Tag: hospital

A Theology of Loss, Love, and Leaning In

For my chaplaincy, I had to answer the questions:

Where is God in the midst of suffering, loss, illness, tragedy?
Where is God for the patients?
Where is God for you?

Here’s my meager attempt to answer these very huge questions.

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In the worst moments of our lives — the cancer, the car accident, the phone call that changes everything — I’m not always sure where God is. Even the most trusting and devout are spouting, “God’s got this” with quivering lips and a shaking voice, with the slight clench of a fist, with feverish bewilderment: because the words fall flat on the cold linoleum of the hospital.

No matter how much theology we know in our three lb. brains, it all goes out the window when the floor opens up and steals us into the abyss of loss, the irreversible before and after, and the world becomes a chaotic, unsafe place of random disaster.

I can’t say where God is.

I can only say with some certainty where God is not.

I don’t believe God is distant and detached from our pain. I don’t believe He’s gloating over us behind a glass cage. I don’t believe He uses pain to teach us a lesson. I don’t believe that trials are part of “God’s amazing plan for your life.”

I don’t believe that God is some stoic, abstract teacher who waits for us to “get it.” Pain is pain, and it hurts, and no amount of theology is going to glamorize a special reason that it happens.

Not every pain has a connect-the-dots theology. When a hurricane misses a city and everyone “praises God,” it’s only condemning the millions of people who are hit by the same storm. When a child dies of preventable diseases or drunk drivers or a genetic anomaly, there’s no curse or blame upon the child. We can’t force such a tragedy into easily quantifiable boxes. To make such a correlation, if anything, is worse than the pain itself.

The truth is that we live in loss every single second, just by the mere fact that our lives won’t turn out the way we want them to. We live within absolute suffering just by losing time on the clock in the inevitable march towards death. The hospital only puts a neon sign around the coffin that awaits us all.

But my Christian faith tells me that this is completely expected. We live on a fallen world where the thread of sin has woven its tendrils into every part of our being, and that something will always be missing. Rather than deny pain, the Christian faces it head-on and acknowledges the tension. From our grief in loss to our hunger for approval to our need for intimacy: we float in this strange limbo of discontent, where nothing is ever quite the way we want it.

At the same time: My faith holds onto the hope that total fulfillment really exists. Our pain is unbearably awful, but it actually points to our desire for a healing of everything that has ever fallen apart. The inverse irony of pain is that when we’re hurting, it conveys a contrast to a very real wholeness. It’s why pain hurts. Pain tells us that something is terribly wrong and we know it ought to be put right. Or as C.S. Lewis said, “Nothing is yet in its true form.” The very reality of suffering points to our need for an ultimate comfort and justice: for God Himself.

This means there is some perfect song on the other side of the door; a light at the end of the tunnel that fills the tunnel; a beauty that doesn’t explain our pain, but is stronger and louder and bigger than all that has happened to us. We know this because we know bad notes, we know the darkness of a tunnel, we know the scars of marred beauty. Christianity says that the only real beauty is the infinitely satisfying perfection of God, who is the only being in existence that fulfills every longing we’ve ever had for truth and beauty and wholeness.

But I believe that Christianity fulfills us not only by perfection, but also by descending. Christianity says that God became one of us, out of solidarity, to suffer with us, not as a mere deity in an abstract palace, but a flesh-dwelling person in a sand-swept desert, so that, though God is so above us, He knows what it’s like to be one of us. The Christian believes in a God who wept and bled and suffered, an infinite God who infinitely compensated for our hurt, thereby cosmically answering for our afflictions and fulfilling the deep need to be heard and known at our very worst.

This must mean that God is just as mad at suffering as we are. God must be grieving with us, too. And in fact, my Christian faith tells me that because God is mad at our pain and still perfect, we’re also allowed to be as mad as He is at the very same things.

Maybe there’s an intellectually satisfying answer why we’re suffering: but what I want is someone who relates instead of debates. This is why we get flustered when someone connects the dots on our tragedies. It’s better they get with me in the trenches.

This means my job is not to solve for the other person’s pain. It’s not to bring diagrams and flowcharts. It’s to sit inside the uncertainty and anxiety of suffering and to shout against the dark, until we have shouted ourselves out. This is when God can begin to show up at all, for at our rock-bottom, He is already there.

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At the Intersection of Hip To Shoulder, Side by Side.

Each week, part of my chaplaincy training is to write a reflection on how it’s going. Here’s week number four. Some identities may be altered for privacy. All the writings are here.

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I kept hearing stories in snippets, and I wondered about the whole thing.

There was a man who had survived stomach cancer, car accidents, a gasoline fire, a broken skull, and a direct hit by lightning.

A woman who suffered a heart attack because her mother and brother had died within weeks of each other.

Two different women, one young and one old, who were once very successful but kept burning themselves with flammable fluids because of the demons in their head. “I can’t help it,” one said. “I don’t know why I do this,” said the other.

A woman who was obviously abused by her husband, who wanted to stay longer in the hospital because she was afraid of the monster at home: but she wouldn’t admit what was happening.

I sat with a mother who was holding her baby in her hand. We had been called to NICU to offer a final blessing and a baptism, but we were too late. The baby had coded. Her lungs had become like melted wax and she couldn’t breathe on her own. She barely fit her mother’s palm. I wondered about the story she would never get to live. I wondered about God and why and “His Will” and the meaning and a reason and a crushed future and how life could keep going after this. I wanted to talk with the mother but the mother didn’t want to talk and I thought that was okay. Sometimes there are no words. Sometimes the stories are told in silence.

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Fitting Our Own Skin and Finding Ourselves Again.

Photo by faungg, CC BY 2.0

Each week, part of my chaplaincy training is to write a reflection on how it’s going. Here’s week number five. Some identities may be altered for privacy. All the writings are here.

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I’m always trying to shake this feeling that I’m not fitting in my own skin. That ickiness is always there.

Even when I’m good at something, I constantly wonder if I’m getting it right. It’s like that strange phantom when you go on a trip: Did I grab everything? Do I have my wallet? Where’s my charger? Is the stove off? Am I wearing pants right now?

The moment I visit a patient, the finger-pointing phantom jumps right in my guts and starts twisting batter in my belly. It’s this nauseous churning of self-doubt and second-guessing and burning insecurity. This gleeful little rat-goblin chips away at me as words spill from my mouth.

Oh come on, you shouldn’t have said that.
Oh look, you’ve upset the patient.
Oh dude, your tone was really weird and nasally there.
Oh yeah, you’re doing that loud nose-breathing thing.
Okay, but no one will take you seriously with that hair.

I have a lot of trouble just announcing, “I’m a chaplain.” It’s a powerful thing to say who-you-are with confidence. I’m a doctor. I’m a nurse. I’m a chaplain. I’m a trained professional. I’m a big boy. What really gives me the right to say anything like this? I want to immediately apologize for my lack of knowledge and to explain I’ve only been here for five weeks and that maybe if they want someone more experienced, I’ll barrel roll to the nearest exit and grab a chaplain with normal human hair.

Oh hi, I have no clue what I’m doing and I got lost six times on the way to your room.

I have to act like my own skin really fits me, if not for my own sanity, then at least for the patient not to crawl away from me. I’m still pretending to be a big kid with a jacket that’s eight sizes too large, or I’m just eight sizes too small. That feeling: it’s always there.

Maybe God or fate or the universe knew about it, because I was forced into announcing myself all the time.

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What Matters When Nothing Else Does.

Each week, part of my chaplaincy training is to write a reflection on how it’s going. Here’s week number two. Some identities may be altered for privacy. All the writings are here.

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I watched someone die.

The trauma team did everything they could for him. That’s what the doctors told his wife, too. Her husband had stepped outside and suddenly fell over, his heart a fist in his chest. He was, as they say, in good health. The paramedics burst into the trauma bay with him on a stretcher, already in action, doing chest compressions and administering epinephrine. The nurses took turns. I was amazed at their clockwork efficiency. It wasn’t like the TV shows where everyone is frantic and yelling heavy-handed stuff at each other. No one yelled, We’re losing him. It was calm, the methodical pace of carving a pear with a pocketknife.  The team had a kind of choreographed trust that you only find in good acapella groups, or a school of fish. But the man was probably dead before they got him through the door. They had to try.

The doctors were very clear with the news. He died. The wife and her children were cut to pieces. There was a lot of screaming and hugging and anger in that suffocating space. I felt intrusive. There were three doctors and three chaplains standing around, and it was too many of us. Or maybe that was okay; maybe some people need more company so they don’t go crazy. I would want that for my family. I tried not to stare; I looked at the floor when the family wept and I wanted to jump in the wall. Someone asked me to grab a box of tissues and I dashed out, hoping to be respectful, and useful. I could hear them crying from the end of the hallway.

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Starting at the End of the Door.

Each week, part of my chaplaincy training is to write a reflection on how it’s going. Here’s week number one. Some identities may be altered for privacy. All the writings are here.

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I had a very romanticized expectation of chaplaincy, as if I should have a divine epiphany complete with a vision of singing cherubim and filtered lights through the slits of the curtain. I could say something like, This is what I was made for. Sometimes I pretend to be a pessimist because it’s much more vogue and relevant, the whole cynical stoic thing, but I’m always hoping for those Hollywood moments when I have the meaningful conversation with some desperate guy on the last lap of his faith. 

I really had little idea what to expect in my first week of chaplaincy training. Certainly I had spoken with other chaplains about their experience — “You’ll love it, really” or “You’ll regret it, really”— but no one can really know about a thing until they’re on the other side of the door, like marriage, or like changing a flat tire. I’ve only just seen the door open. 

Continue reading “Starting at the End of the Door.” →