I guess anything good you’ve ever been given is yours forever. - Rachel Naomi Remen

"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 surpr

REMEMBERING COMPASSION TAKES time, and sometimes the most profound learnings are not a part of a curriculum but are come upon by chance or even grace, the way that Glory found the pinecone. She brought it with her to the afternoon class; a large cone, split down the middle and attached to a Y-shaped branch. I stared at it in fascination, resting there in her lap, and hoped that she would say something about it. If you squinted your eyes, it was exactly the size and shape of a human heart. Glory is a young family practitioner who practices in a small rural town. Her patients range from the newborn to the very old, and her practice has afforded her a profound window on life. I met her at one of the physicians’ retreats I teach on detoxifying death. During the first evening’s discussion, she had said that she would find her own death a relief; in fact, life being as it is, she couldn’t imagine why anyone would struggle to live if there was a way to leave with honor. She had felt this way for as long as she could remember. It was an unusual thing for a physician to say, and the group who listened were surprised. She did not seem suicidal or even depressed, merely matter-of-fact. As she spoke, I found myself wondering what lay behind her words. I had some ideas, but, as it turned out, I couldn’t have been more wrong. When she began to talk about the pinecone, all this became clearer. In a voice that we could barely hear, she told us that she had found it on the path as she was coming in to lunch and had known instantly that it was hers. She looked at it lying there in her lap. “It’s my heart,” she told us. “It’s broken. Split in half.” She began to tell us about a vast sadness that she had experienced all her life, a personal sense of the suffering in the world that goes on and on. She had felt this suffering even as a child. It had broken her heart, made her unwilling to live any longer than she had to. Yet brokenhearted though she was,

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.