Each week, part of my chaplaincy training is to write a reflection on how itâs going. Hereâs week number fourteen. Some identities may be altered for privacy. All the writings are here.
Sometimes a patient just talks for an hour, and I say two sentences, and thatâs the whole visit. The patient usually says, âThank you so much for your wisdom and adviceâ â and I hardly said a word.
Maybe thatâs a good thing. If I had said too much, I might have messed it up.
But more than that: some patients just want an ear to listen.
Iâve seen the same thing at the homeless ministry. I ask someone, âHow are you?â â and the answer is a breathless forty-five minute life-story of financial collapse and arrests and rehab and failed job interviews, and at the end, âYouâre so wise, now Iâm so pumped up for life.â
From the homeless to the hospital, I see the same craving:
People want to be heard. Because we want significance. Meaning. Dignity. A voice.
Nobody wants to live in a vacuum of silent solitude. If we can tell even one stranger about what weâve gone through: it brings value to everything weâve gone through.
I ask a patient, âHow are you?â and she tells me about her thirty-seven surgeries, every detail of every doctorâs prognosis and prescriptions and specific slices of the scalpel. Each surgery is a harrowing tale of uncertaintyâ"Will I wake up from this one?ââand I could only nod and sit inside the sorrow.
I ask a patient, âHow are you?â and he tells me about his successful global enterprise in the Middle East and all the countries heâs visited and how he hates retirement and heâs too sick to work but heâs just healthy enough to miss working, and I could only agree with his longing.
I ask a patient, âHow are you?â and she tells me, âI miss my dog, and I guess my husband,â and she tells me about her dog and all the tricks he canât do and how she can probably train her husband to train the dog, and at the end I prayed mostly for her dog.
I ask a patient, âHow are you?â and sheâs so scared about an upcoming surgery, which might finally give her relief from a feeding tube so she can eat normally for the first time in five years, and she wants so badly for the surgery to work, and she describes what itâs like to live off this plastic tentacle sticking out the side of her stomach, and I could only weep with her as she fights hard not to weep.
Some patients donât want to talk and it takes a delicate navigation through the shallow river into the stirring deep, to open a clamshell with thumbnails: but other patients suddenly bust open, because who else will ever get to hear their story? Itâs important to them, and itâs important to talk about it, and talking about it brings some kind of solidifying power, like the ground is coming together underneath a precarious balance, and if itâs important to them, then it has to be important to me, too. And it is.
There was one patient who didnât want to say anything. I tried to ask questions from various angles, using all the training I could muster, all that spiritual assessment stuff, and it just wasnât working. He was quite the clamshell, I mean the barnacles and super glue kind.
In my mind, I was giving up and moving towards prayer, because he was listed as a Christian and it was a Hail Mary shot across full court.
I asked, âWhat would you like to pray about?â â and he talked about his mother, and how lonely and scared she must be at home without him, and then he started weeping like crazy and he talked about his motherâs health and her surgery and how she was visiting the hospital even though she was so sick, and his mother was his big giant important pearl inside, so we prayed for her, and he talked about her some more after that, and thatâs the thing he needed someone else to hear.
It can take a long time to get there, but itâs there. We can give a voice to it.