Tag Archives: health care

For Everything there is a Time and Season… COVID 19 and a Time to Mourn

Friends of Padre Steve’s World,

When I was growing up the Rock group The Byrds released a song written by Pete Seeger entitled Turn! Turn! Turn! (For Everything There is a Season.)  The Song hit number one on the U.S. Pop Chart in 1965 and I still can remember it being played on the AM music radio stations that my mother would listen to when my dad, a Navy Chief was away. It is still one of my favorite songs.

I don’t know about you, but music can get a message into my head much more than simply reading the words, or especially hearing it from an uninspiring speaker, especially boring pastors who couldn’t could preach their way out of a wet paper bag or melt an ice cube with a blow torch.

I was five years old at the time the song was released and living in Oak Harbor, Washington, where my dad was serving with a squadron at the Naval Air Station. Back then I didn’t know that the song’s lyrics were adapted from the Old Testament Book of Ecclesiastes, Chapter 3, verses 1-8, just in case you want to look them up. Seeger rearranged the words to better work with the rhyme and meter of his music, he composed it in 15 minutes and sent it to his agent who loved it, far more than Seeger’s protest songs, which he couldn’t sell.

But Seeger was  ahead of this time when he wrote and recorded the song as a folk tune in 1962. But it  really didn’t break through until the Byrds recorded it as a follow up to their number one hit Mr. Tambourine Man.

The lyrics to the song are catchy, especially in the version recorded by the Byrds. Over the years other artists and groups have recorded it, but it is the Byrds adaptation that even now still gets airplay, and still resonates in my head, even when that section of Ecclesiastes Chapter Three are part of the lectionary readings.

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time to be born, a time to die
A time to plant, a time to reap
A time to kill, a time to heal
A time to laugh, a time to weep

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time to build up, a time to break down
A time to dance, a time to mourn
A time to cast away stones, a time to gather stones together

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time of love, a time of hate
A time of war, a time of peace
A time you may embrace, a time to refrain from embracing

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time to gain, a time to lose
A time to rend, a time to sew
A time for love, a time for hate
A time for peace, I swear it’s not too late

The words of the song, and the scripture it is drawn from remind me of our human need to live in the moment and cherish all the times and activities of life. One of those that stood out to me a couple days ago after the death toll from the novel Coronavirus 19 topped 100,000 people in this country. Many of us know people, including family members and friends, who have either come down with the virus or died from it and its complications. Sadly, because COVID 19 is so infectious we are unable to mourn in the ways we normally would when we lose someone we know or love.

That occurred to me Wednesday night when I read yet another article on how COVID 19 is interrupting the normal grieving process, and a second article that discussed who easy it can be to become numb to the deaths, simply because of the numbers. Joseph Stalin said something that to human beings is all too true when confronted with massive numbers of deaths: “The death of one man is tragic, but the death of thousands is statistic.” What the psychopathic dictator was true then and true now. There is something in the human psyche that can accept vast numbers of dead human beings more than they can a single human being. After all, of a hundred thousand people die and you don’t know them they are only a statistic, a mass of numbers who are only that. They are just numbers, and even when we are confronted by their faces or bodies, especially if they happen out of our sight, even across town. However, if one of the dead is a friend, a lover, or even a devoted pet, the loss can be catastrophic.

In a way I kind of know how that goes. When I did my hospital chaplain residency in 1993-1994 at Parkland Memorial Hospital in Dallas, Texas there were times that I was nearly overwhelmed by the numbers of deaths where I stood by grieving families and friends, and occasionally over the body of people who went un-mourned, at least at their time of death. I counted myself lucky when I only had to deal with two deaths on any given shift, most of the time it was more. The highest was on a summer night where on an 11 PM to 7 AM shift I dealt with eight deaths in eight hours. Two from gunshot wounds, one from a motor vehicle crash, three AIDS victims, one heart attack, and one newborn baby who was born too early to save, but who was precious to his mother and father in his all too brief life. I walked out into the sunshine of that morning and felt numb. I saw people laughing, and couldn’t laugh. In the eight years as a civilian and military hospital chaplain I have probably dealt with about 700-800 deaths, I lost count along the way. Many simply blended together, but there are quite a few others where I remember them like they were yesterday, even with the dead or their loved ones I remember details that are forever burned in my memory. I can understand what the EMTs, paramedics, doctors, nurses and technicians in overwhelmed hospitals are going through, although with HIV or H1N1 infected people, or maybe a violent family member, friend, or enemy of the victim, most of the time I didn’t have much concern about being infected by a patient in the ER or ICU compared with today’s ER and ICU staffs are dealing.  Likewise, to some extent what the families of the victims are going through, not being able to be with loved ones when they died, because of time, distance, and military considerations.

Too many people are grieving without being able to really mourn, while others are becoming numb to the number of deaths, be they on the front lines, or just bombarded by the news. The way the numbers are shown often reminds me of the “body counts” put out by DOD during the Vietnam War, which were featured on every nightly newscast of the era, like baseball box scores.

In Star Trek Deep Space Nine there is an episode where crew members of DS9 are reading the daily casualty count: Captain Benjamin Sisko noted: “Every Friday morning, for the past three months, I’ve posted the official list of Starfleet personnel killed, wounded or missing in the war. It’s become something of a grim ritual around here. Not a week goes by that someone doesn’t find the name of a loved one, a friend or an acquaintance on that damned list. I’ve grown to hate Fridays.”

I have begun to hate the numbers of infections, hospitalizations, and deaths brought about by the Coronavirus 19. But, at the same I cannot forget that behind every number there is a life cut short, loved ones and friends left behind, struggling to mourn, with no end in sight. But we must find a way to mourn those who we have loved and lost. I hope that we can do that. I am trying to figure out a way at the Naval Shipyard where I serve that we can make that happen, while taking every precaution to ensure that no one else is infected. I hope that others are trying to do what I am trying to do for people who have had their chance to mourn their losses as they should.

All that being said, with the President and his cult of followers, mostly conservative “pro-life” Christians, or those that say they are pretend to be for political purposes, continue to act in a a uniquely disturbing and murderous behaviors. They shun Protective masks and call it government tyranny. The same is true for social distancing rules designed to protect the lives of all, in order to conduct public worship services, crowd around bars, and send poor people back to work where they have little protection from the virus due to the intentional negligence and concern that those workers might become infected or die.

I cannot understand such convoluted reasoning. I actually wrote much more pointedly about them in this post bust decided that those words, which present unpleasant facts and truth would have completely destroyed what I want to say in the article.

We cannot allow such longstanding selfishness, race hatred, suspicion of Americans who come from different cultural or religious backgrounds. Nor can we allow the lives of the Americans infirm, elderly, or disabled to be sacrificed just to get the economy moving faster and hotter. That is not pro-life, but it is pro death.

While such beliefs remain intrenched among Trump’s shills and supporters, I believe that they are not beyond redemption. It will be hard for them, but when the next wave of the virus hits and kills their loved ones and friends, they might finally see the light. Of course I could be wrong and find them to be like the most fanatical ideologues, religious or unreligious to have their leader be the President of the United States.

Somehow we will get through this together, unless Trump and his cultists destroy us first, and to die so we will have to mourn the dead, as we fight to save the living and prevent the spread of this deadly virus. Sadly it will have to be an us thing because the President has determined it to be yesterday’s news, declared victory and deserted the battlefield with the enemy’s counter offensive just beginning.

Peace and blessings, Until tomorrow,

Padre Steve+

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Leave them on the Ice Floe to Die: Post Hospitalization Health Care in the United States

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Friends of Padre Steve’s World

Thank you all for your expressions of support, kind thoughts, positive waves, and prayers over the past few weeks. My wife Judy is doing well, her wound is no longer draining, the sutures are healing and it looks like her staples will come out Monday. She is pretty much able to take care of herself and it looks like she will have a good number of visitors while I am in Gettysburg.

Now this has been an interesting experience. You see when someone leaves the hospital after major surgery insurance companies, even good ones are loath to pay for any in-home care, so everything falls on the family of the person, in our case since we don’t have 19 kids to saddle with the work, that person is me. In fact for most people the work falls on their spouse or their significant other, or possibly a teenage kid.

Now I am lucky, I am a fairly senior military officer and I work in an academic setting where I do not have to deploy and have a command that is very supportive of whatever time I need to care for Judy. I don’t have to worry about my paycheck getting docked ort losing my job. Sadly, a majority of Americans have to worry about that if their family member is sick, or needs post surgery care. I think that is a terrible situation if you ask me; condemn Europeans as socialists who pay too much in taxes, but at least they get something for what they pay, most European countries have effective health care and social service systems that do not let people fall through the crack.

For a nation that considers itself the pinnacle of humanitarianism and which is supposedly “pro-life” the situation is shameful, and frankly I think we should be ashamed. We are not pro-life at all, even the people that call themselves that tend to be pro-birth and the hell with you after that, unless you are rich.

Interestingly enough the Commonwealth Fund, hardly a liberal institution, ranked the United States 11th of 11 developed western countries in terms of health care, including accessibility and outcomes, of course all of those countries are willing to have universal health care, and sorry even Obamacare is not socialized medicine, it is simply a modified version of the Heritage Foundation’s plan that they touted over a decade ago and similar to Romneycare. It still keeps the insurance companies in control of most healthcare decisions. If you want to see where the United States ranks here is the listing:

  1. United Kingdom
  2. Switzerland
  3. Sweden
  4. Australia
  5. Germany & Netherlands (tied)
  6. New Zealand & Norway (tied)
  7. France
  8. Canada
  9. United States

The link to the Forbes Magazine article where you can find the report is here: http://www.forbes.com/sites/danmunro/2014/06/16/u-s-healthcare-ranked-dead-last-compared-to-10-other-countries/

But anyway, I digress. When a person leaves the hospital the family, with very few exceptions is lead to fend for themselves. Post hospital prescriptions may be covered by insurance, ours are, but nothing else is. If you need surgical pads, gauze, bandages, antiseptic wipes or a host of other potential needs, they come out of your pocket, thankfully mine are deep enough to handle these expenses, but think of the person who lives paycheck to paycheck and because they have to take unpaid leave are not getting a paycheck during their loved one’s illness.

When your loved one is recovering you become all the things that the hospital provides while they are an inpatient. You are nursing services, you get to check, clean and dress their wounds, make sure they get their medicines and monitor them for anything that might be going wrong. Now for me this is not a problem, I have a significant amount of medical background as a Medical Service Corps officer in the Army as well as a hospital chaplain working trauma, critical-care and ICUs. Blood, guts, bodily fluids, I can handle them; spot infection, got it; change dressings, and do other things that gross people out, can do. Again, I am lucky; I have training and experience but sadly when most people leave the hospital their untrained and inexperienced relatives get to do this. The family also is the nursing aid, the dietary service, rehab service, housekeeping and laundry service. It is a full time job, which most families are not, trained to deal with and many do not have the resources to do. Let’s say that because they have to pay rent the caregiver has to leave the recovering patient alone, they are hosed unless perhaps a friend or neighbor volunteers to do this, once again at no cost to the insurance company of the health care system.

For those that do not think that nurses earn their money they are sadly mistaken, nursing is hard, it is physical and emotional. I know why nurses only work 3-4 days before they get a break, it is demanding. Judy often tells me from previous experiences with me as her nurse that I graduated from the Leave Them on the Ice Floe to Die School of Nursing. Now with global warming and the ice flows all melting I had no place to put her so I really had to work hard. Actually, I didn’t mind it, I wanted to make sure that there were no complications and that nothing happened to her I really worked hard to care for her, and I wanted to do it. However, that being said that is what our health care system does to people when it puts them out of hospital, it leaves them and their families out on the ice flow and sadly the ice floes are disappearing. We need to really change how we do health care in this country before they are gone.

PearlsBeforeSwine-28Oct2013

 

So anyway, I am now on the way to Gettysburg to lead 20 students as well as some faculty and family members on my third staff ride of the year. Tomorrow and Sunday I will be out and about the battlefield teaching. I’ll post something short tomorrow night.

Again thank you and blessings

Peace

Padre Steve+

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