. In calling ourselves "heads" or "tails," we may never own and spend our human currency, the pure gold of which our coin is made. But judgment may heal over time. One of the blessings of growing older is the discovery that many of the things I once believed to be my shortcomings have turned out in the long run to be my strengths, and other things of which I was unduly proud have revealed themselves in the end to be among my shortcomings. Things that I have hidden from others for years turn out to be the anchor and enrichment of my middle age. What a blessing it is to outlive your self-judgments and harvest your failures.

Perhaps we are no longer a kind people. More and more, we seem to have become numb to the suffering of others and ashamed of our own suffering. Yet suffering is one of the universal conditions of being alive. We all suffer. We have become terribly vulnerable, not because we suffer but because we have separated ourselves from each other.

Those who don't love themselves as they are rarely love life as it is either. Most people have come to prefer certain of life's experiences and deny and reject others, unaware of the value of the hidden things that may come wrapped in plain or even ugly paper. In avoiding all pain and seeking comfort at all cost, we may be left without intimacy or compassion; in rejecting change and risk we often cheat ourselves of the quest; in denying our suffering we may never know our strength or our greatness. Or even that the love we have been given can be trusted. It is natural, even instinctive to prefer comfort to pain, the familiar to the unknown. But sometimes our instincts are not wise. Life usually offers us far more than our biases and preferences will allow us to have. Beyond comfort lie grace, mystery, and adventure. We may need to let go of our beliefs and ideas about life in order to have life.

We burn out not because we don't care but because we don't grieve. We burn out because we have allowed our hearts to become so filled with loss that we have no room left to care.

When I have forgiven myself and remembered who I am, I will bless everyone and everything I see.” The way to freedom often lies through the open heart.

There is a Sufi story about a man who is so good that the angels ask God to give him the gift of miracles. God wisely tells them to ask him if that is what he would wish. So the angels visit this good man and offer him first the gift of healing by hands, then the gift of conversion of souls, and lastly the gift of virtue. He refuses them all. They insist that he choose a gift or they will choose one for him. "Very well," he replies. "I ask that I may do a great deal of good without ever knowing it." The story ends this way: The angels were perplexed. They took counsel and resolved upon the following plan: Every time the saint's shadow fell behind him it would have the power to cure disease, soothe pain, and comfort sorrow. As he walked, behind him the shadow made arid paths green, caused withered plants to bloom, gave clear water to dried up brooks, fresh color to pale children, and joy to unhappy men and women. The saint simply went about his daily life diffusing virtue as the stars diffuse light and the flowers scent, without ever being aware of it. The people respecting his humility followed him silently, never speaking to him about his miracles. Soon they even forgot his name and called him "the Holy Shadow.

I am no longer as inspired by expertise as I once was. Perhaps the worth of any lifetime is measured more in kindness than in competency.

Sometimes just being in someone's presence is strong medicine.

Most of the things that give life its depth, meaning, and value are impervious to science.

The marks life leaves on everything it touches transform perfection into wholeness. Older, wiser cultures choose to claim this wholeness in the things that they create. In Japan, Zen gardeners purposefully leave a fat dandelion in the midst of the exquisite, ritually precise patterns of the meditation garden. In Iran, even the most skilled of rug weavers includes an intentional error, the “Persian Flaw,” in the magnificence of a Tabriz or Qashqai carpet…and Native Americans wove a broken bead, the “spirit bead,” into every beaded masterpiece. Nothing that has a soul is perfect. When life weaves a spirit bead into your very fabric, you may stumble upon a wholeness greater than you had dreamed possible before.

Over the years I have learned that "cleaning up one's act" may be far less important than consecrating one's life. It may be possible to use everything. A ruthless man may be able to open doors that a more kindly and traditionally spiritual person could knock on forever. Without judgment, many things can be made holy.

It is actually difficult to edit life. Especially in regard to feelings. Not being open to anger or sadness usually means being unable to be open to love and joy. The emotions seem to operate with an all-or-nothing switch.

Freedom may come not from being in control of life but rather from a willingness to move with the events of life, to hold on to our memories but let go of the past, to choose, when necessary, the inevitable. We can become free at any time.

All life has in it the dimension of the Unknown; it is a thing forever unfolding. It seems important to consider the possibility that science may have defined life too small. If we define life too small, we will define ourselves too small as well.

I think prayer may be less about asking for the things we are attached to than it is about relinquishing our attachments in some way. It can take us beyond fear, which is an attachment, and beyond hope, which is another form of attachment. It can help us remember the nature of the world and the nature of life, not on an intellectual level but in a deep and experimental way. When we pray, we don't change the world, we change ourselves. We change our consciousness. We move from an individual, isolated making-things-happen kind of consciousness to a connection on the deepest level with the largest possible reality.

As a physician, I was trained to deal with uncertainty as aggressively as I dealt with disease itself. The unknown was the enemy. Within this worldview, having a question feels like an emergency; it means that something is out of control and needs to be made known as rapidly, efficiently, and cost-effectively as possible. But death has taken me to the edge of certainty, to the place of questions. After years of trading mystery for mastery, it was hard and even frightening to stop offering myself reasonable explanations for some of the things that I observed and that others told me, and simply take them as they are. "I don't know" had long been a statement of shame, of personal and professional failing. In all of my training I do not recall hearing it said aloud even once. But as I listened to more and more people with life-threatening illnesses tell their stories, not knowing simply became a matter of integrity. Things happened. And the explanations I offered myself became increasingly hollow, like a child whistling in the dark. The truth was that very often I didn't know and couldn't explain, and finally, weighed down by the many, many instances of the mysterious which are such an integral part of illness and healing, I surrendered. It was a moment of awakening. For the first time, I became curious about the things I had been unwilling to see before, more sensitive to inconsistencies I had glibly explained or successfully ignored, more willing to ask people questions and draw them out about stories I would have otherwise dismissed. What I have found in the end was that the life I had defended as a doctor as precious was also Holy. I no longer feel that life is ordinary. Everyday life is filled with mystery. The things we know are only a small part of the things we cannot know but can only glimpse. Yet even the smallest of glimpses can sustain us. Mystery seems to have the power to comfort, to offer hope, and to lend meaning in times of loss and pain. In surprising ways it is the mysterious that strengthens us at such times. I used to try to offer people certainty in times that were not at all certain and could not be made certain. I now just offer my companionship and share my sense of mystery, of the possible, of wonder. After twenty years of working with people with cancer, I find it possible to neither doubt nor accept the unprovable but simply to remain open and wait. I accept that I may never know where truth lies in such matters. The most important questions don't seem to have ready answers. But the questions themselves have a healing power when they are shared. An answer is an invitation to stop thinking about something, to stop wondering. Life has no such stopping places, life is a process whose every event is connected to the moment that just went by. An unanswered question is a fine traveling companion. It sharpens your eye for the road.

Few perfectionists can tell the difference between love and approval. Perfectionism is so widespread in this culture that we actually have had to invent another word for love. 'Unconditional love,' we say. Yet, all love is unconditional. Anything else is just approval.

While an impulse toward wholeness is natural and exists in everyone, each of us heals in our own way. Some people heal because they have work to do. Others heal because they have been released from their work and the pressures and expectations that others place on them. Some people need music, others need silence, some need people around them, others heal alone. Many different things can activate and strengthen the life force in us. For each of us there are conditions of healing that are as unique as a fingerprint. Sometimes people ask me what I do in my sessions with patients. Often I just remind people of the possibility of healing and study their own way of dealing with them.

Wholeness is never lost, it is only forgotten. Integrity rarely means that we need to add something to ourselves: it is more an undoing than a doing, a freeing ourselves from beliefs we have about who we are and ways we have been persuaded to 'fix' ourselves to know who we genuinely are.

Inner peace is more a question of cultivating perspective, meaning, and wisdom even as life touches you with its pain.

Much of life can never be explained but only witnessed.

Grieving is a way of self-care.

The best stories have many meanings; their meaning changes as our capacity to understand and appreciate meaning grows.

If we fear loss enough, in the end the things we possess will come to possess us.

Was it possible to live so defensively that you never got to live at all?

To seek approval is to have no resting place, no sanctuary. Like all judgment, approval encourages a constant striving. It makes us uncertain of who we are and of our true value. This

Often times of crisis are times of discovery, periods when we cannot maintain our old ways of doing things and enter into a steep learning curve. Sometimes it takes a crisis to initiate growth.

Attachment is a reflex, an automatic response which often may not reflect our deepest good. Commitment is a conscious choice, to align ourselves with our most genuine values and our sense of purpose.

Dr. Rachel Remen, founder of the Institute for the Study of Health and Illness, writes: “Real stories take time. We stopped telling stories when we started to lose that sort of time, pausing time, reflecting time, wondering time. Life rushes us along and few people are strong enough to stop on their own. Most often, something unforeseen stops us and it is only then we have the time to take a seat.

We are, in a certain way, defined as much by our potential as by its expression. There is a great difference between an acorn and a little bit of wood carved into an acorn shape, a difference not always readily apparent to the naked eye. The difference is there even if an acorn never has the opportunity to plant itself and become an oak. Remembering its potential changes the way in which we think of an acorn and react to it. How we value it. If an acorn were conscious, knowing its potential would change the way it might think and feel about itself. The Hindus use the greeting "Namaste" instead of our more noncommittal "Hello." The connotation of this is roughly, whatever your outer appearance, I see and greet the soul in you. There is a wisdom in such ways of relating. Sometimes we can best help other people by remembering that what we believe about them may be reflected back to them in our presence and may affect them in ways we do not fully understand. Perhaps a sense of possibility is communicated by our tone of voice, facial expression, or certain choice of words . . . Holding and conveying a sense of possibility does not mean making demands or having expectations. It may mean having no expectations, but simply being open to whatever promise the situation may hold and remembering the inability of anyone to know the future. Thoreau said that we must awaken and stay awake not by mechanical means, but by a constant expectation of the dawn. There's no need to demand the dawn, the dawn is simply a matter of time. And patience. And the dawn may look quite different from the story we tell ourselves about it. My experience has shown me the wisdom of remaining open to the possibility of growth in any and all circumstances, without ever knowing what shape that growth may take.

The way in which we go to the grocery store may tell us everything about the way in which we live a life. The way we tend the life force in a plant may be the way we tend our own life force. We are exquisitely coherent.

Sometimes when I ask people to tell me their story they tell me about their achievements, what they have acquired or built over a lifetime. So many of us do not know our own story. A story about who we are, not what we have done. About what we have faced to build what we have built, what we have drawn upon and risked to do it, what we have felt, thought, feared, and discovered through the events of our lives. The real story that belongs to us alone.

When we approve of people, we sit in judgment of them as surely as when we criticize them. ...To seek approval is to have no resting place, no sanctuary. Like all judgment, approval encourages a constant striving. It makes us uncertain of who we are and of our true value. This is as true of the approval we give ourselves as it is of the approval we offer others. Approval can't be trusted. It can be withdrawn at any time no matter what our track record has been. It is as nourishing of real growth as cotton candy. Yet many of us spend our lives pursuing it.

Human being" is more a verb than a noun. Each of us is unfinished, a work in progress. Perhaps it would be most accurate to add the word "yet" to all our assessments of ourselves and each other . . . If life is process, all judgments are provisional, we can't judge something until it is finished. No one has won or lost until the race is over . . . In our instinctive attachments, our fear of change, and our wish for certainty and permanence, we may undercut the impermanence which is our greatest strength, our most fundamental identity. Without impermanence, there is no process. The nature of life is change. All hope is based on process . . . It is taken me somewhat longer to recognize that a diagnosis is simply another form of judgment. Naming a disease has limited usefulness. It does not capture life or even reflect it accurately. Illness, on the other hand, is a process, like life is. Much in the concept of diagnosis and cure is about fixing, and the narrow-bore focus on fixing people's problems can lead to denial of the power of their process. Years ago, I took full credit when people became well; their recovery was testimony to my skill and knowledge as a physician. I never recognized that without their biological, emotional, and spiritual process which could respond to my interventions, nothing could have changed at all. All the time I thought I was repairing, I was collaborating.

One of the reasons many physicians feel drained by their work is that they do not know how to make an opening to receive anything from their patients. The way we were trained, receiving is considered unprofessional. The way most of us were raised, receiving is considered a weakness.

Before every session, I take a moment to remember my humanity. There is no experience that this man has that I cannot share with him, no fear that I cannot understand, no suffering that I cannot care about, because I too am human. No matter how deep his wound, he does not need to be ashamed in front of me. I too am vulnerable. And because of this, I am enough.

Tikkun Olam. There is a Jewish legend behind this notion. Sometime early in the life of the world, something happened to shatter the light of the universe into countless pieces. They lodged as sparks inside every part of the creation. The highest human calling is to look for this original light from where we sit, to point to it and gather it up and in so doing to repair the world. This can sound like an idealistic and fanciful tale. But Dr. Rachel Naomi Remen, who told it to me as her Hasidic grandfather told it to her, calls it an important and empowering story for our time. It insists that each one of us, flawed and inadequate as we may feel, has exactly what’s needed to help repair the part of the world that we can see and touch.

I suspect that the most basic and powerful way to connect with another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention. And especially if it's from the heart. When people are talking, there's no need to do anything but receive them. Just take them in. Listen to what they're saying. Care about it. Most times caring about it is even more important than understanding it.

Perhaps winning requires that we love the game unconditionally. Life provides all the pieces. When I accepted certain parts of life and denied and ignored the rest, I could only see my life a piece at a time - the happiness of a success or a time of celebration, or the ugliness and pain of a loss or a failure I was trying hard to put behind me out of sight. But like the dark pieces of the puzzle, these sadder events, painful as they are, have proven themselves a part of something larger.

: Whether we are aware of it or not, we will refine the quality of our humanity throughout the course of our lives. More and more, people seek spiritual techniques to help them do this. But joy and suffering will do this for you, too. Every lifetime offers countless opportunities to become more whole. Life offers its wisdom generously. Everything teaches. Not everyone learns. Life asks of us the same thing we have been asked in every class: "Stay awake." "Pay attention." But paying attention is no simple matter. It requires us not to be distracted by expectations, past experiences, labels, and masks. It asks that we not jump to early conclusions and that we remain open to surprise. Wisdom comes most easily to those who have the courage to embrace life without judgment and are willing to not know, sometimes for a long time. It requires us to be more fully and simply alive than we have been taught to be. It may require us to suffer. But ultimately we will be more than we were when we began.

Along the way, I learned the Jewish concept of tikkun olam, which means 'the healing of the world' and is accomplished through presence in the midst of pain. It can be summarized in the phrase "I'm here with you and I love you" and is accomplished through simple acts of presence. It became a rallying cry for me in my work as a funeral director. Rachel Naomi Remen, in an interview with Krista Tippett, describes it as 'a collective task. It involves all people who have ever been born, all people presently alive, all people yet to be born. We are all healers of the world...It's not about healing the world by making a huge difference. It's about the world that touches you.' Presence and proximity before performance. As I took that to heart, I started to see small, everyday examples of tikkun olam everywhere. When a mother comforts a child, she's healing the world. Every time someone listens to another - deeply listens - she's healing the world. A nurse who bathes the weakened body of an elderly patient is healing the world. The teacher who invests herself in her students is healing the world. The plumber who makes the inner workings of a house run smoothly is healing the world. A funeral director who finds that he can heal the world even at his family's business. When we practice presence and proximity, we may not change anyone, we may not shift culture or move mountains, but it's a healing act, if for none other than ourselves. When we do our work with kindness - no matter what kind of work - if we're doing it with presence, we're practicing tikkun olam.

A colleague told me that he thinks of his life as an orchestra. Reclaiming his integrity reminds him of that moment before the concert when the concertmaster asks the oboist to sound an A. 'At first there is chaos and noise as all parts of the orchestra try to align themselves with that note. But as each instrument moves closer and closer to it, the noise diminishes and when they all finally sound it together, there is a moment of rest, of homecoming.' 'That is how it feels to me,' he told me. 'I am always tuning my orchestra. Somewhere deep inside there is a sound that is mine alone, and I struggle daily to hear it and tune my life to it. Sometimes there are people and situations that help me to hear my note more clearly; other times, people and situations make it harder for me to hear. A lot depends on my commitment to listening and my intention to stay coherent with this note. It is only when my life is tuned to my note that I can play life's mysterious and holy music without tainting it with my own discordance, my own bitterness, resentment, agenda, and fears.' Deep inside, our integrity sings to us whether we are listening or not. It is a note that only we can hear.

The silence in the giant redwood forest near my house draws me...At eight in the morning, the great trees stand rooted in a silence so absolute that one's inmost self comes to rest. An aged silence. Some mornings I sleep through two alarms and awaken only after the first buses have arrived. I go anyway. There are hundreds of people in the woods before me. People speaking French, German, Spanish; people marveling to each other and calling to their children in Japanese, Swedish, Russian, and some languages I do not know. And children shrieking in the universal language of childhood. But the silence is always there, unchanged. It is as impervious to these passing sounds as the trees themselves.

Over the years I have seen the power of taking an unconditional relationship to life. I am surprised to have found a sort of willingness to show up for whatever life may offer and meet with it rather than wishing to edit and change the inevitable...When people begin to take such an attitude, they seem to become intensely alive, intensely present. Their losses and suffering have not caused them to reject life, have not cast them into a place of resentment, victimization, or bitterness. From such people, I have learned a new definition of the word 'joy.' I had thought joy to be rather synonymous with happiness, but it seems now to be far less vulnerable than happiness. Joy seems to be part of an unconditional wish to live, not holding back because life may not meet our preferences and expectations. Joy seems to be a function of the willingness to accept the whole, and to show up to meet with whatever is there. It has a kind of invincibility that attachment to any particular outcome would deny us. Rather than the warrior who fights toward a specific outcome and therefore is haunted by the specter of failure and disappointment, it is the lover drunk with the opportunity to love despite the possibility of loss, the player for whom playing has become more important than winning or losing. The willingness to win or lose moves us out of an adversarial relationship to life and into a powerful kind of openness. From such a position, we can make a greater commitment to life. Not only pleasant life, or comfortable life, or our idea of life, but all life. Joy seems more closely related to aliveness than happiness. The strength that I notice developing in many of my patients and in myself after all these years could almost be called a form of curiosity. What one of my colleagues calls fearlessness. At one level, of course, I fear outcome as much as anyone. But more and more I am able to move in and out of that and to experience a place beyond preference for outcome, a life beyond life and death. It is a place of freedom, even anticipation. Decisions made from this perspective are life-affirming and not fear-driven. It is a grace.

Wholeness lies beyond perfection. Perfection is only an idea. For most experts and many of the rest of us it has become a life goal...A perfectionist sees life as if it were one of those little pictures that used to appear in the newspapers over the caption "What's wrong with this picture?" If you looked at the picture carefully you would see that the table only had three legs or the house had no door. I remember the "Aha!" that these pictures evoked in me as a child. I wonder now why anyone would want to take such satisfaction in seeing what is missing, what is wrong, what is "broken." The pursuit of perfection has become a major addiction of our time. Fortunately, perfectionism is learned...which is why it's possible to recover.

For more than twenty years I have offered a very simple yet powerful ritual to people before their radiation, chemotherapy, or surgery. I suggest they meet together with some of their closest friends and family the day before their procedure. Before this meeting, I suggest they find an ordinary stone, a piece of the earth, big enough to fit in the palm of their hand, and bring it to the meeting with them. The ritual begins by having everyone sit in a circle. In any order they wish to speak, each person tells the story of a time when they too faced a crisis. People may talk about the death of important persons, the loss of jobs or of relationships, or even about their own illnesses. The person who is speaking holds the stone the patient has brought. When they finish telling their story of survival, they take a moment to reflect on the personal quality that they feel helped them come through that difficult time. People will say things such as, 'What brought me through was determination,' 'What brought me through was faith,' 'What brought me through was humor.' When they have named the quality of their strength, they speak directly to the person preparing for surgery or treatment, saying, 'I put determination into this stone for you,' or, 'I put faith into this stone for you.' After everyone has spoken the stone is given back to the patient, who takes it with them to the hospital, to keep nearby and hold in their hand when things get hard. In an environment which is highly technical and sterile, it connects them to the earth and to each other.

A human life has seasons much as the earth has seasons, each time with its own particular beauty and power. And gift. By focusing on springtime and summer, we have turned the natural process of life into a process of loss rather than a process of celebration and appreciation. Life is neither linear nor is it stagnant. It is movement from mystery to mystery. Just as a year includes autumn and winter, life includes death, not as an opposite but as an integral part of the way life is made. The denial of death is the most common way we all edit life. Despite the power of technology to reveal to us the nature of this world, death remains the ultimate unknown, impervious to the prodding finger of science. We might well ask if anything which cannot be addressed in scientific terms is really worthy of our attention. Yet most of the things that give life its depth, meaning, and value are impervious to science.

Seeing the life force in human beings brings medicine [and education and healing] closer to gardening than to carpentry. I don't fix a rosebush. A rosebush is a living process, and as a student of that process, I can learn to prune, to nurture and cooperate with it in ways that allow it best to 'happen,' to maximize the life force in it even in the presence of disease [and difficulty and pain]. Simply trusting process has a great power. A colleague of mine was telling me about the birth of her grandchild. At one point in a long and difficult labor, her daughter had called out to her for help. My colleague experienced this as a moment of impotence, feeling that there was nothing that she could do to fix things. She had sat there holding her child's hand, trusting the process of birth and feeling that this was not enough. But perhaps it is. The trust of process that comes from personal knowledge and experience is really the foundation of helping and comforting one another. Without it all of our actions are driven by fear. Fear is the friction in all transitions.

While attachment has its source in the personality, in what the Buddhists refer to as the 'desire nature,' commitment comes from the soul. In relationship to life, just as in human relationships, attachment closes down options, commitment opens them up. Modern life has made us people of attachment rather than people of commitment. Indeed, many people have found that it is difficult to tell the difference between attachment and commitment in their own lives. Yet attachment leads farther and farther into entrapment. Commitment, though it may sometimes feel constricting, will ultimately lead to greater degrees of freedom. Both involve in the moment an experience of holding, sometimes against the flow of events or against temptation. One can distinguish between the two in most situations by noticing over time whether one has moved through this activity or this relationship closer to freedom or closer to bondage. Attachment is a reflex, an automatic response which often may not reflect our deepest good. Commitment is a conscious choice, to align ourselves with our most genuine values and our sense of purpose.

We may need to take our labels and our experts far more lightly. Some years ago...[I heard of] a farmer who had done exceptionally well despite a dire prognosis. He had taken the same attitude toward his physician's prognosis that he took toward the words of the government soil experts who analyzed his fields. As they were educated men, he respected them and listened carefully as they showed him the findings of their tests and told him that the corn would not grow in this field. He valued their opinions. But, as he said, 'A lot of the time, the corn grows anyway.' What would it be like if more people allowed for the presence of the unknown, and accepted the words of experts in this same way? Like a diagnosis, a label is an attempt to assert control and manage uncertainty. It may allow us the security and comfort of a mental closure and encourage us not to think about things again. But life never comes to a closure, life is process, even mystery. Life is known only by those who have found a way to be comfortable with change and the unknown. Given the nature of life, there may be no security, but only adventure.

pinecone in her hands move as if it had become her own living heart. Deeply shaken, she looked up for the first time and found an unmistakable Presence in the center of the labyrinth, waiting for her. For just the briefest moment she could see Him quite clearly. His heart was open, a place of refuge for all who suffer. It had been broken open by the suffering in the world in the same way hers had been. Suddenly she understood why others had come to her for refuge since her childhood. The suffering she was able to feel had made her trustworthy. She stumbled the last few steps into the center of the labyrinth, knelt down, and for the first time since she was a child, she wept. In a talk about compassion, a former teacher of mine once said that practice prepares the mind, but suffering prepares the heart. Perhaps the final step in the healing of all wounds is the discovery of the capacity for compassion, an intuitive knowing that no one is singled out in their suffering, that all living beings are vulnerable to loss, attachment, and limitation. It is only in the presence of compassion that we can show our wounds without diminishing our wholeness. The Dalai Lama has said that “compassion occurs only between equals.” For those who have compassion, woundedness is not a place of judgment but a place of genuine meeting.

She walked on in this way for several more minutes and at last came to a place in the labyrinth close to the circumference of the circle where the path unexpectedly turns sharply to the right. As you turn, you discover that you have reached the end of the path and a few more steps will take you to the center of the circle. Turning to the right, Glory suddenly felt the pinecone in her hands move as if it had become her own living heart. Deeply shaken, she looked up for the first time and found an unmistakable Presence in the center of the labyrinth, waiting for her. For just the briefest moment she could see Him quite clearly. His heart was open, a place of refuge for all who suffer. It had been broken open by the suffering in the world in the same way hers had been. Suddenly she understood why others had come to her for refuge since her childhood. The suffering she was able to feel had made her trustworthy. She stumbled the last few steps into the center of the labyrinth, knelt down, and for the first time since she was a child, she wept. In a talk about compassion, a former teacher of mine once said that practice prepares the mind, but suffering prepares the heart. Perhaps the final step in the healing of all wounds is the discovery of the capacity for compassion, an intuitive knowing that no one is singled out in their suffering, that all living beings are vulnerable to loss, attachment, and limitation. It is only in the presence of compassion that we can show our wounds without diminishing our wholeness. The Dalai Lama has said that “compassion occurs only between equals.” For those who have compassion, woundedness is not a place of judgment but a place of genuine meeting.

Helene was a person who had never been able to ask for help, and she couldn't ask for help now. She turned north and started walking toward her home, many miles away in San Rafael. It took her almost eight hours to reach there. After a short time her feet began to hurt, so she took off the heels and throw them away. As she walked on, her nylons tore and her feet began to bleed. She passed buildings that had collapsed, stumbled over rubble, waded through streets filled with filthy water from the fire-fighting efforts. Dirty, sweaty, and disheveled, she walked down the Marina to the Golden Gate Bridge and crossed it into the next county. She reached her home sometime after midnight and knocked on her own front door. It was opened by her fiance, who had never before seen her with her hair uncombed. Without a word, he took her into his arms, kicked the door closed, covered her dirty, tearstained face with kisses, and made love to her right there on the floor. Helene is a very intelligent person but she could not understand why she had never met this ardent lover before. When she asked him, he said simply, 'I was always afraid of smearing your lipstick.' She tells me that now when she begins to relapse into her former perfectionism, she remembers the look of love in her fiance's eyes when he opened the door. She had been looked at by men all of her life but she had never seen that expression in a man's eyes before. At the heart of any real intimacy is a certain vulnerability. It is hard to trust someone with your vulnerability unless you can see in them a matching vulnerability and know that you will not be judged. In some basic way it is our imperfections and even our pain that draws others close to us.

painful

across its chest. I examined Immy carefully. Her heart sounds bore no resemblance whatever to the organized sounds of a normal heart. Once again, I marveled at her endurance. As I helped her to dress, I noticed a Saint Christopher medal pinned to her tiny pink undershirt. “What is this?” I asked her parents. Hesitantly her mother told me that a family member had made a special trip to Rome to have the medal blessed and then dipped into the healing waters at Lourdes. “We feel that it will protect her,” she said simply. Her husband nodded. I was touched.

Immy spent the next day or two undergoing tests, and I saw her several more times. The medal had been moved from her shirt to her hospital gown. It had seemed so important to her parents that I mentioned it in passing to the cardiac surgery resident as we sat writing chart notes in the nursing station on the evening before the surgery. He gave me a cynical smile. “Well, to each his own,” he said. “I put my faith in Dr. X,” he said, mentioning the name of the highly respected cardiac surgeon who would be heading Immy’s surgical team in the morning. “I doubt he needs much help from Lourdes.” I made a note to myself to be sure to take the medal off Immy’s gown before she went to surgery in the morning so it wouldn’t get lost in the OR or the recovery room. But I spent that morning in the emergency room, as part of

team working on two children who had been thrown from the back of their father’s pickup truck onto the roadway. By the time I reached the floor, Immy had been taken upstairs to surgery. The surgery had lasted almost twelve hours, and things had not gone well. The bypass pump, a relatively new technology, had malfunctioned for several minutes and Immy had lost a great deal of blood. She was on a respirator, unconscious and unresponsive, in the Intensive Care Unit. On the day after surgery, Immy’s mother told me in a shaking voice that Immy’s gown had been removed in the operating room and thrown into the hospital laundry. The medal was gone. Concerned, I called the surgery resident and told him what had happened. “Why are you telling me this?” he asked me.

Perhaps you should tell Dr. X,” I told him. He began to laugh. “Don’t be absurd,” he said. That night I could not sleep. At two in the morning I dressed and returned to the hospital to look in on Immy. She was no better. Her parents had not left the ICU waiting room, and several other family members had joined them there. We sat together talking for awhile, but I had no news and could offer little comfort. My heart ached for them and for Immy. Back in the house staff residence, once again I undressed for bed, but I still could not sleep. I kept thinking of the lost medal and what Immy’s parents had told me. At last, I took some paper and wrote to Dr. X, telling him what had happened and how important the medal was to Immy’s family. Folding the note in half, I dressed once more and went back to

the hospital to tape it to the closed door of Dr. X’s office. I had signed it and on the way back to my bed I began to worry. What if I had done something really foolish? If the surgical resident didn’t care about such things, why should Dr. X? I was off call the next day and, exhausted, I spent most of the time asleep. When I returned to the hospital for the evening shift, the pediatric day resident told me that Immy was no better. For the next few hours I took care of whatever was most urgently needed on the service, but later in the evening I stopped by the Intensive Care Unit to examine Immy and speak with her family. I found her parents in the waiting room. Together we went to see Immy. She was still unconscious. Leaning over to listen to her chest, I suddenly noticed a medal pinned to her hospital gown. Turning to her parents in relief, I asked if it was another one. “No,” her mother said, “it was the same one that was lost.” Dr. X had come that afternoon and brought it to them. I told them how glad I was that it had been found. “Yes,” her father said. “We are too.” Then he smiled. “She is safe now, no matter what happens,” he told me.

to her parents in relief, I asked if it was another one. “No,” her mother said, “it was the same one that was lost.” Dr. X had come that afternoon and brought it to them. I told them how glad I was that it had been found. “Yes,” her father said. “We are too.” Then he smiled. “She is safe now, no matter what happens,” he told me. The following morning, the surgery resident told me how the medal had been found. On the previous day, Dr. X had made his patient care rounds much as usual, followed by a dozen of the young surgeons he was training. But instead of ending the rounds in the ICU, he had taken them all to the laundry department in the subbasement of the hospital. There, he explained what had happened, and then he and all his residents and fellows had gone through the pediatric laundry from the day before

looking for Immy’s gown. It had taken half an hour but they had found it, neatly folded, with the medal still attached. I was astonished. “The people who work in the laundry room must have been very surprised to see you all there, and especially with Dr. X himself. Did he say why he asked you to do this?” “Oh, yes,” the resident replied. Surrounded by mountains of clean sheets and towels, Dr. X had told the elite young surgeons he was training that it was as important to care for people’s souls as it was to care for their hearts.

LOST AND FOUND IMMY WAS A frail little girl, the only child of older parents. At three, she was only as big as the average eighteen-month-old toddler. She was unable to walk more than a few blocks without tiring and did not have the strength to play games you could not play sitting down. A desperately wanted and long-awaited baby, she had been born with a hole in her heart and a badly formed heart valve. Only the most careful medical management had helped her

to live until she was big enough to undergo extensive open-heart surgery. She had been followed since birth in our Pediatric Cardiology Clinic at the New York Hospital, and many of the pediatricians knew her and her family. Despite her physical difficulties she took full possession of all the hearts around her, including mine. When the time for her surgery finally came, her parents were deeply anxious. These were early days for many cardiac surgery techniques, and the risks were considerable, but without surgery, she would not survive childhood. As the senior pediatric resident, I met with Immy’s parents before the surgery to do an intake interview and summarize Immy’s long story. They were committed and ready and very pale. As we spoke, they sat close together holding hands. Afterward I took them

with me to the children’s ward to examine Immy. She greeted us with her wonderful take-no-prisoners smile. She was holding a new teddy bear. Someone had put a white bandage across its chest. I examined Immy carefully. Her heart sounds bore no resemblance whatever to the organized sounds of a normal heart. Once again, I marveled at her endurance. As I helped her to dress, I noticed a Saint Christopher medal pinned to her tiny pink undershirt. “What is this?” I asked her parents. Hesitantly her mother told me that a family member had made a special trip to Rome to have the medal blessed and then dipped into the healing waters at Lourdes. “We feel that it will protect her,” she said simply. Her husband nodded. I was touched. Immy spent the next day or two undergoing tests, and I saw her several more times.

The medal had been moved from her shirt to her hospital gown. It had seemed so important to her parents that I mentioned it in passing to the cardiac surgery resident as we sat writing chart notes in the nursing station on the evening before the surgery. He gave me a cynical smile. “Well, to each his own,” he said. “I put my faith in Dr. X,” he said, mentioning the name of the highly respected cardiac surgeon who would be heading Immy’s surgical team in the morning. “I doubt he needs much help from Lourdes.” I made a note to myself to be sure to take the medal off Immy’s gown before she went to surgery in the morning so it wouldn’t get lost in the OR or the recovery room. But I spent that morning in the emergency room, as part of

Most of us experience the same event very differently. We have seen it in our own unique way and the story we tell has more than a bit of ourselves in it. Truth is highly subjective. All

Medicine is as close to love as it is to science, and its relationships matter even at the edge of life itself.

If I am not for me, then who is for me? If I am just for me, then who am I? And if not now, then when?

After all these years of listening it seems to me that the essential quality of the human soul is uniqueness. Each of us is one of a kind. None of us has existed in the history of the human race before.