Tuesday, September 21, 2010

Farmer's almanac

I guess part of the problem of being a dreamer is crashing and burning when reality smacks you in the face.
Case in point: I'm even getting jaded by the quirky and peculiar people of my little rural town.
Now, I'm not sure if it's me, or if it's just that simply that society has gotten more petulant, but, for highlights:

One man came into my emergency department (I'm going to emphasize this was an emergency department in a hospital; not a walk-in clinic, not a family practice clinic) telling me he hadn't had a poo in about 16 hours, basically since the night before.
"Besides," said he, "you guys are here anyways, so I thought I'd check."
"Well sir," I replied, "technically, I am only here to care for emergencies."
"This IS an emergency!" quoth he.
Suffice it to say, I quickly dispatched him from the emergency room. I warned the nurses if he showed up again, I'd give him a bowel prep, and will forever banish the notion of his being constipated ever again.

Another brought her adult daughter with a long-standing seizure disorder, worried that she was "about" to have a seizure... over the past eight hours. Wanted to 'drop her off' so our nurses could watch her overnight, 'just in case'. Ridiculous, thought I; my RNs are not Registered Nannies. Speaking to the adult daughter, who felt unwell, but certainly not definitely pre-seizure, was annoyed that her "overprotective" mother brought her in without asking her opinion on the matter - she herself felt well enough to manage at home, and certainly didn't feel she needed to be in hospital - dispatch.

One woman brought in her teenage son, that, not only had he already seen his family doctor several days before, and already had Xrays done, AND had another appointment with the family doctor the very next day, had a sore arm. Which was just a sore arm - dispatch.

The one legitimate thing I did deal with, however, was a true anaphylactic reaction - hives, swelling, throat closing, losing air, the whole kit and kaboodle. And it was great, cause we saved him (Though, admittedly, if the patient had been actually carrying an Epipen around with him and had been using it, it likely wouldn't have been as dramatic).

Another great interaction that I had was completely unexpected. One woman, who had gone for her routine mammogram a month ago, had been called back for special views, some unusual masses were seen, and it was recommended that she go for biopsy of those masses. I stepped in at this part of the story, so I arranged for her biopsies to be done on a semi-urgent basis. The patient then wanted to come in to speak to me. "Oh no," I thought, "she's going to rant and rave about how slow and incompetent I and the system are, or she's going to freak out and blubber all over me about how she's going to die, or something to that effect along that spectrum. Great."
Turns out, she was the first EVER rational patient that I've seen in this scenario. She's leaving for a short vacation tomorrow, so isn't able to accommodate a biopsy to be done for another week and a half. She feels that she would like to go on vacation anyways, as she figures, it's already been a month in the making anyways, and besides, if it does turn out to be bad news, she would have rather have gone on vacation while she still could. RATIONAL! Loved it. Cringing all the way to the clinic door, and finding a rational patient inside was a complete revelation.
But the story turns yet again; she then informs me that her faith is stronger than illness, and she is willing and able to handle whatever God throws her way - bravo for her! I then also reminded her that illness and death are but temporary things, to which she agreed and was even more satisfied in her decision to go and enjoy her vacation with her family. Kudos to her; she single-handedly reminded me that, like pearls in mud, sometimes there are people out there that make sense in the world.

Wednesday, September 15, 2010

FFT

So, I realize that the weblink eventually may expire, so I thought I should re-print my article online for posterity's sake (I think they have the rights to the article for a certain amount of time, but as I'm not earning anything from posting, I think maybe this is OK?). The original link is at http://www.christianweek.org/stories.php?id=1012&cat=capetown2010 .

It is with surprise and delight that I find myself among the 50 delegates chosen to represent Canada at the upcoming Lausanne Congress for World Evangelization in Cape Town, South Africa this fall. Standing amongst this country's leaders in evangelical ministry and mission, I often wonder how I could have possibly ended up with such an illustrious group.

Certainly, my work is most definitely secular. My practice as a physician, my advocacy as a food security and agricultural rights activist and my studies in global public health broaden the base from which I approach global issues and mission. I don't work in full-time ministry; I don't work as a long-term medical missionary, and I don't have any official theological training.

However, the global purposes of God's Kingdom still run through my veins as my very lifeblood, as it should invigorate and energize the entire Body in its identity and purpose. Hence, my presence signifies those of us in the Church who are not the clergy, nor in "ministry," but those in the flock who devotedly and wholeheartedly follow the Shepherd.

God's global purposes are vast. He cares about the spiritually lost to come to and reconcile with Him, but He also cares about His Kingdom Come on Earth, as it is in Heaven. Issues of injustice, poverty, the environment, slavery and the many imbalances between the Global North and the Global South are also Kingdom concerns. The face of the global church is changing, and we in the West need to respond to these changes with humility and grace, understanding that it can no longer be an us/them mentality in global mission, but the flowering of partnerships and being companions on the journey together.

There is also much brokenness within the Church, and brokenness without in the world. The Church needs to consider not only how to reconcile the brokenness within itself, but also how to demonstrate with fierce love the uniqueness of Christ in a pluralistic, multi-religious world.

This is why this upcoming Lausanne Congress is so critical in our times. We live in interesting times, indeed, and our God continues to work His purposes out and invites all of us to join Him. We, as a global family, with our brothers and sisters all across the globe, will symbolically come together in South Africa to reinforce our core beliefs as evangelicals, to envision the evangelistic task that remains and to humbly commit ourselves to lives that are fitting for both the slaves of Christ and the heirs of Christ.

Each Lausanne Congress has been a watershed moment in how the Church understands its calling into the world and has transformed the way that the Bride has gone to fulfill her purposes in it. I anticipate nothing less from this upcoming Congress; God will do great and wondrous things through His people who are called by His Name.

I expect that I will wrestle alongside leaders from across the globe with how the whole church can and should bring truth and justice to the nations, how wide the mandate and vision of the whole gospel is and just how big and how loved the whole world is. I hope this vision, brought back to the Canadian church, will inspire it onwards to greater passion and greater purpose.

We should all be excited and privileged to live in such times, to have such hope, to hold on to such treasure and to be allowed to share it with others.

The Lausanne Canada committee invites all Canadians to participate in the global conversation that is happening, even now, and into the Congress. Together, by conversing and learning from one another, we can start to catch a glimpse into the mighty purposes of God in our world today.

Monday, September 13, 2010

Inspiring stress

'Tis true: going to graduate school is quite a different phenomenon than undergraduate. Seeing as this is the first time (because I'm not promising it'll be the last!) around the graduate merry-go-round, this is interesting coming at it with the other undergrad degrees under my belt. It is really superb to be talking to profs as human beings, and meeting for coffee and meals, which is totally unheard of at the undergraduate level (unless something really dicey is going on).
However, one thing that has been a bit humbling to experience is the awe that is assumed to be my due, which is crazy, 'cause I'm such a big clutzy loser. Yet, much is expected of me, and I have already been given much advice by faculty members who have told me to aim higher, aim closer, aim precisely as to what is expected of me.
How stressful! They do remind me, as I was already well aware, that my education and my background inherently make this degree qualitatively different than it does for every single other student in my school. This puts additional pressure that is starting to make me a bit antsy, and brings up bigger questions: What am I doing here? What is the purpose? What is The Purpose in being here, and how does it help Kingdom come about?