So much going on as of late…. The beginning of the month I
started my new job and I am ever so thankful for it. Not gonna lie though, it’s
a good deal more overwhelming than I anticipated. Bronx hospital medicine isn’t
like family practice. Not. At. All. The
best way I can describe it would be to say that it’s a mix between African
medicine and US medicine. The population
is very poor and underserved. I can count on one hand the number of patients I
have with private insurance. The hospital is literally busting at the seams,
therefore patients who won’t die that day are placed on gurneys in the
hallways, and those who are lucky enough to get a room share it with one or two
or three other patients. We joke sometimes that their next strategy will be to
add bunk beds! There is also a significantly higher number of patients that
present with AIDS, drug and alcohol abuse, hepatitis, etc.
Along with this, comes a great deal of death and loss. Rare,
good, days are the ones where none of the patients under my care die on my
shift. This is not my first experience with patient death, but it is never fun
or particularly easy. Somehow it has bothered me a bit more lately. During my
time with the Lord, I have tried to figure out why I have felt more unsettled
about it as of late and this is what I have concluded:
1.
We live in America and therefore think we are
invincible. Nothing is fair about unnecessary death in third world countries,
but it somehow feels more acceptable and normal. As a young, fit individual I
assume that my days will be numerous and I won’t have to face death or loss
anytime soon. Truth is, I have seen people of all ages pass and not always with
much warning or time to prepare. We are so much more fragile than we think…
(Ironically Daniel and I are reading through Job in our Bible reading plan now
too….ha)
2.
There is a bit of a God-complex that comes with
medicine. It’s not always overt, but our job is to keep people alive. Guess
what though?!? people die even despite
our best efforts… This lesson doesn’t just apply to medicine though. None of us
can ‘save the world’ – whatever that looks like to you. We are not as good as
we think we are.
3.
In God, and only God, we live and move and have
our being. Now we may not harbor cancer or some other horrid, fatal disease
right now, but without God providing our next breath or heartbeat we are done.
4.
What in the world are we doing?!?! Do we live with an eternal perspective and a
sense of urgency? What is the purpose of our lives? Who do we need to talk to
about Jesus but are holding back from because we are scared? What if they don’t
get another day? If we really believe that this gospel stuff is real, we are called
to make disciples, to share, to go, to make much of Christ with whatever time
we are given here.
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