Epilogue:  Time

(Written June 18, 2025, from Buena Vista, Dominican Republic). This past week, while reading Walking in Valleys of Darkness: A Benedictine Journey through Troubled Times, by Father, monk, and one of my favorite devotional book writer’s, Albert Holtz, O.S.B, I was reminded  that the word “time” in ancient Greek can be express as one of two different words, each with its own distinct meanings.  Chronos and Kairos.

Chronos is the root word for time as we typically think of it.  The measurement of 24 hours in a day, 365 days contained in a year, 10 years that make up a decade, 100 years that comprise a century, and the encompassing 1,000 years in a millennium.  This is the concept that we frequently believe that we “don’t have enough” of, to accomplish all that we feel compelled to do.  

This week we are wrapping our four months of living and serving here in the Dominican Republic.  It’s been good to spend time serving along Bruce’s staff colleagues hosting short-term mission teams, reconnecting with expat friends here at church and developing deeper connections with neighbors, community workers and some new of friends through a yoga class.  It’s always surprising how quickly our time here passes. The days and weeks down here on  “island time” take on a rhythm that is unique. 

This year, because of my virtual training work has been very limited, my mornings consist of; taking a cup of coffee along with my devotional materials to our front porch, where our two dogs, Mama Dora and her daughter Latte are waiting to give and receive some loving. My rocking chair and side table are there along with some Lemon and Eucalyptus Oil Mosquito Repellent that use to I spray myself down.  Then my “quiet ‘time”’ with God can begin.  

My devotion “time” is followed (and sometimes interrupted) by Bruce arriving to ask about taking a walk around the neighborhood with our two dogs, Dora, Latte as well as Frieda, the gate dog German Sheppard, who is the unofficial neighborhood greeter and fiesta crasher.  

Usually, we take a second lap of the walk to include Blanco, who is a light-colored-Street dog-Greyhound-mix, who was also rescued by the gate guards.  When all four dogs are together, they are a rambunctious pack that has brought lots of laughter to our days.  This dog walking routine, which we are sure the locals just shake their head at since dog here are generally abandoned and shunned, is interspersed with warm greetings with neighbors or their maids and yard helpers. There is also the distribution of many doggie pats, words of affirmation, and small tasty treats…this happens four “times” a day. 

Blanco the yardman and Frieda and Blanco the street dog
during an afternoon walk…yes that is a machete in Blanco’s
hand!

After the dog walks, I usually continue my porch “time,” because I enjoy the company of our dogs and the incredible breeze that almost constantly passes through a window to the left of my chair, coming from the back of our house and across my face.  It’s a lovely way to spend my “time.”

Front porch time with Dora and Latte

This outdoor porch time my “time” to; revisit my resources on grief, journal my reactions and reflections of what I sense God telling me to do, catch up on digital correspondence, plan for upcoming work assignments, make family travel and meal plans, develop training materials in hopes of implementing the Healthy Doctor Protocols program in the future, and to read for pleasure. It’s been a rich “time” with a slower pace of life than I’ve never had before. 

Some days here in the DR require getting up at an earlier “time” in the morning to depart from home to drive the 30 minutes up to Young Life’s ministry camp. There we meet mission teams and help in the camp kitchen with food preparations and clean up. Other days, there’s yard chores or house cleaning to do, and still other days it’s taking time to run into town for groceries or to have something copied at the print shop.  Some days it takes even more time to journey down the mountain to the valley for a La Vega city visit with the veterinarian, for either the dogs or Lulu our grand-cat who travels here with us, but never all of the critters at the same time  

Our evening “time”, between the third and fourth dog walks of the day, usually consist of me starting to prepare dinner, Bruce mixing up some pineapple juice, coconut milk and sparkling water drinks and us taking them up to our back porch, to enjoy that breeze, catch up on each other’s day, read and watch a sunset.   Then there it’s “time” for the last dog walk before dark, dinner for everyone, and some more reading “time” in the evening.  

Sunset from our back balcony

The “time” here (in the linear since) for the past four months has had a great rhythm to it.  It’s been a “time” for me that has felt restorative, joyful, and connected.  

https://youtu.be/H1L6zv_ilzY?si=cRZCA0GRvMvlBJps    

Oh, but wait a minute…no pun intended, in the prior sentence I just used the word “time”, using the other ancient Greek meaning for the word.  Kairos.  Kairos also means “time” but in terms of a “time when conditions are right for the accomplishment of a crucial actionthe opportune and decisive moment.” According to Merrium Webster, Kairos means “a time for specific appointed and important reason, so it has a qualitative, more permanent nature.”

Kairos’ meaning isn’t linear. Instead, it represents something that isn’t repeating.  Like the word “season” in English can mean any of the four seasons that occur at generally the same time each year. Spring, Summer, Fall and Winter. And, so on it goes into the next year. 

“A Time for Everything

3 For everything there is a season, and la time for every matter under heaven:

 a time to be born, and a time to mdie;

a time to plant, and a time to pluck up what is planted;

 a time to kill, and a time to heal;

a time to break down, and a time to build up;

 a time to nweep, and a time to laugh;

a time to mourn, and a time to odance;

 a time to pcast away stones, and a time to qgather stones together;

a time to embrace, and a time to rrefrain from embracing;

 a time to seek, and a time to slose;

a time to keep, and a time to tcast away;

 a time to utear, and a time to sew;

a time to vkeep silence, and a time to speak;

 a time to love, and a time to whate;

a time for war, and a time for peace.”

Ecclesiastes 3:1-8 

https://youtu.be/NueMKnU8qa0?si=WCwwwnARI37Mn8WD         

 (One year later…Written from Green Cove Springs, Fl, March/April, 2026)

Wow, talk about Chronos and Kairos moments…here I sit in the US during the months of March/April, and not the Dominican Republic, for the first “time” in three years. 

As I pulled up what I started writing late last spring, I realized that a good part of what I wrote hadn’t been saved properly in the file and was lost. I also realized that a lot has happened the past year that has changed some of the content of the message.  There has been lots of Kairos moments during the Chronos.

Isn’t it true that we often don’t realize the moment of significance and meaning until a later date?  Fortunately, when I began this journal entry last April, I was very much aware that God was up to something big. And He has continued to show me little by little what some of that something is.

First, He allowed me to have Chronos time to accomplish some much needed grief healing. Losing or son Will, my Dad, my mom, and my brother-in-law Colin over a period 22 months left me gutted.  Having the space to continue to receive God’s healing comfort and perspective was a huge gift. 

https://youtu.be/q8anLMKB9N8?si=yxO4DTjFoawhHnJW      

Secondly, God has continued to connect me with numerous people who are also passionate about improving the wellness education of young physicians. Starting with the University of Dubuque (UD), where my husband Bruce serves on the Board of Trustees.  

We received news early in 2025 just before we left for the Dominican Republic that UD is going to start the first medical school in the state of Iowa in over 125 years. It will be an osteopathic program just like our son Will graduated from.

So, Bruce and I decided it would be important for us to come back to the states to attend the spring Trustee meeting to get a firsthand update on the medical school plans. So, we had the opportunity to walk through the skeleton of the medical school’s facility in downtown Dubuque, participate in the ribbon cutting, and speak to several influential decisions on the board and in the university community regarding my passion for young physician wellness and the willingness to be involved in the establishment of a comprehensive program at the new school.  It was a very encouraging time to share Will’s story and begin praying about the program and how God may want to use me to support it.

The founding Dean of UDCOM, Jeanne Rupurt, MD began in her role in June of 2025 and I had the honor of meeting with her in October to “give my pitch” for total physician wellness-physical, emotional, relational, and financial. I found her to be a warm, open, creative, and enthusiastic leader. I was encouraged that she will have the medical students’ wellbeing in mind as she builds her program.

Since then, I have attended a national women’s physician and dentists conference and gotten involved with their mentoring program for medical students and residents. It was another Kairos moment, to hear that Dr. Rupert’s first faculty hire, was someone I introduced her to.  The introduction came via a long-time friend, artist, and prayer partner of mine from Dubuque.  Who would have thought that a gal that I met during Kindermusic mom’s hang out time 31 years ago would still be a dear friend. When Susan M. asked me to talk with her very brilliant and kind brother about the new medical school, I said “Sure.”  Before our call I did my homework on Dr. Doyle and was absolutely blown away. Then to have a conversation with “The Father of Spatial Biology” was a delight. I have to say that I was nervous to talk with someone as bright and accomplished as Mike, but his humbleness and honesty was as compelling as were his credentials.  What a gift Dr. Michael Doyle will be to UD. 

Applicable information has kept flowing towards me, so I have continued to collect articles and research on wellness and the current deficiencies in advanced medical education.  I have been introduced to outstanding physicians, educators, and researchers, building my network of potential supporters for UD’s efforts.  It has felt energizing to know that my desires to redeem Will’s passing may have a future reality. Just yesterday I connected with a gifted young man from the Pacific Northwest with a heart for wellness in the healthcare industry, and with the gifts of organization, networking, and communications. This was another encouragement as I wanted to wrap up and send my journal message to you today!

Kairos…God has been busy at work faithfully weaving together resources with my passion to restore our loss of Will with a mission that could saves an entire generation or more of physician from burn-out, death, and relational devastation.  Stay tuned for how God will allow me to be involved either officially, in a programmatic way or voluntarily in this mission.  

https://youtu.be/es8KfGbTKkE?si=0cDwkTy2UR_DxGQ9         I believe you….

Thirdly, Kairos moments haven’t stopped with UDCOM, God has also been at work bring about another redemptive opportunity…with some of my extended family relationships.  The brokenness that goes back 13 years, actually longer. 

After Bruce’s mother passed away in 2010, his father (Pop) was very lonely, and he remarried a recent widow from a Griefshare program. During the past dozen years there has been numerous situations, actions, inactions, interactions, and difficult words that have caused hurt feelings and alienation within the family.

Because extend members from this part of the family have lived between four and 24 hours driving distance apart…it has made dealing with some of the situation easier, by way of absence. But the distance has left little opportunity for improvement in the relationships. 

In December Pop’s wife had a fall and subsequently a fatal stroke (the Kairos moment was that we happened to be in their town to celebrate an early Christmas with them when it occured) and she passed suddenly.   Pop announced immediately that he was going to move up to our town to be near (able to walk to see) his great grandchildren. Our daughter Kate had just announced that she and her husband were expecting their second child, a girl this time…after many years of praying for another baby.  So, the Chronos moment turned into a Kairos moment in a couple of ways.

Our granddaughter’s first picture!

What a gift it was that we didn’t need to convince Pop that we wanted him to live near us. Since he wanted to move away as soon as he could, we spent the last two months helping him deal with memorial services, updating his estate documents, listing his home for sale, helping pack-up and dispose of his household items, coordinating PODS moving and loading services, and updating bank/credit card/insurance/investment/utility documents.

God’s hand was in the timing of it all, as two houses were/were about to be up for sale on our street.  There are only 18 house total on our road and ownership turn over hasn’t been a common occurrence. And the Kairos of it was that both houses were on either side of our daughter Kate’s house, across the street from us! 

Pop and Bruce’s sister Linda, who is moving down from the Chicago area to live with her dad, looked at the two houses, along with several others in the area, and they put an offer on one.  It had actually been sale-pending with another buyer, but the financing didn’t work out and Pop and Linda got it.  Another Kairos moment. 

Since then more Chronos has been spent applying for a bridge loan to buy the home…before his existing one sells, coordinate plans with Bruce’s sister to move here as well to live with Pop, contact contractors to get bid on renovations to update the home, take photograph/measure/and then brainstorm renovation ideas,  coordinate deliveries of construction materials, source a new primary care physician, and figure out a whole new home shopping, eating, and living routine…to integrate Pop into our lives in this interim period of time.  

Oh, this has all gone on while I had foot surgery and couldn’t drive for 6 weeks and Bruce has dealt with multiple health issues with appointments, test, scans etc. between Mayo here in Jacksonville, FL and Bascom Palmer Eye Institute in Miami. 

Cindy’s foot during surgery…making sure the screw is placed
correctly…can’t say I have a screw loose!

It is very clear that it has been a very busy Chronos as well as it’s been a time of Kairos. It is a “time” of praise and prayer for us.

 https://youtu.be/a_H4bNsmQvc?si=TrFVvJCPXcqwiP0E      

Since this is Holy Week, the celebration of hope in my faith tradition, I pray that God continue to give us eyes to see Him in action and His grace and wisdom to navigate the opportunities to heal and restore, not just the medical community but also the community of our family.  May you and your family also experience God’s hope in your lives, and may you gain insights to the many Kairos moments to be celebrated.

Thanks be to God!

https://youtu.be/sT5whoRt4wA?si=WKoqKvvZyZBDX_po     

Keep well until next time….

Epilogue: Hope

Our neighborhood here in the Dominican Republic is getting festive and loud. Many of the homes that sit quietly for most days of most weeks are now surrounded by multiple cars. There are sounds of children laughing and parents telling stories as families gather with their favorite music blasting from portable speakers. There is the smell of delicious food wafting on the almost constant breezes. It’s become busy here in Pinares de Buena Vista on this Friday because it is Semana Santa! Specifically Good Friday of Holy Week.

For those that profess the Christian faith, Holy Week is the last week of Jesus Christ’s earthly life. Holy Week marks His final days filled with highs and lows and the pinnacle of the faith tradition… Jesus’ death on a cross and then His bodily resurrection, with the promise of life everlasting for all who believe He is the one and only son of God.  For those who didn’t grow up in this faith tradition, it can be a lot to wrap your mind and spirit around.

“For God so loved the world that he gave his only Son, that whoever believes in him shall not perish but have eternal life. For God did not send his Son into the world to condemn the world, but to save the world through him.”

John 3: 16-17

For Christians this week is all about the fulfillment of the coming of the Messiah in ancient Hebrew scriptures. It is all about the overcoming of evil with good. It’s all about hope. The eternal hope that promises joy, peace, and love. A hope that surpasses our understanding and the reality of our earthly lives. A hope that can transform earthly lives, when given the chance. 

https://youtu.be/948Sm3bFH-s?si=ZQ1-2hJgBpBwIO5a

This type of hope requires a level of faith… belief or trust in something or someone beyond oneself. People of Judeo-Christian or Muslim heritages claim to believe or have faith in one God. The one who created the heavens and the earth. The dictionary places the word “faith” not just as a word that can be described only in terms of an organized religion, but also with synonyms like confidence, trust, and hope. See the image here for more words.

The one difference in the contextual meaning of the words faith and belief is that they represent a present or current state of thinking/being. While hope represents a future or anticipated state of thinking/being.

The scripture from the Holy Bible says:

“Now faith is the substance of things hoped for, the evidence of things not seen.”

Hebrews 11: 1

It’s true, isn’t it? If we have seen something, then hope isn’t needed to know that it exists.  

Here’s an example that I was given when I was in Iowa this past week, accompanying my husband, Bruce, for the University of Dubuque’s Board of Trustee’s spring educational conference and semi-annual meetings. I’ll share a bit more about why I decided to use some of my Delta air-miles at the last-minute to attend. And I’ll share the hope that I have because of conversations I had outside of those meetings. But first, I’ll share the hope that spring is coming to the upper Mid-West. 

The pictures below show the slow progress of spring’s arrival in the upper Mid-West this year.  If you have lived in a cold climate in your life, then you know what I am talking about: the seemingly unending cold and grey.

The first picture is from our dear friend’s, the Drs. Ward, front yard. The first signs are their daffodils, often the first signs of spring. In the next two photos you’ll see there is still a lot of grey in the landscape across Wisconsin, Iowa and Illinois, but green grass is beginning to peak out, as are the buds on trees and the light green of the willow trees, in my sister-in-law Linda’s neighborhood in Antioch, IL. 

Nature is beginning to awaken with migrating birds, heralding the coming arrival of spring.   There is hope that the winter’s below freezing, 20-degree weather from the week before, won’t return for at least another six months. 

Since it might not be spring arriving that’s on the front of your mind, what things have you hoped for recently? Is it a new spring wardrobe, a new job, a partner to build a life with, a larger house, a (another) child, funds to pay off your house and live comfortably when you retire, good grades on your upcoming final exams, a good result on the upcoming medical test, a way to balance your budget, acceptance into the university (graduate school) of your choice, an improved relationship with someone close to you, a successful season for your sports team, a place in the assisted-living community for your parent, enough money to afford important medication, a new car, an organ transplant that could save your/a loved one’s life,  a way to break away from a bad habit, a healed heart after a significant loss….?

So, what are the things that God has said that we are to hope for?  Here are a just a few of the promises that God spoke to the early father’s and prophets of the faith. 

Then Moses summoned Joshua and said to him in the presence of all Israel, ‘Be strong and courageous, for you must go with this people into the land that the Lord swore to their ancestors to give them, and you must divide it among them as their inheritance.The Lord himself goes before you and will be with you; he will never leave you nor forsake you. Do not be afraid; do not be discouraged.’”

Deuteronomy 31:7-8

God promised the Israelites an inheritance… of land. He also promised His presence, protection, faithfulness, and encouragement. And below, His continued presence, peace, strength, instruction, and encouragement.  These are promises not only for the Israelites but for all of us as well. 

Have I not commanded you? Be strong and courageous. Do not be afraid; do not be discouraged, for the Lord your God will be with you wherever you go.”

Joshua 1:9 NIV

“But those who hope in the LORD will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint.”

Isaiah 40:31

“So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous right hand.”

Isaiah 41:10

“You will keep in perfect peace those whose minds are steadfast, because they trust in you.”

Isaiah 26:3

“I will instruct you and teach you in the way you should go; I will counsel you with my loving eye on you.”

Psalm 32:8

Or, “ For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future. 12 Then you will call on me and come and pray to me, and I will listen to you.13 You will seek me and find me when you seek me with all your heart. 14 I will be found by you,” declares the Lord, “and will bring you back from captivity.”

Jerimiah 29:11-14

https://youtu.be/9PugD11k3JU?si=AZOjhjuKYAzG6QND

Yes, God promises His knowledge of our future, with good plans, more words of encouragement, His continued presence, a listening ear, peace, guidance and a release from what holds power over us.

Did you note that God has a few conditions to his promises?  The primary condition is for all of us to love Him and worship Him as our only God.  He also wants us to seek a personal relationship with Him, to do our best to obey His commandments (and if we believe in Him, He promises forgiveness for our failures). Finally, He calls us to love others as we love ourselves.

Some people find these conditions and his commandments restricting. But God gave them to us because He loves us more than we could ever imagine. His commandments provide us guidelines/guardrails for the best ways to live. Living as He prescribed is the way to walk in the will and blessings of God. “Life is full of tradeoffs,” as the expression goes. It’s just that some of life’s tradeoffs are so important that they have an eternal impact for us. As difficult as being obedient to God may seem, His intent is for our best lives.

https://youtu.be/LsY6or9_V-w?si=cPjROMtVSlVEY-hE

During the past hard five years, it has been a huge comfort for me to know that God has been “for me” and my life. While I might not have always felt it, that isn’t what faith is about. Faith isn’t a feeling. remember…

“Now faith (belief, confidence, or trust) is the substance of things hoped for, the evidence of things not seen.”

Hebrews 11:1

Since my last journal entry, my husband and I have had yet another opportunity to exercise our faith for things hoped for, and literally not seen. You see, 25 years ago Bruce had an unprovoked retinal detachment that, after 5 surgeries between Orlando, Fl and the Duke Eye Center in North Carolina, left him with functioning sight in left eye only. His right eye has recently had a cornea transplant and then he had left eye cataract surgery.  Yet he has been able to drive and navigate life with little interference, until recently.  Multiple visits and tests with his retinal surgeon in Orlando since late last fall have provided no answers for the reduction in his vision field in his one functioning eye. In late February, the day before we flew down to the Dominican Republic for four months, Bruce had a test run on a very special machine at Bascom Palmer Eye Center in Miami, FL.  It was one of only two machines in the entire state to run the test that they hope will reveal a diagnosis. And we are still waiting on the results, 7 weeks later. The results should have taken two-weeks at most to be available. If Bruce has a vision issue that can’t be treated, reversed, or repaired, it could significantly change how Bruce navigates daily life as well as what we anticipated the next 10-15 years would look like for us. So, we wait for the medical recommendation, holding on to our faith for encouraging news from Bruce’s next consult in three weeks.

Faith is the hope, confidence, trust that God will continue to be who He has always been and will do all that He has promised that He will do.

When I am afraid, I put my trust in you.
    In God, whose word I praise—
in God I trust and am not afraid.
    What can mere mortals do to me?

Psalm 56: 3-4 NIV

Will with his rescued cat Max during his residency…Will with Bruce at Siesta Key after his diagnosis, and back in the hospital before his second surgery and hospice care.

Speaking of waiting…Most of you know that over five years ago now, our son Will was diagnosed with stage IV cancer of the small bowel, while in his final months of an internal medicine residency.  What a few of you also know is that in the early days of Will’s cancer journey he and I began an outline of a program that has the potential to impact the lives of the next generation of young doctors.

The program focuses on the comprehensive preventive health of young practitioners.  The key fundamentals of the program, if integrated into medical and advanced medical education, could impact the lives, longevity and happiness of our country’s physicians, not to mention the the quality of care that they provide to us.  The ethos of my country’s medical education community is ripe “for transformation”.  And I want to personally be part of a movement to honor and redeem Will’s lost life and impact the quality of future physician lives. 

In the past five years I have spoken to over a dozen different physicians and friends placed in high places in medical education about this vision for better physician health. I have waited for any door to open and any doctor willing to commit to helping take the lead on the implementation of Will’s and my idea. Waiting is not a naturally easy thing for me. And waiting quietly an entirely different thing that I struggle with. But I have tried my best.

My soul, wait in silence for God only,
For my hope is from Him.

Psalm 62:5   NASB

In December of 2024, The University of Dubuque (UD) announced that it had received a sixty-million-dollar gift from John and Alice Butler. John, a long-time board member, made the gift to establish a School of Osteopathic Medicine, the first medical school for the state of Iowa in the past 125 years. This new school will train Doctors of Osteopathy (DO’s), which is the same type of program that Will earned his doctorate from in 2017. The graduates from UD’s new DO program will serve the region that, like many other parts of the United States, is experiencing a shortage of physicians. It is a critical time in the founding of the school’s facilities, faculty, and administration, and, as I see it, the establishment of the principles that will guide its curriculum and operating environment. 

So, that is the concept and hope I took to and have since come away with from my conversations last week with, the chairman of the university’s board, the Chairman of the new medical school’s dean search committee, the UD President’s wife, and several other board members and key university leaders. 

I have hope.  And I am putting my trust, belief, confidence…faith, in the God who makes promises and fulfills them. I am praying and trusting in Him that I’ll have the opportunity to speak more about, and if it be in His will, have active part of the concept of transforming the environment of medical education, beginning at UD.  I have hope.

https://youtu.be/29IxnsqOkmQ?si=UCJBT0i8vPogZ5DR

Will’s first year medical school “White Coat”, Will preparing for the day’s medical rotation, Dr. William E. Hedgepeth

Easter in my faith tradition represents a time of hope, rebirth, and renewal. It is a time for reflection on a God who loves the whole world so much that He would do anything for us so we can spend an eternity of joy and happiness with Him.  Anything…. that included giving up His only son to be tortured, killed, and raised from the dead.  

I know something of what that loss of an only son is like and therefore, I am willing to give what I can to help save other doctor’s lives.

I have hope that Bruce’s eye can retain its sight and that you will be prayerful in your support for that along with my desire to initiate the program for the University of Dubuque’s DO program and for me to personally participate. I would greatly appreciate it, if it is God’s will, and for His glory.

https://youtu.be/9KIhYZQ_ovw?si=zyo4EXD9ZiorXbgU

Will’s first glance at his sister, Kate, in her wedding dress, one year before his diagnosis.

24 So be strong and courageous,
    all you who put your hope in the Lord!

Psalm 31:24. NLT