Homily for the Six Sunday
of the Year- February 14, 2010
In the new book “The Soul of a Doctor: Harvard
Medical Students Face Life and Death” a medical
student recounts an incident he witnessed during
his training:
An oncologist and palliative care doctor entered
the room of the mother of two children who was
being treated for cancer. With her was her husband,
a Marine Corps officer. After quick introductions,
the oncologist began the explanation that she
had given much thought and time to prepare, but
still sounded so inadequate as she spoke. The
husband focused his laser-beam stare at the two
doctors as the oncologist explained that his wife’s
kidneys were functioning at less than 25 percent
and that chemotherapy was no longer a viable option.
The husband’s silent anxiety then materialized
into vocal anger. “How could this have happened?
Why had no one in the hospital noted my wife’s
kidney status before it became too late? Wasn’t
this hospital supposedly one of the best in the
country? Why could they not cure her?”
The doctors responded the best they could. Looking
directly at the Marine, the doctor explained how
they had done their best to monitor his wife’s
kidneys but that sometimes the unexpected happens
with cancer. The most they could do now was to
lay out the options so they could make the best
informed and most appropriate decisions about
how to spend the time she had left.
The patient herself then spoke. With an eerie
calm she said that she could not possibly be terminally
ill because her husband was about to be deployed
to Afghanistan. Someone had to be home to take
care of the children. She had to get better. That
was the only option.
That’s when her Marine Corps husband broke down.
Unable to contain his shock, distraught at his
wife’s complete denial, agonizing over the care
of his children, he cried like a lost child. The
two doctors quietly stood by with him; one found
some tissues for him. When he had composed himself,
he politely told the doctors he needed some time
to speak to his wife alone.
Then this same husband, who minutes earlier had
been consumed with rage and distraught with grief,
thanked the doctors for doing their jobs well
and for explaining his wife’s prognosis in a humane
and honest way. He was grateful for their clarity
and compassion. Giving bad news was one of the
most difficult tasks he could imagine, and the
doctors had done it well.
The doctors thanked the Marine for his own kindness,
moved by such profound gratitude form a man about
to go to war in Afghanistan while facing the terminal
illness of his beloved wife, the mother of his
children.
Both the doctors and husband displayed the spirit
of “blessedness” of today’s Gospel. Moved by compassion,
the doctors put aside their own need to justify
their prognosis to let the poor man assault them
with questions; when he breaks down, they provide
a safe place and time for him to grieve. The Marine
then puts aside his own anger and hurt to recognize
how hard this situation is for the doctors and
expresses his gratitude for the compassion and
support they had extended to him and his wife
and would continue to provide. To be the among
the blessed envisioned by Jesus means to put aside
our own poverty and hunger in order to extend
the care and compassion of Jesus to another; to
provide, regardless of cost, havens for the lost
to return, for the grieving to mourn, for the
wounded to heal. Only in imitating the servanthood
of Christ do we experience the true depth of our
own faith; only in embracing his compassion and
humility in our lives, do we enable the Spirit
of God to renew and transform our world in God’s
life and love.
Dr. Bill Davis is a young doctor with an old-fashioned
country approach to medicine: for one thing, he
likes making house calls. Carrying his battered,
black medical bag, he often rides his son’s bike
along the back roads in the rural towns of California
where his patients live, spending an hour or so
sitting at the bed or kitchen table trying to
get to the bottom of what’s ailing them.
His approach has put him at odds with the HMO
who paid his salary. The HMO felt his one-on-one
style wasn’t good business, insisting that he
see as many as six patients an hour. After six
years of frustration and fighting, the 47 year-old
physician, calling himself a “conscientious objector”
to managed health care, quit his job last summer.
“I got tired of watching patients having to wait
for oxygen or pain relief” because of HMO requirements
and paperwork. “I became a thorn in their side
because their big-city brand of medicine wasn’t
doing justice to people in this town.”
Doctor Davis was prepared to leave medicine all
together- save for what his patients did next.
On the day he quit, dozens of his patients lined
up outside his old office to cheer him on. Then
they banded together for a nonprofit health-care
foundation that would allow Doctor Davis to practice
medicine as he saw fit. Volunteers refurbished
an office in the heart of town in what residents
proudly referred to as an old fashioned barn-raising.
The new health care clinic will mainly treat poor
Medicaid patients, charging on a sliding scale
what patients can afford.
The new practice is not without risk to Doctor
Davis and his family. He will forgo a salary for
the first year, making money tight for his family.
But his wife and sons agree that is worth the
gamble.
“We’ll live out of a van if we have to,” said
his wife, Wendy. “It’s so liberating to do what
you believe in. Now Bill’s eyes light up when
he talks about his patients. He’s become a real
doctor again.
In Luke’s Sermon on the Mount, Jesus challenges
everything our consumer-driven, me-first, bottom-line
oriented society holds dear: Wealth and power
are not the stuff of the reign of God, but humility,
selflessness, and compassion are the treasures
of the city of God. Today’s Gospel challenges
us to embrace a new vision, a new attitude in
approaching life: to seek the common good before
our own needs and interests; to bring compassion
and forgiveness to others despite our own anger,
hurts, and unease; to free ourselves from the
pursuit of things of this world in order to seek
the lasting things of God.
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