Dear People of Christ Church,
As you may have
heard on Sunday, this week we'll gather at 7pm to hear from our own Rob
Atwood and Christine August on end of life care. Rob is a hospice social worker
and Christine is an ICU nurse-both come to us with a great wealth of knowledge
of how we die. It happens to everyone, and even God in Jesus Christ went
there with us, but it's still a topic we fear. The fact is, though,
talking with the people we love about what we want near the end of our own
lives, or what they want at the end of theirs, is one of the greatest gifts we
can give. But it's hard. We don't want to be ghoulish, or make anyone
uncomfortable, or we can't countenance the idea of not having those we love
with us every day. We'd just rather talk about it...another day.
In a Christian context,
though, we're given a new freedom, a different context to consider the death of
our bodies. We can stand neither "for" nor "against" death,
but beside, as a known part of our human existence that will happen to us all.
Francis of Assisi put it this way in the hymn we know as "All
Creatures of our God and King:"
And thou most kind and gentle
Death,
Waiting to hush our latest breath,
O praise Him! Alleluia!
Thou leadest home the child of
God,
And Christ our Lord the way hath
trod.
O praise Him! O praise Him!
Alleluia! Alleluia! Alleluia!
Kind and gentle death, leading us
home to God. Wow.
Life is a tremendous gift, and we
are stewards-caretakers-of these bodies and souls that are given us. They are a
blessing. Our life is a blessing. Modern medicine and technology are a
blessing. There are many of you whose lives I treasure who have survived
illnesses that just twenty years ago would have been a death sentence.
As much as we are grateful for all the many treatments that are now
possible to prevent death, we also know that there's more to the story than
just our bodies' eventual end.
We have a responsibility to
preserve life, but we can also be realistic about what treatments are likely to
be effective and which are not. If nothing can separate us from God and
the love of those we love, then we don't have to approach death as the
enemy. Choices about care can be made from the standpoint of compassion
for the whole person, not just the scientific alleviation of a particular
symptom or illness. If someone near death is unable to swallow or loses
interest in food, for example, is it compassionate to give a feeding tube? It's
a hard question. It may prolong the life of their body, but that may come
at another cost.
In our Church's teaching about the
end of life, we differentiate between "passive" and
"active" ways in which death may be hastened. The passive withholding
of treatment is an ethical choice; if there is no prognosis for recovery, the
question becomes whether the patient's dying process is being prolonged, as
opposed to whether their actual life is being extended. At the same time,
when the physician assisted suicide referendum came around at election time, I
voted "no;" to take an action specifically with the desired outcome
being death is not, in my view, an ethical choice. As Episcopalians, also, we
respect each others' freedom of conscience. These issues are complicated, and
we don't condemn those who believe otherwise. There are times when the
lines are blurry and that's why it's so important that we talk to those we love
about the choices they want us to make. Fill out the legal paperwork for
who will be your health care proxy if you can't make decisions for
yourself. Put down, in writing if necessary, the kind of treatment
you do and do not want and tell that person.
As part of our conversation next
week, I'll also make available a booklet we put together several years ago
called "A Christian Prepares for Death," which leads you through many
of the choices to be made in preparing for the kind of burial you want. We
might think, "I won't exactly be present, so I'll let the people who
survive me make the choices." But let me tell you from the experience of
going through this with a lot of people-the most comforting thing for the
surviving person is to know what you would have wanted! This goes for
whether you want to be cremated or have "Go Tell it on the Mountain"
sung as much as for whether you would want to be removed from a ventilator.
Small decisions loom awfully large in a time of grief. Communication
about death is not morbid--it's one of the most loving things you can do.
I'll leave you with this piece of
Scripture:
For I am convinced that neither
death, nor life, nor angels, nor rulers, nor things present, nor things to
come, nor powers, nor height, nor depth, nor anything else in all creation,
will be able to separate us from the love of God in Christ Jesus our
Lord. (Romans 8:38-39)
Thanks be to God!
Blessings,
Sara+