N is for No

(This post is part of the ongoing series ABCs of Hospital Chaplaincy.)

It was the most abrupt end to a patient visit I’ve ever had as a hospital chaplain. I had told the man that his comments were beginning to make me uncomfortable, and that if he didn’t go back to talking about something in which I could actually be of help to him in pastoral care terms, then I would leave. He continued saying inappropriate things, so I stood up to go. As I walked out of the patient’s room, all the visitors and staff members in the hall could hear him yelling at me, “Just one night! I need you! I NEED YOU!” Whether it was his medication talking or something else, he insisted that the answer to his numerous problems was spending one night with “a good woman like you.” I had no problem telling him no. Continue reading “N is for No”

M is for Morgue

(This post is part of my ongoing series ABCs of Hospital Chaplaincy.)

The sign by the door reads “Decedent Affairs.” It’s a euphemism. Nobody whose loved one is being treated in the hospital, or who is actually a patient there, wants to see the word “Morgue” as they walk down the hallway. That’s the rationale, as I understand it. But the morgue is there. We all die sometime, whether or not we want to admit it, and a lot of us die in hospitals. When that happens, the morgue is where a body stays until it is picked up by the funeral home. Continue reading “M is for Morgue”

L is for . . .

(This post is part of my continuing series ABCs of Hospital Chaplaincy.)

I’ve gone back and forth about which L word fits best with my experience as a chaplain. Most of the other letters were pretty straightforward; one word jumped quickly to mind. But with L, there were two. Part of me thought, it has to be Loss. That’s something I certainly see plenty of in the hospital. In one shift, I may see people lose a spouse, a child, a limb, the ability to walk or talk, the hopes and dreams they had for the future they were certain was theirs, the will to continue living. It isn’t easy to witness those things, and they do come. Continue reading “L is for . . .”

I is for Invisible

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(This post is part of my ongoing series ABCs of Hospital Chaplaincy.)

I took my dog, Hurley, for a walk along the Mount Pleasant waterfront, as I often do, but things didn’t look the same at all. Where I can usually look across the water to see the port of Charleston and the many church steeples of the Holy City, today there was a wall of gray nothing. A few times every minute, we would hear the low call of a foghorn, but couldn’t see the source of the sound. Then suddenly, the top of a massive cargo ship became visible, just a few phantom smoke stacks and containers that seemed to be floating on a cloud. It sounded a nearly constant alert to its presence as it made its way through the fog. If there were other ships in its path, I sure couldn’t see them.  Continue reading “I is for Invisible”

H is for Hope

(This is part of my ongoing series, ABCs of Hospital Chaplaincy.)

It is the thing with feathers that perches in the soul, according to Emily Dickinson. Nietzsche said it is the worst of all evils. And on my dark days, I think it’s stupid (though not really). In a hospital, hope can make the difference, if not between life and death, then certainly between life and mere survival. Dum spiro, spero. “While I breathe, I hope.” Even when the people I meet in the hospital are fighting for each breath, or when they are hoping that the next breath will be their last, I watch them wrestle with what it means to hope.  Continue reading “H is for Hope”

G is for God

(This post is part of the continuing series ABCs of Hospital Chaplaincy.)

I can’t tell you how many times I’ve had the following exchange with a patient or family member in the hospital:

“Hi, my name is Stacy. I’m the hospital chaplain.”

“Oh, thank you for coming, but I don’t believe in God.”

My response varies. In my early days as a chaplain intern, I would have allowed this to be the end of the visit. But now, with a few years’ experience under my belt, I don’t walk away so quickly. Sometimes I’ll ask them what it means to them not to believe in God. Sometimes I’ll be honest enough to say, “That’s okay; sometimes I don’t really believe either.” But usually, I just breathe a silent prayer to the God I (usually) believe in and offer whatever support I can to the person across from me. We may never mention God again, but God is there.  Continue reading “G is for God”

#BlessedAreTheCrazy: No Longer Protecting Secrets

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This is Mental Illness Awareness Week, and I’m proud to be participating in this synchroblog to celebrate the launch of Sarah Lund’s new book, Blessed Are the Crazy: Breaking the Silence About Mental Illness, Family, and ChurchI come from a family in which mental illness — especially depression and anxiety disorders — and addiction have had a huge impact. As a little girl, I remember the great lengths my family went to in order to protect the secret that my mother had been hospitalized for depression. I felt the shame of it, even before I understood what it meant. I was afraid other kids at school would laugh at us if they knew, and any time a group on the playground was whispering, I was sure it was about me and my family.  Continue reading “#BlessedAreTheCrazy: No Longer Protecting Secrets”

E is for Emergency Room

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(This is the fifth in the series ABCs of Hospital Chaplaincy.)

It is the beating heart of the hospital. It’s also the only place I’ve ever seen a human heart beating (or struggling to beat) inside someone’s chest, up close and personal. I never know quite what I’m walking into when I get a call to the ER. Chaplains are part of the trauma team, automatically paged in the event of a trauma call. (More on that when we get to the letter T.) But there are many other reasons we get requests to come to the emergency room. It’s one of the units where I spend the most time. My closest friends on staff at the hospital are those who work the ER. (Incidentally, it is more appropriately called the emergency department, since it comprises many rooms. But thanks to those pharmaceutical commercials, when I hear ED I can only think of erectile dysfunction, so it remains the ER for me.)

Here, it’s all about crisis. Almost nobody wakes up in the morning planning on being in the ER later that day. The things that bring people here are sudden and surprising. Continue reading “E is for Emergency Room”

D is for Death

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(This is the fourth in my series, ABCs of Hospital Chaplaincy. Read other posts in the series here.)

“He then greeted Death as an old friend and went with him gladly, departing this life as equals.”

Sometimes I forget how different my perspective is from that of most “normal” people. Then my roommate asks me, “How was work last night?” I reply, “Not too bad. Just two deaths and a trauma.” She laughs and I look at her quizzically. “Sorry,” she says, “but you’re the only person I know who would call two deaths in one shift ‘not too bad.’ Your job is so weird.” I guess she has a point. Working in a hospital, encountering death on such a routine basis, is more than a little weird. Continue reading “D is for Death”

ABCs of Hospital Chaplaincy: C is for Charting

When I began my first unit of CPE, way back in 2006, I remember the awesome sense of responsibility I had each time I got to document one of my patient visits. I can’t believe we get to write in the patients’ charts, I thought, just like doctors do! Over the next several years and hundreds, maybe thousands of visits, charting became much less exciting. It was part of the routine, something to check off the list of tasks that must be done. “If you didn’t chart it, it didn’t happen,” my CPE supervisor told us. So I charted my visits, over and over and over again. Every job involves paperwork, I suppose, and this is ours. (And yes, when I started out, most of the charting we did was still on paper, writing with an actual pen on a form in a binder. It’s all electronic now.)  Continue reading “ABCs of Hospital Chaplaincy: C is for Charting”