ABCs of Hospital Chaplaincy: A is for Advance Directive

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How do you want to die? Have you ever thought about it? It’s a line of thinking most of us would probably like to avoid, but as a hospital chaplain, my job involves a lot of thinking and talking about death. And in the hospital where I work, chaplains also have conversations with people who are not near death about what they want to happen when they get to that point. Upon check-in, every patient is asked whether they would like information about Advance Directives. If he/she says yes, a chaplain will go visit him/her within the next forty-eight hours, carrying a blank South Carolina healthcare power of attorney form. Where I work, it is one of the basics of what a chaplain does.  Continue reading “ABCs of Hospital Chaplaincy: A is for Advance Directive”

Up In the Air

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I’m typing this at 30,000 feet. Actually, that’s a guess; I’m not sure what our cruising altitude is. But anyway, I’m on an airplane somewhere between Charlotte, NC and Boston, MA. Since I have a window seat, I’ve been passing my time peering out at winding rivers and geometrically plotted parcels of land and cars the size of ants making their way to somewhere important. The rest of the time, I’ve been reading Pastrix: The Cranky, Beautiful Faith of a Sinner and Saint by Nadia Bolz-Weber. A Lutheran pastor with an irreverent wit and punch-in-the-gut honesty, Nadia makes for a great traveling companion. She is just what I need, as I look down on the world and think, inevitably, about God. Continue reading “Up In the Air”

Endings and Beginnings

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He was much too old for lullabies, already a teenager. If he had been able to speak, he may have protested, but I doubt it. His mother lay in the hospital bed next to him, wrapped her arms around him. A few hours earlier, she had been full of anxiety and anger, lashing out at anyone who so much as hinted that her son was dying. But I did more than hint. I confronted her with the reality that he was coming to the end, and that he needed her now as much as ever. The anger exploded — then disappeared. And in her son’s last hours, she did as good a job of anyone I’ve ever seen at saying goodbye. She told him she loved him, that every day with him was a gift, and then for a painfully long time, she sang him to sleep. She made sure that the last sound he would hear was not beeping monitors or her anguished sobs or his own raspy final breaths, but that first sound — his mother’s voice, singing to him the same songs she had sung when he was a baby. Continue reading “Endings and Beginnings”

How Many Have You Saved?

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It happens sometimes when I am introduced to someone new, a friend of a friend perhaps.  They ask what I do, and when I tell them, their responses vary widely.  I’ve gotten blank stares when the person has no idea what to say next.  I’ve been thanked and congratulated on my decision to go into ministry.  I’ve heard all the reasons why the other person thinks religion is only for idiots.  And not long ago, when I told someone new that I am a chaplain, she hit me with, “That’s wonderful!  How many have you saved?” Continue reading “How Many Have You Saved?”

A Most Reluctant Prophet

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This week is a time set aside by organizations and individuals around the world as Pastoral Care Week, to recognize the contributions of professional chaplains and pastoral counselors.  Each year, a different aspect of pastoral care is brought to light with the annual theme.  This year’s theme is “Prophetic Voice.”  I have to say, this is not my favorite.  Being a prophetic voice — a truthteller — is one of the most anxiety-producing parts of being a chaplain for me.  I can listen all day long.  I can be a supportive, non-judgmental presence.  I can celebrate diversity of beliefs.  I can sit in silence with the dying.  No problem!  But speaking truth, even getting confrontational?  That’s something else entirely.  I have had to learn to do it, and it is still not easy. Continue reading “A Most Reluctant Prophet”

I’m Hard to Shock Anymore (Even When I Get Asked for a Lap Dance)

I won’t say I’ve heard it all, but as a hospital chaplain, I hear a lot.  There are things people say in the midst of crisis that they wouldn’t say otherwise.  Things that a few years ago would have made me blush or left me speechless, I now take in stride.  When I was called to the room of an elderly patient who was actively dying, I found his children and grandchildren gathered around the bed.  I expressed my sympathies, listened to their stories about him, and at their request prayed for a peaceful passing for him at the right time, as well as comfort and strength for his family.  Before leaving, I asked, “Is there anything else I can do?”  The patient’s grandson, a few years younger than me, asked, “I don’t guess you do lap dances, do you?”  His mother used his full name as she smacked him in the back of the head, looking at me apologetically.  “What?” he said.  “Not for me, for Grandpa!  You never know what might help.” Continue reading “I’m Hard to Shock Anymore (Even When I Get Asked for a Lap Dance)”

Why You’ll Never Hear Me Say “God Doesn’t Give Us More Than We Can Handle”

I was sitting at the bedside of a tearful patient, a woman hospitalized with pain and bleeding after her fifth consecutive miscarriage.  A few hours after she checked in, she got a phone call from a family member telling her that her youngest sister had been killed in a car crash.  Her nurse asked me to visit her that evening, and so I sat, holding her hand, telling her how sorry I was.  Then she said it.  “I know they say God won’t put on us any more than we can handle, but I . . . I just . . .”  She fell back against the bed, sobbing too hard to speak.

“But it feels like more than you can handle right now,” I offered.  She nodded and squeezed my hand. Continue reading “Why You’ll Never Hear Me Say “God Doesn’t Give Us More Than We Can Handle””

About the title, part 2: Jesus

As I mentioned in my previous post, “Jesus Lady” is a nickname I was given at the hospital.  It happened a few years ago, when I was called to the room of a very sick pediatric patient.  They asked me to give voice to their prayer and I did so the best I knew how, after asking them specifically what they wanted me to pray for and what their beliefs were.  When I returned to the room the next night to check on the child, he was, to everyone’s surprise, doing much better.  As I was leaving the hospital the following morning, I heard someone yell from across the parking lot, “Hey, Jesus Lady!”  I turned to see the child’s father, smiling and giving me the thumbs up.  “Great job!” he said.  I laughed and waved off the compliment, feeling that whatever good had been done, it was certainly not within my power to do it.  (If I did have that power, I’d make sure every patient I prayed for made a full recovery, and I can assure you that is NOT what always happens.)  A few of my friends on staff heard this exchange, and teasingly called me Jesus Lady for a long time after that.  Some of them still do. Continue reading “About the title, part 2: Jesus”