Occasional thoughts of an Anglican Episcopal priest

Category: Health (Page 2 of 6)

Lenten Journal 2019 (30 March)

Lenten Journal, Day 24

Before I met my wife, I played racquetball a couple of times a week. I backpacked and went wilderness camping in the desert with friends. I rode a 15-speed bike to work. I was a downhill skier.

Before she met me, my wife played tennis. She went camping in the mountains of northern Nevada with her family. She rode her 12-speed bike across the continental US. She was a Nordic cross-country skier.

When we dated, we talked about these activities, imagining that we would share them with one another. We never did them as a couple . . . but we talked about them.

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Lenten Journal 2019 (18 March)

Lenten Journal, Day 12

A few months ago I had to take Evelyn to the Emergency Room because of rapid on-set, stress-induced, and disabling inflammatory arthritis; she had awakened about 3 a.m. with severe joint pain a quite literally could not move. We tried to deal with her situation on our own, but it became clear that more was needed. About 4:30 a.m., I called 911 and she was transported to our local community hospital. I dressed as quickly as I could and followed.

I arrived at the ER about 5:30 and waited while a man probably in his late forties checked in an elderly woman. She waited patiently while he dealt with her paperwork. He was much more distraught than she, trying to hurry the process (which only delayed things). Once all was done, he made sure she was comfortable in the waiting room, saying, “Mom, I have to go home and see to the kids. They’ll come get you soon and I’ll be back as quickly as possible.”

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Weddings & Marriages: If I Were Preaching, Epiphany 2, 20 January 2019

On the third day there was a wedding in Cana of Galilee, and the mother of Jesus was there. Jesus and his disciples had also been invited to the wedding. – John 2:1-2

I know that the natural inclination of preachers during the season of ordinary Sundays after Epiphany is to focus on the gospel stories of “manifestation” and we certainly have one this week, the miracle of water-into-wine at the wedding in Cana of Galilee. The story is ripe with focus possibilities: the miracle itself, the presence of the Holy Spirit as the activating force of Jesus’ power (suggested strongly this year by the lectionary pairing of this gospel tale with Paul’s listing of spiritual gifts in 1 Corinthians 12), the always popular look at the relationship between Mary and her son, Jesus’ attitude toward his public ministry at this time.

What is seldom preached on this Sunday is the context of the story: a wedding! So I think I might go there this week if I were preaching. The lesson from the Hebrew Scriptures positively invites us to do so; marriage is Isaiah’s metaphor (as it is other prophets’) for the relationship between God and Israel:

For as a young man marries a young woman,
so shall your builder marry you,
and as the bridegroom rejoices over the bride,
so shall your God rejoice over you.[1]

I’ve been thinking a good deal recently about the nature of the marital estate. I recently had major orthopedic surgery (a total knee replacement) and find myself absolutely unable to attend to many of the everyday activities of life, some of them quite mundane, some quite intimate and personal. I am dependent upon my spouse to whom I have been married now for nearly 40 years. As she attended to one of my needs the other day, I quipped, “Ah yes, I remember well that part of the service where we promised to do this for each other” (which, of course, we hadn’t). We make formal promises in weddings to love and honor, to cherish and comfort, to faithfully keep one another “in sickness and health,”[2] but we don’t get into the nitty-gritty details. Perhaps we’ve been counseled in advance of the wedding as to what these vows mean and what that nitty grit might be, but no pre-marital instruction can cover everything.

My father-in-law probably didn’t realize in 1947 that those promises would commit him 50 years later to caring for an invalid wife suffering from Alzheimer’s disease for the last eight years of their marriage, feeding her, bathing her, wiping her bottom, and all while she tried to fight him off because she didn’t know him. Those vows long before the onset of my mother-in-law’s disease had become water under the bridge, replaced by the fine, strong wine of human love and commitment. And though she hasn’t (I hope) had quite the same level of difficulty to handle, my in-law’s daughter follows in her father’s footsteps taking care of her temporarily invalided husband.

So . . . if I were preaching this week, I’d consider that context, a wedding. Weddings become marriages, brides become wives, grooms become husbands; those are transmutations, transformations, and differences as profound as water become wine. That alchemy of marriage manifests the Lord in our midst everyday.

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Notes:
Click on footnote numbers to link back to associated text.

[1] Isaiah 62:5

[2] The Celebration and Blessing of a Marriage, The Book of Common Prayer 1979, page 424

Teach Your Children (Labor Day): Sermon for Pentecost 15, Proper 17B, September 2, 2018

You, who are on the road
must have a code
that you can live by.
And so become yourself
because the past is just a good bye.
Teach your children well . . . .

If you are as big a fan of the folk rock of the 1970s as I am, you will recognize the opening lines of Crosby, Still, Nash & Young’s 1970 hit Teach Your Children.[1] Graham Nash who wrote the song has said that it was inspired by a 1962 photograph take by Diane Arbus of a young boy in New York’s Central Park playing with a toy hand grenade. I have no reason to disbelieve that, but I wonder also if today’s lesson from the Book of Deuteronomy, Moses’ farewell address to the people he has led through Sinai to the brink of the Promised Land, might also have been in Nash’s mind. The song is a neat paraphrase of what Moses says.

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Never-Changing & Ever-Changing: Sermon & Report for the Annual Meeting, January 21, 2018

A couple of months ago, I was part of a conversation among several parishioners about the set-up for our celebrations of the Nativity. We looking at our plans for Christmas services, and a member of our altar guild exclaimed, “That’s the problem! Things are always changing around here!”

A few days later at the November vestry meeting, as we were discussing our preliminary work on the 2018 budget and looking over the church’s calendar for the coming year, one of our vestry persons expressed some frustration saying, “That’s the problem! Nothing ever changes around here!”

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Recovery: An Analogy

Recovery. It’s what they call the process that comes after surgery. A physician cuts you open, spends a few minutes or hours doing whatever needs to be done, sews (or staples or glues) you up, and they wheel you out of the surgical theater and into the recovery room. Recovery has started, but when you leave the recovery room it isn’t over. It goes on and on for days, weeks, even months.

Recovery. It’s what they call the process that comes after a natural disaster. An earthquake, a tornado, a forest fire, a hurricane cuts through your community, spends a few minutes or hours or days doing whatever is really not needed, then leaves doing nothing at all to sew up the lives impacted, and there’s no recovery room. But recovery has nonetheless started, and it won’t be over for a long, long time. It goes on and on for days, weeks, months, even years. It goes on for lifetimes.

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Do the Exercises!

When I told friends, colleagues, and parishioners I was contemplating a total knee replacement, the singular piece of consistent advice was, “Do the exercises! Keep up with the therapy!” The surgeon who was to do the deed gave me a booklet full of pre-operative exercises to do at least twice each day; that seemed doable and it was – twice a day for six weeks before surgery.

Since the surgery twelve days ago, I have been home-bound and visited every other day by a grandmotherly Jewish physical therapist (she is absolutely nothing like my pre-conceived notion of what a home-visit physical therapist would be). On each visit she monitors my vital signs – “72, strong and steady,” she says listening to my heart – watches me walk – “Good posture!” – and teaches me a new exercise to add to my regimen. I now have a repertoire of four isometric exercises to do while seated in my recliner, four more active movements to do while seated in a straight-back kitchen chair, two to do while lying flat on my bed, and one to do standing at the first step of our stairway.

My routine throughout a day is a round of exercises, walking, icing, walking, and resting. A session looks pretty much like this:

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Health Care, A Human Right – A Rector’s Reflection (for the August 2017 Parish Newsletter)

What do orange-haired casino owners, former First Ladies, Muslim refugee children, police officers, unborn babies, doctors and nurses who perform abortions, progressive hipsters, conservative Republicans, prosperity-gospel televangelists, members of Congress, transgender former athletes, Confederate-flag-waving white nationalists, Black Lives Matter activists, middle-of-the-road Democrats, and aging clergy all have in common?

Together with you and everyone else on earth, they are sacred. That’s the thing. Christianity professes the absurd notion that human beings are sacred. In the beginning, our sacred writings tell us, “God created humankind in his image, in the image of God he created them; male and female he created them. [And] God saw everything that he had made, and indeed, it was very good.” (Gen 1:27,31)

The German World War II Lutheran prophet and martyr, Dietrich Bonhoeffer wrote, “In the Incarnation the whole human race recovers the dignity of the image of God. Henceforth, any attack even on the least of men is an attack on Christ, who took the form of man, and in his own Person restored the image of God in all that bears a human form.” (Cost of Discipleship, SCM, 1959, p. 272) Sacred. All human beings are sacred.

And, according to an American foundational document, the Declaration of Independence, it is a self-evident truth held by our nation that all human beings are “endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.”

The past several weeks, the question of health and health care has been much on my mind. Of course, it has been the subject of much political debate of late, but while that’s been going on I have been dealing with the subject in a much more personal way. First, I have been preparing for the surgical replacement of my right knee. Second, as I am about to turn 65, I have been learning about Medicare and its various parts, about its interrelationship with employer-provided health insurance, and about supplements and advantage plans. I have come first hand to the same realization reached by our current president: “It’s an unbelievably complex subject. Nobody knew health care could be so complicated.” (Daily Intelligencer, New York Magazine, Feb. 27, 2017)

I’ve come to believe that we need to reconsider our entire understanding and approach to health and health care. If, as we Christians profess, every human being is sacred and if, as we Americans profess, every human being possesses inalienable rights to life, liberty, and the pursuit of happiness, then, I think, we must also adopt the position that health is a sacred human right, not a saleable commodity subject to the vagaries and inconsistencies of profit making in the marketplace

In the field of constitutional law there is the concept of “penumbral rights.” These are those rights not specifically enumerated in the U.S. Constitution or its amendments, but so necessary to the protection of the listed rights that they too much be given supreme protection by our courts. The right to personal privacy and the right to reasonably unrestricted travel are two such penumbral. The right to good health is, arguably, a penumbral right of those enumerated by our founders in the Declaration of Independence; without it, the rights to life, liberty, and happiness cannot be fully enjoyed.

President Franklin Roosevelt certainly believed so. In his 1944 State of the Union message he called for “a second Bill of Rights under which a new basis of security and prosperity can be established for all.” These rights were to include “the right to adequate medical care and the opportunity to achieve and enjoy good health” and “the right to adequate protection from the economic fears of old age, sickness, accident, and unemployment.” Roosevelt’s call was echoed in the Universal Declaration of Human Rights (UDHR) adopted by the United Nations in 1948 which declares: “Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.” (Article 25(1))

Although neither Roosevelt’s Second Bill of Rights nor the UDHR are specifically based on a Christian ethic, the implication of the biblical creation story is that human beings possess an inherent and inalienable dignity. We promise to “strive for justice and peace among all people, and respect the dignity of every human being” in our baptismal covenant. (BCP 1979, pg 305) Philosopher Martha Nussbaum argues that human dignity confers on all human beings what she calls “political entitlements for the development of their capabilities.” Among these she delineates:

Presbyterian writer Chris Iosso has suggested that Christian respect for the dignity of all human beings is a matter of justice including a “positive responsibility to help the health of others … traced back to Jesus’ healing, which was partly restoring people to community and thereby restoring the community to health and wholeness as well.” (Unbound, March 6, 2014)

Similarly, Roman Catholic writer Mark Shea argues from the parable of the Good Samaritan that provision of health care to those in need is not a matter of charity, but a matter of justice:

A child does not have a right to life because of charity. His parents are not doing him a favor by not driving him out to the woods and leaving him there. They are doing him justice, because justice pertains to what is owed. A child is owed his life by his parents by virtue of being human.

The same is true of any human being in danger. The wounded man in the parable was owed his life, and the priest and Levite robbed him by ignoring him. Meanwhile, the Samaritan was not, according to Jesus, a hero or a saint, but merely a neighbor. The priest and Levite sinned by depriving the man of simple justice. The Samaritan bestowed not charity, but simple justice by giving him what we today call “health care.” (Our Sunday Visitor, May 31, 2017)

There are a lot of arguments about health and health care being made (and they have been made again and again) from legal, financial, economic, and political points of view, but they all seem to eventually come back to the notion that health is a commodity and that health care is something to be bargained for in the marketplace. What if we were to change that conception? What if, as those who believe that human life is sacred, as those who believe that human beings are inherently due respect and dignity, as those who believe in healing as a matter of justice, we Christians were to suggest an alternative point of view? What if we were to suggest that health is not a commodity but a human right? Could we change the tenor of the discussion? Could we find a way through the impasse about health care and our medical services delivery system?

I don’t know. But I do know, from personal experience getting ready for surgery and from personal experience aging into the Medicare system, that the president was right about this thing! “It’s an unbelievably complex subject.” It’s a legal, financial, political, and – for us as Christians – religious subject. We need to speak up and insist that that religious, philosophical dimension be addressed in the public debate.

Cancerous Distortion – Sermon for RCL Proper 11A – July 23, 2017

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A homily offered by the Rev. Dr. C. Eric Funston on the Seventh Sunday after Pentecost, July 23, 2017, to the people of St. Paul’s Episcopal Church, Medina, Ohio, where Fr. Funston is rector.

(The lessons for the service are from Proper 11A (Track 1) of the Revised Common Lectionary: Genesis 28:10-19a; Wisdom of Solomon 12:13,16-19; Romans 8:12-25; and St. Matthew 13:24-30,36-43. These lessons can be read at The Lectionary Page.)

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Again, this week, we have another familiar parable in our Gospel lesson, the story of the wheat and the weeds. I will come back to it. But first, I’d like to tell you about my older brother who died 24 years ago.

Richard York Funston was born on July 27, 1943; this coming Thursday, he would have been 74 years old. Rick was a very, very smart man; I would even describe him as brilliant. He had a bachelor’s degree in history from the University of Texas, a master’s in the same field from UCLA, and a PhD in political science specializing in constitutional law also from UCLA. He published five books on constitutional law and taught the subject in five universities, ending up as chair of the political science department and vice-president for academic affairs at San Diego State University. Had he lived, I’ve no doubt he would have been president of a major university.

But he did not live beyond his fiftieth birthday; in fact, he didn’t even get to that milestone. In October of 1992 he exhibited the first symptoms of some sort of brain dysfunction and was diagnosed as having suffered a stroke; three months later that diagnosis was proved wrong. He, in fact, was suffering from primary site brain cancer, glioblastoma multiforme, the same disease with which Senator John McCain has recently been diagnosed.

When Rick was diagnosed, I did some research into the disease and learned that, at that time, it was (and still is) considered incurable and invariable fatal. In 1993, 50% of patients died within six months of diagnosis; almost 100% percent, within two years. I’ve learned from the recent news about Senator McCain that medical science has extended the median survival to 18 months, but that outside life expectancy is still only about three years after diagnosis. Rick died on Father’s Day, June 21, 1993, less than five months after his accurate diagnosis. I spent the week before his death at his bedside.

So, I know all too well what John McCain and his family are facing and what they will be going through, and my heart goes out to them; they will daily be in my prayers. I would not wish what they are going through on anyone.

It’s because of Rick’s influence that I am the political junky that I am. He loved politics and we often discussed and debated the issues and races of the day. I have often wondered what he would make of 21st Century America and our current political climate. One of the things he taught me was to eschew what we have come to call “bubbles,” the self-insulating and self-reinforcing political and social circles in which we hear only those views that accord with our own and acknowledge only those facts which support our beliefs. So I read news reported by a variety of journals and read opinions and editorials written from a variety of points of view. I follow blogs and news-feeds from the Right, from the Center, and from the Left. And that is why I know that some self-identified “conservative Christians” have written that Senator McCain’s brain cancer is “godly justice” and that “God is punishing him” for his political views. (See Alexander Nazaryan, Newsweek, 7/20/2017.)

That is pure, unadulterated . . . nonsense! It’s that sort of offensive rhetoric by self-proclaimed “conservative Christians” that turns people off (and against) religion. What sort of person actually thinks and teaches others that God works that way? A god who did would not be a god to worship; such a god would be worthy only of contempt. Such a god would be one to follow; such god would be one to be fought. If I had even the slightest scintilla of a belief that that’s the way God operated, I’d not only not be a religious person, I’d be an anti-religious crusader. I am sick to death of the twisted, anti-human, distorted muck some people pass off as the Christian faith.

Which brings me back to Jesus and the parable in this morning’s Gospel text.

It is believed by many scholars that, in the parable of the wheat and the weeds, the weeds in question are darnel, a type of grass sometimes called “poisonous darnel.” The darnel itself is not poisonous, but it harbors a destructive and deadly fungus called “ergot.” If the infected darnel is harvested along with the wheat or rye, the ergot gets into the good grain and any flour or meal made from it, and the result can be fatal.

The scientific name for darnel is lolium temulentus, the second word being Latin for “drunk.” The French name for darnel is ivraie from the Latin ebriacus meaning “intoxicated.” Both names refer to the drunken, potential deadly nausea caused by eating the infected plant. Ergotism, as the symptoms of eating the fungus are called, is characterized headaches and nausea, convulsions and painful seizures and spasms, hallucinations and psychosis, and tingling and burning in the extremities, sometimes called “St. Anthony’s Fire.” (Wikipedia) Interestingly, these can also be the symptoms of glioblastoma.

Darnel is common throughout the Middle East and infestations of grain fields are a constant danger. So Jesus’ parable would have struck home forcefully with his original hearers; they knew well what might happen to someone who ate that fungus-infected grain. Later, Jesus explained the allegorical meaning of the parable to the Twelve, “the field is the world, and the good seed are the children of the kingdom; the weeds are the children of the evil one.” (Mt 13:38)

In his commentary on this story, scholar Eugene Boring suggests that “we can surely see, shimmering behind [this parable], the experience of Matthew’s church – and ours, too.” He goes on to write:

It chronically comes as a shock to find that the world, that the family into which we are born, that even the church is not an entirely trustworthy place. The world has places of wonder, but alleys of cruelty, too. Families cause deep pain as well as great joy. The church can be inspiringly courageous one moment and petty and faithless the next. Good mixes in with bad. “Where did these weeds come from?” is a perennial human cry. (Commentary on Matthew, The New Interpreters Bible: Volume VIII, Abingdon Press, Nashville:1995, pg 311)

Where did these people, these self-proclaimed “conservative Christians,” these poisonous weeds who cancerously distort the Gospel, blaming a devastating disease on some warped notion of “godly justice” come from?

Part of me, the part that still remembers my brother’s suffering, the part of me that sat by his death bed, would like to go root them out, pull them up root, stem, and head like the bad weeds they are, simply exterminate them. But, of course, the other part of me pays heed to the rest of the parable, to the master’s order to his servants to leave the darnels be until the harvest. This is, writes Boring, “a realistic reminder that the servants [which is to say, you and me] do not finally have the ability to get rid of the weeds and that sometimes attempts to pluck up weeds cause more harm than good.” (Ibid.)

Our gradual this morning is not taken from the Book of Psalms, as it usually is. Instead, we have a reminder from the deuterocanonical book entitled “The Wisdom of Solomon” that God, the source of righteousness, does not judge unjustly, that instead God judges with mildness and governs with forbearance. “Through such works,” we say to God as we recite the text, “you have taught your people that the righteous must be kind, and you have filled your children with good hope, because you give repentance for sins.” (Wis 12:19)

Paul writes in the same spirit in this morning’s epistle lesson. Echoing the parable’s message that the world is “not an entirely trustworthy place,” he writes, “The creation [is] subjected to futility.” (Rom 8:20) But we know that creation, and we ourselves, will one day be freed of that futility:

We know [writes Paul] that the whole creation has been groaning in labor pains until now; and not only the creation, but we ourselves, who have the first fruits of the Spirit, groan inwardly while we wait for adoption, the redemption of our bodies. For in hope we were saved. Now hope that is seen is not hope. For who hopes for what is seen? But if we hope for what we do not see, we wait for it with patience. (vv 23-25)

We could hope that our brothers and sisters, those so-called “conservative Christians,” could hear and learn that message. We could hope that they would stop broadcasting the perverse notion that God causes brain cancer, or earthquakes, or hurricanes, or floods, or whatever as punishment for human failings. We could hope that they would recognize what the great theologian Karl Barth stated so simply, that “God is either known by grace or he is not known at all.” (Church Dogmatics, II/1, 27)

We live in an imperfect world and we belong to an imperfect church, and there is very little we can do to change either of those facts; as much as we might wish to rip out and do away with those who distort the Christian message, the poisonous darnels among us, that isn’t our job. “We are given the task of living as faithfully and as obediently as possible, confident that the harvest is sure.” (Boring, op cit) We are to “wait for it with patience.”

But not with passivity! The master’s prohibiting the servants from weeding the field “is not a divine command to ignore injustice in the world, violence in society, or wrong in the church.” (Ibid.) No! We must stand in witness not only against “the world, the flesh, and the devil,” but also against other self-identified “Christians” who pervert the Gospel. Whenever we hear or witness such nonsense as suggestions that Senator McCain’s brain cancer is “godly justice,” we must answer clearly that it is not! We must have the courage of our Christian convictions and proclaim the truth of our faith in the face of such distortion. What we hope these so-called “conservative Christians” hear and recognize and learn, we must say and demonstrate and teach.

In this respect, last week’s opening prayer bears repeating: When we are faced with such twisted falsehood and misrepresentation, O Lord, “grant that [we] may know and understand what things [we] ought to do, and also may have grace and power faithfully to accomplish them. Amen.” (The Book of Common Prayer 1979, Collect for Proper 10, page 231)

(Note: The illustration is a representation of glioblastoma cancer cells from Glioblastoma multiforme – stereotaxic radiotherapy brings promising results? by Aleksandra Jarocka, MD, and Anna Brzozowska, PhD.)

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Father Funston is the rector of St. Paul’s Episcopal Church, Medina, Ohio.

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