Time
Buckeye Surgeon
Ruminations by a non-academic general surgeon from the heart of the rust belt.
Sunday, December 28, 2025
poem
Saturday, December 27, 2025
poem
Modern Art
But what does it do?
Someone inevitably asks
Just before it goes to the gentleman
In the back who bids $20 million
For the right to hang it in the arcade
Wing of his cottage in the Hamptons
To be gazed upon by jealous
Guests while the host mixes
Another round of Sismith martinis
And regales them with condescending
Anecdotes about the ruined artist.
That’s what it will do—
Become a transient talking piece, a useful distraction,
A signifier of relative affluence
A tool to drive between
A rival’s ribs
And then sold for a tidy profit
But by then it’s no longer art
Not like the day it was created
All raw and tender and beautifully useless.
poem
New Moon
My route to the hospital
Takes me east to west.
Usually daylight is just cresting.
I see it in the rearview mirror gaining—
An angry low wall
Of hard ochre and bloodshot orange
Getting closer and closer each mile
But I give it a little gas
And it never catches up.
Coming home I see the sunset tailing me
But I’m going too fast, I guess,
Distracted, anxious to get home,
The fading light behind me
Dimming smaller and smaller
Until we’re all engulfed
In the same darkness
Shared by the new moon.
I work too much
And can’t remember if
It’s waxing or waning.
poem
Compared to What?
How do you know if you’re good?
A group of us gets together every week
In the basements of run-down churches
To anonymously discuss this.
We drink coffee and someone always brings donuts
And everyone seems to have a cigarette except me.
The question hangs in front of us
Half shrouded in the plume of gray smoke
That doesn’t have anywhere else to go.
There’s no choice but to try to answer.
I go first—
My name is Jeff P. and this is everything I’ve done
Good and bad and the things that could go either way
Or are yet to be determined
And it’s all true and unvarnished
Spilling out of me in stream of consciousness
Narrative that doesn't really empty into
A vast ocean of meaning but just sort
Of peters out into a stagnant backyard sinkhole.
Mostly it’s the bad stuff because
That’s all I really remember
(Who remembers all the good stuff
Anyway? What are you, a narcissist?)
The good stuff I do recall seems so trite and mediocre
Like the one time I remembered
A janitor’s name, Cyrus, who
Says hello to me every morning
Or teaching my kid how to tie his shoes.
A lot of the good stuff is things like that
And I don’t want to bore everyone to death.
Everyone prefers a juicy story of tragedy and self-
Inflicted heartbreak, rampant with pointless plot twists
That always lead back to the same place
We all seem to share.
To be fair, statistical analysis would reveal
These tales of woe are probably outliers
And can be excluded from the main data set.
But that’s not the way it works down here
My standard deviation is just wide enough
To get me exiled to this godforsaken place.
When I finish, someone else begins to speak.
It’s gut punch after gut punch
You hear some really horrific stories
Down in the bowels of holy sanctuaries.
None of them make any holistic sense
You keep waiting for denouement
But suddenly a new character appears
Halfway through Act IV and now
We have to find out what happens to her.
Whenever someone finishes rambling
We’re all supposed to cast a vote
Yes or no written on a folded scrap of paper.
Everyone takes a turn.
At the end of the meeting the chairperson
Goes around and collects our votes
And places them in a plastic Halloween pumpkin.
Then she stands at the front of the room
And reads them one by one:
Yes
No
Yes
Yes
No
Blank
No
Yes
Blank
Blank
Blank
Thursday, December 18, 2025
poem
The Other Side of the Mirror
How many do it—
Look in the mirror, at their life
And say I did that
Kitchen cabinets, stacks of books
A drawer full of bolts and screws
Left over from self assemble furniture kits
Cars in the garage
The kids, the wives
The loss, the broken glass
Swept up long ago
And scooped in the trash
Crickets in September
And fireflies speckling the backyard
As a boy darts through the dusk
Like a silver minnow around your feet
In a shallow river
All you want to do is stand still
And watch him circling your ankles
As long as you can
Until the current whisks him away
Not just what is owned
But what is made
And who has the best claim
Even to say the continuity of shared days
Is enough, isn’t quite enough
No longer who you once were
Nor the man once expected,
Someone else,
Clinging to the artifacts
Of a stranger’s existence.
But you found a loophole,
A way out of the sullen despair—
Look through the mirror
And give everything away
Voila! Happy and ignorant again!
Deeply engrossed again in a project
That will surely produce something
Of value, strange and new, a piece
A man calling himself you
Insists belongs to him
poem
Miss Page
I remember reading as a boy
But hardly ever being read to,
Though I’m sure it happened
Most days with mom.
I do remember Miss Page,
Our school librarian, reading
To us while we sat
Cross-legged on the floor
Of the old school library.
She held the book splayed open
With the pictures and words
Facing us and the story would spill
From her lips from behind the covers
Like the disembodied voice of a movie narrator.
I didn’t like that very much
Because I knew you had to see
The words to be able to read.
I didn’t care about the pictures
I only wanted to trust
The things I heard.
Well, it was a lesson I must
Have taken to heart.
To this day I hold up the story
Of my life for everyone to see
And tell them what’s happening
Before they have a chance
To read what the words really say
poem
Self-Care
When he’s sad the doctor goes to the hospital,
His hospital, the one where he works
Because that’s where he knows what to do
Even if he isn’t on call and no one needs him now.
Slips in through the side door using his keycard
And unlocks the doors to his office.
There’s no one here to talk to about his sorrow
No one to diagnose disease or render treatment.
This is a mangled form of self care
Barely better than alcoholic numbing.
But here there is purpose
And easily perceived meaning.
He logs on to the computer, opens
His patient list and checks
Labs, xray results, the new names
Of souls he has been asked to see.
Outside the cars on the highway flash
And pulse like the tracings of an ICU monitor
Telling us the city is still alive.
He watches a while longer,
Longer than anyone else would,
Long enough to forget
Why he came here
And then he returns home.
poem
The Opposite of Love
One day you will be asked
To define the opposite of love
And your answer to that question
Will determine whatever happens next
If you say hate it means
You have to hold on
To some of your hatred
To remember what love is
Which is why even jesus
Isn’t allowed to forgive the devil.
If you say nothingness
It means that love is the impetus
For everything that exists
Which makes a goddess of love
Who spreads her wings
And demands the universe manifest.
When everything comes from love
All that’s left to claim is an emptiness
Estranged from even the deepest despair.
Whichever one you choose
Don’t ever forget it because
Every time love is missed or lost
Or outright rejected
The other side of the ledger
Must be balanced—
Either hate increases
Or the universe shrinks
To the size of the very first thing.