A Birthday Choice

The OB/GYN looked down at the young couple authoritatively and did his best to console them.  “I’m very sorry, I know how much you’ve been looking forward to another child.  But you’ve lost this baby.  I know how much this hurts, but you’re very young and have plenty of time to try again.”

The 29 year old looked up from the beautiful baby bump and met the eyes of the doctor. This father was a veterinarian, and as such had significantly more medical knowledge than perhaps most other expecting parents.

“But Dr. Shure, how can you be so certain? Couldn’t there still be a heartbeat even though your doppler stethoscope can’t locate it?”

The physician looked so soothingly compassionate.  “Bill, I’ve done this for a long time. Your wife has an abnormal pregnancy with a condition known as placenta previa, and although sometimes this corrects itself, this time it’s getting much worse. We need to get her downstairs for a D & C before she loses any more blood.”

This was before the age of Google, but hours had been spent digging into his medical books, leaving the young father with an irritating unwillingness to follow doctor’s orders.  “I’m not comfortable with your advice. I think we should get an ultrasound to see if the baby’s still alive.”  Dr. Shure’s compassion was becoming transparent as his confidence turned to arrogance.  “It doesn’t really matter.  Even if there’s a heartbeat, there won’t be very soon.”

Knowing very well that this would be self-fulfilling if they went downstairs, they nodded in agreement.  “We want an ultrasound,” they said in unison. “We’re Catholic, and we’re just not comfortable with abortion as an alternative.”

Dr. Shure was red-faced now and the veins on the side of his forehead were clearly visible from across the room.  “Well, I’m Catholic too, but this is important, you need to face reality.  You are making a mistake, and wasting time.”

Perhaps they had different definitions of Catholic, or different interpretations of what was important.  For them their faith was what helped them discern what really is important, as they face reality.  Risking his further disapproval of their blind ignorance, Bill clarified: “Well, we’re practicing Catholics.”

The door closed abruptly as the man they had chosen to help them bring forth life left in disgust.  And so the young couple was engulfed with fear as they looked down at the bloody sheets.  Before they could get her dressed, a nurse came in to assist. “The doctor doesn’t understand your feelings, but I certainly do.  I’ve made arrangements for you across the street to have an ultrasound performed, and they’ll be waiting for you.”

Their tears of joy were contagious with the entire staff at the imaging center, who now knew what was happening, and were all in tears.  Emily’s heart was most certainly beating, and it continues today.

It wasn’t an easy final 6 months of pregnancy, all spent in bed.  Any attempt to become vertical resulted in massive blood loss, and progesterone supplements were taken as a precaution against premature labor.

Of course the young man was me and today I remember that fateful day.  Beautiful memories of each of my five children have carried me through some pretty tough times. Today is September 13, and I celebrate one of them.  Happy Birthday Emily.


Please help me celebrate by remembering precious memories of your own children, or siblings, or growing up. Recall a moment when something life changing happened. Give someone a hug and tell them how much you love them and how glad you are that they’re alive today.

Life is beautiful.



Close to Home

“I don’t care what they do with each other, in their own privacy.  Just keep ’em away from my kids.”

I was discussing this morning’s tragedy at the gay nightclub in Orlando with Robert, a carpenter helping me get some work done around the house.  As I stenciled out the patterns he worked the jig-saw, and then I asked:


“But Rob, what if they are your kids?”

He looked up. “What?”

I repeated, “What if ‘them’ isn’t somebody else, somewhere else?  What if your son was in that club last night?”

He laughed and said, “Couldn’t have been, I only have two daughters.”

“Seriously Rob, what if one of them, or your brother, or a nephew, or grandchild was gay, because they might be.  What if it hit your own family.”


“That would be different,” he said.  He looked up from the saw, and right at me.  That’s when it hits too close to home, and you gotta face the real world.  That’s when I become a compassionate father, and stop being a bigot.  Those jokes aren’t quite so funny, and you see life through a different lens.”

I nodded and said, “Amen.”

Maybe I don’t know anyone that was in Pulse Nightclub last night.  But I could have.


Everybody Remembers a Mike

Today is the anniversary of my first publishing this. It also would have been Mike’s birthday. I forgot that I had written this one night over a glass of wine or two and a few tears. I know it’s long but I’d love for you to read it to the end. It’s one of my very favorite writings.


I think Dewey and Vaudean Gimlin used to see me for what I was back then – Eddie Haskell, Wally Cleaver’s best friend on Leave it to Beaver.  And although this was pretty correct, their son Mike and I used to feed off of each other.  This is why we were best friends for about a fourth of my life.

eddiehaskell beaverandeddiebeaver

Every time Mike got into trouble, Dewey pretty much blamed me.  My long hair was probably why Dewey saw to it that Mike’s was never more than about a half inch – he was too curly to allow a military “flat top,” but this was the general idea.

Although I went to St Francis Xavier and he went to public elementary school, weekends and all summer long found us together.  He was classmates with Paul Ensor and the three of us would always be together in some combination…

View original post 1,790 more words

Stitches for Christmas

I hadn’t planned on the Christmas traffic and so I was a bit late for work.  “I’m not even on the highway yet,” I phoned my receptionist, “So you might want to call my first appointment and advise them to come in 15 minutes late.”

“Just be glad you’re not early!” she exclaimed.  “We had an emergency run in, and the poor thing was torn wide open from getting caught under a fence, and bleeding all over the place.”

“Are they waiting?” I asked as I sped up well past my comfortable speed.  “No, I sent them to Dr. Elsewhere.  Besides they’d never been here before, and said the dog wasn’t even theirs!”

I’d seen the schedule and knew we were slammed; it was good that they went down the road.  I had 18 appointments scheduled for the abbreviated 3 hour day, and that would be plenty.  Besides, it was Christmas Eve and everyone would be anxious to get home after just a half day.  I was glad I wouldn’t have to feel guilty.

I’ve  come to really enjoy my hour and a half commute.  I listen to lots of audiobooks and, now that I’m enrolled in University postgraduate classes again, I listen to my professor’s lectures a few times as well.  But it does make for a long 13 hour day, and there’s not much of me left when I get home.  My coping mechanism involves an hour of silence, contemplation, prayer early every morning.  And I find myself struggling, pleading, praying for peace and joy from each hectic day.

Some days it’s hard to find much joy.  I’m sometimes immersed and submerged in grief of lost life and love.  And so I plead with my Creator for consolation.  I want to know that it’s not all in vain.  That we’re here for a reason.  That I’m here for a reason.  Give me your eyes to recognize opportunities to love and serve as you would have me.  And that I am living my life as He would want – that the world is better for my having been here.  I’ve been having a bit of a dry spell, and feel like I’m just checking the box some days.

I realize I’ll never cure cancer.  And I’ll never make enough money to create a Bill and Melinda Gates Foundation to end a disease like rubella.  Or embrace the “humans discarded like garbage” as Mother Theresa did.  And so it would be easy to see my ordinary, everyday life as just that. But I strive to find Jesus with every encounter – every time I smile, touch, or open my mouth.  I pray for patience, and compassion, and the vision to realize who it is that is actually standing in front of me, and overlook their human faults.  I ask for wisdom to recognise those opportunities that I’m given where I can draw closer, but be indifferent to those which push me away.

Sometimes people aren’t very kind, or appreciative, or forgiving of my own faults – my forgetfulness, my schedule, my often sarcastic personality, my tardiness.

And so, I zipped into the driveway, with almost 20 cars already in it, knowing that the day would be another challenge.  My first two appointments were waiting, along with two unplanned emergencies; 6 pets had been dropped off for me to examine “in my spare time,” and over 40 charts were on my desk for me to evaluate lab results and to call to discuss treatment options.

After years of this script, my employees know I have a routine, and to only jump on me if someone is bleeding.  Since they didn’t, I made a dash for the baño and returned the three mugs of coffee I’d inhaled almost two hours ago.  I grabbed my stethoscope, and slid into the first exam room.

Soon I had dispersed, delegated, prescribed, and advised everyone waiting to see me, and was shocked to see no charts in front of me.  I looked at the clock and was confused that I had a little down time in the middle of a busy, busy morning.

As I turned to tackle my stack of charts, one of my receptionists spun me around and said, “Dr. K., the person that came in so early this morning, the one I referred to Dr. Elsewhere is back, and begging for you to look at the dog.  I know what you’re going to say, so I’m not sure why I’m even asking, but she wants your opinion. Remember, it’s not even her dog, and she has now told me three times that she doesn’t have any money.”  The other doctor had told her just to hose the dog’s wound off every day and it would probably heal fine.

I shook my head and smiled, “Tell them to bring the dog in, and I’ll have a look.”

“No,” she said, “They’re too embarrassed to come in with no money.  Can you go out to their car and just have a look to see if you agree with the other doctor.”


The gash was deep, and blood was everywhere.  There was little chance this would heal on it’s own.  Not without antibiotics, and she really needed stitches.  I looked around and “for some reason” there were still no cars in the parking lot.  The little dog looked up at me and wagged her tail.  I looked at the wrinkled, worried forehead of the couple who had cared enough to bring in a dog that didn’t even belong to them.

Fence Gash

“Field stitches” are something that I learned from my boyhood mentor as I “helped” around the neighborhood vet clinic, a lifetime ago, working on cattle and horses, and most certainly aren’t taught in medical school.  They are fast, and require no general anesthesia.  I looked at the huge gash in the little dog, and realized that it most certainly wouldn’t be the best medical care, but one hell of a lot better than hosing it off every day.  Besides, I could shave and disinfect the wound, inject some lidocaine, place a drain, and “field stitch” the dog in about 20 minutes.  (To do it properly, with acceptable sterile technique would require anesthesia and over two hours of surgical time).

OK, so it actually took 30 minutes, and by then about 4 or 5 people were waiting. But, as I placed the final stitch in her neighbor’s dog who hadn’t even flinched, and gave her a shot of antibiotics, I knew it had been the right thing to do.

Her husband had looked at the floor most of the time we were in the exam room together, and finally, looking up, spoke with a cracking voice.

“I’m not sure why ya done this fer us, and I told you I didn’ haf any thing ta pay ya with. Would it be OK if we came back and paid you a little bit each week, when I get m’ check?”  He seemed to fear my response and was clearly embarrassed.

I was a bit moved by his offer.  I had known they couldn’t pay when I invited them in.

“No,” I said, “I only ask one thing.  Don’t go around and tell everyone that we work for free.  ‘Cause if I did this very often, (pointing to my nurse) she’d have to work for free, and then her family wouldn’t get to buy food.”

“What?” they were both clearly a mess now.  “You done all this fer nuthin?”

“Nope. We did it because we were supposed to.  Thanks for coming in today, and … Merry Christmas.”

I gave them each a hug, and high fived my nurse as I left the room.

She smiled bigger than I did.  She knew we hadn’t done it for them.  It was for me.  I’m selfish that way.

Clearly, a businessman can’t give things away on a regular basis, or he wouldn’t be able to pay his staff, and give raises, and pay for health care, or the mortgage.  But sometimes you can.  And it feels really good.

None of this is about “telling people about our good works so that others will know how good we are.”  It’s simply opening our eyes so we can see.

It’s not about doing good, or “giving back,” because others have been good to us.  No, that’s simply the “exchange” of Christmas gifts.  Tit for tat.  And as such, although trades are extrinsically good, they don’t really add good to the world.  The balance shifts when we do good where there is no possible way for the other to repay.

At the end of the day, isn’t that what Christmas is really about anyway?

For God so loved the world that He gave His only Son …

JN 3:16

The original gift of Christmas was one given with full knowledge that it could never be repaid, and clearly there has never been that expectation.  We don’t do good because we owe God anything.  Or because we’re afraid of Hell.  We do good because God is good, and in our design we are programed to enjoy doing so.  There are no mistakes in our design.  He did this for a reason.  We are here for a reason.

Centuries ago, Blaise Pascal (consider also Pascal’s Wager) formulated a concept later described as a “God shaped hole” in our hearts.  We seek and try repeatedly to fill this longing with things of this world, trying to satisfy the craving, and fill the void ourselves. Sixteen centuries years ago Pascal observed power-lust and self-centeredness, with the resultant narcissism and addictions.

This he tries in vain to fill with everything around him, seeking in things that are not there the help he cannot find in those that are, though none can help, since this infinite abyss can be filled only with an infinite and immutable object; in other words by God himself.”
– Blaise Pascal, Pensées VII(425)

Only by recognising what “fits” in this hole do we “satisfy that longing.” Only through love and service for others are we truly happy.  What we did on Christmas eve was really no big deal.  Everyone can, and must reach out those around them.  Maybe you can’t stitch up a stray dog.  But you can help someone fix a flat tire, or unload their groceries, or shovel their snow, or give a blanket to someone who is wandering and cold.  Or just stop and, with a conversation or a smile, show a stranger that they matter.

ed. note:  I considered for a week before I wrote this. Last year a similar post about Betty and her dog Baby (Rude) resulted in a considerable number of folks being put off by what they saw as “attention seeking, and patting myself on the back for doing something we should all do anyway.” But that was the entire point of She Wasn’t being Rude, if the reader had actually read it and made it down to the end of the post.  Of course we should do good, and what I (and every other veterinarian I know) am able to do sometimes, is a blessing – to me.

After tragedy enters someone’s life, they see the world through a much different lens.  Everything takes on a new color, with depth and detail that was never before noticed.  When the bleeding stops, everything has purpose;  life becomes deeper and meaningful, and appreciated.

My vision is with other eyes now.  Mainly those of my father and my son.


“God isn’t fixing this.” (NY Daily News)

I’d be hard pressed to think of a more cynical and exploitative headline at a time of national mourning than the New York Daily News, in exemplary journalism, who took “progressive” rhetoric one step further and decided to use its cover to mock God for failing to “fix” the problem of sinful mankind doing sinful things:

God wont fix this

A quick peek at the Twitter “trending” box found many like this at the top. The very same people quoting “our” Jesus to us just a week ago urging an embrace of more Syrian Refugees yesterday seemed to race again to social media.  They didn’t offer any compassion to the victims of the shooting, any information to the authorities, or any insights on how to prevent future terrorist attacks–but to mock people for having the audacity to pray for the victims and their families.  Another Wikipedia definition seems imminent, “Prayer-shaming.”

we dont need your thoughts & prayers – we need action. Now.

and lots demanding more gun control:

We dont need you to send prayers. We need you to vote for modern gun laws.

(I had to dig deep to find why so many included hash-tags for PP, and then I stumbled upon one who shared the news that the PP “clinic” was a only a 20 minute walk away.  You can’t  make this stuff up.  Clearly a connection with the “Bible thumpin’, AK47 totin’, Shoot ’em up Pro lifers!)


Prayers aren’t working.

Another mass shooting prompted another round of silence Wednesday from GOP presidential candidates on the issue of gun control.

Instead, while the Democratic presidential wannabes were calling for stricter gun laws in the wake of the San Bernardino massacre, the Republicans were preaching about prayer.

It’s all they ever have to offer, isn’t it? And it doesn’t make one damn bit of difference.

…discussing out how much money all of those “thoughts and prayers” politicians have received from the NRA.

Since I’ve been on AOL since Al Gore invented the internet, for some reason I get spoon-fed Huffington Post as my reliable news feed. Here’s the best they could come up with:

Screen Shot 2015-12-03 at 3.27.40 AM

Really?  “Their ‘useless’ thoughts and prayers?”  Really?

“Politicians are the people society trusts to solve society’s ills?” Really?

No one I know trusts politicians to solve our ills.  That’s why (at least most of) the people I know want smaller government, because (again, perhaps it’s my own myopic vision) the bigger and more responsibility ladened a government becomes, the more poorly she performs. A big government is top-heavy, inefficient, and corruption prone.

I honestly understand that half of our population has no idea why private citizens have any business owning guns.  They don’t hunt, and have no desire to learn to use a firearm to defend themself or their family.  The thought of even touching a gun scares them.  So, to them, the second amendment is nonsense, out-dated, and should be abolished.  The founding fathers could not have foreseen the sins of today’s society when they crafted this law.  But I’d purport that they did.  And perhaps if a few of the luncheon participants had disregarded the “gun-free zone” signs and had a 357 tucked in their belts, we’d have different headlines.  Or maybe not. Maybe the entire thing would have not even have been newsworthy if they’d both been slain before they even pulled their first trigger.

Gunfree Zone

But I digress.  Gun control is not the topic of this post.

Anyway, I was honestly confused as to what possessed all of these media types to choose “people who pray” as the target of their anger.

Then I stumbled onto the clincher. The grand pooh bah of enlightenment. A well-regarded, progressive Washington Post journalist wrote this:

This mentality was really weird to me, and revealing. Almost more of a temper tantrum than anything else, particularly since progressives immediately turn to “prayer of a different kind” in the aftermath of tragedy.  They pray to the god of bigger and better government.  Something must be done!  Legislate!  Last week we needed more programs to serve the huge increase of refuges that we “must” accept.  And now we need gun-control laws.

Maybe we should compassionately accept more refugees, and maybe we do need better gun control laws.  These are fodder for later use.

The phrase “thoughts and prayers” sounds like fingernails on a chalkboard to athiests and maybe agnostics, let’s just say “humanists.” Initially, I assumed it was because the “thoughts” portion seem somewhat meaningless. Combining it with prayer makes it seem like prayer is nothing more than “thoughts,” kind of like “good energy,” when New Ager’s send out “white light.” Prayer isn’t just “thoughts” and perhaps people could really drop the “thoughts” portion of the phrase. Kudos to Ted Cruz and Paul Ryan for their more theologically precise public statements in that regard.

Prayer is at the heart of the Christian faith. Jesus spoke about it extensively, explaining to those of us who follow him how to pray to our father in heaven. Perhaps you have heard of the “Our Father,” which provides the model of prayer for the Christian.

Prayer is described throughout the entirety of Scriptures, from Moses’ telling of discussions with God all the way through St. John’s glorious vision of the consummation of prayers in the restored heavens and earth, described in Revelation. And the Gospel of Luke describes how Jesus prayed in the Garden of Gethsemane on the eve of his crucifixion — “being in agony, He prayed more earnestly. Then His sweat became like great drops of blood falling down to the ground.”

Jesus tells us to call God our Father. He tells us that God wants us to ask him for things like a father wants his children to ask of him, so he can answer and give them what they ask for to show his love. For the Christian, we pray because God commands it, and that means it’s extremely important to us. We know God wants to hear our prayers and will use our prayers to help us in some ways that we can’t even understand.  And many that we can.

You see, to a faithful (Hindu, Buddhist, Jewish, Islamic, as well as Christian) people, praying is not “doing nothing.”

We do believe that God can intervene, to comfort the hurting and even to energize ourselves and others for right action. At the very least it is an expression of, “We love one another, and we hurt for one another.”


Those without such faith might look from afar and just “not get it.”  There’s lots of things I “don’t get,” but I do my best to have respect and civility for those things I don’t understand.

As a (Western) medical person, I don’t get holistic, naturopathic, reikki, and other non-traditional type approaches to healing.  But I don’t stand and laugh, disparagingly, at them.  Some might, in fact, work as well as my own approach.  The fact that I don’t understand how is a side note.

Answers to prayers aren’t like some divine vending machine where you put the money in and out pops a Snickers Bar.  I am honestly a witness to many inexplicable things, both in my personal, as well as medical life.  To these I do attribute Divine Intervention.  Whether or not you agree is also a side note.

But prayers aren’t always (infrequently even?) answered with direct changes in courses of action.  I’d purport that God acts and directs us and our life journeys in lots of altered ways because of our prayers.  In prayer we are changed.  Our hearts and the lenses through which we view our brothers become like clay and conform to His will.  It’s not magic, or meditative self change, nor the power of positive thinking.  It’s opening ourselves up to our God.  Understanding that He is the master and creator of the universe, and that He is God, and that I am not.  Supplication and humility open us up to His love and the changes He wants to see in us. Don’t understand?  Try.  Don’t have a desire to change? Don’t want to yield to a higher power? Don’t have any idea why others feel this “call” to believe?  It’s a thing called grace which enables and empowers us to “open the door” and let Him in.

And so, when we “pray” we do this very thing.  We open the door and let Him in.  He sits to eat with us, and we with him.  And when we open ourselves up to His will, we gain perspective.  We see others through eyes not our own, and we grow in His love.  This, of course, is empathy and that love we all know we should have. We pray also because of our needs; the community’s needs which, in love, we should take on; and the burdens of all of our neighbors and even our entire country and world.

Don’t tell me not to pray for my hurting brothers and sisters. And for you. And for a change of heart for those who hate us. Perhaps enough of these prayers will in fact change their hearts.  But maybe that change will occur because our own hearts begin to love enough that others actually see Jesus in us. Perhaps this is the action you want to see, instead of what you think are empty prayers. Maybe prayers seem empty because you haven’t really opened the door yourself. And so, perhaps prayer is exactly what is needed – for you, and for me.


Lots of acknowledgment to Mollie Hemmingway at “The Federalist,” Russell Moore at “The Washington Post,” Jim Martin, at “America.” 

Thankful 2015

It’s not the destination, it’s the journey.

I’m out of town with family today getting the turkey ready, but I can get lab-results, and sometimes this forces me to make very painful phone calls.

The 30ish woman and her beautiful 12 year old daughter had come into my veterinary hospital yesterday with a kitten that was very sick.  She was so neurologically affected that she couldn’t stand, and had to be swaddled up like a newborn, or she’d arch backward and thrash around, completely out of control.

Kids seem to have a special bond with pets that only parents can understand.  Although I spoke in my best disguised code to her mommy, Madeline courageously held back hysterical tears, clearly having been prepared for the news that I might deliver.

When a pediatric patient presents with such profound symptoms, the diagnosis is often a congenital or genetic condition.  Neither can actually be “cured,” but sometimes successfully managed.  In veterinary medicine, quality of life is of paramount importance, and so, often these situations sometimes do not end well.

I stepped away from the sweet potatoes and Brussels sprout prep party to make the phone call neither if us wanted to make or receive.  The bile acids test had come back normal, so there was not a hepatic shunt, the often treatable liver anomaly we had both hoped and prayed for.

Next on the list of differential diagnoses were a couple of congenital problems, neither of which had a very good prognosis. My medically correct advice was a neurologist referral, but I knew the likelihood of a good outcome was miniscule.  Big words with no treatment like cerebellar hypoplasia and spongiform encephalopathy now ascend to the top of the list. And so when she asked what I would do if it was my own kitten, my hand was forced with the grim reality.  We are treating for one other parasitic possibility, but the odds are even more slim.

She explained, matter of factly, how this was the first cat that they’d ever had that seemed to love them back.  She exuded love and appreciated  their affection.  This stray kitten just seemed to wander into their house one day, and immediately bonded with her daughter Madeline.  Every other cat they’d ever had received their love, but only “Mo” really gave it back.

The crosses we bear are so heavy.

My heart hurts for her, and especially her daughter.  I told her how sorry I am.  “But,” I explained:

As a father, and as a Christian, I’d like to say a couple of things to you, and I apologize if you wouldn’t expect this from your doctor.

Our blessings come in many forms.  We look at such a short life with anguish and disappointment.  What a waste.  This all seems so cruel.

But, I reminded her.  This was a stray kitten that had never known human love and compassion until she found you.  In you, she found three months of love that she would otherwise never have known.  You gave “Mo” so much.  That is a not a waste.

You told me that Madeline had never felt such a returned love from a pet.  “Mo” gave her so much.  The obvious is the physical, the temporal return of affection.  Mo gave Madeline the opportunity to welcome the unloved and unwanted.  But think also of the ‘not so pretty’ pieces of this puzzle.  Perhaps the bigger lesson includes comforting the suffering, the dying, someone who could not really give back.  And so she learned empathy, sympathy, and compassion; how to love the suffering, the unappreciative, the unloveable.

So, although you have had Mo for such a short time, she gave so more than she received.  These are blessings.

Sometimes, it surprises me when I am emotionally moved by a client or an experience.  This one shouldn’t have been a surprise.

I hung up the phone, sat on the couch and put my face in my hands.

I know pain.  I know the cross.  I know the questions of the cross.

I am thankful today for so many things.  Most of all, I am thankful for  a God who is all good, and understands my frustrations and prayers.

Most people that have continued to read this post, understand me, or at least what I’m talking about.  Our God is good.  All the time.

And for this, I am thankful, on this “Thanksgiving.”  I am thankful that, although we carry different loads, and that our God is merciful.  I am better for my own load, and although I would not wish it on anyone, it is mine to bear.

As is everyone else’s load and cross.  The blessing is not in our destination, the blessing is in the journey itself.  Only through times of emptiness and desolation do we grow.

Today I am thankful for  my life and my cross.  We all carry our own buckets with our own loads.  This makes us human.  Knowing that we do not walk alone is such consolation.  We must be able to lay them at the cross.


I’m also thankful for unconditional love, and a career where I hope I make a difference.

Happy Thanksgiving, 2015