Posts Tagged ‘health

24
Sep
19

The real emergency

Me in the ERSettling in, I was struck by how quiet and calm it all was.

For a room whose first name is EMERGENCY, I had visions of wailing sirens, screaming people, racing doctors, and slippery pools of blood on the floor, visions, no doubt fueled by TV and movies.

Instead, I saw a slightly built Hispanic couple huddled together on a couch, the man tenderly holding the woman’s arm. Over here to their left was an older woman sitting quietly in a wheelchair, searching without success for something in her purse. A young man – whose name I found out later when they paged him was Nathaniel – sat with a worried expression on his face, all alone.

People came in the automatic, sliding glass doors and calmly approached the reception desk. They explained the reason for their visit, filled out a brief form, and took the next available seat… preparing to wait for however long it took.

The doctors, nurses, and assorted hospital helpers ran the demeanor gamut from professionally concerned and solicitous, to utterly bored, to flippant and jokey, depending on the patient. I am sure it helps contain the anxiety of the help-seekers to see their rescuers taking a firm hold of the rudder of the ER, succumbing to neither fear nor frustration in the face of pain and illness.

I had checked into the ER ten minutes earlier, hopeful they would approve my application for patient status. In the fifth inning of my old man softball game earlier that evening, an inadequately stretched out hamstring felled me as I barreled down the first base line. I landed full on my elbow, jamming my upper arm up into my shoulder joint.

It hurt like the dickens, but the diagnosis – after an exam and X-rays – was a “first degree (the mildest variety) shoulder separation.” The recommended treatment plan is a sling and ibuprofen for a week.

So the softball season has come to an early end for me. Not that I actually contributed that much to our team’s success you understand. But it was always a good time on Monday nights to hang with the guys and pretend to have some athletic ability for an hour or two.

But this isn’t really about my shoulder injury and me. I’ll be fine. I have a wonderful wife to help me out and a good constitution to ensure swift healing.

It is really about my fellow ER occupants and their stories. Who are they? Where do they live? What happened that led to them being here tonight? How are they going to respond?

When I commented to one of the nurses that it seemed very busy that night she replied, “Oh you know… it’s a Monday. The weekend is done and it’s after dinner, so now is the time to come into the ER,” which struck me as both surprisingly callous but also a little bit insightful.

Her off-hand comment showed me one of the nagging realities of health care in this country today. People use the emergency room as their doctor. They don’t have health insurance – for whatever reason – and as a result, don’t seek out the routine care of a physician. They wait until something gets really serious and scary and then head to the ER. Emergency room docs are ethically bound to see and treat everyone who walks in, insurance or not.

Questions are asked, tests are done, X-rays are taken, treatments are prescribed, and bills are sent equally to everyone. Some get paid, many don’t. The latest figures show that more than 2/3 of the personal bankruptcies in the U.S. today are due to the crushing load of health care costs.

It caused me to stop and realize; while we were in the same place at the same time last night, most of the others in the emergency room lived in a VERY different healthcare universe than the one Joan and I occupy.

Today, as I pop my ibuprofen and try to type with this sling on my arm, I will be thinking about my friends from the ER. I will wonder how last night turned out for them. I will wonder if they will be back again tonight with a different complaint. I will speculate about how high their healthcare-related debt is.

But then, sadly, I will probably move on with my life and continue not thinking about them, just like I did before.

And the king will answer them, ‘Truly I tell you, just as you did it to one of the least of these who are members of my family, you did it to me.’”(Matthew 25:40, NRSV).

16
Apr
19

Where is the Justice?

For my thoughts are not your thoughts,
nor are your ways my ways, says the Lord.
For as the heavens are higher than the earth,
so are my ways higher than your ways
and my thoughts than your thoughts.

– Isaiah 55:8-9

Panera bread picYesterday was a truly gorgeous day here in the Kansas City area.

Yes, the weather was a perfect 78 degrees, sunny, with a gentle easterly breeze, rustling the newly leafing branches of the trees.

THAT was a genuine delight.

But what made the day especially lovely was the news my wife and I heard from her oncologist.

Yesterday we found out that after five months of chemotherapy, major, invasive surgery, and untold hundreds of prayers, Joan’s scans showed NOTHING.

As in, NADA, zero, zip, bupkis tumors or cancerous presence in her body.

It was the result we had been hoping and praying for but had not dared speak aloud.

THANK YOU, JESUS! And thank you SCIENCE! And thank you wonderful, caring medical professionals!

And so, since we were only two blocks away from a Panera Bread store – and since it was nearly lunchtime – we decided to celebrate with a fresh, tasty lunch.

And then as we finished our lunch and stepped outside, back into the beautiful day God had provided, I thought about my great-grandparents.

Honestly, I am not sure why they entered my mind at that moment. As far as I know, I never met any of my great-grandparents.

No matter why I thought of them, here is HOW they entered my framework at that moment. As Joan and I stepped out the door of Panera I thought, “Wow! We have just received a clean bill of health from a disease that only three generations ago would have probably been a death sentence for someone. And we followed that up by rather effortlessly enjoying a delicious, well-prepared meal… a meal that would have required monumental efforts by my great-grandparents to prepare.”

I then realized that the only difference between MY outcomes and my great-grandparents’ outcomes was the entirely accidental timing of my birth.

1951 vs. 1851.

And I thought, “Oh, what a MASSIVE difference 100 years makes.”

Faced with such a disparity in outcomes – based on something as arbitrary and capricious as a birthday – the natural question I was prompted to pose is: where is the justice?

How is it that such a minuscule span on history’s timeline can mean such a huge discrepancy in overall quality of life? How does that square with any notion of fairness?

Or we could widen our lens a bit and ask the question of geographical justice. We could ask, “How is it that a child born today in one part of the world can have such an enormously higher chance of survival and good health than a child born in another part?”

Or in an example that hit very close to home for us this week: “How can it be even remotely just that a family member who has successfully battled back from breast cancer can suddenly die in her sleep from cardiac arrest?”

Or – apropos of yesterday’s news – how cruel and unjust was it to watch the great cathedral of Notre Dame burning on the Monday of Holy Week?

What did ANY of these people do to earn these outcomes… either the good ones or the bad ones? How do any of us hope to understand the notion of JUSTICE in such a twisted setting as this?

And alas… I find that the longer I sit and stew over this question, the further and further I drift from any sort of answer. The paltry power of these three pounds of grey matter inside my skull is clearly no match for this cosmic conundrum.

As reason escapes, I find I am left only with a decision; the decision of how to live in a world like this. Will I choose to live as if I am forever the butt of some cruel joke… always looking around, expecting either the chair or the rug to be pulled out from under me, for the amusement of some Celestial Prankster?

Or will I choose to live in faith… accepting the reality of the utter unsearchableness of the universe, yet confident that behind all of it there is a loving, compassionate Hand that holds me, protects me, provides for me, and comforts me… even in those times when nothing seems to make a lick of sense.

The message of Easter is ALWAYS relevant, but maybe it becomes even more relevant during times of confusion, heartache, and a temptation toward cynicism.

“Why do you look for the living among the dead? He is not here, but has risen.”
– Luke 24:5, NRSV

The message of the empty tomb is meant to remind ALL of us that the worst thing is never the last thing… that even when we can’t see it or understand it, we are surrounded and sustained by love.

… and that there will never be anything in the world more powerful than LOVE.

 

Holy Week blessings to each of you.

02
Nov
18

“Just Kidding!”

Political opponentsI had gone out to play with my friends after dad finished giving me my every-two-week haircut. His barber chair was right there in the living room of our home.

With five kids at home – four of which were boys – my folks were always looking for ways to cut costs. Home haircuts were a huge help to the budget.

Dad was efficient with his barbering, but not always deft. My homemade haircut looked… like a homemade haircut. And as I met my friends in the field that day, my best friend Robbie pointed at my hair, laughed, and said, “Hey, Rusty… nice haircut! Did your dad put a bowl on your head before he cut your hair?”

And then he laughed, playfully punched me in the arm and said, “Just kidding!”

Of course, he was. But the initial sting of the joke stayed with me… because I knew he was actually not kidding at all.

In less than a week the mid-term elections will be over. We will all finally know the results of these watershed votes. Half of the candidates will win and pump their fists victoriously. Half will lose and go home to lick their wounds and ponder their next moves.

But the REAL blessing of next Wednesday will be the blessed disappearance of all of the political TV ads.

Thank you, eight pound, 10-ounce baby Jesus!

After the election dust clears the men and women who have gone on the public airwaves for the last three months, hurling the most vicious, degrading, debased, and insulting remarks at one another will step back, grin sheepishly at each other, and say, “JUST KIDDING!”

They will each call for a time of reconciliation and “coming together” in the name of the country/state/district/county/school board.

The rest of us will wake to discover that the predicted horror and disaster of electing a (REPUBLICAN/DEMOCRAT) to high office has actually not quite materialized.

We will see that electing a Republican did NOT actually lead us straight to a fascist state run by self-enriching oligarchs. We will also see that electing a Democrat did not – in fact – kill the economy, roll out the Welcome mat to bands of bloodthirsty terrorists, or usher in the new age of socialism.

Yes, we will all pause and realize that the vicious attacks unleashed in the campaigns were not REALLY serious charges. They were all “just kidding.”

But I can’t help but wonder; what is the price we pay for listening to this non-stop venom, in terms of the health of our nation’s soul?

All throughout the Bible, we see that it has some strong words to say about… strong words. Jesus, for example, said, “I tell you, on the Day of Judgment you will have to give an account for every careless word you utter; for by your words you will be justified, and by your words, you will be condemned.”(Matthew 12:36-38, NRSV)

James, Jesus’ brother, warned us about the dangers of the human tongue: “… but no one can tame the tongue—a restless evil, full of deadly poison. With it, we bless the Lord and Father, and with it, we curse those who are made in the likeness of God.”(James 3:8-9, NRSV).

Lord, as I listen to the election returns, help me be humble in victory and gracious in defeat. And help me – and ALL of us – heal from the wounds inflicted over the past few months.

Remind me that red or blue, left or right, you call me to love as you love.




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