Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Tuesday, 28 April 2015

What’s your pain on a scale of 1-10?



It doesn’t look too high. Come on John, you can do it. You’ve ridden mountain bikes for years.

Pedal, anticipate, maximum speed body weight forward– and jump.

Except I lose the bike.

And I drop like a lead balloon.

 
The pain. In my backside. My back. My legs.

The crack. By back has just broken in two.

As my screams subside, I can’t breathe.

I’m holding my best friend’s hand (which in retrospect is kind of weird!)

The pain is sooo intense.

Minutes pass.

I can’t feel my feet.

My medical brain kicks in – ‘at least I’ve had 3 kids’ I muse.

But I’ve just snapped my back. What sort of dad will I be in a wheelchair?

 
4 hours later and I finally get to hospital.

‘What’s your pain on a scale of 1-10?’ asks the nurse.

22! I think, but all I can do is sob through the pain.

Some morphine. Then some more. Before finally the pain subsides.

My pain score has been re-set.
What used to be a 10 is now a 5.

And I have a new-found respect for my wife (I thought she was a wuss for wanting more than Entanox in labour – oh the shame!)

As I lay in hospital for those 3 days I was repeatedly asked to score my pain.
Were the nurses that bothered? Did they feel that pain with me? Did anyone care as I lay there in the night?

It didn’t seem like it...

And then I’m home.

And Nepal happens. Over 4000 dead. A nation in pain.
My Facebook page tells me there are 2.5 million child sex slaves in the world.
I know that every minute 15 children die from preventable diseases.
On my very road there are lonely, depressed, suicidal, beaten, chronically abused people.

And I ask myself:

What pain do I feel on a scale of 1-10?
Do I really care about their suffering?
Or am I indifferent?

The girl on my ward at work, with a recurrence of a brain tumour and little hope of a cure.

What pain do I feel on a scale of 1-10?
Do I really care about her suffering?
Or am I indifferent?

When I started medicine my pain and empathy levels were high.
I would be affected. Moved. Angry.
I would feel the pain.

But my pain score has been re-set.

And not in a good way
What was a 10 is now a 5.What was a 7 is now a 1.
And I sometimes barely flinch. I am indifferent.

What will it take for me to feel their pain? Not to feel empathy as I am taught at med school. But to enter into that pain in true compassion?
What will it take for me to be angry, angry enough to get off my backside and give, go, campaign - rather than sit apathetically and wait for someone else to take the lead?
What will make me desperate enough to pray for the comfort of God, for true healing and restoration?


The only way to keep my pain score attuned is to focus daily on the most painful, unjust event in all of history.

As I gaze at the cross, the agony that Christ went through for me – as I see how wide and deep and high and long his love was that took him there – where there was no morphine, no diazepam, no-one to hold his hand – it is there that I am captivated again by his love for me.

It is there that I see him hurting for the girl on my ward, hurting for each of these dear Nepalese. Hurting for my neighbours. Hurting for my patients.

He understands.

Because he’s been off the pain scale, he has compassion for those who despair.

Oh God, re-set our pain score and help us to enter into and feel and journey through the pain with those who are hurting and show them Jesus, the God of comfort, who comforts us in our troubles so that we can comfort those in trouble with the comfort we ourselves receive from God (2 Corinthians 1:3-4).
 
 
Image - www.thebricktestament.com

Saturday, 7 February 2015

Will it be me or them?




Medicine seemed so…I don’t know…heroic.

Romantic even.

Treating sick patients, seeing them healed and eternally grateful.
That warm glow of appreciation that I could bask in for weeks. 
Yes there’s lots of exams, but the rewards would make it worth it. 

Right?

And yet time and again patients are ungrateful. And sometimes they don’t get better!

What’s more
It’s hard to be friendly with my colleagues on my 5th night shift
It’s hard to do as my registrar asks me even though he’s really getting on my nerves
It’s hard to go the extra mile and reassure the agitated 86-year-old on Spencer Ward who everyone else is ignoring
It’s hard to treat with dignity the drunk who everyone else on my team belittles and curses, and who belittles and curses me

Outside of work,
It can be hard to get home and put my wife (who is also tired), first
It can be hard to let my children inconvenience me and play ‘My Little Pony’ rather than doing what I want to do on my day off
It can be hard to spend time with a friend who is low because you know what, I just can’t take any more…

Of course there are times to be balanced.

And yet these choices face us several times a day.
My preference or his?
My security, or hers?
My vulnerability, or theirs?
My children’s freedom, or mine?

The simple call of the Christian life is

IT’S ME OR THEM

When God killed the firstborn way back in Egypt, the choice was:
It’s the lamb or the boy.
When Abraham took Isaac to sacrifice him, the choice was:
It’s the ram or the boy.
In the garden of Gethsemane Jesus is in agony. The anticipation of what he was about to do caused his great physical and mental distress.

Will he drink the cup of punishment or will we?
Will it be him, or us?

And Jesus says – ‘Father, Your Will be done’.

‘LET IT BE ME, NOT THEM’.

Let it be me, not John.
Let it be me, not you…

That’s how much he loved us.

When we have grasped the depths of Jesus’ substitutionary sacrifice, we are empowered to do the supernatural - to truly love others.

To say:
Lord, let it be me, not him
Let it be his preference, not mine
Let it be my loss of security, not hers
Let me risk my vulnerability, not theirs
Let me lose my freedom, not my children’s

So my prayer is that I would be ready to lose
my security
my vulnerability
my time
my convenience
my energy
my professional pride
my notion of ‘what’s in it for me’

and instead be who God is calling me to be to them.

I know I fail using my own resources (I’ve tried and it doesn’t work - for long!), and I am called to imitate Christ, who at the cross most profoundly shows us the way; more than that, who enables us as we trust Him and receive His Spirit to be able to say along with him:


"Let it be me, not them"

Whatever you do, work at it with all your heart, as working for the Lord, not for human masters,  since you know that you will receive an inheritance from the Lord as a reward. It is the Lord Christ you are serving. Colossians 3:23-24


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