Wednesday, December 10, 2014

Eyes Wide Open

Two weeks ago, I participated in a "Learn to Meditate" course at the Shambhala Mountain Center outside of Ft. Collins, Colorado. One day, I hope to be able to look back at this weekend and identify it as a turning point.

I have a great life, am generally happy and healthy, and don't really feel the need for a dramatic external shift in direction. But I'm looking for something more, some internal direction, something concrete regarding my purpose in this ever-shortening life. Problem is, I have a real problem trusting anybody who claims to have "It" all figured out. My sense is that "It" must be at once so paradigm-shiftingly profound yet so simple as to be accessible to me this instant without any further training or guidance, and yet for some reason "It" is still invisible to me and pretty much everyone else on earth. How can that be?

I'm not ever expecting to find the "right" answer, the One True Church, the secret password that will let me pierce the veil, or to experience an orgiastic moment of life-altering enlightenment. I'm simply hoping that, from the rubble of my prior Mormon faith, from the thrill and agoraphobia of this new life without obvious spiritual boundaries, I can find something solid enough to build a life upon and raise a family, and to have it all mean something before I kick the bucket in another forty-five years or so, barring, of course, our assimilation by machines.

For a long time, I've been craving spiritual wisdom, delivered by a good-hearted mentor who walks the walk. I think I found one at Shambhala Mountain Center: Greg Smith, our meditation teacher. Greg, with a quintessential American name, is anything but typical. He is a Buddhist artist who lives at the foot of the Great Stupa (Buddhist temple) that is the resplendent, totally unexpected jewel of the Center, tucked away at the far end of the land among some pine covered hills. Greg has lived there for decades, and in fact painted most of the interior panels of the Stupa. He has a calm, kindly, assured demeanor. He looks like the guy you'd want to teach you how to meditate.
The course was Friday afternoon to Sunday afternoon. I chose to stay on site in a "monk room." (Note: not a "monkey room", which may have been more fun but less enlightening.) The monk room is small: a bed, four walls, one window, two lamps, and no decor. A shared bathroom. No TV, phone or other distractions.

But being a modern sort of Buddhist center, they do have wi-fi. My first choice of the weekend was, embarrassingly, one of the hardest: should I turn off my phone? I was expecting a few important emails, and what if my wife had to reach me? But after pondering the decision an absurdly long time, I called Elizabeth one last time, told her I'd call her again on Sunday afternoon on the way home, said goodnight to the kiddos, and then I shut the darn thing off, which is what perhaps made possible everything else that was to happen that weekend. I was here to learn to calm my mind, and I wanted to get my money's worth, which required shutting off the constant flow of distraction that emanated from my phone. There was a real sense of withdrawal the first night: not checking my email, not feeling the buzz on my hip that gave me the sense that I was important, that I needed to be instantly accessible to people, that I could find the answer to any possible question within seconds. But once my hands stopped shaking and I stopped sweating, I settled into the blissful feeling of being unplugged, maybe for the first time in years. Maybe now there would be some space in which my mind and spirit could breathe.

I reported to the dining hall for dinner. The food all weekend was healthy and tasty. I met my fellow meditation classmates. Felt an instant bond. These seemed like my tribe: seekers, westerners, educated, a handful of doctors and nurses, middle-aged, looking for truth, open-minded yet appropriately skeptical. And mostly nice, good-hearted, altogether decent human beings.

From there we went to meet Greg and his assistant teacher, Margo, in the Sacred Studies Hall, a large room with wood floors and ample windows offering views of the snowy pine-covered hills. In the middle was an ornate stand with flowers, candles, and portraits of the two Buddhist teachers, a father and son, who, I was to learn, are the guiding lights of Shambhala Buddhism. There was an empty chair next to the stand, symbolizing their enduring presence, and then another chair for the current teacher, and next to it a meditation cushion. Arranged in three rows in the center of the floor were twenty-five other Gomden meditation cushions--cloth-covered foam blocks--resting on padded meditation mats.

The first order of business was learning the proper posture and mechanics for meditation. That seemed like a small thing at first, but by the end of the weekend, I realized how vital it was. Meditation takes physical stamina. I learned to stack another cushion on my Gomden so that when sitting cross-legged my knees would fall below my hips. This one trick saved my spine. Ankles crossed, hands on thighs, pelvis rolled forward to stack the vertebrae appropriately. And then, surprise . . . eyes remain open.

This one threw me, but I soon learned the true power of it. My previous conception of meditation was invariably with eyes closed. How else to still your mind from the constant visual distractions? How else to escape to that elusive place of stillness? Eyes closed is the type of meditation that I do in shavasana after yoga, and I love it. More of an escape from my mind. But this was shamatha meditation, a different style, different purpose. Not an escape but a present mindfulness, and a mindful presentness. Or as they term it, peaceful abiding.

With peaceful abiding, the goal is to acknowledge, and then let go, of all of the baser functions of the mind, those aspects of consciousness that dwell on what to cook for dinner, or feel regret for something that happened in the past, or fret endlessly about what may happen tomorrow or in twenty years. The goal is actually goal-less. You get past your need for something specific to happen, or some ambition or fantasy to come to fruition. But it's real. It's grounded in the present. You don't suppress any thoughts, but neither do you indulge them. We did dozens of meditations, and I couldn't always get to that diamond of stillness at the center of my mind, but I often could. It would last for a few minutes, and yet paradoxically in that few minutes, time ceased to really matter. Time was just another artifact of my consciousness's preoccupation with this thing we call our life. When I got to that serene, goal-less place, a range of subtle physical sensations became noticeable: a quality of rich light that flooded the periphery of my vision, a pleasant tingling of the skin of my scalp, a tangible sense of muscle relaxation.

In this type of meditation, breath is regarded as the physical anchor point for the mind, the constant intersection of body and spirit. In and out through the nose. Not controlled, just normal, natural, paying close attention to the physical nature of it. I learned to focus on two sensations: the whoosh of air in the back of my throat, and then the slow rise of my collar bones when my lungs were reaching full capacity. Whenever I felt my mind wander, I would return to those two sensations.

Yet my mind still wandered. I pondered things that I couldn't just swipe to the side. I spent time thinking about the nature of breath, what a powerful focusing tool it can be, what a natural metaphor it is. Since the minute we were born, we've been breathing. All the time. Awake, asleep. And we're always one breath (and technically a few minutes) away from death. Our breath is a tenuous connection to our consciousness, and thus our presentness. And breathing is under both voluntary and involuntary control. Through breathing, we can instantly slow our heart rate, lower our blood pressure, decrease our cortisol production, and still our mind. In and out. It's always going on, the background rhythm of every moment of meditation or confrontation, the tidal cadence of life.

The basic pattern of the weekend went like this: short instruction or discussion, twenty minutes of sitting meditation, short instruction or discussion, twenty minutes of walking meditation, repeat. Interspersed we had some breakout groups, a walking meditation to the Stupa (for some additional sitting meditation), and lots of good food and conversation.

On the last morning, we continued this pattern for a couple of hours. But after a couple of days of being unplugged and constantly stilling my mind, feeling that tranquility of soul, I began to notice an unexpected restlessness. At first I acknowledged it, didn't indulge it, yet it persisted. Eventually, I realized that I had begun to ruminate on a chain of thoughts, What's the point of all this, beyond a nice parlor trick? I tried to slip back into peaceful abiding, but things kept creeping back in. My job, my faith transition. Just acknowledge and let go. My brothers and sister, my writing. Push those to the side. I started to speed up. My kids, my wife. Swipe to the side and . . . no! I realized that this was my life flashing before me, all of my attachments, the very things that make me me, the things that make me human, passionate, fragile, empathic, frightened. And I was just pushing those away, as if they held no real value? Letting them go? The restlessness transformed instantly to anger, then to a desperate fear, like what I imagine crosses the mind of someone who arrives at their deathbed unprepared. This was me confronting the Void. Experiencing the ultimate insolvency of the ego. A glimpse of true "selflessness," not in the sense of charity, but of death. As this shadow flitted across my unstilled mind, I flailed, grasping wildly for thoughts to cling to.

And then . . . And then . . . the previous two days of meditation kicked in. What do you do with the "monkey brain", those seemingly untamable, perseverant thoughts? I acknowledged them. I considered from whence they came. I engaged briefly their attendant emotions, fantasies, discursive thoughts, subtle thoughts. And then I let them all go.

Breathe in. Breathe out. The fear subsided. Instantly. Those thoughts weren't real, anymore than my worries about what I might do after retirement, or if Ebola strikes my clinic, are real. Those thoughts and emotions aren't value-less, but they also are not substantive. Constructs of the mind.

Immediately after this experience, Greg brought us to his attention. We did a walking meditation, and then we sat for some final instruction. He then led us into an exploration of structured contemplative meditation, which is where we actually did harbor a goal, the consideration of a certain fundamental aspect of human life.

He described four aspects:

  • The Preciousness of Human Life, Free and Well-favored, or Our Good Fortune
  • Impermanence
  • Karma
  • The Futility of Samsara (the cycle of suffering)
Each of these aspects is totally engaging and I perceive potentially transformative, but I'll save that for another day. He asked us in our final meditations to first get to peaceful abiding, and then to bring into our awareness a thought, first The Preciousness of Human Life, Free and Well-favored, or Our Good Fortune. We were to ponder this, not with the intent to solve a problem, but to let our mind turn it over and see what gems were uncovered. Then we were to let those dancing lights of concrete thoughts sublimate into an essence that we could feel, but perhaps not name. Then we were to stay for a period of time that felt right, but not too long. Then come back into peaceful abiding, letting that contemplation go. 

As I got into the contemplative aspect, the thoughts that came to my mind were of my children's births, that breathtaking emergence from the womb, holding their pinkness, hearing their first cry, cuddling them between me and their loving, beautiful mother. Tears began to flow. After three days of letting go of such moments and memories, here was my chance to treasure them. My thoughts transitioned then to my parents, how they must have felt when holding me as an infant. (I don't know, maybe not, I understand I was a fussy baby.) I thought of my lone surviving grandparent, Helen, and how she must have felt when holding my father, and how her parents must have felt holding her. There was a chain of love, hope, commitment, binding me to my children, to my parents and ancestors. This was the human family, all of its strengths and weaknesses, the midwife of the human spirit.

Coming back out of that place was joyous. Judging by the responses of my fellow students, they had similarly potent experiences. Next, we contemplated impermanence. Not nearly as ecstatic, yet so profoundly beautiful. Reminded me of Steve Jobs' Stanford commencement speech: 


"No one wants to die. Even people who want to go to heaven don't want to die to get there. And yet death is the destination we all share. No one has ever escaped it. And that is as it should be, because death is very likely the single best invention of life. It is life's change agent. It clears out the old to make way for the new. Right now the new is you, but someday not too long from now, you will gradually become the old and be cleared away. Sorry to be so dramatic, but it is quite true. 
Your time is limited, so don't waste it living someone else's life. Don't be trapped by dogma — which is living with the results of other people's thinking. Don't let the noise of others' opinions drown out your own inner voice. And most important, have the courage to follow your heart and intuition. They somehow already know what you truly want to become. Everything else is secondary."

After some final words and discussion, it was over. One final lunch, some photos and exchanges of contact info, and that was it. Back in the truck, phone on and buzzing incessantly, heading back to Denver, my family, and "real life." But what is "real life?" That is now an active question in my thinking/problem solving/ruminating/ creative/fickle mind. Hmmm. Maybe something I should meditate on. Or contemplate. Or both. Another thought: in three days of intense spiritual practice, God was never invoked. He/she/it was never dismissed, but never referenced. No dogma. No "Thou Shalts." No calls for conversion. That probably seems strange to any person from organized religion. But to me it was great. It doesn't matter if you're Buddhist or not. It's a pragmatic philosophy as much as a religion. The weekend gave me mental and physical space to explore, and to peacefully abide. Of all the things that Jesus said, my favorite remains, "The kingdom of God is within you." I think the Buddha would agree. Eyes wide open.

The trick now is of course to translate these new practices into my "real life." To that end, I've purchased my own meditation cushion and rug, set up a little sanctuary in my room. I'm trying to meditate for ten minutes every morning and night, and for one hour every weekend. Hasn't been too hard so far, because it feels so sublimely rewarding. We'll see if twenty years from now I can look back at this weekend and call it a turning point. I hope so. At the very least, it was an engaging respite from the day to day, spent with new friends and mentors in the Colorado Rockies. Totally worth it.


Finally, I feel it is appropriate to end this epistle with a photo of me and my new friend and fellow agnostic bodhisattva, Michael. Appears enlightenment doesn't dampen the irrepressible human urge to photo-bomb.

Sunday, November 30, 2014

"The Existential Altar Which Simply Is": A Quote On Contemplation By Thomas Merton


     "Let no one hope to find in contemplation an escape from conflict, from anguish, or from doubt. On the contrary, the deep, inexpressible certitude of the contemplative experience awakens a tragic anguish and opens many questions in the depths of the heart like wounds that cannot stop bleeding. For every gain in deep certitude there is a corresponding growth of superficial 'doubt.' This doubt is by no means opposed to genuine faith, but it mercilessly examines and questions the spurious 'faith' of everyday life, the human faith which is nothing but the passive acceptance of conventional opinion. This false 'faith' which is what we often live by and which we even come to confuse with our 'religion' is subjected to inexorable questioning. This torment is a kind of trial by fire in which we are compelled, by the very light of invisible truth which has reached us in the dark ray on contemplation, to examine, to doubt and finally to reject all the prejudices and conventions that we have hitherto accepted as if they were dogmas. Hence it is clear that genuine contemplation is incompatible with complacency and with smug acceptance of prejudiced opinions. It is not mere passive acquiescence in the status quo, as some would like to believe--for this would reduce it to the level of spiritual anesthesia. Contemplation is no pain-killer. What a holocaust takes place in the steady burning to ashes of old worn-out words, cliches, slogans, rationalizations! The worst of it is that even apparently holy conceptions are consumed along with all the rest. It is a terrible breaking and burning of idols, a purification of the sanctuary so that no graven thing may occupy the place that God has commanded to be left empty: the center, the existential altar which simply 'is.'
     "In the end, the contemplative suffers the anguish of realizing that he no longer knows what God is. He may or may not mercifully realize that, after all, this is a great gain, because 'God is not a what,' not a 'thing.' That is precisely one of the essential characteristics of contemplative experience. It sees that there is no 'what' that can be called God. There is 'no such thing' as God because God is neither a 'what' nor a 'thing' but a pure 'Who.' He is the 'Thou' before whom our inmost 'I' springs into awareness. He is the I Am before whom with our own most personal and inalienable voice we echo 'I am.'"
--from New Seeds of Contemplation by Thomas Merton

Thursday, November 20, 2014

Passing the Test at the Quarter Mark

Nothing figurative in the title. Last week, I had to take my American Board of Family Medicine Recertification exam--an eight hour death march. Almost four hundred questions. One terrible headache. Other than the actual marathon, this was the biggest single thing that I had to accomplish over these twelve months, a focal point of time, energy and concern. Three months in, it's been the real world coming to call, to see if I'm competent to hang my shingle, treat patients, earn a living, support my family, and have enough spare time to ponder the deeper things and blog about it, which is what I've hoped to be the main thrust of my 40th year. As long as this test has been looming, it's been tough to claim any emotional (or physical) space or time to really sink myself into a spiritual routine. But that's part of the whole trick, trying to strike a pragmatic balance in the real world while reaching out into both the infinite Cosmos and the messy chambers of my heart.

I think board certification is a good idea. Society and patients need a way to evaluate and certify a doctor's competency. Cool. I just wish there was a better way to do it, because this way stinks, in no way measuring my clinical competence. It's more about regurgitating information and outguessing the question writers. Which is a shame, because at this point, eight years into my clinical practice, I feel like I've really hit my stride as a physician, with a seasoned clinical intuition and style to match a solid knowledge base. Plus, as far as I'm concerned, the key to being a successful doctor today is not about regurgitation or being an encyclopedia. It's about knowing how to expertly diagnose and treat 80% of the problems that people present to you with, and then for the other 20%? It's about knowing what you don't know, when to be concerned, when to get help, how to access and filter accurate information, and then how to compassionately apply your clinical judgment sharpened through real-world experience to the highly specific, intimate context of that distressed patient sitting in front of you. I'm not Dr. House, but I'm a good doctor, and I wish that these tests could both certify and celebrate that.

I counted them up, and between three COMLEX exams, two USMLEs, three residency inservice exams, my initial family medicine board certification, ABIHM certification earlier this year, and now my family medicine board recertification, that this was my eleventh time taking a standardized certification test. COMLEX was the worst, as we had to answer eight hundred questions over two days, with paper and the old No. 2 pencil. Now at least we have computerized testing, which has lots of advantages, but the one major disadvantage of having to stare at a computer screen for eight straight hours. Thus the headache. With each of these exams, I've left the test wondering if I passed, only to find out a few weeks later that I actually did pretty well.

Which is probably why my overarching feeling after leaving the testing center last week was anger. I just get mad at these tests, and the sadists who write them. Their motivation appears to be to write the longest case scenarios with the most irrelevant red herrings, and then to ask the most confusingly worded question possible.

My favorite representative question on this test went something like this:
A pregnant couple comes to your office and asks you a question about what type of dog they should get. You reply that the BEST evidence indicates that which of the following is NOT true: 
A) Large dogs bite more often than small dogs
B) Between the ages of 2 and 5, most bites occur on the lower extremities.
C) A dog bite ALWAYS requires antibiotics as part of a treatment plan
D) None of the above.

What???? Seriously??? So this terrible exam question--that is evaluating nothing about my clinical acumen by asking about a scenario I have never encountered for which no amount of studying could prepare me--includes confounding specifiers and vague qualifiers that impossibly muddy the waters, and then it phrases the actual question in a way that today I still can't figure out what the hell they actually want to know. You want the BEST evidence that one of these is NOT true--come again?

Answering such a question correctly has nothing to do with whether or not I'm a good doctor, and yet it is weighted equally with the other 399 questions I had to answer that day. You hit that question seven hours into a test of similarly terrible questions, and that means clumps of hair are about to be pulled, screens punched, keyboards tossed. Or at least inner screams of rage are being unleashed.

But I kept it together, and based solely on my experiences with the other ten similar exams, I'm pretty sure I did just fine, even though it feels like I failed.

My point in including this post in my "40th Year Quest": mostly to vent, and to celebrate. Now that I'm done with the test (and the marathon), I have no major looming deadlines or events, and I can enjoy the upcoming holiday season with my fambly, and start to focus on the other more rewarding aspects of this journey: meditation, reading, service, nutrition, yoga, exercise, strengthening relationships, exploring other religions, finalizing my unified field theory equation.

It starts tomorrow with a three day meditation retreat at the Shambhala Mountain Center outside of Boulder. Time to get my zen on.








Man, If I Only Knew . . .

This Onion article kind of sums up my blogging attempts here . . .

Man, If I Only Knew Back In High School What I Still Have No Clue About

Sunday, November 16, 2014

Cocoons and Midlife Crises

"Jung believed that 'every midlife crisis is a spiritual crisis, that we are called to die to the old self (ego), the fruit of the first half of life and liberate the new man or woman within us.' Here is a hidden and misunderstood turning point of the soul, I thought. Sadly, not every person will maneuver its convoluted mazes. Would I? 
I recalled Jung's words in 'Stages of Life':
'Wholly unprepared, they embark upon the second half of life. Or are there perhaps colleges for forty-year-olds which prepare them for their coming life and its demands as the ordinary colleges introduce our young people to a knowledge of the world and of life? No, there are none. Thoroughly unprepared we take the step into the afternoon of life; worse still, we take this step with the false presupposition that our truths and ideas will serve as hitherto. But we cannot live the afternoon of life according to the programme of life's morning--for what was great in the morning will be little at evening, and what in the morning was true will at evening have become a lie.'
Jung divided life into two phases. The first phase, or 'morning' is reserved for relating and orienting to the outer world by developing the ego. The second half, or 'afternoon,' is for adapting to the inner world by developing the full and true self. The midlife transition between these two Jung likened to a difficult birth. 
The transition is difficult because it involves a real breakdown of our old spiritual and psychic structures--the old masks and personas that have served us well in the past but that no longer fit. It's anguish to come to that place in life where you know all the words but none of the music. 
In our youth we set up inner myths and stories to live by, but around the midlife junction these patterns begin to crumble. It feels to us like a collapsing of all that is, but it's a holy quaking."
"What has happened to our ability to dwell in unknowing, to live inside a question and coexist with uncertainty? Where is our willingness to incubate pain and let it birth something new? What has happened to patient unfolding, to endurance? These things are what form the ground of waiting. And if you look carefully, you'll see that they're also the seedbed of creativity and growth--what allows us to do the daring and to break through to newness . . . Creativity flourishes not in certainty but in questions . . . yet the seduction is always security rather than venturing . . . When it comes to religion today, we tend to be long on butterflies and short on cocoons."
--from When The Heart Waits, by Sue Monk Kidd


"If I decide to become a butterfly . . . what do I do?"

"Watch me," came the reply. "I'm making a cocoon. 
It looks like I'm hiding, I know, but a cocoon is no escape. 
It's an in-between house where the change takes place . . . 
During the change, it will seem . . . that nothing is happening, 
but the butterfly is already becoming. 
It just takes time."

--from Hope For The Flowers by Trina Paulus

Friday, November 14, 2014

Huxley, the Eternal Ground, and Other Quotes

"It is because we don't know Who we are, because we are unaware that the Kingdom of Heaven is within us, that we behave in the generally silly, the often insane, the sometimes criminal ways that are so characteristically human. We are saved, we are liberated and enlightened, by perceiving the hitherto unperceived good that is already within us, by returning to our eternal Ground and remaining where, without knowing it, we have always been."--Aldous Huxley, The Perennial Philosophy



I've been reading a book called, "What Is Enlightenment?" that contains a large excerpt from The Perennial Philosophy by Aldous Huxley, who's most famous for writing "A Brave New World." My previous image of Huxley was that of a cantankerous intellectual and pessimist, and that's partly true, but not at all a fair description of this intellectual giant. Later in life, even as a professed agnostic, he became deeply interested in understanding the spiritual dimension--famously by experimenting with mind-altering drugs. But much beyond that, he surveyed all the major world religions, systems of thought, and mystical traditions and tried to sort out their commonalities, describing "the eternal Ground" beneath all of them. That's what The Perennial Philosophy refers to:
"The metaphysic that recognises a divine Reality substantial to the world of things and lives and minds; the psychology that finds in the soul something similar to, or even identical with, divine Reality; the ethic that places man's final end in the knowledge of the immanent and transcendent Ground of all being — the thing is immemorial and universal. 
Rudiments of the Perennial Philosophy may be found among the traditionary lore of primitive peoples in every region of the world, and in its fully developed forms it has a place in every one of the higher religions. A version of this Highest Common Factor in all preceding and subsequent theologies was first committed to writing more than twenty-five centuries ago, and since that time the inexhaustible theme has been treated again and again, from the standpoint of every religious tradition and in all the principal languages of Asia and Europe. 
If one is not oneself a sage or saint, the best thing one can do, in the field of metaphysics, is to study the works of those who were, and who, because they had modified their merely human mode of being, were capable of a more than merely human kind and amount of knowledge."
That's good stuff. That's a bit of what I'm trying to do on this 40th year quest. I've found some other pithy quotes from Huxley, shared below. One final thought about Huxley: he died on Nov 22, 1963, the same day as C.S. Lewis, and of course the assassination of JFK. This was also just as the Beatles rose to prominence. I can't help but think that, had their trajectories intersected more substantially, he and John Lennon would have been best buds, not to mention sharing the same optician.


"The spiritual journey does not consist in arriving at a new destination where a person gains what he did not have, or becomes what he is not. It consists in the dissipation of one's own ignorance concerning one's self and life, and the gradual growth of that understanding which begins the spiritual awakening. The finding of God is a coming to one's self."--Aldous Huxley